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Journals Journal of Consulting and Clin...

Journal of Consulting and Clinical Psychology

https://read.qxmd.com/read/37768633/randomized-controlled-trial-of-a-web-based-program-for-preventing-anxiety-and-depression-in-university-students
#1
JOURNAL ARTICLE
Leslie R Rith-Najarian, Elizabeth Gong-Guy, John C Flournoy, Denise A Chavira
OBJECTIVE: Few online interventions targeting anxiety and depression in university students are designed for universal delivery, and none for group-level delivery. This randomized controlled trial (NCT No. 04361045) examined the effectiveness of such a prevention program. METHOD: StriveWeekly is a web-based intervention designed with weekly self-guided skill modules (e.g., behavioral activation) that are synchronously delivered to all users. Student participants ( n = 1,607) were recruited from one large public university, and 65...
September 28, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37768632/intervention-format-and-therapist-child-agreement-associated-with-therapeutic-alliance-and-outcomes
#2
JOURNAL ARTICLE
John E Lochman, Robert D Laird, Heather L McDaniel, Caroline L Boxmeyer, Summer S Braun, Nicole P Powell, Lixin Qu
OBJECTIVE: The study examined the effects of therapeutic alliance (TA; relational bond, task collaboration) on externalizing behavior outcomes, how TA can operate differently when children are seen in individual versus group sessions, and how therapist-child disagreement in perceptions of TA affects outcomes. METHOD: Three hundred sixty children (Ages 9.2-11.8; 65% male; 78.1% Black) identified as having high rates of aggressive behavior by the fourth-grade teachers, and their 20 elementary schools were randomized to group versus individual delivery of the cognitive behavioral intervention, Coping Power...
September 28, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37768631/revealing-subgroup-specific-mechanisms-of-change-via-moderated-mediation-a-meditation-intervention-example
#3
JOURNAL ARTICLE
Christian A Webb, Matthew J Hirshberg, Oscar Gonzalez, Richard J Davidson, Simon B Goldberg
OBJECTIVE: Effective psychosocial interventions exist for numerous mental health conditions. However, despite decades of research, limited progress has been made in clarifying the mechanisms that account for their beneficial effects. We know that many treatments work, but we know relatively little about why they work. Mechanisms of change may be obscured due to prior research collapsing across heterogeneous subgroups of patients with differing underlying mechanisms of response. Studies identifying baseline individual characteristics that predict differential response (i...
September 28, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37768630/emotional-and-cognitive-processes-in-psychotherapy-are-associated-with-different-aspects-of-the-therapeutic-relationship
#4
JOURNAL ARTICLE
Ingvild Finsrud, Helene A Nissen-Lie, Pål G Ulvenes, KariAnne Vrabel, Linne Melsom, Bruce Wampold
OBJECTIVE: In this naturalistic study we aimed to investigate the relationships between two central change processes (affective and cognitive) and two common relationship factors ("Confidence in the therapist" and "Confidence in the treatment"), which have been shown to impact outcomes in a clinical context. We also investigated whether these interrelationships varied across treatment orientations (i.e., cognitive or psychodynamic focused). METHOD: The sample consisted of 631 patients with a primary anxiety or depressive disorder who were admitted to an inpatient program and treated with psychotherapy...
September 28, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37768629/predictors-of-mental-health-outcomes-of-three-refugee-groups-in-an-advocacy-based-intervention-a-precision-medicine-perspective
#5
JOURNAL ARTICLE
Meredith A Blackwell, Jessica R Goodkind, Elizabeth A Yeater, M Lee Van Horn
OBJECTIVE: Precision medicine is an area with great potential for mental health, but has made limited gains prognostically in predicting effective treatments. For refugees exposed to violence, culture may be a crucial factor in predicting treatment outcomes. METHOD: For this study, 290 participants from three regions (Afghanistan, the Great Lakes region of Africa, and Iraq and Syria) participated in a randomized controlled trial of an advocacy-based intervention...
