Situational context influences the degree of hostile attributions made by individuals with schizophrenia or autism spectrum disorder
CONCLUSIONS: These findings suggest that salient environmental factors should be considered when assessing social cognitive skills and biases.PRACTITIONER POINTS: Hostile attributions should be perceived as situational constructs rather than stable and persistent characteristics. Hostile attributions were most prevalent among persons diagnosed with schizophrenia; however, on average, all participants showed greater hostility for situations involving an authority figure, an acquaintance, or a friend relative to those involving a co-worker or stranger. Psychotherapists and clinicians working with people diagnosed with schizo...
Source: The British Journal of Clinical Psychology - March 2, 2021 Category: Psychiatry & Psychology Authors: Anna Zajenkowska Rados ław Rogoza Noah J Sasson Philip D Harvey David L Penn Amy E Pinkham Source Type: research

Regulating digital therapeutics for mental health: Opportunities, challenges, and the essential role of psychologists
Br J Clin Psychol. 2021 Mar 1. doi: 10.1111/bjc.12286. Online ahead of print.ABSTRACTWith so many promising digital therapeutics for anxiety and obsessive-compulsive (OC) spectrum problems, there is an urgent need to consider how evolving regulatory oversight of digital therapeutics is poised to shift how these tools are developed, evaluated, reimbursed, and delivered. In this commentary, we discuss both opportunities and potential pitfalls associated with emerging government regulations of digital therapeutics for mental health, and we consider how applying the traditional 'prescription-based' medical approval paradigm to...
Source: The British Journal of Clinical Psychology - March 2, 2021 Category: Psychiatry & Psychology Authors: Jenna R Carl Deborah J Jones Oliver J Lindhiem Brian D Doss Kenneth R Weingardt Adela C Timmons Jonathan S Comer Source Type: research

Exploring service user and family perspectives of a Culturally adapted Family Intervention (CaFI) for African-Caribbean people with psychosis: A qualitative study
CONCLUSIONS: CaFI was found to be an acceptable intervention for African-Caribbean service users with psychosis and their relatives. Family interventions considering the needs of ethnic and cultural groups have the potential to improve the mental health care and experiences of service users and their families.PRACTITIONER POINTS: The Culturally adapted Family Intervention (CaFI) was viewed as acceptable to African-Caribbean service users with psychosis and their families. Through adapting interventions to be more culturally sensitive, it is possible to enhance the care of those who typically have poor engagement with menta...
Source: The British Journal of Clinical Psychology - March 2, 2021 Category: Psychiatry & Psychology Authors: Eve Jensen Rosie Carr Amy Degnan Katherine Berry Dawn Edge Source Type: research

Situational context influences the degree of hostile attributions made by individuals with schizophrenia or autism spectrum disorder
CONCLUSIONS: These findings suggest that salient environmental factors should be considered when assessing social cognitive skills and biases.PRACTITIONER POINTS: Hostile attributions should be perceived as situational constructs rather than stable and persistent characteristics. Hostile attributions were most prevalent among persons diagnosed with schizophrenia; however, on average, all participants showed greater hostility for situations involving an authority figure, an acquaintance, or a friend relative to those involving a co-worker or stranger. Psychotherapists and clinicians working with people diagnosed with schizo...
Source: The British Journal of Clinical Psychology - March 2, 2021 Category: Psychiatry & Psychology Authors: Anna Zajenkowska Rados ław Rogoza Noah J Sasson Philip D Harvey David L Penn Amy E Pinkham Source Type: research

Regulating digital therapeutics for mental health: Opportunities, challenges, and the essential role of psychologists
Br J Clin Psychol. 2021 Mar 1. doi: 10.1111/bjc.12286. Online ahead of print.ABSTRACTWith so many promising digital therapeutics for anxiety and obsessive-compulsive (OC) spectrum problems, there is an urgent need to consider how evolving regulatory oversight of digital therapeutics is poised to shift how these tools are developed, evaluated, reimbursed, and delivered. In this commentary, we discuss both opportunities and potential pitfalls associated with emerging government regulations of digital therapeutics for mental health, and we consider how applying the traditional 'prescription-based' medical approval paradigm to...
Source: The British Journal of Clinical Psychology - March 2, 2021 Category: Psychiatry & Psychology Authors: Jenna R Carl Deborah J Jones Oliver J Lindhiem Brian D Doss Kenneth R Weingardt Adela C Timmons Jonathan S Comer Source Type: research

Exploring service user and family perspectives of a Culturally adapted Family Intervention (CaFI) for African-Caribbean people with psychosis: A qualitative study
CONCLUSIONS: CaFI was found to be an acceptable intervention for African-Caribbean service users with psychosis and their relatives. Family interventions considering the needs of ethnic and cultural groups have the potential to improve the mental health care and experiences of service users and their families.PRACTITIONER POINTS: The Culturally adapted Family Intervention (CaFI) was viewed as acceptable to African-Caribbean service users with psychosis and their families. Through adapting interventions to be more culturally sensitive, it is possible to enhance the care of those who typically have poor engagement with menta...
Source: The British Journal of Clinical Psychology - March 2, 2021 Category: Psychiatry & Psychology Authors: Eve Jensen Rosie Carr Amy Degnan Katherine Berry Dawn Edge Source Type: research

