Validation of the Serbian version of the Metacognitions questionnaire (MCQ-30) in non-clinical and clinical samples.
Authors: Marković V, Purić D, Vukosavljević-Gvozden T, Begović A Abstract The Metacognitions Questionnaire (MCQ-30) is a brief multidimensional measure used for assessment of metacognitive beliefs in psychopathology. The aim of this study was to assess the psychometric properties of MCQ-30 in Serbian non-clinical (n=246) and clinical (n=171; anxiety and depressive disorders) samples. The reliability of the questionnaire and its subscales was satisfactory. An exploratory factor analysis yielded a five factor solution in both groups, while a confirmatory factor analysis showed a somewhat weaker fit of the model. ...
Source: Clinical Psychology and Psychotherapy - March 22, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Bias through selective inclusion and attrition: representativeness when comparing provider performance with routine outcome monitoring data.
Authors: de Beurs E, Warmerdam L, Twisk J PMID: 30882974 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - March 20, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Emotional development in eating disorders: A qualitative meta-synthesis.
Authors: Henderson Z, Fox JRE, Trayner P, Wittkowski A Abstract Emotions are considered to be an important feature in eating disorders. The present study aimed to conduct a systematic review and meta-synthesis of qualitative studies, which considered the role of emotions in eating disorders in order to gain further insight on how these individuals experience various emotions and the strategies they use to manage them. Databases including Web of Science, PsychInfo, EMBASE, Medline and the Cochrane library were searched for qualitative studies. The search identified 16 relevant studies. Meta-ethnography was used to s...
Source: Clinical Psychology and Psychotherapy - March 20, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Early maladaptive schemas in patients with somatoform disorders and somatization.
This study investigates schemas according to Young's schema theory in patients with somatoform disorders in comparison to healthy controls and patients with depressive or anxiety disorders. Further associations between schemas and somatization were explored. We included 134 patients with a somatoform disorder and 39 Age-matched healthy controls, 83 patients with a unipolar depression and 34 patients with an anxiety disorders. The clinical sample consists of day-care patients, diagnosed with the Structured Clinical Interview for DSM-IV (SCID-I) but without a personality disorder. Primary measures were the Young Schema Quest...
Source: Clinical Psychology and Psychotherapy - March 7, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Moderators and predictors of outcome in metacognitive and cognitive behavioral therapy for comorbid anxiety disorders.
This study aimed to investigate whether two theoretically derived moderators of treatment, degree of worry and avoidance at pretreatment, moderated anxiety from pretreatment to posttreatment in a randomized controlled trial comparing metacognitive therapy (MCT) and cognitive behavioral therapy (CBT). Personality problems, degree of comorbidity, and demographic characteristics (work status and education) were also investigated. Seventy-four patients with a primary diagnosis of Post Traumatic Stress Disorder, Social Phobia, or Panic Disorder with and without agoraphobia were analyzed using multilevel modeling. There were no ...
Source: Clinical Psychology and Psychotherapy - February 28, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A seven-year follow-up study of the Mindfulness Based Program for Infertility: Are there long term effects?
Authors: Galhardo A, Cunha M, Pinto-Gouveia J Abstract The Mindfulness Based Program for Infertility (MBPI) was developed for people facing infertility and proved effective in cultivating mindfulness skills, improving infertility self-efficacy and decreasing depression, shame, entrapment and defeat feelings. Fifty-five women attended the MBPI sessions and completed self-report measures of depression, anxiety, mindfulness and experiential avoidance at post-MBPI (T1), six-months follow-up (T2) and seven-year follow-up (T3). There were significant direct time effects regarding experiential avoidance (F = 3.81; p
Source: Clinical Psychology and Psychotherapy - February 28, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Strengthening competence of therapists-in-training in the treatment of health anxiety (hypochondriasis): validation of the Assessment of Core CBT Skills (ACCS).
Authors: Kühne F, Lacki FJ, Muse K, Weck F Abstract Although the observation and assessment of psychotherapeutic competences is central to training, supervision, patient care, quality control, and life-long practice, structured instruments are used only occasionally. In the current study, an observation-based tool for the Assessment of Core CBT Skills (ACCS) was translated into German and adapted, and its psychometric properties were pilot evaluated. Competence of therapists-in-training was assessed in a random sample of n = 30 videos on cognitive-behavioral therapy including patients diagnosed with hypochondr...
