Evaluation and Management of Factitious Disorder Imposed on Another
AbstractMunchausen by proxy refers to an individual who abusively and compulsively falsifies physical, psychiatric or developmental disorders in a child or adult victim in order to satisfy a psychological need. Factitious disorder imposed on another refers to the psychopathology in the abuser. Psychologists in medical settings may: (1) identify patients they come to suspect as being victims or perpetrators of MBP, (2) conduct or assist in clinical or forensic evaluations; (3) offer recommendations for clinical case management, and/or (4) provide treatment or referrals. The purpose of this paper is to provide guidance to ps...
Source: Journal of Clinical Psychology in Medical Settings - October 14, 2019 Category: Psychiatry & Psychology Source Type: research

Medical Child Abuse Hidden in Pediatric Settings: Detection and Intervention
This article provides historical and clinical background on the condition along with tabular guides and recommendations to assist in detection and intervention. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - October 10, 2019 Category: Psychiatry & Psychology Source Type: research

Prevalence and Predictors of Depression Among Medical Residents in Western Saudi Arabia
This study aimed to estimate the prevalence of depression and assess its severity and predictors among physician residents in Jeddah, Western Saudi Arabia. A cross-sectional survey was conducted using the self-administered Patient Health Questionnaire (PHQ-9). This study included 149 medical residents. More than half (53%) were female and 43% were married. A diagnosis of depression (mild to severe) was identified in 75.8% of the participants (mild in 35.6%, moderate in 34.2%, and severe depression in 6.0%). Residents in surgery and emergency programs were at an increased risk for moderate-to-severe depression (OR 2.60, 95%...
Source: Journal of Clinical Psychology in Medical Settings - October 8, 2019 Category: Psychiatry & Psychology Source Type: research

Disordered Eating Behaviors Among Italian Adolescents with Type 1 Diabetes: Exploring Relationships with Parents ’ Eating Disorder Symptoms, Externalizing and Internalizing Behaviors, and Body Image Problems
AbstractThe purpose of this study is to examine associations of disordered eating behaviors (DEBs) with body image problems, parents ’ eating disorder symptoms, and emotional and behavioral problems among adolescents with type 1 diabetes (T1D). 200 adolescents (M age  = 15.24 ± 1.45 years) with T1D completed a self-report measure of DEBs and body ideal internalization, and their parents completed self-report measures of parents’ eating problems and child’s psychological symptoms. Seventy-three (36.5%) adolescents were DEPS-r—positive (scores ≥ &thins...
Source: Journal of Clinical Psychology in Medical Settings - October 5, 2019 Category: Psychiatry & Psychology Source Type: research

Factors Associated with Intention of Human Papillomavirus (HPV) Vaccine Initiation Among Females With and Without a History of Childhood Cancer
This study aimed to describe and compare vaccine intention among young females with and without a cancer history, in addition to identifying factors associated with a HPV vaccination intention. Vaccine-na ïve females (aged 18–26 years,n = 120) and maternal caregivers with vaccine-naïve daughters (aged 9–17 years,n = 197) completed surveys querying HPV vaccination intention, HPV knowledge, and communication, along with sociodemographic, medical, and health belief factors. Multivariable logistic regression was utilized to calculate odds ratio (OR) and 95% confidence...
Source: Journal of Clinical Psychology in Medical Settings - October 5, 2019 Category: Psychiatry & Psychology Source Type: research

Personality and Psychopathology in Adults with Noonan Syndrome
In conclusion , patients with NS showed higher levels of introversion, which may predispose them to internalizing problems. These problems were indeed more frequent in patients with NS, especially higher levels of demoralization. Patients may benefit from psychological interventions aimed to decrease internalizin g problems, introversion and alexithymia. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - September 27, 2019 Category: Psychiatry & Psychology Source Type: research

Collaboration Between GPs and Psychologists: Dissatisfaction from the Psychologists ’ Perspective—A Cross-Sectional Study
This study aimed to assess the quality of collaboration between GPs and psychologists from the psychologi sts’ perspective and to identify factors associated with satisfactory collaboration. A questionnaire was sent by post to all private psychologists in a region of France in February, 2017. We carried out descriptive and multivariate analysis of factors associated with satisfactory collaboration. Th e response rate was 38% (n = 434 out of 1128). Collaboration between GPs and psychologists was considered unsatisfactory by 64% (n = 278) of psychologists. The main barriers reported were lac...
Source: Journal of Clinical Psychology in Medical Settings - September 24, 2019 Category: Psychiatry & Psychology Source Type: research

