Prevalence and Risk Factors Associated with Perinatal Depression in Sexual Minority Women
We examined depression in sexual minority women in the perinatal period, and whether there were unique minority stress-related risk and protective factors that predicted perinatal depression. 194 perinatal sexual minority women aged 18 years and older were recruited from the US and Australia. Participants completed an online questionnaire incorporating the Edinburgh Postnatal Depression Scale (EPDS) and measures of minority stress and social support. Over one third (35.6%) of the sample scored in the clinical range on the EPDS. Experiences of discrimination were associated with greater depression symptoms via poor social s...
Source: Clinical Psychology and Psychotherapy - July 24, 2021 Category: Psychiatry Authors: Sophie Marsland Karli Treyvaud Christopher A Pepping Source Type: research

Examining the roles of cognitive flexibility, emotion recognition, and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation
Clin Psychol Psychother. 2021 Jul 17. doi: 10.1002/cpp.2645. Online ahead of print.ABSTRACTThe evaluation of cognitive functions in Attention Deficit and Hyperactivity Disorder (ADHD) is fundamental to improve the efficacy of therapeutic interventions. However, the role of specific higher-order cognitive functions in adult ADHD, including cognitive flexibility, emotion recognition, and metacognitions, remains unclear. Therefore, in the current study, we aimed to examine these three distinct higher-order cognitive functions among adult ADHD individuals. Forty patients with ADHD with predominantly inattentive presentation an...
Source: Clinical Psychology and Psychotherapy - July 17, 2021 Category: Psychiatry Authors: Orkun Ayd ın Kuzeymen Bal ıkçı İpek Sönmez P ınar Ünal-Aydın Marcantonio M Spada Source Type: research

Examining the roles of cognitive flexibility, emotion recognition and metacognitions in adult Attention Deficit and Hyperactivity Disorder with predominantly inattentive presentation
Clin Psychol Psychother. 2021 Jul 17. doi: 10.1002/cpp.2645. Online ahead of print.ABSTRACTThe evaluation of cognitive functions in Attention Deficit and Hyperactivity Disorder (ADHD) is fundamental to improve the efficacy of therapeutic interventions. However, the role of specific higher-order cognitive functions in adult ADHD, including cognitive flexibility, emotion recognition, and metacognitions, remain unclear. Therefore, in the current study, we aimed to examine these three distinct higher-order cognitive functions among adult ADHD individuals. Forty patients with ADHD with predominantly inattentive presentation and...
Source: Clinical Psychology and Psychotherapy - July 17, 2021 Category: Psychiatry Authors: Orkun Ayd ın Kuzeymen Bal ıkçı İpek Sönmez P ınar Ünal-Aydın Marcantonio M Spada Source Type: research

A Pilot Randomized Controlled Trial (RCT) of online Acceptance and Commitment Therapy (ACT) versus Compassion Focused Therapy (CFT) for chronic illness
Clin Psychol Psychother. 2021 Jul 16. doi: 10.1002/cpp.2643. Online ahead of print.ABSTRACTLiterature suggests that Acceptance and Commitment Therapy (ACT) is effective in improving well-being and in reducing psychopathological symptoms commonly experienced by people with chronic illness (CI). Compassion Focused Therapy (CFT) reduces psychological distress, especially in individuals with high levels of shame and self-criticism, but few studies have explored CFT in CI. Additionally, studies almost exclusively compared ACT and CFT with inactive controls (wait-list; treatment as usual). Also, there is an interest in developin...
Source: Clinical Psychology and Psychotherapy - July 16, 2021 Category: Psychiatry Authors: S érgio A Carvalho David Skvarc Rosa Barbosa Tito Tavares Diana Santos In ês A Trindade Source Type: research

