Patient Satisfaction with a Psychology Consultation-Liaison Service at an Academic Medical Center
AbstractOne to two-thirds of all medically admitted patients have comorbid psychiatric concerns. To address the cognitive, behavioral, and emotional factors that affect medical hospitalization, psychological or psychiatric consultation-liaison (CL) services are consulted. The current study was designed to understand patient satisfaction with a CL psychology service and how it was associated with satisfaction with overall hospitalization, taking into consideration relevant factors. Adults medically admitted to an academic teaching hospital (N = 220), who were seen at least once by the CL psychology service, co...
Source: Journal of Clinical Psychology in Medical Settings - October 7, 2021 Category: Psychiatry & Psychology Source Type: research

Affective Comorbidity Associated with Symptoms, Lung Function, and Differences Between Patients with COPD for Biomass and Tobacco Smoke Exposure
This study aimed to determine the prevalence of affective comorbidity (depression and anxiety) associated with lung function, functional capacity, dyspnea, and quality of life; as well as the differences between groups of patients diagnosed with COPD associated with biomass (COPD-BE) and patients with COPD secondary to tobacco (COPD-TS). Comparative cross-sectional observational study. Multiple hierarchical regression models, analysis of variance, and covariance were carried out. A total of 291 COPD patients were evaluated, symptoms of depression were found to be higher in patients with COPD-BE than in patients with COPD-T...
Source: Journal of Clinical Psychology in Medical Settings - October 7, 2021 Category: Psychiatry & Psychology Source Type: research

The Before Baby Relationship Checkup: A Couples-Based Intervention to Reduce Relationship Risk Factors for Perinatal Mood and Anxiety Disorders
AbstractRelationship conflict and lack of partner support are risk factors for perinatal mood and anxiety disorders. An intervention to strengthen couples ’ relationships before birth may reduce relationship risk factors for perinatal mood and anxiety disorders, though no research has explored this to date. The aims of this Stage 1 open-series non-experimental proof of concept study were to adapt the ‘Marriage Checkup’, an evidence-based interve ntion for relationship distress, as a preventative intervention for perinatal mood and anxiety disorders and to assess its feasibility and acceptability. Pregnant...
Source: Journal of Clinical Psychology in Medical Settings - October 6, 2021 Category: Psychiatry & Psychology Source Type: research

Identifying Mental Disorders in Primary Care: Diagnostic Accuracy of the Connected Mind Fast Check (CMFC) Electronic Screen
AbstractPrimary care physicians (PCPs) often daily address diagnoses and treatment of mental disorders in their practices. The current study examined the Connected Mind Fast Check (CMFC), a two-tiered electronic screen, assessing six common mental disorders. The eight-item Initial Screen assesses possible symptoms, whereas SAM modules establish provisional diagnoses and areas of clinical concern. With 234 patients from five independent PCP offices, diagnostic accuracy was tested with the SCID-5-RV as the external criterion. Concerningly, many patients were unaware of their current mental disorders and comorbidities. The CM...
Source: Journal of Clinical Psychology in Medical Settings - October 5, 2021 Category: Psychiatry & Psychology Source Type: research

A Call for Interdisciplinary Collaboration to Promote Musculoskeletal Health: The Creation of the International Musculoskeletal Mental and Social Health Consortium (I-MESH)
AbstractDespite increasing recognition of psychosocial factors in musculoskeletal conditions, its impact on reducing the global toll of musculoskeletal symptoms has been only incremental. It is time to bring together clinicians and researchers with heterogeneous backgrounds, unified by a commitment to reduce the global impact of musculoskeletal illness by addressing mental and social health factors. In 2020, we initiated the International Musculoskeletal Mental and Social Health Consortium. Our current key priority areas are: (1) Develop best practices for uniform terminology, (2) Understand barriers to mental and social h...
Source: Journal of Clinical Psychology in Medical Settings - October 4, 2021 Category: Psychiatry & Psychology Source Type: research

Healthcare Quality Improvement Competency: A Clinical and Training Imperative for Geropsychology
This article aims to elucidate the importance of QI education and training in geropsychology. In line with the Pikes Peak model for training in professional geropsychology, we outline QI knowledge and skills competencies for geropsychology training and suggest a rubric for integrating QI education into academic and clinical training from graduate school to professional practice. We provide recommended readings that geropsychology educators can read to become familiar with QI or use as part of a syllabus. Finally, we offer some recommendations for how current and future geropsychologists can be leaders in quality improvemen...
Source: Journal of Clinical Psychology in Medical Settings - October 1, 2021 Category: Psychiatry & Psychology Source Type: research

