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 11, 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 22, 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 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Depressive and Anxiety Symptoms in Refugees: Insights from Classical Test Theory, Item Response Theory, and Network Analysis.
Authors: Schlechter P, Wilkinson PO, Knausenberger J, Wanninger K, Kamp S, Morina N, Hellmann JH Abstract Screening tools developed for Western populations have produced heterogeneous prevalence estimates for depression and anxiety disorders among refugees. The use of these instruments assumes that psychopathological symptoms are manifested similarly across different cultural groups. Here, we scrutinized whether depressive and anxiety symptoms are manifested similarly between German residents and refugees in Germany. We tested measurement invariance, test information, and specifics of symptom interrelations in 200 ...
Source: Clinical Psychology and Psychotherapy - August 20, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Associations Between Supernormality ("Faking Good"), Narcissism and Depression: An Exploratory Study in a Clinical Sample.
Associations Between Supernormality ("Faking Good"), Narcissism and Depression: An Exploratory Study in a Clinical Sample. Clin Psychol Psychother. 2020 Aug 18;: Authors: De Page L, Merckelbach H Abstract We explored under-reporting of mental health symptoms and its correlates in adults receiving psychological treatment. We administered the Supernormality Scale (SS, Cima et al., 2003), the Minnesota Multiple Personality Inventory-2 (Restructured Form) (MMPI-2, Butcher et al., 1989), the Narcissistic Personality Inventory (NPI, Raskin & Terry, 1979), and the Beck Depression Inventory-II (B...
Source: Clinical Psychology and Psychotherapy - August 20, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Within and Between Associations of Nonverbal Synchrony in Relation to Grawe's General Mechanisms of Change.
Authors: Prinz J, Boyle K, Ramseyer F, Kabus W, Bar-Kalifa E, Lutz W Abstract The examination of nonverbal synchrony has become a promising line of psychotherapy research. Although several studies have found between-dyad associations between nonverbal synchrony and multidimensional outcomes, the findings remain heterogeneous and within-dyad effects remain to be investigated. The present study examines within and between effects of nonverbal synchrony on mastery, resource activation, problem actuation, and motivational clarification (Grawe's general mechanisms of change). Four-hundred and twenty-three videotaped ses...
Source: Clinical Psychology and Psychotherapy - August 16, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Should personal practice be part of cognitive behaviour therapy training? Results from two self-practice/self-reflection cohort control pilot studies.
Authors: Scott J, Yap K, Bunch K, Haarhoff B, Perry H, Bennett-Levy J Abstract There are good theoretical and empirical grounds to suggest that personal practices (PPs) (e.g. self-practice/self-reflection programs, meditation programs, personal therapy) can have a positive impact on therapist skills and client outcomes. However, to date, a weakness in many PP studies is the lack of cohort control groups. The two pilot studies reported in this paper examined self-practice/self-reflection (SP/SR) programs integrated into postgraduate psychology training and are the first to include cohort control groups. Study 1 comp...
Source: Clinical Psychology and Psychotherapy - August 14, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

An integrated model of chronic trauma-induced insomnia.
Authors: Roberge EM, Bryan CJ Abstract Insomnia is the most commonly reported symptom of posttraumatic stress disorder (PTSD), with at least 70% of patients with PTSD reporting disturbed sleep. Although posttraumatic insomnia has traditionally been conceptualized as a consequence of PTSD, it is the most likely symptom to not remit following otherwise successful PTSD treatment. This suggests that the relationship between PTSD and insomnia is more complex, such that they likely share underlying pathological mechanisms, and that factors non-specific to PTSD maintain chronic trauma-induced insomnia. Although several th...
Source: Clinical Psychology and Psychotherapy - August 13, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Psychometric Properties of the German Version of the Fears of Compassion Scales.
