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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 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; 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
Joaquín García-Alandete, Blanca Gallego Hernández de Tejada, Sandra Pérez Rodríguez, José H Marco-Salvador
OBJECTIVE: The purpose of the present study was three-fold: first, to analyze the psychometric properties of a 10-item Spanish version of the Purpose in Life Test, which assesses meaning in life, in a sample of community adolescents; second, to analyze the differences between the age and gender groups; and third, to analyze whether MiL buffers the relationship between emotional dysregulation and hopelessness. METHOD: Participants were 1599 adolescents from 12 to 19 years old, M = 15...
September 11, 2018: Clinical Psychology & Psychotherapy
Susan Simpson, Gabriella Simionato, Matthew Smout, Michiel F van Vreeswijk, Chris Hayes, C Sougleris, Corinne Reid
Psychologists are subject to multiple competing emotional demands that increase the risk of burnout. Research has demonstrated that burnout arises from both organizational and personal factors, including psychologists' personal beliefs and coping. Preliminary research indicates that Early Maladaptive Schemas (EMS) are associated with high burnout, yet, to date, the role of EMS and associated coping responses (Maladaptive Coping Modes [MCM]) in predicting high burnout among psychologists has not been investigated...
September 11, 2018: Clinical Psychology & Psychotherapy
Evelien Snippe, Maya J Schroevers, Annika Tovote, Robbert Sanderman, Paul M G Emmelkamp, Joke Fleer
Understanding why therapists deviate from a treatment manual is crucial to interpret the mixed findings on the adherence-outcome association. The current study aims to examine whether therapists' interpersonal behaviors and patients' active engagement predict treatment outcome and therapist adherence in Cognitive Behavior Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT) for depressive symptoms. In addition, the study explores rater's explanations for therapist non-adherence at sessions in which therapist adherence was low...
September 10, 2018: Clinical Psychology & Psychotherapy
Jon Fauskanger Bjaastad, Gro Janne Henningsen Wergeland, Bente Storm Mowatt Haugland, Rolf Gjestad, Odd E Havik, Einar R Heiervang, Lars-Göran Öst
OBJECTIVE: The aim was to investigate whether clinical experience, formal cognitive behavioural therapy (CBT) training, adherence, and competence predict outcome in CBT for anxiety disorders in youth. METHOD: Videotapes (N = 181) from the sessions in a randomized controlled effectiveness trial (Wergeland et al., 2014, Behaviour Research and Therapy, 57, 1-12) comprising youth (N = 182, M age = 11.5 years) with mixed anxiety disorders were assessed for treatment adherence and competence using the Competence and Adherence Scale for CBT for anxiety disorders in youth (Bjaastad et al...
August 29, 2018: Clinical Psychology & Psychotherapy
Sarah Schumacher, Deborah Weiss, Christine Knaevelsrud
The efficacy of exposure is beyond doubt, which is reflected in guidelines recommending its application in the treatment of anxiety disorders and post-traumatic stress disorder (PTSD). Research suggests exposure to be underutilized in clinical practice in the United States and Europe. A systematic investigation of the dissemination of exposure in Germany is lacking. The present study examined the dissemination and application frequency of exposure among German cognitive behavioural therapists working in routine care...
August 17, 2018: Clinical Psychology & Psychotherapy
Kevin Glisenti, Esben Strodl, Robert King
OBJECTIVE: This study aimed to provide preliminary evidence of the usefulness of emotion-focused therapy (EFT) for binge-eating disorder (BED). METHODS: We used a single-subject design in which 12 weeks of individual EFT were applied nonconcurrently to six female adult participants with BED, following three weekly baseline sessions. Participants were assessed for binge-eating psychopathology and emotion regulation difficulties on a weekly basis during baseline and treatment...
