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 26, 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 23, 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 8, 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 4, 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 - June 1, 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 18, 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 15, 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 4, 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 3, 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 30, 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 19, 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 3, 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 20, 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 9, 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 30, 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 27, 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 27, 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 7, 2019 Category: Psychiatry & Psychology Authors: McDevitt-Petrovic O, Shevlin M, Kirby K Tags: Br J Clin Psychol Source Type: research

Social cognition in post-traumatic stress disorder: A systematic review.
CONCLUSIONS: Social cognition is disturbed in PTSD and should be regarded as an important symptom. Damages in social cognition seem to take part in the functional disability of people with PTSD. We highlight the interest of a systematic assessment of social cognition in the care of patients with PTSD and suggest which tests could be the most relevant for this evaluation. PRACTITIONER POINTS: •PTSD is no longer regarded as a subtype of anxiety disorder, but as part of a new category in the DSM-5. In clinical practice, symptoms tied to alterations in arousal and reactivity - such as irritability and vigilance - and...
Source: The British Journal of Clinical Psychology - November 7, 2019 Category: Psychiatry & Psychology Authors: Couette M, Mouchabac S, Bourla A, Nuss P, Ferreri F Tags: Br J Clin Psychol Source Type: research

Differential associations between impaired autobiographical memory recall and future thinking in people with and without schizophrenia.
CONCLUSIONS: People with schizophrenia may not rely on autobiographical content to imagine the future and may rely instead on semantic processes. Interventions that improve past and future thinking amongst people with schizophrenia are warranted. PRACTITIONER POINTS: Compared to control participants, people with schizophrenia have marked difficulty generating possible, positive and negative, future events. Unlike controls, for people with schizophrenia there is no relation between their ability to remember past events and their ability to think about the future. People with schizophrenia may have difficulty using thei...
Source: The British Journal of Clinical Psychology - October 4, 2019 Category: Psychiatry & Psychology Authors: Barry TJ, Hallford DJ, Del Rey F, Ricarte JJ Tags: Br J Clin Psychol Source Type: research

How do I want to feel? The link between emotion goals and difficulties in emotion regulation in borderline personality disorder.
CONCLUSIONS: These results support the importance of looking at emotion goals and its link with emotion dysregulation. Interventions targeting maladaptive contextualized goals may represent an important therapeutic window to enhance emotion regulation. PRACTITIONER POINTS: Clinical implications BPD individuals' emotion regulation is linked to maladaptive emotion goals. Helping people at risk to manipulate their emotion goals to be more context sensitive may enhance well-being and serve as a therapeutic tool in practice. Limitations The present research only considered the context of collaboration and confrontation, bu...
Source: The British Journal of Clinical Psychology - September 25, 2019 Category: Psychiatry & Psychology Authors: López-Pérez B, McCagh J Tags: Br J Clin Psychol Source Type: research

Appearance-based trust processing in schizophrenia.
CONCLUSION: A failure to discriminate trust has important implications for everyday functioning in schizophrenia, as forming accurate trustworthiness beliefs is an essential social skill. Critically, without relying on more valid trust cues, people with schizophrenia may be especially susceptible to the misleading effect of appearance when making trusting decisions. PRACTITIONER POINTS: Findings People with schizophrenia made very similar facial trustworthiness impressions to healthy controls and also used facial appearance to guide trust decisions similarly to controls. However, the patient group were less able to ex...
Source: The British Journal of Clinical Psychology - September 6, 2019 Category: Psychiatry & Psychology Authors: Sutherland CAM, Rhodes G, Williams N, Connaughton E, Ewing L, Caruana N, Langdon R Tags: Br J Clin Psychol Source Type: research

Helping parents to help children overcome fear: The influence of a short video tutorial.
CONCLUSIONS: Parenting, particularly 'avoidance parenting', is associated with children's approach and avoidance. A short video tutorial modified these parenting behaviours and reduced avoidance. These effects were apparent regardless of parent or child anxiety level. PRACTITIONER POINTS: Avoidance and approach parenting may influence children's response to fearful stimuli. Avoidance parenting may be more problematic than lack of approach parenting. Approach and avoidance parenting are amenable to manipulation by short video tutorial. Parenting improvement resulted in increased approach behaviour in children. PMI...
Source: The British Journal of Clinical Psychology - August 7, 2019 Category: Psychiatry & Psychology Authors: Ewing D, Pike A, Dash S, Hughes Z, Thompson EJ, Hazell C, Ang CM, Kucuk N, Laine A, Cartwright-Hatton S Tags: Br J Clin Psychol Source Type: research