Adherence and Glycemic Control in Adolescents with Type 1 Diabetes: The Moderating Role of Age, Gender, and Family Support
This study analyzed the interaction effect of adolescents ’ family support, age, and gender in the relationship between adherence and glycemic control in adolescents with Type 1 Diabetes. The sample included 100 adolescents with Type 1 Diabetes and one of their parents during a routine endocrinology appointment. Adolescents answered the Self-Care Invento ry—Revised, the Diabetes Family Behavior Scale and were also assessed on the glycosylated hemoglobin. The three-way interaction between adherence, family support, and adolescents’ age/gender was both negatively significant and explained 24.12% and 22.02% ...
Source: Journal of Clinical Psychology in Medical Settings - September 20, 2019 Category: Psychiatry & Psychology Source Type: research

Do Peer Recovery Specialists Improve Outcomes for Individuals with Substance Use Disorder in an Integrative Primary Care Setting? A Program Evaluation
AbstractPeer recovery specialists (PRSs) combine their personal experiences with substance use and recovery with clinical skills to support patients in treatment for or recovery from substance use. This paper provides evaluation findings from a SAMHSA-funded program that integrated a PRS team into a primary care clinic to assess the efficacy of PRS support on patients ’ substance use, healthcare involvement, and criminal justice involvement. PRSs provided a range of services to patients with histories of incarceration and substance use, including facilitating support groups, providing one-on-one individualized suppor...
Source: Journal of Clinical Psychology in Medical Settings - September 13, 2019 Category: Psychiatry & Psychology Source Type: research

Psychological Outcomes of a Cognitive Behavioral Therapy for Youth with Inflammatory Bowel Disease: Results of the HAPPY-IBD Randomized Controlled Trial at 6- and 12-Month Follow-Up
AbstractYouth with inflammatory bowel disease (IBD) often experience psychological difficulties, such as anxiety and depression. This randomized controlled study tested whether a 3-month disease-specific cognitive behavioral therapy (CBT) in addition to standard medical care versus standard medical care only was effective in improving these youth ’s psychological outcomes. As this study was aimed at prevention, we included 70 youth (10–25 years) with IBD and symptoms of subclinical anxiety and/or depression, and measured psychological outcomes at 6- and 12-month follow-up. In general, participants in both ...
Source: Journal of Clinical Psychology in Medical Settings - September 10, 2019 Category: Psychiatry & Psychology Source Type: research

Early Emotional, Behavioural and Social Development of Infants and Young Children with Congenital Heart Disease: A Systematic Review
AbstractThe experiences of diagnosis of congenital heart disease (CHD), cardiac surgery and hospitalisation(s) are distressing and represent a significant stressor for a child and family, which may impact psychosocial development. This systematic review provides a synthesis of psychosocial outcomes of infants and young children with congenital heart disease who had cardiac surgery early in life. Twenty-eight studies related to infant and young children ’s psychosocial development, specifically emotional, social and behavioural functioning were identified. Variability was related to methodological factors including di...
Source: Journal of Clinical Psychology in Medical Settings - September 10, 2019 Category: Psychiatry & Psychology Source Type: research

Measurement Structure of the Pittsburgh Sleep Quality Index and Its Association with Health Functioning in Patients with Coronary Heart Disease
AbstractResearch on the underlying structure of sleep measures in patients with coronary heart disease (CHD) is lacking. Existing research on sleep and health outcomes primarily focused on only one dimension of sleep (e.g., sleep duration), leaving other aspects unexamined. To address this gap, this study examined the measurement structure of Pittsburgh Sleep Quality Index (PSQI) and its associations with health-related quality of life among CHD patients. Participants were 167 CHD patients from a cardiac wellness program. Confirmatory factor analysis revealed that the two-factor structure with sleep efficiency and perceive...
Source: Journal of Clinical Psychology in Medical Settings - September 3, 2019 Category: Psychiatry & Psychology Source Type: research

Presurgical Psychological Evaluation: Risk Factor Identification and Mitigation
AbstractPresurgical psychological evaluations (PPEs) are becoming an established component of the surgical process, though methods of conducting PPEs are variable. There is a lack of clarity about the goals of PPEs, the types of information that should be included, and the process for integrating information and making recommendations to the referring physicians/surgeons. This review proposes an empirically supported model for PPEs that is systematic, but flexible enough to be utilized across the broad range of surgical evaluations. This five-step method is termed the Risk Identification and Mitigation (RIM) model and is d...
Source: Journal of Clinical Psychology in Medical Settings - August 31, 2019 Category: Psychiatry & Psychology Source Type: research