Source: Clinical Psychology and Psychotherapy - February 24, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Early maladaptive schemas and borderline personality disorder features in a non-clinical sample: A network analysis.
Authors: Esmaeilian N, Dehghani M, Koster EHW, Hoorelbeke K Abstract Borderline personality disorder (BPD) is a challenging problem. Early Maladaptive Schema (EMSs) are considered as important vulnerability factors for the development and maintenance of BPD. Literature suggests a complex relationship between BPD and EMSs. The current study employed network analysis to model the complex associations between central BPD features (i.e. Affective Instability, Identity Problems, Negative Relations, and Self-harm) and EMSs in 706 undergraduate students. The severity of BPD symptoms was assessed using the Personality Asse...
Source: Clinical Psychology and Psychotherapy - February 17, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Living the life you want following a diagnosis of bipolar disorder: A grounded theory approach.
This study aimed to explore these recovery processes and extend on the length of recovery defined within previous research. Twelve people previously diagnosed with BD who had not experienced an episode of depression and/or mania for four or more years, were interviewed. Standardised diagnostic interviews (SCID-RV) confirmed past diagnosis and recovery time. Qualitative methodology via grounded theory was used to analyze these personal accounts. The analysis revealed ten overarching categories of what participants reported to be important in their recovery: support; recognition of the problem; believing that things can chan...
Source: Clinical Psychology and Psychotherapy - February 14, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Psychometric properties of the Spanish version of the Involvement Evaluation Questionnaire in caregivers of patients with borderline personality disorders.
Authors: Marco JH, Jorquera M, Fernandez I, Baños R, Guillén V Abstract The Involvement Evaluation Questionnaire (IEQ) was created to evaluate the caregiver's experience of burden and the consequences of providing care to people with psychotic disorders. To date, the IEQ has not been validated with caregivers of people diagnosed with Borderline Personality Disorder (BPD). The main objective of the study was to confirm the psychometric properties and factorial structure of the Spanish version of the IEQ in 151 caregivers of people with BPD, with an average age of 54.52 (SD = 9.91). Two models were test...
Source: Clinical Psychology and Psychotherapy - February 14, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Abuse, invalidation and lack of early warmth show distinct relationships with self-criticism, self-compassion and fear of self-compassion in personality disorder.
CONCLUSIONS: Low self-compassion and high FSC appear to be distinct problems, substantiating physiological models proposing distinct threat and soothing systems. Results are consistent with theories positing that low self-compassion has distinct origins to shame, self-criticism and FSC. PMID: 30715768 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - February 6, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

What is the Relationship Between Dissociation and Self-Harming Behaviour in Adolescents?
Authors: Černis E, Chan C, Cooper M Abstract Deliberate self-harm in adolescents is an increasing clinical problem, but there is a limited understanding of the mechanisms causing or maintaining this behaviour. One proposed mechanism is that of dissociation. However, the role this mechanism may play is unclear: whilst some suggest that adolescents engage in self-harm to end the aversive experience of dissociation, others propose that self-harm is used to purposefully trigger a dissociative state to avoid emotional pain. This systematic review is the first to evaluate the available evidence regarding the relationshi...
Source: Clinical Psychology and Psychotherapy - January 30, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The role of attachment characteristics in dialectical behavior therapy for patients with borderline personality disorder.
Authors: Bernheim D, Gander M, Keller F, Becker M, Lischke A, Mentel R, Freyberger HJ, Buchheim A Abstract Attachment characteristics play a key role in understanding borderline-specific problems with respect to childhood maltreatment. The aim of this study was to investigate how attachment representations may influence the trajectory of change in a one-year outpatient Dialectical Behavior Therapy (DBT) for patients with Borderline Personality Disorder (BPD). Attachment representations were assessed in 26 BPD patients and 26 healthy controls (HC) using the Adult Attachment Projective Picture System (AAP; George &am...
Source: Clinical Psychology and Psychotherapy - January 24, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The effects of component-specific treatment compliance in individually tailored internet-based treatment.
The objective of this study was to explore the effects of treatment compliance in a guided individually tailored internet-based treatment (TAIL) in relation to depression and comorbid symptoms. Compliance with the homework in the different treatment components in TAIL, each aimed at a specific condition, were rated for 207 participants by independent assessors. Six subgroups (n = 34-131) were constructed consisting of participants with co-occurring symptoms of worry, panic, social anxiety, stress, insomnia or pain. For each group, hierarchical regression was used to investigate whether the total sum of compliance points, O...
