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Journal of Clinical Psychology

Pauline Maillard, Julie Pellaton, Ueli Kramer
Major depressive disorder is among the most frequently diagnosed mental disorders and is often accompanied by other disorders such as anxiety or substance abuse. As a result of a complicated tangle of comorbidities, psychotherapy in such cases can become quite demanding. The present case study presents and discusses the challenges represented by a complex case of psychotherapy, focusing on ongoing modifications of the clinical hypotheses and therapeutic approach. This process is illustrated through the case of Andy, a 44-year-old man suffering from depressive disorder, social phobia, substance dependency, and an avoidant personality disorder...
February 19, 2019: Journal of Clinical Psychology
John F Clarkin, Mark Petrini, Diana Diamond
The intensive treatment of a patient presenting with major depression, chronic suicidal ideation, and a borderline personality disorder with narcissistic features is described as it developed over an 18-month treatment. The treatment approach is a transdiagnostic one with an emphasis on change in the patient's representation of self and others, identity and interpersonal functioning. The intended change is not only in the reduction of depression and suicidal ideation but also an improvement in interactions with others at work and intimate relations...
February 17, 2019: Journal of Clinical Psychology
Keren Cohen, Liat Leibovich, Rayna Markin, Sigal Zilcha-Mano
AIM: Despite research suggesting increased anxiety and depressive symptoms after a perinatal loss and during future pregnancies, little knowledge exists to guide clinicians treating pregnant women after perinatal loss. This case study explores processes that facilitated therapeutic change for a pregnant patient with major depressive disorder (MDD) and posttraumatic stress disorder after perinatal losses. METHOD: The study integrated quantitative and narrative analyses in a single case derived from the pilot phase of a randomized controlled trial on supportive-expressive therapy for MDD...
February 15, 2019: Journal of Clinical Psychology
Steven K Huprich
Many patients with chronic depression are not well-treated. In part, this is due to the underlying personality dynamics that maintain the depressive experience are ignored. In this paper, I describe the concept of malignant self-regard, a derivative of the depressive personality. I describe briefly its origins in the clinical and empirical literature and focus upon the presentation of a case of a patient who displays a prototypic manifestation of malignant self-regard. I offer some ideas for how to manage such patients, with a focus on countertransference experiences that can be used to inform treatment...
February 15, 2019: Journal of Clinical Psychology
Lee Kannis-Dymand, José M Salguero, Juan Ramos-Cejudo, Raymond W Novaco
OBJECTIVE: A validated, brief measure of anger is needed in clinical settings to screen for problematic anger. This study examined the validity of the seven-item Dimensions of Anger Reactions-Revised (DAR-R), including a version for the Spanish population. METHOD: Multiple psychometric instruments administered to 541 (76.6% female) adults in Australia and 1,115 (56.3% female) in Spain were analyzed. RESULTS: A two-factor model (anger response and anger impairment) was confirmed...
February 13, 2019: Journal of Clinical Psychology
J Gayle Beck, Matthew J Woodward, Alison M Pickover, Alexandra J Lipinski, Thomas S Dodson, Han N Tran
OBJECTIVE: This study examined whether a history of childhood abuse (CA) strengthened the association between borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) in the aftermath of intimate partner violence (IPV). This hypothesis arises from clinical literature but has not been examined empirically. We predicted that a history of CA would enhance associations between BPD features and PTSD symptoms. METHOD: Dimensional assessment of both PTSD and BPD was made in a sample of 211 women who sought mental health services following IPV...
February 11, 2019: Journal of Clinical Psychology
Duygu Yakın, Tülin Gençöz, Laura Steenbergen, Arnoud Arntz
OBJECTIVES: We aimed to test whether negative emotion regulation difficulties and self-compassion mediate the relationship between early maladaptive schemas (EMSs) and symptoms of psychopathology and life satisfaction. METHODS: Data were collected from 296 adults (179 females, 117 males), whose age ranged from 17 to 52 years. The mediating roles of self-compassion and negative emotion regulation were examined via Hayes' procedure (PROCESS) for multiple mediation...
