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Psychology and Psychotherapy

Karen J Robinson, Diana Rose, Paul M Salkovskis
OBJECTIVES: Obsessive compulsive disorder (OCD) can be hugely disabling. Although very effective psychological treatments exist, many people delay years before seeking help or never seek treatment. There have been clinical observation and short questionnaire studies on why people delay, but little qualitative research exists on this complex subject. The present qualitative study aimed to identify the barriers to seeking treatment and the factors that encourage or push people to seek help for their OCD (positive and negative enablers)...
April 10, 2017: Psychology and Psychotherapy
Sarah Tully, Adrian Wells, Anthony P Morrison
OBJECTIVES: Cognitive models of psychosis implicate how people respond to their distressing experiences in the maintenance of such experiences. Safety-seeking behaviours, which are employed in response to a catastrophic misinterpretation of threat, are viewed as unhelpful maintenance factors. However, the concept of safety seeking was developed in relation to anxiety disorders, and there may be additional complexities that apply in relation to the experience of psychosis. The ways in which people respond to their distressing experiences of psychosis are complex, multifaceted, and changeable, and qualitative research is needed to further the understanding of this process...
April 8, 2017: Psychology and Psychotherapy
Anna-Lena Bröcker, Samuel Bayer, Frauke Stuke, Patrick Giemsa, Andreas Heinz, Felix Bermpohl, Paul H Lysaker, Christiane Montag
OBJECTIVES: Metacognition, the capacity 'to think about thinking' and thus to reflect and to master interpersonal problems on a mentalistic basis, is often impaired among patients with schizophrenia spectrum disorders and has been suggested as a potential treatment target. However, little is known about the reliability of its measurement and links with related phenomena. The aim of this study was to validate a German translation of the Metacognition Assessment Scale (MAS-A) as a measure to assess metacognition from free narratives of patients' personally relevant episodes and relationships...
March 23, 2017: Psychology and Psychotherapy
Lucy Tindall, Antonina Mikocka-Walus, Dean McMillan, Barry Wright, Catherine Hewitt, Samantha Gascoyne
PURPOSE: Depression is currently the leading cause of illness and disability in young people. Evidence suggests that behavioural activation (BA) is an effective treatment for depression in adults but less research focuses on its application with young people. This review therefore examined whether BA is effective in the treatment of depression in young people. METHODS: A systematic review (International Prospective Register of Systematic Reviews reference: CRD42015020453), following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, was conducted to examine studies that had explored behavioural interventions for young people with depression...
March 16, 2017: Psychology and Psychotherapy
Shri Cameron, Verity J Brown, Barbara Dritschel, Kevin Power, Malcolm Cook
OBJECTIVES: Links between suicidality and depressed mood are well established. There is, however, little information about the emotional regulation processes that underlie the relationship between suicidality and current low mood, and how these processes differ between groups of never-suicidal (NS), suicidal ideators, and suicide attempters. As suicidality and depression are heterogeneous constructs, this study aimed to conduct within- and between-group comparisons of known suicide risk factors that are associated with emotion regulation (neuroticism, trait aggression, brooding, impulsivity, and overgeneral autobiographical memories)...
March 11, 2017: Psychology and Psychotherapy
Lauren Jayne Evans, Alison Beck, Mark Burdett
OBJECTIVES: This study explores whether improvements, as measured by the CORE-OM/10, as a result of psychological therapy were related to length of treatment in weeks, number of treatment sessions, or treatment intensity, as well as any effect of diagnostic group. METHODS AND DESIGN: Pre- and post-therapy CORE-OM/10 scores were extracted from the clinical records of all secondary care adult psychological therapy team patients who undertook psychological therapy between 2010 and 2013 in one mental health trust...
March 6, 2017: Psychology and Psychotherapy
Kye L McCarthy, Peter Caputi, Brin F S Grenyer
OBJECTIVE: Significant change events are helpful moments within a psychotherapy session that have been shown in previous research to relate strongly to outcome. They are special moments and therefore provide rich data for research into understanding therapeutic process. This study investigated clinical and linguistic features of these helpful moments using and comparing both human ratings and computerized text analysis strategies. METHOD: Significant change events versus non-event passages were studied within 1195 word blocks of transcribed psychotherapy for 20 participants with diagnoses of comorbid depression and personality disorder...