Source: Clinical Psychology and Psychotherapy - January 18, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Therapeutic alliance -not therapist competence or group cohesion- contributes to reduction of psychological distress in group-based Mindfulness-Based Cognitive Therapy for cancer patients.
This study focused on predictors of treatment outcome of MBCT for cancer patients and examined whether group cohesion, therapeutic alliance and therapist competence predicted reduction of psychological distress after MBCT for cancer patients. Moreover, it was examined whether therapist competence facilitated therapeutic alliance or group cohesion. Multilevel analyses were conducted on a subsample of patients collected in a larger randomized controlled trial on individual internet-based versus group-based MBCT versus treatment as usual in distressed cancer patients. The current analyses included the 84 patients who complete...
Source: Clinical Psychology and Psychotherapy - January 18, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Effects of cognitive behavioral therapy on verbal learning and memory in major depression: Results of a randomized controlled trial.
Authors: Dannehl K, Rief W, Euteneuer F Abstract Major depression (MD) is often accompanied by deficits in cognitive functioning. Cognitive behavioral therapy (CBT) has beneficial effects on MD. The aim of this study was to examine whether cognitive behavioral therapy affects verbal learning and memory in patients with MD and whether CBT that emphasizes exercise during behavioral activation has additional effects on verbal performance. Ninety-eight patients with MD were randomly assigned to CBT emphasizing either exercise during behavioral activation (CBT-E) or CBT emphasizing pleasurable low-energy activities (CBT...
Source: Clinical Psychology and Psychotherapy - January 8, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Impact of an auditory hallucinations simulation on trainee and newly qualified clinical psychologists: A mixed methods cross-sectional study.
Authors: Riches S, Khan F, Kwieder S, Fisher HL Abstract Simulation training is an effective teaching tool enabling learners to gain a subjective understanding of a range of skills. Our aim in this study was to pilot and evaluate a newly-designed simulation of auditory hallucinations as a future training tool for clinicians. This was a mixed-methods study in two parts. In Phase 1, trainee and qualified clinical psychologists (N=25) attended the London-based immersive art exhibition, Altered States of Consciousness (ASoC), which included an auditory hallucinations simulation. The exhibition aimed to improve understa...
Source: Clinical Psychology and Psychotherapy - December 21, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Psychometric Evaluation of the Chinese version of the Utrecht Grief Rumination Scale (UGRS).
Authors: Tang S, Eisma MC, Li J, Chow AYM Abstract Given the severe mental health consequences that may ensue after bereavement it is crucial to better understand malleable cognitive factors that are associated with poorer bereavement outcomes. Grief rumination (i.e. repetitive thinking about the causes and consequences of a loss) is a malleable cognitive process that is concurrently and longitudinally associated with post-loss mental health problems. To assess grief rumination, the English and Dutch Utrecht Grief Rumination Scale (UGRS) were recently developed. The current study examined the reliability and validi...
Source: Clinical Psychology and Psychotherapy - December 16, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Meditation for treating adults with bipolar disorder II: A multi-city study.
Authors: Pandya SP Abstract There is a need to generate evidence on whether meditationꞋs core aspect of building and nurturing calm and peace serves as a mood stabilizer for current and recurrent episodes of depression through the acute and maintenance phases of treating bipolar disorder II affected patients. A two-year longitudinal multi-city randomized controlled trial experiment was conducted comprising 311 bipolar disorder II affected patients in the intervention and control group respectively across eight African and Asian cities. The Bipolar Depression Rating Scale (BDRS) was administered with the intervent...
Source: Clinical Psychology and Psychotherapy - December 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Individual goal achievement in group psychotherapy: The roles of psychological mindedness and group process in interpretive and supportive therapy for complicated grief.
Authors: Kealy D, Piper WE, Ogrodniczuk JS, Joyce AS, Weideman R Abstract The ability to infer psychological meaning in behaviour--referred to as psychological mindedness--has been posited as a patient characteristic that contributes to the therapy process, and consequently to therapeutic success. The present study was developed to examine the relationship between patients' psychological mindedness and improvement in patients' personal treatment goals in interpretive and supportive group therapies for complicated grief, along with patients' importance to group process. The study was conducted with a clinical sample...
Source: Clinical Psychology and Psychotherapy - December 6, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Effectiveness of metacognitive interventions for mental disorders in adults - a systematic review and meta-analysis (METACOG).
