Introduction to the Special Issue: Advances in Psychogastroenterology
(Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - July 25, 2020 Category: Psychiatry & Psychology Source Type: research

Psychologist and Physician Inter-Professional Collaborative Experiences in Primary Care Integration
This study included 30 psychologists and 30 primary care physicians from three levels of healthcare integration (traditional/coordinated, co-located, and integrated). As hypothesized, results indicated that providers in integrated settings were the mos t satisfied with their collaboration with other providers. Furthermore, the providers’ narratives revealed promising insights which contribute to a broader understanding of how to improve the relationships between psychologists and primary care physicians in integrated healthcare and other setting s. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - July 20, 2020 Category: Psychiatry & Psychology Source Type: research

Posttraumatic Stress Disorder in Primary Care: A Study of General Practices in England
AbstractPosttraumatic Stress Disorder (PTSD) may be a common issue in primary care in the UK, but there have been no studies of all-cause PTSD in general samples of attenders in this country. The current paper thus explores the extent and distribution of probable PTSD among patients attending general practices in England. Cross-sectional survey data from adult patients (n = 1058) attending 11 general practices in southwest England were analysed. Patients were recruited from waiting rooms and completed anonymous questionnaires, including measures of depression, anxiety and risky alcohol use. Current probable P...
Source: Journal of Clinical Psychology in Medical Settings - June 26, 2020 Category: Psychiatry & Psychology Source Type: research

The Relationship Between Psychological Resilience and Pain Threshold and Tolerance: Optimism and Grit as Moderators
This study examined factors that may enhance the relationship between resilience and time to pain threshold and tolerance during experimentally induced pain among 62 healthy adults recruited from a student population. Specifically, dispositional optimism and psychological grit were examined as moderators of the relationship between resilience and pain outcomes. Zero-order correlations revealed that resilience was positively related to grit and optimism, though grit and optimism were not significantly related to each other. Resilience, grit and optimism were all positively related to time to pain threshold and tolerance, bu...
Source: Journal of Clinical Psychology in Medical Settings - June 20, 2020 Category: Psychiatry & Psychology Source Type: research

Psychologists ’ Contributions to Medical Education and Interprofessional Education in Medical Schools
This article reviews psychologists ’ historic roles in medical education and provides a snapshot of their educational, faculty development, and IPE activities based on the 2017 survey of members of the Association of Psychologists in Academic Health Centers and their colleagues. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - June 20, 2020 Category: Psychiatry & Psychology Source Type: research

Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients
Discussion: Implications of findings are discussed in terms of future psychological and medical assessments and interventions for chronic pain patients seeking prescription opioids. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - June 9, 2020 Category: Psychiatry & Psychology Source Type: research

Correlates of Post-traumatic Growth Following a Myocardial Infarction: A Systematic Review
AbstractCorrelates of post-traumatic growth (PTG) have been examined in the area of health psychology previously, with much focus on aspects of personality, coping, and social support. This systematic review aimed to examine correlates of PTG for those who have experienced a myocardial infarction (MI). Studies which met inclusion criteria were assessed for quality and reviewed. Results showed an inconsistent strength of associations between studies and so conclusions cannot be drawn. Possible reasons for these differences are discussed and recommendations for future research are suggested. (Source: Journal of Clinical Psyc...
Source: Journal of Clinical Psychology in Medical Settings - June 3, 2020 Category: Psychiatry & Psychology Source Type: research

Conducting a Pilot Randomized Controlled Trial on a Medical Inpatient Unit Utilizing Cognitive Remediation Therapy for Adolescents with Restrictive Eating Disorders: Protocol Updates and Reflections on Feasibility
AbstractWe conducted a pilot randomized control trial (RCT) to simultaneously examine the feasibility of effectively implementing Cognitive Remediation Therapy (CRT) for adolescents with anorexia nervosa (AN) during medical hospitalization at a single-site hospital center. Employment of this protocol occurred on a general medical unit with diverse medical admitting diagnoses, not an eating disorder floor of a hospital and not part of a structured inpatient anorexia nervosa treatment program. This was the first time an RCT for a psychosocial intervention was implemented on this unit with patients with eating disorders. Here...
Source: Journal of Clinical Psychology in Medical Settings - May 12, 2020 Category: Psychiatry & Psychology Source Type: research

