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Journal of Clinical Psychology in Medical Settings

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https://www.readbyqxmd.com/read/29777343/the-effects-of-pre-treatment-depressive-symptoms-on-quality-of-life-across-cognitive-behavioral-therapy-for-chronic-pain
#1
Justin M Hughes, Eric A Seemann, J Michael George, K Dean Willis
Recent studies suggest that chronic pain affects millions and carries significant physical, financial, and social burdens, and thus adversely affects quality of life (QOL). Cognitive behavioral therapy for chronic pain (CBTp) is a non-pharmacological treatment method which has been shown to reduce a sufferer's experience of chronic pain and improve overall QOL. These and other studies also indicate that affective symptoms likely impact the effectiveness of CBTp. The current study focused on the effects of depressive symptoms on changes in QOL ratings across a 12-session CBT for chronic pain...
May 17, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29730799/the-association-between-acute-pain-and-posttraumatic-stress-symptoms-in-children-and-adolescents-3-months-after-accidental-injury
#2
Els P M van Meijel, Maj R Gigengack, Eva Verlinden, Alida F W van der Steeg, J Carel Goslings, Frank W Bloemers, Jan S K Luitse, Frits Boer, Martha A Grootenhuis, Ramón J L Lindauer
Previous research suggests that acute pain is a risk factor for later posttraumatic stress symptoms (PTSS). In a prospective cohort study, we examined the association between acute pain from accidental injury and PTSS in children and adolescents, taking into account factors potentially related to pain or posttraumatic stress. Participants were 135 children and adolescents, 8-18 years old. We measured the worst experienced pain since the accident took place with a visual analogue scale. Three months after the accident, posttraumatic stress was assessed with a self-report measure...
May 5, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29713935/the-cost-effectiveness-of-embedding-a-behavioral-health-clinician-into-an-existing-primary-care-practice-to-facilitate-the-integration-of-care-a-prospective-case-control-program-evaluation
#3
Kaile M Ross, Betsy Klein, Katherine Ferro, Debra A McQueeney, Rebecca Gernon, Benjamin F Miller
This project evaluated the cost effectiveness of integrating behavioral health services into a primary care practice using a prospective, case-control design. New Directions Behavioral Health collaborated with a large Kansas City primary care practice to integrate a licensed psychologist (i.e., behavioral health clinician) into the practice. Patient claims data were examined 21 months prior to and 14 months after the psychologist began providing full-time behavioral health services within the practice. Claims data from patients with Blue Cross Blue Shield of Kansas City insurance (BCBSKC) who had at least one encounter with the psychologist (N = 239) were compared to control patients (BCBSKC fully insured patients at large) to calculate cost savings...
April 30, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29691789/impact-of-cancer-on-romantic-relationships-among-young-adults-a-systematic-review
#4
REVIEW
Carolyn Rabin
The aim of this review was to determine the impact of a cancer diagnosis and history on young adults' ability to initiate and maintain romantic relationships. MedLine and PsycInfo databases were used to identify articles that address dating, romantic relationships, or marriage among 18- to 45-year-old cancer survivors. Twenty-one relevant articles were identified. Findings indicate that young adult cancer survivors struggle with when/how to disclose their cancer history to potential partners, are delayed in initiating their first romantic relationships, have fewer romantic relationships than peers, and are less likely than peers to marry...
April 24, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29679264/technology-focused-family-interventions-in-pediatric-chronic-illness-a-systematic-review
#5
REVIEW
Kimberly S Canter, Jennifer Christofferson, Michele A Scialla, Anne E Kazak
This systematic review provides a synthesis of randomized-controlled trials of technology-focused family interventions for children with chronic illnesses and their families, focused on describing the current state of the literature and generating recommendations for future family systems work in the field of eHealth/mHealth. Twenty-three studies met inclusion criteria and were included in the systematic review. No identified studies featured an mHealth delivery modality. Relevant data were extracted and studies were assessed for quality...
April 20, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29626282/development-and-validation-of-the-pediatric-diabetes-routines-questionnaire-for-adolescents
#6
Jessica S Pierce, Sara S Jordan, Randolph C Arnau
This study describes the development and psychometric evaluation of an adolescent self-report version of the Pediatric Diabetes Routines Questionnaire (PDRQ:A), a measure of diabetes-specific routines for youth with type 1 diabetes, and further validation of the parent-version (PDRQ:P) in an adolescent sample. Participants included 120 parent-adolescent dyads (ages 12-17) and an additional 24 parents who completed measures of diabetes-specific adolescent routines, general adolescent routines, diabetes self-care, and family support of youth diabetes care...