The relationship between insecure attachment and paranoia in psychosis: A systematic literature review.
CONCLUSIONS: The findings support the proposed role of attachment insecurity in the development and maintenance of paranoia in psychosis and highlight the need to address insecure attachment representations in the treatment of paranoia. PRACTITIONER POINTS: There is consistent evidence of associations between insecure attachment style and paranoia. Insecure anxious attachment is more consistently associated with paranoia than an insecure avoidant attachment. Associations between attachment and paranoia remain significant when key confounders are controlled for in the analyses. Interventions that address insecure attac...
Source: The British Journal of Clinical Psychology - August 7, 2019 Category: Psychiatry & Psychology Authors: Lavin R, Bucci S, Varese F, Berry K Tags: Br J Clin Psychol Source Type: research

The impact of depression and culture on responses to intrusive autobiographical memories: Cognitive appraisals, cognitive avoidance, and brooding rumination.
CONCLUSIONS: The findings suggest that depression may be associated with some similar maladaptive responses to intrusive autobiographical memories across cultural groups. Clinical interventions targeting unhelpful responses may, therefore, be beneficial for those with depression, regardless of cultural background. PRACTITIONER POINTS: Across both European Australian and East Asian cultures, depressed participants endorsed higher maladaptive intrusive memory appraisals and brooded more in response to memories. Clinical interventions targeting appraisals and emotion regulation in response to intrusive memories may be be...
Source: The British Journal of Clinical Psychology - July 31, 2019 Category: Psychiatry & Psychology Authors: Mihailova S, Jobson L Tags: Br J Clin Psychol Source Type: research

Population profiles of child-reported psychotic-like experiences and their differential association with other psychopathologies.
CONCLUSIONS: Tailored interventions that address the particular needs of these different classes of individuals may be warranted. PRACTITIONER POINTS: Children aged 11-12 years who report psychotic-like experiences (PLEs) can be classified into five different PLE profiles based on self-reported questionnaire responses, which may reflect different pathological processes. These PLE profiles show different patterns and magnitudes of increased risk for other types of psychopathology, and multiple psychopathology, suggesting that they present different treatment needs. Cross-sectional investigation of the associations...
Source: The British Journal of Clinical Psychology - July 22, 2019 Category: Psychiatry & Psychology Authors: Laurens KR, Tzoumakis S, Dean K, Harris F, Carr VJ, Green MJ Tags: Br J Clin Psychol Source Type: research

The relationship between death anxiety and severity of mental illnesses.
CONCLUSIONS: The findings reveal a strong relationship between death anxiety and psychopathology across numerous disorders, further supporting the transdiagnostic role of fears of death. As such, clinical implications revolve around the potential need for innovative treatments which address death fears directly, in order to produce long-term improvements in mental health. However, experimental research is needed to ascertain causal relationships. PRACTITIONER POINTS: Across a large treatment-seeking sample, death anxiety was a significant predictor of broad psychopathology, including distress and number of lifetime di...
Source: The British Journal of Clinical Psychology - July 18, 2019 Category: Psychiatry & Psychology Authors: Menzies RE, Sharpe L, Dar-Nimrod I Tags: Br J Clin Psychol Source Type: research

Treating hoarding disorder with compassion-focused therapy: A pilot study examining treatment feasibility, acceptability, and exploring treatment effects.
CONCLUSIONS: The current study showed satisfactory feasibility and acceptability of CFT. Moreover, it also found promising effects of CFT in addressing hoarding-related mechanisms that may not have been sufficiently addressed by CBT. The results suggest promising potential of CFT as a treatment for HD. Further investigation on this intervention is needed. PRACTITIONER POINTS: CFT may be a promising treatment option, particularly for those who do not respond well to CBT. Improving emotion regulation and negative self-perception by applying CFT interventions may help relieve hoarding symptoms. Generalization of the find...
Source: The British Journal of Clinical Psychology - July 4, 2019 Category: Psychiatry & Psychology Authors: Chou CY, Tsoh JY, Shumway M, Smith LC, Chan J, Delucchi K, Tirch D, Gilbert P, Mathews CA Tags: Br J Clin Psychol Source Type: research

