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.

Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation
AbstractThe current study explored perspectives of those with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression on a hybrid acceptance and  committment therapy (ACT) intervention, compared to an active control. This qualitative study was nested within a randomized controlled trial (RCT) where an experimental group received an 8-week blended delivery ACTforIBD intervention (four sessions telehealth, four sessions pre-recorded self-dire cted), while an active control group received a psychoeducation program of similar intensity. Semi-structured interviews were conducted post-intervention and at a 3-mon...
Source: Journal of Clinical Psychology in Medical Settings - February 12, 2024 Category: Psychiatry & Psychology Source Type: research

Current Practices in Clinical Supervision in Primary Care
AbstractThe purpose of this study was to examine current clinical supervision practices within primary care settings. We used a descriptive survey design, which blends quantitative and qualitative data, and examined the current state of clinical supervision practices and approaches in primary care and the type of training the behavioral health consultants received to provide supervision to pre-licensure level behavioral health trainees. Ninety-four participants completed the survey in 2022. Seventy-one percent of respondents felt they had adequate training to be an effective integrated behavioral health (IBH) supervisor; h...
Source: Journal of Clinical Psychology in Medical Settings - February 12, 2024 Category: Psychiatry & Psychology Source Type: research

A Longitudinal RCT on the Effectiveness of a Psychological Intervention for Hospital Healthcare Workers During the COVID-19 Pandemic: What We Learned to Date
This study investigated the longitudinal course of trauma-associated symptoms and behaviors in HCWs and the effectiveness of a brief dialectical behavior therapy (DBT)-informed intervention in mitigating these symptoms over 12  months. The trial included 225 HCWs randomly assigned to one of three groups: no intervention (control), in-person DBT-informed intervention, or online DBT-informed intervention. Over time, a natural decrease in PTSD symptoms was observed in all groups. Contrary to expectations, no difference was found between the control and intervention groups. However, for participants with severe PTSD symptoms,...
Source: Journal of Clinical Psychology in Medical Settings - January 31, 2024 Category: Psychiatry & Psychology Source Type: research

Comparative Effectiveness of Cognitive Behavioral Therapy and Behavioral Therapy in Obesity: A Systematic Review and Network Meta-Analysis
AbstractWe aimed to evaluate the effects of obesity treatment with behavioral therapy (BT) and cognitive behavioral therapy (CBT) interventions compared with multiple comparators and find effective techniques or combinations of techniques in BT and CBT interventions for weight loss. We systematically searched electronic databases and selected randomized controlled trials using CBT or BT intervention for obesity treatment in overweight adults or adults with obesity without psychological symptoms. Both pairwise meta-analysis and network meta-analysis were performed to comprehensively evaluate the comparative effects between ...
Source: Journal of Clinical Psychology in Medical Settings - January 29, 2024 Category: Psychiatry & Psychology Source Type: research

Diabetes Care and Mental Health During the COVID-19 Pandemic: Perspectives of Adolescents with Diabetes, Parents, and Providers
This study explored ways in which the COVID-19 pandemic impacted adolescents ’ diabetes management and psychosocial functioning, and how adolescents, parents, and providers viewed telemedicine. We present data from three studies: (1) a comparison of psychosocial functioning and glycemic levels before and after pandemic onset (n = 120 adolescents; 89% with type 1 diabetes), (2) an online survey of parents about pandemic-related stressors (n = 141), and (3) qualitative interviews with adolescents, parents, and medical providers about the pandemic’s impacts on adolescents’ diabetes care and mental health (n =â...
Source: Journal of Clinical Psychology in Medical Settings - January 28, 2024 Category: Psychiatry & Psychology Source Type: research

Cognitive Behavioral Therapy for Insomnia Self-Management Mobile Apps: A Review of Efficacy and Quality
AbstractCognitive behavioral therapy for insomnia (CBT-I) is the recommended treatment for insomnia, yet multiple barriers limit utilization. Digital CBT-I may present a solution, though related reviews have focused on Internet-based delivery rather than app use. The high utilization of health apps and prevalence of sleep apps indicate the need to equip clinicians with app-specific research. Toward this end, we reviewed efficacy and quality data on self-management CBT-I smartphone apps, revealing efficacy research on eleven apps, five of which were publicly available. While preliminary, these efficacy studies showed consis...
Source: Journal of Clinical Psychology in Medical Settings - January 28, 2024 Category: Psychiatry & Psychology Source Type: research

Implementation of ‘IBD-Specific Cognitive Behavioural Therapy’ for Patients with Inflammatory Bowel Diseases with Poor Mental Quality of Life, Anxiety and Depression
AbstractThis paper describes the implementation of inflammatory bowel disease (IBD)-specific cognitive behavioural therapy (CBT) for IBD patients with poor quality of life (QoL), anxiety and depression, in four hospitals in the Netherlands. Treatment outcomes were compared with those of a previously published randomized control trial (RCT) of ‘IBD-specific CBT’, following a benchmark strategy. Primary outcome was IBD-specific QoL (IBDQ) completed before and after CBT, secondary outcomes were anxiety and depressive symptoms (HADS, CES-D). Semi-structured interviews were conducted among a pilot of gastroenterologists, nu...
Source: Journal of Clinical Psychology in Medical Settings - January 28, 2024 Category: Psychiatry & Psychology Source Type: research