Development of a cognitive bias modification intervention for anxiety disorders in primary care
CONCLUSION: The online CBM intervention demonstrated good acceptability and, when delivered at a stable primary care clinic, preliminary effectiveness in primary care. A larger RCT is warranted to test effectiveness.PRACTITIONER POINTS: A personalized, transdiagnostic Cognitive Bias Modification (CBM) intervention for anxiety in primary care is acceptable to primary care patients with social anxiety disorder, generalized anxiety disorder, and/or panic disorder /agoraphobia. With training and supervision from licensed mental health clinicians, bachelor's-level coaches can assist primary care patients to self-administer CBM....
Source: The British Journal of Clinical Psychology - February 25, 2021 Category: Psychiatry & Psychology Authors: Risa B Weisberg Meghan A Gonsalves Ramya Ramadurai Howard Braham Cara Fuchs Courtney Beard Source Type: research

Development of a cognitive bias modification intervention for anxiety disorders in primary care
CONCLUSION: The online CBM intervention demonstrated good acceptability and, when delivered at a stable primary care clinic, preliminary effectiveness in primary care. A larger RCT is warranted to test effectiveness.PRACTITIONER POINTS: A personalized, transdiagnostic Cognitive Bias Modification (CBM) intervention for anxiety in primary care is acceptable to primary care patients with social anxiety disorder, generalized anxiety disorder, and/or panic disorder /agoraphobia. With training and supervision from licensed mental health clinicians, bachelor's-level coaches can assist primary care patients to self-administer CBM....
Source: The British Journal of Clinical Psychology - February 25, 2021 Category: Psychiatry & Psychology Authors: Risa B Weisberg Meghan A Gonsalves Ramya Ramadurai Howard Braham Cara Fuchs Courtney Beard Source Type: research

Development of a cognitive bias modification intervention for anxiety disorders in primary care
CONCLUSION: The online CBM intervention demonstrated good acceptability and, when delivered at a stable primary care clinic, preliminary effectiveness in primary care. A larger RCT is warranted to test effectiveness.PRACTITIONER POINTS: A personalized, transdiagnostic Cognitive Bias Modification (CBM) intervention for anxiety in primary care is acceptable to primary care patients with social anxiety disorder, generalized anxiety disorder, and/or panic disorder /agoraphobia. With training and supervision from licensed mental health clinicians, bachelor's-level coaches can assist primary care patients to self-administer CBM....
Source: The British Journal of Clinical Psychology - February 25, 2021 Category: Psychiatry & Psychology Authors: Risa B Weisberg Meghan A Gonsalves Ramya Ramadurai Howard Braham Cara Fuchs Courtney Beard Source Type: research

Development of a cognitive bias modification intervention for anxiety disorders in primary care
CONCLUSION: The online CBM intervention demonstrated good acceptability and, when delivered at a stable primary care clinic, preliminary effectiveness in primary care. A larger RCT is warranted to test effectiveness.PRACTITIONER POINTS: A personalized, transdiagnostic Cognitive Bias Modification (CBM) intervention for anxiety in primary care is acceptable to primary care patients with social anxiety disorder, generalized anxiety disorder, and/or panic disorder /agoraphobia. With training and supervision from licensed mental health clinicians, bachelor's-level coaches can assist primary care patients to self-administer CBM....
Source: The British Journal of Clinical Psychology - February 25, 2021 Category: Psychiatry & Psychology Authors: Risa B Weisberg Meghan A Gonsalves Ramya Ramadurai Howard Braham Cara Fuchs Courtney Beard Source Type: research

Development of a cognitive bias modification intervention for anxiety disorders in primary care
CONCLUSION: The online CBM intervention demonstrated good acceptability and, when delivered at a stable primary care clinic, preliminary effectiveness in primary care. A larger RCT is warranted to test effectiveness.PRACTITIONER POINTS: A personalized, transdiagnostic Cognitive Bias Modification (CBM) intervention for anxiety in primary care is acceptable to primary care patients with social anxiety disorder, generalized anxiety disorder, and/or panic disorder /agoraphobia. With training and supervision from licensed mental health clinicians, bachelor's-level coaches can assist primary care patients to self-administer CBM....
Source: The British Journal of Clinical Psychology - February 25, 2021 Category: Psychiatry & Psychology Authors: Risa B Weisberg Meghan A Gonsalves Ramya Ramadurai Howard Braham Cara Fuchs Courtney Beard Source Type: research

Perceived social support, loneliness, and hope during the COVID-19 Pandemic: Testing a mediating model in the UK, USA, and Israel
CONCLUSIONS: Perceived social support may facilitate hope in dire times, possibly through the reduction of loneliness.PRACTITIONER POINTS: Findings are consistent with respect to the potentially protective role of perceived social support vis-à-vis hope. Perceived social support may increase hope through decreasing loneliness. In the UK, the above-noted mediating effect of loneliness appears to be stronger than in Israel and the USA. Elevated levels of perceived social support should serve as a desired outcome in individual and group psychotherapy, as well as in community based interventions.PMID:33624294 | DOI:10.1...
Source: The British Journal of Clinical Psychology - February 24, 2021 Category: Psychiatry & Psychology Authors: Liad Bareket-Bojmel Golan Shahar Sarah Abu-Kaf Malka Margalit Source Type: research