Authors: Biermann M, Bohus M, Gilbert P, Vonderlin R, Cornelisse S, Osen B, Graser J, Brüne M, Ebert A, Lyssenko L, Kleindienst N Abstract The cultivation of compassion is associated with beneficial effects on physical and psychological health, satisfaction with life and social relationships. However, some individuals, especially those high in psychopathological symptoms or those with particular disorders such as Borderline Personality Disorder (BPD) may demonstrate pronounced fears of engagement in compassionate experiences or behaviours. Furthermore, fears of compassion have been found to impede progress in ...
Source: Clinical Psychology and Psychotherapy - August 13, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The Supervisory Relationship from an Attachment Perspective: Connections to Burnout and Sense of Coherence in Health Professionals.
Authors: Hiebler-Ragger M, Nausner L, Blaha A, Grimmer K, Korlath S, Mernyi M, Unterrainer HF Abstract Supervision is an essential part of the training and work environment of health professionals, especially of psychotherapists and clinical/health psychologists. However, while the supervisory process is always a relational one and may therefore be influenced by attachment dynamics, the importance of the supervisory relationship for the professional's performance and the well-being of the supervisee has yet to be fully examined. In this cross-sectional observational study, the Experiences in Close Relationships - R...
Source: Clinical Psychology and Psychotherapy - July 23, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A systematic literature review of childhood externalising psychopathology and later psychotic symptoms.
Authors: Gin K, Stewart C, Jolley S Abstract Childhood onset mental health difficulties are known to be associated with later mental health disorders and worse prognoses in adulthood. Individuals who develop schizophrenia present, from childhood onwards, with cognitive deficits, psychotic-like experiences (PLEs), and internalising and externalising problems. People with a diagnosis of a schizophrenia spectrum disorder (SSD) are also more likely than people without this diagnosis to engage in aggressive behaviour towards others. This systematic review examines the evidence base investigating associations between chi...
Source: Clinical Psychology and Psychotherapy - July 20, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Principal Components Analysis of the Hesitation Scale: More Than Just Social Support Seeking.
Authors: Gontkovsky ST, Kreiner DS, Ryan JJ Abstract The seeking of support from others during times of need is a critical strategy for overcoming challenging life events and ameliorating associated stress. The larger percentage of research examining help seeking behavior has been conducted with non-clinical samples, and conclusions remain somewhat unclear due to several limitations, including methodological inconsistencies across studies. The Hesitation Scale (HS) was developed to measure social support seeking in patients with traumatic brain injury but has not undergone thorough psychometric evaluation. The goal...
Source: Clinical Psychology and Psychotherapy - July 14, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A Systematic Review of the Effectiveness of Behavioral Treatments for Pica in Youths.
The objective of this study is to systematically review the empirical evidence for the effectiveness of behavioral interventions for pica in children and adolescents and to generate treatment recommendations. A systematic search yielded 823 articles extracted from five databases: CINALH, Family and Society Studies Worldwide, Medline, PsycINFO, and Web of Science. Two reviewers completed initial sorting based on article titles and abstracts. Five reviewers completed sorting based on full article review. Thirty articles were included and double coded for demographic information, comorbid conditions, and intervention characte...
Source: Clinical Psychology and Psychotherapy - July 7, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Towards a neurocognitive approach to Dance Movement Therapy for mental health: A systematic review.
Authors: Millman LSM, Terhune DB, Hunter E, Orgs G Abstract Dance/Movement Therapy (DMT) has become an increasingly recognized and used treatment, though primarily used to target psychological and physical wellbeing in individuals with physical, medical, or neurological illnesses. To contribute to the relative lack of literature within the field of DMT for clinical mental health disorders, using a narrative synthesis, we review the scope of recent, controlled studies of DMT in samples with different psychiatric disorders including depression, schizophrenia, autism, and somatoform disorder. A systematic search of el...
Source: Clinical Psychology and Psychotherapy - June 17, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A single case series using visuospatial task interference to reduce the number of visual intrusive memories of trauma with refugees.
This study was prospectively registered in the Clinical Trials Registry, number NCT03760601. PMID: 32525244 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - June 13, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Evaluating Narrative Exposure Therapy for Posttraumatic Stress Disorder and Depression Symptoms: A Meta-Analysis of the Evidence-base.