Interviewing Anorexia: How do individuals given a diagnosis of anorexia nervosa experience Voice Dialogue with their eating disorder voice? A qualitative analysis
This study aimed to explore the experience and acceptability of Voice Dialogue amongst individuals with anorexia nervosa who experience an EDV. Nine women participated in a semi-structured interview following a single Voice Dialogue session. Interview transcripts were analysed using interpretative phenomenological analysis (IPA). Three overarching themes were identified: (i) "separating from the EDV"; (ii) "better understanding of the EDV"; and (iii) "hopeful, motivated, and afraid of recovery". The majority of participants found Voice Dialogue acceptable and helpful for exploring their EDV. W...
Source: Clinical Psychology and Psychotherapy - July 16, 2021 Category: Psychiatry Authors: Natalie Chua Yi Ling Lucy Serpell Sarah Burnett-Stuart Matthew Pugh Source Type: research

Spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy
CONCLUSION: The data show that sociomedical interventions are a frequent part of psychotherapy. They are used preferably in patients with participation restrictions. Psychotherapeutic concepts and education should include sociomedical aspects.PMID:34260112 | DOI:10.1002/cpp.2649 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: David Schymainski Julia Solvie Michael Linden Matthias Rose Source Type: research

Service users experience of psychological interventions in primary care settings: A qualitative meta-synthesis
Clin Psychol Psychother. 2021 Jul 14. doi: 10.1002/cpp.2650. Online ahead of print.ABSTRACTPrimary care mental health services play a crucial role in public mental health by providing local and accessible psychological interventions that meet individuals' needs. Despite growing research investigating service users' perspectives of psychological interventions, a qualitative systematic review in this context is not available. The present meta-synthesis collates the existing articles and gives a thematic synthesis of qualitative studies on service users experience of psychological interventions in primary care. Multiple datab...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: Emilia Finazzi Angus MacBeth Source Type: research

Family Environmental Factors in At-Risk Mental States for Psychosis
This study presents a comprehensive review and summarizes the state of the art of study on the wide range of family factors related to family functioning in the At-Risk Mental State (ARMS) for psychosis, as well as family interventions in ARMS individuals. Publications were retrieved by an extensive search on MEDLINE, PsycINFO and SCOPUS (1990-2020). Expressed Emotion is the most studied variable in ARMS literature but there is scarce evidence of the role of other significant family factors at the ARMS stage. Overall, high Expressed Emotion did not appear to be reactive to ARMS patients' poor clinical status. However, init...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: L ídia Hinojosa-Marqués Tecelli Dom ínguez-Martínez Neus Barrantes-Vidal Source Type: research

Discerning the adverse effects of psychological therapy: consensus between experts by experience and therapists
This study will investigate whether there is consensus between the opinions of professionals and experts by experience. The Delphi method was used. In Round 1 thematic analysis was used to analyse qualitative responses. Wilcoxon rank-sum tests were used to examine group differences in Rounds 2 and 3. The study protocol was prospectively registered, reference osf.io/f9wp7. Fifty-one professionals and 51 experts by experience generated 147 potential adverse effects in Round 1, across 9 themes; including "therapy amplifies problem", "emotional lability" and "sense of self". Each item was rated fo...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: Edel Mc Glanaghy Jane-Louise Jackson Paul Morris Wendy Prentice Nadine Dougall Paul Hutton Source Type: research

Spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy
CONCLUSION: The data show that sociomedical interventions are a frequent part of psychotherapy. They are used preferably in patients with participation restrictions. Psychotherapeutic concepts and education should include sociomedical aspects.PMID:34260112 | DOI:10.1002/cpp.2649 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: David Schymainski Julia Solvie Michael Linden Matthias Rose Source Type: research

Service users experience of psychological interventions in primary care settings: A qualitative meta-synthesis
Clin Psychol Psychother. 2021 Jul 14. doi: 10.1002/cpp.2650. Online ahead of print.ABSTRACTPrimary care mental health services play a crucial role in public mental health by providing local and accessible psychological interventions that meet individuals' needs. Despite growing research investigating service users' perspectives of psychological interventions, a qualitative systematic review in this context is not available. The present meta-synthesis collates the existing articles and gives a thematic synthesis of qualitative studies on service users experience of psychological interventions in primary care. Multiple datab...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: Emilia Finazzi Angus MacBeth Source Type: research

