Journal of Clinical Psychology in Medical Settings This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Childhood Adversity and Illness Appraisals as Predictors of Health Anxiety in Emerging Adults with a Chronic Illness
Abstract Emerging adults with a chronic medical condition (CMC) are at increased risk for developing health anxiety (HA). Adverse childhood experiences (ACEs) have been linked to developing HA. CMCs and ACEs frequently co-occur among emerging adults. However, no known research has examined ACEs and HA within this critical developmental period. Further, increased negative illness appraisals (e.g., uncertainty, intrusivness) may partially explain the relation between ACEs and HA. The present study examined the following mediation model:ACEs→ illness appraisals→ HA. Emerging adults (N = 121) with a CMC completed se...
Source: Journal of Clinical Psychology in Medical Settings - April 23, 2022 Category: Psychiatry & Psychology Source Type: research

Illness Perceptions, Coping, Health-Related Quality of Life and Psychological Outcomes in Cervical Dystonia
This study examined the predictive ability of the Common-Sense Model to explain psychological outcomes in cervical dystonia, a movement disorder that affects the muscles of the head and neck. Illness Perceptions Questionnaire-Revised, brief COPE, Hospital Anxiety and Depression Scale, Cervical Dystonia Impact Profile and the Post-Traumatic Growth Inventory were completed by 118 people with cervical dystonia. Correlations and hierarchical multiple regression models were conducted. Illness perceptions and coping strategies explained 59% of variance in anxiety, 61% of variance in depression and health-related quality of life ...
Source: Journal of Clinical Psychology in Medical Settings - April 19, 2022 Category: Psychiatry & Psychology Source Type: research

Role Distinctions and Role Overlap Among Behavioral Health Providers
AbstractIntegrated behavioral health care (IBHC) models are a growing trend for health care delivery, particularly in the primary setting. Clinicians working within IBHC contexts provide a spectrum of behavioral health services, including screening, prevention and health promotion, assessment, and treatment services. Integration of behavioral health providers into primary and specialty medical settings addresses the significant need for behavioral health services, improves care quality, improves patient experience, and reduces costs of care, access issues, and delays in service provision. While benefits are clear, what typ...
Source: Journal of Clinical Psychology in Medical Settings - April 2, 2022 Category: Psychiatry & Psychology Source Type: research

Psychiatric Symptoms, Posttraumatic Growth, and Life Satisfaction Among Parents of Seriously Ill Infants: A Prospective Case-Controlled Study
In conclusion, the serious illness of an infant substantially affects the well-being of the parents in the early stages of illness and one year after the illness. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - March 28, 2022 Category: Psychiatry & Psychology Source Type: research

Cost Analysis of Integrated Behavioral Health in a Large Primary Care Practice
AbstractA residency-based Family Medicine outpatient clinic chose to implement an integrated behavioral health care program in a large primary care clinic in the Southeast to improve patient access to behavioral health care. We hypothesized that embedding a BHP in a primary care setting would be a cost neutral intervention. We implemented a prospective cohort design and included expenses from both inpatient and outpatient visits. We implemented a mixed effects linear regression model to evaluate pre- and post-BHP exposure costs. A total of 1256 patients were identified in the post-BHP exposure period that had more than one...
Source: Journal of Clinical Psychology in Medical Settings - March 24, 2022 Category: Psychiatry & Psychology Source Type: research

Priorities for Advancing Mental and Social Health Among People Presenting for Care of Musculoskeletal Symptoms
AbstractAn international group of clinicians and researchers formed a consortium to advance mental and social health among people seeking musculoskeletal specialty care: The International Consortium for Mental and Social Health in Musculoskeletal Care (I-MESH). As a first step to organize the work of the consortium, we sought to identify important, appropriate, and feasible interventions to address mental and social health. Members of I-MESH responded to a list of 10 queries intended to elicit mental and social health priorities. Open text answers were analyzed by 2 researchers to elicit individual themes. A modified RAND/...
Source: Journal of Clinical Psychology in Medical Settings - March 22, 2022 Category: Psychiatry & Psychology Source Type: research

Patient and Provider Views on Psychosocial Screening in a Comprehensive Diabetes Center
This study assessed patient and provider perspectives regarding the role of mental health in diabetes care, psychosocial screening procedures, and patients ’ support needs. Patients with diabetes (n = 15; 73.3% type 2) and their medical providers (n = 11) participated in qualitative interviews. Thematic content analysis was used to categorize results. Participants believed that mental health was important to address within comprehensive diabetes care. Patients expressed positive or neutral opinions about psychosocial screening. Providers h ad mixed reactions; many thought that screening would be too time-consumin...
Source: Journal of Clinical Psychology in Medical Settings - March 22, 2022 Category: Psychiatry & Psychology Source Type: research

Effects of Mindfulness-Based Therapy for Cancer Patients: A Systematic Review and Meta-analysis
AbstractThis meta-analysis was a systematic review of evidence on the effects of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) on quality of life (QOL), pain, fatigue, anxiety, and depression in cancer patients. Until July 2020, PubMed, Cochrane Library, and Embase were searched for randomized controlled trials (RCTs). The study included 18 RCTs. The MBSR/MBCT intervention resulted in a significant effect on QOL (SMD 0.80, CI 0.28, 1.32,I2 = 94%). In subgroup analysis, MBSR/MBCT interventions had a significant effect in the early cancer stage on anxiety (SMD − 3.48, CI −�...
Source: Journal of Clinical Psychology in Medical Settings - March 6, 2022 Category: Psychiatry & Psychology Source Type: research