Infertility-Related Stress and Psychological Health Outcomes in Infertile Couples Undergoing Medical Treatments: Testing a Multi-dimensional Model
AbstractThe study aims to propose and test a multi-dimensional infertility-related stress model including socio-demographic and fertility-related characteristics, infertility-related stress dimensions, coping strategies and couple ’s dyadic adjustment dimensions as predictors of anxiety and depression among partners of couples undergoing infertility treatments. Both members of 250 infertile couples filled out a questionnaire consisting of Socio-demographics (Age; Educational level; Employment status), Fertility-related char acteristics (Type of diagnosis; Duration of infertility), Fertility Problem Inventory-Short Fo...
Source: Journal of Clinical Psychology in Medical Settings - August 30, 2019 Category: Psychiatry & Psychology Source Type: research

Comparing MMPI-2-Restructured Form Scores by Service Era for Veterans Assessed Within the Veteran Affairs Healthcare System
This study compares profiles of Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scale scores from 1492 VA test-takers who served during the Vietnam or Gulf War service eras. The sample includes all such cases collected at any VA posttraumatic stress disorder Clinical Teams across the United States between January 1, 2008 and May 31, 2015 using the MMPI-2 or MMPI-2-RF (via the VA Mental Health Assistant suite). Associations between gender and score differences were also examined. In contrast to past research using the MMPI-2, results of this study suggest that veterans are generally homogeneous i...
Source: Journal of Clinical Psychology in Medical Settings - August 30, 2019 Category: Psychiatry & Psychology Source Type: research

A Primary Care Prevention System for Behavioral Health: The Behavioral Health Annual Wellness Checkup
AbstractBehavioral health problems are involved in the majority of primary care visits. These behavior disorders (e.g., depression, anxiety, smoking, insomnia, etc.) are costly, burdensome to both the patient and the healthcare system, and result in greater medical utilization/cost and poorer future health outcomes. Integrated behavioral healthcare has been proposed as a model for more efficiently addressing the burden of behavioral health problems. While this model has demonstrated some promise in the treatment of behavioral health problems, as well as in the reduction in costs and improvement in healthcare outcomes, the ...
Source: Journal of Clinical Psychology in Medical Settings - August 29, 2019 Category: Psychiatry & Psychology Source Type: research

Brief Screening Measures Identify Risk for Psychological Difficulties Among Children with Sickle Cell Disease
AbstractChildren with sickle cell disease (SCD) experience disproportionately high rates of psychological problems. Our goal was to examine the clinical utility of psychological screening measures to identify children with such problems in medical settings. Caregivers completed screening measures assessing social –emotional problems, ADHD symptoms, executive dysfunction, and health-related quality of life for children with SCD (receiving either chronic blood transfusion or hydroxyurea) and their siblings. Our findings demonstrated that screening measures identified clinically elevated symptoms in children with SCD th...
Source: Journal of Clinical Psychology in Medical Settings - August 28, 2019 Category: Psychiatry & Psychology Source Type: research

Psychological Distress in Hospitalized Patients Awaiting Organ Transplantation: Case Examples, Thematic Exploration, and Suggestions for Intervention
AbstractOrgan transplantation is a life-saving mechanism with a large public health burden given the necessity of individuals to donate their organs in the event of their own death. Understanding the psychological and medical sequelae of individuals receiving an organ transplant is invaluable in a successful transplant. The waiting period for transplantation is the most psychologically difficult period, and is an important window during which to intervene psychologically and medically. Patients who are hospitalized during this waiting period make up the most vulnerable population given the psychological difficulties of not...
Source: Journal of Clinical Psychology in Medical Settings - August 27, 2019 Category: Psychiatry & Psychology Source Type: research

Values-Based Behavioral Activation for Chronic Pain in Primary Care: A Pilot Study
AbstractChronic pain is prevalent and can be complex to manage in primary care. Encouraging patients with chronic pain to engage in valued activities has been associated with reduced disability and distress. This single-arm, mixed methods pilot study examined whether adding a values-based behavioral activation intervention to a chronic pain protocol is feasible and acceptable in an urban, underserved family medicine residency clinic. Patients (N  =  30) living with chronic pain completed a values assessment and co-created a plan with a psychologist to engage in values-based activities. Patients completed self...
Source: Journal of Clinical Psychology in Medical Settings - August 27, 2019 Category: Psychiatry & Psychology Source Type: research