Family Environmental Factors in At-Risk Mental States for Psychosis
This study presents a comprehensive review and summarizes the state of the art of study on the wide range of family factors related to family functioning in the At-Risk Mental State (ARMS) for psychosis, as well as family interventions in ARMS individuals. Publications were retrieved by an extensive search on MEDLINE, PsycINFO and SCOPUS (1990-2020). Expressed Emotion is the most studied variable in ARMS literature but there is scarce evidence of the role of other significant family factors at the ARMS stage. Overall, high Expressed Emotion did not appear to be reactive to ARMS patients' poor clinical status. However, init...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: L ídia Hinojosa-Marqués Tecelli Dom ínguez-Martínez Neus Barrantes-Vidal Source Type: research

Discerning the adverse effects of psychological therapy: consensus between experts by experience and therapists
This study will investigate whether there is consensus between the opinions of professionals and experts by experience. The Delphi method was used. In Round 1 thematic analysis was used to analyse qualitative responses. Wilcoxon rank-sum tests were used to examine group differences in Rounds 2 and 3. The study protocol was prospectively registered, reference osf.io/f9wp7. Fifty-one professionals and 51 experts by experience generated 147 potential adverse effects in Round 1, across 9 themes; including "therapy amplifies problem", "emotional lability" and "sense of self". Each item was rated fo...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: Edel Mc Glanaghy Jane-Louise Jackson Paul Morris Wendy Prentice Nadine Dougall Paul Hutton Source Type: research

Spectrum, rate and unmet needs of sociomedical interventions in outpatient psychotherapy
CONCLUSION: The data show that sociomedical interventions are a frequent part of psychotherapy. They are used preferably in patients with participation restrictions. Psychotherapeutic concepts and education should include sociomedical aspects.PMID:34260112 | DOI:10.1002/cpp.2649 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: David Schymainski Julia Solvie Michael Linden Matthias Rose Source Type: research

Service users experience of psychological interventions in primary care settings: A qualitative meta-synthesis
Clin Psychol Psychother. 2021 Jul 14. doi: 10.1002/cpp.2650. Online ahead of print.ABSTRACTPrimary care mental health services play a crucial role in public mental health by providing local and accessible psychological interventions that meet individuals' needs. Despite growing research investigating service users' perspectives of psychological interventions, a qualitative systematic review in this context is not available. The present meta-synthesis collates the existing articles and gives a thematic synthesis of qualitative studies on service users experience of psychological interventions in primary care. Multiple datab...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: Emilia Finazzi Angus MacBeth Source Type: research

Family Environmental Factors in At-Risk Mental States for Psychosis
This study presents a comprehensive review and summarizes the state of the art of study on the wide range of family factors related to family functioning in the At-Risk Mental State (ARMS) for psychosis, as well as family interventions in ARMS individuals. Publications were retrieved by an extensive search on MEDLINE, PsycINFO and SCOPUS (1990-2020). Expressed Emotion is the most studied variable in ARMS literature but there is scarce evidence of the role of other significant family factors at the ARMS stage. Overall, high Expressed Emotion did not appear to be reactive to ARMS patients' poor clinical status. However, init...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: L ídia Hinojosa-Marqués Tecelli Dom ínguez-Martínez Neus Barrantes-Vidal Source Type: research

