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Clinical Psychology & Psychotherapy

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https://www.readbyqxmd.com/read/27910173/facilitators-and-barriers-to-person-centred-care-in-child-and-young-people-mental-health-services-a-systematic-review
#1
Dawid Gondek, Julian Edbrooke-Childs, Tjasa Velikonja, Louise Chapman, Felicity Saunders, Daniel Hayes, Miranda Wolpert
: Implementation of person-centred care has been widely advocated across various health settings and patient populations, including recent policy for child and family services. Nonetheless, evidence suggests that service users are rarely involved in decision-making, whilst their preferences and goals may be often unheard. The aim of the present research was to systematically review factors influencing person-centred care in mental health services for children, young people and families examining perspectives from professionals, service users and carers...
December 2, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27910160/the-experiences-of-fathers-when-their-partners-are-admitted-with-their-infants-to-a-psychiatric-mother-and-baby-unit
#2
Holly Reid, Angelika Wieck, Andrew Matrunola, Anja Wittkowski
: Mothers with severe post-natal mental illness can be admitted with their infant to a psychiatric mother and baby unit (MBU) in the UK. MBUs provide specialist assessment, management and support. Partners of women admitted to MBUs are integral to their recovery but may show reduced wellbeing themselves, yet their support needs have not been investigated. This study aimed to identify how fathers experience the MBU and how they felt supported. A qualitative design was adopted by using a purposive sample of 17 fathers, recruited from a MBU during their partner's admission...
December 2, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27885750/they-re-nice-and-neat-but-are-they-useful-a-grounded-theory-of-clinical-psychologists-beliefs-about-and-use-of-nice-guidelines
#3
Alex John Court, Anne Cooke, Amanda Scrivener
Guidelines are ubiquitous but inconsistently used in UK mental health services. Clinical psychologists are often influential in guideline development and implementation, but opinion within the profession is divided. This study utilized grounded theory methodology to examine clinical psychologists' beliefs about and use of NICE guidelines. Eleven clinical psychologists working in the NHS were interviewed. The overall emerging theme was; NICE guidelines are considered to have benefits but to be fraught with dangers...
November 25, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27878907/from-childhood-trauma-to-self-harm-an-investigation-of-theoretical-pathways-among-female-prisoners
#4
Ruth Howard, Thanos Karatzias, Kevin Power, Adam Mahoney
BACKGROUND: Despite empirical evidence suggesting complex associations between childhood trauma and self-harm, there is a dearth of research investigating this association in the female prison population. The current study explored pathways to self-harm following childhood trauma, by investigating the mediating roles of Post-traumatic Stress Disorder (PTSD) symptoms, emotion regulation and dissociation, in this relationship, within a sample of 89 female prisoners. METHODS: Cross-sectional, interview-format, questionnaire study within a female prison population...
November 22, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27862615/the-reciprocal-relationship-between-bipolar-disorder-and-social-interaction-a-qualitative-investigation
#5
Rebecca Owen, Patricia Gooding, Robert Dempsey, Steven Jones
BACKGROUND: Evidence suggests that social support can influence relapse rates, functioning and various clinical outcomes in people with bipolar disorder. Yet 'social support' is a poorly defined construct, and the mechanisms by which it affects illness course in bipolar disorder remain largely unknown. Key aims of this study were to ascertain which facets of social interaction affect mood management in bipolar disorder, and how symptoms of bipolar disorder can influence the level of support received...
November 13, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27766698/narrative-changes-predict-a-decrease-in-symptoms-in-cbt-for-depression-an-exploratory-study
#6
Miguel M Gonçalves, Joana Ribeiro Silva, Inês Mendes, Catarina Rosa, António P Ribeiro, João Batista, Inês Sousa, Carlos F Fernandes
OBJECTIVE: Innovative moments (IMs) are new and more adjusted ways of thinking, acting, feeling and relating that emerge during psychotherapy. Previous research on IMs has provided sustainable evidence that IMs differentiate recovered from unchanged psychotherapy cases. However, studies with cognitive behavioural therapy (CBT) are so far absent. The present study tests whether IMs can be reliably identified in CBT and examines if IMs and symptoms' improvement are associated. METHODS: The following variables were assessed in each session from a sample of six cases of CBT for depression (a total of 111 sessions): (a) symptomatology outcomes (Outcome Questionnaire-OQ-10) and (b) IMs...
October 20, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27761983/feasibility-and-acceptability-of-the-habit-group-programme-for-comorbid-bipolar-and-alcohol-and-substance-use-disorders
#7
Isabelle Biseul, Romain Icick, Perrine Seguin, Frank Bellivier, Jan Scott
OBJECTIVES: We investigated the feasibility and acceptability of an integrated group therapy (called HABIT) for comorbid bipolar disorder (BD) and alcohol and substance use disorders (ASUD) (BD-ASUD), a disabling clinical presentation for which no specific treatment has been validated. The 14-session HABIT programme employs psychoeducation-oriented cognitive-behaviour therapy (CBT) followed by mindfulness-based relapse prevention (MBRP) therapy. METHOD: Potential group participants were recruited from adult clients with a DSM-IV diagnosis of BD and an ASUD who were referred by their treating clinician...
