Therapeutic interventions in in-person and remote psychotherapy: Survey with psychotherapists and patients experiencing in-person and remote psychotherapy during COVID-19.
CONCLUSIONS: Therapeutic interventions differed between in-person and remote psychotherapy and differences between therapeutic orientations in behavioural-oriented interventions become indistinct in remote psychotherapy. PMID: 33448499 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - January 17, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Waiting list eradication in secondary care psychology: addressing an NHS blind spot.
CONCLUSIONS: If imposed appropriately over a suitable time-frame evidence-based practice coupled with effective operationalisation can result in efficient needs-led psychological provision within SMI and secondary care. Potentially debilitating waiting times for service users and other referring professionals can be avoided whilst psychology provision retains a flexible, formulation-based and person-centred approach. PMID: 33415754 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - January 10, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A Theory-based Examination of Self-Care Behaviours among Psychologists.
Authors: Wong HJ, White KM Abstract The present study examined psychological, spiritual, physical/leisure, and social self-care behaviours among psychologists using a major model of predicting human behaviour, the Theory of Planned Behaviour (TPB). The study used a mixed method approach with two stages of data collection. Psychologists (N = 200) completed an online questionnaire assessing TPB constructs (attitude, subjective norm, perceived behavioural control, and intention) and additional constructs of action planning, coping planning, peer and supervisor norms, and organisational climate. Two weeks later, partic...
Source: Clinical Psychology and Psychotherapy - January 10, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Group EMDR Interventions in Adults and Children: A Systematic Review of Randomised and Non-randomised Trials.
Authors: Kaptan SK, Dursun BO, Knowles M, Husain N, Varese F Abstract This review systematically synthesised existing literature on group protocols of Eye Movement Desensitization and Reprocessing (EMDR) therapy for treating a range of mental health difficulties in adults and children. We conducted database searches on PsychINFO, EMBASE, MEDLINE, Web of Science, The Cochrane Library and Francine Shapiro Library up to May 2020, using PRISMA guidelines. Studies were included if they used at least one standardized outcome measure, if they present a quantitative data on the effect of group EMDR protocols on mental heal...
Source: Clinical Psychology and Psychotherapy - January 10, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Ego-resiliency in borderline personality disorder and the mediating role of positive and negative affect on its associations with symptom severity and quality of life in daily life.
This study has addressed this gap in the collective knowledge by evaluating whether within-person associations between daily reports of positive (PA) and negative affect (NA) mediated the relationship between ego-resiliency, BPD symptom severity, and QoL. For 21 consecutive days, 72 women diagnosed with BPD completed end-of-day electronic assessments regarding ego-resiliency, PA and NA, symptom severity, and QoL. Multilevel structural equation modeling established that PA and NA were parallel mediators linking ego-resiliency with BPD symptom severity and QoL. As hypothesized, the path to QoL was stronger through PA than th...
Source: Clinical Psychology and Psychotherapy - January 10, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Card Pull Effects of the TAT using the SCORS-G on a Complex Psychiatric Sample.
Authors: Ridenour JM, Lewis KC, Siefert CJ, Pitman SR, Knauss DPC, Stein MB Abstract In recent years, there has been growing interest in examining the stimulus pull effects on respondent narratives to the Thematic Apperception Test (Murray, 1943) using standardized coding methods such as the Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011; Westen, 1995). The present study expands on prior work by examining sources of variance in SCORS-G dimensions and card pull effect patterns in an adult clinical sample characterized by high psychiat...
Source: Clinical Psychology and Psychotherapy - January 10, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Object Relations Assessment Predicts Outpatients' Attrition, Early Working Alliance, and Psychotherapy Process.
This study investigated the predictive utility of assessing clients' object relations functioning to prognosticate therapy dropout, quality of the early working alliance, and psychotherapy process events reported by clients after their first five sessions. Clients accepting a recruitment invitation were administered the Thematic Apperception Test (TAT) shortly after intake, and those still in treatment three to four sessions later rated the working alliance and psychotherapy process events. Participants were 47 clients beginning psychotherapy with advanced doctoral practicum students at a university-based community-serving...
