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https://www.readbyqxmd.com/read/28714581/psychometric-evaluation-and-norms-for-the-multidimensional-assessment-of-interoceptive-awareness-maia-in-a-clinical-eating-disorders-sample
#1
Tiffany A Brown, Laura A Berner, Michelle D Jones, Erin E Reilly, Anne Cusack, Leslie K Anderson, Walter H Kaye, Christina E Wierenga
Altered interoceptive awareness (IA) has been implicated in the pathophysiology of eating disorders; however, few comprehensive self-report measures of IA exist in eating disorders. The present study sought to validate the Multidimensional Assessment of Interoceptive Awareness (MAIA), originally developed to assess IA in individuals practicing mind-body therapies, in an eating disorder sample. Adult and adolescent patients (n = 376) completed assessments upon admission to a partial hospital programme. Analyses examined the factor structure of the MAIA, scale means, scale-scale correlations, internal consistency and construct validity...
July 17, 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28712353/cost-effectiveness-of-a-ptsd-intervention-tailored-for-individuals-with-severe-mental-illness
#2
Eric P Slade, Jennifer D Gottlieb, Weili Lu, Philip T Yanos, Stanley Rosenberg, Steven M Silverstein, Shula K Minsky, Kim T Mueser
OBJECTIVE: This study examined the cost-effectiveness of a cognitive-behavioral therapy (CBT) intervention for posttraumatic stress disorder (PTSD) that is tailored for adults with a co-occurring severe mental illness. METHODS: Data were from a randomized trial involving 183 adult clients of two outpatient clinics and three partial hospitalization programs. All had a severe mental illness diagnosis (major mood disorder, schizophrenia, or schizoaffective disorder) and severe PTSD...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28704146/legacy-interventions-with-patients-with-co-occurring-disorders-legacy-definitions-life-satisfaction-and-self-efficacy
#3
Felina C Franklin, Monit Cheung
BACKGROUND: Individuals with co-occurring disorders tend to avoid interaction with others. To instill hope, legacy intervention aims to highlight past experiences while managing life stressors for a positive outlook. Participants take part in legacy activities-crafting tangible projects and recording one's life events-in order to actualize a personal sense of legacy. OBJECTIVES: This pre-posttest research tested whether legacy intervention in a partial hospital program (PHP) on reframing past experiences through creative activities could increase life satisfaction and self-efficacy among adults with co-occurring substance misuse and mental health symptoms...
July 13, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28653117/treating-eating-disorders-at-higher-levels-of-care-overview-and-challenges
#4
REVIEW
Leslie K Anderson, Erin E Reilly, Laura Berner, Christina E Wierenga, Michelle D Jones, Tiffany A Brown, Walter H Kaye, Anne Cusack
Higher levels of care (HLC)-including inpatient hospitalization, residential treatment, partial hospitalization, and intensive outpatient treatment-are frequently utilized within routine care for eating disorders. Despite widespread use, there is limited research evaluating the efficacy of HLC, as well as clinical issues related to care in these settings. This review describes the different levels of care for eating disorders and briefly reviews the most up-to-date guidelines and research regarding how to choose a level of care...
August 2017: Current Psychiatry Reports
https://www.readbyqxmd.com/read/28650777/a-transdiagnostic-examination-of-decreased-intolerance-of-uncertainty-and-treatment-outcome
#5
Kimberly Stevens, Travis Rogers, Moselle Campbell, Thröstur Björgvinsson, Sarah Kertz
Intolerance of uncertainty (IU) is characterized by negative beliefs and reactions to uncertainty. IU is present in emotional disorders and may be a mechanism of change in treatment . There are two components of IU, prospective and inhibitory IU, that may be differentially associated with outcome. The current study tested associations between pre- and post-treatment changes in the components of IU, symptoms of anxiety and depression, and treatment outcome in a large diagnostically heterogeneous partial hospital sample...
June 26, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28644568/treatment-of-avoidant-restrictive-food-intake-disorder-in-a-cohort-of-young-patients-in-a-partial-hospitalization-program-for-eating-disorders
#6
Rollyn M Ornstein, Jamal H Essayli, Terri A Nicely, Emily Masciulli, Susan Lane-Loney
OBJECTIVE: Avoidant/restrictive food intake disorder (ARFID) is a recently named condition to classify patients who present with restricted nutritional intake without body image distortion or fear of weight gain. We sought to compare treatment outcomes of patients with ARFID in a family-centered partial hospital program (PHP) to those with other eating disorders (ED). METHODS: A retrospective chart review of 130 patients 7 to 17 years of age admitted to the program from 2008 to 2012 was performed...
June 23, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28569611/parental-marital-satisfaction-in-a-family-based-partial-hospitalization-program
#7
Renee D Rienecke
In family-based treatment, parents are initially put in charge of the weight restoration process, requiring parents to work closely together to help their child recover, possibly putting a strain on the marital relationship. The purpose of the current study was to examine marital satisfaction in families before and after treatment in a family-based program and to determine whether marital satisfaction is related to patient outcome. Parents of 53 adolescent patients participated in the study. Almost half of mothers and a third of fathers reported a decrease in marital satisfaction over the course of treatment...