Investigating associations between hoarding symptoms and affective and cognitive empathy
CONCLUSIONS: Hoarding symptoms are associated with increased emotional contagion and decreased cognitive empathy. Empathy may be an avenue for understanding and treating interpersonal difficulties in hoarding disorder.PRACTITIONER POINTS: As hoarding increased, self-reported emotional contagion increased As hoarding increased, self-reported and behavioural cognitive empathy decreased Self-reported emotional empathy and behavioural cognitive empathy predicted hoarding even after controlling for depression Empathy may be an avenue for understanding social difficulties in hoarding disorder.PMID:33587764 | DOI:10.1111/bjc.1228...
Source: The British Journal of Clinical Psychology - February 15, 2021 Category: Psychiatry & Psychology Authors: Wenting Chen Skye McDonald Travis Wearne Jessica Grisham Source Type: research

Investigating associations between hoarding symptoms and affective and cognitive empathy
CONCLUSIONS: Hoarding symptoms are associated with increased emotional contagion and decreased cognitive empathy. Empathy may be an avenue for understanding and treating interpersonal difficulties in hoarding disorder.PRACTITIONER POINTS: As hoarding increased, self-reported emotional contagion increased As hoarding increased, self-reported and behavioural cognitive empathy decreased Self-reported emotional empathy and behavioural cognitive empathy predicted hoarding even after controlling for depression Empathy may be an avenue for understanding social difficulties in hoarding disorder.PMID:33587764 | DOI:10.1111/bjc.1228...
Source: The British Journal of Clinical Psychology - February 15, 2021 Category: Psychiatry & Psychology Authors: Wenting Chen Skye McDonald Travis Wearne Jessica Grisham Source Type: research

Investigating associations between hoarding symptoms and affective and cognitive empathy.
CONCLUSIONS: Hoarding symptoms are associated with increased emotional contagion and decreased cognitive empathy. Empathy may be an avenue for understanding and treating interpersonal difficulties in hoarding disorder. PRACTITIONER POINTS: As hoarding increased, self-reported emotional contagion increased As hoarding increased, self-reported and behavioural cognitive empathy decreased Self-reported emotional empathy and behavioural cognitive empathy predicted hoarding even after controlling for depression Empathy may be an avenue for understanding social difficulties in hoarding disorder. PMID: 33587764 [PubMed -...
Source: The British Journal of Clinical Psychology - February 15, 2021 Category: Psychiatry & Psychology Authors: Chen W, McDonald S, Wearne T, Grisham J Tags: Br J Clin Psychol Source Type: research

Building an emotion regulation recommender algorithm for socially anxious individuals using contextual bandits.
CONCLUSIONS: Grouping strategies into categories may obscure differences in their contextual effectiveness. Further, using strategies tailored to context is more effective than using cognitive reappraisal indiscriminately across all contexts. Future directions include deploying the contextual recommender algorithm as part of a just-in-time intervention to assess real-world efficacy. PRACTITIONER POINTS: Emotion regulation strategies vary in their effectiveness across different contexts. An algorithm that recommends emotion regulation strategies based on a person's current context may one day be used as an adjunct to t...
Source: The British Journal of Clinical Psychology - February 14, 2021 Category: Psychiatry & Psychology Authors: Beltzer ML, Ameko MK, Daniel KE, Daros AR, Boukhechba M, Barnes LE, Teachman BA Tags: Br J Clin Psychol Source Type: research

How technology can enhance treatment: A scoping review of clinical interventions for anxiety and obsessive-compulsive spectrum disorders.
CONCLUSIONS: Technology-based interventions can improve the efficacy of treatment for anxiety and OC-spectrum disorders, but there are challenges to achieving this goal. Based on a review of the included studies, we provide four specific recommendations to improve the quality and likelihood of success of future research projects. PRACTITIONER POINTS: Technology-based adjuvants are unlikely to improve the efficacy of treatment for anxiety or OC-spectrum disorders based on their novelty or convenience alone. A subset of studies gives hope that specific innovations can improve treatment when targeting a therapeutic proce...
Source: The British Journal of Clinical Psychology - February 11, 2021 Category: Psychiatry & Psychology Authors: Cooper D, Champion SM, Stavropoulos L, Grisham JR Tags: Br J Clin Psychol Source Type: research

The effectiveness of brief cognitive analytic therapy for anxiety and depression: A quasi-experimental case-control study.
CONCLUSIONS: Brief CAT appears acceptable and effective for patients with anxiety and depression in the context of complex relational problems when delivered within the high intensity tier of an IAPT service. The potential added value of CAT in IAPT services is discussed. PRACTITIONER POINTS: Practitioners (under appropriate supervision) could use 8-session CAT when treating patients with anxiety and depression in the context of clinical complexity. The 8-session CAT model holds organizational promise in IAPT services. Brief CAT interventions should retain theoretical integrity. PMID: 33458855 [PubMed - as suppli...
Source: The British Journal of Clinical Psychology - January 17, 2021 Category: Psychiatry & Psychology Authors: Wakefield S, Delgadillo J, Kellett S, White S, Hepple J Tags: Br J Clin Psychol Source Type: research

