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Clinical Psychology & Psychotherapy

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https://www.readbyqxmd.com/read/28493541/sudden-gains-in-exposure-focused-cognitive-behavioral-group-therapy-for-panic-disorder
#1
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
#2
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
#3
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
#4
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
#5
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/28421642/how-do-we-know-what-makes-for-best-practice-in-clinical-supervision-for-psychological-therapists-a-content-analysis-of-supervisory-models-and-approaches
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/28295802/cognitive-and-metacognitive-predictors-of-symptom-improvement-following-treatment-for-social-anxiety-disorder-a-secondary-analysis-from-a-randomized-controlled-trial
#10
Henrik Nordahl, Hans M Nordahl, Odin Hjemdal, Adrian Wells
Cognitive therapy for social anxiety disorder (SAD) based on the Clark and Wells model emphasizes negative beliefs about the social self and self-consciousness as central causal factors. However, Wells' metacognitive model proposes that metacognitive beliefs are central to pathology universally. The relative importance of cognitive and metacognitive beliefs in the treatment of SAD is therefore an important research question. This study examined change in negative cognitive and negative metacognitive beliefs as independent correlates of symptom improvement in 46 SAD patients undergoing evidence-based treatments...
March 15, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28276173/information-order-effects-in-clinical-psychological-diagnoses
#11
Jan Christopher Cwik, Jürgen Margraf
Despite the wide application and long history of diagnostic systems, several sources of diagnostic errors remain in the criterion-based diagnosing of mental disorders. The aim of this study was to investigate whether the presentational order of diagnosis-relevant information and pretreatment reports predict diagnostic errors. One hundred twenty psychotherapists participated in the present online study. The study employed a 2 (symptom presentation: core symptoms at vignette's beginning vs. core symptoms at the end of the case vignette) × 2 (pretreatment report: receiving a pretreatment report with an incongruent diagnosis to the case vignette vs...
March 9, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28261923/preventing-intimate-partner-violence-via-the-internet-a-randomized-controlled-trial-of-emotion-regulation-and-conflict-management-training-for-individuals-with-aggression-problems
#12
Hugo Hesser, Sandra Axelsson, Victoria Bäcke, Jonna Engstrand, Tina Gustafsson, Elin Holmgren, Ulrika Jeppsson, Maria Pollack, Kjell Nordén, Dan Rosenqvist, Gerhard Andersson
OBJECTIVE: The aim of this randomized controlled trial was to investigate the effect of an Internet-delivered cognitive behaviour therapy (iCBT), which incorporated emotion-regulation and conflict-resolution techniques, on intimate partner violence (IPV). Another aim was to test the theoretical underpinnings of the treatment model using mediation analysis. METHOD: Sixty-five participants with aggression problems in intimate adult relationships were recruited from the community and were randomly assigned to iCBT or to a monitored waitlist control...
March 6, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28401708/how-veterans-health-administration-suicide-prevention-coordinators-assess-suicide-risk
#13
James L Pease, Jeri E Forster, Collin L Davidson, Brooke Dorsey Holliman, Emma Genco, Lisa A Brenner
This cross-sectional study was designed to examine the suicide risk assessment practices of Suicide Prevention Coordinators (SPCs) within the Veterans Health Administration. Specifically, this study sought to (1) identify factors SPCs consider most important in assessing risk and patient priority; (2) measure the level of consistency and agreement between SPCs in assessing suicide risk and prioritizing cases; and (3) measure individual SPC consistency between cases. SPCs (n = 63) responded to online survey questions about imminent and prolonged risk for suicide in response to 30 fictional vignettes...
March 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28224732/pathways-into-psychopathology-modeling-the-effects-of-trait-emotional-intelligence-mindfulness-and-irrational-beliefs-in-a-clinical-sample
#14
K V Petrides, María G Gómez, Juan-Carlos Pérez-González
We investigated possible pathways into mental illness via the combined effects of trait emotional intelligence (trait EI), mindfulness, and irrational beliefs. The sample comprised 121 psychiatric outpatients (64.5% males, mean age = 38.8 years) with a variety of formal clinical diagnoses. Psychopathology was operationalized by means of 3 distinct indicators from the Millon Clinical Multi-Axial Inventory (mild pathology, severe pathology, and clinical symptomatology). A structural equation model confirmed significant direct trait EI and mindfulness effects on irrational beliefs and psychopathology...