Assessing Psychosocial Distress in Cystic Fibrosis: Validation of the ‘Distress in Cystic Fibrosis Scale’
This study preliminarily validated the previously developed Distress in Cystic Fibrosis Scale (DCFS) (Patel in Journal of Cystic Fibrosis 15:S26, 2016); a 23-item questionnaire to assess psychosocial distress in AwCF. Inpatient and outpatient participants with CF (N = 119) completed a battery of questionnaires, including the DCFS. PCA results supported a single component model. The DCFS showed high internal consistency and correlated significantly with measures of mood and quality of life. The DCFS shows promise as a screening tool to assess clinically sig nificant psychosocial distress in an adult CF populat...
Source: Journal of Clinical Psychology in Medical Settings - September 29, 2021 Category: Psychiatry & Psychology Source Type: research

Mindfulness-Based Stress Reduction for Coronary Artery Disease Patients: Potential Improvements in Mastery and Depressive Symptoms
AbstractDepressive symptoms after coronary events are associated with a worse prognosis. When changing the focus from psychopathology towards a resilience framework, treatments such as mindfulness meditation could offer novel ways to address psychological distress among coronary artery disease (CAD) patients. We studied the feasibility of mindfulness-based stress reduction (MBSR) for CAD patients with depressive symptoms. Seventy-nine CAD patients with elevated depressive symptoms were invited to an 8-week MBSR course. Twenty-four patients (30%) accepted and 16 (20%) completed MBSR. Depressive symptoms decreased immediatel...
Source: Journal of Clinical Psychology in Medical Settings - September 28, 2021 Category: Psychiatry & Psychology Source Type: research

Extending the Common Sense Model to Explore the Impact of the Fear of COVID-19 on Quality of Life in an International Inflammatory Bowel Disease Cohort
AbstractThe aim of this cross-sectional study was to use an extended common sense model (CSM) to evaluate the impact of fear of COVID-19 on quality of life (QoL) in an international inflammatory bowel disease cohort. An online study involving 319 adults (75% female, mean (SD) 14.06 (15.57) years of symptoms) completed the Gastrointestinal Symptom Rating Scale, Brief Illness Perceptions Questionnaire, Fear of Contracting COVID-19 Scale, Brief-COPE, Depression, Anxiety and Stress Scale, and the EUROHIS-QOL. The extended CSM had an excellent fit (χ2 (9)  = 17.06,p = .05,χ2/N =&thinsp...
Source: Journal of Clinical Psychology in Medical Settings - September 24, 2021 Category: Psychiatry & Psychology Source Type: research

Reviewers on Reviewing for Psychological, Health and Medical Journals
AbstractBeing a reviewer is an honor and it continues to be a very rewarding experience throughout a career. Reviewers get the opportunity to maintain scientific standards and assist in growing the scientific psychological literature. Being a reviewer enhances and integrates scientific values and clinical skills following the scientist-practitioner model. However, for the inexperienced reviewer, the experience can be very scary and intimidating. Everyone ’s experience with reviewing is highly personal and at the same time, the activity is both common and universal for academic psychologists. In this interview article...
Source: Journal of Clinical Psychology in Medical Settings - September 18, 2021 Category: Psychiatry & Psychology Source Type: research

Diversity, Equity, and Inclusion Efforts at a Departmental Level: Building a Committee as a Vehicle for Advancing Progress
AbstractAcademic Health Centers (AHCs) across the nation are experiencing a reawakening to the importance of Diversity, Equity, and Inclusion (DEI). Such work impacts both employees and patients served by healthcare institutions. Yet, for departments without previously existing formal channels for this work, it is not always apparent where to begin. The current manuscript details a process for creating a committee as a vehicle for championing DEI efforts at the department level within an AHC. The authors present a six-step model for forming a DEI Committee and progress monitoring measures to remain accountable to identifie...
Source: Journal of Clinical Psychology in Medical Settings - September 16, 2021 Category: Psychiatry & Psychology Source Type: research

Physical Activity Among Urban Children with Asthma: Does Sleep Matter?
AbstractThe present study examined associations between sleep and physical activity among a diverse sample of 97 urban children (ages 7 –9) with persistent asthma. Differences in associations were evaluated by race/ethnicity and weight status. The extent to which sleep moderated the association between lung function and physical activity was also evaluated. Generalized linear models were utilized to examine associations. Findings indicated that, among the aggregate sample, more frequent nighttime awakenings were associated with less time spent engaging in moderate-to-vigorous physical activity (MVPA). Important diffe...
Source: Journal of Clinical Psychology in Medical Settings - September 14, 2021 Category: Psychiatry & Psychology Source Type: research