October 20, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27739228/well-being-in-chronic-fatigue-syndrome-relationship-to-symptoms-and-psychological-distress
#8
H Jackson, A K MacLeod
OBJECTIVE: There is growing recognition in psychology that wellness is more than the absence of disease and distress. Well-being has been defined in numerous ways. Two dominant models include Diener, Eunkook, Suh, Lucas and Smith's (1999) model of subjective well-being (SWB) and Ryff's (1989) model of psychological well-being (PWB). In contrast to the abundance of research investigating negative constructs and psychopathology in chronic fatigue syndrome (CFS), there has been a paucity of positive psychology studies...
October 13, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27739190/an-integrative-bio-psycho-social-theory-of-anorexia-nervosa
#9
Calum Munro, Louise Randell, Stephen M Lawrie
: The need for novel approaches to understanding and treating anorexia nervosa (AN) is well recognized. The aim of this paper is to describe an integrative bio-psycho-social theory of maintaining factors in AN. We took a triangulation approach to develop a clinically relevant theory with face validity and internal consistency. We developed theoretical ideas from our clinical practice and reviewed theoretical ideas within the eating disorders and wider bio-psycho-social literature. The synthesis of these ideas and concepts into a clinically meaningful framework is described here...
October 13, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27739132/psychometric-properties-and-normative-values-of-early-maladaptive-schema-questionnaires-set-for-children-and-adolescents-sqs
#10
Olcay Güner
: The Early Maladaptive Schema Questionnaires Set for Children and Adolescents (SQS) was developed to assess early maladaptive schemas in children between the ages of 10 and 16 in Turkey. The SQS consists of five questionnaires that represent five schema domains in Young's schema theory. Psychometric properties (n = 983) and normative values (n = 2250) of SQS were investigated in children and adolescents between the ages of 10 and 16. Both exploratory and confirmatory factor analyses were performed...
October 13, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27726255/bridging-the-gap-between-aetiological-and-maintaining-factors-in-social-anxiety-disorder-the-impact-of-socially-traumatic-experiences-on-beliefs-imagery-and-symptomatology
#11
Alice R Norton, Maree J Abbott
BACKGROUND: A number of key environmental factors during childhood have been implicated in the aetiology of social anxiety disorder (SAD), including aversive social experiences, traumatic life events and parent-child interaction. However, understanding the nature, interactions and relative contributions of these factors remains unclear. Furthermore, the relation of aversive social experiences to the development of key maintaining factors in SAD requires elucidation. AIMS: The current study aimed to extend previous research regarding the aetiology of SAD by investigating the relationship between key environmental factors in childhood, negative beliefs and self-imagery, and the development of SAD...
October 11, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27726246/four-pathways-to-anorexia-nervosa-patients-perspective-on-the-emergence-of-an
#12
Kjersti S Gulliksen, Ragnfrid H S Nordbø, Ester M S Espeset, Finn Skårderud, Arne Holte
INTRODUCTION: Studies show that patients' perception of their illness has a direct influence both on their utilization of health services and their adherence to treatment plans. This may be particularly relevant to the treatment of Anorexia Nervosa (AN). Previous studies on AN have typically explored single psycho-social factors that patients with AN relate to the emergence of their illness. There is a need for more coherent systematic descriptions of the complexity of the patients' narratives about how their illness emerged...
October 11, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27714891/a-novel-approach-to-treating-cfs-and-co-morbid-health-anxiety-a-case-study
#13
Jo Daniels, Maria E Loades
OBJECTIVES: Chronic Fatigue Syndrome (CFS) is a debilitating condition that affects 0.2-0.4% of the population. First-line treatments are Cognitive Behaviour Therapy or graded exercise therapy; however, these treatments yield only moderate effect sizes. Emerging research suggests that anxiety about health may be common in CFS. Health anxiety treatment models demonstrate good therapeutic outcomes; however, these models have yet to be applied to CFS. This paper describes the application of a novel cognitive behavioural approach to the treatment of both physical and anxiety related symptoms in a patient with CFS and, furthermore, presents a conceptual hypothesis regarding the mutually maintaining relationship between these two co-occurring conditions...