Discerning the adverse effects of psychological therapy: consensus between experts by experience and therapists
This study will investigate whether there is consensus between the opinions of professionals and experts by experience. The Delphi method was used. In Round 1 thematic analysis was used to analyse qualitative responses. Wilcoxon rank-sum tests were used to examine group differences in Rounds 2 and 3. The study protocol was prospectively registered, reference osf.io/f9wp7. Fifty-one professionals and 51 experts by experience generated 147 potential adverse effects in Round 1, across 9 themes; including "therapy amplifies problem", "emotional lability" and "sense of self". Each item was rated fo...
Source: Clinical Psychology and Psychotherapy - July 14, 2021 Category: Psychiatry Authors: Edel Mc Glanaghy Jane-Louise Jackson Paul Morris Wendy Prentice Nadine Dougall Paul Hutton Source Type: research

Does age matter? Initial treatment goals of older adults with major depression in outpatient cognitive behavioral therapy
Clin Psychol Psychother. 2021 Jul 13. doi: 10.1002/cpp.2646. Online ahead of print.ABSTRACTBACKGROUND: Personal treatment goals (PTG) are important means to tailor psychotherapy to the needs of the patient, leading to increased engagement and greater improvement in relevant outcomes. According to lifespan developmental research, motivational goals in old age differ from goals of younger people, with management of losses rather than growth becoming more prevalent. However, this study is the first to systematically investigate age-specific differences in PTGs.METHOD: We used routine data from patients with major depression a...
Source: Clinical Psychology and Psychotherapy - July 13, 2021 Category: Psychiatry Authors: Mareike C Sittler Franziska Lechner-Meichsner Gabriele Wilz Eva-Marie Kessler Source Type: research

Brief Coping Strategy Enhancement for the treatment of distressing voices in the context of Borderline Personality Disorder: A comparison with outcomes in the context of psychosis
CONCLUSION: These findings suggest a brief CSE intervention developed in the context of psychosis can be an effective starting point in the treatment of distressing voice-hearing in the context of BPD. Such interventions have the potential to be integrated into broader BPD treatment programs for those who hear voices.PMID:34255401 | DOI:10.1002/cpp.2647 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 13, 2021 Category: Psychiatry Authors: Frankie Morrice Anna-Marie Jones Vincenzo Burgio Clara Strauss Mark Hayward Source Type: research

Impact of COVID-19 outbreak on Italian healthcare workers versus general population: results from an online survey
Clin Psychol Psychother. 2021 Jul 13. doi: 10.1002/cpp.2644. Online ahead of print.ABSTRACTOBJECTIVE: COVID-19 pandemic has been a stressful condition. We explored life changes and health-related consequences of COVID-19 outbreak in Italian health care workers in comparison to the general population.METHODS: A total of 593 subjects participated to the online CoRonavIruS Health Impact Survey. Life events and changes, physical health, and worries were evaluated referring to 2-week prior the survey. Mood states and daily behavior were retrospectively evaluated referring to 3-month before COVID-19 (T1) and 2-week prior the sur...
Source: Clinical Psychology and Psychotherapy - July 13, 2021 Category: Psychiatry Authors: Giovanni Mansueto Fabiana Le ão Lopes Luigi Grassi Fiammetta Cosci Source Type: research

Grief-related beliefs in shidu parents with and without prolonged grief disorder: psychometric properties of a Chinese version of the Typical Beliefs Questionnaire
We examined the rate of positive endorsement, factor structure, internal consistency, and validity of the TBQ-C in 310 community-based shidu parents (including 102 who met the criteria for PGD). Results showed that the rate of positive endorsement for each item ranged from 7.2 % to 48.6% among non-PGD participants, and from 20.6 % to 92.2% among PGD participants. Confirmatory factor analysis indicated that the original 5-factor structure fit both the non-PGD and PGD shidu parents. The TBQ-C showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups. It had good discriminant va...
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Xin Xu Jun Wen Natalia A Skritskaya Xinyan Zou Christine Mauro Jianping Wang M Katherine Shear Source Type: research