Evaluating Health-Related Quality of Life and School Attendance in a Multidisciplinary School Program for Youth with Significant Medical Needs
AbstractMany youth with significant medical needs have difficulty attending traditional schools due to academic, physical, and psychosocial challenges. To meet the needs of these youth and prepare them for a successful transition to a traditional school, a multidisciplinary school program (MSP) provides support in these three domains. The aims of this program evaluation are to describe the operation of the novel MSP, characterize participants, and determine the impact of participation as related to school attendance and health-related quality of life (HRQoL). Attendance in the MSP was significantly higher than school atten...
Source: Journal of Clinical Psychology in Medical Settings - May 12, 2020 Category: Psychiatry & Psychology Source Type: research

Implementing and Evaluating SBIRT for Alcohol Use at a Level 1 Trauma Center: A Behavioral Medicine Approach
AbstractTo facilitate the early identification and treatment of alcohol misuse among trauma patients, the American College of Surgeons (ACS) requires ACS-accredited level 1 trauma centers to have an active alcohol screening and brief intervention program. The development, implementation, and evaluation of a screening, brief intervention, and referral to treatment as a new institutional standard of care for alcohol misuse at a level 1 trauma center is described. The Division of Behavioral Medicine, a health psychology-based service, was nominated to manage this initiative as a result of clinical training and expertise in as...
Source: Journal of Clinical Psychology in Medical Settings - May 12, 2020 Category: Psychiatry & Psychology Source Type: research

Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise
AbstractThe hospital anxiety depression scale (HADS) is a benchmark used to investigate possible and probable cases of psychosomatic illness. Its affiliation with autonomic recovery after exercise is unclear and, as a technique applied to evaluate cardiovascular risk. We assessed a possible link between HADS and autonomic recovery after exercise. We studied healthy subjects split into two groups: Low HADS (n  =  20) and High HADS (n  =  21). Subjects consented to moderate aerobic exercise on a treadmill at 60% to 65% of the maximum heart rate (HR) for 30 min. We studied HR variability (HRV)...
Source: Journal of Clinical Psychology in Medical Settings - May 12, 2020 Category: Psychiatry & Psychology Source Type: research

Associations Between Depressive Symptoms, Fear of Hypoglycemia, Adherence to Management Behaviors and Metabolic Control in Children and Adolescents with Type 1 Diabetes
We examined the relationship between two malleable risk factors, depressive symptoms and fear of hypoglycemia, in children and adolescents with Type 1 diabetes and their relationship to two important outcomes, adherence behaviors and metabolic control. To assess this relationship, we used a multidimensional measure of adherence, assessing frequency of both blood glucose monitoring and healthy behaviors including diet and exercise. We predicted that higher levels of depressive symptoms and higher levels of fear of hypoglycemia would be associated with worse metabolic control as mediated by poor adherence. Eighty-three child...
Source: Journal of Clinical Psychology in Medical Settings - May 12, 2020 Category: Psychiatry & Psychology Source Type: research

Perceived Injustice Mediates the Relationship Between Perceived Childhood Neglect and Current Function in Patients with Chronic Pain: A Preliminary Pilot Study
AbstractCumulative evidence supports the association between perceived childhood neglect and adulthood psychological and physical health. To date, pathways mediating this association remain largely unknown, though other evidence suggests that negative patterns of appraisal, including injustice perception related to pain, may be shaped by prior adverse social experiences. Consequently, the current study examined perceived injustice about chronic pain as a possible factor connecting childhood neglect and pain-related outcomes, given its relevance for both adaptation to chronic pain and to prior adverse life experiences. Pati...
Source: Journal of Clinical Psychology in Medical Settings - May 7, 2020 Category: Psychiatry & Psychology Source Type: research

Olfactory Reference Syndrome: A Case Report and Screening Tool
We present a case report of a 42-year-old woman with ORS, and how the correct diagnosis of ORS provided with psychiatric treatment led to significant improvement in her daily functioning. We provide a literature review on the disorder as well as a short screener to assess ORS. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - April 29, 2020 Category: Psychiatry & Psychology Source Type: research