Authors: Philipp R, Kriston L, Lanio J, Kühne F, Härter M, Moritz S, Meister R Abstract We evaluated the effectiveness and acceptability of metacognitive interventions for mental disorders. We searched electronic databases and included randomized and non-randomized controlled trials comparing metacognitive interventions with other treatments in adults with mental disorders. Primary effectiveness and acceptability outcomes were symptom severity and dropout, respectively. We performed random-effects meta-analyses. We identified Metacognitive Training (MCTrain), Metacognitive Therapy (MCTherap) and Metacogni...
Source: Clinical Psychology and Psychotherapy - November 22, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Heterogeneity of Treatment Dropout: PTSD, Depression and Alcohol Use Disorder Reductions in PTSD and AUD/SUD Treatment Non-Completers.
Authors: Szafranski DD, Gros DF, Acierno R, Brady KT, Killeen TK, Back SE Abstract Treatment dropout is often assumed to be due to worsening or lack of symptom improvement, despite minimal research examining symptom change among treatment dropouts. Thus, the present study examined symptom change in veterans who discontinued evidence-based treatment for comorbid posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Participants were veterans who completed at least 1 session of a 12-session Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure (COPE) for comorbid PTSD/AUD. T...
Source: Clinical Psychology and Psychotherapy - November 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

INQ-15 Cutoff Scores for Suicidal Ideation Screening of Women with Chronic, Invisible Illnesses.
In this study, women (N = 942) who reported one or more chronic, invisible illnesses completed an online survey including the INQ-15 and the Suicide Behaviors Questionnaire-Revised (SBQ-R). PB and TB correlated significantly with SBQ-R total scores (r = .575 and .437, respectively; p
Source: Clinical Psychology and Psychotherapy - November 9, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Cognitive-behavioral therapy for Internet gaming disorder: A systematic review and meta-analysis.
CONCLUSIONS: The pooled findings suggest that CBT for IGD is an effective short-term intervention for reducing IGD and depressive symptoms. However, the effectiveness of CBT for reducing actual time spent gaming was unclear. Given the limitations of this evidence base, there is a need for more rigorous studies to determine the potential long-term benefits of CBT for IGD. PMID: 30341981 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - October 22, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Case conceptualization from a process-based and modular perspective: rationale and application to mood and anxiety disorders.
This article presents the theoretical, clinical, and practical arguments supporting a process-based transdiagnostic approach to psychotherapy. A working definition of "psychological process" is provided, as well as a tri-dimensional categorization of psychological processes potentially involved in psychopathology. Guidelines are proposed to select psychological interventions based on the active psychopathological processes evidenced in a given case. We also provide a rationale to organize treatment as a set of modules, each addressing a specific psychopathological process. Next, we review the main processes that ...
Source: Clinical Psychology and Psychotherapy - October 20, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

An Adaptive Virtual Reality System for the Treatment of Adjustment Disorder and Complicated Grief: 1-year Follow-up Efficacy data.
This study aims to offer long-term efficacy data from a between-groups controlled study that compares two treatment conditions (AD-protocol applied in a traditional way: N= 18; and the same protocol supported by virtual reality-VR-: N =18) and a waiting list (WL) control group (N =18). Both treatment conditions resulted in statistically significant improvements on both primary and secondary outcome measures, with large effect sizes, and this improvement did not occur in the WL. These changes were maintained in both treatment conditions in the medium (6-month) and long term (12-month follow-up). Larger effect sizes were ach...
Source: Clinical Psychology and Psychotherapy - October 19, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Clients' experience of change: an exploration of the influence of reformulation tools in Cognitive Analytic Therapy.
This study aimed to investigate the effects of these reformulation tools on insight and symptom change. A small-N repeated measures design was employed with quantitative and qualitative measures collected from six therapist/client dyads. Participating therapists kept a record of their delivery of CAT reformulation tools. Participating clients completed the insight sub-scale of the Self-Reflection and Insight Scale (SRIS-IN) every fourth session and the Clinical Outcomes in Routine Evaluation-10 (CORE-10) every session. Qualitative data from client change interviews regarding their experiences of CAT and attributions of cha...
Source: Clinical Psychology and Psychotherapy - October 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Intersession improvement and outcome in psychotherapy.