Exploring the Relationship Between Self-Isolation and Distress Among People with Gastrointestinal Disorders During the COVID-19 Pandemic
This study aimed to explore the association between perceived isolation and symptoms of distress in people with GI disorders at the time of the pandemic; and to examine factors which moderate this relationship. This online cross-sectional survey was advertised in May –September 2020 via patient organisations and associated social media. Overall, 831 people (82% female, mean age 49 years) from 27 countries participated. A significant relationship between social isolation and psychological distress was noted (r = .525,p 
Source: Journal of Clinical Psychology in Medical Settings - September 7, 2021 Category: Psychiatry & Psychology Source Type: research

Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm
Conclusions from the empirical data and emerging theoretical models are reviewed and synthesized. Finally, several potentially engaging and effective examples of developmentally appropriate interventions targeting intolerance of uncertainty and health-related anxieties in pediatric patients during the peri- and post-pandemic periods are described. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - September 3, 2021 Category: Psychiatry & Psychology Source Type: research

Cognitive and Attentional Function in Children with Hypoplastic Left Heart Syndrome: A Pilot Study
AbstractWhile survival for children with hypoplastic left heart syndrome (HLHS) has improved, compromised cardiac output and oxygen delivery persist, and children show cognitive deficits. Most research has assessed young children on broad cognitive indices; less is known about specific indices in older youth. In this pilot study, cognitive function and attention in youth ages 8 to 16  years with HLHS (n = 20) was assessed with the Wechsler Intelligence Scale for Children – Fifth Edition (WISC-V) and NIH Toolbox Cognition Battery (NTCB); parents completed the Child Behavior Checklist. Children score...
Source: Journal of Clinical Psychology in Medical Settings - September 1, 2021 Category: Psychiatry & Psychology Source Type: research

Development and Refinement of a Telehealth Intervention for Symptom Management, Distress, and Adherence to Adjuvant Endocrine Therapy after Breast Cancer
AbstractAdjuvant endocrine therapy (AET) prevents recurrence after early stage, hormone sensitive breast cancer; however, adherence to AET is suboptimal, and efficacious interventions are severely lacking. Barriers to adherence are well established; however, interventions, thus, far have failed to produce meaningful changes in adherence and have generally not followed guiding principles of psychosocial intervention development. The purpose of this paper is to describe the iterative development, using the National Institutes of Health Stage Model for Behavioral Intervention Development, of an evidence-based, patient-centere...
Source: Journal of Clinical Psychology in Medical Settings - September 1, 2021 Category: Psychiatry & Psychology Source Type: research

Psychosocial Factors and Psychological Interventions: Implications for Chronic Post-Surgical Pain in Pediatric Patients with Osteosarcoma
This study retrospectively investigated psychological factors contributing to chronic post-surgical pain (CPSP) in pediatric patients after limb-sparing or amputation surgery for extremity osteosarcoma. Psychological factors were identified and analyzed by the Wilcoxon rank-sum and median two-sample tests. Univariate and multivariate Cox regressions were performed using gender, age, psychological factors, and psychological interventions related to CPSP duration as covariates. Duration of pain treatment was significantly longer in patients resistant to psychological interventions (p = 0.01) than those receptiv...
Source: Journal of Clinical Psychology in Medical Settings - September 1, 2021 Category: Psychiatry & Psychology Source Type: research

Pilot Examination of the Efficacy of the Internet-Delivered, Preoperative, Preparation Program (I-PPP)
AbstractLimited evidence-based, interactive, Internet-delivered preoperative preparation programs for children and their parents exist. The purpose of this investigation was to compare the Internet-delivered, preoperative program (I-PPP) in alleviating anxiety in children undergoing outpatient surgery delivered alone (I-PPP) and in conjunction with parental presence (I-PPP  + parent) to treatment as usual (TAU). 104 children undergoing day surgery procedures at a local hospital and their parents/guardians participated. Primary outcome measures: (a) observer-rated child anxiety and (b) induction compliance. Re...
Source: Journal of Clinical Psychology in Medical Settings - September 1, 2021 Category: Psychiatry & Psychology Source Type: research

Behavioral Strategies to Minimize Procedural Distress During In-Office Pediatric Tympanostomy Tube Placement Without Sedation or Restraint
AbstractThe purpose of this study was to evaluate behavioral strategies to minimize procedural distress associated with in-office tympanostomy tube placement for children without general anesthesia, sedation, or papoose-board restraints. 120 6-month- to 4-year-olds and 102 5- to 12-year-olds were treated at 16 otolaryngology practices. Mean age of children was 4.7  years old (SD = 3.18 years), with more boys (58.1%) than girls (41.9%). The cohort included 14% Hispanic or Latinx, 84.2% White, 12.6% Black, 1.8% Asian and 4.1% ‘Other’ race and ethnicity classifications. The in-office tube p...
Source: Journal of Clinical Psychology in Medical Settings - August 31, 2021 Category: Psychiatry & Psychology Source Type: research