Motive Satisfaction in Chronic Pain Patients: Does It Improve in Multidisciplinary Inpatient Treatment and, if so, Does It Matter?
AbstractAccording to consistency theory, insufficient motive satisfaction (motivational incongruence) is associated with psychological distress and mental disorders. High levels of distress and comorbid psychological disorders are common in patients with chronic pain. The aim of the present study was to investigate the role of motivational incongruence in chronic pain patients and the association of incongruence change with symptom improvement. Inpatients with chronic pain in multimodal interdisciplinary treatment (n = 177) completed questionnaires measuring motivational incongruence, psychological distress, ...
Source: Journal of Clinical Psychology in Medical Settings - April 27, 2020 Category: Psychiatry & Psychology Source Type: research

Posttraumatic Growth After Childbirth in Women: A Systematic Review
AbstractThis systematic review aimed to synthesize and critically appraise research evidence on posttraumatic growth (PTG) and related factors within the perinatal context. PRISMA guidelines were followed. Five databases were searched from inception to February 2019 using relevant search terms. Of 121 abstracts identified, 13 studies were deemed eligible for inclusion. Data were extracted from each study regarding study sample characteristics, design, PTG measure, and main findings. Factors associated with PTG were divided into individual, event-related and contextual factors, as conceptualized by the functional-descriptiv...
Source: Journal of Clinical Psychology in Medical Settings - April 26, 2020 Category: Psychiatry & Psychology Source Type: research

Psychopathology and Adolescent Bariatric Surgery: A Topical Review to Support Psychologists in Assessment and Treatment Considerations
AbstractThe rising rates of severe obesity among adolescents in the United States indicate a dire need for more intensive weight management strategies. While current evidence suggests that bariatric surgery is a safe and efficacious intervention for adolescents, the linkages with psychopathology before and after surgery are not well understood. Psychologists are an integral part of the interdisciplinary surgery team and play an important role in preparing youth for bariatric surgery as well as supporting adolescents post-surgery. The present manuscript reviews the literature on psychopathology in the context of adolescent ...
Source: Journal of Clinical Psychology in Medical Settings - April 24, 2020 Category: Psychiatry & Psychology Source Type: research

Implementation of the Psychosocial Standards for Caregiver Mental Health Within a Pediatric Hematology/Oncology Program
The objectives of this paper are to describe one program's approach to meeting this standard in oncologic, hematologic, and immunologic populations and outline key ethical, regulatory, and logistical considerations in providing mental health services to caregivers in a pediatric medical setting. A description of the Caregiver Mental Health Program (CMHP) is provided along with a case example to illustrate key considerations, including multiple family members needing care, access to psychiatric services, scope of treatment, confidentiality and privacy, and logistics. Challenges in the development of the CMHP as well as the ...
Source: Journal of Clinical Psychology in Medical Settings - April 23, 2020 Category: Psychiatry & Psychology Source Type: research

Predicting Intense Levels of Child Anxiety During Anesthesia Induction at Hospital Arrival
AbstractIn children, intense levels of anxiety during anesthetic induction are associated with a higher risk of pain, poor recovery, and emergence delirium. Therefore, it is important to identify these high-risk children at hospital arrival. The current study examined internalizing behavior (Child Behavior Checklist, CBCL) and state anxiety measures (modified Yale Preoperative Anxiety Scale, mYPAS, and State Trait Anxiety Inventory for Children, STAIC) at hospital arrival as predictors of anxiety during induction of anesthesia. One hundred children (aged 4 to 12  years) undergoing elective daycare surgery were include...
Source: Journal of Clinical Psychology in Medical Settings - April 18, 2020 Category: Psychiatry & Psychology Source Type: research

Apathy is Associated with Critical Psychological Determinants of Medication Adherence in HIV Disease
We examined the associations between apathy and critical psychological determinants of ART adherence, as per the information-motivation-behavioral model, in 85 persons living with HIV. Apathy was measured using a composite of the apathy subscale of the Frontal Systems Behavioral Scale and the vigor-activation scale of the Profile of Mood States. Independent of major depressive disorder, apathy was related at small-to-medium effect sizes with motivation to adhere and self-efficacy for health-related  decision-making and medication management, but not with HIV knowledge or medication management skills. These findings su...
Source: Journal of Clinical Psychology in Medical Settings - April 6, 2020 Category: Psychiatry & Psychology Source Type: research