Authors: Raghuraman S, Stuttard N, Hunt N Abstract Narrative Exposure Therapy (NET) is an intervention for trauma-spectrum disorders. Originally developed to treat refugee populations, NET has since been tested for efficacy across different settings. In this review, the NET evidence-base is examined through a retrieval, synthesis, and appraisal of randomised-controlled trials (RCTs) published since 2002. Two independent reviewers (SR & NS) searched online databases including EMBASE, PsycINFO, and PubMed. Twenty-four RCTs were selected for a meta-analysis of three outcomes: PTSD diagnosis and PTSD and depression...
Source: Clinical Psychology and Psychotherapy - June 13, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Compassion Focused Therapy for Body Weight Shame: A Mixed Methods Pilot Trial.
Authors: Carter A, Gilbert P, Kirby JN Abstract Individuals with bigger bodies (Body Mass Index> 30) often experience body weight shame, and are at increased risk for mental health vulnerabilities such as depression and anxiety. To date, there have been no studies specifically designed and pilot tested to help with body weight shame for individuals with bigger bodies that do not have a diagnosed clinical condition. The aim of current study is to investigate the initial feasibility of Compassion Focused Therapy (CFT) as a 12-session group intervention for the reduction in body weight shame for individuals with bi...
Source: Clinical Psychology and Psychotherapy - June 11, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Relationships between emotional processing difficulties and early maladaptive schemas on the regulation of psychological needs.
Authors: Faustino B, Vasco AB Abstract Emotional processing difficulties may be viewed as dysfunctional emotional states emerging from non-adequately processed emotional experience while early maladaptive schemas are experienced-based dysfunctional mental structures associated with chronic and recurrent psychological disorders. Schemas and emotional difficulties were previously associated with impairments on the regulation of psychological needs. However, clarifications about the relationships between these constructs are lacking. In a cross-sectional study, a clinical sample of 66 participants (M = 46.4, SD = 13.1...
Source: Clinical Psychology and Psychotherapy - June 11, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Assessing Interpersonal Skills -A Comparison of Trainee Therapists' and a Students' Interpersonal Skills assessed with two established Assessments for Interpersonal Skills.
Authors: Wolfer C, Vîslă A, Held J, Hilpert P, Flückiger C Abstract Therapist differences in psychotherapy outcomes have been consistently found. Therefore, therapists' characteristics such as interpersonal skills are of particular interest. Two assessments of interpersonal skills for the selection of trainees have recently been developed. To extend current knowledge, this study will compare trainee therapist's and psychology student's interpersonal skills in both assessments simultaneously and also investigate the potential influence of clinical experience and age on interpersonal skills. Furthermore, ...
Source: Clinical Psychology and Psychotherapy - June 10, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

"I don't think I took her fears seriously." Exploring the experiences of family members of individuals at-risk of developing psychosis over 12-months.
This study is the first of its kind to use a novel longitudinal qualitative methodology to directly compare family/carers earlier experiences supporting ARMS individuals to 12-months later. This provides a more ecologically valid insight into how perceptions change over time and how family/carers adapt. Semi-structured interviews were conducted with ten family/carers at two points within a 12-month period. This study was embedded within a randomised control trial, the Individual and Family Cognitive Behavioural Therapy (IFCBT) trial. Interview transcripts were analysed using thematic analysis, with a focus on how experienc...
Source: Clinical Psychology and Psychotherapy - June 1, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Associations of Depressive Rumination and Positive Affect Regulation with Emotional Distress After the Death of a Loved One.
We examined: (1) the factor structure of depressive rumination and PA dysregulation and (2) to what extent these factors were related to PGD, PTSD, and depression symptom-levels. Self-report data were included from 235 Dutch bereaved people who completed measures tapping symptoms of PGD, PTSD, and depression. Depressive rumination and PA regulation strategies were assessed with the Ruminative Response Scales (RRS) Brooding Scale and the Response to Positive Affect (RPA) Questionnaire (including three subscales: emotion-focused and self-focused rumination and dampening), respectively. Confirmatory factor analyses and struct...
