Journal of Clinical Psychology
Công bố khoa học tiêu biểu
* Dữ liệu chỉ mang tính chất tham khảo
Sắp xếp:
Depression in chronic medical illness: The case of coronary heart disease Abstract Depression is an important predictor of morbidity and mortality in patients with coronary disease, particularly after myocardial infarction, independent of previous cardiac history or CAD severity. Depression also is associated with poor long‐term psychosocial outcomes. The prevalence of major depression among post‐MI patients is 15 to 20%, with an additional 27% reporting symptoms of minor depression. This article briefly reviews the literature on depression in patients with coronary disease, including previously published efforts to treat the disorder in this group. A case review then is provided, highlighting important aspects of treatment. © 2001 John Wiley & Sons, Inc. J Clin Psychol/In Session 57: 1323–1337, 2001.
Journal of Clinical Psychology - Tập 57 Số 11 - Trang 1323-1337 - 2001
Complex Trauma in Children and Adolescents: Evidence‐Based Practice in Clinical Settings Complex trauma (CT) results from exposure to severe stressors that occur within the caregiver system or with another presumably responsible adult, are repetitive, and begin in childhood or adolescence. As a result, many of these children and adolescents experience lifelong difficulties related to self‐regulation, relationships, psychological symptoms, alterations in attention and consciousness, self‐injury, identity, and cognitive distortions. The aims of this article include the following: (a) to examine several representative approaches identified as treatments for children and adolescents exposed to CT with respect to similarities and differences; (b) to examine representative evidence of model effectiveness; (c) to discuss how these approaches are and/or could be implemented in clinical practice; and (d) to suggest research designs that would facilitate greater translation of effective treatment into clinical settings.
Journal of Clinical Psychology - Tập 69 Số 5 - Trang 497-509 - 2013
A brief peer gatekeeper suicide prevention training: Results of an open pilot trial Abstract Objective The purpose of the present study was to test a 1‐hour peer suicide gatekeeper training for students from the broad college community in the context of an open pilot trial. Method Two‐hundred and thirty‐one college students were recruited university‐wide, M age = 20.7, 65.4% female, and completed a peer suicide prevention gatekeeping training program. Assessments were completed at pre‐training and post‐training as well as 3‐month follow‐up. Results This brief peer suicide gatekeeper training program was associated with increases in suicide prevention knowledge. It was also associated with an increase in the number of students who identified suicidal youth and made mental health referrals, as well as total number of referrals made, over the course of three months. Females reported greater improvement in suicide prevention skills and knowledge post‐training than males. Conclusions Offering peer suicide gatekeeper training to students from the general college population may hold promise in suicide prevention efforts.
Journal of Clinical Psychology - Tập 74 Số 7 - Trang 1106-1116 - 2018
Preliminary Evaluation of an Observational Measure of Group Cohesion for Group Psychotherapy Objective Group psychotherapy research would benefit from an observational measure of group cohesion to complement existing self‐report measures. This study introduces the Therapy Process Observational Coding System‐Group Cohesion scale (TPOCS‐GC), which observationally assesses cohesion between each member and the group. Method In total 27 parents participated in a group parent‐training social competency intervention for children with attention deficit‐hyperactivity disorder. Independent coders double‐coded group cohesion and the alliance in 144 client‐sessions. Parents, teachers, and children completed cognitive, behavioral, and therapy participation measures. Results The TPOCS‐GC demonstrated modest to strong item‐level interrater reliability and acceptable internal consistency. Group cohesion evidenced moderate stability over the course of treatment. Relations between TPOCS‐GC and theoretically linked and unrelated variables provided some evidence for construct and predictive validity. Conclusions This preliminary study suggests that the TPOCS‐GC is a reliable instrument that may help fill an instrumentation gap in the field.
Journal of Clinical Psychology - Tập 69 Số 3 - Trang 191-208 - 2013
Shared Understanding as a Gateway for Treatment Engagement: A Preliminary Study Examining the Effectiveness of the Culturally Enhanced Video Feedback Engagement Intervention Objective For ethnic minority families, the bridging of clinician–client differences is essential to their engagement in treatment. The Culturally Enhanced Video Feedback Engagement (CEVE) intervention aims to enhance client engagement through fostering clinician–client shared cultural understanding. The present study tested the effectiveness of the CEVE on client‐rated clinician cultural competence and therapeutic alliance. Method Nineteen ethnic minority families with children aged 3–6 years were randomized to the CEVE (n = 9) or treatment as usual (n = 10) at an outpatient clinic. Results Results from linear mixed effects regression models indicated a significant effect of the CEVE on intercept, suggesting that clinician cultural competence and therapeutic alliance were significantly higher in the CEVE condition. No effect was found for clinician growth in skills. Conclusions The results indicate that the CEVE enhances client treatment engagement via clinician cultural competence and clinician–client alliance, suggesting its promise as a clinical engagement tool, particularly for treatments serving ethnic minority families.