The Impact of Integrated Behavioral Healthcare on Glycemic Control
AbstractIntegrated behavioral healthcare (IBH) is the “standard of care” to address psychosocial factors impacting diabetes outcomes; it is not standard in practice. This longitudinal, retrospective, chart-review examines IBH impact on glycemic control in an adult diabetes clinic. Adults (n = 374) with ≥ 1 behavioral health encounter, ≥ 2 hemoglobin A1c (HbA1c) values, and HbA1c value >  8% at initial IBH visit were included. Mixed effects linear piecewise models examined differences in slope trajectories for 365 days pre- and post-IBH interv...
Source: Journal of Clinical Psychology in Medical Settings - August 26, 2021 Category: Psychiatry & Psychology Source Type: research

The Influence of Service Era: Comparing Personality Assessment Inventory (PAI) Scale Scores Within a Posttraumatic Stress Disorder Treatment Clinic (PCT)
This study compares Personality Assessment Inventory (PAI) scale scores of VA test-takers who served during the Vietnam, Desert Storm, or Post-9/11 service eras. The sample was collected at a VA Posttraumatic Stress Disorder Clinical Team. Associations between gender and combat exposure were also examined as covariates. Results suggest that Veterans ’ self-report on the PAI is influenced by service era, even after accounting for gender and combat exposure during deployment. The largest differences were between Vietnam or Post-9/11 Veterans and those from the Gulf War era. Symptom differences typically varied across s...
Source: Journal of Clinical Psychology in Medical Settings - August 24, 2021 Category: Psychiatry & Psychology Source Type: research

Measuring Productivity in Primary Care Behavioral Health: A Delphi Study
AbstractHigh productivity by behavioral health consultants (BHC) is a defining aspect of the primary care behavioral health (PCBH) model to maximize access to care and is often measured by patient volume. Studies of productivity in health care settings suggest a single productivity target may not be optimal. We used a Delphi method to obtain expert consensus on an operational definition of high productivity by BHCs in the PCBH model. Clinicians, managers, and researchers in PCBH were recruited to participate in a multi-round survey using a modified Delphi technique and develop consensus on PCBH productivity metrics. Ten pa...
Source: Journal of Clinical Psychology in Medical Settings - August 21, 2021 Category: Psychiatry & Psychology Source Type: research

Patterns of Psychologists ’ Interprofessional Collaboration Across Clinical Practice Settings
AbstractHealthcare increasingly emphasizes collaborative treatment by multidisciplinary teams. This is the first research focusing on psychologists ’ participation in team-based care, the mix of professionals with whom psychologists collaborate, and how these collaborations vary across practice settings. Data are from 1607 respondents participating in the American Psychological Association Center for Workforce Studies’ 2015 on-line Survey o f Psychology Health Service Providers. Practice settings differed markedly in systemic organizational support for interprofessional collaboration and in psychologists’...
Source: Journal of Clinical Psychology in Medical Settings - August 17, 2021 Category: Psychiatry & Psychology Source Type: research

Effect of Hypnosis on Anxiety: Results from a Randomized Controlled Trial with Women in Postmenopause
This study examined the effect of a hypnotic intervention designed to reduce hot flashes, on anxiety levels of postmenopausal women. Anxiety was assessed using the State-Trait Anxiety Inventory, the Hospital Anxiety and Depression Scale-Anxiety subscale, and a visual analog scale. Additionally, hypnotizability was tested as a moderator of anxiety reductions. Significant reductions in anxiety were found from baseline to endpoint and follow-up and hypnosis was superior to the control condition. Additionally, ratings of Current Anxiety decreased from pre-session to post-session at each weekly visit and the pre-session scores ...
Source: Journal of Clinical Psychology in Medical Settings - August 17, 2021 Category: Psychiatry & Psychology Source Type: research

Evaluation of a Safe Sleep Training for Home Visitors and Their Clients
This study evaluated the efficacy of a program to train home visitors to talk to clients about infant safe sleep using Motivational Interviewing and cultural sensitivity. We examined the effects of the intervention on home visitors ’ (n = 23) knowledge, MI skill use, and cultural sensitivity using a single group pre-post design. We also examined home visiting clients’ (n = 78) knowledge, attitudes, and behaviors using a quasi-experimental design. Home visitors were primarily female (97%), had a college degree (86%), and were primarily white (50%) or African American (43%). The home v...
Source: Journal of Clinical Psychology in Medical Settings - August 11, 2021 Category: Psychiatry & Psychology Source Type: research