Prevention programmes for children of parents with a mood/anxiety disorder: Systematic review of existing programmes and meta-analysis of their efficacy.
CONCLUSIONS: The prevention programmes combined psychoeducational elements with skills training and/or cognitive-behavioural therapy elements. The recruitment process and the content of these programmes are sometimes insufficiently described. Nevertheless, they appear to be effective, indicating a need to further examine how these programmes exactly work and for whom. PRACTITIONER POINTS: Preventive interventions for children of parents with mood/anxiety disorders appear to be effective in preventing these disorders in offspring. Available preventive intervention programmes focus mostly on psychoeducation, cognitive-b...
Source: The British Journal of Clinical Psychology - January 6, 2021 Category: Psychiatry & Psychology Authors: Havinga PJ, Maciejewski DF, Hartman CA, Hillegers MHJ, Schoevers RA, Penninx BWJH Tags: Br J Clin Psychol Source Type: research

The effect of medication and question wording on self-reported symptoms and their accuracy in young adults with attention-deficit/hyperactivity disorder.
CONCLUSIONS: These results highlight the necessity of specifying medication state when asking patients to report their current symptomatology. Failing to do so risks an over-reporting of symptoms from patients who are typically on medications as they may describe the extent of their unmedicated, rather than medicated, symptomatology. PRACTITIONER POINTS: Being medicated or unmedicated while completing questionnaires about subjective symptomatology did not directly affect self-reported symptoms of young adults with ADHD or the accuracy of these self-reports. When medication state was not specified on a questionnaire, y...
Source: The British Journal of Clinical Psychology - January 4, 2021 Category: Psychiatry & Psychology Authors: Lineweaver TT, Kercood S, Gabor AJ, Cervantes J, Laine A, Baker E Tags: Br J Clin Psychol Source Type: research

Why would I want to be more self-compassionate? A qualitative study of the pros and cons to cultivating self-compassion in individuals with anorexia nervosa.
CONCLUSIONS: These findings reveal the various advantages and disadvantages that women with AN perceive to be associated with developing self-compassion. Results may help clinicians work more sensitively and effectively when trying to cultivate self-compassion in patients who have AN. PRACTITIONER POINTS: This research suggests that patients with anorexia nervosa (AN) perceive various disadvantages to cultivating self-compassion, but also certain advantages. By familiarizing themselves with the pros and cons to self-compassion identified by individuals with AN, clinicians may be able to more effectively listen to and ...
Source: The British Journal of Clinical Psychology - December 26, 2020 Category: Psychiatry & Psychology Authors: Kelly A, Katan A, Sosa Hernandez L, Nightingale B, Geller J Tags: Br J Clin Psychol Source Type: research

Schema therapy with exposure and response prevention for the treatment of chronic anxiety with comorbid personality disorder.
CONCLUSIONS: The combination of ST and exposure with response prevention may be a viable avenue for research and treatment for this subpopulation. However, further research is needed to confirm and enhance effectiveness and identify working mechanisms of SCHerp. PRACTITIONER POINTS: The SCHerp programme combines schema therapy with exposure and response prevention to tackle chronic anxiety in patients with comorbid personality disorder SCHerp significantly reduced psychological malfunction and maladaptive modes, and increased adaptive modes Changes in schema modes correlated with changes in psychological malfunction, ...
Source: The British Journal of Clinical Psychology - December 15, 2020 Category: Psychiatry & Psychology Authors: Peeters N, Stappenbelt S, Burk WJ, van Passel B, Krans J Tags: Br J Clin Psychol Source Type: research

Empathy and schizotypy following acquired brain damage.
CONCLUSIONS: Schizotypy levels are elevated following brain damage, and frontal brain injury is linked to greater difficulties with the social skills component of empathy. Schizotypy appears to be an important consideration when understanding the link between empathy and frontal brain damage, with higher schizotypy levels associated with reduced social skills empathy in this population. Future research is now needed to establish whether problems with more implicit aspects of social understanding are relevant to understanding the relationship between schizotypy and poor social behavioural outcomes identified in other clinic...
Source: The British Journal of Clinical Psychology - December 13, 2020 Category: Psychiatry & Psychology Authors: Kgolo T, Grainger SA, Henry JD Tags: Br J Clin Psychol Source Type: research

Sleep problems and worrying precede psychotic symptoms during an online intervention for psychosis.
CONCLUSION: The regression-based design does not allow drawing causal conclusions. However, worrying and sleep problems likely represent underlying mechanisms of psychotic symptom variability during online psychosis treatment, indicating that experience sampling findings from everyday life generalize to interventions with assessments lying several days apart. PRACTITIONER POINTS: Worrying and sleep problems represent important mechanisms of symptom fluctuations during an online intervention for people with psychosis. Our findings further support the notion that worrying and sleep problems are important treatment targe...
Source: The British Journal of Clinical Psychology - December 10, 2020 Category: Psychiatry & Psychology Authors: Lüdtke T, Pfuhl G, Moritz S, Rüegg NL, Berger T, Westermann S Tags: Br J Clin Psychol Source Type: research

