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Therapeutic alliance

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https://www.readbyqxmd.com/read/28819922/therapeutic-alliance-client-need-for-approval-and-perfectionism-as-differential-moderators-of-response-to-ehealth-and-traditionally-delivered-treatments-for-comorbid-depression-and-substance-use-problems
#1
Frances J Kay-Lambkin, Amanda L Baker, Kerrin Palazzi, Terry J Lewin, Brian J Kelly
PURPOSE: This study sought to undertake an exploratory analysis of the impact of therapeutic alliance and dysfunctional attitudes (perfectionism and need for approval) on outcomes for participants receiving therapist-delivered and eHealth interventions for comorbid depression and alcohol/cannabis use problems. These factors have been shown in previous research to moderate response to psychological treatment for depression and related disorders. METHOD: Participants (N = 274) with concurrent depression and alcohol/cannabis misuse were randomized to 10 sessions of therapist-delivered cognitive behavior therapy/motivational interviewing (CBT/MI), computer-delivered CBT/MI with brief therapist assistance (SHADE CBT/MI), or supportive counseling (PCT)...
August 17, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28813219/association-of-reference-pricing-with-drug-selection-and-spending
#2
James C Robinson, Christopher M Whaley, Timothy T Brown
Background In the United States, prices for therapeutically similar drugs vary widely, which has prompted efforts by public and private insurers to steer patients toward the lower-priced options. Under reference pricing, the insurer or employer establishes a maximum contribution it will make toward the price of a drug or procedure, and the patient pays the remainder. Methods We used difference-in-differences multivariable regression methods to analyze changes in prescriptions and pricing for 1302 drugs in 78 therapeutic classes in the United States, before and after implementation of reference pricing by an alliance of private employers...
August 17, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28800510/medication-adherence-in-schizophrenia-the-role-of-insight-therapeutic-alliance-and-perceived-trauma-associated-with-psychiatric-care
#3
Arnaud Tessier, Laurent Boyer, Mathilde Husky, Franck Baylé, Pierre-Michel Llorca, David Misdrahi
Medication non adherence in schizophrenia is a major cause of relapse and hospitalization and remains for clinicians an important challenge. This study investigates the associations between insight, therapeutic alliance, perceived trauma related to psychiatric treatment and medication adherence in patients with schizophrenia. In this multicenter study, 72 patients were assessed regarding symptomatology, self-reported adherence with medication, insight, medication side-effects, therapeutic alliance and perceived trauma related to psychiatric treatment...
July 31, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28792604/therapeutic-alliance-anorexia-nervosa-and-the-inpatient-setting-a-mixed-methods-study
#4
Joel S Zugai, Jane Stein-Parbury, Michael Roche
AIMS: To understand the context of the inpatient setting for the treatment of anorexia nervosa and the implications for the therapeutic alliance between nurses and consumers. BACKGROUND: The nature of the therapeutic alliance is dependent on the contextual factors that influence interactions. The inpatient setting for the treatment of anorexia nervosa is one such setting where the therapeutic alliance is operative, yet challenging and poorly understood. DESIGN: A two-phase explanatory sequential design was employed...
August 9, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28770498/psychogenic-non-epileptic-seizures
#5
REVIEW
David K Chen, Esha Sharma, W Curt LaFrance
PURPOSE OF REVIEW: In this review, we elucidate the evaluation process involved in the diagnosis of psychogenic non-epileptic seizures (PNES). Minimum clinical criteria required to attain this diagnosis via a staged approach are delineated. The psychological underpinnings and management of PNES from the neurologists' perspective are also explored. RECENT FINDINGS: Helpful clues can be deduced from history-taking, seizure semiology, ictal/peri-ictal physical exam, and ictal/inter-ictal EEG data...
September 2017: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/28767338/intensive-evening-outpatient-treatment-for-patients-with-personality-dysfunction-early-group-process-change-in-interpersonal-distress-and-longer-term-social-functioning
#6
Anthony S Joyce, John S Ogrodniczuk, David Kealy
OBJECTIVE: Entrenched interpersonal difficulties are a defining feature of those with personality dysfunction. Evening treatment-a comprehensive and intensive group-oriented outpatient therapy program-offers a unique approach to delivering mental health services to patients with chronic personality dysfunction. This study assessed change in interpersonal problems as a key outcome, the relevance of such change to future social functioning, and the influence of early group processes on this change...