Source: Clinical Psychology and Psychotherapy - January 10, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A Randomized Controlled Trial of a Forgiveness Intervention Program with Female Acid Attack Survivors in Pakistan.
Authors: Haroon Z, Iftikhar R, Kim JJ, Volk F, Enright RD Abstract Despite the traumatic effects of acid violence on its victims, treatment options are very limited. The present study was aimed at examining the efficacy of a forgiveness intervention with female survivors of acid attack violence in Pakistan. Female acid attack victims in Pakistan were randomized to either a forgiveness group (n = 8) or a treatment-as-usual (TAU; n = 8) control group. The forgiveness group received twice-a-week forgiveness sessions for 4 months while the TAU group either received typical psychological treatment sessions for acid atta...
Source: Clinical Psychology and Psychotherapy - January 4, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A narrative review of cross-sectional and prospective associations between self-schemas and bipolar disorder.
Authors: Yang Y, Fletcher K, Murray G Abstract The role of self-concept in bipolar disorder (BD) has not been well understood. The present review utilises the notion of self-schema, and interrogates existing research concerning evidence for cross-sectional and prospective associations between four schema-like constructs (i.e., trait self-esteem, dysfunctional beliefs concerning contingent self-worth, early maladaptive schemas, implicit self-esteem) and various facets of BD. Existing findings demonstrate various types of involvement of self-schemas in BD. Of particular clinical relevance, the present review suggests...
Source: Clinical Psychology and Psychotherapy - January 4, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

External Correlates of the SPECTRA: Indices of Psychopathology (SPECTRA) in a Clinical Sample.
This study explored the SPECTRA's construct validity using a wide range of life-event (extra-test) variables in a clinical sample. The life-event variables included: education level, school failure, childhood adversity, suicide attempts, psychiatric hospitalizations, depression, psychotic symptoms, self-injury, substance abuse, arrests, physical violence, marital status, employment status and current medications. Results showed that all SPECTRA clinical scales had significant life-event correlations. For the higher-order Spectra scales, the global index of psychopathology had the greatest number and range of life-event cor...
Source: Clinical Psychology and Psychotherapy - January 3, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Treatment Gap in Bereavement Care: (Online) Bereavement Support Needs and Use after Traumatic Loss.
In conclusion, 20% of RTA bereaved people with pathological grief or care needs had not received care. This treatment gap may be reduced by improving accessibility of online treatments. However, as only 35% was open to using online treatments, increasing the acceptability of (online) treatments appears important. PMID: 33377266 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - January 2, 2021 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Predicting outcomes and sudden gains from initial in-session interactions during remote cognitive behavioral therapy for severe health anxiety.
Conclusion. Specific early interaction-types predict session-by-session outcomes and precede sudden gains in rCBT for SHA. PMID: 33368731 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - December 30, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Attachment Representation to Caregivers and Mentalizing Ability in Early Adolescents with Primary Headache.
Authors: Bizzi F, Riva A, Charpentier Mora S, Cavanna D, Nacinovich R Abstract Primary Headache (PH) is a common somatic disorder in childhood with a strong impact in terms of quality of life. There are several risk factors related to the development of this disorder including environmental factors as attachment bonds. However, studies in this direction are relatively few and have often used self-report or semi-projective measures looking at the only maternal attachment. Moreover, several studies have shown a link between somatoform pains and mentalizing abilities, but the relation between mentalizing and PH in chi...
Source: Clinical Psychology and Psychotherapy - December 21, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Reliability and Validity of the Chinese Version of the Post-traumatic Embitterment Disorder Self-Rating Scale (PTED-21) among inpatients in general hospital.
Authors: Wang X, Gao Y, Tan L, Zhang Y, Yang T, Shi L, Chu P, Linden M, Yuan Y Abstract Embitterment and in some cases also post-traumatic embitterment disorder (PTED) is a relevant problem in the general population an even more so in psychiatric patients. PTED screening should be an essential component of routine mental health management, which can be done by the 21-item Post-traumatic Embitterment Disorder Self-Rating Scale (C-PTED-21), which measures the intensity of reactive stimulus bound embitterment. The PTED-21 German version was translated into Chinese and 200 non-psychiatric inpatients, reporting major ne...
