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Clinical Psychology & Psychotherapy

Isabel Morais Basto, William B Stiles, Daniel Rijo, João Salgado
The assimilation model describes therapeutic change as an integration of experiences that had previously been problematic, distressing, avoided, or warded off. This study assessed whether assimilation was associated with treatment outcome in a sample of psychotherapeutic treatments for depression. Further, it assessed the direction of the association-whether increasing assimilation predicted decreases in symptom intensity or decreasing symptom intensity predicted increases in assimilation. METHOD: Participants were 22 clients with mild to moderate depression drawn from a clinical trial comparing cognitive behavioral therapy with emotion-focused therapy...
September 10, 2017: Clinical Psychology & Psychotherapy
Vittorio Lingiardi, Laura Muzi, Annalisa Tanzilli, Nicola Carone
BACKGROUND: Despite growing attention to the general therapist effects in a wide range of clinical settings, little is known about the individual, cross-situational, and therapy-nonspecific variables that impact on the differential effectiveness of clinicians. The current study is a systematic review of the evidence relating to the influence of therapist's subjective characteristics on outcomes of psychodynamic psychotherapies. METHOD: A multistage and systematic search of articles published between 1987 and 2017 identified 30 relevant studies, which were organized into 6 areas according to the specific therapist's variable considered...
September 5, 2017: Clinical Psychology & Psychotherapy
Joana F Ferreira, António B Vasco, Michael Basseches, Andreia Santos, João M Ferreira
This study adds a phase-by-phase perspective to the case of Susan, with the aim of better understanding the processes of change in this therapeutic case. A team of 3 raters integrated the sequential phases of the Paradigmatic Complementarity Metamodel with a moment-by-moment tracking method-the Developmental Analysis of Psychotherapy Process method-to analyse this therapeutic process and clarify what happened throughout that may explain phase gains and how the therapist facilitated them. The results suggest that Susan evolved in accordance with the sequence of phases proposed by the Paradigmatic Complementarity Metamodel...
August 31, 2017: Clinical Psychology & Psychotherapy
Lianne van der Veen-Mulders, Pieter J Hoekstra, Maaike H Nauta, Barbara J van den Hoofdakker
OBJECTIVE: To investigate the effectiveness of behavioral parent training (BPT) for preschool children with disruptive behaviours and to explore parental predictors of response. METHODS: Parents of 68 preschool children, aged between 2.7 and 5.9 years, participated in BPT. We evaluated the changes in children's behaviour after BPT with a one group pretest-posttest design, using a waiting period for a double pretest. Outcome was based on parents' reports of the intensity and number of behaviour problems on the Eyberg Child Behavior Inventory...
August 30, 2017: Clinical Psychology & Psychotherapy
Irene Lopez-Gomez, Covadonga Chaves, Gonzalo Hervas, Carmelo Vazquez
There is growing evidence on the efficacy of positive psychology interventions (PPI) to treat clinical disorders. However, very few studies have addressed their acceptability. The present study aimed to analyse 2 key components of acceptability (i.e., client satisfaction and adherence to treatment) of a new PPI programme, the Integrative Positive Psychological Intervention for Depression (IPPI-D), in comparison to a standard cognitive behavioural therapy (CBT) programme in the treatment of clinical depression...
August 30, 2017: Clinical Psychology & Psychotherapy
Billie Lever Taylor, Jo Billings, Nicola Morant, Sonia Johnson
OBJECTIVES: Perinatal mental health difficulties are prevalent among women and can adversely affect their partners too. There is also increasing recognition that a woman's partner can play a vital role in relation to her perinatal mental health and should be supported and involved in decisions about her care. Yet it is unclear how services are experienced by the partners of women with perinatal mental health difficulties. This study aimed to synthesize qualitative evidence of partners' views of perinatal mental health care...
August 30, 2017: Clinical Psychology & Psychotherapy
Paula Haffner, Esther Quinlivan, Jana Fiebig, Lene-Marie Sondergeld, Elisa Sophie Strasser, Mazda Adli, Steffen Moritz, Thomas Josef Stamm
BACKGROUND: Effective group psychological interventions in bipolar disorder are rare. In this study, we present "metacognitive training (MCT) for bipolar disorder"-an adaption of a group intervention that has proven effective in other severe psychiatric disorders. MCT is a structured, interactive approach that addresses cognitive biases, social cognition, and self-esteem. In this pilot study, we investigated psychosocial functioning as primary outcome measure, as well as the feasibility of MCT and its acceptance among bipolar patients...
August 30, 2017: Clinical Psychology & Psychotherapy
Mathell Peter, Arnoud R Arntz, Theo Klimstra, Ad J J M Vingerhoets
OBJECTIVES: The present study investigated deficiencies in different components of emotional intelligence in borderline personality disorder (BPD). METHOD: The Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and the Emotional Quotient Inventory (EQ-i) were used to assess EI dimensions. BPD patients (N = 85; 69 women; M = 33.6 years) were compared with Cluster C personality disorder (PD) patients (N = 39; 23 women; M = 36.6 years) and nonpatients (N = 69; 44 women; M = 35...
August 30, 2017: Clinical Psychology & Psychotherapy
Joana F Ferreira, António B Vasco, Michael Basseches, Nuno Conceição, Catarina Vaz-Velho, Rhonda Goldman
This study adds a phase-by-phase perspective to the well-known, and thoroughly analysed on a moment-by-moment basis, case of Lisa. The aim is to see whether this phase-by-phase analysis adds anything valuable to the understanding of the processes of change in this case and the therapeutic processes in general. In this good-outcome case study, a team of raters integrated the temporal sequencing phase component of the Paradigmatic Complementarity Metamodel (PCM) with a moment-by-moment tracking method-the Developmental Analysis of Psychotherapy Process Method (DAPP)-to analyse what occurred along the process that could explain the phase transitions and consolidations observed and how the therapist facilitated them...