April 6, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29603033/factorial-validity-of-the-toronto-alexithymia-scale-tas-20-in-clinical-samples-a-critical-examination-of-the-literature-and-a-psychometric-study-in-anorexia-nervosa
#7
Sandra Torres, Marina P Guerra, Kylee Miller, Patrício Costa, Inês Cruz, Filipa M Vieira, Isabel Brandão, António Roma-Torres, Magda Rocha
There is extensive use of the 20-item Toronto Alexithymia Scale (TAS-20) in research and clinical practice in anorexia nervosa (AN), though it is not empirically established in this population. This study aims to examine the factorial validity of the TAS-20 in a Portuguese AN sample (N = 125), testing four different models (ranging from 1 to 4 factors) that were identified in critical examination of existing factor analytic studies. Results of confirmatory factor analysis (CFA) suggested that the three-factor solution, measuring difficulty identifying (DIF) and describing feelings (DDF), and externally oriented thinking (EOT), was the best fitting model...
March 30, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29572619/the-effect-of-cognitive-emotional-training-on-post-traumatic-growth-in-women-with-breast-cancer-in-middle-east
#8
Parvaneh Hamidian, Nasrin Rezaee, Mansour Shakiba, Ali Navidian
Overcoming distresses and negative consequences of serious crises such as cancers can lead to perception of positive changes in the patients. It is necessary to design and test the psychological interventions that can improve post-traumatic growth. The objective of this study was to determine the effect of cognitive-emotional training on post-traumatic growth in women with breast cancer referred to the department of chemotherapy. This is a quasi-experimental study and it was performed on 85 patients with breast cancer who referred to an educational hospital in southeastern of Iran in 2017...
March 23, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29557544/poor-self-efficacy-for-healthcare-provider-interactions-among-individuals-with-hiv-associated-neurocognitive-disorders
#9
Erin E Morgan, Steven Paul Woods, Jennifer E Iudicello, Igor Grant, Javier Villalobos
Two factors that influence HIV health behaviors and therefore may contribute to gaps in the HIV treatment continuum are poor health-related self-efficacy and HIV-associated neurocognitive disorders (HAND). However, the relationship between HAND and self-efficacy has not been assessed. In an HIV sample, 91 individuals with intact cognition (HAND-) and 40 individuals with HAND (HAND+) were administered a measure of self-efficacy for healthcare interactions with providers. Participants with HAND had significantly lower scores on this measure, which were correlated with poorer episodic and semantic memory performance, as well as self-reported memory symptoms in daily life...
March 20, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29546621/active-coping-and-perceived-social-support-mediate-the-relationship-between-physical-health-and-resilience-in-liver-transplant-candidates
#10
Amelia Swanson, Jessica Geller, Kelly DeMartini, Anne Fernandez, Dwain Fehon
Without a transplant, end-stage liver disease is associated with significant morbidity and mortality. Transplant candidates endure physical and psychological stress while awaiting surgery, yet little is known about the relationship between physical health and psychological resilience during the wait-list period. This study examined predictors of psychological resilience and mediators of the relationship between physical health and psychological resilience in liver transplant candidates. Wait-listed candidates (N = 120) from a single Northeast transplant center completed assessments of physical functioning, coping, perceived social support, and resilience...
March 15, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29536320/perspectives-on-healthcare-provider-well-being-looking-back-moving-forward
#11
REVIEW
Lauren Penwell-Waines, Wendy Ward, Heather Kirkpatrick, Patrick Smith, Marwan Abouljoud
Recognizing the impact of healthcare professional (HCP) burnout has led to vigorous interest from organizations and individuals regarding how to most effectively promote HCP well-being. The present paper reviews the literature on HCP well-being and describes factors that impact well-being at various levels (i.e., system, institution, program, interpersonal, and individual). We propose that change must occur at all levels to have the greatest impact. Further, we highlight opportunities to advance research on HCP well-being (e...
March 13, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29508113/legislative-and-policy-developments-and-imperatives-for-advancing-the-primary-care-behavioral-health-pcbh-model
#12
Dennis S Freeman, Cathy Hudgins, Joel Hornberger
The Primary Care Behavioral Health (PCBH) practice model continues to gain converts among primary care and behavioral health professionals as the evidence supporting its effectiveness continues to accumulate. Despite a growing number of practices and organizations using the model effectively, widespread implementation has been hampered by outmoded policies and regulatory barriers. As policymakers and legislators begin to recognize the contributions that PCBH model services make to the care of complex patients and the expansion of access to those in need of behavioral health interventions, some encouraging policy initiatives are emerging and the policy environment is becoming more favorable to implementation of the PCBH model...
March 5, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29508112/youth-with-chronic-pain-and-postural-orthostatic-tachycardia-syndrome-pots-treatment-mediators-of-improvement-in-functional-disability
#13
Ashley N Junghans-Rutelonis, Julia R Craner, Chelsea M Ale, Cynthia Harbeck-Weber, Philip R Fischer, Karen E Weiss
Intensive pain rehabilitation programs are effective in increasing functioning for youth with chronic pain (CP). However, the utility of such programs for youth with CP and co-morbid postural orthostatic tachycardia syndrome (POTS) is rarely examined. In addition, studies examining mediators of treatment for CP are sparse. This paper compares treatment outcomes for youth with CP (n = 117) and youth with CP + POTS (n = 118). Additionally, depression and pain catastrophizing were tested as potential mediators of treatment effects...