Further Experience with the Practice Integration Profile: A Measure of Behavioral Health and Primary Care Integration
AbstractValid measures of behavioral health integration have the potential to enable comparisons of various models of integration, contribute to the overall development of high-quality care, and evaluate outcomes that are strategically aligned with standard improvement efforts. The Practice Integration Profile has proven to discriminate among clinic types and integration efforts. We continued the validation of the measure ’s internal consistency, intra-rater consistency, and inter-rater consistency with a separate and larger sample from a broader array of practices. We found that the Practice Integration Profile demo...
Source: Journal of Clinical Psychology in Medical Settings - August 9, 2021 Category: Psychiatry & Psychology Source Type: research

Physician Communication Coaching: How Psychologists can Elevate Skills and Support Resident Education, Professionalism, and Well-being
AbstractMany factors influence resident physician communication, including rigorous training demands that can contribute to professionalism issues or burnout. The University of Rochester Physician Communication Coaching program launched for attendings in 2011, and expanded to residency programs within 11 clinical departments of our institution. In this model, psychologists serve as coaches, drawing on their expertise in communication skills, behavior change, and wellness promotion. These coaches conduct real-time observation of patient encounters, coding communication with an expanded Cambridge-Calgary Patient-Centered Obs...
Source: Journal of Clinical Psychology in Medical Settings - August 7, 2021 Category: Psychiatry & Psychology Source Type: research

Psychological Functioning and Health Behaviors Associated with Weight Loss Patterns up to 13.7 Years After Weight Loss Surgery
AbstractWeight loss surgery produces dramatic health improvements immediately after surgery, including rapid declines in diabetes. However, less is known about its long-term effects. 124 St. Vincent Bariatric Center patients completed questionnaires on weight and psychological functioning a mean of 7.7 and 13.7  years post-surgery (T1 and T2, respectively). Because mean weight data may mask differing weight trajectories, participants were categorized based on weight over time. Most participants underwent Roux-En-Y gastric bypass (90.3%) and were Caucasian (96%), female (81.5%), and married (69.1%). Mean a ge at T2 was...
Source: Journal of Clinical Psychology in Medical Settings - July 29, 2021 Category: Psychiatry & Psychology Source Type: research

Anti-Racism Strategies in Pediatric Psychology: Using STYLE Can Help Children Overcome Adverse Experiences With Police
AbstractBlack children are exposed to police violence at alarming rates. Such stress impacts development and treatment of physical health problems. In the current discourse, we introduce STYLE (Self-examination,Talk about community-police relations and racism,Yield space and time to anti-racism work,Learn about how structural racism impacts child health,Evaluate policies and practices through an anti-racism lens). STYLE offers a framework through which professionals in pediatric psychology can engage in anti-racist work across contexts from clinical care to academic and advocacy settings. Pediatric psychologists have a res...
Source: Journal of Clinical Psychology in Medical Settings - July 24, 2021 Category: Psychiatry & Psychology Source Type: research

Patient Perspectives on Medical Trauma Related to Inflammatory Bowel Disease
AbstractPost-traumatic stress symptoms (PTSS) in response to medical trauma are understudied in inflammatory bowel disease (IBD). Two studies identify surgery, hospitalizations, and disease severity as risk factors. We aimed to document IBD-related patient experiences and how these relate to PTSS via a qualitative study. Adult patients with confirmed IBD recruited from two gastroenterology clinics underwent a semi-structured interview with a psychologist and completed the Post Traumatic Stress Disorder Symptom Scale for DSM5 (PSSI-5). Interviews were analyzed using an interpretive phenomenological approach. Themes and subt...
Source: Journal of Clinical Psychology in Medical Settings - July 22, 2021 Category: Psychiatry & Psychology Source Type: research

Psychological Outcomes in Fathers of Critically Ill Children in the Pediatric Intensive Care Unit: A Systematic Review
AbstractSystematically review evidence of psychological distress in fathers of children admitted to the pediatric intensive care unit (PICU). Two reviewers independently reviewed 24 published articles that studied fathers during and closely following a PICU admission. Results are presented for psychological outcomes of stress, PTSD, anxiety and depression, family functioning, and other forms of distress. Potential moderators of distress are also presented. Although methodological variance and inconsistent findings make it difficult to draw definitive conclusions, mothers and fathers appear to experience similar levels of d...
Source: Journal of Clinical Psychology in Medical Settings - July 16, 2021 Category: Psychiatry & Psychology Source Type: research