August 30, 2017: Clinical Psychology & Psychotherapy
Paula Siegmann, Tobias Teismann, Nathalie Fritsch, Thomas Forkmann, Heide Glaesmer, Xiao Chi Zhang, Julia Brailovskaia, Jürgen Margraf
Depression and suicide ideation are common in student populations across the world. The present study investigated factors buffering the association between depression and suicide ideation. A total of 2,687 Chinese students and 601 German students took part in the investigation. Social support, satisfaction with life, self-efficacy, psychosocial stress resistance, and positive mental health were considered as resilience factors moderating the association between depressive symptoms and suicide ideation within both samples...
August 29, 2017: Clinical Psychology & Psychotherapy
Catherine Newsom, Henk Schut, Margaret S Stroebe, Stewart Wilson, John Birrell, Mirjam Moerbeek, Maarten C Eisma
This controlled, longitudinal investigation tested the effectiveness of a bereavement counselling model for adults on reducing complicated grief (CG) symptoms. Participants (N = 344; 79% female; mean age: 49.3 years) were adult residents of Scotland who were bereaved of a close relation or partner, experiencing elevated levels of CG, and/or risks of developing CG. It was hypothesized that participants who received intervention would experience a greater decline in CG levels immediately following the intervention compared to the control participants, but the difference would diminish at follow-up (due to relapse)...
August 29, 2017: Clinical Psychology & Psychotherapy
Johanna Sundag, Leonie Ascone, Tania M Lincoln
BACKGROUND: Social stress and negatively valenced cognitive representations of the self (self-schemas) play an important role in the formation of delusions. However, it has not been investigated whether and which self-schemas explain paranoid responses to social stress. Building on the framework of schema theory, the aim of this study was thus to investigate whether more pronounced early maladaptive schemas (EMSs) were associated with increased paranoid ideation after a social stress induction in patients with persecutory delusions (PD)...
August 25, 2017: Clinical Psychology & Psychotherapy
Alfredo Raglio, Marco Gnesi, Maria Cristina Monti, Osmano Oasi, Marta Gianotti, Lapo Attardo, Giulia Gontero, Lara Morotti, Sara Boffelli, Chiara Imbriani, Cristina Montomoli, Marcello Imbriani
BACKGROUND: Music therapy (MT) interventions are aimed at creating and developing a relationship between patient and therapist. However, there is a lack of validated observational instruments to consistently evaluate the MT process. AIM: The purpose of this study was the validation of Music Therapy Session Assessment Scale (MT-SAS), designed to assess the relationship between therapist and patient during active MT sessions. METHODS: Videotapes of a single 30-min session per patient were considered...
August 25, 2017: Clinical Psychology & Psychotherapy
Styliani Gkika, Anja Wittkowski, Adrian Wells
Cognitive-behavioural and metacognitive approaches to emotional disorder implicate beliefs in social anxiety, but the types of beliefs differ across these perspectives. Cognitive models suggest that social beliefs about the self (i.e., high standards and conditional and unconditional beliefs) are central. In contrast, the metacognitive model gives centre stage to metacognitive beliefs (i.e., positive and negative beliefs about thinking) as main contributors to the maintenance of the disorder. Despite an expanding research interest in this area, the evidence for such contributions has not yet been reviewed...
August 24, 2017: Clinical Psychology & Psychotherapy
Sandra Alonso, José H Marco, Joaquín Andani
BACKGROUND: Sick leave in patients with a mental disorder is characterized by having a long duration. Studies suggest that the time until a patient on sick leave for a common mental health disorder initiates evaluation and treatment by a healthcare professional is an important factor in the duration of the sick leave. However, in these studies, the intervention was not performed by a mental health specialist. The aim of this study was to find out whether the length of sick leave was associated with the time before initiating psychotherapy, age, time until returning to work after psychotherapy ends, and duration of psychotherapy...
August 23, 2017: Clinical Psychology & Psychotherapy
Rachel Sellers, Adrian Wells, Anthony P Morrison
This review investigated whether unhelpful metacognitive coping strategies, such as attentional biases, worry, rumination, and thought control, are associated with experiences of psychosis. These processes, known collectively as the Cognitive Attentional Syndrome (CAS), form a central tenet of the Self-Regulatory Executive Function model. Three research questions based on assumptions underlying the CAS were addressed. It was predicted that processes of (a) self-focused processing, (b) negative perseverative thinking (worry and rumination), and (c) counterproductive thought control would be associated with experiences of psychosis...
August 23, 2017: Clinical Psychology & Psychotherapy
Álvaro Frías, Sara Navarro, Carol Palma, Núria Farriols, Ferrán Aliaga, Ana Salvador, Elena Aluco, Bárbara Martínez, Laia Solves
OBJECTIVE: To ascertain the foundations for a schema-focused therapy model for the treatment of borderline personality disorder. METHODS: The sample consisted of 102 borderline personality disorder outpatients. Dimensional psychopathology was assessed using the Scale for Suicidal Ideation, the Aggression Questionnaire, and the Symptom CheckList Revised. Categorical psychopathology was measured using the structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I Disorders, Patient Edition...
August 17, 2017: Clinical Psychology & Psychotherapy
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
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
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
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