February 8, 2019: Journal of Clinical Psychology
Brooke A Ammerman, Ross Jacobucci, Michael S McCloskey
OBJECTIVE: The nonsuicidal self-injury (NSSI) disorder diagnostic criteria have been the focus of empirical study. However, Criterion A (i.e., required frequency and timeframe) has received relatively limited attention. The current study aimed to examine the relationship between past 12-month NSSI frequency and eight NSSI behavior features among individuals with past 12-month and 1-month NSSI. METHOD: Participants were 723 undergraduate students reporting at least 1 past 12-month NSSI act and completed online questionnaires...
February 8, 2019: Journal of Clinical Psychology
Julee La Mott, Luci A Martin
OBJECTIVE: This study examined the moderating effects of self-care on various compassion outcomes among mental health providers. METHOD: Mental health providers (n = 371; 94.1% female; mean age = 47.12) were surveyed regarding their level of self-care, history of adverse childhood experiences, and the degree of burnout, secondary traumatic stress, and compassion satisfaction experienced. RESULTS: Results indicated that providers who endorsed a history of adverse childhood experiences (82...
February 5, 2019: Journal of Clinical Psychology
Marta Nieto, José Miguel Latorre, María Arantzazu García-Rico, José Vicente Hernández-Viadel, Laura Ros, Jorge Javier Ricarte
OBJECTIVE: Because the well-known relationship between autobiographical memory (AM) with social functioning and psychopathology can manifest itself in a different way for memories of different life periods, the current work assesses AM specificity deficits across different life stages in people with schizophrenia. METHOD: This cross-sectional study compares the performance of specific AM in people with a diagnosis of schizophrenia (n = 53, 78% male, 39.03 mean age) and controls ( n = 69, 88% male, 36...
February 5, 2019: Journal of Clinical Psychology
Tomas Nygren, David Brohede, Kocher Koshnaw, Shevan Sherzad Osman, Robert Johansson, Gerhard Andersson
OBJECTIVE: Kurdish immigrants in Sweden have a doubled risk of mental health problems, and refugee and immigrant populations underutilize mental health services. The present study investigated the efficacy of culturally adapted guided internet-based cognitive behavior therapy (ICBT) for depressive symptoms in a Kurdish population. METHOD: We included 50 individuals who were randomized to either an 8-week treatment or a wait-list. The Beck Depression Inventory-II was the primary outcome measure, and measures of anxiety and insomnia were secondary outcomes...
January 31, 2019: Journal of Clinical Psychology
Leandro Timm Pizutti, Alicia Carissimi, Lucianne Jobim Valdivia, Carlos Augusto Vieira Ilgenfritz, Juliana Jury Freitas, Daniela Sopezki, Marcelo Marcos Piva Demarzo, Maria Paz Hidalgo
OBJECTIVES: This study was aimed to evaluate the effects of the Breathworks' Mindfulness for Stress 8-week course on depressive and psychiatric symptoms, and on positive and negative affects, compared with active control and wait list. METHOD: A total of 84 primary care health professionals enrolled in the study, in quasi-experimental research design. The scales Beck Depression Inventory, Self-Reporting Questionnaire, Positive and Negative Affect Schedule, Self-Compassion Scale, and Five Facets of Mindfulness Questionnaire were applied before and after the interventions...
January 28, 2019: Journal of Clinical Psychology
Ian H Stanley, Joseph W Boffa, Jana K Tran, Norman Brad Schmidt, Thomas E Joiner, Anka A Vujanovic
OBJECTIVE: Posttraumatic stress disorder (PTSD) symptoms are associated with increased suicide risk among firefighters. Few studies have examined modifiable factors, such as mindfulness facets, that might attenuate this association. This study examined the interactive effects of PTSD symptoms and mindfulness facets in relation to suicide risk among firefighters. METHOD: Overall, 831 career firefighters were assessed for PTSD symptoms, mindfulness facets, and suicide risk via the PTSD Checklist for DSM-5, Five Facet Mindfulness Questionnaire, and Suicidal Behaviors Questionnaire-Revised, respectively...