2017: Psychiatry
https://www.readbyqxmd.com/read/28767013/narcissistic-personality-disorder-in-clinical-health-psychology-practice-case-studies-of-comorbid-psychological-distress-and-life-limiting-illness
#7
Elizabeth L Kacel, Nicole Ennis, Deidre B Pereira
Narcissistic Personality Disorder (NPD) is characterized by a persistent pattern of grandiosity, fantasies of unlimited power or importance, and the need for admiration or special treatment. Individuals with NPD may experience significant psychological distress related to interpersonal conflict and functional impairment. Research suggests core features of the disorder are associated with poor prognosis in therapy, including slow progress to behavioral change, premature patient-initiated termination, and negative therapeutic alliance...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28756734/adapting-services-to-the-needs-of-children-and-families-with-complex-migration-experiences-the-toulouse-university-hospital-s%C3%A2-intercultural%C3%A2-consultation
#8
Gesine Sturm, Zohra Guerraoui, Sylvie Bonnet, Françoise Gouzvinski, Jean-Philippe Raynaud
This article presents the recently created intercultural consultation at the Medical and Psychological Health Care Service (CMP) of the University Hospital la Grave at Toulouse. The approach of the intercultural consultation was elaborated in response to the increasing diversity of children and families using the service in Toulouse. It is also based on local research that indicates the difficulties service providers encounter when trying to establish a solid therapeutic alliance with families with complex migration backgrounds who accumulate different disadvantaging factors...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28755624/the-relationship-between-therapeutic-alliance-and-patient-s-suicidal-thoughts-self-harming-behaviours-and-suicide-attempts-a-systematic-review
#9
REVIEW
Charlotte Dunster-Page, Gill Haddock, Laura Wainwright, Katherine Berry
BACKGROUND: Suicidality is a common concern for people with mental health problems. The interpersonal nature of suicidality suggests that therapeutic alliance may be important when working clinically with suicidal patients. This paper is a systematic review of studies investigating the association between alliance and treatment outcome relating to suicidal ideation and behaviours. METHODS: Systematic searches of PsychINFO, MEDLINE, AMED, EMBASE, Web of Science and CINAHL were completed using words that captured the concepts of alliance and suicidality...
July 23, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28752631/what-approaches-for-promoting-shared-decision-making-are-used-in-child-mental-health-a-scoping-review
#10
Helen Cheng, Daniel Hayes, Julian Edbrooke-Childs, Kate Martin, Louise Chapman, Miranda Wolpert
OBJECTIVE: Whilst the benefits of shared decision-making (SDM) have been promoted across different health settings, its implementation is complex, particularly for children and young people with mental health difficulties. The aim of this scoping review was to identify and describe SDM approaches (tools, techniques, and technologies) used in child and youth mental health. METHOD: Electronic databases and grey literature were searched. Papers were included if they satisfied these criteria: English language; described an SDM approach (tool, technique, or technology); included sufficient detail on the SDM approach for quality assessment; did not use only a questionnaire to provide feedback on SDM or related concepts (e...
July 28, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28750659/alliance-for-clinical-trials-in-oncology-alliance-trial-a021501-preoperative-extended-chemotherapy-vs-chemotherapy-plus-hypofractionated-radiation-therapy-for-borderline-resectable-adenocarcinoma-of-the-head-of-the-pancreas
#11
Matthew H G Katz, Fang-Shu Ou, Joseph M Herman, Syed A Ahmad, Brian Wolpin, Robert Marsh, Spencer Behr, Qian Shi, Michael Chuong, Lawrence H Schwartz, Wendy Frankel, Eric Collisson, Eugene J Koay, JoLeen M Hubbard, James L Leenstra, Jeffrey Meyerhardt, Eileen O'Reilly
BACKGROUND: Borderline resectable pancreatic cancers infiltrate into adjacent vascular structures to an extent that makes an R0 resection unlikely when pancreatectomy is performed de novo. In a pilot study, Alliance for Clinical Trials in Oncology Trial A021101, the median survival of patients who received chemotherapy and radiation prior to anticipated pancreatectomy was 22 months, and 64% of operations achieved an R0 resection. However, the individual contributions of preoperative chemotherapy and radiation therapy to therapeutic outcome remain poorly defined...
July 27, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28735372/a-systematic-review-and-taxonomy-of-published-quality-criteria-related-to-the-evaluation-of-user-facing-ehealth-programs
#12
Amit Baumel, Michael L Birnbaum, Madalina Sucala
The purpose of this review was to identify and classify key criteria concepts related to the evaluation of user-facing eHealth programs. In line with the PRISMA statement methodology, computer searches of relevant databases were conducted for studies published between January 1, 2000 and March 1, 2016 that contained explicit quality criteria related to mHealth and eHealth products. Reference lists of included articles, review articles, and grey literature (e.g., books, websites) were searched for additional sources...
August 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28710056/health-related-coping-and-social-interaction-in-people-with-multiple-sclerosis-supported-by-a-social-network-pilot-study-with-a-new-methodological-approach
#13
Luigi Lavorgna, Antonio Russo, Manuela De Stefano, Roberta Lanzillo, Sabrina Esposito, Fatemeh Moshtari, Francesco Rullani, Kyrie Piscopo, Daniela Buonanno, Vincenzo Brescia Morra, Antonio Gallo, Gioacchino Tedeschi, Simona Bonavita
BACKGROUND: Social media are a vital link for people with health concerns who find in Web communities a valid and comforting source for information exchange, debate, and knowledge enrichment. This aspect is important for people affected by chronic diseases like multiple sclerosis (MS), who are very well informed about the disease but are vulnerable to hopes of being cured or saved by therapies whose efficacy is not always scientifically proven. To improve health-related coping and social interaction for people with MS, we created an MS social network (SMsocialnetwork...