Source: Clinical Psychology and Psychotherapy - December 20, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Change in personality traits and facets (NEO-PI-R) following metacognitive therapy or cognitive behavior therapy for generalized anxiety disorder: Results from a randomized controlled trial.
CONCLUSIONS: This is the first study to show that efficient treatment for a specific disorder resulted in changes across NEO-PI-R factors and facets, and that more efficient treatment results in greater change. If this reflects a reduced trait vulnerability for mental disorder, this might provide evidence of relapse prevention. PMID: 33338315 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - December 20, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Psychotherapy and youth suicide prevention: An interpretative phenomenological analysis of specialist clinicians' experiences.
Authors: Janackovski A, Deane FP, Hains A Abstract The study explored psychologists' experiences in delivering short-term psychotherapy for suicidal adolescents and sought to clarify how these experiences fit with empirically supported interventions and the interpersonal psychological theory of suicide. Semi-structured interviews were conducted with 12 psychologists' who provided short-term psychotherapy in a suicide prevention program for youth (12-25-years-old). Interview transcripts were analysed using interpretative phenomenological analysis. Three superordinate themes were identified: (i) understanding the exp...
Source: Clinical Psychology and Psychotherapy - December 8, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Confidence in one-self and confidence in one's own body: the revival of an old paradigm for Anorexia Nervosa.
Authors: Monteleone AM, Cascino G, Martini M, Patriciello G, Ruzzi V, Delsedime N, Abbate-Daga G, Marzola E Abstract Impaired interoceptive function represents an important variable in the psychopathology of Anorexia Nervosa (AN) and is thought to be influenced by maladaptive schemas grounded on early intimate interactions. However, the role of the different psychological processes involved in the interoceptive function has been poorly assessed in AN. We aimed to investigate the associations between adult insecure attachment, interoceptive processes and psychopathology. One-hundred and fifty participants with AN co...
Source: Clinical Psychology and Psychotherapy - December 8, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Peering behind the mask: The roles of reactance and gender in the relationship between self-esteem and interpersonal problems.
DISCUSSION: These results shed light on how behavioural reactance may be an important manifestation of low self-esteem for men, and a key contributor to their interpersonal problems. The findings draw attention to the importance of considering different factors at play when working with reactant individuals in therapy. PMID: 33283914 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - December 8, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Exploring the effectiveness of a specialized therapy program for burnout using subjective report and biomarkers of stress.
Authors: Orosz A, Federspiel A, Eckert A, Seeher C, Dierks T, Tschitsaz A, Cattapan K Abstract The increasing prevalence of stress-related disorders such as burnout urges the need for specialized treatment approaches. Programs combining psychotherapy and regenerative interventions emerge to be the most successful. However, evaluated therapy programs are scarce and usually involve subjective symptom quantification without consideration of physiologic parameters. The aim of the present exploratory, single-group study was the multimodal investigation of the effectiveness of a specialized holistic therapy program by as...
Source: Clinical Psychology and Psychotherapy - December 8, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Clinical Assessment of Non-Suicidal Self-Injury: A Systematic Review of Instruments.
This study aimed to systematically assess and compare the psychometric properties of clinically relevant instruments to measure NSSI in any population. Through a systematic review guided by COSMIN and PRISMA, two searches were conducted in English and Spanish in February 2020, in 13 databases including gray literature. Of the 7813 initial records, 152 validations were extracted. From these, 83 instruments (22 versions or adaptations) were excluded for not measuring NSSI, having no potential clinical utility, or not including psychometric properties. Finally, 26 (22 versions, 35 adaptations, and 19 creations) instruments me...
Source: Clinical Psychology and Psychotherapy - December 8, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Adverse Childhood Experiences and Early Maladaptive Schemas in Adulthood: A Systematic Review and Meta-analysis.
CONCLUSIONS: Of the 33 included studies, only one used a longitudinal design. However, based on the correlational studies available, early maladaptive schemas in adulthood are associated with a history of childhood abuse and neglect. PMID: 33270299 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - December 4, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

What Do These Sounds Tell Us About the therapeutic Alliance: Acoustic Markers as Predictors of Alliance.
