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Clinical Psychology & Psychotherapy

Derek D Szafranski, Daniel F Gros, Ron Acierno, Kathleen T Brady, Therese K Killeen, Sudie E Back
Treatment dropout is often assumed to be due to worsening or lack of symptom improvement, despite minimal research examining symptom change among treatment dropouts. Thus, the present study examined symptom change in veterans who discontinued evidence-based treatment for comorbid posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Participants were veterans who completed at least 1 session of a 12-session Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure (COPE) for comorbid PTSD/AUD...
November 12, 2018: Clinical Psychology & Psychotherapy
Jeffrey B Brookings, Cathy L Pederson
In the interpersonal theory of suicide, perceived burdensomeness (PB) and thwarted belongingness (TB) are proximal triggers of suicidal ideation. Using the 15-item version of the Interpersonal Needs Questionnaire (INQ-15), suicidal ideation in psychiatric inpatients was predicted by the PB and TB scales and cutoff scores were recommended. In this study, women (N = 942) who reported one or more chronic, invisible illnesses completed an online survey including the INQ-15 and the Suicide Behaviors Questionnaire-Revised (SBQ-R)...
November 7, 2018: Clinical Psychology & Psychotherapy
Matthew W R Stevens, Daniel L King, Diana Dorstyn, Paul H Delfabbro
OBJECTIVE: While there is sufficient research and clinical evidence to support the inclusion of gaming disorder in the latest revision of the International Classification of Diseases (ICD-11), relatively little is known about the effectiveness of first-line psychological treatment for gaming disorder or Internet gaming disorder (IGD) as it is listed in the DSM-5. This systematic review employed meta-analytic techniques to determine the effectiveness of cognitive-behavioral therapy (CBT) for IGD on four key outcomes: IGD symptoms, anxiety, depression, and time spent gaming...
October 20, 2018: Clinical Psychology & Psychotherapy
Pierre Philippot, Martine Bouvard, Céline Baeyens, Vincent Dethier
This article presents the theoretical, clinical, and practical arguments supporting a process-based transdiagnostic approach to psychotherapy. A working definition of "psychological process" is provided, as well as a tri-dimensional categorization of psychological processes potentially involved in psychopathology. Guidelines are proposed to select psychological interventions based on the active psychopathological processes evidenced in a given case. We also provide a rationale to organize treatment as a set of modules, each addressing a specific psychopathological process...
October 19, 2018: Clinical Psychology & Psychotherapy
Soledad Quero, Mar Molés, Daniel Campos, Sabrina Andreu-Mateu, Rosa M Baños, Cristina Botella
Adjustment disorders (AD) and complicated grief (CG) are serious mental conditions that have a high prevalence and are associated with significant impairments in social and work functioning. Recently, these categories have been better specified in the new ICD-11 proposal. Empirical research on the efficacy of treatments for these problems is scarce. This study aims to offer long-term efficacy data from a between-groups controlled study that compares two treatment conditions (AD-protocol applied in a traditional way: N= 18; and the same protocol supported by virtual reality-VR-: N =18) and a waiting list (WL) control group (N =18)...
October 17, 2018: Clinical Psychology & Psychotherapy
Rebecca Tyrer, Ciara Masterson
Case formulation is considered important in both the development of the therapeutic relationship and in starting the process of therapeutic change. Cognitive analytic therapy describes the developmental origins and maintenance of a client's problems in both written (reformulation letter) and diagrammatic form (Sequential diagrammatic reformulation; SDR). This study aimed to investigate the effects of these reformulation tools on insight and symptom change. A small-N repeated measures design was employed with quantitative and qualitative measures collected from six therapist/client dyads...
October 10, 2018: Clinical Psychology & Psychotherapy
Cinzia Iacopetti, Ilaria Londi, Valentino Patussi, Saulo Sirigatti, Fiammetta Cosci
INTRODUCTION: Children living with parents who harmfully consume alcohol might experience more life events, in particular negative, than children living with parents who do not harmfully consume alcohol. They also primarily use less adaptive coping styles and often demonstrate lower resilience. No studies evaluated whether coping styles or psychological well-being might influence the risk of life events occurrence in children living with parents who harmfully consume alcohol. METHODS: 45 children living with parents who harmfully consume alcohol and 45 children living with parents who do not harmfully consume alcohol, matched for sex and age, were assessed via the Appendix Life Events of the Minnesota Multiphasic Personality Inventory - Adolescent (MMPI-A), the Coping Inventory for Stressful Situations (CISS), and the Psychological Well-Being Scales (PWB)...