Preliminary Support for Group Cognitive Behavioral Therapy (CBT) to Reduce Psychological Distress in Patients with Spontaneous Coronary Artery Dissection (SCAD)
AbstractSpontaneous coronary artery dissection (SCAD) can occur as an atypical cause of myocardial infarction. Preliminary evidence suggests that SCAD patients experience high rates of post-event psychological distress. It is unknown whether psychosocial interventions may reduce the distress burden. Seven SCAD patients (mean age  = 53.3 years) completed a CBT-based support group. All seven participants completed measures for anxiety, depression, and cardiac-related quality of life at baseline and post-intervention, and five participants completed measures at 3-month follow-up. Six of 7 participants score...
Source: Journal of Clinical Psychology in Medical Settings - July 9, 2021 Category: Psychiatry & Psychology Source Type: research

The Effect of Psychological Interventions on the Quality of Life in Women with Fibromyalgia: A Systematic Review
AbstractFibromyalgia refers to a painful type of rheumatological clinical syndrome, and its prevalence varies from 0.7% to 6.6%. This syndrome is associated with different physical and psychological symptoms, which ultimately leads to a decline in women's quality of life. A wide range of pharmacological and non-pharmacological interventions are conducted to mitigate these symptoms and improve the quality of life. Therefore, the present study aims to investigate the effect of psychological interventions on the quality of life in women with fibromyalgia. This systematic review with comprehensive search was carried out on Goo...
Source: Journal of Clinical Psychology in Medical Settings - July 3, 2021 Category: Psychiatry & Psychology Source Type: research

Cross-Sectional Age Analysis of Sleep Problems in 2 to 17 Year Olds with ADHD Combined, ADHD Inattentive, or Autism
AbstractSleep problems are common in autism and ADHD. No study has compared sleep problems by age in 2 to 17 year olds with autism versus ADHD-Combined versus ADHD-Inattentive type. Mothers rated 1415 youth with autism and 1041 with ADHD on 10 Pediatric Behavior Scale sleep items. Nighttime sleep problems were most severe in autism, followed by ADHD-Combined, and then ADHD-Inattentive. Difficulty falling asleep, restless during sleep, and waking during the night were the most common problems. Adolescents slept more at night than other age groups, and youth who slept more at night were sleepier during the day. Sleep problem...
Source: Journal of Clinical Psychology in Medical Settings - July 2, 2021 Category: Psychiatry & Psychology Source Type: research

Integrated Behavioral Health in Primary Care for Adults with Complex Childhood Onset Medical and Developmental Diagnoses
AbstractIncreased life expectancy for individuals with complex pediatric-onset conditions means most of this population survive into adulthood. While this is great news for individuals and their families, the traditional adult medical model must adapt to extend the care provided by specialty pediatric practices to primary care. In this paper, we introduce a model of integrated behavioral health (IBH) in a primary care practice for adults with childhood onset medical and developmental conditions. Our discussion includes the role of IBH providers (i.e., psychologists, psychiatrists, and social workers) as members of the inte...
Source: Journal of Clinical Psychology in Medical Settings - June 29, 2021 Category: Psychiatry & Psychology Source Type: research

People Living with Inflammatory Bowel Disease Want Multidisciplinary Healthcare: A Qualitative Content Analysis
This study reports on the preferences of people with inflammatory bowel disease (IBD) for their healthcare. Overall, 477 people with IBD responded to an open-ended survey question within a larger study. We qualitatively content-analysed these responses with open coding using NVivo. Respondents expressed a desire for (1) better communication, (2) multidisciplinary care, (3) better treatment, services and specialist care, (4) whole person care, (5) health promotion, (6) proactive healthcare, (7) fewer administrative issues and (8) improved hospital experience. Patients with IBD want patient-centred, multidisciplinary care. H...
Source: Journal of Clinical Psychology in Medical Settings - June 29, 2021 Category: Psychiatry & Psychology Source Type: research

Impact of End-of-Life Circumstances on the Adjustment of Bereaved Siblings of Children Who Died from Cancer
AbstractThe aim of this study was to examine the impact of end-of-life (EoL) circumstances on grief and internalizing symptoms among bereaved siblings. Bereaved families (N = 88) were recruited from three sites 3–12 months (M = 11.57, SD = 3.48) after their child’s death from cancer. One sibling per family aged 8–17 years (M = 12.41, SD = 2.64) was randomly selected to participate. Families completed measures of siblings’ grief and internalizing symptoms, as well as a structured interview about circumstances surrounding ...
Source: Journal of Clinical Psychology in Medical Settings - June 26, 2021 Category: Psychiatry & Psychology Source Type: research