The Negative Effect of Social Discrimination on Pain Tolerance and the Moderating Role of Pain Catastrophizing
This study examined the negative impact of social discrimination on the time to pain tolerance during experimentally induced cold pressor pain among healthy individuals. It was hypothesized that the degree to which one catastrophized about pain would exacerbate the negative impact of a history discriminatory experiences on pain tolerance, and that this interaction would be different between individuals of a racial and ethnic minority and non-Hispanic white individuals (thus testing catastrophizing as a moderated moderator). Higher levels of discrimination were positively related to catastrophic thinking about pain, and the...
Source: Journal of Clinical Psychology in Medical Settings - March 4, 2022 Category: Psychiatry & Psychology Source Type: research

A Pilot Study of Brief, Stepped Behavioral Activation for Primary Care Patients with Depressive Symptoms
AbstractIn a prior pilot study with primary care patients experiencing depressive symptoms, we observed positive outcomes for a behavioral activation protocol involving one visit and three calls. We aimed to pilot test a stepped version with flexible numbers of contacts. Fifteen primary care patients scoring 5 –14 on the Patient Health Questionnaire-9 engaged in the three-tiered telephone-based intervention: (1) two calls (15–20 min each); (2) one 30–60 min encounter followed by two calls; and (3) one to six calls. Participants completed assessments at pre-treatment, post-treatment, and three mont hs later. Partici...
Source: Journal of Clinical Psychology in Medical Settings - February 27, 2022 Category: Psychiatry & Psychology Source Type: research

The Mediating Role of Coping Strategies and Emotion Regulation in the Relationship Between Pain Acceptance and Pain-Related Anxiety
AbstractPain is an unpleasant sensory and emotional experience that exists all over the world and has a negative effect on people ’s ability to engage in valuable life activities. The present study was conducted aiming to investigate the mediating role of coping strategies and emotion regulation in the relationship between pain acceptance and pain anxiety. The research design was descriptive, and the sample consisted of 428 students selected via purposive sampling. Pain Anxiety Symptoms Scale (PASS-20), Chronic Pain Acceptance Questionnaire-8 (CPAQ-8), Ways of Coping Questionnaire (WCQ), The Multidimensional Pain Invento...
Source: Journal of Clinical Psychology in Medical Settings - February 26, 2022 Category: Psychiatry & Psychology Source Type: research

Prevalence of Mental Disorders in a German Kidney Transplant Population: Results of a KTx360 °-Substudy
AbstractIn patients after kidney transplantation (KTx) an increased rate of affective and anxiety disorders has been observed. Repeatedly, a relationship between mental health issues and increased morbidity and mortality in KTx recipients has been reported. However, information on the prevalence of mental disorders in KTx patients is scarce. As part of the structured multimodal follow-up program (KTx360 °), mental disorders were examined in 726 patients after KTx through structured diagnostic interviews using the Mini-DIPS Open Access. Overall, 27.5% had a current and 49.2% a lifetime mental disorder. Only 14.5% with a cu...
Source: Journal of Clinical Psychology in Medical Settings - February 23, 2022 Category: Psychiatry & Psychology Source Type: research

The Impact of Resilience, Alexithymia and Subjectively Perceived Helplessness of Myocardial Infarction on the Risk of Posttraumatic Stress
AbstractThe aim of this study was to investigate the impact of resilience, alexithymia and the subjectively perceived severity (fear of death, pain intensity, helplessness) of myocardial infarction (MI) on posttraumatic symptom severity (PTSS) after MI. Patients were assessed with the Posttraumatic Diagnostic Scale (PDS), Resilience Scale (RS-11) and Toronto Alexithymia Scale (TAS-20). Subjectively perceived severity of MI was measured with three items on a 10-point Likert scale. To test our hypothesis, we applied Pearson correlations as well as multiple hierarchical linear regression analyses. A higher resilience score wa...
Source: Journal of Clinical Psychology in Medical Settings - February 15, 2022 Category: Psychiatry & Psychology Source Type: research

Pediatric Cancer Survivorship: Impact Upon Hair Cortisol Concentration and Family Functioning
AbstractA clearer understanding of the association between a biomarker of long-term stress reactivity and family functioning among pediatric cancer survivors may guide both survivorship research and clinical practice. The current study examined the relationship between a long-term measure of hypothalamic –pituitary–adrenal (HPA) activity (cortisol concentration; CORTHAIR) and parent-reported family functioning (Family Environment Scale; FES) in a cross-sectional sample of survivors (n = 26) and controls (n = 53). Child CORTHAIR was not different in survivors and controls, though treatment severity was significa...
Source: Journal of Clinical Psychology in Medical Settings - February 12, 2022 Category: Psychiatry & Psychology Source Type: research

Behavioral Pediatrics: A Team-Based Interprofessional Approach
AbstractAn interprofessional approach to pediatric behavioral care is increasingly important in the care of pediatric patients, who present to healthcare settings with a wide variety of concerns ranging from potty training to depression. Previously, much of the care of these patients have focused on a narrow approach to the problem, based on the expertise of the professional providing care. Faculty from three disciplines: Social Work, Psychology, and Medicine collaborated to design a course for students from these three disciplines to collaborate in attaining three goals: (1) reinforce the importance of multidisciplinary c...
Source: Journal of Clinical Psychology in Medical Settings - February 12, 2022 Category: Psychiatry & Psychology Source Type: research