Disordered Eating, Body Dissatisfaction, and Psychological Distress in Patients with Inflammatory Bowel Disease (IBD)
AbstractLittle is known about eating attitudes and  behaviors in patients with inflammatory bowel disease (IBD). The aim of this study was to explore the extent of disordered eating behaviors in a sample of patients with IBD and the association between demographic and disease-related variables and disordered eating. One hundred nine adults compl eted questionnaires during an outpatient visit to an academic IBD center. Questionnaires included demographic and disease characteristics, the eating attitudes test (EAT-26), the Body Image Scale, and the Brief Symptom Inventory. On the EAT-26, 13% of patie...
Source: Journal of Clinical Psychology in Medical Settings - March 14, 2020 Category: Psychiatry & Psychology Source Type: research

Death Attitudes, Palliative Care Self-efficacy, and Attitudes Toward Care of the Dying Among Hospice Nurses
AbstractPrevious research has linked death attitudes, palliative care self-efficacy, and attitudes toward care of the dying among nursing students and other nursing samples, but not among hospice nurses. The purpose of this study was to investigate these relationships among hospice nurses (N = 90). More positive attitudes toward care of the dying were associated with lower fear of death and death avoidance as well as higher neutral acceptance and escape acceptance, but not with approach acceptance. More positive attitudes toward care of the dying was associated with perceived capab ility to answer end-of-life...
Source: Journal of Clinical Psychology in Medical Settings - March 13, 2020 Category: Psychiatry & Psychology Source Type: research

Self-help Acceptance and Commitment Therapy for Carers of People with Multiple Sclerosis: A Feasibility Randomised Controlled Trial
This study assessed the acceptability and feasibility of conducting a randomised controlled trial comparing ACT self-help, telephone-supported ACT self-help, and usual care. We describe a mixed-method, parallel three-armed feasibility randomised controlled trial. Participants were carers (i.e. caregivers) of people with MS. The self-help group received an ACT self-help text (covered over 8  weeks), the enhanced self-help group additionally received weekly telephone support. All participants completed questionnaires at baseline, 3-month, and 6-month post-randomisation, assessing carer strain, health-related quality of ...
Source: Journal of Clinical Psychology in Medical Settings - March 6, 2020 Category: Psychiatry & Psychology Source Type: research

Bridging the Gap: Can Group Interventions Assist Addiction Consult Services in Providing Integrated, Comprehensive Healthcare for Patients Hospitalized for Opioid-Related Infections?
AbstractFew healthcare systems provide integrated, comprehensive addiction treatment for patients with opioid-related infections (e.g., endocarditis) requiring long-term intravenous antibiotic treatment. Accordingly, this study outlines preliminary findings from a psychosocial intervention provided to patients hospitalized for opioid-related infections. Twenty-seven (56.5% female) patients aged 23 –64 [M(SD)  = 40.43(11.72)] years inducted on medication-assisted therapy by an addiction consult service participated in a weekly group intervention while hospitalized. These patients demonstrated gains in re...
Source: Journal of Clinical Psychology in Medical Settings - March 6, 2020 Category: Psychiatry & Psychology Source Type: research

Exploring Post-traumatic Growth in Parkinson's Disease: A Mixed Method Study
This study aims to investigate PTG in patients with PD, by exploring disease-specific features and assessing its impact on distress, well-being, and quality of life. A mixed methodology with a convergent parallel design was used. 54 patients were classified according to their leve l of PTG (low PTG, medium PTG, and high PTG). PD patients with high PTG showed a more positive psychological adaptation and less distress when compared to patients with less PTG. Forty-nine patients were interviewed and their transcripts were analyzed using Thematic Analysis. The emerged themes conf irmed the traditional dimensions of PTG model, ...
Source: Journal of Clinical Psychology in Medical Settings - March 6, 2020 Category: Psychiatry & Psychology Source Type: research

Eructation Treated with Single-Session CBT: A Case Illustration
AbstractChronic gastrointestinal disorders are disruptive to patients physically and psychologically, and benefit from multidisciplinary care, including targeted psychological interventions. This case study details a case of a 42-year-old Caucasian female with idiopathic eructation, who was identified as having psychological contributors to her 3-year history of GI symptoms. Following extensive medical testing, she was diagnosed with excessive, likely supragastric belching and referred for psychological care. She noted initial reticence to psychological approaches but was offered psychoeducation and CBT interventions targe...
Source: Journal of Clinical Psychology in Medical Settings - March 5, 2020 Category: Psychiatry & Psychology Source Type: research