Predictors of disengagement from cognitive behavioural therapy for psychosis in a National Health Service setting: A retrospective evaluation.
Abstract OBJECTIVES: To evaluate whether demographic and clinical variables are related to disengagement rates in cognitive behavioural therapy (CBT) for psychosis in a clinical setting. METHODS: The medical records and symptom severity data (from Health of the Nation Outcome Scales) were analysed retrospectively for 103 referrals for CBT for psychosis in a National Health Service secondary care and Early Intervention in Psychosis team. RESULTS: Overall, 42.7% (n = 44) disengaged from CBT. There was no impact of gender or ethnicity, and no impact of clinical variables such as risk history and c...
Source: The British Journal of Clinical Psychology - June 10, 2019 Category: Psychiatry & Psychology Authors: Richardson T, Dasyam B, Courtney H, White L, Tedbury J, Butt J, Newman-Taylor K Tags: Br J Clin Psychol Source Type: research

Empathy for others' pain is disrupted at the neurophysiological level in schizophrenia.
CONCLUSIONS: These data cross-validate previous studies that have shown that schizophrenia is associated with atypicalities in bottom-up automatic resonance processes that likely contribute to empathic and socio-emotional processing deficits, and indicate that these findings cannot be easily attributed to background contextual differences between the two groups. The results also point to a potential relationship between positive schizotypal characteristics and neurophysiological responding. Implications for simulation theories of empathy and social functioning in schizophrenia are discussed. PRACTITIONER POINTS: Empat...
Source: The British Journal of Clinical Psychology - April 19, 2019 Category: Psychiatry & Psychology Authors: Varcin KJ, Grainger SA, Bailey PE, Richmond JL, Henry JD Tags: Br J Clin Psychol Source Type: research

Characteristics of severe life events, attachment style, and depression - Using a new online approach.
CONCLUSIONS: Identifying salient features of severe life events improves associations with depression and insecure attachment style. Utilizing a new online approach can aid research and clinical approaches for depression at low cost. PRACTITIONER POINTS: Salient features of severe life events (e.g., loss, humiliation) give insight into the potential impact on attachment vulnerability and depression. Clinicians and researchers can use online methods to economically gain detailed life event information needed for clinical formulation and valid data on stressors. The self-reported scale for recent depression is only a pr...
Source: The British Journal of Clinical Psychology - April 13, 2019 Category: Psychiatry & Psychology Authors: Bifulco A, Kagan L, Spence R, Nunn S, Bailey-Rodriguez D, Hosang G, Taylor M, Fisher HL Tags: Br J Clin Psychol Source Type: research

The Beliefs in Trichotillomania Scale (BiTS): Factor analyses and preliminary validation.
CONCLUSIONS: The BiTS demonstrated satisfactory psychometric properties and all three subscales significantly correlated with greater hair pulling severity. Negative self-beliefs predicted hair pulling severity over and above mood symptoms, suggesting the importance of addressing self-construals in psychological treatments for TTM. Validation in a clinician diagnosed sample is required. PRACTITIONER POINTS: Research supports cognitive therapies for treating trichotillomania (hair pulling disorder), although studies investigating the nature and role of cognitions and beliefs in this disorder have been lacking. This stu...
Source: The British Journal of Clinical Psychology - April 10, 2019 Category: Psychiatry & Psychology Authors: Rehm IC, Nedeljkovic M, Moulding R, Thomas A Tags: Br J Clin Psychol Source Type: research

The link between rejection sensitivity and borderline personality disorder: A systematic review and meta-analysis.
CONCLUSIONS: Childhood rejection, particularly emotional abuse and neglect, appears to be linked to rejection sensitivity, and rejection sensitivity is linked to BPD. However, this may not be linear. Implications for clinical practice and research are discussed. PRACTITIONER POINTS: Rejection sensitivity is consistently linked with BPD, in clinical and non-clinical samples. Supporting mentalization or improved theory of mind may offer a therapeutic target for this disposition. Considering the causes and effects of rejection sensitivity may offer a non-blaming explanation of interpersonal difficulties in BPD and could ...
Source: The British Journal of Clinical Psychology - March 21, 2019 Category: Psychiatry & Psychology Authors: Foxhall M, Hamilton-Giachritsis C, Button K Tags: Br J Clin Psychol Source Type: research