September 28, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37768628/reducing-suicidal-ideation-in-african-american-adolescents-a-randomized-controlled-clinical-trial
#6
JOURNAL ARTICLE
W LaVome Robinson, Christopher R Whipple, Kate Keenan, Caleb E Flack, Sally Lemke, Leonard A Jason
OBJECTIVE: Suicide rates among African American adolescents have increased exponentially in recent years. The socioecological stressors that can increase suicide risk for African American adolescents, in conjunction with unique suicide risk manifestations within this group, require culturally sensitive preventive interventions. This study examines the efficacy of the Adapted-Coping With Stress course (A-CWS), a culturally tailored preventive intervention, to reduce suicidal ideation in African American adolescents, utilizing a randomized controlled design...
September 28, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37732972/treatment-for-graduate-students-blunting-the-emotional-toll-of-postgraduate-education
#7
JOURNAL ARTICLE
Neema Prakash, Cecilia M Votta, Patricia J Deldin
OBJECTIVES: Graduate students are at greater risk of developing mental health concerns than other adults in their age group. Despite the need for care within this population, there is a lack of literature on accessible interventions designed specifically to meet the needs of graduate students. The present study examines the efficacy of a novel intervention: Mood Lifters for Graduate Students (ML-GS). METHOD: This study is a clinical trial with randomization. The sample size consisted of 131 participants...
September 21, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37668578/the-role-of-therapy-delivery-and-clinic-organizational-factors-in-explaining-therapist-effects-for-trauma-focused-psychotherapies-in-the-veterans-health-administration
#8
JOURNAL ARTICLE
Nina A Sayer, Shannon Wiltsey Stirman, Craig S Rosen, Shannon Kehle-Forbes, Michele R Spoont, Afsoon Eftekhari, Kathleen M Chard, Adam Kaplan, David B Nelson
OBJECTIVE: This study estimated the size of therapist effects (TEs) for dropout and clinical effectiveness of two trauma-focused psychotherapies (TFPs) and evaluated whether therapy delivery and clinic organizational factors explained observed TEs. METHOD: Participants were 180 therapists (54.4% psychologists, 42.2% social workers) from 137 Veterans Health Administration facilities and 1,735 patients (24.7% women; 27.2% people of color) who completed at least two TFP sessions...
September 4, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37650826/ground-up-approach-to-understanding-the-impacts-of-historical-trauma-in-one-reserve-dwelling-first-nations-community
#9
JOURNAL ARTICLE
Nicole H Weiss, Nichea S Spillane, Silvi C Goldstein, Reina Kiefer, Alexa M Raudales, Tessa Nalven, Alana Egan, Catherine D Trinh, Roland S Moore, Joseph P Gone
OBJECTIVE: First Nations peoples experience disproportionate health inequities compared to most non-Indigenous populations. Historical trauma is one factor that has received growing attention in relation to health inequities among First Nations populations. The goal of the present study was to improve understanding of the specific forms, impacts, and mechanisms of transmission of events that lead to historical trauma and the historical trauma response in First Nations peoples. METHOD: Five focus groups were conducted among adult members of one First Nations community in Canada ( N = 34; 70...
August 31, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37650825/examining-engagement-effects-in-an-adaptive-preventive-intervention-for-college-student-drinking
#10
JOURNAL ARTICLE
Megan E Patrick, Aparajita Sur, Brooke Arterberry, Sarah Peterson, Nicole Morrell, David M Vock
OBJECTIVE: This study determined the characteristics of engagement and whether engagement in an adaptive preventive intervention (API) was associated with reduced binge drinking and alcohol-related consequences. METHOD: Incoming students were recruited for a sequential multiple assignment randomized trial (SMART; N = 891, 62.4% female, 76.8% non-Hispanic White) with an assessment-only control group. The API occurred during the first semester of college, with outcomes assessed at the end of the semester...