A Systematic Review and Meta-analysis of the Distress Thermometer for Screening Distress in Asian Patients with Cancer
In conclusion, the DT with a cut-off score of 4 was an effective screening tool in Asian patients with cancer. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - February 10, 2020 Category: Psychiatry & Psychology Source Type: research

Social Support, Relationship Power, and Knowledge of HIV+ Serostatus in Sexual Risk Behavior Among Women in Psychiatric Treatment
This study examined social support, perceived relationship power, and knowledge of HIV+ serostatus in relation to frequency of unprotected sex acts and number of partners among women with comorbid psychiatric illness receiving treatment. Data were drawn from an initial assessment of participants enrolled in an HIV risk reduction intervention (N = 284), and two generalized linear models were used to examine the potential associations. Relationship power was significantly associated with fewer unprotected sex acts. This relationship was stronger among those with greater social support. Knowledge of HIV+ serosta...
Source: Journal of Clinical Psychology in Medical Settings - February 5, 2020 Category: Psychiatry & Psychology Source Type: research

Racism, Mental Health, Healthcare Provider Trust, and Medication Adherence Among Black Patients in Safety-Net Primary Care
AbstractThere has been a growing research focus on social determinants to health disparities in general and medication adherence more specifically in low-income Black populations. The purpose of this study was to examine whether prior experiences of racism among  Black patients in safety-net primary care indirectly predicts poor medication adherence through increased mental health symptoms and low healthcare provider trust. Two competing models were run whereby mental health leads to provider trust or provider trust leads to mental health in this multiple mediational chain. A group of 134 Black patients (76 men, avera...
Source: Journal of Clinical Psychology in Medical Settings - February 1, 2020 Category: Psychiatry & Psychology Source Type: research

Exploring the Impact of Illness Perceptions, Self-efficacy, Coping Strategies, and Psychological Distress on Quality of Life in a Post-stroke Cohort
This study evaluated the mediating role of self-efficacy, coping, depression and anxiety on the relationship between illness perceptions and quality of life in stroke survivors (n = 72; 32 females; mean [SD] age 65.09 [14.14] years; male mean [SD] age 69.83 [11.81]). Illness perceptions (Brief Illness Perceptions Questionnaire; BIPQ), coping styles (Carver Brief-COPE scale; B-COPE), depression/anxiety (Hospital Anxiety and Depression Scale; HADS), self-efficacy (General Self-Efficacy Scale; GSE) and quality of life (Assessment of quality of life; AQOL-6D) were analysed. Correlation analyses showed illness per...
Source: Journal of Clinical Psychology in Medical Settings - January 23, 2020 Category: Psychiatry & Psychology Source Type: research

The Impact of a Gluten-Free Diet on Celiac Disease: A Comprehensive Evaluation of Two Cases Using NIH Patient Reported Outcome Measures (PROMIS, NTCB, and Neuro-QoL)
AbstractThe aim of this study is to demonstrate the effectiveness of the gluten-free diet (GFD) for celiac disease (CD) in a multidisciplinary outpatient Gastroenterology clinic with two adult cases using the innovative, paradigm-shifting measurement systems: The NIH Patient reported outcome measures (PROs). CD results in gastrointestinal (GI) dysfunction, but is also associated with other inflammatory responses, psychosocial impairment, and cognitive deficits such as “brain fog.” Adherence to the GFD for 6 months was associated with improvement in specific GI symptoms in one case (PROMIS-GI; Case 2) and improv...
Source: Journal of Clinical Psychology in Medical Settings - January 23, 2020 Category: Psychiatry & Psychology Source Type: research

Partial Validation of the Sleep Health Construct in the Medical Outcomes Study Sleep Questionnaire
AbstractSleep health is postulated as a multi-dimensional construct comprised of sleepiness/alertness, timing, duration, efficiency, and satisfaction. New questionnaires for its measurement have been proposed. We performed secondary data analyses and analyzed responses on a widely used, well-established sleep questionnaire to determine whether the construct might be detectable with an existing questionnaire. Healthy men (n = 7604) aged 55–75 completed the six-item Medical Outcomes Study Sleep Questionnaire (MOSSQ) at baseline in a large, randomized clinical trial [the Reduction by Dutasteride of Prostat...
Source: Journal of Clinical Psychology in Medical Settings - January 22, 2020 Category: Psychiatry & Psychology Source Type: research