Anticipatory pleasure for future experiences in schizophrenia spectrum disorders and major depression: A systematic review and meta-analysis.
Abstract OBJECTIVES: Deficits in anticipating pleasure may be an important dimension of anhedonia and functioning in psychiatric disorders, particularly schizophrenia and depression; however, inconsistent findings have limited the conclusions that can be drawn. We conducted the first systemic review and meta-analysis of the extant literature for research comparing psychiatric groups to healthy control groups on anticipatory pleasure. METHODS: Academic Search Complete, Science Direct, and CINAHL databases were systematically searched up to 9 June 2018 for relevant peer-reviewed articles, book chapters, and dis...
Source: The British Journal of Clinical Psychology - March 10, 2019 Category: Psychiatry & Psychology Authors: Hallford DJ, Sharma MK Tags: Br J Clin Psychol Source Type: research

Self-reported affective biases, but not all affective performance biases, are present in depression remission.
CONCLUSIONS: These results provide initial evidence that some performance, but not self-reported, indices of affective bias may improve during remission from MDD. Results of this study could suggest that some components of affective bias may represent state feature of illness and others trait-like risk or scar features. PRACTITIONER POINTS: This study suggests that self-reported affective biases may persist in remission of major depressive disorder (rMDD). Affective attentional biases and affective memory biases were not demonstrated in individuals with rMDD, with the exception of a bias for recognizing negatively ver...
Source: The British Journal of Clinical Psychology - March 10, 2019 Category: Psychiatry & Psychology Authors: Cerny BM, Stange JP, Kling LR, Hamlat EJ, O'Donnell LA, Deveney C, Langenecker SA Tags: Br J Clin Psychol Source Type: research

'I Am Worthless and Kind'; the specificity of positive and negative self-evaluation in adolescent depression.
CONCLUSIONS: Although depressed adolescents endorsed more negative descriptions of themselves than community adolescents, positive self-endorsements related to their relationships with other people were not impaired. PRACTITIONER POINTS: Most highly endorsed self-descriptive negative words by depressed adolescents were 'worthless' and 'useless' Positive prosocial self-descriptive adjectives (i.e., trustworthy, friendly, and kind) were highly endorsed by all young people and were not associated with depression Assessment and treatment should consider the content of adolescent self-evaluation The present study is unable...
Source: The British Journal of Clinical Psychology - December 16, 2018 Category: Psychiatry & Psychology Authors: Orchard F, Pass L, Reynolds S Tags: Br J Clin Psychol Source Type: research

Long-term efficacy of Metacognitive Training for Depression (D-MCT): A randomized controlled trial.
CONCLUSIONS: Findings suggest that D-MCT may be a promising add-on treatment for unipolar depression that should be investigated in large multi-centre studies. Independent replications are needed. PRACTITIONER POINTS: Clinical implications: The current study shows tentative evidence that positive effects of the D-MCT reported at the 6-month follow-up assessment were sustained over 3.5 years. Potential positive effects regard severity of depression, dysfunctional cognitive, and metacognitive beliefs as well as quality of life. If positive results are replicated with less trained therapists, D-MCT offers the p...
Source: The British Journal of Clinical Psychology - December 16, 2018 Category: Psychiatry & Psychology Authors: Jelinek L, Faissner M, Moritz S, Kriston L Tags: Br J Clin Psychol Source Type: research

Reduced fear-of-self is associated with improvement in concerns related to repugnant obsessions in obsessive-compulsive disorder.
CONCLUSIONS: The current study thus replicated previous research suggesting the relevance of the feared possible self in psychological disorders such as OCD, where negative self-perception is a dominant theme. PRACTITIONER POINTS: Current results suggest that changes in feared self-perceptions may be the mechanism through which OCD symptoms improve via therapy. Interventions specifically aimed at changing feared self-perceptions may prove effective in improving cognitive-behavioural treatments for OCD. One limitation of the current study is the lack of behavioural measures of OCD to supplement self-report measures of ...
Source: The British Journal of Clinical Psychology - December 12, 2018 Category: Psychiatry & Psychology Authors: Aardema F, Wong SF, Audet JS, Melli G, Baraby LP Tags: Br J Clin Psychol Source Type: research

