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https://www.readbyqxmd.com/read/29333493/a-quality-improvement-project-aimed-at-adapting-primary-care-to-ensure-the-delivery-of-evidence-based-psychotherapy-for-adult-anxiety
#1
Mark D Williams, Craig N Sawchuk, Nathan D Shippee, Kristin J Somers, Summer L Berg, Jay D Mitchell, Angela B Mattson, David J Katzelnick
Primary care patients frequently present with anxiety with prevalence ratios up to 30%. Brief cognitive-behavioural therapy (CBT) has been shown in meta-analytic studies to have a strong effect size in the treatment of anxiety. However, in surveys of anxious primary care patients, nearly 80% indicated that they had not received CBT. In 2010, a model of CBT (Coordinated Anxiety Learning and Management (CALM)) adapted to primary care for adult anxiety was published based on results of a randomised controlled trial...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29331596/problem-solving-therapy-for-adult-depression-an-updated-meta-analysis
#2
Pim Cuijpers, Leonore de Wit, Annet Kleiboer, Eirini Karyotaki, David D Ebert
BACKGROUND: Problem-solving therapy (PST) is one of the best examined types of psychotherapy for adult depression. No recent meta-analysis has examined the effects of PST compared to control groups or to other treatments. We wanted to verify whether PST is effective, whether effects are comparable to those of other treatments, and whether we could identify the possible sources of high heterogeneity that was found in earlier meta-analyses. METHODS: We conducted systematic searches in bibliographical databases, including PubMed, PsycInfo, Embase and the Cochrane database of randomized trials...
December 8, 2017: European Psychiatry: the Journal of the Association of European Psychiatrists
https://www.readbyqxmd.com/read/29320382/two-new-psychotherapy-studies-back-to-the-future
#3
Eric M Plakun
This column reviews 2 recent high-quality psychotherapy research studies. One study by Steinert and colleagues suggests that psychodynamic therapy is equivalent to cognitive behavioral therapy (CBT) (or medication when this was the comparator) for a range of disorders. A second study by Barlow and colleagues finds Unified Protocol CBT targeting underlying emotional dysregulation to be equivalent to single disorder-specific CBT for a range of anxiety disorders. Taken together, these studies help bridge the gap between CBT and psychodynamic therapy and refocus us on the realities of clinical settings, where most patients present with multiple comorbid disorders...
January 2018: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/29319376/the-effect-of-physical-activity-on-ptsd
#4
Lauren M Oppizzi, Reba Umberger
Although physical activity (PA) is known to reduce anxiety and depression, less is known about the effects of PA on post-traumatic stress disorder (PTSD). The author examined the state of the science regarding the effect of PA on PTSD. Three themes emerged: PA characteristics, added benefits of PA as a PTSD intervention, and theories on the method of action. Physical activity seems to be an effective adjunct therapy to reduce PTSD symptom severity. Findings are inconsistent between observational and controlled studies...
January 10, 2018: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29315558/lessons-from-literature-for-psychotherapy-practice-and-research1
#5
David E Orlinsky
Insights from the study of literature can inform and clarify concepts to guide psychotherapy practice and research. The author offers instances from narrative fiction (Durrell's Alexandria Quartet) and poetry (Hopkins, Baudelaire) to illustrate how the formulation of experience in words that are evocative (vs. ordinary), original (vs. trite), and precise (vs. approximate) are able to capture attention, move the emotions, and challenge beliefs; and how linkages among experiences, vividly and precisely expressed, create and enhance narrative meaning-revealing the inherent relativity of individual meanings and the need to consider the aggregate of relevant perspectives in every interpersonal situation...
January 5, 2018: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29313464/moderators-in-psychotherapy-meta-analysis
#6
Glen I Spielmans, Christoph Flückiger
Psychotherapy meta-analyses sometimes generate heterogeneous results, partially due to key methodological characteristics which vary between studies (e.g., psychotherapy conditions are contrasted with structurally different control conditions). Examining these potential moderator variables can help explain heterogeneous results within and between psychotherapy meta-analyses. The present manuscript provides an overview of moderators that are highly relevant to test the generalizability of effects across psychotherapy trials...
January 9, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29313408/in-honor-of-jurgen-ruesch-remembering-his-work-in-psychiatry
#7
Francisco Balbuena Rivera
BACKGROUND: In a highly technical civilization like ours, in which the interest in human communication transcends academic barriers and clinical practice, it seems necessary to look back to Ruesch's work in psychiatry. The main reason of it rests upon the idea that he was one of the few truly outstanding clinicians, researchers, and theoretical in the field of normal and abnormal communication. In fact, he did not only present a wealth of observational and clinical data; more importantly, he used these data to formulate creative hypotheses about the conflict between man and other human beings...