Comparison of Three Health-Related Quality of Life Instruments to Evaluate Symptoms of Depression in HIV Patients in Brazil
AbstractThe evaluation of quality of life could be a useful indicator of depression in HIV patients. We compared the performance of three health-related quality of life (HRQoL) instruments for detecting depression. This nested case –control study included 200 HIV patients attended at an AIDS referral center. Depression was measured by Beck Depression Inventory (BDI). We accessed HRQoL by SF-36v2, HAT-QoL, and WHOQOL-HIV Bref. The depression diagnostic accuracy was evaluated by receiver operating characteristic (ROC) curve an alysis. SF-36v2 presented negative correlation with BDI score (− 0.72 to −...
Source: Journal of Clinical Psychology in Medical Settings - August 27, 2019 Category: Psychiatry & Psychology Source Type: research

Systematic Review: Pain and Emotional Functioning in Pediatric Sickle Cell Disease
The objective of this systematic review was to assess the relationship between pain (frequency/intensity/duration, impairment, coping) and emotional functioning in pediatric Sickle Cell Disease, and evaluate the state of the literature. Studies were included if they met each of the following criteria: (a) primarily pediatric sample of youth or young adults up to age 21  years with SCD, (b) examined emotional functioning including anxiety and/or depressive and/or internalizing symptoms, and/or affect, (c) examined pain intensity/frequency/duration and/or pain-related impairment and/or pain coping as it relates to emoti...
Source: Journal of Clinical Psychology in Medical Settings - August 14, 2019 Category: Psychiatry & Psychology Source Type: research

Training Psychologists in Integrated Primary Care and Child Maltreatment: Trainee and Supervisor Perspectives on Lessons Learned
AbstractPsychologists are key team members in the delivery of integrated behavioral healthcare. Healthcare reform has supported a shift toward a team-based, interdisciplinary model of service delivery, with increasing emphasis on primary care services, prevention, and health promotion. In conjunction with this shift has been a greater focus on psychosocial problems and social determinants of health, particularly childhood adversity. Psychologists in primary care are uniquely positioned to advance efforts to prevent and ameliorate childhood adversity, which are essential to improving care for underserved populations and red...
Source: Journal of Clinical Psychology in Medical Settings - August 6, 2019 Category: Psychiatry & Psychology Source Type: research

Impact of Disruptive Behavior in Childhood Feeding Difficulties
AbstractPediatric feeding problems occur in 25 –40% of all children and disproportionately affect children with health and/or developmental concerns. Children with autism spectrum disorder (ASD) are at particularly high risk for feeding difficulties, though the connection between ASD and feeding problems is not well understood. As issues relat ed to problematic feeding behavior frequently present to outpatient pediatric clinics, there is a need to understand the common factors that contribute to the development of both adaptive and maladaptive feeding behaviors. The current study examined predictors of problematic fe...
Source: Journal of Clinical Psychology in Medical Settings - August 1, 2019 Category: Psychiatry & Psychology Source Type: research

Impact and Cost-Effectiveness of Integrated Psychology Services in a Pediatric Endocrinology Clinic
AbstractIncluding psychology services in pediatric endocrinology clinics may improve patients ’ adherence to diabetes management behaviors, and, subsequently, glycemic control; however, an evaluation of the impact and cost-effectiveness of this integration is needed. The change in HbA1c and cost-effectiveness of integrated psychology services, from the hospital and insurance provider pers pectives, were evaluated using a linear effects model and Incremental Cost-Effectiveness Ratios (ICERs). Data from 378 patients with T1D (50% female; 65% Caucasian;M age  = 12.0 years) were obtained via medic...
Source: Journal of Clinical Psychology in Medical Settings - July 19, 2019 Category: Psychiatry & Psychology Source Type: research

Contribution of Sociodemographic, Clinical, and Psychological Variables to Quality of Life in Women with Cervical Cancer in the Follow-Up Phase
This study evaluates the contribution of sociodemographic, clinical, and psychological variables to quality of life (QoL) of women with cervical cancer in the follow-up phase. This cross-sectional study, conducted at the Portuguese Oncology Institute of Lisbon, included 200 women with cervical cancer during follow-up. Patients were assessed on QoL (EORTC QLQ-C30), body image and specific symptoms (EORTC QLQ-CX24), psychological morbidity (HADS), social support (SSSS), emotional expression (CECS), and spirituality (SpREUK). Education and social support contributed positively to QoL, whereas body image and symptoms contribut...
Source: Journal of Clinical Psychology in Medical Settings - July 10, 2019 Category: Psychiatry & Psychology Source Type: research