August 31, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37616125/the-prognostic-role-of-emotion-regulation-dynamics-in-the-treatment-of-major-depressive-disorder
#11
JOURNAL ARTICLE
Avigail Bar-Sella, Aviv Nof, Brian R Baucom, Pavel Goldstein, Sergei Romanov, Iryna Shpakouskaya, Dmitrii Kaplun, Sigal Zilcha-Mano
OBJECTIVE: The potential prognostic role of emotion regulation in the treatment of major depressive disorder (MDD) has been highlighted by transtheoretical literature and supported by promising empirical findings. The majority of the literature is based on self-report observations at a single snapshot, thus little is known about the prognostic value of moment-to-moment dynamic evolvement of emotion. The present study is the first to examine the prognostic value of both intra- and interpersonal, moment-to-moment emotion regulation dynamics, and the potential moderating effect of the type of treatment...
August 24, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37616124/evaluating-the-effectiveness-of-concurrent-sessions-and-counselors-attention-allocation-in-online-counseling
#12
JOURNAL ARTICLE
Yucan Xu, Christian S Chan, Christy Tsang, Florence Cheung, Evangeline Chan, Paul S F Yip
OBJECTIVE: With its anonymity and accessibility, text-based online counseling has shown great potential in reaching people with mental health needs. One strategy adopted to meet the service gap is concurrent counseling , that is, each counselor attending to more than one client at a time. To date, there is no reported evidence supporting its rationality and effectiveness. This study investigated the potential opportunities, effectiveness, and caveats in concurrent service delivery and identified the optimal cutoff number of concurrent sessions while maintaining the quality of service at or above a set threshold...
August 24, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37535521/novel-treatment-based-on-acceptance-and-commitment-therapy-versus-cognitive-behavioral-therapy-for-insomnia-a-randomized-comparative-effectiveness-trial-in-women-veterans
#13
JOURNAL ARTICLE
Jennifer L Martin, Gwendolyn C Carlson, Monica R Kelly, Yeonsu Song, Michael N Mitchell, Karen R Josephson, Sarah Kate McGowan, Najwa C Culver, Morgan A Kay, Alexander J Erickson, Katie S Saldana, Kimiko J May, Lavinia Fiorentino, Cathy A Alessi, Donna L Washington, Elizabeth M Yano
OBJECTIVE: This randomized comparative effectiveness trial evaluated a novel insomnia treatment using acceptance and commitment therapy (ACT) among women veterans. Participants received either the acceptance and the behavioral changes to treat insomnia (ABC-I) or cognitive behavioral therapy for insomnia (CBT-I). The primary objectives were to determine whether ABC-I was noninferior to CBT-I in improving sleep and to test whether ABC-I resulted in higher treatment completion and adherence versus CBT-I...
August 3, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37471022/treatment-length-and-symptom-improvement-in-prolonged-exposure-and-present-centered-therapy-for-posttraumatic-stress-disorder-comparing-dose-response-and-good-enough-level-models-in-two-manualized-interventions
#14
JOURNAL ARTICLE
Johanna Thompson-Hollands, Carole A Lunney, Denise M Sloan, Shannon Wiltsey Stirman, Paula P Schnurr
OBJECTIVE: The dose-response model of change in psychotherapy posits that each session of therapy is incrementally beneficial across patients. The contrasting good-enough level model suggests that patients improve at different rates in therapy and discontinue treatment when they are satisfied with their improvement. Support for each theory has been mixed, and many prior studies have relied on samples of patients receiving unstructured treatment approaches. We conducted this study to compare these two theories across two manualized treatments for posttraumatic stress disorder (PTSD)...
July 20, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37410398/the-impact-of-multiple-behavior-hiv-interventions-as-a-function-of-regional-disadvantages-an-analysis-of-syndemics
#15
JOURNAL ARTICLE
Man-Pui Sally Chan, Sicong Liu, Benjamin White, Angela Zhang, Yubo Zhou, Melody Leung, Wenhao Dai, Xi Liu, Marta Durantini, Qijia Ye, Lidia Palmese, Devlin O'Keefe, Dolores Albarracín
OBJECTIVE: Disadvantaged populations, including inhabitants of developing countries as well as racial/ethnic and sexual minorities in the United States, are disproportionally burdened by human immunodeficiency virus (HIV) infection, delayed HIV diagnosis, and unfavorable HIV-treatment outcomes. HIV interventions targeting single behaviors (e.g., testing) in these populations have shown to be efficacious at producing behavioral and clinical change but have been unable to eliminate the social health disparities associated with syndemics (i...
