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 scored above the cl...
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 the death. Mother and sibling reports of EoL circumstances were generally ...
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 greater depression, s...
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 Int...
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 with no disor...
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 indicated t...
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 psychologic...
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 first ph...
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 declined in dep...
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 ’s...
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