The Young Adult Male ’s Perception of Life with Inflammatory Bowel Disease and a Stoma: A Qualitative Examination
This study provides a unique insight into the lived experience of young adult males with IBD and a stoma and in particular provides a greater understanding of the peri-operative education requirements of this patient cohort. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - January 7, 2020 Category: Psychiatry & Psychology Source Type: research

Personality in Combination with Alcohol and Drug Use and Psychiatric Disorders to Predict Psychosocial Characteristics and Behaviors of Hepatitis C Patients
The objectives of this study were to assess the prevalence of personality disorders and to examine personality as a predictor of psychosocial characteristics and behaviors of HCV patients. HCV patients (n = 259) from three infectious disease and liver clinics who completed Cloninger’s Temperament and Character Inventory (TCI), an inventory for personality traits, were included in the study. Patients with low scale scores in the character dimension of both cooperativeness and self-directedness (low CO/SD) were defined as having a personality disorder. Using low CO/SD in combination with demographic, psyc...
Source: Journal of Clinical Psychology in Medical Settings - January 7, 2020 Category: Psychiatry & Psychology Source Type: research

Radical Acceptance and Obesity-Related Health Conditions: A Case Report
AbstractThe current report presents the case of “Tisha,” an 18-year-old African American young woman with severe obesity and cardiomyopathy. While the emotional distress associated with chronic health conditions can lead youth to engage in maladaptive behaviors as well as impede adherence to medical recommendations, psychological intervention s have shown promise in improvement of both negative affect and adherence. Tisha reported engaging in maladaptive overeating patterns in response to emotional distress associated with her medical conditions. Upon participating in an intervention that applied dialectical be...
Source: Journal of Clinical Psychology in Medical Settings - January 7, 2020 Category: Psychiatry & Psychology Source Type: research

How Pain Shapes Depression and Anxiety: A Hybrid Self-regulatory/Predictive Mind Perspective
AbstractBecause many persons living with chronic pain achieve a relatively balanced lifestyle without experiencing functional disability, medical psychologists must explain the well-documented co-occurrence of pain complaints and DSM-5-disorders (including but not limited to depression and anxiety) in a significant subset of individuals. The question of differential resilience versus susceptibility has received modest theoretical and empirical attention, but remains open. In this review, I deconstruct the temporally extended pain adaptation process in order to address this vexing question, relying upon two complementary ex...
Source: Journal of Clinical Psychology in Medical Settings - January 2, 2020 Category: Psychiatry & Psychology Source Type: research

The Contribution of Illness Beliefs, Coping Strategies, and Social Support to Perceived Physical Health and Fatigue in Multiple Sclerosis
This study investigated the relationship of illness beliefs with perceived physical health and fatigue among persons with multiple sclerosis. Besides direct effects between illness beliefs and outcome measures, the mediational role of coping strategies and social support was examined. Six hundred and eighty persons with multiple sclerosis completed the Revised Illness Perception Questionnaire evaluating illness beliefs; the Brief COPE measuring problem-focused, meaning-focused, and avoidant strategies; the Multidimensional Scale of Perceived Social Support assessing social support; MS Quality of Life-54 investigating perce...
Source: Journal of Clinical Psychology in Medical Settings - December 23, 2019 Category: Psychiatry & Psychology Source Type: research

Medically Induced Exacerbation of PTSD Following Lung Transplantation: A Case Series
AbstractPosttraumatic stress disorder (PTSD) occurs at double the rate in individuals undergoing lung transplantation, compared to the normal population. The psychological sequela of PTSD makes recovery more challenging and may result in poor medical and psychological outcomes. A series of three cases illustrate this presentation. In all cases, PTSD history and symptomatology was undisclosed prior to lung transplantation, despite robust psychological evaluation. All patients experienced traumatic delirium during the acute recovery phase from transplantation. Re-emergence and exacerbation of PTSD symptoms related to remote ...
Source: Journal of Clinical Psychology in Medical Settings - December 20, 2019 Category: Psychiatry & Psychology Source Type: research

