The Influence of Hybrid Comprehensive Telerehabilitation on Anxiety in Heart Failure Patients: The TELEREH-HF Randomized Clinical Trial
AbstractTelerehabilitation for heart failure (HF) patients is beneficial for physical functioning, prognosis, and psychological status. The study aimed at evaluating the influence of hybrid comprehensive telerehabilitation (HCTR) on the level of anxiety in comparison to usual care (UC). The TELEREH-HF study was a multicenter prospective RCT in 850 clinically stable HF participants. Patients underwent clinical examinations, including the assessment of anxiety, at entry and after the 9-week training program (HCTR) or observation (UC). The State-Trait Anxiety Inventory (STAI) was used. 20.3% HCTR and 20.1% UC patients reporte...
Source: Journal of Clinical Psychology in Medical Settings - December 18, 2023 Category: Psychiatry & Psychology Source Type: research

Adapting an Alcohol Care Linkage Intervention to US Military Veterans Presenting to Primary Care with Hazardous Drinking and PTSD and/or Depression Symptoms: A Qualitative Study
AbstractThere is a critical need to improve linkage to alcohol care for veterans in primary care with hazardous drinking and PTSD and/or depression symptoms (A-MH). We adapted an alcohol care linkage intervention, “Connect to Care” (C2C), for this population. We conducted separate focus groups with veterans with A-MH, providers, and policy leaders. Feedback centered on how psychologists and other providers can optimally inform veterans about their care options and alcohol use, and how to ensure C2C is acc essible. Participants reported that veterans with A-MH may not view alcohol use as their primary concern but rather...
Source: Journal of Clinical Psychology in Medical Settings - December 15, 2023 Category: Psychiatry & Psychology Source Type: research

Psychometric Properties of the Short  Scale Anxiety Sensitivity Index Among Adults with Chronic Respiratory Disease
AbstractApproximately one-third of adults with chronic respiratory disease (CRD) have comorbid depressive and anxiety disorders; yet these disorders are often unrecognized in this patient population. Transdiagnostic processes such as anxiety sensitivity (AS) are useful for identifying mechanisms underlying psychological and heath conditions. The Short-Scale AS Index (SSASI) is a brief self-report measure of AS which has potential clinical utility among CRD populations to evaluate psychological distress and inform comprehensive care. The present study investigated the psychometric properties of the SSASI among adults with C...
Source: Journal of Clinical Psychology in Medical Settings - September 28, 2023 Category: Psychiatry & Psychology Source Type: research

A Systematic Review of Relationships Between Illness Identity and Health-Related Outcomes in Individuals with Chronic Illnesses
AbstractThe aim of the current systematic review is to examine relationships among illness identity and illness-specific variables, adherence, and health-related outcomes. Studies were included if they (a) presented quantitative data on illness identity ’s relationship with adherence or health-related outcomes, (b) included chronic medical illness samples, (c) were peer-reviewed, and (d) were available in English. PubMed and EBSCOhost were searched. Quality was evaluated using the EPHPP Tool. Twelve papers were included. Moderate evidence support s the relationship between engulfment, enrichment, and illness complexity. ...
Source: Journal of Clinical Psychology in Medical Settings - September 26, 2023 Category: Psychiatry & Psychology Source Type: research

“I’m a Horrible Mother”: The Relationship Between Psychoeducation, Disclosure, and Shame Surrounding Postpartum Intrusive Thoughts
AbstractThe current study explored whether women who had experienced Postpartum Intrusive Thoughts of Intentional Harm (PPITIH) were more likely to disclose these thoughts and less likely to experience shame about such thoughts after being exposed to psychoeducation about PPITIH. The study also examined whether shame was a significant predictor of the number of people to whom the participant had disclosed their PPITIH. Additionally, a content analysis was used to explore participants ’ responses to the psychoeducation. One hundred and thirty-nine women completed the web-based study. The number of participants reporting P...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

The Role of Pain Catastrophizing, Emotional Intelligence, and Pain Intensity in the Quality of Life of Cancer Patients with Chronic Pain
This study aims to investigate the relationship between pain catastrophizing, emotional intelligence, pain intensity, and quality of life (QoL) in cancer patients with chronic pain. Eighty-nine outpatients with chronic pain attending pain clinics and palliative care units were recruited. Participants were men (42.7%) and women (57.3%) with an average age of 56.44  years (SD = 14.82). Self-report psychological measures were completed, including a measure of emotional intelligence, a standard measure of PC, a scale assessing pain intensity, and a scale measuring QoL. The PC scale was found to assess three correlated yet...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Predictors of Social-Emotional Development and Adaptive Functioning in School-Age Children with Intestinal Failure
ConclusionsThe group displayed social-emotional and adaptive functioning concerns. Identifying medical and demographic risks can allow for screening and intervention. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

