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https://www.readbyqxmd.com/read/28194599/common-factors-in-community-mental-health-intervention-a-scoping-review
#1
Sean A Kidd, Larry Davidson, Kwame McKenzie
While there is considerable research and commentary devoted to common factors in psychotherapy, their implications for community mental health interventions are much less clear. In response, a scoping review was conducted to answer the question, 'What is the evidence base for common factors in community mental health intervention?' A comprehensive search of MEDLINE, PsycINFO, and Google Scholar was completed. A total of 60 publications were identified in this review with a focus primarily upon therapeutic alliance...
February 13, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28191795/simulation-modeling-analysis-of-sequential-relations-among-therapeutic-alliance-symptoms-and-adherence-to-child-centered-play-therapy-between-a-child-with-autism-spectrum-disorder-and-two-therapists
#2
Geoff Goodman, Hyewon Chung, Leah Fischel, Laura Athey-Lloyd
This study examined the sequential relations among three pertinent variables in child psychotherapy: therapeutic alliance (TA) (including ruptures and repairs), autism symptoms, and adherence to child-centered play therapy (CCPT) process. A 2-year CCPT of a 6-year-old Caucasian boy diagnosed with autism spectrum disorder was conducted weekly with two doctoral-student therapists, working consecutively for 1 year each, in a university-based community mental-health clinic. Sessions were video-recorded and coded using the Child Psychotherapy Process Q-Set (CPQ), a measure of the TA, and an autism symptom measure...
February 1, 2017: Clinical Child Psychology and Psychiatry
https://www.readbyqxmd.com/read/28191317/intersect-between-self-esteem-and-emotion-regulation-in-narcissistic-personality-disorder-implications-for-alliance-building-and-treatment
#3
REVIEW
Elsa Ronningstam
Building an alliance with patients with pathological narcissism or narcissistic personality disorder, NPD, can be challenging and include avoidance, negative reactivity and disruptions. A main contributing factor can be the complex interaction between emotion and self-esteem regulation, which affects patients' ability to engage in a therapeutic alliance and treatment. Recent studies, especially in neuroscience have identified functional characteristic and compromises in self-esteem and emotion regulation related to NPD...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28182451/therapeutic-alliance-subsequent-change-and-moderators-of-the-alliance-outcome-association-in-interpersonal-psychotherapy-for-depression
#4
Michael J Constantino, Alice E Coyne, Emily K Luukko, Katie Newkirk, Samantha L Bernecker, Paula Ravitz, Carolina McBride
The therapeutic alliance has historically emerged as a pantheoretical correlate of favorable psychotherapy outcomes. However, uncertainty remains about the direction of the alliance-outcome link, and whether it is affected by other contextual variables. The present study explored (a) if early alliance quality predicted subsequent symptom change while controlling for the effect of prior symptom change in interpersonal psychotherapy (IPT) for depression, and (b) whether baseline patient characteristics moderated the alliance-outcome relation (to help specify conditions under which alliance predicts change)...
February 9, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28181974/the-respect-that-other-deserves-a-game-between-forces-and-weaknesses-in-the-field-of-health-care
#5
Carlos A Sampaio
Caring for people with diminished faculties and forms of disease and handicap that break down their personality places high demands on care staff. Anchored in a caring science with a holistic and humanistic approach, this article analyzes the trajectories of control that emerge in nurse care interactions. A suggested answer is the responsibility of the nurse to be aware of the power inequality, to recognize the potential for patients to feel intimidated, and to create a therapeutic alliance. The right use of power in the nurse-patient interaction guarantees that the patient's needs are foremost and the patient's vulnerability is sheltered...