Program Evaluation of an Integrated Behavioral Health Clinic in an Outpatient Women ’s Health Clinic: Challenges and Considerations
We describe our clinical experience integrating behavioral health services into a women’s health clinic. In one year, 108 women (5 4% White,Mage=  35) were referred for behavioral health treatment 47% were identified using a screening questionnaire, 51% were referred by their women’s health provider and 2% were self-referred. The most common presenting concerns were anxiety (52%) and depressive symptoms (48%). Sixty-one (56%) patients com pleted an intake assessment, of whom 33 (54%) engaged in follow-up treatment (M  =  3.7 treatment sessions,SD  =  3.0). Behavioral health sc...
Source: Journal of Clinical Psychology in Medical Settings - December 19, 2019 Category: Psychiatry & Psychology Source Type: research

Fear of Cancer Recurrence and Death Anxiety: Unaddressed Concerns for Adult Neuro-oncology Patients
The objectives of this study were to (1) systematically review PBT representation in psycho-oncology literature regarding fear/anxiety related to progression, recurrence, and death and (2) preliminarily assess the prevalence of fear of dying in a sample of PBT patients. Systematic searching of three databases yielded 1555 articles for review. Of these, 327 studies met inclusion criteria (patient sampleN = 132,951). Only eight studies (0.18% of the participants) included patients with a PBT diagnosis, potentially due to exclusion criteria such as cognitive impairment or specific treatment parameters which may ...
Source: Journal of Clinical Psychology in Medical Settings - December 17, 2019 Category: Psychiatry & Psychology Source Type: research

Post-traumatic Stress Disorder Following Acute Delirium
AbstractDelirium is a significant medical condition that is common in hospitalized patients. Beyond the increased risk of mortality, patients who experience an episode of delirium often go on to develop long-term psychiatric disturbance, including symptoms of post-traumatic stress disorder (PTSD). While there is a growing interest in understanding the complex relationship between delirium and PTSD, the existing literature is sparse and lacking harmony. Thus, this review seeks to develop a unified and thorough description of the cognitive and psychiatric underpinnings of post-delirium PTSD with the aims of promoting awarene...
Source: Journal of Clinical Psychology in Medical Settings - December 10, 2019 Category: Psychiatry & Psychology Source Type: research

The Effect of Expressive Writing on Postpartum Depression and Stress of Mothers with a Preterm Infant in NICU
This study was conducted to investigate the effects of expressive writing on postpartum depression and stress of mothers with a preterm infant in NICU. This clinical trial was carried out on 91 mothers whose infants were in NICU. Subjects were assigned to intervention and control groups. In the intervention group, subjects were asked to start expressive writing from the third day of hospitalization in NICU and continue it until the tenth day. EPDS, PSS: NICU, and PSS-14 COHEN were completed by all the mothers on days 3 and 10, and 1 –3 months after the admittance. Mean EPDS score was obtained as 9.65 &plu...
Source: Journal of Clinical Psychology in Medical Settings - December 10, 2019 Category: Psychiatry & Psychology Source Type: research

Spiritual Well-Being as a Predictor of Emotional Impairment Following Mild Traumatic Brain Injury
AbstractTraumatic brain injury (TBI) is a leading cause of death and disability, with injuries classified as mild in severity being the most frequently sustained. While the majority of patients recover within 3  months post-injury, many individuals continue to experience debilitating emotional sequelae several months after the injury. While spiritual well-being has been shown to carry protective benefits against both depression and anxiety in the general population, it has not been investigated as a prote ctive factor in this population. The aim of this study was to investigate whether spiritual well-being leads to a ...
Source: Journal of Clinical Psychology in Medical Settings - December 7, 2019 Category: Psychiatry & Psychology Source Type: research

Central Sensitization in Chronic Pain and Eating Disorders: A Potential Shared Pathogenesis
AbstractAlthough less recognized than other disruptions in functioning, individuals with chronic pain frequently display disturbances in eating associated with pain, changes in appetite, medication side effects, and prescribed elimination diets. Not only may changes in nutritional status and weight increase the risk for the development of an eating disorder, there is evidence that individuals with chronic pain and those with eating disorders share similar vulnerabilities that place them at risk for both conditions, as well as their comorbidity. This review will describe the temperamental, behavioral, and neurobiological ri...
Source: Journal of Clinical Psychology in Medical Settings - December 4, 2019 Category: Psychiatry & Psychology Source Type: research