January 1, 2018: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/29313405/self-disclosure-in-criminal-justice-what-form-does-it-take-and-what-does-it-achieve
#8
Jake Phillips, Andrew Fowler, Chalen Westaby
Self-disclosure, the act of therapists revealing something about themselves in the context of a professional relationship, has been linked with higher levels of effectiveness when used by correctional workers. However, it is poorly defined in both criminal justice policy and criminological research which has resulted in a lack of understanding about the potential risks and benefits to practice and practitioners. This article uses literature from other fields (namely, social work, counselling, and psychotherapy) to lay out what forms self-disclosure might take in the field of criminal justice...
January 1, 2018: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29310548/the-role-of-the-therapeutic-relationship-in-the-association-between-interpersonal-behaviors-and-outcome-comparison-of-two-competing%C3%A2-models
#9
Tohar Dolev, Sigal Zilcha-Mano
OBJECTIVE: The patient-therapist relationship may be the mechanism behind the effect of pretreatment interpersonal patient behaviors on the outcome of psychotherapy for depression, or the factor determining for whom interpersonal behaviors affect outcome. We seek to establish which of these two alternatives receives empirical support. METHOD: We conducted a secondary analysis of the findings from the Treatment for Depression Collaborative Research Program to examine two alternative models...
January 8, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29306114/depression-prevalence-and-treatment-among-older-home-health-services-users-in-the-united-states
#10
Xiaoling Xiang, Margaret K Danilovich, Kathryn Noth Tomasino, Neil Jordan
OBJECTIVE: The purpose of this study is to provide a nationally representative estimate of the rates of depression and depression treatment, and to explore factors associated with receipt of depression treatment, among older home health services users. METHODS: Older home health services users (n = 1666) were selected from 2008 to 2013 Medical Expenditure Panel Survey. Depression was measured by the Patient Health Questionnaire-2. Depression treatment included antidepressants use and receipt of mental health counseling or psychotherapy...
December 21, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29303042/testing-a-mediation-model-of-psychotherapy-process-and-outcome-in-psychodynamic-psychotherapy-previous-client-distress-psychodynamic-techniques-dyadic-working-alliance-and-current-client-distress
#11
Dennis M Kivlighan, Clara E Hill, Katherine Ross, Kathryn Kline, Amy Furhmann, Elizabeth Sauber
To test a sequential model of psychotherapy process and outcome, we included previous client distress, therapist psychodynamic techniques, dyadic working alliance, and current client distress. For 114 sets of eight-session segments in 40 cases of psychodynamic psychotherapy, clients completed the Outcome Questionnaire-45 and Inventory of Interpersonal Problems-32 after the first and final session, judges reliably coded one middle sessions on the Psychodynamic subscale of the Multitheoretical List of Therapeutic Interventions, and clients and therapists completed the Working Alliance Inventory after every session...
January 5, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29301139/space-and-time-in-the-obsessive-compulsive-phenomenon
#12
Otto Doerr-Zegers
Following the tradition of researchers of the phenomenological-anthropological school such as Straus, von Gebsattel, Tellenbach, and Blankenburg, the author attempts to approach the obsessive-compulsive disorder from a phenomenological perspective. This means setting aside any previous ideas about the phenomenon in question, including genetic, neurobiological, and clinical-statistical considerations. He takes as his starting point a clinically typical case he studied and treated with psychoanalytically oriented psychotherapy for many years...
January 5, 2018: Psychopathology
https://www.readbyqxmd.com/read/29300704/cost-effectiveness-and-budget-impact-of-specialized-psychotherapy-for-borderline-personality-disorder-a-synthesis-of-the-evidence
#13
Pim Wetzelaer, Joran Lokkerbo, Arnoud Arntz, Thea van Aselt, Filip Smit, Silvia Evers
BACKGROUND: Specialized outpatient psychotherapy for patients with borderline personality disorder (BPD) is expected to reduce their use of other health care resources. It is currently unknown to what extent the costs of providing these interventions can be expected to be offset by a reduction in other health care costs in the Netherlands. To establish the cost-effectiveness and budget impact of specialized outpatient psychotherapy, the estimated incremental costs are synthesized with the estimated incremental effects...
December 1, 2017: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/29299785/investigation-into-complementary-and-integrative-health-approaches-for-turkish-patients-with-gastrointestinal-cancer
#14
Seda Pehlivan, Ali Süner, Yasemin Yıldırım, Çiçek Fadıloğlu
The study was conducted to determine the levels of usage of complementary and integrative health (CIH) approaches and the symptoms experienced by Turkish patients with gastrointestinal cancer. A descriptive study was conducted on 81 patients with gastrointestinal cancer attending the medical oncology department of an oncology hospital. In the data collection stage, the patient description form that prepared by the researchers and the "Edmonton Symptom Assessment Scale" were used. Data were evaluated via Chi-square and student t test...