June 1, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28436086/male-clinical-norms-and-sex-differences-on-the-eating-disorder-inventory-edi-and-eating-disorder-examination-questionnaire-ede-q
#8
Kathryn E Smith, Tyler B Mason, Stuart B Murray, Scott Griffiths, Rachel C Leonard, Chad T Wetterneck, Brad E R Smith, Nicholas R Farrell, Bradley C Riemann, Jason M Lavender
OBJECTIVE: Evidence indicates that males account for a significant minority of patients with eating disorders (EDs). However, prior research has been limited by inclusion of small and predominantly non-clinical samples of males. This study aimed to (1) provide male clinical norms for widely used ED measures (Eating Disorder Examination Questionnaire [EDE-Q] and Eating Disorder Inventory-3 [EDI-3]) and (2) examine sex differences in overall ED psychopathology. METHOD: Participants were 386 male and 1,487 female patients with an ED diagnosis aged 16 years and older who completed the EDE-Q and EDI-3 upon admission to a residential or partial hospital ED treatment program...
April 24, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28349306/trajectories-of-suicidal-ideation-among-adolescents-following-psychiatric-hospitalization
#9
Jennifer C Wolff, Stephanie Davis, Richard T Liu, Christine B Cha, Shayna M Cheek, Bridget A Nestor, Elisabeth A Frazier, Maya Massing Schaffer, Anthony Spirito
Suicidal ideation (SI) is a common presenting problem for psychiatric hospitalizations in adolescents and often persists following discharge. This study examines whether distinct trajectories of SI could be delineated following hospitalization and the risk factors most strongly related to these trajectories. Adolescents (N = 104; 76 females; 28 males) were followed for 6 months after discharge from inpatient or partial hospitalization. Semi-parametric group modeling identified SI trajectory group membership...
March 27, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28277040/the-relationship-between-positive-affect-and-negative-affect-during-treatment-for-major-depressive-disorder
#10
Roni Oren-Yagoda, Thröstur Björgvinsson, Idan M Aderka
OBJECTIVE: The present study examined the relationship between positive affect (PA) and negative affect (NA) along the course of combined cognitive behavior therapy and pharmacological treatment for major depressive disorder (MDD). METHOD: Participants were 165 individuals who sought treatment for MDD in a partial hospital setting. Participants' PA, NA, and depressive symptoms were measured at pre- and post-treatment and PA and NA were measured at up to 10 additional measurements along the course of treatment...
February 22, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28271454/depression-worry-and-psychosocial-functioning-predict-eating-disorder-treatment-outcomes-in-a-residential-and-partial-hospitalization-setting
#11
Laura K Fewell, Cheri A Levinson, Lynn Stark
This retrospective study explores depression, worry, psychosocial functioning, and change in body mass index (BMI) as predictors of eating disorder (ED) symptomatology and BMI at discharge and 1-year follow-up from a residential and partial hospitalization ED treatment center. Participants were 423 male and female patients receiving treatment at an ED treatment center. Results indicate significant improvement in ED symptomatology, psychological impairment, and change in BMI (in patients with anorexia nervosa) at treatment discharge and follow-up compared to treatment admission (ps < 0...
March 7, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28242516/a-clinically-useful-self-report-measure-of-psychiatric-patients-satisfaction-with-the-initial-evaluation
#12
Mark Zimmerman, Douglas Gazarian, Matthew Multach, Naureen Attiullah, Talya Benoff, Daniela A Boerescu, Michael A Friedman, Lucille B Mehring, Sumi Moon, Sandhya Patel, Carolina Guzman Holst
Patient satisfaction is one component of the quality of care. Studies of satisfaction in samples of established patients are biased because dissatisfied patients are more likely to have dropped out of treatment. We, therefore, sought to develop a new instrument assessing patients' satisfaction with the initial psychiatric evaluation. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project we describe the development, reliability, and validity of the Clinically Useful Patient Satisfaction Scale (CUPSS)...
June 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28225563/self-selection-bias-in-eating-disorders-outcomes-research-does-treatment-response-of-underweight-research-participants-and-non-participants-differ
#13
Colleen C Schreyer, Graham W Redgrave, Jennifer L Hansen, Angela S Guarda
Observational treatment studies provide a valuable alternative to RCTs but are often criticized due to potential self-selection biases. Studies comparing those who do and do not participate in research on eating disorder treatment are scarce, but necessary to evaluate the impact of self-selection bias on outcomes. All consecutive underweight adult first admissions (N = 392) to an integrated inpatient (IP)-partial hospital (PH) behavioral specialty program were invited to participate in a longitudinal study of eating disorder treatment...