October 4, 2018: Clinical Psychology & Psychotherapy
Andrew Koffmann
OBJECTIVE: Psychotherapy patients who experience large, stable symptomatic improvement between sessions are more likely than those without such sudden gains to benefit from treatment. However, there is limited empirical basis for the definition of sudden gains, and it is unclear how they may affect symptomatic change at other points in treatment. METHOD: In a psychotherapy training clinic, 149 adults completed a distress measure at each session. For each criterion in the definition of sudden gains, we evaluated the prediction of outcome, possible moderating variables, local score instability, and multi-session change before and after score shifts...
October 4, 2018: Clinical Psychology & Psychotherapy
Manfred E Beutel, Leslie Greenberg, Richard D Lane, Claudia Subic-Wrana
Anxiety disorders are characterized by high levels of anxiety and avoidance of anxiety-inducing situations and of negative emotions such as anger. Emotion-focused therapy (EFT) and psychodynamic psychotherapy (PP) have underscored the therapeutic significance of processing and transforming repressed or disowned conflicted or painful emotions. Although PP provides sophisticated means of processing intrapsychic and interpersonal conflict, EFT has empirically tested a set of techniques to access, deepen, symbolize, and transform emotions consistent with current conceptualizations of emotions and memory...
September 25, 2018: Clinical Psychology & Psychotherapy
Katja Petrowski, Hendrik Berth, Susan Schurig, Thomas Probst
OBJECTIVE: Several studies propose that patient attachment to therapist is associated with therapy outcome. However, the magnitude of the effect is diverse, which might be explicable by suppressor effects and the new concept of pseudo-security. METHOD: Associations between patient attachment to therapist (client-attachment-to-therapist-scale [CATS]) and psychotherapy outcome ("global severity index" of the Symptom Check List) were evaluated in N = 368 patients...
September 25, 2018: Clinical Psychology & Psychotherapy
Aoife Clarke, Jane Simpson, Filippo Varese
This systematic literature review examined the clinical utility of the construct of self-disgust in understanding mental distress. Specifically, the review assessed whether there is a shared conceptual definition of self-disgust, the face and construct validity of the quantitative assessment measures of self-disgust, and the predictive validity of self-disgust in formulating the development of a range of psychological difficulties. A systematic database search supplemented by manual searches of references and citations identified thirty-one relevant papers (27 quantitative, 3 qualitative, 1 mixed)...
September 24, 2018: Clinical Psychology & Psychotherapy
Dirk Zimmermann, Wolfgang Lutz, Michelle Reiser, Kaitlyn Boyle, Brian Schwartz, Viola N L S Schilling, Anne-Katharina Deisenhofer, Julian A Rubel
BACKGROUND: The therapeutic alliance is an important factor in psychotherapy, affecting both therapy processes and outcome. Therapy transfers may impair the quality of the therapeutic alliance and increase symptom severity. The aim of this study is to investigate the impact of patient transfers in cognitive behavioural therapy on alliance and symptoms in the sessions after the transfer. METHOD: Patient- and therapist-rated therapeutic alliance and patient-reported symptom severity were measured session-to-session...
September 24, 2018: Clinical Psychology & Psychotherapy
Aoife Bradley, Thanos Karatzias, Eimear Coyle
Emotion regulation (ER) difficulties have been identified as an important target for clinical intervention in the treatment of posttraumatic stress disorder (PTSD) symptoms in survivors of childhood sexual abuse (CSA). However, there is limited research regarding the use of specific strategies to regulate specific emotions following exposure to traumatic events. The aim of the current study was to investigate the indirect effects of four trauma-related emotions (anger, sadness, disgust and fear) on PTSD severity via two mediators; derealisation and self-harm...
September 19, 2018: Clinical Psychology & Psychotherapy
Laura Dellazizzo, Olivier Percie du Sert, Kingsada Phraxayavong, Stéphane Potvin, Kieron O'Connor, Alexandre Dumais
Auditory verbal hallucinations are hallmark symptoms of schizophrenia and are amongst the most disturbing symptoms of the disorder. Although not entirely understood, the relationship between the voice hearer and their voices has been shown to be an important treatment target. Understanding voice hearers' standpoints through qualitative analysis is central to apprehend a deeper comprehension of their experience and further explore the relevance of interpersonal interventions. Compared with other dialogical intervention, virtual reality-assisted therapy (Avatar Therapy) enables patients to be in a tangible relation with a representation of their persecutory voice...