Psychosocial Outcomes of Pain and Pain Management in Adults with Osteogenesis Imperfecta: A Qualitative Study
AbstractOsteogenesis imperfecta (OI) is a genetic disorder characterized by bone fragility and fractures, short stature, dental abnormalities, hearing loss, scoliosis, and chronic pain. Despite a growing literature on the functional outcomes of OI, limited research has explicitly examined the psychosocial outcomes of pain within OI. Adults with OI (N  = 15) were interviewed to understand pain-related experiences through a thematic analysis of semi-structured interview data. Research team members, genetic research experts, and OI clinicians developed an interview guide focused on topics related to pain and mental health...
Source: Journal of Clinical Psychology in Medical Settings - January 28, 2024 Category: Psychiatry & Psychology Source Type: research

Brief Telephonic Motivational Interviewing for People Living with HIV with Follow-up Problems
This study aimed to assess the stage of motivation to attend medical appointments of PLWHIV with medical follow-up problems and to evaluate a single telephone session MI intervention directed to engage them in care. The change in stage was evaluated before and after the intervention, and attending medical appointments was monitored for six months. Thirty-nine PLWHIV participated; 51.3% were in precontemplation/contemplation and 49.7% in preparation/action stage. Most (excluding those in the action stage from the beginning) (n = 22, 71.0%) advanced to another stage after the intervention (z = − 4.235, p < ...
Source: Journal of Clinical Psychology in Medical Settings - January 24, 2024 Category: Psychiatry & Psychology Source Type: research

Gender Diversity Among Youth Attending an Intensive Interdisciplinary Pain Treatment Program
AbstractTransgender and gender diverse (TGD) youth with chronic pain may be at unique risk for psychological distress and associated functional impairment, yet research on the intersection of chronic pain and gender identity is lacking. In a retrospective chart review of 491 participants admitted to a pediatric intensive interdisciplinary pain treatment (IIPT) program in the midwestern United States over an approximately 4-year period, 6.11% were TGD. TGD participants who completed the IIPT program reported significant and large improvements in anxiety, depression, pain catastrophizing, and functional ability. At baseline,...
Source: Journal of Clinical Psychology in Medical Settings - January 24, 2024 Category: Psychiatry & Psychology Source Type: research

Linking Primary Care to Community-Based Mental Health Resources via Family Navigation and Phone-Based Care Coordination
AbstractFamily navigation (FN) and phone-based care coordination may improve linkages from primary care to community-based mental health referrals, but research on their differential impact is limited. This mixed-methods study compared FN and phone-based care coordination in connecting families to mental health services from primary care. Families of children (56.3% male, mean age  = 10.4 years, 85.4% Black) were sequentially assigned to either receive FN through a family-run organization or phone-based coordination via the child psychiatry access program (CPAP). Caregiver-reported children’s mental health improved ...
Source: Journal of Clinical Psychology in Medical Settings - January 24, 2024 Category: Psychiatry & Psychology Source Type: research

Treating Hot Flashes with Hypnosis: Does Hypnotizability Modulate Reductions?
AbstractHypnosis is an effective treatment option for a variety of concerns. Past research has suggested that those who score in the high range of hypnotizability initially show greater improvement than those in the low range. A post hoc analysis was conducted to examine the extent to which hypnotizability modulates the reduction of hot flash frequency. Average number of hot flashes reported during hypnosis treatment and a 12-week follow-up were grouped according to participants ’ level of hypnotizability. Using baseline data, the reduction percentage of hot flash frequency was plotted and visually examined to determine ...
Source: Journal of Clinical Psychology in Medical Settings - January 24, 2024 Category: Psychiatry & Psychology Source Type: research

Associations Between Adult Attachment, Pain Catastrophizing, Psychological Inflexibility and Disability in Adults with Chronic Pain
This study provided initial evidence that pain catastrophising and psychological inflexibility mediate the association between insecure attachment and pain disability. Follow-up research using a longitudinal design is recommended. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - January 5, 2024 Category: Psychiatry & Psychology Source Type: research

Feasibility Study of Taking Back Control Together, an Intervention to Support Parents of Children with Cancer
ConclusionThis study suggests that certain elements of TBCT need to be reassessed before the intervention is pilot tested. Although reach was likely impacted by the COVID-19 pandemic, it could be improved with some modifications to the intervention. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - December 21, 2023 Category: Psychiatry & Psychology Source Type: research

Perceived Stigma in Patients with Autoimmune Hepatitis
AbstractPerceived stigma (PS) adversely impacts psychosocial and disease outcomes in patients with chronic liver diseases (CLD), and those with autoimmune hepatitis (AIH) may be at risk for PS given inaccurate assumptions about the origin of their diagnosis. The aims of the current study are  to describe the frequency of PS in patients with AIH, compare rates of PS in AIH to rates of PS in primary biliary cholangitis (PBC) and CLD, and examine demographic correlates of PS. 262 adults with AIH (95% female,Mage = 51.53 years) completed online questionnaires on demographics, disease information, and PS. 54–68% reporte...
Source: Journal of Clinical Psychology in Medical Settings - December 21, 2023 Category: Psychiatry & Psychology Source Type: research