May 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28186654/weight-gain-trajectories-in-hospital-based-treatment-of-anorexia-nervosa
#14
Saniha H Makhzoumi, Janelle W Coughlin, Colleen C Schreyer, Graham W Redgrave, Steven C Pitts, Angela S Guarda
Weight gain is a primary treatment goal for anorexia nervosa (AN); however little is known about heterogeneity in weight gain pattern during treatment. Preliminary evidence suggests weight gain trajectory is associated with treatment outcome. This study grouped patients using mixture modeling into weight gain trajectories, and compared predictors and treatment outcomes between trajectory groups. Women diagnosed with AN or subthreshold AN (N = 211) completed self-report measures at admission and six-months after discharge from an integrated inpatient (IP)-partial hospitalization (PH) behavioral specialty eating disorders program...
March 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28130794/intensive-treatment-for-adults-with-anorexia-nervosa-the-cost-of-weight-restoration
#15
Angela S Guarda, Colleen C Schreyer, Laura K Fischer, Jennifer L Hansen, Janelle W Coughlin, Michael J Kaminsky, Evelyn Attia, Graham W Redgrave
OBJECTIVE: Weight restoration in anorexia nervosa (AN) is associated with lower relapse risk; however rate of weight gain and percent of patients achieving weight restoration (BMI ≥ 19 at discharge) vary among treatment programs. We compared both cost/pound of weight gained and cost of weight restoration in a hospital-based inpatient (IP)-partial hospitalization (PH) eating disorders program to estimates of these costs for residential treatment. METHOD: All adult first admissions to the IP-PH program with AN (N = 314) from 2003 to 2015 were included...
March 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28027010/attending-to-timely-contingencies-promoting-physical-activity-uptake-among-adults-with-serious-mental-illness-with-an-exercise-for-mood-vs-an-exercise-for-fitness-prescription
#16
Bridget A Hearon, Courtney Beard, Lynne M Kopeski, Jasper A J Smits, Michael W Otto, Thröstur Björgvinsson
Despite evidence for both physical and mental health benefits achieved through regular exercise, most Americans fail to meet minimum recommendations. Altering the behavioral contingency from a focus on long-term health benefits to immediate mood benefits represents a novel method for exercise promotion. The current study examined a single-session exercise-for-mood intervention against two time-matched comparison conditions in 152 patients with serious mental illness attending a partial hospital program, a population marked by significant health disparities...
December 27, 2016: Behavioral Medicine
https://www.readbyqxmd.com/read/27931905/ethnic-differences-in-the-effectiveness-of-cognitive-behavioral-therapy-combined-with-medication-comparing-asian-american-and-white-psychiatric-patients
#17
Jennifer Y Tang, Chieh Li, Rachel F Rodgers, Mary Ballou
Several meta-analyses have demonstrated the effectiveness of treatment utilizing cognitive behavioral therapy (CBT) combined with medication. There is, however, a paucity of research comparing the effectiveness of this combined treatment with psychiatric patients from different ethnic backgrounds. This study is the first of its kind to compare the effectiveness of CBT combined with medication for Asian American and White patients' psychiatric symptom severity levels of depression, anxiety, psychological well-being, and quality of life...
December 2016: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/27775490/neuroticism-and-clinical-course-of-weight-restoration-in-a-meal-based-rapid-weight-gain-inpatient-partial-hospitalization-program-for-eating-disorders
#18
Laura K Fischer, Colleen C Schreyer, Janelle W Coughlin, Graham W Redgrave, Angela S Guarda
We evaluated the impact of personality on weight restoration in 211 underweight (BMI ≤ 19 kg/m(2)) females admitted to an inpatient-partial hospitalization program for eating disorders. Symptomatology and personality were assessed by questionnaires, and clinical and demographic variables were assessed by chart review. Neuroticism, a personality trait associated with reactivity to stress, was correlated with higher symptomatology, chronicity, length of stay, and income source. Contrary to our hypothesis, neuroticism was positively associated with weight restoration...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27741470/characteristics-of-interpretation-bias-and-relationship-with-suicidality-in-a-psychiatric-hospital-sample
#19
Courtney Beard, Lara S Rifkin, Thröstur Björgvinsson
BACKGROUND: Interpretation bias, the tendency to interpret ambiguous situations negatively (or to lack a positive bias), is a cognitive vulnerability associated with psychopathology. However, there is a lack of research characterizing this bias in psychiatric samples, including whether it is also a risk factor for suicidality. This study characterized interpretation bias in a psychiatric sample at risk for suicide and examined the relationship between interpretation bias and suicidality cross-sectionally and prospectively...
September 28, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27623748/network-analysis-of-depression-and-anxiety-symptom-relationships-in-a-psychiatric-sample
#20
C Beard, A J Millner, M J C Forgeard, E I Fried, K J Hsu, M T Treadway, C V Leonard, S J Kertz, T Björgvinsson
BACKGROUND: Researchers have studied psychological disorders extensively from a common cause perspective, in which symptoms are treated as independent indicators of an underlying disease. In contrast, the causal systems perspective seeks to understand the importance of individual symptoms and symptom-to-symptom relationships. In the current study, we used network analysis to examine the relationships between and among depression and anxiety symptoms from the causal systems perspective...
December 2016: Psychological Medicine
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