Therapeutic alliance in psychological therapy for PTSD: A systematic review and meta-analysis
CONCLUSIONS: This is the first review to demonstrate that therapeutic alliance is a consistent predictor of PTSD outcomes, in both in-person and remote therapies, and the effect appears at least as strong as in other populations. This is of relevance to clinicians working with traumatised populations. The review identified a need for further research to determine variables predicting alliance in therapy for PTSD.PMID:34237173 | DOI:10.1002/cpp.2642 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Ruth Howard Katherine Berry Gillian Haddock Source Type: research

Grief-related beliefs in shidu parents with and without prolonged grief disorder: psychometric properties of a Chinese version of the Typical Beliefs Questionnaire
We examined the rate of positive endorsement, factor structure, internal consistency, and validity of the TBQ-C in 310 community-based shidu parents (including 102 who met the criteria for PGD). Results showed that the rate of positive endorsement for each item ranged from 7.2 % to 48.6% among non-PGD participants, and from 20.6 % to 92.2% among PGD participants. Confirmatory factor analysis indicated that the original 5-factor structure fit both the non-PGD and PGD shidu parents. The TBQ-C showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups. It had good discriminant va...
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Xin Xu Jun Wen Natalia A Skritskaya Xinyan Zou Christine Mauro Jianping Wang M Katherine Shear Source Type: research

Therapeutic alliance in psychological therapy for PTSD: A systematic review and meta-analysis
CONCLUSIONS: This is the first review to demonstrate that therapeutic alliance is a consistent predictor of PTSD outcomes, in both in-person and remote therapies, and the effect appears at least as strong as in other populations. This is of relevance to clinicians working with traumatised populations. The review identified a need for further research to determine variables predicting alliance in therapy for PTSD.PMID:34237173 | DOI:10.1002/cpp.2642 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Ruth Howard Katherine Berry Gillian Haddock Source Type: research

Grief-related beliefs in shidu parents with and without prolonged grief disorder: psychometric properties of a Chinese version of the Typical Beliefs Questionnaire
We examined the rate of positive endorsement, factor structure, internal consistency, and validity of the TBQ-C in 310 community-based shidu parents (including 102 who met the criteria for PGD). Results showed that the rate of positive endorsement for each item ranged from 7.2 % to 48.6% among non-PGD participants, and from 20.6 % to 92.2% among PGD participants. Confirmatory factor analysis indicated that the original 5-factor structure fit both the non-PGD and PGD shidu parents. The TBQ-C showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups. It had good discriminant va...
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Xin Xu Jun Wen Natalia A Skritskaya Xinyan Zou Christine Mauro Jianping Wang M Katherine Shear Source Type: research

Therapeutic alliance in psychological therapy for PTSD: A systematic review and meta-analysis
CONCLUSIONS: This is the first review to demonstrate that therapeutic alliance is a consistent predictor of PTSD outcomes, in both in-person and remote therapies, and the effect appears at least as strong as in other populations. This is of relevance to clinicians working with traumatised populations. The review identified a need for further research to determine variables predicting alliance in therapy for PTSD.PMID:34237173 | DOI:10.1002/cpp.2642 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Ruth Howard Katherine Berry Gillian Haddock Source Type: research

Grief-related beliefs in shidu parents with and without prolonged grief disorder: psychometric properties of a Chinese version of the Typical Beliefs Questionnaire
We examined the rate of positive endorsement, factor structure, internal consistency, and validity of the TBQ-C in 310 community-based shidu parents (including 102 who met the criteria for PGD). Results showed that the rate of positive endorsement for each item ranged from 7.2 % to 48.6% among non-PGD participants, and from 20.6 % to 92.2% among PGD participants. Confirmatory factor analysis indicated that the original 5-factor structure fit both the non-PGD and PGD shidu parents. The TBQ-C showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups. It had good discriminant va...
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Xin Xu Jun Wen Natalia A Skritskaya Xinyan Zou Christine Mauro Jianping Wang M Katherine Shear Source Type: research