Validation of the Arabic Version of the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS: NICU)
This study aimed at translating the scale to Arabic (A-PSS: NICU) and validating it using a cohort of parents of infants admitted to the NICU. Between August 2015 and May 2017, the reliability and construct validity of the A-PSS: NICU were tested on 207 mothers and fathers in two tertiary care hospitals within Greater Beirut. Participants answered the A-PSS: NICU questionnaire, and were interviewed by a clinical psychologist who used the Hamilton Anxiety Rating Scale (HAM-A). An exploratory factor analysis revealed that the A-PSS: NICU is composed of four factors. The A-PSS: NICU overall reliability was excellent (Cronbach...
Source: Journal of Clinical Psychology in Medical Settings - July 2, 2019 Category: Psychiatry & Psychology Source Type: research

Anger, Emotional Fragility, Self-esteem, and Psychiatric Comorbidity in Patients with Hidradenitis Suppurativa/Acne Inversa
AbstractHidradenitis suppurativa/acne inversa (HS) is one of the most debilitating inflammatory chronic skin diseases and it heavily impairs the emotional and relational life of the patients. Despite its clinical and epidemiological relevance, its psychological correlates are still largely unexplored. The aim of the present study was to investigate the psychological and emotional impact of HS, with a specific focus on psychiatric symptoms, particularly depression, suicidal ideation, self-esteem, anger, and some personality traits. Thirty eight patients diagnosed with HS (HS Group) were compared with a control group of 28 o...
Source: Journal of Clinical Psychology in Medical Settings - June 20, 2019 Category: Psychiatry & Psychology Source Type: research

A Retrospective Examination of Symptom Improvements in Primary Care Patients Receiving Behavior Therapy With and Without Concurrent Pharmacotherapy
AbstractPrimary care providers are the biggest prescribers of psychopharmacological medications. In this non-randomized retrospective examination, we asked whether primary care patients receiving behavioral health interventions with and without concurrent pharmacological treatments showed differential symptom improvement. Participants (79.4% women, 61.5% Hispanic,M age  = 41.68,SD = 13.50) were 431 primary care patients referred to behavioral health with a primary concern of depression at one of three federally qualified health centers. Thirty-three percent of patients initiated or had an increa...
Source: Journal of Clinical Psychology in Medical Settings - June 19, 2019 Category: Psychiatry & Psychology Source Type: research

Social Problem Solving and Posttraumatic Growth New Possibilities in Postoperative Breast Cancer Survivors
AbstractThe purpose of this study was to examine whether social problem solving (SPS) would relate to posttraumatic growth (PTG), particularly new life possibilities in breast cancer survivors. Participants included 85 women who had undergone surgical intervention for breast cancer at least 6  months prior to study participation. Participant ages ranged from 29 to 88 years. The majority of the sample was White (86%), married (58%), and had received at least some postsecondary education (73%), and all participants spoke English. This IRB-approved cross-sectional study was part of a larg er study examining psychoso...
Source: Journal of Clinical Psychology in Medical Settings - June 18, 2019 Category: Psychiatry & Psychology Source Type: research

Multicultural Awareness and a Comprehensive Team Approach to Liver Transplantation: A Case Report
AbstractPatients being considered for a liver transplant undergo a rigorous evaluation process to identify the medical and psychosocial factors that may impact transplant success.  The American Association for the Study of Liver Disease outlines recommendations for medical factors, but guidelines for psychosocial factors, such as multiculturalism, are less clear. The aim of this unique case study was to highlight the importance of multicultural awareness in the context of l iver transplantation. More specifically, the report follows an American Indian man from initial diagnosis through psychological assessme...
Source: Journal of Clinical Psychology in Medical Settings - June 14, 2019 Category: Psychiatry & Psychology Source Type: research