Using supervised machine learning on neuropsychological data to distinguish OCD patients with and without sensory phenomena from healthy controls.
CONCLUSIONS: Results suggest that different cognitive profiles may characterize patients motivated by distinct drives. The superior performance and generalizability of the newer algorithms highlights the utility of considering multiple analytic approaches when faced with complex data. PRACTITIONER POINTS: Practitioners should be aware that sensory phenomena are common experiences among patients with OCD. OCD patients with sensory phenomena may be distinguished from those without based on neuropsychological processes. PMID: 33300635 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - December 10, 2020 Category: Psychiatry & Psychology Authors: Stamatis CA, Batistuzzo MC, Tanamatis T, Miguel EC, Hoexter MQ, Timpano KR Tags: Br J Clin Psychol Source Type: research

The costs and benefits of practice-based evidence: Correcting some misunderstandings about the 10-year meta-analysis of IAPT studies.
PMID: 33107068 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - October 26, 2020 Category: Psychiatry & Psychology Authors: Kellett S, Wakefield S, Simmonds-Buckley M, Delgadillo J Tags: Br J Clin Psychol Source Type: research

Gender differences in avoidance and repetitive negative thinking following symptom provocation in men and women with spider phobia.
CONCLUSIONS: These results provide in vivo evidence that heightened avoidance and RNT may perpetuate anxiety symptoms in women independently of gender differences in symptom severity, daily experiences, or emotional reactivity. PRACTITIONER POINTS: Following symptom provocation, men and women with spider phobia differ in cognitive and behavioural coping responses. Women exhibit greater avoidance and repetitive negative thinking than men, and these differences are not attributable to gender differences in symptom severity or emotional reactivity. These findings provide novel evidence for gender differences in maintaini...
Source: The British Journal of Clinical Psychology - September 20, 2020 Category: Psychiatry & Psychology Authors: Graham BM, Weiner S, Li SH Tags: Br J Clin Psychol Source Type: research

Group acceptance and commitment therapy for patients and caregivers in psychosis services: Feasibility of training and a preliminary randomized controlled evaluation.
CONCLUSIONS: Implementation appears feasible for service-users; for caregivers, retention needs improving. Outcome variability indicated n = 100-300/arm followed up (α = 0.05, 90% power). Methodological limitations' mean replication is needed: identified sources of potential bias may be reduced in a cluster randomized design with sessional outcome completion. PRACTITIONER POINTS: Group acceptance and commitment therapy can be successfully adapted for people with psychosis and their caregivers. Implementation (training and delivery) is possible in routine community mental health care settings....
Source: The British Journal of Clinical Psychology - September 16, 2020 Category: Psychiatry & Psychology Authors: Jolley S, Johns LC, O'Donoghue E, Oliver J, Khondoker M, Byrne M, Butler L, De Rosa C, Leal D, McGovern J, Rasiukeviciute B, Sim F, Morris E Tags: Br J Clin Psychol Source Type: research

Group Cognitive Behavioural Analysis System of Psychotherapy (CBASP) for persistently depressed outpatients: a retrospective chart review.
CONCLUSION: Group-CBASP offered to an outpatient population with PDD was associated with clinically relevant decrease in self-reported symptom severity, and with sustained response particularly in patients with late onset of depression. PRACTITIONER POINTS: Group-CBASP seems to be a good alternative for CBASP in individual setting. Patients with late age of depression-onset seem to benefit more from Group-CBASP. This study shows that clinical relevant effects of Group-CBASP, followed by individual contacts, remain at least for 6 months. Research on personalizing treatment strategies is needed to improve patient a...
Source: The British Journal of Clinical Psychology - September 12, 2020 Category: Psychiatry & Psychology Authors: Potijk MR, Rot MAH, Parlevliet FM, Schoevers RA, Eldering MJ Tags: Br J Clin Psychol Source Type: research

Deconstructing the relationships between self-esteem and paranoia in early psychosis: an experience sampling study.
CONCLUSIONS: Different types, measures and dimensions of self-esteem are differentially related to paranoia in early psychosis and are influenced by contextual factors in daily-life. This yields a more complex picture of these associations and offers insights that might aid psychological interventions. PRACTITIONER POINTS: Different measures (trait and momentary) and dimensions (positive and negative) of explicit self-esteem are distinctly related to paranoia across risk and first-episode stages of psychosis. Explicit, but not implicit, self-esteem is associated with real-life paranoia in incipient psychosis. Anxiety ...
Source: The British Journal of Clinical Psychology - August 29, 2020 Category: Psychiatry & Psychology Authors: Monsonet M, Kwapil TR, Barrantes-Vidal N Tags: Br J Clin Psychol Source Type: research