Source: Clinical Psychology and Psychotherapy - June 1, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The model of dynamic balance in therapists' experiences and views on working with suicidal clients: A qualitative study.
Authors: Podlogar T, Poštuvan V, De Leo D, Žvelc G Abstract Working with suicidal clients is frequently referred to as one of the most demanding and anxiety-provoking aspects of therapeutic work. The aim of this study was to obtain an in-depth understanding of therapists' experience in treating suicidal individuals and develop a theoretical model of it. Eleven psychotherapists (4 men and 7 women) participated in individual semi-structured interviews. The interviews were audiotaped, transcribed and analyzed by the principles of grounded theory. We developed a model of dynamic balance in therapists' experienc...
Source: Clinical Psychology and Psychotherapy - June 1, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The development and assessment of a scale to measure the experience of an anorexic voice in anorexia nervosa.
This study aimed to develop and assess the validity of the Experience of an Anorexic VoicE Questionnaire (EAVE-Q). EAVE-Q items were developed and checked for face and content validity through cognitive interviews with seven individuals diagnosed with AN. Participants with a diagnosis of AN (N = 148) completed the EAVE-Q, sociodemographic questions and measures of mood and quality of life to assess internal consistency and construct validity. Forty-nine participants completed the EAVE-Q twice more to assess test-retest reliability. The EAVE-Q had good face and content validity and good acceptability. Principal axis factori...
Source: Clinical Psychology and Psychotherapy - May 28, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

An internet-delivered self-management program for Bipolar Disorder in mental health services in Ireland. Results and learnings from a feasibility trial.
This study used an uncontrolled design with mixed-methods evaluation. Feasibility and acceptability were assessed in terms of recruitment, use of the intervention and satisfaction from both clinicians and patients' perspectives. Personal recovery, quality of life and severity of symptoms were measured at baseline and post-intervention. Fifteen patients signed consent and used the programme for 10 weeks. Usage of the intervention was adequate with high frequency of tool usage. There was a significant improvement in patients' sense of personal recovery (z=2.38, p=.017). The intervention was found acceptable and easy-to-use; ...
Source: Clinical Psychology and Psychotherapy - May 25, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Patients' Perceived Lack of Goal Clarity in Psychological Treatments. Scale Development and Negative Correlates.
Authors: Geurtzen N, Keijsers GPJ, Karremans JC, Tiemens BG, Hutschemaekers GJM Abstract Goal setting in psychological treatments may have favorable effects on patients' motivation and treatment outcomes. Therefore, it seems important to detect when patients do not perceive clear treatment goals. The current study presents a questionnaire measuring patients' perceived lack of goal clarity. The cross-sectional study consisted of 742 adult outpatients with diverse mental disorders. Patients completed the perceived lack of goal clarity questionnaire, and additional items measuring goal setting and evaluation, therapeu...
Source: Clinical Psychology and Psychotherapy - May 24, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

In-session interactive dynamics of the psychotherapy process between therapeutic alliance, therapist expertise, therapist technical intervention, patient metacognition and functioning.
IN-SESSION INTERACTIVE DYNAMICS OF THE PSYCHOTHERAPY PROCESS BETWEEN THERAPEUTIC ALLIANCE, THERAPIST EXPERTISE, THERAPIST TECHNICAL INTERVENTION, PATIENT METACOGNITION AND FUNCTIONING. Clin Psychol Psychother. 2020 May 20;: Authors: Locati F, Rossi G, Lang M, Parolin L Abstract Empirical research has explored different dimensions of the therapy process and their associations, often showing bidirectional links: for example, metacognition may be favored by a positive alliance with the clinician; on the other hand, metacognitive difficulties may obstacle the alliance. However, little is still known about ...