The Moderating Role of Maternal Supervision in the Relation of Social –Ecological Risk Factors to Children’s Minor Injuries
This study examined whether maternal supervision moderated the relation of child, maternal, and family risk factors to children’s minor injuries. Mo thers (N  =  170) of toddlers were interviewed biweekly about their children’s injuries and their supervision over a 6-month period, and mothers completed measures about child and family variables. Supervision moderated the effect of mothers’ marital/partner relationship satisfaction on children’s injur y frequency; closer supervision was protective for mothers with lower relationship satisfaction. Findings suggest that helping mother...
Source: Journal of Clinical Psychology in Medical Settings - June 14, 2019 Category: Psychiatry & Psychology Source Type: research

The Impact of Integrating Physical Health into a Brief CBT Approach for Medically Ill Veterans
AbstractThe current study explored the use and preliminary outcomes of physical health treatment elements integrated into a traditional brief cognitive behavioral therapy (bCBT) approach for medically ill veterans with depression and/or anxiety. Data were collected as part of a pragmatic randomized trial examining patient outcomes of bCBT versus an enhanced usual care condition. bCBT was delivered to participants by Veterans Health Administration (VA) mental health providers in the primary care setting. Using a skill-based approach, providers and participants selected modules from a list of intervention strategies. Modules...
Source: Journal of Clinical Psychology in Medical Settings - June 14, 2019 Category: Psychiatry & Psychology Source Type: research

Adverse Childhood Experiences and Chronic Medical Conditions: Emotion Dysregulation as a Mediator of Adjustment
This study highlights the importance of emotion dysregulation in understanding outcomes for individuals with a CMC and/o r ACEs. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - June 12, 2019 Category: Psychiatry & Psychology Source Type: research

Initial Validation of IBD KNOW-IT: Measuring Patient and Caregiver Knowledge of a Child ’s Disease and Treatment Regimen
AbstractThe present study describes the development and initial validation of a newly developed measure of child and caregiver knowledge of the child ’s own IBD and treatment, called IBD KNOW-IT. One hundred and fifty-five children and their caregivers completed the IBD KNOW-IT as well as a scale designed to compare each dyad’s perceived knowledge to their actual knowledge. Initial psychometric evaluation of IBD KNOW-IT was completed by condu cting factor analysis and determining internal consistency, convergent validity, and associations with demographic and medical characteristics. Results supported the valid...
Source: Journal of Clinical Psychology in Medical Settings - May 29, 2019 Category: Psychiatry & Psychology Source Type: research

Are Morbid Obesity and Insomnia Related? Investigating Associated Factors in a Clinical Setting
AbstractDisturbed sleep and (morbid) obesity are increasing health problems in industrial societies and play an important role in chronic illnesses. Conclusive evidence about their relationship is lacking. The aim of this study was to investigate the relationship between insomnia and obesity and if common associated factors such as psychological distress, self-control, attachment insecurity, and socioeconomic status are present to the same extent in both patient groups. The sample consisted of 177 patients referred to the Medical Psychology department of a general hospital (92 with morbid obesity and 85 with insomnia). Mea...
Source: Journal of Clinical Psychology in Medical Settings - May 29, 2019 Category: Psychiatry & Psychology Source Type: research

Associations Between Depression Symptoms, Psychological Intervention and Perinatal Complications
This study included 2042 women. They were screened on the Edinburgh Postnatal Depression Scale (EPDS), three times during pregnancy and once after childbirth. If their EPDS score was above the cut-off score, psychological intervention was offered. Significant relationships were found between depression scores and perinatal complications, such as protracted cervical dilation, protracted descent, preeclampsia, intrauterine growth restriction, low birthweight and cesarean section. Depression scores were higher in the intervention group, compared to the non-intervention group, but decreased after the consultations. The cesarea...
Source: Journal of Clinical Psychology in Medical Settings - May 29, 2019 Category: Psychiatry & Psychology Source Type: research

Positive Psychological Predictors of Psychological Health in Individuals with Parkinson ’s Disease
AbstractParkinson ’s Disease is associated with depression, anxiety, and stress; however, minimal research has examined positive psychological variables in this population. The present study investigated the relationship between positive psychological variables and psychological health in individuals with Parkinson ’s Disease. The sample included 140 adults with Parkinson’s Disease who completed online surveys on self-compassion, optimism, posttraumatic growth, and psychological health outcomes. Participants reported moderate levels of self-compassion, optimism, and posttraumatic growth. Approximately 50%...
Source: Journal of Clinical Psychology in Medical Settings - May 24, 2019 Category: Psychiatry & Psychology Source Type: research