Personality factors and vulnerability to post-traumatic stress responses after childbirth.
CONCLUSIONS: Personality risk factors for negative birth experiences and post-natal PTSS are identifiable prenatally. Maternity care providers could educate women about the unique roles of high perfectionism and intolerance of uncertainty during antenatal birth preparation. PRACTITIONER POINTS: Women who expect themselves to be more perfect or who find it more difficult to cope with uncertainty had more negative experiences of childbirth. Women with higher levels of perfectionism were more likely to experience more symptoms of post-traumatic stress during the early post-natal period. Being more perfectionistic continu...
Source: The British Journal of Clinical Psychology - August 17, 2020 Category: Psychiatry & Psychology Authors: Price L, Centifanti L, Slade P Tags: Br J Clin Psychol Source Type: research

Ensuring that the Improving Access to Psychological Therapies (IAPT) programme does what it says on the tin.
PMID: 32803761 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - August 15, 2020 Category: Psychiatry & Psychology Authors: Scott MJ Tags: Br J Clin Psychol Source Type: research

Acceptance and Commitment Therapy for perinatal mood and anxiety disorders: A feasibility and proof of concept study.
CONCLUSIONS: The delivery of ACT in a routine practice setting is feasible, safe, and effective. A randomized control trial (RCT) is needed to establish the efficacy and cost-effectiveness of this group-delivered ACT intervention. PRACTITIONER POINTS: Group-delivered Acceptance and Commitment Therapy (ACT) is acceptable for women with moderate-to-severe perinatal mood and/or anxiety disorders and can be feasibly delivered in a routine practice setting. The trans-diagnostic nature of ACT enables the concurrent treatment of depressive and anxiety symptoms within the same intervention which is particularly helpful in the...
Source: The British Journal of Clinical Psychology - July 25, 2020 Category: Psychiatry & Psychology Authors: Waters CS, Annear B, Flockhart G, Jones I, Simmonds JR, Smith S, Traylor C, Williams JF Tags: Br J Clin Psychol Source Type: research

Improving Access to Psychological Therapies (IAPT) in the United Kingdom: A systematic review and meta-analysis of 10-years of practice-based evidence.
Abstract OBJECTIVES: Improving Access to Psychological Therapies (IAPT) is a national-level dissemination programme for provision of evidence-based psychological treatments for anxiety and depression in the United Kingdom. This paper sought to review and meta-analyse practice-based evidence arising from the programme. DESIGN: A pre-registered (CRD42018114796) systematic review and meta-analysis. METHODS: A random effects meta-analysis was performed only on the practice-based IAPT studies (i.e. excluding the clinical trials). Subgroup analyses examined the potential influence of particular methodologies, ...
Source: The British Journal of Clinical Psychology - June 22, 2020 Category: Psychiatry & Psychology Authors: Wakefield S, Kellett S, Simmonds-Buckley M, Stockton D, Bradbury A, Delgadillo J Tags: Br J Clin Psychol Source Type: research

Randomized controlled trial of social cognition and interaction training compared to befriending group.
CONCLUSIONS: SCIT did not show any additional benefits on measures of social cognition compared to Befriending Therapy for people with schizophrenia spectrum disorder. The findings are discussed in terms of potential improvements to the programme. PRACTITIONER POINTS: Effective interventions for the social cognitive deficits of schizophrenia spectrum disorders are still being refined. Social Cognition Interaction Training is a promising therapy but requires further modifications to improve its effectiveness. PMID: 32515058 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - June 7, 2020 Category: Psychiatry & Psychology Authors: Dark F, Scott JG, Baker A, Parker S, Gordon A, Newman E, Gore-Jones V, Lim CCW, Jones L, Penn DL Tags: Br J Clin Psychol Source Type: research

Fear of illness recurrence and mental health anxiety in people recovering from psychosis and common mental health problems.
CONCLUSIONS: This study found that those with psychosis experienced higher FIR than those with common mental health problems. Furthermore, people defining themselves as in recovery are worried about relapse and the extent of this is linked to mental health anxiety. Given that such responses may contribute to actual relapse, it is important that these issues are better understood and interventions developed to ameliorate them. PRACTITIONER POINTS: Following recovery, fear of relapse may be particularly high in those with experience of psychosis; it is also present in those with common mental health problems The importa...
Source: The British Journal of Clinical Psychology - June 3, 2020 Category: Psychiatry & Psychology Authors: Jamalamadaka T, Griffith E, Steer H, Salkovskis P Tags: Br J Clin Psychol Source Type: research

Reducing dropout in acceptance and commitment therapy, mindfulness-based cognitive therapy, and problem-solving therapy for chronic pain and cancer patients using motivational interviewing.
CONCLUSIONS: A brief MI telephone intervention may improve adherence to group CBTs in cancer and chronic pain. PRACTITIONER POINTS: A brief motivational interviewing (MI) telephone intervention may reduce dropout from group cognitive-behavioural therapies (CBTs) for cancer and chronic pain patients when administered after the first group session in routine care. Recipients of this intervention were five times more likely to complete a group CBT programme than those who did not receive it. Therefore, a minimal-dose MI intervention can have clinically important effects on dropout in group CBTs for patients with long-ter...
Source: The British Journal of Clinical Psychology - May 31, 2020 Category: Psychiatry & Psychology Authors: Malins S, Biswas S, Rathbone J, Vogt W, Pye N, Levene J, Moghaddam N, Russell J Tags: Br J Clin Psychol Source Type: research

