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Clinical Psychology & Psychotherapy

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https://www.readbyqxmd.com/read/28809070/ambivalence-and-guilt-feelings-two-relevant-variables-for-understanding-caregivers-depressive-symptomatology
#1
Andrés Losada, María Márquez-González, Carlos Vara-García, Laura Gallego-Alberto, Rosa Romero-Moreno, Karl Pillemer
Providing care for a relative with dementia is considered to be a chronic stressor that has been linked to negative mental health consequences for caregivers. A theoretical model was developed and tested to assess the degree to which ambivalence and guilt feelings contribute to caregivers' depressive symptomatology. Participants included 212 dementia family caregivers. In addition to ambivalence and guilt feelings, sociodemographic characteristics, behavioural and psychological symptoms of dementia, and depressive symptomatology were assessed...
August 14, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28804935/confirming-the-mechanisms-behind-cognitive-behavioural-therapy-effectiveness-in-chronic-pain-using-structural-equation-modeling-in-a-sample-of-patients-with-temporomandibular-disorders
#2
Estrella Durá-Ferrandis, Maite Ferrando-García, Mª José Galdón-Garrido, Yolanda Andreu-Vaillo
OBJECTIVE: To evaluate whether therapeutic mechanisms assumed to explain the effect of cognitive behavioural therapy (CBT) concerning temporomandibular symptoms are confirmed by structural equation modelling. METHOD: Patients were randomly assigned to either an experimental group receiving CBT (N = 41) or a standard therapy control group (N = 31). Subjects were assessed before and after intervention using mediator variables hypothesized according to the CBT model, as well as outcome variables and other socio-demographic and clinical measures...
August 14, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28791792/the-role-of-feared-possible-selves-in-obsessive-compulsive-and-related-disorders-a-comparative-analysis-of-a-core-cognitive-self-construct-in-clinical-samples
#3
Frederick Aardema, Richard Moulding, Gabriele Melli, Adam S Radomsky, Guy Doron, Jean-Sebastien Audet, Magali Purcell-Lalonde
Increasingly, cognitive-behavioural models have been considering the role of beliefs about the self in the development and maintenance of obsessive-compulsive disorder (OCD), including sensitive domains of self-concept and feared self-perceptions. This has led to the development of the Fear of Self Questionnaire (FSQ; Aardema et al., ), which has shown strong internal consistency, divergent and convergent validity, and found to be a major predictor of unwanted thoughts and impulses (i.e., repugnant obsessions)...
August 9, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28782866/a-collaborative-care-skills-workshop-for-carers-can-it-be-delivered-in-1%C3%A2-day
#4
Paul E Jenkins, Sonia Bues, Julie Cottrell, Joel Hawkins, Laura Pinder, Susan Price, Anne Stewart
Carers of individuals with eating disorders (EDs) report high levels of burden and distress and describe a number of unmet needs. As a result, a number of interventions have been designed to support carers, including the "Maudsley eating disorder collaborative care skills workshops," which comprise six 2-hr workshops delivered over 3 months for parents and carers of people with EDs. The current study aimed to test a proof-of-concept that this workshop could be effectively delivered in 1 day. An additional aim was to assess whether the workshop had direct effects on carer skills...
August 7, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28770559/beyond-ryff-s-scale-comprehensive-measures-of-eudaimonic-well-being-in-clinical-populations-a-systematic-review
#5
Martina Brandel, Francesca Vescovelli, Chiara Ruini
Eudaimonic well-being that protects mental and physical health has received increasing attention. This investigation aimed to review which comprehensive instruments for measuring eudaimonic well-being were applied with clinical populations (reporting mental or physical illnesses), beyond Ryff's Psychological Well-Being Scale. Articles citing at least 1 of the measures of eudaimonic well-being identified by previous theoretical work were extracted from medical and psychological electronic databases and screened...
August 2, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28752631/what-approaches-for-promoting-shared-decision-making-are-used-in-child-mental-health-a-scoping-review
#6
Helen Cheng, Daniel Hayes, Julian Edbrooke-Childs, Kate Martin, Louise Chapman, Miranda Wolpert
OBJECTIVE: Whilst the benefits of shared decision-making (SDM) have been promoted across different health settings, its implementation is complex, particularly for children and young people with mental health difficulties. The aim of this scoping review was to identify and describe SDM approaches (tools, techniques, and technologies) used in child and youth mental health. METHOD: Electronic databases and grey literature were searched. Papers were included if they satisfied these criteria: English language; described an SDM approach (tool, technique, or technology); included sufficient detail on the SDM approach for quality assessment; did not use only a questionnaire to provide feedback on SDM or related concepts (e...