“It’s Just Another Unfortunate Part of Being Female”: A Qualitative Study on Dysmenorrhea Severity and Quality of Life
AbstractThe present study sought to understand similarities and differences in the experiences of women with mild, moderate and severe menstrual pain. Women aged 18 –50 years were recruited from the community between May and July 2019 (n = 624). Participants were asked to rate their menstrual pain severity using a Numerical Rating Scale categorised into mild (scores 1–4), moderate (scores 5–7), and severe dysmenorrhea (scores 8–10) and respond to three open-ended questions about the impact of menstrual pain. Inductive tem plate thematic analysis was used to understand patterns of meaning and compare and contra...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Stigma Affects the Health-Related Quality of Life of People Living with HIV by Activating Posttraumatic Stress Symptoms
AbstractStigma is a strong concern in the effort to manage the impact of many chronic diseases on patients and affects the quality of life (QoL) of patients, but little is understood regarding how this happens. We explored the perspective that stigma reduces health-related QoL (HRQoL) by evoking the traumatic experiences associated with HIV diagnosis. Outpatients (n = 250) receiving HIV-related care were recruited from 2 hospitals in the southeastern region of Nigeria. Participants completed measures of stigma, posttraumatic stress symptoms, and HRQoL. Mediation analyses were conducted using Hayes PROCESS Macro for SPS...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Assessment of Post-traumatic Stress Disorder Among Objective Esophageal Motility and Reflux Phenotypes in Symptomatic Veterans
AbstractPrior research suggests post-traumatic stress disorder (PTSD) is associated with the development of esophageal symptoms. We aimed to evaluate the prevalence of PTSD in veterans with esophageal symptoms, and assess for differences in objective esophageal motility and reflux classifications. Consecutive veterans reporting esophageal symptoms (e.g., dysphagia and reflux) underwent clinical evaluation with standard reflux and motility testing. Relevant demographic, mental health, and clinical esophageal information was gathered. Patients were classified into “PTSD” and “Non-PTSD” groups based on the documentati...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Reducing Smoking Cessation Disparities: Capacity for a Primary Care- and Technology-Based Approach Among Medicaid Recipients
AbstractWhile cigarette use among U.S adults has recently decreased, vulnerable subgroups continue to smoke at high rates, including individuals receiving Medicaid insurance. These individuals have also experienced treatment access disparities, highlighting the need for approaches that leverage their strong desire to quit. We conducted interviews with 100 adult primary care patients receiving Medicaid who were current tobacco users about their use, openness to technology-based interventions, and readiness to change. Most (92%) reported current cigarette use and readiness to change averaged 6.98 out of 10 (SD  = 2.82). ...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Depression, Anxiety, Stress and Distress Following Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Results of a Prospective Cohort Study
AbstractThe aim of this study was to describe the levels of depression, anxiety, stress, and distress in patients undergoing cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). The 21-item Depression, Anxiety and Stress Scale (DASS-21) and Distress Thermometer were administered preoperatively, postoperatively day 10, and at hospital discharge to 169 patients with peritoneal carcinomatosis undergoing CRS and HIPEC. The mean preoperative values for DASS-21 subscale scores were 4.7 (depression), 4.2 (anxiety), and 8.4 (stress), and the mean preoperative Distress Thermometer rating was 4.0. No si...
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Relationship Between Post-Traumatic Stress Symptoms and Caregiver Burden In Breast Cancer Patients: The Mediating Role of Anxiety and Depression
Conclusion: The level of PTSS was positively correlated with anxiety and depression in breast cancer patients, and the level of anxiety and d epression was positively related to caregiver burden. The PTSS of patients positively predicted caregiver burden and this relationship appears to be mediated by the patient's anxiety. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - July 31, 2023 Category: Psychiatry & Psychology Source Type: research

Correction: Interprofessional Education in Psychology Doctoral Programs, Internships, and Postdoctoral Training: A Survey of Training Directors
(Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - July 26, 2023 Category: Psychiatry & Psychology Source Type: research

Interprofessional Education in Psychology Doctoral Programs, Internships, and Postdoctoral Training: A Survey of Training Directors
This study is an exploratory first step, more granular investigation of quality and quantity of IPE from training directors ’ perspectives is needed. (Source: Journal of Clinical Psychology in Medical Settings)
Source: Journal of Clinical Psychology in Medical Settings - July 13, 2023 Category: Psychiatry & Psychology Source Type: research