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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
Maria Haarmans, Kwame McKenzie, Sean A Kidd, Richard P Bentall
Negative -self and -others core schemas have been implicated in the development and maintenance of psychotic experiences. One component of the self-system is gender-role strain (GRS; perceived discrepancy between actual self and gender-role norms). Although the role of gender in the formation of core schemas has been underscored in social and developmental psychology literatures, GRS has not been investigated in relation to psychosis. We examined whether it might be associated with negative schemas and psychotic experiences in women consistent with the trend toward sex- and gender-based analysis (SGBA) in health research...
July 5, 2018: Clinical Psychology & Psychotherapy
Marco Lehmann, Sebastian Kohlmann, Benjamin Gierk, Alexandra M Murray, Bernd Löwe
BACKGROUND: A high proportion of cardiac patients suffers from depression, which is an antecedent for suicidal ideation. This study identifies clinical vulnerabilities for suicidal ideation in cardiac patients. METHODS: The primary outcome of the study was severity of suicidal ideation as measured with the Patient Health Questionnaire (PHQ-9) item No. 9. Covariates were demographics, cardiac characteristics (i.e., Canadian Cardiovascular Society angina rating of chest pain and New York Heart Association rating of shortness of breath), depression (PHQ-8,i...
July 3, 2018: Clinical Psychology & Psychotherapy
Kieron O'Connor, Yuliya Bodryzlova, Jean-Sébastien Audet, Natalia Koszegi, Karine Bergeron, Annik Guitard
BACKGROUND: Group cognitive-behavioural therapy (G-CBT) for hoarding disorder (HD) may be an intervention of choice, considering its efficacy, low costs, and impact on comorbid anxiety and depression. But although G-CBT and modifications of G-CBT have been applied, none has assessed G-CBT efficacy at follow-up. In the current open-label pilot study, we tested the efficacy of G-CBT at posttreatment and 6-month follow-up and whether the inclusion of targeted reasoning and self-identity components added to G-CBT efficacy...
July 1, 2018: Clinical Psychology & Psychotherapy
Lydia Morris, Warren Mansell, Rebekah Amos, Dawn Edge
OBJECTIVES: Despite the promising effectiveness findings for transdiagnostic groups, studies have not explored clients' experiences. There is a risk that clients could perceive that the content of transdiagnostic groups is not sufficiently tailored to their specific problems. Our aims were to examine whether a brief transdiagnostic group, the Take Control Course (TCC), was acceptable to participants and to explore participants' perceptions of psychological change. METHODS: Qualitative data were collected via 12 semistructured, in-depth interviews...
June 26, 2018: Clinical Psychology & Psychotherapy
Anke Karl, Matthew J Williams, Jessica Cardy, Willem Kuyken, Catherine Crane
This paper explores the relationship between dispositional self-compassion and cognitive emotion regulation capacities in individuals with a history of depression. Study 1 (n = 403) established that self-compassion was associated with increased use of positive and decreased use of negative strategies, with small to medium sized correlations. Study 2 (n = 68) was an experimental study examining the association between dispositional self-compassion, use of cognitive emotion regulation strategies, and changes in mood and self-devaluation in participants exposed to a negative mood induction followed by mood repair (mindfulness, rumination, silence)...
June 12, 2018: Clinical Psychology & Psychotherapy
Measha Bright, Sophie Parker, Paul French, Anthony P Morrison, Sarah Tully, Suzanne L K Stewart, Adrian Wells
AIM: The Metacognitions Questionnaire-30 (MCQ-30) has been used to assess metacognitive beliefs in a range of mental health problems. The aim of this study is to assess the validity of the MCQ-30 in people at risk for psychosis. METHODS: One hundred eighty-five participants meeting criteria for an at risk mental state completed the MCQ-30 as part of their involvement in a randomized controlled trial. Confirmatory and exploratory factor analyses were conducted to assess factor structure and construct validity...
June 7, 2018: Clinical Psychology & Psychotherapy
Meagan J Brem, Ryan C Shorey, Scott Anderson, Gregory L Stuart
OBJECTIVE: Untreated compulsive sexual behaviour (CSB) poses a risk to efficacious substance use disorder (SUD) treatment. Yet the ways in which CSB manifests in women with SUDs remains poorly understood. Shame and trauma exposure are well-documented correlates for women's CSB. Prior theory suggested women with shame and trauma-related symptoms may engage in CSB in an effort to escape aversive internal experiences. Thus, the present study examined experiential avoidance as a mediator of the relationship between defectiveness/shame beliefs, post-traumatic stress disorder symptoms, and CSB in a sample of women with SUDs...
June 5, 2018: Clinical Psychology & Psychotherapy
Georgie Paulik, Anna-Marie Jones, Mark Hayward
Cognitive behaviour therapy is recommended internationally as a treatment for psychosis (targeting symptoms such as auditory hallucinations, or "voices"). Yet mental health services are commonly unable to offer such resource-intensive psychological interventions. Brief, symptom-specific and less resource-intensive therapies are being developed as one initiative to increase access. However, as access increases, so might the risk of offering therapy to clients who are not optimally disposed to engage with and benefit from therapy...