July 6, 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37732988/clinical-science-and-practice-in-the-age-of-large-language-models-and-generative-artificial-intelligence
#16
JOURNAL ARTICLE
Stephen M Schueller, Robert R Morris
In this article, Schueller and Morris discuss the recent advances made from large language models (LLMs) and generative artificial intelligence (AI). These advances include supporting humans to provide better interventions, understanding processes in clinical interventions, and providing ethical considerations for the use of generative AI in clinical research and practice. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
October 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37578755/a-framework-for-neurodiversity-affirming-interventions-for-autistic-individuals
#17
JOURNAL ARTICLE
Matthew D Lerner, Ava N Gurba, Dena L Gassner
Despite being targets of intervention practice and research for over 60 years, autistic people have been left out of the conversation. Until recently, nearly no research or implementation work has sought the input of autistic people in regard to the design of interventions and, more importantly, how the goals for such interventions are prioritized and determined. This reframe has profound implications for autism-focused interventions and research, most of which have aimed to reduce or eliminate autism symptoms, with variable empirical support (Bottema-Beutel, 2023)...
September 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37458610/mediators-of-change-in-online-mindfulness-based-cognitive-therapy-a-secondary-analysis-of-a-randomized-trial-of-mindful-mood-balance
#18
RANDOMIZED CONTROLLED TRIAL
Sona Dimidjian, Robert Gallop, Joseph Levy, Arne Beck, Zindel V Segal
OBJECTIVE: Digital delivery of mindfulness-based cognitive therapy through the Mindful Mood Balance (MMB) program is clinically effective (Segal et al., 2020); however, the mechanisms through which this program delivers its benefits have not been established. METHOD: This study investigates the differential impact of the MMB program paired with usual depression care (UDC) compared to UDC alone on the putative targets of self-reported mindfulness, decentering, and rumination and the extent to which change in these targets mediates subsequent depressive relapse among a sample of predominantly White, female participants, with residual depressive symptoms...
August 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37155265/do-changes-in-dysfunctional-posttraumatic-cognitions-differentially-predict-ptsd-symptom-clusters
#19
JOURNAL ARTICLE
Hannah Schumm, Antje Krüger-Gottschalk, Thomas Ehring, Anne Dyer, Andre Pittig, Keisuke Takano, Georg W Alpers, Barbara Cludius
OBJECTIVE: In recent years, it has been suggested that the modification of dysfunctional posttraumatic cognitions plays a central role as a mechanism of change in cognitive behavioral therapy (CBT) for posttraumatic stress disorder (PTSD). Indeed, several studies have shown that changes in dysfunctional posttraumatic cognitions precede and predict symptom change. However, these studies have investigated the influence on overall symptom severity-despite the well-known multidimensionality of PTSD...
July 2023: Journal of Consulting and Clinical Psychology
https://read.qxmd.com/read/37276084/dynamic-processes-in-behavioral-activation-therapy-for-anhedonic-adolescents-modeling-common-and-patient-specific-relations
#20
JOURNAL ARTICLE
Christian A Webb, Laura Murray, Anna O Tierney, Kathleen M Gates
OBJECTIVE: Behavioral activation (BA) is a brief intervention for depression encouraging gradual and systematic re-engagement with rewarding activities and behaviors. Given this treatment focus, BA may be particularly beneficial for adolescents with prominent anhedonia, a predictor of poor treatment response and common residual symptom. We applied group iterative multiple model estimation (GIMME) to ecological momentary assessment (EMA) treatment data to investigate common and person-specific processes during BA for anhedonic adolescents...
June 5, 2023: Journal of Consulting and Clinical Psychology
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