Therapeutic alliance in psychological therapy for PTSD: A systematic review and meta-analysis
CONCLUSIONS: This is the first review to demonstrate that therapeutic alliance is a consistent predictor of PTSD outcomes, in both in-person and remote therapies, and the effect appears at least as strong as in other populations. This is of relevance to clinicians working with traumatised populations. The review identified a need for further research to determine variables predicting alliance in therapy for PTSD.PMID:34237173 | DOI:10.1002/cpp.2642 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Ruth Howard Katherine Berry Gillian Haddock Source Type: research

Grief-related beliefs in shidu parents with and without prolonged grief disorder: psychometric properties of a Chinese version of the Typical Beliefs Questionnaire
We examined the rate of positive endorsement, factor structure, internal consistency, and validity of the TBQ-C in 310 community-based shidu parents (including 102 who met the criteria for PGD). Results showed that the rate of positive endorsement for each item ranged from 7.2 % to 48.6% among non-PGD participants, and from 20.6 % to 92.2% among PGD participants. Confirmatory factor analysis indicated that the original 5-factor structure fit both the non-PGD and PGD shidu parents. The TBQ-C showed acceptable internal consistency and satisfactory convergent and concurrent validity in both groups. It had good discriminant va...
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Xin Xu Jun Wen Natalia A Skritskaya Xinyan Zou Christine Mauro Jianping Wang M Katherine Shear Source Type: research

Therapeutic alliance in psychological therapy for PTSD: A systematic review and meta-analysis
CONCLUSIONS: This is the first review to demonstrate that therapeutic alliance is a consistent predictor of PTSD outcomes, in both in-person and remote therapies, and the effect appears at least as strong as in other populations. This is of relevance to clinicians working with traumatised populations. The review identified a need for further research to determine variables predicting alliance in therapy for PTSD.PMID:34237173 | DOI:10.1002/cpp.2642 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - July 8, 2021 Category: Psychiatry Authors: Ruth Howard Katherine Berry Gillian Haddock Source Type: research

Attachment anxiety as mediator of the relationship between childhood trauma and personality dysfunction in borderline personality disorder
Clin Psychol Psychother. 2021 Jul 6. doi: 10.1002/cpp.2640. Online ahead of print.ABSTRACTInsecure attachment has been described as mediating the relationship between childhood trauma and dysfunctional personality traits in different mental disorders. Despite the role insecure attachment and childhood trauma have independently demonstrated to play as determinants of borderline personality disorder, less is known about the mediating mechanisms explaining these associations. For the first time, we assessed adult attachment, childhood trauma and dimensional personality pathology in a sample of outpatients with borderline pers...
Source: Clinical Psychology and Psychotherapy - July 6, 2021 Category: Psychiatry Authors: Leire Erkoreka Iker Zamalloa Santiago Rodriguez Pedro Mu ñoz Imanol Mendizabal M Isabel Zamalloa Aurora Arrue Mercedes Zumarraga Miguel Angel Gonzalez-Torres Source Type: research

Psychotherapy Outcome Research: Implications of a New Clinical Taxonomy
Clin Psychol Psychother. 2021 Jun 27. doi: 10.1002/cpp.2638. Online ahead of print.ABSTRACTSince the publication of DSM-III in 1980 the scientist-practitioner gap in clinical psychology has expanded, as almost all outcome research in clinical psychology has been on diagnosed mental disorders within a medical model using drug trial methodologies, while most practising clinicians undertake functional analyses and case formulations of clinical psychological problems (CPPs), and then apply tailored interventions within an ongoing hypothesis-testing methodology. But comparatively reliable assessment and generalisable conclusion...
Source: Clinical Psychology and Psychotherapy - June 28, 2021 Category: Psychiatry Authors: Gary M Bakker Source Type: research