CONCLUSION: Sudden gains appear to predict outcome because of improvement inherent in the gains themselves. Early overall improvement predicts outcome almost as effectively as do sudden gains. There may be advantages to redefining sudden gains as large intersession improvement, regardless of local score stability. PMID: 30288840 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - October 6, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Life events, coping styles, and psychological well-being in children living with parents who harmfully consume alcohol.
CONCLUSIONS: Children living with parents who harmfully consume alcohol need interventions aimed at improving psychological well-being to protect them from life events, especially from negative ones. PMID: 30288842 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - October 6, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The impact of therapy transfer on the therapeutic alliance and symptoms.
CONCLUSIONS: Therapy transfers have no long lasting negative effects on either symptom impairment or the therapeutic alliance. PMID: 30251401 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - September 27, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A systematic review of the clinical utility of the concept of self-disgust.
A SYSTEMATIC REVIEW OF THE CLINICAL UTILITY OF THE CONCEPT OF SELF-DISGUST. Clin Psychol Psychother. 2018 Sep 24;: Authors: Clarke A, Simpson J, Varese F Abstract This systematic literature review examined the clinical utility of the construct of self-disgust in understanding mental distress. Specifically, the review assessed whether there is a shared conceptual definition of self-disgust, the face and construct validity of the quantitative assessment measures of self-disgust, and the predictive validity of self-disgust in formulating the development of a range of psychological difficulties. A systemat...
Source: Clinical Psychology and Psychotherapy - September 27, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Suppressor effects in associations between patient attachment to therapist and psychotherapy outcome.
Authors: Petrowski K, Schurig S, Berth H, Probst T Abstract OBJECTIVE: Several studies propose that patient attachment to therapist is associated with therapy outcome. However, the magnitude of the effect is diverse, which might be explicable by suppressor effects and the new concept of pseudo-security. METHOD: Associations between patient attachment to therapist (client-attachment-to-therapist-scale, CATS) and psychotherapy outcome ('global severity index' of the Symptom Check List) were evaluated in N=368 patients. Multilevel models were performed. RESULTS: When tested in separate models, secure attachmen...
Source: Clinical Psychology and Psychotherapy - September 27, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Treating anxiety disorders by emotion-focused psychodynamic psychotherapy (EFPP)-An integrative, transdiagnostic approach.
Authors: Beutel ME, Greenberg L, Lane RD, Subic-Wrana C Abstract Anxiety disorders are characterized by high levels of anxiety and avoidance of anxiety-inducing situations and of negative emotions such as anger. Emotion-focused therapy (EFT) and psychodynamic psychotherapy (PP) have underscored the therapeutic significance of processing and transforming repressed or disowned conflicted or painful emotions. Although PP provides sophisticated means of processing intrapsychic and interpersonal conflict, EFT has empirically tested a set of techniques to access, deepen, symbolize, and transform emotions consistent with ...
Source: Clinical Psychology and Psychotherapy - September 27, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Derealisation and self-harm strategies are used to regulate disgust, fear and sadness in adult survivors of childhood sexual abuse: Self-harm, derealisation and PTSD.
Authors: Bradley A, Karatzias T, Coyle E Abstract Emotion regulation (ER) difficulties have been identified as an important target for clinical intervention in the treatment of posttraumatic stress disorder (PTSD) symptoms in survivors of childhood sexual abuse (CSA). However, there is limited research regarding the use of specific strategies to regulate specific emotions following exposure to traumatic events. The aim of the current study was to investigate the indirect effects of four trauma-related emotions (anger, sadness, disgust and fear) on PTSD severity via two mediators; derealisation and self-harm. In par...
Source: Clinical Psychology and Psychotherapy - September 20, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Exploration of the dialogue components in Avatar Therapy for schizophrenia patients with refractory auditory hallucinations: A content analysis.
Authors: Dellazizzo L, Percie du Sert O, Phraxayavong K, Potvin S, O'Connor K, Dumais A Abstract Auditory verbal hallucinations are hallmark symptoms of schizophrenia and are amongst the most disturbing symptoms of the disorder. Although not entirely understood, the relationship between the voice hearer and their voices has been shown to be an important treatment target. Understanding voice hearers' standpoints through qualitative analysis is central to apprehend a deeper comprehension of their experience and further explore the relevance of interpersonal interventions. Compared with other dialogical intervention, ...
Source: Clinical Psychology and Psychotherapy - September 19, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Disorder-specific attachment characteristics and experiences of childhood abuse and neglect in adolescents with anorexia nervosa and a major depressive episode.