Episodic future thinking together with observational learning benefits prospective memory in high-functioning Korsakoff's syndrome patients.
CONCLUSIONS: This study showed the value of an observational learning component together with EFT in improving PM performance, in relatively high-functioning KS patients. PRACTITIONER POINTS: KS patients performed the PM task less accurately than non-KS controls with alcohol use disorder, confirming PM impairment in this patient population. Controls with alcohol use disorder performed the PM task at ceiling level. Showing an instructional video demonstrating the PM intention improved PM performance and later recall of PM task instructions in KS patients. Episodic future thinking strategy improved PM performance in KS ...
Source: The British Journal of Clinical Psychology - May 17, 2020 Category: Psychiatry & Psychology Authors: Lloyd B, Oudman E, Altgassen M, Walvoort SJW, Kessels RPC, Postma A Tags: Br J Clin Psychol Source Type: research

The revised Psychosis Attachment Measure: Measuring disorganized attachment.
CONCLUSIONS: These results provide preliminary evidence that the revised PAM captures the concept of disorganized attachment. However, confirmatory psychometric evaluation of the revised PAM is required, within a separate psychosis sample, to confirm its factor structure. The relationship between these results and the current literature, in addition to the clinical and research implications, are discussed. PRACTITIONER POINTS: We present an expanded version of the Psychosis Attachment Measure (PAM), revised to capture the concept of disorganised attachment in adulthood. This expanded measure showed good reliability an...
Source: The British Journal of Clinical Psychology - May 14, 2020 Category: Psychiatry & Psychology Authors: Pollard C, Bucci S, MacBeth A, Berry K Tags: Br J Clin Psychol Source Type: research

Scared of compassion: Fear of compassion in anxiety, mood, and non-clinical groups.
CONCLUSIONS: Fear of compassion is higher in those with anxiety and related disorders than non-anxious controls. Although further research is needed, clinicians may benefit from assessing fear of compassion and addressing it in treatment. PRACTITIONER POINTS: Those with anxiety and related disorders may fear receiving compassion from others or expressing compassion for themselves, even when controlling for depression. It may be informative to assess for fear of compassion and incorporate discussions about these fears into treatment, as these fears may interfere with treatment progress. PMID: 32367569 [PubMed - as...
Source: The British Journal of Clinical Psychology - May 3, 2020 Category: Psychiatry & Psychology Authors: Merritt OA, Purdon CL Tags: Br J Clin Psychol Source Type: research

Understanding individuals' subjective experiences of negative symptoms of schizophrenia: A qualitative study.
CONCLUSION: Individuals, who experience negative symptoms, were able to articulate the persistent and disabling nature of negative symptoms and clearly described factors which they believed contributed to the onset, exacerbation, and amelioration of the experiences. PRACTITIONER POINTS: Negative symptoms for people diagnosed with schizophrenia are persistent and enduring and impact an individual's life. There has been little research conducted qualitatively on individuals' subjective experiences of negative symptoms. Individuals who experience negative symptoms attribute these to a number of factors, including adverse...
Source: The British Journal of Clinical Psychology - April 2, 2020 Category: Psychiatry & Psychology Authors: Butcher I, Berry K, Haddock G Tags: Br J Clin Psychol Source Type: research

The relationship between attachment insecurity and experiences on the paranoia continuum: A meta-analysis.
Abstract OBJECTIVES: Attachment has long been theorized to play a key role in the development of paranoia. Associations between both constructs have been reported over the last decade, but have ranged widely in magnitude to date. The present study is the first publication to synthesize existing literature and provide a meta-analytic estimate of the attachment-paranoia relationship. METHODS: A systematic search of studies available up to January 2019 was conducted using Embase, MEDLINE, CINAHL, PsycINFO, OpenGrey, and ProQuest Dissertations & Theses Global. This yielded 26 studies which met inclusion crite...
Source: The British Journal of Clinical Psychology - March 29, 2020 Category: Psychiatry & Psychology Authors: Murphy R, Goodall K, Woodrow A Tags: Br J Clin Psychol Source Type: research

Traumatic experiences, family functioning, and mood disorder development in bipolar offspring.
CONCLUSIONS: The current study suggests that emotional maltreatment is associated with mood disorder development in bipolar offspring. Remarkably, the association of offspring-reported emotional maltreatment and mood disorder onset was not reflected in parent-reported family functioning (e.g., support and communication, openness or involvement). Possible explanations are discussed and warrant further study. PRACTITIONER POINTS: Offspring of bipolar patients are at increased risk of developing mood disorders across the life-time. Emotional trauma contributes to the likelihood of developing mood disorders in bipolar off...
Source: The British Journal of Clinical Psychology - February 18, 2020 Category: Psychiatry & Psychology Authors: Koenders MA, Mesman E, Giltay EJ, Elzinga BM, Hillegers MHJ Tags: Br J Clin Psychol Source Type: research