Comparing Parent and Child Self-report Measures of the State-Trait Anxiety Inventory in Children and Adolescents with a Chronic Health Condition
AbstractAnxiety symptoms in children and adolescents with a chronic health condition have been estimated as high as 40% lifetime prevalence. Clinicians often rely on parent/caregiver information to supplement or substitute child self-report related to pediatric physical and mental health. We developed a caregiver proxy version (STAI-P) for the State-Trait Anxiety Inventory (STAI) State Anxiety Scale that was compared with a child self-report version in 201 parent –child dyads to evaluate its utility in measuring state anxiety in chronically ill youth. For patients aged 7–12, self-reports of state anxiety were m...
Source: Journal of Clinical Psychology in Medical Settings - May 24, 2019 Category: Psychiatry & Psychology Source Type: research

Validation of an Expanded Measure of Integrated Care Provider Fidelity: PPAQ-2
This study aimed to validate the factor structure of the expanded Primary Care Behavioral Health Provider Adherence Questionnaire (PPAQ-2), which is designed to assess provider fidelity to both the Primary Care Behavioral Health (PCBH) and collaborative care management (CCM) models of integrated primary care. Two-hundred fifty-three integrated care providers completed self-reports of professional background, perceptions of clinic integration and related practice barriers, and the PPAQ-2. Confirmatory factor analyses were conducted to assess the theorized factor structure and criterion validity was assessed through correlat...
Source: Journal of Clinical Psychology in Medical Settings - May 18, 2019 Category: Psychiatry & Psychology Source Type: research

Psychological Treatment of Factitious Disorder Imposed on Another/Munchausen by Proxy Abuse
AbstractThe purpose of this article is to propose management and treatment protocols for family members impacted by MBP abuse. A brief review of psychopathology, co-morbidities, MBP risk level, treatment outcomes, and rationale for treatment is presented, followed by detailed guidance regarding psychological treatment and management. We  propose five components of psychotherapy for abusers, best remembered by using the acronym of ACCEPTS: ACknowledgement, Coping, Empathy, Parenting, Taking charge, and Support. Guidance for the treatment of spouses/partners of the abuser, other involved family members/friends, and...
Source: Journal of Clinical Psychology in Medical Settings - May 14, 2019 Category: Psychiatry & Psychology Source Type: research

Construct Validity of the PHQ-9 Depression Screen: Correlations with Substantive Scales of the MMPI-2-RF
AbstractThe PHQ-9 is a brief, 9-item, self-administered screening tool widely used in primary care medical settings to assess the potential presence of Major Depressive Disorder (MDD). Most published research on the PHQ-9 has focused on sensitivity and specificity with regard to the DSM-IV (American Psychiatric Association, in Diagnostic and statistical manual of mental disorders, 4th edn, American Psychiatric Publishing, Arlington, VA, 2000) categorical diagnosis of MDD, and, indeed, the PHQ-9 exhibits very good psychometric properties in this regard. The current research is an effort to more precisely assess what is bein...
Source: Journal of Clinical Psychology in Medical Settings - May 14, 2019 Category: Psychiatry & Psychology Source Type: research

The Next Step in Integrated Care: Universal Primary Mental Health Providers
AbstractCurrent models of mental health care often do not address three barriers to mental health: the binary view of mental illness (healthy vs. mentally ill), stigma, and prevention. Care models where some patients are selected for referral or consultation with a mental health professional can reinforce this binary view and the stigma associated with seeing mental health services. By only selecting patients who currently are experiencing mental health problems, current integrated care models do not offer sufficient avenues for prevention. To address these barriers, this article proposes building on current models through...
Source: Journal of Clinical Psychology in Medical Settings - May 13, 2019 Category: Psychiatry & Psychology Source Type: research

Religiousness and Symptoms of Depression in Native and Immigrant Chronic Dialysis Patients in the Netherlands
This study aims to describe both cross-sectional and longitudinal associations between religious behavior and coping with symptoms of depression for 281 native and 277 immigrant dialysis patients in the Netherlands. A higher prevalence of depressive symptoms was found in immigrant compared to native patients (49% vs. 36%). No significant cross-sectional or longitudinal associations were found in both groups between religious behavior and positive religious coping with depressive symptoms. Strong significant cross-sectional associations were found between negative religious coping items and depressive symptoms in both group...
Source: Journal of Clinical Psychology in Medical Settings - May 13, 2019 Category: Psychiatry & Psychology Source Type: research