March 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/28152764/initiative-to-streamline-clinical-trials-isct-guidance-for-academic-investigators-sponsors
#6
Katherine Brodeur-Robb, Alison May Urton, Jacqueline Bosch, Lesley Seymour, Karen E Arts
: 219 Background: The 2011 Canadian Cancer Research Alliance (CCRA) report on the State of Cancer Clinical Trials in Canada outlined in detail the threats to the conduct of academic oncology clinical trials caused by increasing complexity and workload resulting from a perceived onerous regulatory environment. The report recommended engaging Health Canada and key stakeholders to foster agreement in appropriate interpretations of the Canadian Food and Drug Regulations Part C Division 5 and ICH Good Clinical Practice (GCP) guidelines...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152196/a-meta-analysis-of-the-relation-between-therapeutic-alliance-and-treatment-outcome-in-eating-disorders
#7
REVIEW
Tiffany A Graves, Nassim Tabri, Heather Thompson-Brenner, Debra L Franko, Kamryn T Eddy, Stephanie Bourion-Bedes, Amy Brown, Michael J Constantino, Christoph Flückiger, Sarah Forsberg, Leanna Isserlin, Jennifer Couturier, Gunilla Paulson Karlsson, Johannes Mander, Martin Teufel, James E Mitchell, Ross D Crosby, Claudia Prestano, Dana A Satir, Susan Simpson, Richard Sly, J Hubert Lacey, Colleen Stiles-Shields, Giorgio A Tasca, Glenn Waller, Shannon L Zaitsoff, Renee Rienecke, Daniel Le Grange, Jennifer J Thomas
The therapeutic alliance has demonstrated an association with favorable psychotherapeutic outcomes in the treatment of eating disorders (EDs). However, questions remain about the inter-relationships between early alliance, early symptom improvement, and treatment outcome. We conducted a meta-analysis on the relations among these constructs, and possible moderators of these relations, in psychosocial treatments for EDs. Twenty studies met inclusion criteria and supplied sufficient supplementary data. Results revealed small-to-moderate effect sizes, βs = 0...
February 2, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28145735/patient-personality-and-relational-patterns-in-psychotherapy-factor-structure-reliability-and-validity-of-the-psychotherapy-relationship-questionnaire
#8
Annalisa Tanzilli, Antonello Colli, Ivan Gualco, Vittorio Lingiardi
The aim of this study was to examine the factor structure and the psychometric properties of the Psychotherapy Relationship Questionnaire (PRQ; Bradley, Heim, & Westen, 2005 ), a clinician report instrument that measures a wide spectrum of thoughts, feelings, motives, conflicts, and behaviors expressed by patients toward their therapists in psychotherapy. A national sample of psychiatrists and clinical psychologists (N   = 314) of different theoretical orientations completed the PRQ, as well as the Shedler-Westen Assessment Procedure-200 (SWAP-200; Westen & Shedler, 1999a , 1999b ) to assess the personality of a patient in their care...
February 1, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28144196/changes-in-professionals-attitudes-and-approaches-to-parents-in-the-drug-and-alcohol-treatment
#9
Evdokia Missouridou, Despina Esseridou
BACKGROUND: Parental involvement with drug and alcohol services remains limited. AIM: to illuminate changes in addiction professionals' subjective attitudes and approaches of parents over time in their career. METHODS: Overall, twenty seven drug and alcohol professionals participated in the study. RESULTS: Themes depicting changes on therapists' attitudes, beliefs and experiences of working with the families of their clients are 'Redefining therapeutic role and expectations', 'Increased understanding and acceptance', 'Finding the right distance in relationships', 'Ability to contain feelings and experiences', 'Being selective in collaborations with professionals', 'Empathy for coworkers and increased collaboration'...
December 2016: Materia Socio-medica
https://www.readbyqxmd.com/read/28143504/effectiveness-of-the-addition-of-therapeutic-alliance-with-minimal-intervention-in-the-treatment-of-patients-with-chronic-nonspecific-low-back-pain-and-low-risk-of-involvement-of-psychosocial-factors-a-study-protocol-for-a-randomized-controlled-trial-talkback
#10
Felipe Ribeiro Cabral Fagundes, Caique de Melo do Espírito Santo, Francine Mendonça de Luna Teixeira, Thaís Vanelli Tonini, Cristina Maria Nunes Cabral
BACKGROUND: The stratified model of care has been an effective approach for the treatment of low back pain. However, the treatment of patients with low risk of psychosocial-factor involvement is unclear. The addition of the therapeutic alliance to a minimal intervention may be an option for the treatment of low back pain. This paper reports on the rationale, design and protocol for a randomized controlled trial with blind assessor to assess the effectiveness of the addition of therapeutic alliance with minimal intervention on pain and disability in patients with chronic, nonspecific low back pain...