February 21, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28198068/validation-of-the-psychometric-properties-of-cognitive-fusion-questionnaire-a-study-of-the-factorial-validity-and-factorial-invariance-of-the-measure-among-osteoarticular-disease-diabetes-mellitus-obesity-depressive-disorder-and-general-populations
#15
Joana Alexandra Costa, João Marôco, José Pinto-Gouveia
BACKGROUND: The cognitive fusion questionnaire (CFQ) is a self-report questionnaire that assesses the extent to which individuals are psychologically entangled with, and dominated by the form-content of their thoughts. The aim of this study was to replicate the factor structure of CFQ in osteoarticular disease, diabetes mellitus, obesity, depressive disorder, and normative population. It further examined the factorial invariance of the CFQ across these 5 groups. METHOD: Data from 299 participants (N General Population  = 67, N Osteoarticular Disease  = 73, N Diabetes Mellitus  = 47, N Depressive Disorder  = 45, and N Obesity  = 60) were subjected to confirmatory factorial analysis (CFA) to replicate the structural model of CFQ dimensionality...
February 14, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28194835/mindfulness-based-cognitive-therapy-as-an-augmentation-treatment-for-obsessive-compulsive-disorder
#16
Brenda L Key, Karen Rowa, Peter Bieling, Randi McCabe, Elizabeth J Pawluk
A significant number of obsessive-compulsive disorder (OCD) patients continue to experience symptoms that interfere with their functioning following cognitive behavioural therapy (CBT). Providing an additional augmentation treatment following CBT could help reduce these residual symptoms. Mindfulness interventions that facilitate less reactivity to thoughts and feelings may be helpful for patients suffering from residual OCD symptoms. The purpose of the current randomized waitlist control trial was to evaluate the feasibility and impact of providing an 8-week mindfulness-based cognitive therapy (MBCT) intervention following completion of a CBT intervention to OCD patients who continued to suffer from significant symptoms...
February 13, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28181374/psychometric-properties-of-the-dutch-version-of-the-treatment-support-measure-tsm-parent-and-youth-form
#17
Maartje A M S van Sonsbeek, Catharina J M Holtmaat, Bea G Tiemens, Giel J M Hutschemaekers, Kim de Jong
The Treatment Support Measure (TSM) Parent and Youth were created to help clinicians with actionable feedback when youths are not making sufficient progress in treatment. This study examined the psychometric properties of the Dutch TSM Parent and TSM Youth. Parents (n = 172) and youth (n = 122) were recruited at 2 outpatient mental health care institutions. Children of participating parents (50.6% boys) had a mean age of 11.9 years (SD = 3.46; range 4-18). Participating youth (30.3% boys) had a mean age of 15...
February 8, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28181370/development-and-validation-of-a-new-italian-short-measure-of-disgust-propensity-the-disgust-propensity-questionnaire-dpq
#18
Gabriele Melli, Carlo Chiorri, Eleonora Stopani, Francesco Bulli, Claudia Carraresi
Although a few measures of disgust propensity are available in Italy, most of them take a long time to administer and/or have not shown replicable and sound psychometric properties. In the current study, the authors developed an Italian nine-item self-report measure of disgust propensity (particularly of pathogen disgust)-the Disgust Propensity Questionnaire (DPQ)-to address the limitations of currently available measures. In Study 1, the DPQ was developed through exploratory and confirmatory factor analyses from an initial pool of 33 items that were administered to 784 nonclinical participants...
February 8, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28138996/a-qualitative-investigation-in-the-role-of-the-baby-in-recovery-from-postpartum-psychosis
#19
Charlene Plunkett, Sarah Peters, Angelika Wieck, Anja Wittkowski
Psychosis after childbirth is a rare but severe type of mental health difficulty experienced by perinatal women. Research has explored mothers' experiences of onset and recovery from psychosis after childbirth. This study explored the role of the baby in 12 mothers' experiences of recovery. A thematic analysis of the data identified three core themes that described the role of the baby in the mothers' recovery from psychosis after childbirth. Findings revealed that the baby was central to recovery, experienced by mothers as both helpful and unhelpful...
January 31, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28124512/the-counseling-center-assessment-of-psychological-symptoms-ccaps-62-acceptance-feasibility-and-initial-psychometric-properties-in-a-uk-student-population
#20
Emma Broglia, Abigail Millings, Michael Barkham
BACKGROUND: The burden and severity of student mental health continue to increase in parallel with increasing financial pressures on students and services alike. There is a need for a student-specific measure of distress that acknowledges their unique context. This study examined the feasibility, acceptance, and initial psychometric properties of a US measure, the Counseling Center Assessment of Psychological Symptoms (CCAPS), in a UK student sample. METHODS: A sample of 294 UK help-seeking students from two universities completed the CCAPS-62 and Clinical Outcomes in Routine Evaluation (CORE-10) as a comparator...
January 25, 2017: Clinical Psychology & Psychotherapy
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