January 3, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29298602/mentalizing-in-the-presence-of-another-measuring-reflective-functioning-and-attachment-in-the-therapy-process
#15
Alessandro Talia, Madeleine Miller-Bottome, Hannah Katznelson, Signe H Pedersen, Howard Steele, Paul Schröder, Amy Origlieri, Fredrik B Scharff, Guido Giovanardi, Mart Andersson, Vittorio Lingiardi, Jeremy D Safran, Susanne Lunn, Stig Poulsen, Svenja Taubner
OBJECTIVE: In this paper, we test the reliability and validity of two novel ways of assessing mentalizing in the therapy context: the Reflective Functioning scale (RF) applied to code psychotherapy transcripts (In-session RF), and the Exploring scale of the Patient Attachment Coding System (PACS), which measures in-session autonomy and is linked with secure attachment in psychotherapy. METHOD: Before treatment, 160 patients in different types of psychotherapy and from three different countries were administered the Adult Attachment Interview (AAI), which was rated with the RF scale...
January 3, 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29294975/analyze-this-thematic-analysis-hostility-attribution-of-intent-and-interpersonal-perception-bias
#16
Zhana Karadenizova, Klaus-Peter Dahle
Research suggests that aggressive individuals exhibit a strong tendency to attribute hostile intent to the behavior of others when confronted with an ambiguous social situation. The vignettes method has become a standard procedure to assess hostile attributions. Vignettes represent incomplete ambiguous social stories, in which the subjects experience a negative outcome and are asked to attribute intent to the provocateur's action. This article explores the ways in which subjects perceive ambiguous social situations and other people's intentions, their tendency to refer negative outcome to oneself, and the components defining hostility in the interpersonal relationships...
November 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29289377/treatment-of-paraphilic-disorders-in-sexual-offenders-or-men-with-a-risk-of-sexual-offending-with-luteinizing-hormone-releasing-hormone-agonists-an-updated-systematic-review
#17
REVIEW
Daniel Turner, Peer Briken
BACKGROUND: Different pharmacologic agents are used in the treatment of paraphilic disorders in sexual offenders or men with a risk of sexual offending, with luteinizing hormone-releasing hormone (LHRH) agonists being the agents introduced more recently to treatment regimens. AIM: To summarize the relevant literature concerning LHRH agonist treatment of paraphilic disorders in sexual offenders and update the previously published systematic review by Briken et al (J Clin Psychiatry 2003;64:890-897)...
January 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29284443/readiness-to-change-and-therapy-outcomes-of-an-innovative-psychotherapy-program-for-surgical-patients-results-from-a-randomized-controlled-trial
#18
Henning Krampe, Anna-Lena Salz, Léonie F Kerper, Alexander Krannich, Tatjana Schnell, Klaus-Dieter Wernecke, Claudia D Spies
BACKGROUND: Readiness to change is a pivotal construct for psychotherapy research and a major target of motivational interventions. Our primary objective was to examine whether pre-treatment readiness to change moderated therapy effects of Bridging Intervention in Anesthesiology (BRIA), an innovative psychotherapy approach for surgical patients. This stepped care program aims at motivating and supporting surgical patients with mental disorders to engage in psychosocial mental health care...
December 29, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29282230/deconstructing-risk-management-in-psychotherapy-supervision
#19
Jerome Kroll, Jennifer Radden
In the ongoing controversy over how much regulation and standardization to impose on clinical practice and research, it is not surprising that the activity of psychotherapy supervision should be swept up in the drive for uniformity. The managers amongst us want to regulate and institutionalize all aspects of practice. In opposition, many clinicians resist the relentless march toward the safety of uniformity travel alongside managerial imposition of regulations. Psychotherapy supervision's method of a close apprenticeship relationship between supervisor and trainee and its focus on the process and ethics of professional interaction stand at the humanistic core of what is otherwise becoming an increasingly mechanistic model of providing care to persons with mental illness...
December 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29277943/trainees-self-evaluation-of-their-development-as-psychotherapists-an-italian-contribution-to-an-international-collaborative-study-on-psychotherapy-training
#20
Irene Messina, Omar C G Gelo, Marco Sambin, Francesca Bianco, Andrea Mosconi, Antonio Fenelli, Marcello Curto, Salvo Gullo, David Orlinsky
This study presents a pilot contribution to the new collaborative, multinational study of psychotherapy trainee development that was undertaken by the Society for Psychotherapy Research Interest Section on Therapist Training and Development (see Orlinsky, Strauss, Rønnestad, et al., ). Although the main project is longitudinal in design, this preliminary study investigated cross-sectional differences between trainees in different years of training and explored the influence of core training experiences-including supervision and personal therapy-on their perceived development as therapists...
December 25, 2017: Clinical Psychology & Psychotherapy
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