Journal of Clinical Psychology - Tập 70 Số 7 - Trang 658-672 - 2014
An empirical study of the mechanisms of mindfulness in a mindfulness‐based stress reduction program Abstract S. L. Shapiro and colleagues (2006) have described a testable theory of the mechanisms of mindfulness and how it affects positive change. They describe a model in which mindfulness training leads to a fundamental change in relationship to experience (reperceiving), which leads to changes in self‐regulation, values clarification, cognitive and behavioral flexibility, and exposure. These four variables, in turn, result in salutogenic outcomes. Analyses of responses from participants in a mindfulness‐based stress‐reduction program did not support the mediating effect of changes in reperceiving on the relationship of mindfulness with those four variables. However, when mindfulness and reperceiving scores were combined, partial support was found for the mediating effect of the four variables on measures of psychological distress. Issues arising in attempts to test the proposed theory are discussed, including the description of the model variables and the challenges to their assessment. © 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1–14, 2009.
Journal of Clinical Psychology - Tập 65 Số 6 - Trang 613-626 - 2009
Comorbid antisocial and borderline personality disorders: mentalization‐based treatment Abstract Mentalization is the process by which we implicitly and explicitly interpret the actions of ourselves and others as meaningful based on intentional mental states (e.g., desires, needs, feelings, beliefs, and reasons). This process is disrupted in individuals with comorbid antisocial (ASPD) and borderline personality disorder (BPD), who tend to misinterpret others' motives. Antisocial characteristics stabilize mentalizing by rigidifying relationships within prementalistic ways of functioning. However, loss of flexibility makes the person vulnerable to sudden collapse when the schematic representation is challenged. This exposes feelings of humiliation, which can only be avoided by violence and control of the other person. The common path to violence is via a momentary inhibition of the capacity for mentalization. In this article, the authors outline their current understanding of mentalizing and its relation to antisocial characteristics and violence. This is illustrated by a clinical account of mentalization‐based treatment adapted for antisocial personality disorder. Treatment combines group and individual therapy. The focus is on helping patients maintain mentalizing about their own mental states when their personal integrity is challenged. A patient with ASPD does not have mental pain associated with another's state of mind; thus, to generate conflict in ASPD by thinking about the victim will typically be ineffective in inducing behavior change. © 2008 Wiley Periodicals, Inc. J Clin Psychol: In Session 64: 1–14, 2008.
Journal of Clinical Psychology - Tập 64 Số 2 - Trang 181-194 - 2008
Pain and emotion: a biopsychosocial review of recent research Abstract Objective and Method: Research on emotion and pain has burgeoned. We review the last decade's literature, focusing on links between emotional processes and persistent pain.Results: Neurobiological research documents the neural processes that distinguish affective from sensory pain dimensions, link emotion and pain, and generate central nervous system pain sensitization. Psychological research demonstrates that greater pain is related to emotional stress and limited emotional awareness, expression, and processing. Social research shows the potential importance of emotional communication, empathy, attachment, and rejection.Conclusions: Emotions are integral to the conceptualization, assessment, and treatment of persistent pain. Research should clarify when to eliminate or attenuate negative emotions, and when to access, experience, and express them. Theory and practice should integrate emotion into cognitive‐behavioral models of persistent pain. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–27, 2011.
Journal of Clinical Psychology - Tập 67 Số 9 - Trang 942-968 - 2011
The self-harm inventory (SHI): Development of a scale for identifying self-destructive behaviors and borderline personality disorder
Journal of Clinical Psychology - Tập 54 Số 7 - Trang 973-983 - 1998
Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a Short Form and Evidence of a Two‐Factor Higher Order Structure of Mindfulness Objectives Past research of the Five Facet Mindfulness Questionnaire (FFMQ) lacks clear results regarding its factorial validity, item fitting, mindfulness in the general population, and on the higher order structure of mindfulness. We derived an alternative two‐factor higher order structure for the FFMQ, delineating the attentional and experiential aspects of mindfulness. Method Data of 640 persons from the Austrian community were used for primary analyses, and data of 333 Austrian students were used for cross‐validation. Confirmatory analyses and exploratory structural equation modeling (ESEM) were utilized to investigate psychometric and structural properties. Associations with related variables and indicators of mental health were examined. Results Confirmatory models fitted only poorly on the full 39‐item FFMQ. Fit was acceptable in an abridged 20‐item version in both samples. The Nonreact scale had only weak psychometric properties. ESEM analyses suggested a good fit of two higher order factors and revealed structural differences between the samples. Beneficial effects of mindfulness appeared to be uniquely associated with the experiential aspects of mindfulness. Strategies of emotion regulation showed differential associations with the two higher order factors in the two samples. Conclusions Our findings are relevant both with regard to conceptual issues on mindfulness and the assessment of mindfulness with the FFMQ. Replications in meditating samples and in patients are needed.
Journal of Clinical Psychology - Tập 69 Số 9 - Trang 951-965 - 2013
Tổng số: 38
- 1
- 2
- 3
- 4