Authors: Nof A, Amir O, Goldstein P, Zilcha Mano S Abstract Predicting the trajectories of alliance formation that the patient is likely to establish with the therapist during treatment, even before their first meeting, can help prevent the potentially harmful consequences of deterioration in alliance, such as poor outcome, and premature dropout. The present study aimed to examine the ability of four pretreatment acoustic markers to predict the alliance that is likely to be formed in the course of treatment: F0-span, speech rate, pause proportion, and jitter. Data from 560 observations of 38 patients were collected...
Source: Clinical Psychology and Psychotherapy - December 4, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Young People's Narratives of Hearing Voices: Systemic Influences and Conceptual Challenges.
Authors: Parry S, Loren E, Varese F Abstract Despite the prevalence of voice hearing in childhood and adolescence, little qualitative research has been undertaken with young people directly to advance phenomenological and etiological insights into their experiences and interpretations. Consequently, the researchers sought demographic, contextual and qualitative data from 74 young people from eleven countries, aged 13-18 years (28%=M; 61%=F; 21%=TGNB), who self-identified as hearing voices. A Foucauldian-informed Narrative Analysis yielded four analytic chapters, offering novel perspectives into individual, relation...
Source: Clinical Psychology and Psychotherapy - November 18, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Trauma and Healing in the Under-Served Populations of Homelessness and Corrections: Forgiveness Therapy as an Added Component to Intervention.
Authors: Song MJ, Yu L, Enright RD Abstract The purpose of this article is to begin applying the principles of the psychology of forgiveness to people who are without homes and people who are in prisons. A review of the literature shows trauma for both groups. When the trauma is caused by unjust treatment by others, then excessive anger can result, compromising one's psychological and physical health. We review the interventions which have been offered for those without homes and the imprisoned to examine which existing programs address such anger. Forgiveness Therapy, although untried in these two settings, may be...
Source: Clinical Psychology and Psychotherapy - November 14, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Metacognitive Training for Depression: Feasibility, Safety and Acceptability of Two New Treatment Modules to Reduce Suicidality.
Authors: Jelinek L, Peth J, Runde A, Arlt S, Scheunemann J, Gallinat J Abstract Recent evidence favors psychological interventions explicitly targeting suicidality, however, group treatments on suicidality are rare and are assumed to have unfavorable effects. We developed two modules specifically addressing suicidality that replace two existing modules in the Metacognitive Training for Depression (D-MCT). The aim of the current study was to examine the feasibility, safety, and acceptability of this intervention (D-MCT/S). Forty-eight inpatients with depression received eight sessions of D-MCT/S over 4 weeks in addi...
Source: Clinical Psychology and Psychotherapy - November 11, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Classification Trees Identify Shared and Distinct Correlates of Non-Suicidal Self-Injury and Suicidal Ideation across Gender Identities in Emerging Adults.
Authors: Wallace GT, Conner BT, Shillington AM Abstract College students have an elevated risk for self-injurious thoughts and behaviors (SITBs) and there are robust differences in prevalence rates for SITBs across gender identities. While numerous constructs have been implicated as risk factors, researchers have not significantly improved at predicting SITBs, possibly due to constraints of confirmatory analyses. Classification trees are exploratory, person-centered analyses that enable joint examination of numerous correlates and their interactions. Thus, classification trees may discern previously unstudied risk ...
Source: Clinical Psychology and Psychotherapy - November 11, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The efficacy of internet-based cognitive behavioral therapy for social anxiety disorder: A systematic review and meta-analysis.
Authors: Guo S, Deng W, Wang H, Liu J, Liu X, Yang X, He C, Zhang Q, Liu B, Dong X, Yang Z, Li Z, Li X Abstract Social anxiety disorder (SAD) is one of the most common lifelong anxiety disorders. Although cognitive behavioral therapy (CBT) has proven to be effective in treating people with SAD, it may not be available for a considerable proportion of patients. Internet-based cognitive behavioral therapy (ICBT) is more accessible than face-to-face treatment. This meta-analysis evaluated the efficacy of ICBT in patients with SAD. We searched 5 databases, PubMed, Cochrane Central Register of Controlled Trials, Health ...