August 17, 2018: Clinical Psychology & Psychotherapy
Tahereh Orang, Sarah Ayoughi, James K Moran, Hakimeh Ghaffari, Saeedeh Mostafavi, Maryam Rasoulian, Thomas Elbert
OBJECTIVE: The mental health needs of women affected by intimate partner violence (IPV) and living under continuous domestic violence are currently not well understood. The present study investigates the feasibility and efficacy of narrative exposure therapy (NET), compared with commonly used counselling (treatment-as-usual, TAU), in a group of currently IPV-affected women in Tehran, Iran. METHOD: Forty-five IPV-affected women with a diagnosis of post-traumatic stress disorder (PTSD) were randomized to 10 to 12 sessions of either NET (n = 24) or TAU (n = 21)...
August 5, 2018: Clinical Psychology & Psychotherapy
Laura Balottin, Stefania Mannarini, Martina Maria Mensi, Matteo Chiappedi, Umberto Balottin
The study aims to explore the connection between the family interactive patterns, investigated with a standardized observational tool based on a recorded play session, the Lausanne Trilogue Play, and the outcome of adolescent patients with anorexia nervosa after a 6 months treatment, based on the Morgan-Russel Outcome Assessment Schedule. Seventy-two parents and adolescent daughters with anorexia nervosa, consecutively referred to an adolescent neuropsychiatric service, participated in the study and underwent an integrated model of treatment, based on constant neuropsychiatric and dietary monitoring, weekly individual psychotherapy for the daughter, and parental counselling and support...
July 26, 2018: Clinical Psychology & Psychotherapy
Carina Remmers, Johannes Zimmermann, Alice Buxton, Hans-Peter Unger, Sander L Koole, Christine Knaevelsrud, Johannes Michalak
BACKGROUND: Mindfulness-based interventions (MBIs) are effective in treating major depression. Because mindfulness involves monitoring and accepting current experiences, it may lead people resolve incongruencies between emotional responses that would otherwise remain unnoticed. Mindfulness may thus foster congruence between implicit and explicit emotions. The current randomized controlled trial tested this notion. METHODS: N = 39 patients with an acute depressive episode were randomly assigned to an 8-week MBI (n = 24) or a psychopharmacological consultation condition (n = 15)...
July 18, 2018: Clinical Psychology & Psychotherapy
Carl Norwood, Nima G Moghaddam, Sam Malins, Rachel Sabin-Farrell
Videoconferencing psychotherapy (VCP)-the remote delivery of psychotherapy via secure video link-is an innovative way of delivering psychotherapy, which has the potential to overcome many of the regularly cited barriers to accessing psychological treatment. However, some debate exists as to whether an adequate working alliance can be formed between therapist and client, when therapy is delivered through such a medium. The presented article is a systematic literature review and two meta-analyses aimed at answering the questions: Is working alliance actually poorer in VCP? And is outcome equivalence possible between VCP and face-to-face delivery? Twelve studies were identified which met inclusion/exclusion criteria, all of which demonstrated good working alliance and outcome for VCP...
July 16, 2018: Clinical Psychology & Psychotherapy
Asle Hoffart
We tested a theory-derived network of within-person causal relations between experiential states in schema therapy of Cluster C personality problems. The sample consisted of 35 patients with panic disorder and/or agoraphobia and DSM-IV Cluster C personality traits or disorders who participated in an inpatient programme. In a 6-week schema therapy phase, the patients had nine or 10 individual sessions and completed measures of experiential states (anger, sadness, depression, anxiety, optimism, and schema belief) before and after each session...
July 12, 2018: Clinical Psychology & Psychotherapy
Pablo Fernández-Navarro, Catarina Rosa, Inês Sousa, Vanessa Moutinho, Ana Antunes, Carina Magalhães, António P Ribeiro, Miguel M Gonçalves
OBJECTIVES: In previous studies, reconceptualization innovative moments were associated with successful psychotherapy. Reconceptualization has two components-(a) a positive temporal contrast between the past self and the present self (contrasting self [CS]) and (b) a description of how and/or why this change has occurred (change process [CP])-from the perspective of the client. The aim of this study is to analyse if CS and CP have the same association with outcomes as reconceptualization...
July 10, 2018: Clinical Psychology & Psychotherapy
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