July 14, 2017: Interactive Journal of Medical Research
https://www.readbyqxmd.com/read/28693922/shared-decision-making-and-outcomes-in-type-2-diabetes-a-systematic-review-and-meta-analysis
#14
REVIEW
Michael Saheb Kashaf, Elizabeth Tyner McGill, Zackary Dov Berger
OBJECTIVE: Type 2 diabetes is a chronic disease which necessitates the development of a therapeutic alliance between patient and provider. This review systematically examines the association between treatment shared decision-making (SDM) and outcomes in diabetes. METHODS: A range of bibliographic databases and gray literature sources was searched. Included studies were subjected to dual data extraction and quality assessment. Outcomes were synthesized using meta-analyses where reporting was sufficiently homogenous or alternatively synthesized in narrative fashion...
June 27, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28689386/surgical-informed-consent-process-in-neurosurgery
#15
REVIEW
Jaechan Park, Hyojin Park
The doctrine of informed consent, as opposed to medical paternalism, is intended to facilitate patient autonomy by allowing patient participation in the medical decision-making process. However, regrettably, the surgical informed consent (SIC) process is invariably underestimated and reduced to a documentary procedure to protect physicians from legal liability. Moreover, residents are rarely trained in the clinical and communicative skills required for the SIC process. Accordingly, to increase professional awareness of the SIC process, a brief history and introduction to the current elements of SIC, the obstacles to patient autonomy and SIC, benefits and drawbacks of SIC, planning of an optimal SIC process, and its application to cases of an unruptured intracranial aneurysm are all presented...
July 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28681928/practitioner-review-therapist-variability-patient-reported-therapeutic-alliance-and-clinical-outcomes-in-adolescents-undergoing-mental-health-treatment-a-systematic-review-and-meta-analysis
#16
REVIEW
Regina Murphy, Paul Hutton
BACKGROUND: Previous meta-analyses have only found small correlations (r = .10 to r = .19) between therapeutic alliance and clinical outcomes in samples of adolescents receiving psychological therapy. Although study-level variables have been found to moderate this, little is known about the impact of therapist variability. The present meta-analysis aimed to address this gap by using patient-therapist ratio as a moderator variable. METHODS: Contrary to previous reviews of adolescent alliance, individual effect sizes were extracted using a preregistered conceptual hierarchy...
July 6, 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28681641/therapeutic-climate-within-a-treatment-program-for-categorical-deniers
#17
Jayson Ware
The purpose of this study was to examine whether the therapeutic climate within a sex offender "deniers" program, where denial was not challenged, would be equivalent to the therapeutic climate within a conventional program where sex offenders were admitting responsibility. Using a sample of 77 sex offenders, therapeutic alliance and group climate were measured early and late in treatment. As expected, therapeutic alliance was more difficult to attain with deniers early in treatment, particularly therapeutic bond; however, by the end of the treatment, there were no significant differences in therapeutic alliance...
July 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/28677200/the-nature-of-the-therapeutic-alliance-between-nurses-and-consumers-with-anorexia-nervosa-in-the-inpatient-setting-a-mixed-methods-study
#18
Joel S Zugai, Jane Stein-Parbury, Michael Roche
AIMS AND OBJECTIVES: To develop a greater understanding of the nature of the inpatient therapeutic alliance between nurses and consumers with Anorexia Nervosa (AN). BACKGROUND: Consumers with AN value interpersonal relationships with nurses, finding these relationships meaningful and therapeutic. It is established that the therapeutic alliance enhances outcomes for consumers with AN. However, establishing the therapeutic alliance in the inpatient setting is considered challenging...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28659209/-approaching-psychological-problems-like-a-general-practitioner
#19
P L B J Lucassen, S Postma, T C Olde Hartman, H van Ravesteijn, M J Linssen, J Wolf, D L Gerritsen
An important cause of the high prescription levels of psychotropic medication for psychological symptoms is that these symptoms are assessed according to the same model as applied for physical symptoms, the disease model. This has led to a one-sided medical approach to psychological symptoms. A person-centred approach offers an alternative; the positive aspects of the disease-centred approach are retained and attention for the patient and his/her context become the central focal point for the general practitioner...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28649647/moonshots-and-metastatic-disease-the-need-for-a-multi-faceted-approach-when-studying-atypical-responses
#20
REVIEW
Kristine De La Torre, Elly Cohen, Anne Loeser, Marc Hurlbert
Clinical research generally focuses on results involving a statistical mean with little attention in trial design to patients who respond considerably better or worse than average. Exploring the reasons underlying an "atypical response" will increase understanding of the mechanisms involved in cancer progression and treatment resistance, accelerate biomarker identification, and improve precision medicine by allowing clinicians to prospectively select optimal treatments. Based on our review, we suggest two ways to move this field forward...
2017: NPJ Breast Cancer
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