January 31, 2017: Trials
https://www.readbyqxmd.com/read/28142364/increasing-recreational-physical-activity-in-patients-with-chronic-low-back-pain-a-pragmatic-controlled-clinical-trial
#11
Noa Ben-Ami, Gabriel Chodick, Yigal Mirovsky, Tamar Pincus, Yair Shapiro
Study Design Prospective, pragmatic, nonrandomized controlled clinical trial. Background Clinical guidelines recommend physical activity for the treatment of chronic low back pain. But engaging patients in physical activity has proven difficult. Known obstacles to physical activity include low self-efficacy and fear avoidance. Objectives This study tested the effectiveness of an enhanced transtheoretical model intervention (ETMI) aimed at increasing recreational physical activity in patients with chronic low back pain, in comparison to usual physical therapy...
February 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28131497/role-of-imaging-in-the-era-of-precision-medicine
#12
REVIEW
Angela Giardino, Supriya Gupta, Emmi Olson, Karla Sepulveda, Leon Lenchik, Jana Ivanidze, Rebecca Rakow-Penner, Midhir J Patel, Rathan M Subramaniam, Dhakshinamoorthy Ganeshan
Precision medicine is an emerging approach for treating medical disorders, which takes into account individual variability in genetic and environmental factors. Preventive or therapeutic interventions can then be directed to those who will benefit most from targeted interventions, thereby maximizing benefits and minimizing costs and complications. Precision medicine is gaining increasing recognition by clinicians, healthcare systems, pharmaceutical companies, patients, and the government. Imaging plays a critical role in precision medicine including screening, early diagnosis, guiding treatment, evaluating response to therapy, and assessing likelihood of disease recurrence...
January 25, 2017: Academic Radiology
https://www.readbyqxmd.com/read/28129931/content-and-conceptual-frameworks-of-psychology-and-social-work-preceptor-feedback-related-to-the-educational-requests-of-family-medicine-residents
#13
Luc Côté, Rhéa Rocque, Marie-Claude Audétat
OBJECTIVES: Supervision of communication competency in clinical settings in medicine is an important component of professional training. The purpose of this study was to describe the content and rationale of psychology and social work preceptor feedback to family medicine residents who express educational needs during case-based written vignettes. METHODS: We conducted a qualitative study with 25 psychology and social work preceptors from family medicine departments of the three French-speaking universities in the province of Quebec, Canada...
January 23, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28127442/comparing-counselling-alone-versus-counselling-supplemented-with-guided-use-of-a-well-being-app-for-university-students-experiencing-anxiety-or-depression-caseload-protocol-for-a-feasibility-trial
#14
Emma Broglia, Abigail Millings, Michael Barkham
BACKGROUND: University counselling services face a unique challenge to offer short-term therapeutic support to students presenting with complex mental health needs and in a setting which suits the academic timetable. The recent availability of mobile phone applications (apps) offers an opportunity to supplement face-to-face therapy and has the potential to reach a wider audience, maintain engagement between therapy sessions, and enhance therapeutic outcomes. The present study, entitled Counselling plus Apps for Students Experiencing Levels of Anxiety or Depression (CASELOAD), aims to explore the feasibility of supplementing counselling with guided use of a well-being app...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/28125364/improving-oncology-quality-measurement-in-accountable-care-filling-gaps-with-cross-cutting-measures
#15
Tom Valuck, David Blaisdell, Donna P Dugan, Kimberly Westrich, Robert W Dubois, Robert S Miller, Mark McClellan
: Payment for health care services, including oncology services, is shifting from volume-based fee-for-service to value-based accountable care. The objective of accountable care is to support providers with flexibility and resources to reform care delivery, accompanied by accountability for maintaining or improving outcomes while lowering costs. These changes depend on health care payers, systems, physicians, and patients having meaningful measures to assess care delivery and outcomes and to balance financial incentives for lowering costs while providing greater value...