Examining Psychosocial Mechanisms of Pain-Related Disability in Inflammatory Bowel Disease
This study examined the role of psychosocial factors in the process of IBD disablement within the context of pain. Depressive symptoms, pain catastrophizing, and perceived social support were proposed as mediators in the relationship between pain and pain-related disability in cross-sectional and longitudinal models. Cross-sectionally, the mediation effects of depressive symptoms and pain catastrophizing, but not perceived social support, were significant. Longitudinally, depression was a significant mediator. Depressive symptoms and pain catastrophizing have mechanistic roles in the relationship between IBD patients &rsqu...
Source: Journal of Clinical Psychology in Medical Settings - May 11, 2019 Category: Psychiatry & Psychology Source Type: research

Systematic Review of Father Involvement and Child Outcomes in Pediatric Chronic Illness Populations
AbstractThe overall objective of this paper was to systematically review and synthesize the emerging literature investigating the role of father involvement in pediatric outcomes among chronic illness populations. This review sought to answer the following questions: (1) what measures are used to assess father involvement in pediatric chronic illness populations, and who is the respondent, and (2) how is father involvement associated with child psychosocial and health related outcomes in pediatric chronic illness populations? Databases were searched using a key word search strategy. Articles were screened according to excl...
Source: Journal of Clinical Psychology in Medical Settings - May 10, 2019 Category: Psychiatry & Psychology Source Type: research

Psychometric Characteristics of the Revised Illness Perception Questionnaire (IPQ-R) in People Undergoing Weight Loss Surgery
This study examines the factorial validity and internal reliability of a modified (IPQ-R) in bariatric surgery candidates. After wording modifications, participants (N = 310) completed the IPQ-R as part of standard pre-surgery assessments. After removal of two items, confirmatory factor analysis (CFA) supported the original 7-factor solution of the Beliefs scale, with good to marginal subscale internal consistency. Exploratory factor analysis (EFA), with two items removed only partially supported the original 5-factor Causal Attributions scale. Internal consistency was unacceptably low for two subscales. Further research i...
Source: Journal of Clinical Psychology in Medical Settings - May 8, 2019 Category: Psychiatry & Psychology Source Type: research

Feasibility and Acceptability of a Mindfulness-Based Group Intervention for Adolescents with Inflammatory Bowel Disease
AbstractThe aim of the study is to explore the feasibility and initial outcomes of a mindfulness-based group intervention (MBI) for adolescents with inflammatory bowel disease (IBD). A mixed-methods uncontrolled study using an adapted 8-week group MBI for adolescents with IBD was conducted at a pediatric tertiary hospital. Primary outcomes focused on feasibility. Secondary outcomes focused on preliminary efficacy via quality of life, mindfulness, and symptoms of anxiety and depression. Of a total of 44 adolescents invited to participate, 16 adolescents completed the study. Group attendance and home meditation practice was ...
Source: Journal of Clinical Psychology in Medical Settings - May 7, 2019 Category: Psychiatry & Psychology Source Type: research

Self-help Cognitive Behavioral Therapy Improves Health-Related Quality of Life for Inflammatory Bowel Disease Patients: A Randomized Controlled Effectiveness Trial
This study examined the effectiveness of a self-help CBT workbook for patients with IBD. A randomized controlled trial compared the CBT workbook to an active psychoeducational control workbook. A total of 140 participants enrolled. In both groups, scores improved on a range of measures, including catastrophizing, visceral sensitivity, and HRQL, although pre-post effect sizes were generally larger in the CBT group. Only participants in the CBT group experienced significant improvements in anxiety and depression. Improvements were generally maintained or consolidated at 3-month follow-up. Self-help CBT can be an effective an...
Source: Journal of Clinical Psychology in Medical Settings - April 25, 2019 Category: Psychiatry & Psychology Source Type: research

Tailoring Cognitive Behavioral Therapy for Depression and Anxiety Symptoms in Mexican Terminal Cancer Patients: A Multiple Baseline Study
This study provides initial evidence to support a positive effect from CBT on patients with terminal cancer and with mood disorders when facing their impending death. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - April 20, 2019 Category: Psychiatry & Psychology Source Type: research

Early Cognitive and Adaptive Functioning of Clinically Referred Infants and Toddlers with Cancer
AbstractMany children with cancer are diagnosed during infancy and toddlerhood (
Source: Journal of Clinical Psychology in Medical Settings - April 16, 2019 Category: Psychiatry & Psychology Source Type: research