Source: Clinical Psychology and Psychotherapy - November 4, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Psychodynamic Psychotherapy is Associated with Sustained Reduction in Health Care Utilization and Cost.
Authors: Yonatan-Leus R, Strauss A, Cooper-Kazaz R Abstract Our objective was to examine effectiveness and efficiency of psychodynamic psychotherapy on reduction in health care utilization and cost while controlling for age, gender, and year. Health care utilization and cost were examined yearly in 1675 patients from two years before outpatient psychotherapy (i.e. baseline) to three consecutive years after psychotherapy, in a naturalistic longitudinal design. A multi-level analytic approach (LMLM) was applied to account for repeated measures effect and missing data. In the year prior to psychotherapy, there was a s...
Source: Clinical Psychology and Psychotherapy - November 4, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Levels and variables associated with psychological distress during confinement due to the coronavirus pandemic in a community sample of Spanish adults.
In this study we explored psychological distress (depression, anxiety, and somatization symptoms) using an online survey platform in a sample of 1781 Spanish adults during the confinement due to COVID-19, relationships between distress and sleep problems, affect, pain, sleep, emotional regulation, gender, type of housing, history of psychopathology, and living alone during the confinement, and differences depending on demographic and psychological variables. Results showed that between 25-39% of the sample referred to clinically significant levels of distress. In addition, women showed higher levels of distress, negative a...
Source: Clinical Psychology and Psychotherapy - October 31, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Impulsiveness in Borderline Personality Disorder Predicts the Long-term Outcome of a Psychodynamic Treatment Program.
Authors: Wrege JS, Busmann M, Meyer AH, Euler S, Lang UE, Walter M Abstract Despite the preponderance of treatment outcome predictors in patients with borderline personality disorder (BPD), the predictive value of measures of impulsiveness is inconclusive. This naturalistic study consecutively included hospitalized patients with BPD (N = 99) who underwent a standardized and structured 12-week inpatient treatment program, which integrated cognitive-behavioral and psychodynamic elements. The Brief Symptom Checklist (BSCL) was applied as outcome measure over four time points: pre-treatment, post-treatment, first follo...
Source: Clinical Psychology and Psychotherapy - October 31, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Are all narratives the same: Convergent and discriminant validity of the Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G) across two narrative types.
This study examines the construct validity of the Social Cognition and Object Relations Scale - Global Rating Method (SCORS-G; Westen, 1995; Stein & Mulford, 2018) by exploring the degree of convergence across different narrative sources (i.e., early memories [EM] and psychotherapy narratives [PT]) using a university-based outpatient sample (n = 101). First, we examined intercorrelations between SCORS-G ratings of EM and PT. Intercorrelations between SCORS-G EM and PT revealed that three of the eight dimensions significantly correlated with themselves across narrative type (Emotional Investment in Relationships [EIR], ...
Source: Clinical Psychology and Psychotherapy - October 28, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Validity of a Norwegian version of the Desire Thinking Questionnaire (DTQ): Associations with problem drinking, nicotine dependence, and problematic social media use.
Authors: Solem S, Pedersen H, Nesse F, Garvik Janssen A, Kennair LEO, Hagen R, Havnen A, Hjemdal O, Caselli G, Spada MM Abstract The aim of the current study was to test the validity of the Norwegian version of the Desire Thinking Questionnaire (DTQ). Three cross-sectional surveys were conducted investigating the psychometric properties of the DTQ in alcohol use (N = 588), nicotine use (N = 446), and social media use (N = 359). Principal components and confirmatory factor analyses supported the original two-factor solution consisting of verbal perseveration (VP) and imaginal prefiguration (IP), however, one item wa...
Source: Clinical Psychology and Psychotherapy - October 24, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A Meta-analysis on the Effectiveness of Intervention in Children with Primary Speech and Language Delays/Disorders: Focusing on China and the U.S.