July 28, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28752580/a-randomized-controlled-trial-comparing-emdr-and-cbt-for-obsessive-compulsive-disorder
#7
Zoe Marsden, Karina Lovell, David Blore, Shehzad Ali, Jaime Delgadillo
BACKGROUND: This study aimed to evaluate eye movement desensitization and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention. METHOD: This was a pragmatic, feasibility randomized controlled trial in which 55 participants with OCD were randomized to EMDR (n = 29) or CBT (n = 26). The Yale-Brown obsessive-compulsive scale was completed at baseline, after treatment and at 6 months follow-up...
July 28, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28748608/four-years-comparative-follow-up-evaluation-of-community-based-step-down-and-residential-specialist-psychodynamic-programmes-for-personality-disorders
#8
Marco Chiesa, Antonella Cirasola, Peter Fonagy
Although the fulcrum of service provision for personality disorder (PD) has shifted from hospital-based to psychodynamically- and cognitively-oriented outpatient programmes, very few studies have attempted to compare specialist moderate intensity outpatient programmes with specialist high-intensity residential models, or to explore whether a period of inpatient treatment may be necessary to improve outcome and prognosis. In this article, we prospectively compare changes over a 4-year period in 3 groups of patients with personality disorders (N = 162) treated in a specialist community-based (CBP, N = 30), a step-down (RT-CBP, N = 87), and a specialist residential programme (RT, N = 45) in psychiatric distress, deliberate self-injury, and suicide attempt using multilevel modelling and multivariate logistic regression analyses...
July 26, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28748598/an-evaluation-of-the-effectiveness-of-psychological-therapy-in-reducing-general-psychological-distress-for-adults-with-autism-spectrum-conditions-and-comorbid-mental-health-problems
#9
Sarah H Blainey, Freya Rumball, Louise Mercer, Lauren Jayne Evans, Alison Beck
OBJECTIVE: To investigate the effectiveness of psychological therapy in reducing psychological distress for adults with autism spectrum conditions (ASC) and co-morbid mental health conditions in routine clinical practice. To explore the effect of individual characteristics and service factors on change in general distress. METHOD: In a specialist psychological therapies service for adults with ASC, the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) self-report questionnaire of psychological distress is completed by clients at start and end of therapy...
July 26, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28744937/differences-in-clinical-intrusive-thoughts-between-obsessive-compulsive-disorder-generalized-anxiety-disorder-and-hypochondria
#10
Pablo Romero-Sanchiz, Raquel Nogueira-Arjona, Antonio Godoy-Ávila, Aurora Gavino-Lázaro, Mark H Freeston
Differences and similarities between intrusive thoughts typical of obsessive-compulsive disorder, generalized anxiety disorder, and hypochondriasis are relevant for their differential diagnosis, formulation, and psychological treatment. Previous research in non-clinical samples pointed out the relevance of some process variables, such as responsibility, guilt, or neutralization strategies. This research is aimed to investigate the differences and similarities between clinical obsessions, worries, and illness intrusions in some of these process variables...
July 26, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28730756/animal-assisted-psychotherapy-for-young-people-with-behavioural-problems-in-residential-care
#11
Alexander Muela, Nekane Balluerka, Nora Amiano, Miguel Angel Caldentey, Jone Aliri
The aim of this study was to evaluate the impact of an animal-assisted psychotherapy (AAP) programme on clinical symptoms, personal adjustment, and adaptive skills in a group of adolescents in residential care who had experienced childhood trauma and who presented mental health problems and difficulties adapting to the care home environment. The 87 participants (Mage  = 15.17, SD = 1.53) were divided into two groups: a treatment group (25 girls and 27 boys; Mage  = 15.00, SD = 1.55) and a control group (9 girls and 26 boys; Mage  = 15...
July 20, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28675661/intensive-short-term-dynamic-psychotherapy-for-generalized-anxiety-disorder-a-pilot-effectiveness-and-process-outcome-study
#12
Peter Lilliengren, Robert Johansson, Joel M Town, Steve Kisely, Allan Abbass
The objective of this study was to evaluate the clinical- and cost-effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outcome. The sample consisted of 215 adult patients (60.9% female) with GAD and comorbid conditions treated in a tertiary mental health outpatient setting. The patients were provided an average of 8...
July 4, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28675583/experiencing-health-related-quality-of-life-in-paediatric-short-stature-a-cross-cultural-analysis-of-statements-from-patients-and-parents
#13
Rachel Sommer, Monika Bullinger, John Chaplin, Ju-Ky Do, Mick Power, Andreas Pleil, Julia Quitmann
OBJECTIVES: Direct assessment of the patient perspective is necessary to thoroughly understand patients' experiences of disease. We aimed to examine information from children with short stature on their perceived HrQoL within 5 European countries. METHODS: Patients, identified through clinical databases, were approached by their clinicians according to the inclusion criteria regarding a diagnosis of growth hormone deficiency or idiopathic short stature and age requirements...