Authors: Gander M, Sevecke K, Buchheim A Abstract For the first time, the present study investigates disorder-specific attachment characteristics and childhood trauma in adolescent inpatients with anorexia nervosa (n = 30, girls/boys: 28/2, age: M = 14.84, SD = 1.20), a major depressive episode (n = 30, girls/boys: 27/3, age: M = 15.14, SD = 1.50), and controls (n = 60, girls/boys: 44/16, age: M = 16.10, SD = 1.20). We used the Structured Clinical Interview to diagnose Axis I disorders, the Adult Attachment Projective Picture ...
Source: Clinical Psychology and Psychotherapy - September 16, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Chronic illness-related cognitive fusion explains the impact of body dissatisfaction and shame on depression symptoms in breast cancer patients.
Authors: Trindade IA, Marta-Simões J, Ferreira C, Pinto-Gouveia J Abstract Breast cancer is linked to psychological distress and mood disorders that are in turn associated with higher psychological dysfunction and decreased breast cancer survival. It is considered that psychological health in breast cancer is considerably affected by body image impairment, which in turn seems to be highly associated with shame. However, the impact of these variables on mental health may not be direct. The current study aimed to explore a comprehensive model regarding the role of chronic illness-related cognitive fusion in th...
Source: Clinical Psychology and Psychotherapy - September 15, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Burnout amongst Clinical and Counselling Psychologists: The Role of Early Maladaptive Schemas and Coping Modes as Vulnerability Factors.
Authors: Simpson S, Simionato G, Smout M, van Vreeswijk MF, Hayes C, Sougleris C, Reid C Abstract Psychologists are subject to multiple competing emotional demands that increase the risk of burnout. Research has demonstrated that burnout arises from both organizational and personal factors, including psychologists' personal beliefs and coping. Preliminary research indicates that Early Maladaptive Schemas (EMS) are associated with high burnout, yet, to date, the role of EMS and associated coping responses (Maladaptive Coping Modes [MCM]) in predicting high burnout among psychologists has not been investigated. Four ...
Source: Clinical Psychology and Psychotherapy - September 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Meaning in life among adolescents: Factorial invariance of the Purpose in Life Test and buffering effect on the relation between emotional dysregulation and hopelessness.
DISCUSSION: It is desirable to promote the sense of meaning in life in adolescents. MiL plays a significant and strong mediator role in the relationship between emotional dysregulation and hopelessness, reinforcing the positive role of MiL in mental health and as a resource for facing adversity. PMID: 30203883 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - September 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Driving cognitions, rumination, and posttraumatic stress disorder in road traffic accidents survivors.
This study evaluated the relationships between driving cognitions (i.e. panic related cognitions, accident related cognitions, and social related cognitions), rumination, and PTSD symptoms in a sample of road traffic accidents (RTAs) survivors. We also investigated the indirect effect of driving cognitions on PTSD symptoms through rumination. The sample included 633 drivers (62 % were men; Mage = 36.09; SD = 11.42 years). The participants completed scales measuring driving cognitions, rumination, and PTSD symptoms, as well as providing their demographic information. The results showed that all three types of driving cognit...
Source: Clinical Psychology and Psychotherapy - September 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Self-Practice/Self-Reflection (SP/SR) as an alternative to personal training-therapy in CBT training: A qualitative analysis.
CONCLUSION: The themes found equivalents in existing goals of traditional therapists' training-therapy. Though brief, SP/SR may be a credible alternative/adjunctive training therapy. PMID: 30203886 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - September 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Using the Primary Process Emotional-Behavioural System (PPEB) to Better Meet Patient Needs in Psychotherapy.
Authors: Kuei T, Tsai M, McLeod HJ, White RG, Kanter J Abstract In order to increase therapeutic impact by enhancing awareness of clients' nonverbal communications, this article operationalizes the therapeutic alliance as a Needs-Satisfaction Process. The client's competence as a needs-seeker and the therapist assisting with the client's expression and satiation of basic social needs are proposed as being key mechanisms of change. Functional model of primary emotions derived from Panksepp's seven primary emotional systems (care seeking, care-taking, lust, fear and anxiety, anger, play, seeking, plus dominance and d...
Source: Clinical Psychology and Psychotherapy - September 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Cognitive behaviour therapy for distress in people with inflammatory bowel disease: A benchmarking study.