Authors: Zhang Z, Xu Q, Joshi RM Abstract The purpose of this meta-analysis was to investigate the immediate and long-term effects of intervention for children with primary speech and language delays/disorders and to explore whether some characteristics of interventions, specifics of the study, and research participants moderate the magnitude of the effectiveness of interventions. Using the random effect model, we pooled the effect size and conducted a publication bias evaluation, a moderating effect analysis in CMA 2.0. Results of a random effects model analysis demonstrated a moderate immediate effect (g=0.70), w...
Source: Clinical Psychology and Psychotherapy - October 21, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Videotherapy and Therapeutic Alliance in the Age of COVID-19.
Authors: Simpson S, Richardson L, Pietrabissa G, Castelnuovo G, Reid C Abstract The arrival of the coronavirus (COVID-19) pandemic has confronted us with a global and unprecedented challenge of community-wide psychological distress alongside reduced access to therapeutic services in the traditional face-to-face format, due to the need to self-isolate. This previously unimagineable set of circumstances provides a unique opportunity, and indeed an imperative, for videotherapy to fulfil its potential in addressing mental health and wellbeing needs from a distance. Historically, the uptake of videotherapy has been hind...
Source: Clinical Psychology and Psychotherapy - October 12, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A randomised, controlled pilot study of cognitive analytic therapy (CAT) for stressed pregnant women with underlying anxiety and depression in a routine health service setting.
Authors: Hamilton J, Saxon D, Best E, Glover V, Walters SJ, Kerr IB Abstract A pilot study of cognitive analytic therapy (CAT) plus treatment as usual (TAU), versus TAU in stressed pregnant women with anxiety and depression was undertaken as an essential preliminary to any definitive, randomised controlled trial (RCT). The trial was pragmatic, multicentre, parallel, randomised, controlled, and unblinded. Participants were pregnant woman screened using the Hospital Anxiety and Depression Scale (HADS). Treatment was standard 16 session CAT. Main outcome measures: Spielberger State/Trait Anxiety Inventory (STAI) (prim...
Source: Clinical Psychology and Psychotherapy - October 2, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A survey of psychological practitioner workplace wellbeing.
This study reports a survey of 1,678 psychological practitioners accessed through professional networks. The short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS) and the Psychological Practitioner Workplace Wellbeing Measure (PPWWM) were administered with a demographic questionnaire. The mean for the SWEMWBS was below that of a national population survey. The inter-correlation of these tests was.61. Subgroup analyses showed significant differences: assistant psychologists, counsellors and psychological wellbeing practitioners demonstrated better than average workplace wellbeing. But for general wellbeing (SWEMWBS) trai...
Source: Clinical Psychology and Psychotherapy - September 29, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A novel virtual reality-based Theory of Mind intervention for outpatients with schizophrenia: a proof of concept pilot study.
Authors: Vass E, Simon V, Fekete Z, Lencse L, Ecseri M, Kis B, Simon L Abstract Schizophrenia is a severe and highly disabling mental illness. While several pharmacological solutions are available to alleviate symptoms of schizophrenia, they do not seem to provide solution for accompanying social dysfunctions. To handle this unmet clinical need, many innovative interventions have been developed recently. Considering the promising results on this field and the development trend, characterized by the growing proportion of included interactive technology, our research team developed a novel virtual reality (VR) based ...
Source: Clinical Psychology and Psychotherapy - September 29, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A Guided Internet-delivered intervention for adjustment disorders: A randomized controlled trial.
This study aims at testing in a RCT the effectiveness of a disorder-specific, Internet-delivered CBT (ICBT) intervention for AjD. Participants were randomly allocated to either an ICBT with brief weekly telephone support (n=34) or a waiting list group (n=34). Beck's inventories for depression and anxiety were used as primary outcomes. The secondary outcomes were adjustment disorder symptoms, posttraumatic growth, positive and negative affect, and quality of life. In all, 76.5% of the participants completed the intervention. Compared to the control group, participants in the intervention condition showed significantly great...
Source: Clinical Psychology and Psychotherapy - September 23, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Psychoform and somatoform dissociation in anorexia nervosa: a systematic review.