Examining Individual Differences in Wellbeing, Anxiety and Depression in Psoriasis Using a Clinically Modified Buddhist Psychological Model
This study attempts to do so by examining individual differences in psoriasis patients ’ wellbeing, anxiety and depression using a clinically modified Buddhist psychological model (CBPM). Psoriasis patients (N = 285) and (N = 209) completed measures of each CBPM component at time 1 and 2. SEM analyses found that a direct and mediated effect of CBPM model was a good fit to the participant’s data. This study suggests that non-attachment, aversion, acceptance and self-compassion could have a direct effect on the we llbeing, anxiety and depression of psoriasis patients and an indirect ef...
Source: Journal of Clinical Psychology in Medical Settings - December 4, 2019 Category: Psychiatry & Psychology Source Type: research

Psychological Needs and Services in a Pediatric Multidisciplinary Celiac Disease Clinic
This study aims to describe the psychological needs in children with celiac disease (CD) and to examine the feasibility of psychological consultation in a multidisciplinary clinic. Participants (N = 69) included children with CD and their parents who completed a pre-clinic mental health survey and a 30-min psychological consultation as part of a multidisciplinary clinic (including gastroenterology, nutrition, education, neurology, and neuropsychology). Quantitative and qualitative analys es examined psychological needs, experiences, and satisfaction. The psychologist identified clinically significant symptoms...
Source: Journal of Clinical Psychology in Medical Settings - October 31, 2019 Category: Psychiatry & Psychology Source Type: research

Stages of Change Readiness and Treatment Eagerness Scale in Overweight and Obesity ’s Psychometric Properties (SOCRATES-OO)
AbstractThe present study investigated the psychometric properties of the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) in the context of overweight and obesity. The instrument was investigated in a non-probabilistic sample of 177 individuals who were overweight or obese. A confirmatory factor analysis (CFA) was performed in order to provide evidence based on the internal consistency of the SOCRATES-OO scale with three correlated factors and two correlated factors. In addition, the University of Rhode Island Change Assessment (URICA) raw score was used to provide evidence in terms of convergent validi...
Source: Journal of Clinical Psychology in Medical Settings - October 30, 2019 Category: Psychiatry & Psychology Source Type: research

Pica in Pediatric Sickle Cell Disease
AbstractPica is the developmentally inappropriate consumption of non-nutritive items for at least one month. Pica can lead to many adverse outcomes, but the exact pathophysiology of pica is unknown or variable across populations. Several studies have evidenced that there is a high prevalence of pica among youth with sickle cell disease (SCD). However, the lack of knowledge regarding the correlates of pica contributes to overlooking the condition, inaccurate diagnoses, and a lack of evidence-based treatments once pica is identified. This review examines the literature to develop a biopsychosocial model of pica in SCD. Eluci...
Source: Journal of Clinical Psychology in Medical Settings - October 28, 2019 Category: Psychiatry & Psychology Source Type: research

Measurement-Based Care in the Veteran ’s Health Administration: A Critique and Recommendations for Future Use in Mental Health Practice
AbstractMeasurement-based care (MBC), a mechanism through which feedback is given to providers and patients, is increasingly being used in mental health care and has a number of benefits. These include providing information about treatment progress, encouraging a discussion around these topics, providing a method for shared decision-making and personalized treatment, and improving treatment outcomes. Although there are many benefits to using MBC, it is still not being used regularly. Barriers include time to administer measures and uncertainty regarding which measures to administer. This paper will briefly describe MBC and...
Source: Journal of Clinical Psychology in Medical Settings - October 28, 2019 Category: Psychiatry & Psychology Source Type: research

Prescribing Technology to Increase Uptake of Depression Treatment in Primary Care: A Pre-implementation Focus Group Study of SOVA (Supporting Our Valued Adolescents)
AbstractSupporting Our Valued Adolescents (SOVA) is a web-based technology intervention designed to increase depression and anxiety treatment uptake by adolescents in the context of an anonymous peer community with an accompanying website for parents. With a goal of informing the design of a hybrid effectiveness-implementation randomized controlled trial, we conducted a pre-implementation study in two primary care practices to guide implementation strategy development. We conducted focus groups with primary care providers (PCPs) at three different timepoints with PCPs (14 total) from two community practices. A baseline sur...
Source: Journal of Clinical Psychology in Medical Settings - October 19, 2019 Category: Psychiatry & Psychology Source Type: research