Hoarding symptoms and workplace impairment.
CONCLUSIONS: Among a community sample of employed individuals, greater hoarding symptoms were associated with greater psychiatric work impairment. Work-related variables, such as co-worker relationships and attention difficulties, contributed additional variance above that accounted for by hoarding symptoms. There were significant associations between co-worker relationships, work engagement, and workplace impairment, though the direction of the mediation model is unclear. Future research should examine factors associated with unemployment in hoarding disorder. PRACTITIONER POINTS: Clinicians should be aware that grea...
Source: The British Journal of Clinical Psychology - December 11, 2018 Category: Psychiatry & Psychology Authors: Mathes BM, Henry A, Schmidt NB, Norberg MM Tags: Br J Clin Psychol Source Type: research

A feasibility study of a cross-diagnostic, CBT-based psychological intervention for acute mental health inpatients: Results, challenges, and methodological implications.
CONCLUSION: These issues, and the feasibility of randomization and rater-blinding, have important implications for the design of future trials. Overall, this study provides an important insight into the challenges and complexities of developing and evaluating a comprehensive psychological intervention service in an acute psychiatric setting. PRACTITIONER POINTS: Individual therapy sessions can be delivered in the acute environment. The EDAPTS intervention showed some promise on outcomes of distress and self-efficacy. Delivery of nurse-led groups was challenging and may need to be embedded into routine clinical practic...
Source: The British Journal of Clinical Psychology - December 2, 2018 Category: Psychiatry & Psychology Authors: Paterson C, Karatzias T, Harper S, Dougall N, Dickson A, Hutton P Tags: Br J Clin Psychol Source Type: research

Are acceptance and mindfulness-based interventions 'value for money'? Evidence from a systematic literature review.
CONCLUSION: This first substantive review of economic evaluations of A/MBIs indicates that more research is needed before firm conclusions can be reached on the cost-effectiveness of A/MBIs for mental health conditions. PRACTITIONER POINTS: The findings of the review provide information that may be relevant to mental health service commissioners and decision-makers as all economic evidence available on acceptance and mindfulness-based interventions for mental health conditions is summarized. Evidence relating to the cost-effectiveness and cost-saving potential of acceptance and mindfulness-based interventions is focus...
Source: The British Journal of Clinical Psychology - November 29, 2018 Category: Psychiatry & Psychology Authors: Duarte R, Lloyd A, Kotas E, Andronis L, White R Tags: Br J Clin Psychol Source Type: research

Comparing cognitive styles in social anxiety and major depressive disorders: An examination of rumination, worry, and reappraisal.
CONCLUSIONS: Results support transdiagnostic conceptualizations of rumination and worry. They also suggest that reappraisal is only useful when it is used by people who experience frequent and habitual negative cognitions. PRACTITIONER POINTS: Individuals with SAD or MDD report more rumination and worry than healthy controls, but do not differ from each other in their reliance on these cognitive styles. Individuals with comorbid SAD/MDD endorse more rumination than individuals with SAD or MDD alone, even after adjusting for differences in symptom severity. Reappraisal may only predict diagnostic group status when cons...
Source: The British Journal of Clinical Psychology - November 28, 2018 Category: Psychiatry & Psychology Authors: Arditte Hall KA, Quinn ME, Vanderlind WM, Joormann J Tags: Br J Clin Psychol Source Type: research

Depression diagnoses, but not individual differences in depression symptoms, are associated with reduced autobiographical memory specificity.
CONCLUSIONS: Our findings extend our understanding of the mechanisms involved in reduced memory specificity but future research must explore the causal contribution of weak executive functioning to reduced memory specificity. PRACTITIONERS POINTS: Diagnoses of depression were associated with problems recalling specific events from one's past. Problems with memory specificity amongst depressed people were associated with executive functioning difficulties. Problems with specificity were not associated with individual differences in depression severity or ruminative tendencies. PMID: 30444032 [PubMed - as supplied ...
Source: The British Journal of Clinical Psychology - November 15, 2018 Category: Psychiatry & Psychology Authors: Farina FR, Barry TJ, van Damme I, van Hie T, Raes F Tags: Br J Clin Psychol Source Type: research

Testing models of post-traumatic intrusions, trauma-related beliefs, hallucinations, and delusions in a first episode psychosis sample.
This study investigated relationships between childhood trauma, psychotic symptoms (hallucinations and delusions), post-traumatic intrusions, and trauma-related beliefs while accounting for comorbid symptoms. METHODS: Sixty-six people with first episode psychosis aged between 15 and 24 years were assessed for hallucinations, delusions, childhood trauma, post-traumatic intrusions, post-traumatic avoidance, and trauma-related beliefs. RESULTS: Fifty-three per cent of the sample had experienced childhood trauma, and 27% met diagnostic criteria for post-traumatic stress disorder. Both post-traumatic intrusions a...
Source: The British Journal of Clinical Psychology - November 13, 2018 Category: Psychiatry & Psychology Authors: Peach N, Alvarez-Jimenez M, Cropper SJ, Sun P, Bendall S Tags: Br J Clin Psychol Source Type: research