The COVID-19 anxiety syndrome and selective attentional bias towards COVID-19-related stimuli in UK residents during the 2020-2021 pandemic
Clin Psychol Psychother. 2021 Jun 25. doi: 10.1002/cpp.2639. Online ahead of print.ABSTRACTThe psychological and social effects of the COVID-19 pandemic are pervasive and there is potential for a long-lasting impact on mental health. In the current study we sought to provide, in a representative sample of UK residents during the third COVID-19 lockdown in February 2021, further evidence for the validation of the COVID-19 anxiety syndrome construct. We did this by evaluating the COVID-19 anxiety syndrome against measures of personality, health anxiety and COVID-19 anxiety in predicting levels of generalised anxiety and depr...
Source: Clinical Psychology and Psychotherapy - June 25, 2021 Category: Psychiatry Authors: Ian P Albery Marcantonio M Spada Ana Nik čević Source Type: research

Dysmorphic and illness-anxiety related unwanted intrusive thoughts in individuals with obsessive-compulsive disorder
CONCLUSION: UITs with different contents not always related to typical obsessive themes are a common experience in patients with OCD. These UITs could have detrimental consequences for the course of the disorder itself, and they should be adequately addressed in both the assessment and treatment of these patients.PMID:34169614 | DOI:10.1002/cpp.2636 (Source: Clinical Psychology and Psychotherapy)
Source: Clinical Psychology and Psychotherapy - June 25, 2021 Category: Psychiatry Authors: Bel én Pascual-Vera Amparo Belloch Source Type: research

Pathways to and factors associated with rape stigma experienced by rape survivors in South Africa: Analysis of baseline data from a rape cohort
We describe the prevalence of rape stigma, the characteristics of women experiencing it and the pathways to experiencing greater stigma. The Rape Impact Cohort Evaluation Study enrolled 852 women aged 16-40 years who had been raped from post-rape care centres in Durban, South Africa. We present a descriptive analysis of the baseline data, a multinomial logistic regression model of factors associated with different levels of stigma and a structural equation model (SEM). Most women reported stigmatising thoughts or experiences, with self-stigmatising thoughts being more prevalent than external stigmatisation. The multinomial...
Source: Clinical Psychology and Psychotherapy - June 25, 2021 Category: Psychiatry Authors: R Jewkes S Mhlongo E Chirwa S Seedat B Myers N Peer C Garcia-Moreno K Dunkle N Abrahams Source Type: research

Rumination, Worry and Negative and Positive Affect in Prolonged Grief: A Daily Diary Study
Clin Psychol Psychother. 2021 Jun 25. doi: 10.1002/cpp.2635. Online ahead of print.ABSTRACTA significant minority experiences severe, persistent, and disabling grief, termed prolonged grief or complicated grief, after bereavement. Prolonged grief treatments may be enhanced by improving understanding of malleable risk factors in post-loss psychological adaptation. Repetitive negative thought (e.g., rumination, worry) constitutes such a risk factor. Rumination and worry are both theorized to be maladaptive through interrelations with affect, yet this assumption has not been systematically investigated in the bereaved. We aim...
Source: Clinical Psychology and Psychotherapy - June 25, 2021 Category: Psychiatry Authors: Maarten C Eisma Minita Franzen Mabel Paauw Anke Bleeker Marije Aan Het Rot Source Type: research

The COVID-19 anxiety syndrome and selective attentional bias towards COVID-19-related stimuli in UK residents during the 2020-2021 pandemic
Clin Psychol Psychother. 2021 Jun 25. doi: 10.1002/cpp.2639. Online ahead of print.ABSTRACTThe psychological and social effects of the COVID-19 pandemic are pervasive and there is potential for a long-lasting impact on mental health. In the current study we sought to provide, in a representative sample of UK residents during the third COVID-19 lockdown in February 2021, further evidence for the validation of the COVID-19 anxiety syndrome construct. We did this by evaluating the COVID-19 anxiety syndrome against measures of personality, health anxiety and COVID-19 anxiety in predicting levels of generalised anxiety and depr...
Source: Clinical Psychology and Psychotherapy - June 25, 2021 Category: Psychiatry Authors: Ian P Albery Marcantonio M Spada Ana Nik čević Source Type: research