Authors: Paola L, Matteo P, Laura A, Matilde D, Giovanni AD, Enrica M Abstract Dissociation is a debilitating condition often present as comorbidity in patients with eating disorders but to date only mixed data are available. Additionally, very little data exist on the classification of dissociation, namely psychoform and somatoform, in anorexia nervosa (AN). This review aimed to provide an updated view on the literature about dissociation in AN, with a focus on AN subtypes (i.e., restricter and binge-purging) as well as dissociation type (i.e., psychoform and somatoform), when available. We screened 304 studies an...
Source: Clinical Psychology and Psychotherapy - September 15, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

How depression facilitates psychological difficulties in children? The mediating role of cognitive emotion regulation strategies.
The objectives of this research were to study the use of nine cognitive emotion regulation strategies (CERS) in depressed children, compared to non-depressed children, and to analyze their possible mediating effects on the relationship between childhood depression and several areas related to child psychological adjustment. The sample comprised 336 children (46.7% girls) aged 8 - 12 years. Participants completed measures on depression symptoms (CDI), psychological strengths and difficulties (SDQ), and cognitive emotion regulation strategies (CERQ-Sk). Correlations and multiple regression analyses were conducted to test whe...
Source: Clinical Psychology and Psychotherapy - September 15, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The impact on mental health practitioners of the death of a patient by suicide: a systematic review.
Authors: Sandford DM, Kirtley OJ, Thwaites R, O'Connor RC Abstract There is a growing body of research investigating the impact on mental health professionals of losing a patient through suicide. However, the nature and extent of the impact is unclear. This systematic review synthesises both quantitative and qualitative studies in the area. The aim was to review the literature on the impact of losing a patient through suicide with respect to both personal and professional practice responses as well as the support received. A search of the major psychological and medical databases was conducted, using keywords inclu...
Source: Clinical Psychology and Psychotherapy - September 13, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Distress tolerance and special alcohol metacognitions behave differently in the association of negative affect with alcohol-related patterns in men with problematic alcohol use in the abstinence phase.
This study aimed to evaluate the effect of negative affect including depressive, anxious and stress symptoms on alcohol craving and problematic alcohol use via the paths of distress tolerance, and both positive and negative alcohol-related metacognitions. Three hundred men with problematic alcohol use during the abstinence phase completed psychological and clinical measures. Results showed that craving and negative alcohol metacognitions mediated the relationship between negative affect and problematic alcohol use. Negative affect had a direct and positive effect on craving and indirect effect via distress intolerance and ...
Source: Clinical Psychology and Psychotherapy - September 10, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Differential effects of adult attachment in cognitive-behavioral and psychodynamic therapy in social anxiety disorder: A comparison between a self-rating and an observer rating.
Authors: Altmann U, Nodop S, Dinger U, Ehrenthal JC, Schauenburg H, Dymel W, Willutzki U, Strauss BM Abstract Different measures of attachment are usually weakly correlated. In a subsample of an RCT comparing short-term cognitive-behavioral therapy (CBT) and psychodynamic therapy (PDT) we examined the association between attachment and outcome using two attachment measures. The sample comprises 148 patients with social anxiety disorder who were treated in the SOPHO-NET trial. Pre-treatment attachment was assessed using the Adult Attachment Prototype Rating (AAPR) and the Bielefeld Questionnaire of Client Expectatio...
Source: Clinical Psychology and Psychotherapy - September 6, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Which psychological characteristics influence therapists' readiness to work with refugees?
Authors: Schlechter P, Hellmann JH, Wingbermühle P, Morina N Abstract Refugee populations show considerably high rates of mental health problems. Yet, many mental health professionals may have reservations to work with refugees due to suspected cultural differences, language barriers, and the need to provide additional services. However, little is known about psychotherapists' readiness to work with refugees. In a sample of German psychotherapists (N = 111), we explored therapeutic style (neutrality, supportiveness, and self-doubt), therapists' basic assumptions (pessimism, rationality, and therapy as art), ex...
Source: Clinical Psychology and Psychotherapy - August 30, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Suicide-Related Interpersonal Needs of Young Iranian People: A Preliminary Validation of Thwarted Belongingness and Perceived Burdensomeness Constructs.