May 24, 2018: Clinical Psychology & Psychotherapy
Gregory H Mumma, Andrew J Marshall, Cortney Mauer
Although a number of manuals describe how to develop a cognitive-behavioural case formulation (CBCF) to assist the clinician in developing and implementing tailored CB treatment for complex or comorbid cases, methods to evaluate and test functional hypotheses in the formulation for a particular case are not widely known or used. Thus, formulation-based, tailored treatments for such cases are likely to be guided by case formulations of uncertain validity. The present article presents guidelines and choices available to the clinical trainee, researcher, or practitioner planning to use a person-specific (PS) approach to testing CBCF hypotheses about functional relations between triggers, cognitions, and distress or dysfunction...
May 23, 2018: Clinical Psychology & Psychotherapy
Célia Barreto Carvalho, Carolina da Motta, José Pinto-Gouveia, Ermelindo Peixoto
BACKGROUND: Social experiences have a significant impact on cognitive functioning and appraisals of social interactions. Specifically, recalls of antipathy from parents, submissiveness, and bullying during childhood can have a significant influence on paranoid ideation later in life. METHOD: Multiple hierarchical regression analysis was performed on a sample of 91 patients diagnosed with paranoid schizophrenia in remission and active phase, their first-degree relatives (n = 32) and unaffected controls (n = 64)...
May 9, 2018: Clinical Psychology & Psychotherapy
Jennifer M Doran, Juan Martín Gómez-Penedo, Jeremy D Safran, Andrés Roussos
The aim of the current study was to design and evaluate a therapist version of the Alliance Negotiation Scale (ANS). The ANS was created in order to operationalize the construct of dyadic negotiation in psychotherapy and to augment existing conceptualizations of the working alliance. The ANS has existed only as a client self-report form since its inception and has demonstrated promise as a psychotherapy process measure. This research intended to develop a complementary therapist self-report version of the measure...
May 2, 2018: Clinical Psychology & Psychotherapy
Lynette Roberts, Sophia Kwan
Individuals with intellectual disabilities (ID) are more vulnerable to mental health difficulties than the general population, yet there are limited evidence-based treatments available for this group. There has been a growing interest in adapting cognitive behaviour therapy (CBT) for this population; however, a framework describing how to modify cognitive challenging for a group characterized by cognitive impairment is lacking. The aim of this paper is threefold: (a) to describe how to implement cognitive challenging for adults with ID; (b) to report results from a pilot evaluation of a manualized, modified CBT-ID programme for anxiety; and (c) to compare participants with mild versus moderate ID on post-treatment cognitive challenging competencies...
April 23, 2018: Clinical Psychology & Psychotherapy
Julian D Ford, Damion J Grasso, Carolyn A Greene, Michelle Slivinsky, Jason C DeViva
A randomized controlled trial pilot study (; NCT01228539) with N = 31 U.S. male military recent combat veterans with PTSD and severe anger problems was conducted comparing 10-session individual therapy versions of Trauma Affect Regulation: Guide for Education and Therapy (TARGET) versus prolonged exposure (PE). TARGET had fewer drop-outs than PE (i.e., 29% vs. 64%). At post-test, improvements were found for both interventions in increased emotion regulation and hope, and reduced PTSD symptoms, hostility, experiential avoidance, and mental health problems...
April 23, 2018: Clinical Psychology & Psychotherapy
Henrik Nordahl, Hans M Nordahl, Patrick A Vogel, Adrian Wells
Social anxiety disorder (SAD) is a major risk factor for developing symptoms of depression. Severity of social anxiety has previously been identified as a risk factor, and cognitive models emphasize dysfunctional schemas and self-processing as the key vulnerability factors underlying general distress in SAD. However, in the metacognitive model, depressive and other symptoms are related to metacognitive beliefs. The aim of this study was therefore to test the relative contribution of metacognitions when controlling for SAD severity and factors postulated in cognitive models...
May 2018: Clinical Psychology & Psychotherapy
Sarah Kate Cameron, Jacqui Rodgers, Dave Dagnan
Research consistently provides evidence for the relationship between the therapeutic alliance (TA) and outcome across various therapies and presenting problems. Depression is considered the leading cause of disability worldwide, and there is substantial evidence for the efficacy for Cognitive Behaviour Therapy (CBT) in its treatment. At present, there is lack of clarity specifically about the relationship between the TA and outcome in CBT for depression. The present review is the first meta-analytic review to explore this relationship and also considering moderators...
May 2018: Clinical Psychology & Psychotherapy
Katherine Berry, Tom Palmer, Lynsey Gregg, Christine Barrowclough, Fiona Lobban
We examine associations between client attachment style and therapeutic alliance in a 3-arm randomized controlled trial of brief motivational interviewing and cognitive-behavioural therapy compared with longer term motivational interviewing and cognitive-behavioural therapy or standard care alone. Client self-report measures of attachment style were completed at baseline, and both clients and therapists in the treatment arms of the trial completed alliance measures 1 month into therapy. We found that insecure-anxious attachment was positively associated with therapist-rated alliance, whereas clients with insecure-avoidant attachment were more likely to report poorer bond with therapist...
May 2018: Clinical Psychology & Psychotherapy
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