Presence of PTSD is Associated with Clinical and Functional Impact in Veterans with Depression Treated in Community-Based Clinics
AbstractProviders in non-traditional mental health settings (e.g., primary care, community medical clinics) face challenges involving patients who often present with multiple mental health conditions, but require rapid assessment and treatment. To help address this challenge, this study characterized differences in health symptom severity and mental health treatment perceptions between depressed Veterans with and without posttraumatic stress disorder (PTSD) served in community medical clinics. Relative to depressed Veterans without PTSD (N = 62), depressed Veterans with PTSD (N = 122) endorsed g...
Source: Journal of Clinical Psychology in Medical Settings - June 22, 2021 Category: Psychiatry & Psychology Source Type: research

Comparison of Patient Versus Trained Observer Assessments of Healthcare Providers ’ Use of Motivational Interviewing Techniques for Patients Experiencing Depression and Anxiety in the Dominican Republic
AbstractIn settings with limited mental health system capacity, integrated care and the improvement of patient-provider communication surrounding common mental disorders is critical to advancing treatment outcomes. We trained primary care providers in the Dominican Republic in motivational interviewing (MI) to improve communication with patients experiencing depression and anxiety. Providers were randomized to an intervention group, which received MI training, or a control group. To evaluate the training ’s effectiveness, patients assessed their clinical encounters using the Motivational Interviewing Measure of Staff...
Source: Journal of Clinical Psychology in Medical Settings - June 18, 2021 Category: Psychiatry & Psychology Source Type: research

Exploring Fear of Cancer Recurrence in a Sample of Heterogeneous Distressed Cancer Patients with and Without a Psychiatric Disorder
We examined this overlap in a sample of distressed cancer patients. Self-referred patients (n = 245) were assessed with the Structured Clinical Interview for DSM-IV-TR Axis-I disorders and the Fear of Cancer Recurrence Inventory-Short Form. Proportions of patients with and without a psychiatric disorder meeting validated cut-offs for screening and clinically relevant FCR were compared. The prevalence of psychiatric disorders was 36%. Clinically relevant FCR was found in 198 patients (81%). Patients with a current psychiatric disorder reported clinically relevant FCR more frequently (89%) compared to those wit...
Source: Journal of Clinical Psychology in Medical Settings - June 17, 2021 Category: Psychiatry & Psychology Source Type: research

Loneliness and Psychological Distress in Women Diagnosed  with Ovarian Cancer: Examining the Role of Self-Perceived Burden, Social Support Seeking, and Social Network Diversity
AbstractThe aim of the present study was to examine the role of self-perceived burden, social support seeking, and social network diversity in loneliness and psychological distress among women with ovarian cancer. A cross-sectional design was employed whereby 130 women diagnosed  with ovarian cancer, recruited through various online sources (e.g., social media), completed the study via Qualtrics. Participants completed questionnaires that assessed self-perceived burden, social support seeking, social network diversity, loneliness, and psychological distress (anxiety, depr essive symptoms). The models examined ind...
Source: Journal of Clinical Psychology in Medical Settings - June 11, 2021 Category: Psychiatry & Psychology Source Type: research

Mentoring Journal Manuscript Reviewers Using a Competency-Based Approach: The Next Developmental Stage for the Journal of Clinical Psychology in Medical Settings
AbstractFounded in 1994,The Journal of Clinical Psychology in Medical Settings (JCPMS) has paralleled the development of psychology ’s role in health care as well as contributing to its growth in science, services, and education in medical settings.JCPMS provides an essential, unique publishing outlet for health service psychology as represented by the recognized psychological specialties in those settings. At this point in its development,The Journal has turned its attention to generativity and contributing further to the field by helping prepare the next generation of journal manuscript reviewers and future psychol...
Source: Journal of Clinical Psychology in Medical Settings - June 8, 2021 Category: Psychiatry & Psychology Source Type: research

Conducting a Pragmatic Trial in Integrated Primary Care: Key Decision Points and Considerations
AbstractPragmatic trials testing the effectiveness of interventions under “real world” conditions help bridge the research-to-practice gap. Such trial designs are optimal for studying the impact of implementation efforts, such as the effectiveness of integrated behavioral health clinicians in primary care settings. Formal pragmatic trials conducted in integrated prima ry care settings are uncommon, making it difficult for researchers to anticipate the potential pitfalls associated with balancing scientific rigor with the demands of routine clinical practice. This paper is based on our experience conducting the ...
Source: Journal of Clinical Psychology in Medical Settings - June 7, 2021 Category: Psychiatry & Psychology Source Type: research

Depression, Quantified Medication Adherence, and Quality of Life in Renal Transplant Candidates and Recipients
AbstractLike patients with many chronic illnesses, ESRD patients experience psychological challenges with greater incidence of depression and reduced quality of life (QoL). A series of 139 transplant candidates ’ depression and QoL, and a subset of 82 candidates’ medication adherence were monitored, revealing heterogenous patterns of depression and adherence and reduced QoL. Twenty-eight patients who received kidney transplants were re-evaluated 6 months post-transplant revealing mixed patterns. Mean depression and quantitated adherence decreased and QoL increased. Some patients improved whereas others dec...
Source: Journal of Clinical Psychology in Medical Settings - June 4, 2021 Category: Psychiatry & Psychology Source Type: research

