Association of Burnout with Emotional Coping Strategies, Friendship, and Institutional Support Among Internal Medicine Physicians
This study suggests that amelioration of burnout requires both intrinsic strategies that emphasize physician coping skills as well as extrinsic strategies that address institutional support. (Source: Journal of Clinical Psychology in Medical Settings)
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 al S...
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 of Psyc...
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

Responding to the Psychological Needs of Health-Care Workers During the COVID-19 Pandemic: Case Study from the Medical College of Wisconsin
AbstractWith the advent of the novel coronavirus (COVID-19) pandemic, health-care workers have been faced with an inordinately high level of trauma as frontline providers. The Medical College of Wisconsin (MCW) partnered with affiliate hospitals and community partners to mobilize a matrix of available support and interventions to deliver psychological services to reach all levels of health-care providers in timely, accessible formats. While virtual peer support groups were the most utilized resource among the support group options, other opportunities also provided unique benefits to learners whose education had been disru...
Source: Journal of Clinical Psychology in Medical Settings - May 31, 2021 Category: Psychiatry & Psychology Source Type: research

Characterization of the Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) in Lung Transplant Candidates
This study characterized the SIPAT in 147 lung transplant candidates to better elucidate its utility. The average score corresponded to a minimally acceptable rating and nearly half of the patients had relative or absolute contraindications. Interstitial Lung Disease (ILD) patients scored more favorably than non-ILD patients (U  = 7.69,p <  .05). The Total (β = − .05, SE = .018,p <  .01), Social Support Subscale (β = − .133, SE = .058,p <  .05), and Psychosocial Stability and Psychopathology Subscale (β = − .103, SE = .040,p <  .05) significantly predicted...
Source: Journal of Clinical Psychology in Medical Settings - May 27, 2021 Category: Psychiatry & Psychology Source Type: research

Personality and Everyday Functioning in Older Adults With and Without HIV
AbstractIn a cross-sectional multi-method study of older adults living with and without HIV (n = 202; 69.8% HIV seropositive), we tested associations between personality traits and everyday functioning, and whether these associations differed depending on HIV serostatus. We found that higher levels of conscientiousness and lower levels of neuroticism were associated with higher odds of b eing clinically independent (vs. dependent) in everyday functioning. These findings replicated across self- and clinician-reports and persisted above and beyond relevant covariates. We found no evidence of interactions between personal...
Source: Journal of Clinical Psychology in Medical Settings - May 25, 2021 Category: Psychiatry & Psychology Source Type: research

Predictors of Improvement in Pediatric Chronic Migraine: Results from the Cognitive-Behavioral Therapy and Amitriptyline Trial
AbstractExplore predictors of improvement in headache days and migraine-related disability through a secondary analysis of the cognitive-behavioral therapy plus amitriptyline trial in children and adolescents (Clinical Trials Registration Number: NCT00389038). Participants were 135 youth aged 10 –17 years old diagnosed with chronic migraine. Predictor variables included group assignment (treatment or control), baseline scores from depression and quality of life measures, and demographic variables. Criterion variables included headache days and migraine-related disability. Higher baseline depression scores were indicativ...
Source: Journal of Clinical Psychology in Medical Settings - May 24, 2021 Category: Psychiatry & Psychology Source Type: research

Introduction to the Special Issue: The Mutual Relationships of an Emerging Field, a Professional Organization, a Specialty Journal and the Advancement of Psychological Science in Medical Settings
(Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - May 21, 2021 Category: Psychiatry & Psychology Source Type: research

Impairment of Cognitive Function in Different Domains Early After Lung Transplantation
AbstractIn this prospective observational pilot study patients with the diagnosis of end-stage lung disease and listed for lung transplantation underwent a cognitive function test battery before and after lung transplantation to investigate postoperative cognitive function in three domains (visual and verbal memory, executive functioning, concentration/speed of processing). Additionally we investigated intraoperative risk factors for postoperative cognitive dysfunction. In total, 24 patients were included in this pilot study. The incidence of postoperative cognitive dysfunction was 58.3%. In the cognitive dysfunction group...
Source: Journal of Clinical Psychology in Medical Settings - May 19, 2021 Category: Psychiatry & Psychology Source Type: research

Life After Facing Cancer: Posttraumatic Growth, Meaning in Life and Life Satisfaction
AbstractAlthough it is known that facing cancer may be accompanied by a range of chronic and acute stress reactions, it can also contribute to positive psychological changes and influence one's life perception. The aim of this cross-sectional study was to investigate relationship between posttraumatic growth (PTG), meaning in life and life satisfaction to determine whether the presence of meaning or the search for meaning mediated the relationship between PTG and life satisfaction. The study was conducted with 149 cancer survivors who were at least one-month post-completion of all medical cancer therapy. The results indica...
Source: Journal of Clinical Psychology in Medical Settings - May 18, 2021 Category: Psychiatry & Psychology Source Type: research

COVID-19 Adaptations for Health Service Psychology Internship Training in a Medical School
AbstractHealth service psychology internship directors confronted a myriad of training challenges in response to the COVID-19 pandemic. Specifically, internship training directors were tasked with ensuring that interns received appropriate training in each of the nine profession-wide competency (PWCs) areas while also ensuring the physical and emotional well-being of staff and trainees. The purpose of this paper is to describe one internship ’s approach to adapting the nine PWCs during COVID-19 in the context of an academic medical setting. Successes and challenges associated with training adaptations in the context of e...
Source: Journal of Clinical Psychology in Medical Settings - May 9, 2021 Category: Psychiatry & Psychology Source Type: research

Relation of Repetitive Thinking Styles with Anxiety and Depression in Patients with Inflammatory Bowel Disease
In this study, we aimed to evaluate the relationship between the repetitive thinking styles and anxiety and depression in patients with inflammatory bowel disease (IBD). One hundred IBD outpatients (39 active and 61 remission) attending the gastroenterology clinic and 100 healthy controls were included.The rumination and worry scores of IBD patients, particularly in their active period, were significantly higher than controls. Additionally, the correlation of rumination and worry with anxiety and depression was statistically significant. Our results suggest that psychological interventions targeting repetitive thinking wou...
Source: Journal of Clinical Psychology in Medical Settings - April 27, 2021 Category: Psychiatry & Psychology Source Type: research

Pediatric Living Lung Donor Transplant Candidates: Psychiatric Status of Utilized and Non-Utilized Donors
This study did find that psychiatric history or status was not exclusion factor for transp lant surgery in either group. This observation about psychiatric issues in potential living lung donors should be useful to transplant centers who utilize adult live donors of any solid organ type for pediatric recipients and in Japan where live donor lung transplants still represent a significant p roportion of lung transplants (Date in J Thorac Dis 8: S631–S636, 2016). (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - April 21, 2021 Category: Psychiatry & Psychology Source Type: research

An Innovative Model of Behavior Management to Address Behavioral Emergencies in the Acute Medical Inpatient Setting: Pilot Data
AbstractWorkplace violence in healthcare is a significant and costly problem. The majority of violent events that occur in the medical inpatient setting are perpetrated by patients against staff and occur during a behavioral emergency. The primary purpose of this study was to evaluate the impact of an innovative model of behavior management on occurrence of behavioral emergencies and staff comfort and competence in managing difficult patient behaviors. This model consists of primary, secondary, and tertiary interventions provided by a clinical psychologist which include proactive training for hospital staff and consultatio...
Source: Journal of Clinical Psychology in Medical Settings - April 15, 2021 Category: Psychiatry & Psychology Source Type: research