February 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28114913/recovery-and-decision-making-involvement-in-people-with-severe-mental-illness-from-six-countries-a-prospective-observational-study
#16
Sabine Loos, Eleanor Clarke, Harriet Jordan, Bernd Puschner, Andrea Fiorillo, Mario Luciano, Tibor Ivánka, Erzsébet Magyar, Malene Krogsgaard-Bording, Helle Østermark-Sørensen, Wulf Rössler, Wolfram Kawohl, Benjamin Mayer, Mike Slade
BACKGROUND: Clinical decision-making is the vehicle of health care provision, and level of involvement predicts implementation and satisfaction. The aim of this study was to investigate the impact of decision-making experience on recovery. METHODS: Data derived from an observational cohort study "Clinical decision making and outcome in routine care for people with severe mental illness" (CEDAR). Adults (aged 18-60) meeting standardised criteria for severe mental illness were recruited from caseloads of outpatient and community mental health services in six European countries...
January 23, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28114769/enhancing-psychotherapy-process-with-common-factors-feedback-a-randomized-clinical-trial
#17
Andrew S McClintock, Matthew R Perlman, Shannon M McCarrick, Timothy Anderson, Lina Himawan
: In this study, we developed and tested a common factors feedback (CFF) system. The CFF system was designed to provide ongoing feedback to clients and therapists about client ratings of three common factors: (a) outcome expectations, (b) empathy, and (c) the therapeutic alliance. We evaluated the CFF system using randomized, clinical trial (RCT) methodology. PARTICIPANTS: Clients were 79 undergraduates who reported mild, moderate, or severe depressive symptoms at screening and pretreatment assessments...
January 23, 2017: Journal of Counseling Psychology
https://www.readbyqxmd.com/read/28106697/facial-plastic-surgery-patient-resources-exceed-national-institute-recommendations
#18
Michael W Chu, Julia A Cook, Sunil S Tholpady, Cecelia E Schmalbach, Arash Momeni
Patient education is essential in enhancing the physician-patient therapeutic alliance, patient satisfaction, and clinical outcomes. The American Medical Association and National Institute of Health recommend that information be written at a 6th-grade reading level, but online resources often exceed patient literacy. The purpose of this study is to assess readability of online material for facial plastics procedures presented on academic plastic surgery and otolaryngology websites.An Internet search was performed of all academic institutions that had both plastic surgery and otolaryngology training programs who offered patient information on facial plastic surgery procedures...
January 18, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28102111/applying-relationship-anecdotes-paradigm-interviews-to-study-client-therapist-relationship-narratives-core-conflictual-relationship-theme-analyses
#19
Hadas Wiseman, Orya Tishby
OBJECTIVE: We describe client-therapist relational narratives collected in relationship anecdotes paradigm (RAP) interviews during psychotherapy and the application of the core conflictual relationship theme (CCRT) method. Changes in clients' and therapists' CCRT in relation to each other are examined and associations between their CCRTs and self-reported ruptures and repairs are explored. METHOD: Sixty-seven clients and 27 therapists underwent RAP interviews and completed self-report rupture and repair items at early, middle, and late psychodynamic psychotherapy...
January 19, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28096737/implementation-of-evidence-on-the-nurse-patient-relationship-in-psychiatric-wards-through-a-mixed-method-design-study-protocol
#20
Antonio R Moreno-Poyato, Pilar Delgado-Hito, Raquel Suárez-Pérez, Juan M Leyva-Moral, Rosa Aceña-Domínguez, Regina Carreras-Salvador, Juan F Roldán-Merino, Teresa Lluch-Canut, Pilar Montesó-Curto
BACKGROUND: Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method...
2017: BMC Nursing
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