This study investigates the clinical benefits of a nonrandomized uncontrolled study of clinic based cognitive behaviour therapy (CBT) for people with IBD who had moderate-severe levels of anxiety or low mood and compares the results with a previous RCT of CBT in this population. METHOD: Assessments were completed at baseline and end of treatment and included measures of low mood, generalized anxiety, quality of life (QOL), and symptomatic disease activity. The patient health questionnaire and generalized anxiety disorder 7 measures were the primary outcomes. Results in the form of a standardized effect size of treatmen...
Source: Clinical Psychology and Psychotherapy - September 13, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Explaining Variability in Therapist Adherence and Patient Depressive Symptom Improvement: The Role of Therapist Interpersonal Skills and Patient Engagement.
Authors: Snippe E, Schroevers MJ, Tovote A, Sanderman R, Emmelkamp PMG, Fleer J Abstract Understanding why therapists deviate from a treatment manual is crucial to interpret the mixed findings on the adherence-outcome association. The current study aims to examine whether therapists' interpersonal behaviors and patients' active engagement predict treatment outcome and therapist adherence in Cognitive Behavior Therapy (CBT) and Mindfulness-Based Cognitive Therapy (MBCT) for depressive symptoms. In addition, the study explores rater's explanations for therapist non-adherence at sessions in which therapist adherence w...
Source: Clinical Psychology and Psychotherapy - September 12, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Do clinical experience, formal cognitive behavioural therapy training, adherence, and competence predict outcome in cognitive behavioural therapy for anxiety disorders in youth?
CONCLUSIONS: Therapist adherence, competence, and clinical experience are associated with outcomes of manualized CBT for youth anxiety disorders, but mixed findings indicate the need for more research in this area. PMID: 30159938 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - August 31, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Emotion-focused therapy for binge-eating disorder: A review of six cases.
CONCLUSION: Individual EFT demonstrates potential as a psychological treatment for BED. The current study provides preliminary evidence to guide the development of a more extensive trial to test the efficacy of individual EFT for BED as well as to identify possible mechanisms of change. PMID: 30118179 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - August 19, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Dissemination of exposure in the treatment of anxiety disorders and post-traumatic stress disorder among German cognitive behavioural therapists.
Authors: Schumacher S, Weiss D, Knaevelsrud C Abstract The efficacy of exposure is beyond doubt, which is reflected in guidelines recommending its application in the treatment of anxiety disorders and post-traumatic stress disorder (PTSD). Research suggests exposure to be underutilized in clinical practice in the United States and Europe. A systematic investigation of the dissemination of exposure in Germany is lacking. The present study examined the dissemination and application frequency of exposure among German cognitive behavioural therapists working in routine care. In an online-based survey, 331 psychotherapi...
Source: Clinical Psychology and Psychotherapy - August 19, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The efficacy of narrative exposure therapy in a sample of Iranian women exposed to ongoing intimate partner violence-A randomized controlled trial.
CONCLUSION: IPV-affected women living under continuous threat and violence would benefit from trauma-focused interventions such as NET. PMID: 30079583 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - August 7, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Are family relations connected to the quality of the outcome in adolescent anorexia nervosa? An observational study with the Lausanne Trilogue Play.
Authors: Balottin L, Mannarini S, Mensi MM, Chiappedi M, Balottin U Abstract The study aims to explore the connection between the family interactive patterns, investigated with a standardized observational tool based on a recorded play session, the Lausanne Trilogue Play, and the outcome of adolescent patients with anorexia nervosa after a 6 months treatment, based on the Morgan-Russel Outcome Assessment Schedule. Seventy-two parents and adolescent daughters with anorexia nervosa, consecutively referred to an adolescent neuropsychiatric service, participated in the study and underwent an integrated model of tr...
Source: Clinical Psychology and Psychotherapy - July 28, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Emotionally aligned: Preliminary results on the effects of a mindfulness-based intervention for depression on congruence between implicit and explicit mood.
CONCLUSIONS: These findings correspond with the idea that mindfulness reduces incongruencies between implicit and explicit emotional responses. We found preliminary evidence for this effect for negative emotional responses. There was suggestive evidence that congruence arose from the alignment of explicit responses (which became less stable) to implicit responses (which remained stable). Studying the interplay between implicit and explicit processes may shed light on the working mechanisms of clinical-psychological interventions. PMID: 30022567 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 21, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research