March 6, 2017: Psychology and Psychotherapy
Jo Daniels, Amberly Brigden, Adela Kacorova
OBJECTIVES: There is a lack of research examining the incidence of health anxiety in chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), despite this being an important research area with potentially significant clinical implications. This preliminary study aimed to determine the incidence of anxiety and depression, more specifically health anxiety, in a sample of CFS/ME patients over a 3-month period. DESIGN: The research was a cross-sectional questionnaire-based study, using a consecutive sample of patients who were assessed in a CFS/ME service...
February 28, 2017: Psychology and Psychotherapy
Peter J Taylor, Sarah Jones, Christopher D Huntley, Claire Seddon
OBJECTIVE: There has been growing interest in the use of cognitive analytic therapy (CAT) with those facing experiences of psychosis. However, there is little research on how CAT is best applied to working with psychosis. This study aimed to identify what the key aspects of CAT for psychosis are or whether this approach requires adaptation when applied to those with experiences of psychosis, drawing on expert opinion. METHOD: An adapted Delphi methodology was used...
February 20, 2017: Psychology and Psychotherapy
Abel Lerma, Héctor Perez-Grovas, Luis Bermudez, María L Peralta-Pedrero, Rebeca Robles-García, Claudia Lerma
OBJECTIVES: Psychological treatment of depression in end-stage renal disease (ESRD) has focused on severely depressed patients. We designed and tested a brief (5 weeks) cognitive behavioural intervention (CBI) to reduce mild and moderate depression and anxiety symptoms in patients with ESRD. DESIGN: For the purpose of this study, a single-blind, randomized controlled design was used to compare patients with ESRD under haemodialysis treatment with and without the CBI...
March 2017: Psychology and Psychotherapy
Alison Scope, Lesley Uttley, Anthea Sutton
PURPOSE: This systematic review aimed to synthesize qualitative evidence relating to user and service provider perspective on the acceptability and relative benefits and potential harms of art therapy for people with non-psychotic mental disorders. METHODS: A comprehensive literature search was conducted in 13 major bibliographic databases from May to July 2013. A qualitative evidence synthesis was conducted using thematic framework synthesis. RESULTS: The searches identified 10,270 citations from which 12 studies were included...
March 2017: Psychology and Psychotherapy
Paula Castilho, José Pinto-Gouveia, Joana Duarte
OBJECTIVES: This study explored the relation between external shame, two types of self-criticism, and depressive, anxious and stress symptoms, in a clinical sample. Specifically, we set out to test whether the impact of external shame on such symptoms would be mediated by two forms of self-criticism. METHOD: A total of 279 patients (228 female and 51 male; mean age of 28.58) with axis I and II disorders recruited from several outpatients psychiatric services in Portugal completed the Other as Shamer Scale (OAS), the Forms of Self-Criticizing/Attacking and Self-Reassuring Scale (FSCRS), and the Depression, Anxiety and Stress Scale (DASS-42)...
March 2017: Psychology and Psychotherapy
Elon Gersh, Carol A Hulbert, Ben McKechnie, Reem Ramadan, Tamara Worotniuk, Andrew M Chanen
OBJECTIVES: This study aimed to investigate alliance rupture and repair processes in psychotherapy for youth with borderline personality disorder. It sought to examine whether alliance processes differ between treatments, across the phases of therapy, and what associations these processes might have with therapeutic outcomes. DESIGN: The study involves repeated measurement of both process and outcome measures. Hypotheses were addressed using within- and between-subjects analyses...