October 6, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27699920/change-factors-in-the-process-of-cognitive-behavioural-therapy-for-obsessive-compulsive-disorder
#14
C Schwartz, S Hilbert, C Schubert, S Schlegl, T Freyer, B Löwe, B Osen, U Voderholzer
While there is a plethora of evidence for the efficacy of cognitive-behavioural therapy (CBT) in obsessive-compulsive disorder (OCD), studies on change factors of the therapeutic process that account for this success are scarce. In the present study, 155 participants with primary OCD were investigated during CBT inpatient treatment. The Yale-Brown Obsessive-Compulsive Scale-SR served as a measure of symptom severity. In addition, the following process change factors were measured: therapeutic relationship, experience of self-esteem during therapy, experience of mastery, problem actualization and clarification...
October 3, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27687013/becoming-therapeutic-agents-a-grounded-theory-of-mothers-process-when-implementing-cognitive-behavioural-therapy-at-home-with-an-anxious-child
#15
Rana Pishva
: The premise of parent-centred programmes for parents of anxious children is to educate and train caregivers in the sustainable implementation of cognitive behaviour therapy (CBT) in the home. The existing operationalization of parent involvement, however, does not address the systemic, parent or child factors that could influence this process. The qualitative approach of grounded theory was employed to examine patterns of action and interaction involved in the complex process of carrying out CBT with one's child in one's home...
September 29, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27686877/-many-die-in-the-hurricane-an-interpretative-phenomenological-analysis-of-adults-with-psychosis-and-a-history-of-childhood-physical-abuse
#16
J E Rhodes, L J Healey
The study aimed to investigate the experience of adults with a diagnosis of psychosis and who have survived childhood physical abuse. We interviewed eight participants and used interpretative phenomenological analysis to generate themes. The main themes were of perceiving an everyday world of aggression and contempt by others, pervasive mistrust, feeling isolated and for some, attacking oneself with hate. Most participants were also able to reflect on what they saw as 'paranoia' or 'voices'. Paranoia was described as a fluctuating compulsive 'thread' of meaning, feeling and sometimes a transformation of the self...
September 29, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27654637/what-are-people-s-experiences-of-a-novel-cognitive-behavioural-therapy-for-bipolar-disorders-a-qualitative-investigation-with-participants-on-the-teams-trial
#17
Emmeline Joyce, Sara Tai, Piersanti Gebbia, Warren Mansell
: Background Psychological interventions for bipolar disorders typically produce mixed outcomes and modest effects. The need for a more effective intervention prompted the development of a new cognitive behavioural therapy, based on an integrative cognitive model ('Think Effectively About Mood Swings' [TEAMS] therapy). Unlike previous interventions, TEAMS addresses current symptoms and comorbidities, and helps clients achieve long-term goals. A pilot randomized controlled trial (the TEAMS trial) of the therapy has recently concluded...
September 21, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/26497535/enhancing-cbt-for-chronic-insomnia-a-randomised-clinical-trial-of-additive-components-of-mindfulness-or-cognitive-therapy
#18
Mei Yin Wong, Melissa J Ree, Christopher W Lee
: Although cognitive behavioural therapy (CBT) for insomnia has resulted in significant reductions in symptoms, most patients are not classified as good sleepers after treatment. The present study investigated whether additional sessions of cognitive therapy (CT) or mindfulness-based therapy (MBT) could enhance CBT in 64 participants with primary insomnia. All participants were given four sessions of standard CBT as previous research had identified this number of sessions as an optimal balance between therapist guidance and patient independence...
September 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27561691/emotional-processing-theory-put-to-test-a-meta-analysis-on-the-association-between-process-and-outcome-measures-in-exposure-therapy
#19
Christian Rupp, Philipp Doebler, Thomas Ehring, Anna N Vossbeck-Elsebusch
: In order to test the predictions derived from emotional processing theory (EPT), this meta-analysis examined correlations between outcome of exposure therapy and three process variables: initial fear activation (IFA), within-session habituation (WSH) and between-session habituation (BSH). Literature search comprised a keyword-based search in databases, a reverse search and the examination of reference lists. Of the 21 studies included in the analyses, 17 provided data concerning IFA (57 endpoints, total N = 490), five concerning WSH (7 endpoints, total N = 116) and eight concerning BSH (22 endpoints, total N = 304)...
August 26, 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27557824/psychologists-perspectives-on-therapy-termination-and-the-use-of-therapy-engagement-retention-strategies
#20
Robin Westmacott, John Hunsley
: Practicing psychologists (n = 269) were surveyed regarding their perspectives on client reasons for termination at different points in therapy and their use of strategies to engage and retain clients in therapy. Psychologists estimated that one-third of their caseload unilaterally terminated (M = 13% before the third therapy session; M = 20% after the third session). They viewed lack of readiness for change/insufficient motivation as the most important barrier to early treatment engagement, and symptom improvement as the most important reason for clients' unilateral decisions to end therapy after the third session...
August 25, 2016: Clinical Psychology & Psychotherapy
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