Self-disgust mediates the relationship between childhood adversities and psychosis.
CONCLUSION: This study is the first to show a mediating role for self-disgust in the relationship between childhood trauma and later psychosis. Although the findings should be considered preliminary until strengthened by further research, they nevertheless provide corroboration of the potential utility of self-disgust as a transdiagnostic construct not only from a theoretical perspective, but also from its potential to inform formulation and interventions. PRACTITIONER POINTS: When assessing individuals with psychosis, especially those with a trauma history explore experiences and feelings related to the construct of ...
Source: The British Journal of Clinical Psychology - February 2, 2020 Category: Psychiatry & Psychology Authors: Simpson J, Helliwell B, Varese F, Powell P Tags: Br J Clin Psychol Source Type: research

Preventing relapse with personalized smart-messaging after cognitive behavioural therapy: A proof-of-concept evaluation.
CONCLUSIONS: These findings suggest that a low-intensity, personalized relapse prevention method can have a clinical benefit following CBT for common mental health problems. PRACTITIONER POINTS: Post-treatment outcomes may be improved using personalized smart-messaging to prevent relapse following cognitive behavioural therapy (CBT) for health anxiety. In clinical practice, post-treatment smart-messaging can be well-used by patients and may help maintain stable well-being in the 6 months after CBT ends. This evidence supports the clinical utility of a brief tailored digital intervention, which can be integrated w...
Source: The British Journal of Clinical Psychology - January 19, 2020 Category: Psychiatry & Psychology Authors: Malins S, Biswas S, Patel S, Levene J, Moghaddam N, Morriss R Tags: Br J Clin Psychol Source Type: research

Correction.
Authors: PMID: 31919858 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - January 8, 2020 Category: Psychiatry & Psychology Tags: Br J Clin Psychol Source Type: research

The contribution of financial well-being, social support, and trait emotional intelligence on psychological distress.
CONCLUSIONS: The results highlight the importance of all factors in understanding variations in mental health among help-seeking urban individuals. Furthermore, the results identify well-being and self-control as emotional facets to consider in therapeutic programmes in as much as to mitigate the risk of severe psychological distress within this population. PRACTITIONER POINTS: Together, financial well-being, social support, and trait emotional intelligence (EI) can help prevent psychological distress in help-seeking urban individuals. Perceived social support and social contact differentially contributed to improved ...
Source: The British Journal of Clinical Psychology - December 29, 2019 Category: Psychiatry & Psychology Authors: Espinosa A, Rudenstine S Tags: Br J Clin Psychol Source Type: research

Mind-wandering in children with and without ADHD.
CONCLUSIONS: MW is elevated in children with ADHD and contributes to functional domains. The MEWS is a valid tool for assessing MW in children, and the results are mostly comparable to that of adults (Mowlem et al., 2016, Journal of Attention Disorders, 23, 624), suggesting a similar relationship of MW to ADHD across the lifespan. PRACTITIONER POINTS: Spontaneous mind-wandering is elevated in children with ADHD compared to children without a diagnosis. Elevated spontaneous mind-wandering predicts lower working memory, emotion regulation and academic achievement beyond ADHD symptoms, IQ and socio-economic status. Clini...
Source: The British Journal of Clinical Psychology - December 26, 2019 Category: Psychiatry & Psychology Authors: Frick MA, Asherson P, Brocki KC Tags: Br J Clin Psychol Source Type: research

Exploring nonverbal synchrony in borderline personality disorder: A double-blind placebo-controlled study using oxytocin.
CONCLUSIONS: Nonverbal synchrony in clinical interviews is influenced by inOT, and this effect depends on subject's diagnosis. In line with previous research implying positive associations between nonverbal synchrony and relationship quality, inOT led to an increase of synchrony in healthy controls, but not in patients with BPD. Low levels of synchrony under inOT in patients and its association with childhood trauma suggest that additional mechanisms such as rejection sensitivity might mediate BPD patients' nonverbal behaviour. PRACTITIONER POINTS: Intranasal oxytocin (inOT) attenuated nonverbal synchrony - a proxy fo...
Source: The British Journal of Clinical Psychology - November 26, 2019 Category: Psychiatry & Psychology Authors: Ramseyer F, Ebert A, Roser P, Edel MA, Tschacher W, Brüne M Tags: Br J Clin Psychol Source Type: research

Modelling changes in anxiety and depression during low-intensity cognitive behavioural therapy: An application of growth mixture models.
CONCLUSIONS: Findings indicate most of the sample populated an 'improvers' class for both depression and anxiety. Pre-treatment variables identified as predictive of poor treatment response may need to be considered by practitioners in potential triage referral decision policies, supporting cost-effective and efficient services. Further research around predictors of clinical outcome is recommended. PRACTITIONER POINTS: Most of the sample belonged to an 'improvers' class. Several pre-treatment variables predicted poor treatment response (unemployment, suicide risk, neglect, medication, previous or concurrent treatments...
Source: The British Journal of Clinical Psychology - November 6, 2019 Category: Psychiatry & Psychology Authors: McDevitt-Petrovic O, Shevlin M, Kirby K Tags: Br J Clin Psychol Source Type: research