Source: Clinical Psychology and Psychotherapy - May 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Posttraumatic Stress Symptoms of Health Care Workers during the Corona Virus Disease 2019 (COVID-19).
Authors: Yin Q, Sun Z, Liu T, Ni X, Deng X, Jia Y, Shang Z, Zhou Y, Liu W Abstract Corona Virus Disease 2019 (COVID-19) outbreak has attracted worldwide attention. The COVID-19 outbreak is unique in its rapid transmission and results in heavy stress for the front-line health care workers (HCWs). The current study aimed to exam posttraumatic stress symptoms (PTSS) of HCWs fighting for the COVID-19 and to evaluate their sleep quality after one-month stressful suffering. 377 HCWs working in different provinces of China participated in the survey between February 1st and 5th. The demographic information was collected f...
Source: Clinical Psychology and Psychotherapy - May 18, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

What is the Relationship Between Fear of Self, Self Ambivalence and Obsessive Compulsive Symptomatology? A Systematic Literature Review.
Authors: Godwin TL, Godwin HJ, Simonds LM Abstract Obsessive Compulsive Disorder (OCD) is one of the most debilitating health conditions in the world. There has been a vast amount of research into factors that increase the likelihood of developing OCD and there are several explanatory models. Current cognitive models of OCD can be split into appraisal-based and self-doubt models. To date, Cognitive Behavioural Therapy for OCD (grounded in appraisal-based models) is the recommended treatment approach, and research into the importance of self-doubt beliefs has been somewhat neglected. This paper therefore aims to con...
Source: Clinical Psychology and Psychotherapy - May 18, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The Role of Therapeutic Alliance in Therapy for Adults with Problematic Aggression and Associated Disorders.
Authors: Fahlgren MK, Berman ME, McCloskey MS Abstract The nature and quality of the relationship between therapist and client in psychotherapy, known as therapeutic alliance, has been proposed as one of the most important factors for successful treatment outcome, which has been has robustly supported across many types of treatment, populations, raters of alliance (i.e., client, therapist, or observer), and alliance measures. However, most research on alliance and treatment outcome has been conducted in children and adults with internalizing problems (e.g., mood and anxiety disorders) or children with externalizing...
Source: Clinical Psychology and Psychotherapy - May 17, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Assessing beliefs about the consequences of Not Just Right Experiences: Psychometric properties of the Not Just Right Experience-Sensitivity Scale (NJRE-SS).
This article examines the idea that individuals have differing tolerances for-or sensitivity to-NJREs, in a similar manner as occurs regarding for other experience such as the distinction between disgust propensity and disgust sensitivity. In Study 1, using a non-clinical Italian sample, the NJRE-Sensitivity Scale (NJRE-SS) was created and refined. Its final version consisted of 8 items loading on two subscales-an intolerance of NJREs due to their perceived interference with cognitive tasks, and due to their interference with enjoyment of life. In Study 2, the factor structured was confirmed in a separate sample. The measu...
Source: Clinical Psychology and Psychotherapy - May 8, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Early maladaptive schemas and their relation to personality disorders: a correlational examination in a clinical population.
Authors: Kunst H, Lobbestael J, Candel I, Batink T Abstract Personality Disorder (PD) pathology has been linked to Early Maladaptive Schemas (EMSs; Young, 1999). Because of a large heterogeneity in study populations, sample size, statistical analyses and conceptualizations in the literature, the exact relationships between PDs and EMSs are still unclear. The current study examined the relationship between borderline, dependent, avoidant and obsessive-compulsive PDs, represented dimensionally as number of traits, and 15 different EMSs as measured by the YSQ. A total of N = 130 inpatients took part in the study (Mage...
Source: Clinical Psychology and Psychotherapy - May 4, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Maladaptive Cognitive Emotion Regulation Strategies and Positive Symptoms in Schizophrenia Spectrum Disorders: The Mediating Role of Global Emotion Dysregulation.
