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Clinical Psychology & Psychotherapy

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https://www.readbyqxmd.com/read/28730756/animal-assisted-psychotherapy-for-young-people-with-behavioural-problems-in-residential-care
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/28493541/sudden-gains-in-exposure-focused-cognitive-behavioral-group-therapy-for-panic-disorder
#11
Raquel Nogueira-Arjona, Martí Santacana, María Montoro, Silvia Rosado, Roser Guillamat, Vicenç Vallès, Miquel A Fullana
In the context of psychological treatment, a sudden gain is a large and enduring improvement in symptom severity that occurs between two single therapy sessions. The influence of sudden gains on long-term outcomes and functional impairment in anxiety disorders is not well understood, and little is known with regard to panic disorder in particular. In addition, previous research on patients with anxiety disorders has produced inconsistent results regarding the relationship between sudden gains and cognitive change...
May 11, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28493518/on-the-relationships-between-dsm-5-dysfunctional-personality-traits-and-social-cognition-deficits-a-study-in-a-sample-of-consecutively-admitted-italian-psychotherapy-patients
#12
Andrea Fossati, Antonella Somma, Robert F Krueger, Kristian E Markon, Serena Borroni
This study aims at testing the hypothesis that the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-5) alternative model of personality disorder (AMPD) traits may be significantly associated with deficits on 2 different social cognition tasks, namely, the Reading the Mind in the Eyes Test and the Movie for the Assessment of Social Cognition, in a sample of consecutively admitted inpatients and outpatients. The sample was composed of 181 consecutively admitted participants (57.5% women; mean age = 38...
May 11, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28488365/insecure-attachment-and-maladaptive-schema-in-disordered-eating-the-mediating-role-of-rejection-sensitivity
#13
Tara De Paoli, Matthew Fuller-Tyszkiewicz, Isabel Krug
AIM: The current study aimed to assess insecure attachment and the disconnection and rejection domain of maladaptive schema in the context of disordered eating. Rejection sensitivity (RS) was proposed as a mediator between maladaptive schema and disordered eating. METHOD: The sample consisted of 108 female participants with a lifetime eating disorder diagnosis and 508 female control participants. Participants were asked to complete a number of self-report measures related to insecure attachment (anxious and avoidant), maladaptive schema (emotional deprivation, abandonment, mistrust, social isolation, and defectiveness), RS (interpersonal and appearance-based), and disordered eating...
May 9, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28466532/the-development-of-a-change-model-of-exits-during-cognitive-analytic-therapy-for-the-treatment-of-depression
#14
Sundeep Kaur Sandhu, Stephen Kellett, Gillian Hardy
OBJECTIVES: "Exits" in cognitive analytic therapy (CAT) are methods that change unhelpful patterns or roles during the final "revision" phase of the therapy. How exits are conceived and achieved is currently poorly understood. This study focussed on the revision stage to explore and define how change is accomplished in CAT. METHODS: Qualitative content analysis studied transcripts of sessions 6 and 7 of a protocol delivered 8-session CAT treatment for depression...
May 3, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28444850/emotion-dysregulation-in-hypochondriasis-and-depression
#15
Josef Bailer, Michael Witthöft, Maja Erkic, Daniela Mier
BACKGROUND: The aim of this study was to explore whether certain aspects of emotion dysregulation (i.e., facets of alexithymia and rumination) are more closely linked to hypochondriasis than to depression and vice versa. METHODS: Nineteen patients with hypochondriasis (HYP), 33 patients with depression, and 52 healthy control participants completed the Toronto Alexithymia Scale, the Response Styles Questionnaire, and additional symptom and illness behaviour scales...
April 26, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27481677/a-semantic-corpus-comparison-analysis-of-couple-focused-interventions-for-problematic-alcohol-use
#16
Emily C Soriano, Kelly E Rentscher, Michael J Rohrbaugh, Matthias R Mehl
Incorporating spouses into interventions for problematic alcohol use is associated with increased efficacy; yet, little is known about the therapeutic processes that may explain these effects. In a study of partner language use during couple-focused alcohol interventions, we utilized a linguistic corpus comparison tool, Wmatrix, to identify semantic themes that differentiated couples with successful and unsuccessful treatment outcomes and may therefore also reflect potential change processes. Thirty-three couples participated in a randomized control trial of Family Systems Therapy (FST) or Cognitive Behavioural Therapy (CBT)...
May 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28421642/how-do-we-know-what-makes-for-best-practice-in-clinical-supervision-for-psychological-therapists-a-content-analysis-of-supervisory-models-and-approaches
#17
Gillian E Hardy, Chloe Simpson-Southward, Glenn Waller
Clinical supervision for psychotherapies is widely used in clinical and research contexts. Supervision is often assumed to ensure therapy adherence and positive client outcomes, but there is little empirical research to support this contention. Regardless, there are numerous supervision models, but it is not known how consistent their recommendations are. This review aimed to identify which aspects of supervision are consistent across models, and which are not. A content analysis of 52 models revealed 71 supervisory elements...
April 19, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28421644/the-clinical-application-of-suicide-risk-assessment-a-theory-driven-approach
#18
Sean M Mitchell, Sarah L Brown, Jared F Roush, Angelea D Bolaños, Andrew K Littlefield, Andrew J Marshall, Danielle R Jahn, Robert D Morgan, Kelly C Cukrowicz
The interpersonal theory of suicide posits that thwarted belongingness (TB) and perceived burdensomeness (PB) increase suicide ideation; however, studies have found mixed results regarding this hypothesis among psychiatric inpatients. This study aimed to (a) demonstrate how assessing TB and PB using the Interpersonal Needs Questionnaire (INQ) can provide clinically useful information and (b) investigate how statistical methodology may impact the clinical application of the INQ. Participants were 139 (Sample 1) and 104 (Sample 2) psychiatric inpatients...
April 18, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28401660/depression-anxiety-and-compulsive-sexual-behaviour-among-men-in-residential-treatment-for-substance-use-disorders-the-role-of-experiential-avoidance
#19
Meagan J Brem, Ryan C Shorey, Scott Anderson, Gregory L Stuart
Nearly one-third of individuals in treatment for substance use disorders endorse at-risk levels of compulsive sexual behaviours (CSBs). Untreated sexual compulsivity may facilitate relapse for treatment-seeking men. Previous research and theory suggest that CSBs are maintained by efforts to escape or alter negative affect (e.g., depression and anxiety). However, this hypothesis has not been examined within a sample of men in treatment for substance use disorders. In an effort to better understand CSBs within a population of men with substance use disorders, the present study is the first to examine experiential avoidance as one potential mechanism underlying the relation between men's symptoms of depression and anxiety and their use of CSBs...
April 11, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28326653/the-impact-of-childhood-maltreatment-on-the-differential-efficacy-of-cbasp-versus-escitalopram-in-patients-with-chronic-depression-a-secondary-analysis
#20
Paul Bausch, Thomas Fangmeier, Ingo Zobel, Dieter Schoepf, Sarah Drost, Knut Schnell, Henrik Walter, Mathias Berger, Claus Normann, Elisabeth Schramm
Childhood maltreatment (CM) has been indicated as a predictor of a differential response to antidepressant treatment with psychotherapy compared to medication. In this secondary analysis, we investigated whether the presence of CM results in a differential indication for the Cognitive Behavioral Analysis System of Psychotherapy (CBASP) or escitalopram plus clinical management (ESC). Sixty patients with chronic depression were randomized to either 22 sessions of CBASP or ESC over the course of 8 weeks of acute and 20 weeks of extended treatment at 2 German treatment sites...
March 21, 2017: Clinical Psychology & Psychotherapy
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