September 16, 2018: Clinical Psychology & Psychotherapy
Manuela Gander, Kathrin Sevecke, Anna Buchheim
For the first time, the present study investigates disorder-specific attachment characteristics and childhood trauma in adolescent inpatients with anorexia nervosa (n = 30, girls/boys: 28/2, age: M = 14.84, SD = 1.20), a major depressive episode (n = 30, girls/boys: 27/3, age: M = 15.14, SD = 1.50), and controls (n = 60, girls/boys: 44/16, age: M = 16.10, SD = 1.20). We used the Structured Clinical Interview to diagnose Axis I disorders, the Adult Attachment Projective Picture System to classify attachment representations, and the Childhood Trauma Questionnaire to assess child maltreatment...
September 14, 2018: Clinical Psychology & Psychotherapy
Inês A Trindade, Joana Marta-Simões, Cláudia Ferreira, José Pinto-Gouveia
Breast cancer is linked to psychological distress and mood disorders that are in turn associated with higher psychological dysfunction and decreased breast cancer survival. It is considered that psychological health in breast cancer is considerably affected by body image impairment, which in turn seems to be highly associated with shame. However, the impact of these variables on mental health may not be direct. The current study aimed to explore a comprehensive model regarding the role of chronic illness-related cognitive fusion in the relationship of body image dissatisfaction and chronic illness-related shame with depression symptoms...
September 12, 2018: Clinical Psychology & Psychotherapy
Cheryl Jordan, Bu'Hussain Hayee, Trudie Chalder
OBJECTIVE: Anxiety and depression are common in inflammatory bowel disease (IBD) and have been linked to clinical recurrence. Previous randomized controlled trials (RCT's) have found no evidence that psychological interventions enhance outcomes for people with IBD but have recruited patients without distress. This study investigates the clinical benefits of a nonrandomized uncontrolled study of clinic based cognitive behaviour therapy (CBT) for people with IBD who had moderate-severe levels of anxiety or low mood and compares the results with a previous RCT of CBT in this population...
September 11, 2018: Clinical Psychology & Psychotherapy
Tien Kuei, Mavis Tsai, Hamish J McLeod, Ross G White, Jonathan Kanter
In order to increase therapeutic impact by enhancing awareness of clients' nonverbal communications, this article operationalizes the therapeutic alliance as a Needs-Satisfaction Process. The client's competence as a needs-seeker and the therapist assisting with the client's expression and satiation of basic social needs are proposed as being key mechanisms of change. Functional model of primary emotions derived from Panksepp's seven primary emotional systems (care seeking, care-taking, lust, fear and anxiety, anger, play, seeking, plus dominance and disgust) is integrated with Functional Analytic Psychotherapy's emphasis on in-session contingent natural reinforcement of clients' target behaviors...
September 11, 2018: Clinical Psychology & Psychotherapy
Craig Chigwedere, Richard Thwaites, Brian Fitzmaurice, Gary Donohoe
INTRODUCTION: The study examined the qualitative impact and credibility of Self-Practice/Self-Reflection (SP/SR). METHODS: 19 participants reflected on the self-practice of cognitive-behavioural therapy (CBT) techniques. Written reflections were analysed using inductive thematic analysis. RESULTS: Two super-ordinate themes (1) Personal-self and (2) Therapist-self, with themes and sub-themes emerged. CONCLUSION: The themes found equivalents in existing goals of traditional therapists' training-therapy...
September 11, 2018: Clinical Psychology & Psychotherapy
Cornelia Măirean
This study evaluated the relationships between driving cognitions (i.e., panic-related cognitions, accident-related cognitions, and social-related cognitions), rumination, and posttraumatic stress disorder (PTSD) symptoms in a sample of road traffic accidents (RTAs) survivors. We also investigated the indirect effect of driving cognitions on PTSD symptoms through rumination. The sample included 633 drivers (62% were men; Mage = 36.09; standard deviation [SD] = 11.42 years). The participants completed scales measuring driving cognitions, rumination, and PTSD symptoms, as well as providing their demographic information...
September 11, 2018: Clinical Psychology & Psychotherapy
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