Authors: Liu J, Subramaniam M, Chong SA, Mahendran R Abstract Previous studies have identified a positive association between maladaptive cognitive emotion regulation strategies and positive symptoms (e.g. hallucinations and delusions) among patients with schizophrenia spectrum disorders. However, translating this finding to clinical practice is challenging. Some patients are reported to experience difficulties in correcting the use of maladaptive cognitive emotion regulation strategies in psychological therapy, which may be due to an underlying effect of global emotion dysregulation. Therefore, the present study a...
Source: Clinical Psychology and Psychotherapy - May 4, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Predicting boundary violation propensity among mental health professionals.
Authors: Dickeson E, Roberts R, Smout MF Abstract Despite its clear importance, there have been very few empirical investigations of boundary violation propensity among mental health professionals. The present study explored the relationships between self-reported propensity for boundary violations and predictors theorized to increase their likelihood. Australian mental health professionals (N = 275) completed an online questionnaire battery including demographics, the Sexual Boundary Violation Index, Boundaries In Practice Scale, Boundary Violations Propensity Questionnaire, Marlow-Crowne Social Desirability Scale...
Source: Clinical Psychology and Psychotherapy - April 29, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Questionnaire for the Assessment of Self-Disgust (QASD): The Psychometric Testing among Mental Disorders in China.
In this study, multi-group confirmatory factor analysis (CFA) supported the two-factor structure of the original QASD construct. Measurement invariance showed that the QASD is invariant across the patients with heterogeneous mental health diagnoses. The correlation of QASD with the Self-esteem Scale (SES) and the Trait Anger Scale (TAS) showed that it has good convergent validity and discriminative validity. Internal consistency and test-retest yielded acceptable results. Thus, the findings suggest that the Chinese version of the QASD is a reliable and valid instrument with adequate psychometric properties for assessment o...
Source: Clinical Psychology and Psychotherapy - April 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Therapist effects vary significantly across psychological treatment care sectors.
This study statistically analysed therapist effect differences between care sectors delivering psychological interventions. The sample comprised routine clinical data from 26,814 patients (69% female; mean age 38) and 466 therapists in five care sectors: primary care, secondary care, university, voluntary, and workplace. Therapist effects were analysed using multilevel models and Markov Chain Monte Carlo credible intervals. The therapist effect was significantly larger in primary care (8.4%) than in any other sector (1.1 - 2.3%) except secondary care (4.1%), after controlling for explanatory baseline and process variables ...
Source: Clinical Psychology and Psychotherapy - April 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Examining the Relationship Between Object Relations and Interpersonal Distress in a Clinical Sample.
Authors: Cain L, Hilsenroth M Abstract The goal of the present study was to explore the relationship between patients' object relational functioning (Social Cognition and Object Relations Scale-Global Ratings; SCORS-G; Stein & Slavin-Mulford, 2018; Westen, 1995) as rated by clinicians during the course of outpatient psychodynamic psychotherapy in a university-based clinic, and patient self-reported interpersonal vulnerabilities (Inventory of Interpersonal Problems-64; IIP-64; Alden, Wiggins, & Pincus, 1990; Horowitz et al., 2000; Horowitz, Rosenberg, Baer, Ureño, & Villaseñor, 1988) . Part...
Source: Clinical Psychology and Psychotherapy - April 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

An Italian Validation of the Comparative Psychotherapy Process Scale: Reliability and Validity.
Authors: Gentile D, Colli A, Lingiardi V Abstract The Comparative Psychotherapy Process Scale (CPPS) is an instrument designed to measure therapist interventions in a psychotherapy session. The scale includes 20 items divided into two subscales: the PI (psychodynamic-interpersonal) scale, which describes psychodynamic-interpersonal techniques; and the CB (cognitive-behavioral) scale, which includes cognitive-behavioral interventions. The aim of the study was to examine the psychometric properties of the CPPS, comparing the PI and CB subscales with the psychodynamic, cognitive and STTP prototypes, as described by th...