March 2017: Psychology and Psychotherapy
Matthew Haigh, Alyson L Dodd
OBJECTIVES: An Integrative Cognitive Model of mood swings and bipolar disorder proposes that cognitive styles characterized by extreme self-referent appraisals of internal states (e.g., 'If I have a bad night's sleep it means that I am about to have a breakdown') interfere with mood regulation. The aim of this study is to determine whether strong endorsement of such appraisals is predicted by a diminished ability to access disconfirming counterexamples. DESIGN: We examined whether the ability to access two different categories of counterexample (known as Disabling Conditions and Alternative Causes) would predict endorsement of extreme appraisals (measured by the Hypomanic Attitudes and Positive Predictions Inventory; HAPPI) and mania risk (measured by the Hypomanic Personality Scale; HPS)...
March 2017: Psychology and Psychotherapy
Tirma Morera, Daniel Pratt, Sandra Bucci
PURPOSE: Mental health services remain largely set up to improve patient outcomes through symptom alleviation, but patient views of recovery are broader than symptom remission. Clinicians influence the nature of treatment patients received, but their views about recovery remain poorly understood. The aim of this study was to systematically review the literature examining staff views about psychosocial aspects of recovery in psychosis. METHOD: We systematically searched the PsycInfo, EMBASE, MEDLINE, and CINAHL databases...
March 2017: Psychology and Psychotherapy
Natasha Holden, James Kelly, Mary Welford, Peter J Taylor
OBJECTIVES: It has been suggested that savouring positive memories can generate positive emotions. Increasing positive emotion can have a range of benefits including reducing attention to and experiences of threat. This study investigated individuals' emotional reactions to a guided mental imagery task focussing on positive social memory called the 'social Broad Minded Affective Coping (BMAC)' technique. The study examined possible predictors of individuals' responses to this intervention...
March 2017: Psychology and Psychotherapy
Paul Knekt, Olavi Lindfors, Matti Keinänen, Erkki Heinonen, Esa Virtala, Tommi Härkänen
OBJECTIVES: How level of personality organization (LPO) predicts psychiatric symptoms and work ability in short- versus long-term psychotherapies is poorly known. We investigated the importance of the LPO on the benefits of short-term versus long-term psychotherapies. DESIGN: A cohort study based on 326 outpatients with mood or anxiety disorder was allocated to long-term (LPP) and short-term (SPP) psychodynamic psychotherapy, and solution-focused therapy (SFT). METHODS: The LPO was assessed by interview at baseline and categorized into neuroses and higher level borderline...
December 30, 2016: Psychology and Psychotherapy
Annmarie Grealish, Sara Tai, Andrew Hunter, Richard Emsley, Trevor Murrells, Anthony P Morrison
OBJECTIVES: There is consensus that empowerment is key to recovery from mental health problems, enabling a person to take charge of their life and make informed choices and decisions about their life. However, little is known about the mechanisms through which empowerment affects mental health in young people. The current study involved young people aged 16-29 years and examined empowerment as a potential mediator of the relationship between psychological factors (psychosocial, cognition, coping, and control) and mental health, well-being, and recovery from personal problems...
December 30, 2016: Psychology and Psychotherapy
Sophie O'Connor, Lesley Glover
PURPOSE: This review aimed to synthesize qualitative literature exploring inpatient hospital staff experiences of their relationships with people who self-harm. METHODS: Nine studies were identified from a systematic search of five research databases. Papers included the experiences of physical health and mental health staff working in inpatient settings. The studies employed various qualitative research methods and were appraised using an adapted quality assessment tool (Tong, Sainsbury, & Craig, )...
December 30, 2016: Psychology and Psychotherapy
Christopher D J Taylor, Penny Bee, Gillian Haddock
PURPOSE: Schema therapy was first applied to individuals with borderline personality disorder (BPD) over 20 years ago, and more recent work has suggested efficacy across a range of disorders. The present review aimed to systematically synthesize evidence for the efficacy and effectiveness of schema therapy in reducing early maladaptive schema (EMS) and improving symptoms as applied to a range of mental health disorders in adults including BPD, other personality disorders, eating disorders, anxiety disorders, and post-traumatic stress disorder...
December 30, 2016: Psychology and Psychotherapy
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