January 23, 2019: Journal of Clinical Psychology
Roberta Mitchell, Rachel Roberts, Dianna Bartsch, Thomas Sullivan
OBJECTIVE: We examined the relationship between mindfulness skills acquisition and symptom reduction. METHOD: Participants were adults (n = 35) with a diagnosis of borderline personality disorder (BPD) who completed a 20-week dialectical behaviour therapy (DBT) skills training group program in a community mental health setting. We used the Five Facet Mindfulness Questionnaire, which measures five dimensions of mindfulness: observing, describing, acting with awareness, nonjudging of inner experience, and nonreactivity to inner experience...
January 23, 2019: Journal of Clinical Psychology
Jennifer J Muehlenkamp, Suzuki Takakuni, Amy M Brausch, Naomi Peyerl
OBJECTIVE: This study examined whether the psychological functions motivating eating disorder (ED) and nonsuicidal self-injury (NSSI) behaviors are similar, thereby representing shared mechanisms accounting for their high co-occurrence. METHOD: Self-report data assessing NSSI, ED symptoms, and behavioral functions were collected from 676 adults with recent NSSI (past 6 months; n = 333) or disordered eating ( n = 343). RESULTS: Measurement invariance analyses revealed the same function-factor structure for ED and NSSI behaviors for 8 out of 13 scales...
January 23, 2019: Journal of Clinical Psychology
Katrijn M Brenning, Inge Antrop, Stijn Van Petegem, Bart Soenens, Jan De Meulenaere, Ana Rodríguez-Meirinhos, Maarten Vansteenkiste
OBJECTIVES: This study examined associations between maternal psychologically controlling parenting and adolescents' responses to rule-setting as well as the link between both study variables and adolescents' internalizing and externalizing problems. METHOD: Both clinical and nonclinical adolescents reported upon maternal psychological control, responses to rule-setting (i.e., oppositional defiance, submissive compliance, negotiation, and accommodation) and both adolescents and mothers reported upon adolescents' problems...
January 23, 2019: Journal of Clinical Psychology
Jianlin Liu, Edimansyah Abdin, Swapna Verma, Kang Sim, Siow Ann Chong, Mythily Subramaniam
OBJECTIVES: The present study examines the latent factor structure of general psychopathology and investigates the mediating role of unmet psychosocial concerns, motivation, and medication side effects in the relationship between general psychopathology and quality of life (QOL) impairment in patients with schizophrenia. METHODS: A total of 251 patients completed self-report measures of unmet psychosocial concerns, motivation, medication side effects, and physical/mental QOL impairment...
January 23, 2019: Journal of Clinical Psychology
Anastasia Hronis, Rachel Roberts, Lynette Roberts, Ian Kneebone
OBJECTIVE: This study evaluated the feasibility of the Fearless Me! program, an online cognitive behavioral therapy (CBT) program for children with intellectual disability (ID) and anxiety. METHOD: Twenty-one adolescents with mild to moderate ID participated in ten sessions of the therapist-assisted Fearless Me! program, combining face-to-face group sessions and an online component. A case series design was adopted to assess anxiety symptoms at baseline, throughout intervention, and postintervention...
January 19, 2019: Journal of Clinical Psychology
Ryan M Hill, Julie B Kaplow, Benjamin Oosterhoff, Christopher M Layne
OBJECTIVE: Childhood bereavement is linked to suicide-related behaviors in adolescence and adulthood, but candidate mechanisms through which bereavement may lead to suicide-related behaviors have not been explored. One candidate pathway is that grief reaction arising from bereavement lead to increased perceived burdensomeness and/or thwarted belongingness, resulting in increased suicide ideation. This cross-sectional study of bereaved adolescents explored indirect effects between grief reactions as distal predictors, perceived burdensomeness and thwarted belongingness as proximal predictors, and suicide ideation...
January 12, 2019: Journal of Clinical Psychology
Megan L Rogers, Carol Chu, Thomas Joiner
OBJECTIVE: Here we argue for the necessity, validity, and clinical utility of a new diagnostic entity, acute suicidal affective disturbance (ASAD). METHOD: We expand on the conceptual, clinical, and practical rationale for ASAD, propose its defining features, describe research results to date, and suggest avenues for future research. RESULTS: There is accruing evidence for the existence of a previously unclassified, rapid-onset mood disturbance that geometrically escalates and regularly results in life-threatening behavior...
January 11, 2019: Journal of Clinical Psychology
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