Source: Clinical Psychology and Psychotherapy - April 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A Typology of Non-suicidal Self-Injury in a Clinical Sample: A Latent Class Analysis.
Authors: Shahwan S, Lau JH, Abdin E, Zhang Y, Sambasivam R, Lin TW, Gupta B, How OS, Ann CS, Subramaniam M Abstract Non-suicidal self-injury (NSSI) is a behavioural concern and can present in diverse ways, varying by method, frequency, severity, and function etc. The possible combinations of these features of NSSI produces an array of profiles that makes evaluation and management of this behaviour challenging. The aim of this study was to build upon previous work that reduces the heterogeneity of NSSI patterns by using Latent Class Analysis (LCA) to identify a typology of NSSI. Participants consisted of 235 outpati...
Source: Clinical Psychology and Psychotherapy - April 22, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Alexithymia, empathy, negative affect, and physical symptoms in patients with asthma.
This study aimed to assess direct effects of alexithymic traits on physical symptoms and indirect effects of these subscales through empathy and negative affect (e.g., depressive, anxious, and stress symptoms) by controlling for asthma severity in patients with asthma. Three hundred patients with asthma completed the Toronto Alexithymia Scale-20 (TAS-20), the Basic Empathy Scale (BES), the Depression Anxiety Stress Scales-21 (DASS-21), and the Physical Symptoms Inventory (PSI). After controlling for asthma severity, the results showed that alexithymia subscales of the TAS-20 had no direct effects on physical symptoms, but ...
Source: Clinical Psychology and Psychotherapy - April 15, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Ambivalence in Psychotherapy Questionnaire: Development and Validation Studies.
Authors: Oliveira JT, Ribeiro AP, Gonçalves MM Abstract Research emphasizes that individuals' engagement with change process is a significant predictor of therapeutic outcomes. Ambivalence is a natural phenomenon in change processes, but when individuals cannot overcome it, their problems may intensify. Ambivalence toward change, a client variable characterized by an intrapersonal conflict between two positions of the self, one in favor of change and another one in favor of the status quo, is shown to play a determinant role in psychotherapy. Despite its importance, few empirical studies have examined this p...
Source: Clinical Psychology and Psychotherapy - April 15, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Relative Stability of Alexithymia and Openness to Emotions in one Psychiatric Day Hospital Setting.
In conclusion, the significant changes, and the moderate to high correlational levels observed between before and after alexithymia and OE scores, strengthen the relative stability hypothesis for both constructs. In addition, PSS represents a protective factor and NTI a vulnerability indicator for therapists. Our aim is to optimize treatment by providing therapists treating emotion difficulties a more concrete array of variables that potentially either promote or subvert recovery. PMID: 32285578 [PubMed - as supplied by publisher] (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - April 15, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Making Connections: Social identification with New Treatment Groups for Lifestyle Management of Severe Obesity.
This study investigated factors related to patients' shared social identity formed within the context of a treatment group for the management of severe obesity. A cross-sectional survey was administered to patients registered with a UK medical obesity service and enrolled on a group-based education and support programme. Patients (N=78; MBMI = 48 on entry to the service) completed measures of group demographics (e.g., group membership continuity) and psychosocial variables (e.g., past experiences of weight discrimination), and reported their social identification with the treatment group. The results showed that patients i...
Source: Clinical Psychology and Psychotherapy - April 10, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Effects of short-term mindfulness-based training on executive function: Divergent but promising.
Authors: Honggui Z, Hongv L, Yunlong D Abstract Mindfulness-based training (MBT) has repeatedly been proven effective in improving mental health, as well as in eliciting advantages in executive functions (EFs), as demonstrated by objective measures. However, few studies have discussed the role MBT plays in increasing EFs over short periods of time. This current review, to our knowledge, is the first study to investigate the effect of short-term MBT on EFs. In this case, fourteen studies were eventually included after literature screening using PubMed, MEDLINE, Elsevier, Embase, EBSCO, and references from retrieved ...
Source: Clinical Psychology and Psychotherapy - April 10, 2020 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research