July 4, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28653442/attachment-and-dissociation-as-mediators-of-the-link-between-childhood-trauma-and-psychotic-experiences
#14
Josie Pearce, Jane Simpson, Katherine Berry, Sandra Bucci, Andrew Moskowitz, Filippo Varese
Exposure to childhood trauma has been implicated in the development of paranoia and hearing voices, but the mechanisms responsible for these associations remain unclear. Understanding these mechanisms is essential for ensuring that targeted interventions can be developed to better support people experiencing distress associated with paranoia and voices. Recent models have proposed that dissociation may be a mechanism specifically involved in the development of voices and insecure attachment in the development of paranoia...
June 27, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28653318/in-session-behaviours-and-adolescents-self-concept-and-loneliness-a-psychodrama-process-outcome-study
#15
Hod Orkibi, Bracha Azoulay, Sharon Snir, Dafna Regev
As adolescents spend many hours a day in school, it is crucial to examine the ways in which therapeutic practices in schools promote their well-being. This longitudinal pilot study examined the contribution of school-based psychodrama group therapy to the self-concept dimensions and perceived loneliness of 40 Israeli adolescents (aged 13-16, 60% boys) in public middle schools. From a process-outcome perspective, we also examined the understudied trajectory of adolescents' in-session behaviours (process variables) and its associations with changes in their self-concepts and loneliness (outcome variables)...
June 27, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28639313/change-in-attachment-states-of-mind-of-women-with-binge-eating-disorder
#16
Hilary Maxwell, Giorgio A Tasca, Renee Grenon, Kerri Ritchie, Hany Bissada, Louise Balfour
Insecure and unresolved/disorganized attachment states of mind may impact affect regulation and interpersonal functioning that contribute to binge eating in women with binge-eating disorder (BED). Group psychological treatment may facilitate changes from insecure to secure and from unresolved-disorganized to non-unresolved/disorganized attachment states of mind. This study used attachment theory to understand better the psychopathology of BED and co-morbid overweight status and to understand better the treatment response of patients with BED who receive group psychotherapy...
June 21, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28636201/an-exploration-of-the-relationship-between-use-of-safety-seeking-behaviours-and-psychosis-a-systematic-review-and-meta-analysis
#17
Sarah Tully, Adrian Wells, Anthony P Morrison
Safety-seeking behaviours are responses employed to protect against perceived threat. In relation to anxiety disorders, safety-seeking behaviours have been implicated in both the formation and maintenance of distress. Several studies have highlighted similar findings in relation to psychosis; however, this literature has not yet been synthesized. This review is, therefore, being conducted in order to synthesize the literature on safety seeking in people with psychosis to increase the understanding of this relationship...
June 21, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28621035/cyberchondria-examining-relations-with-problematic-internet-use-and-metacognitive-beliefs
#18
Thomas A Fergus, Marcantonio M Spada
Cyberchondria refers to the repeated use of the Internet to search for health-related information, which leads to negative consequences. This two-part study provides the first known examination of how cyberchondria relates to (a) problematic Internet use and (b) metacognitive beliefs. Participants were U.S. community adults who reported using the Internet to search for health-related information (Study 1: N = 337, Study 2: N = 260). In Study 1, cyberchondria shared a strong association with problematic Internet use, and that association was unaccounted for by age, gender, current reported medical status, negative affect, or health anxiety...
June 16, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28612453/compassionate-attention-and-regulation-of-eating-behaviour-a-pilot-study-of-a-brief-low-intensity-intervention-for-binge-eating
#19
Cristiana Duarte, José Pinto-Gouveia, R James Stubbs
A low-intensity 4-week intervention that included components of compassion, mindfulness, and acceptance was delivered to women diagnosed with binge eating disorder. Participants were randomly assigned to 1 of 2 conditions: intervention (n = 11) or waiting list control (n = 9). Participants in the intervention condition were invited to practise mindfulness, soothing rhythm breathing, and compassionate imagery practices with a focus on awareness and acceptance of emotional states and triggers to binge eating and engagement in helpful actions...
June 13, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28608402/does-the-severity-of-psychopathology-of-italian-students-receiving-counselling-services-increase-over-time-a-5-year-analysis-and-a-comparison-with-a-clinical-and-non-clinical-sample
#20
Maria Grazia Strepparava, Marco Bani, Federico Zorzi, Umberto Mazza, Francesca Barile, Giorgio Rezzonico
Psychological problems-from the most minor such as exams anxiety to the more severe such as personality disorders-are not rare in young adults. University Counselling Services often present the only opportunity for undergraduates to meet health professionals and to be confronted with their difficulties in a non-clinical setting or-in cases of more severe psychopathology-to be referred to mental health services. Recent research attests to the increasing severity of psychological problems among undergraduate and graduate university students...
June 13, 2017: Clinical Psychology & Psychotherapy
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