Valence-related impairments in the retrieval of specific autobiographical memories amongst patients with schizophrenia.
Abstract OBJECTIVES: People with schizophrenia have difficulty recalling specific autobiographical events from their past. However, the nature of this difficulty (e.g., whether these problems are only for memories that are negative or positive) and the mechanisms associated with it remain poorly understood. METHODS: The present investigation asked patients with schizophrenia (n = 91) and healthy controls (n = 109) to recall memories related to several positive and negative cue words. Participants also completed self-report measures of rumination and depressive symptoms and a measure of ver...
Source: The British Journal of Clinical Psychology - October 25, 2018 Category: Psychiatry & Psychology Authors: Barry TJ, Del Rey F, Ricarte JJ Tags: Br J Clin Psychol Source Type: research

Improving empathy with motivational strategies in batterer intervention programmes: Results of a randomized controlled trial.
CONCLUSIONS: Our study reinforces the view that different modalities of IPV intervention might lead to different cognitive outcomes after the intervention. Thus, these results may help professionals to develop specific intervention programmes focused on improving cognitive abilities in order to reduce IPV recidivism. PRACTITIONER POINTS: Interventions for batterers' neglected empathic changes after these programmes. Not enough randomized controlled trials for these kinds of interventions. An improvement in the ability to decode emotions after the intervention programme. An improvement in cognitive empathy (perspective...
Source: The British Journal of Clinical Psychology - October 21, 2018 Category: Psychiatry & Psychology Authors: Romero-Martínez Á, Lila M, Gracia E, Moya-Albiol L Tags: Br J Clin Psychol Source Type: research

Editorial.
PMID: 30133871 [PubMed - in process] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - August 23, 2018 Category: Psychiatry & Psychology Authors: Grisham JR Tags: Br J Clin Psychol Source Type: research

Anticipated and imagined futures: prospective cognition and depressed mood following brain injury.
CONCLUSIONS: These findings (1) elucidate depression-linked cognitive-affective processes following ABI, where cognitive difficulties are common, and (2) highlight psychological processes associated with depression that are common to ABI and non-ABI populations. PRACTITIONER POINTS: Clinical implications A relative negative bias in future-directed cognition is associated with depressed mood in individuals with chronic ABI. Such processes may contribute to the onset and maintenance of depression following ABI. These findings suggest it may be important to consider a role for prospective cognition in psychological inter...
Source: The British Journal of Clinical Psychology - August 21, 2018 Category: Psychiatry & Psychology Authors: Murphy FC, Peers PV, Blackwell SE, Holmes EA, Manly T Tags: Br J Clin Psychol Source Type: research

Adverse childhood experiences, daily worries, and positive thoughts: A daily diary multi-wave study.
CONCLUSIONS: Daily worry during late adolescence may be an important consequence of earlier exposure to ACEs. Early interventions focused on worry reduction and improved emotion regulation might mitigate worry among high-ACE youth. PMID: 30047145 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - July 25, 2018 Category: Psychiatry & Psychology Authors: Arbel R, Schacter HL, Kazmierski KFM, Daspe MÈ, Margolin G Tags: Br J Clin Psychol Source Type: research

Paranoia and interpersonal functioning across the continuum from healthy to pathological - Network analysis.
CONCLUSIONS: The current results support previous findings linking paranoid ideation to interpersonal functioning in both clinical and non-clinical samples. Patterns of these relationships differed slightly across groups. Results in general support a continuum model of paranoia. PRACTITIONER POINTS: Network analyses were used to identify central aspects of persecutory ideation in both clinical and non-clinical samples. Qualitative assessment of clinical and non-clinical networks revealed similar central symptoms and supported a continuum model of paranoia. Central aspects of paranoia, that is, feeling that others have...
Source: The British Journal of Clinical Psychology - July 20, 2018 Category: Psychiatry & Psychology Authors: Hajdúk M, Klein HS, Harvey PD, Penn DL, Pinkham AE Tags: Br J Clin Psychol Source Type: research