Acceptance of Illness Among Patients Pursuing Transplantation or Left Ventricular Assist Device
AbstractAcceptance of illness is related to better mental health among patients with chronic illness; however, this construct has not been evaluated as part of routine transplantation evaluations. The purpose of this study was to create a brief measure of acceptance of illness for patients pursuing organ transplantation and examine how acceptance is related to distress. Retrospective medical record reviews were conducted for 290 patients who completed a routine psychosocial evaluation prior to transplant listing which included the Illness Acceptance Scale (IAS). Internal consistency for the IAS was excellent (Cronbach &rsq...
Source: Journal of Clinical Psychology in Medical Settings - June 2, 2021 Category: Psychiatry & Psychology Source Type: research

Does Posttraumatic Growth Buffer the Association Between Death Anxiety and Quality of Life Among People living with HIV/AIDS?
AbstractPeople living with HIV (PLWH) may experience death anxiety (DA), which can be detrimental to quality of life. Posttraumatic growth (PTG), however, is antithetical to DA, with its positive attributes at odds with negative psychosocial outcomes. Previous research has not examined the buffering effect of PTG on the association between DA and quality of life. Therefore, in addition to the direct effects of DA and PTG on health-related quality of life (HRQoL), we investigated the moderating role of PTG on the relationship between DA and HRQoL among people living with HIV/AIDS (PLWH) in Nigeria. Using cross-sectional des...
Source: Journal of Clinical Psychology in Medical Settings - June 1, 2021 Category: Psychiatry & Psychology Source Type: research

Association of Burnout with Emotional Coping Strategies, Friendship, and Institutional Support Among Internal Medicine Physicians
AbstractPhysician burnout influences physician mental health, staff stress, safety events, and patient outcomes. The association of burnout with compassion satisfaction, secondary stress, emotional coping strategies and many psychosocial variables, such as institutional support, friendship, and spirituality, have not been well studied. A convenience sample of internal medicine physicians was emailed a survey using validated instruments to explore these associations. The response rate was 337/1021 (33%), with a burnout prevalence of 175/337 (52%). Grit, acceptance, active coping, positive reframing, and strategy planning we...
Source: Journal of Clinical Psychology in Medical Settings - June 1, 2021 Category: Psychiatry & Psychology Source Type: research

Case Report: The Gold Standard: The Case for Inclusion of a Medical Student-Specific Counseling Center and Wellness Programming in Early Medical Education
AbstractMedical student ’s mental health and wellness is a multifactorial discussion that requires a multidimensional and comprehensive approach. The high prevalence of burnout and its recent recognition by the World Health Organization as a work-related syndrome has scholars questioning if experiences in early medical e ducation have an impact. The Herbert Wertheim College of Medicine at Florida International University in 2009 created an in-house counseling and wellness center. In assessing programming and services, approximately 55% of the medical student body has sought out individualized services from the Medic ...
Source: Journal of Clinical Psychology in Medical Settings - June 1, 2021 Category: Psychiatry & Psychology Source Type: research

Psychologists ’ Leadership Roles and Leadership Training Needs in Academic Health Centers
AbstractPsychologists are increasingly called upon to become more involved in academic health centers (AHCs) as leaders across a range of leadership roles in areas such as the clinical, teaching, and research missions, and in the administration thereof. Similarly, expansion of psychologists ’ service in national associations, boards, and other forums is increasing. This paper attempts to delineate the nature and extent of psychologists’ involvement in leadership roles and their needs for professional leadership development to assist them in securing and succeeding in these position s. Members of the Association...
Source: Journal of Clinical Psychology in Medical Settings - June 1, 2021 Category: Psychiatry & Psychology Source Type: research

A Secondary Analysis of Integrated Pediatric Chronic Pain Services Related to Cost Savings
This study expands on work that found reduced service use and cost savings following participation in an outpatient integrated pediatric pain clinic. We explored which services were commonly used and which individual (psychotherapy, medicati on management, acupuncture, massage, biofeedback) and/or combinations of services were associated with service use reduction and cost savings. Medication management and psychotherapy were more common than complementary integrative medicine (CIM) services. Massage services were associated with reduce d inpatient costs. There were trends of fewer emergency department visits for participa...
Source: Journal of Clinical Psychology in Medical Settings - June 1, 2021 Category: Psychiatry & Psychology Source Type: research