March 5, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29500657/primary-care-for-the-elderly-bereaved-recommendations-for-medical-education
#14
Sue Morris, Kristen Schaefer, Erlene Rosowsky
The aim of this study was to explore the current practices of primary care physicians (PCPs) in providing bereavement care to elderly patients, with implications for medical education. A total of 63 PCPs answered a brief online survey about their typical practices, barriers, comfort level with bereavement, and confidence in their ability to diagnose prolonged grief disorder (PGD). They were recruited through an online newsletter and contacts of one of the authors. The results found that two-thirds of the PCPs do not routinely screen their elderly patients for recent losses, nor do they refer to mental health clinicians when loss is identified...
March 2, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29488038/shame-and-depressive-symptoms-self-compassion-and-contingent-self-worth-as-mediators
#15
Huaiyu Zhang, Erika R Carr, Amanda G Garcia-Williams, Asher E Siegelman, Danielle Berke, Larisa V Niles-Carnes, Bobbi Patterson, Natalie N Watson-Singleton, Nadine J Kaslow
Research has identified the experience of shame as a relevant predictor of depressive symptoms. Building upon resilience theory, this is the first study to investigate if self-compassion and/or contingent self-worth (i.e., family support and God's love) mediate the link between shame and depressive symptoms. Participants were 109 African Americans, within the age range of 18 and 64, who sought service following a suicide attempt from a public hospital that serves mostly low-income patients. Findings suggest that shame was related to depressive symptoms through self-compassion but not through contingent self-worth, underscoring the significant role that self-compassion plays in ameliorating the aggravating effect of shame on depressive symptoms...
February 27, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29480435/alleviation-of-side-effects-and-distress-in-breast-cancer-patients-by-cognitive-behavioral-interventions-a-systematic-review-and-meta-analysis
#16
REVIEW
Oana Cobeanu, Daniel David
Cognitive and behavioral interventions (CBI) have been used for breast cancer patients with various stages of the disease or undergoing different treatments. However, no quantitative review has summarized their efficacy on the side effects of treatment, distress, and quality of life in the acute treatment setting after diagnosis. This meta-analysis synthesizes data from 19 randomized clinical trials in order to: (a) provide an estimation of overall effect of CBI in breast cancer patients during treatment for breast cancer, i...
February 26, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29480434/the-primary-care-behavioral-health-pcbh-model-an-overview-and-operational-definition
#17
Jeffrey T Reiter, Anne C Dobmeyer, Christopher L Hunter
The Primary Care Behavioral Health (PCBH) model is a prominent approach to the integration of behavioral health services into primary care settings. Implementation of the PCBH model has grown over the past two decades, yet research and training efforts have been slowed by inconsistent terminology and lack of a concise, operationalized definition of the model and its key components. This article provides the first concise operationalized definition of the PCBH model, developed from examination of multiple published resources and consultation with nationally recognized PCBH model experts...
February 26, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29453505/does-hope-matter-associations-among-self-reported-hope-anxiety-and-health-related-quality-of-life-in-children-and-adolescents-with-cancer
#18
Ana Rita Martins, Carla Crespo, Ágata Salvador, Susana Santos, Carlos Carona, Maria Cristina Canavarro
This study aimed to examine the direct and indirect effects of hope on health-related quality of life (HRQoL) via anxiety of children/adolescents with cancer. We proposed to test if the mediation model was moderated by the child/adolescent's treatment status. The participants were 211 children/adolescents diagnosed with cancer, divided into two clinical groups according to treatment status: 97 patients on-treatment and 114 off-treatment. Self-reported questionnaires measured the youths' hope, anxiety, and HRQoL perceptions...
March 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29450798/catastrophizing-acceptance-and-coping-as-mediators-between-pain-and-emotional-distress-and-disability-in-fibromyalgia
#19
María J Lami, M Pilar Martínez, Elena Miró, Ana I Sánchez, Manuel A Guzmán
Catastrophizing, acceptance, and coping have an important predictive value in chronic pain; however, it is not known which of these variables has the greatest contribution in fibromyalgia (FM). This study explored the mediating role of catastrophizing, acceptance, and coping in the relationship between pain and emotional distress/disability in a FM sample. Ninety-two FM patients and 51 healthy participants controls were evaluated on pain- and psychological-related variables. Catastrophizing, acceptance, behavioral coping, and emotional coping were significantly correlated with emotional distress and/or disability...
March 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29450796/prospective-comparison-of-the-minnesota-multiphasic-personality-inventory-2-mmpi-2-and-mmpi-2-restructured-form-mmpi-2-rf-in-predicting-treatment-outcomes-among-patients-with-chronic-low-back-pain
#20
Anthony M Tarescavage, Judith Scheman, Yossef S Ben-Porath
The purpose of the current study was to examine the relative utility of the most updated MMPI adult instrument, the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), which was designed to address psychometric limitations of the MMPI-2. To this end, we compared mean scores and correlates of emotional distress treatment outcomes using the Depression Anxiety Stress Scales in a sample of 230 patients (73 males, 157 females) who had completed an interdisciplinary chronic pain rehabilitation program...
March 2018: Journal of Clinical Psychology in Medical Settings
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