Authors: Amini-Tehrani M, Sadeghi R, Nasiri M, Jalali T, Zamanian H Abstract The aim of the current study was to validate the Interpersonal Needs Questionnaire (INQ-15) and to test its reliability in Persian-speaking Iranian undergraduate students. In this cross-sectional study, 485 undergraduate students (age: 20.66 ± 1.42, 60% female) were assessed on the two subscales of perceived burdensomeness (PB) and thwarted belongingness (TB), and the Suicide Behavior Questionnaire-Revised (SBQ-R). Exploratory structural equation modeling (ESEM) confirmed the construct validity of INQ-14, excluding INQ#9. In additio...
Source: Clinical Psychology and Psychotherapy - August 29, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Screening for Moral Injury and Comparatively Evaluating Moral Injury Measures in Relation to Mental Illness Symptomatology, Course, and Diagnosis.
Authors: Nieuwsma JA, Brancu M, Wortmann J, Smigelsky MA, King HA, VISN 6 MIRECC Workgroup, Meador KG Abstract Moral injury merits further study to clarify its identification, prevalence, assessment, and intersection with psychosocial and psychiatric problems. The present study investigated the screening potential of the Brief Moral Injury Screen (BMIS) in a sample of post-9/11 veterans (N = 315) and comparatively evaluated how this tool, the Moral Injury Events Scale (MIES), and the Moral Injury Questionnaire-Military Version (MIQ-M) relate to psychiatric diagnoses and mental illness symptom severity. Those who en...
Source: Clinical Psychology and Psychotherapy - August 26, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Single-session Comprehend, Cope, and Connect intervention in acute and crisis psychology: A feasibility and acceptability study.
Authors: Bullock J, Whiteley C, Moakes K, Clarke I, Riches S Abstract Comprehend, Cope and Connect (CCC) is a third-wave cognitive behavioural approach developed for acute mental health services. The aim of this study was to assess feasibility and acceptability of a newly-developed, manualised single-session CCC intervention delivered face-to-face with service users in acute and crisis psychology services in South London. The study adopted a within-subjects pre-post-test design. Participants (N=23) were recruited from five acute psychiatric wards and a crisis resolution home treatment team. Service users had a rang...
Source: Clinical Psychology and Psychotherapy - August 26, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Differentiating the Symptoms of Posttraumatic Stress Disorder and Bipolar Disorders in Adults: Utilizing a Trauma-Informed Assessment Approach.
Authors: Cogan CM, Paquet CB, Lee JY, Miller KE, Crowley MD, Davis JL PMID: 32822516 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - August 23, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Is the relationship between child abuse and suicide attempts mediated by nonsuicidal self-injury and pain tolerance?
Authors: Schönfelder A, Rath D, Forkmann T, Paashaus L, Stengler K, Teismann T, Juckel G, Glaesmer H Abstract While there is evidence for an association of child abuse with lifetime suicidal behavior, the underlying mechanisms remain unclear. In recent research we found this relationship to be indirect and mediated by capability for suicide (CS). Emotional and sexual abuse were directly associated with CS. Based on the Interpersonal Psychological Theory of Suicide the result for emotional abuse was surprising and raised the question for a missing link in this association. Consequently, this study examines NSSI...
Source: Clinical Psychology and Psychotherapy - August 21, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Randomized Trial of Cognitive Behavior Group Therapy and a Mindfulness-based Intervention for Social Anxiety Disorder: Preliminary Findings.
This study evaluated the relative efficacy of a MBI adapted for SAD (MBI-SAD) to cognitive behavior group therapy (CBGT) for SAD. Participants were randomized to 12-weekly group sessions of the MBI-SAD (n=52) or CBGT (n=45). Results revealed that CBGT fared better than the MBI-SAD in reducing clinician- and self-rated social anxiety severity. The difference between the MBI-SAD and CBGT exceeded the pre-specified non-inferiority margin for our primary outcome the Liebowtiz Social Anxiety Scale, but findings are inconclusive as the width of the confidence interval extended in both directions surrounding the non-inferiority m...
Source: Clinical Psychology and Psychotherapy - August 21, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research