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Bulletin of the Menninger Clinic

Tamara Seitz, Kurt Stastka, Michael Schiffinger, Bela Rui Turk, Henriette Löffler-Stastka
This study evaluated whether patients with somatic symptom disorder, expressing chronic pain that could not be attributed to a medical condition, would benefit from an 8-week inpatient residence at a psychiatric ward. In the 1-year follow-up after termination the authors examined the extent to which the integrated treatment decreased patient costs. A total of 106 patients participated in the follow-up and reported a significant improvement in their general health (Cohen's d = 1.5-2.21), a decrease in impairment due to pain (d = 2...
March 6, 2019: Bulletin of the Menninger Clinic
Amanda C Jozkowski, Kaitlyn P Wilson, Gregory S Chasson, Lisa Crabtree
There is limited research regarding the effectiveness of community-based services for young adults with autism spectrum disorder (ASD) as they transition out of school and enter a more autonomous life stage. This study utilized a two-phase, mixed methods design to determine the feasibility and participant acceptability of a protocol developed to standardize an assessment of program effectiveness for young adults with ASD at a community-based center. Field notes, participant interviews, and clinical observations were combined with descriptive analysis of participant survey responses...
2019: Bulletin of the Menninger Clinic
Jennifer L O'Brien, Marni L Jacob, Morgan King
Individuals with obsessive-compulsive-disorder (OCD) may have difficulties in using feedback from rewarding and punishing experiences to optimally guide future decisions. The current aim was to examine how adults with OCD use associative learning feedback to direct attention toward learned stimuli when the action-outcome contingency for those stimuli has changed. Participants first learned to select high-probability (over low-probability) rewarding stimuli and low-probability (over high-probability) loss stimuli...
2019: Bulletin of the Menninger Clinic
Katrina M Poppert Cordts, Ric G Steele
The need for sleep in children has sparked extensive research, with inconclusive support for an association between sleep duration and sleep quality and health-related quality of life (HR-QOL). Daytime sleepiness, which captures a child's subjective sleep experience, has seldom been explored. Latent class growth analysis (LCGA) was employed to identify longitudinal trajectories of children's sleepiness. Trajectories were utilized to assess their association with HRQOL. The present sample included 158 children and their self-reports of sleepiness and HRQOL collected at three time points across an academic year...
2019: Bulletin of the Menninger Clinic
Eric A Storch
No abstract text is available yet for this article.
2019: Bulletin of the Menninger Clinic
Frank Trimboli, Charles W Keenan, Rycke L Marshall
This article presents a clinical guide for relating psychological test findings from the Minnesota Multiphasic Personality Inventory-2 and Rorschach Technique to various levels of ego development. The original three validity and 10 clinical scales from the MMPI and a selected group of traditional determinants from the Rorschach are employed. Expected testing results from these instruments are derived from both the authors' clinical experience and the research literature. These results are presented along a continuum of nine levels of ego development and their associated disorders...
2019: Bulletin of the Menninger Clinic
Steven D Tsao, Dean McKay
Examination of habituation to disgust-related stimuli has received limited experimental investigation. In this study, 38 undergraduates were divided into two groups. The vomit-blood (VB) group was first exposed to a realistic approximation of vomit and allowed to habituate to this stimulus, while the blood-vomit (BV) group was first allowed to habituate to a realistic approximation of blood. Following the habituation phase, each group underwent a short exposure to the unexposed stimuli (blood in the VB group, vomit in the BV group)...
2019: Bulletin of the Menninger Clinic
Sruja Arya, Megan M Filkowski, Pranav Nanda, Sameer A Sheth
Neurosurgical interventions have been used for decades to treat severe, refractory obsessive-compulsive disorder (OCD). Deep brain stimulation (DBS) is a neurosurgical procedure that is used routinely to treat movement disorders such as Parkinson's disease and essential tremor. Over the past two decades, DBS has been applied to OCD, building on earlier experience with lesional procedures. Promising results led to Humanitarian Device Exemption (HDE) approval of the therapy from the United States Food and Drug Administration in 2009...
2019: Bulletin of the Menninger Clinic
Jessie E Menzel, J Kevin Thompson, Michael P Levine
Embodiment is defined as a state in which one experiences one's physical body as an essential aspect of one's lived experiences, a potential protective factor against body image and eating disturbance. The Physical Activity Body Experiences Questionnaire (PABEQ) was rationally derived as a measure of embodiment based on focus groups, literature reviews, and expert review. The PABEQ and measures of body image, self-objectification, and disordered eating were administered to two samples randomly selected from a pool of 606 female undergraduate students at least 18 years of age and a third test-retest sample of 58 female undergraduates...
2019: Bulletin of the Menninger Clinic
Leonardo F Fontenelle, Samara Dos Santos-Ribeiro, Juliana Kalaf, Murat Yücel
A recent review on the use of electroconvulsive therapy (ECT) in obsessive-compulsive-related disorders (OCRDs) identified reports of trichotillomania (TTM) in only three patients, but it did not describe the specific effect of ECT on hair-pulling behaviors. The authors present a case report of Mrs. A, a 77-year-old widowed housewife with a lifelong history of episodic TTM and bipolar disorder who was effectively treated with ECT. However, on each attempt to withdraw ECT, her condition deteriorated. Eventually, a decision was made to maintain ECT (one session every week), which resulted in no further relapse over the followup period...
2019: Bulletin of the Menninger Clinic
Gabriela M Ferreira, Natalie V Zanini, Gabriela B de Menezes, Lucy Albertella, Louise Destree, Leonardo F Fontenelle
Obsessive-compulsive disorder (OCD) is a chronic, distressing, and disabling condition associated with a high risk of suicidal behavior and death by suicide. In this study, the authors describe two cases of OCD patients who developed recurrent suicidal behaviors in response to stressful life events that appeared to "confirm" their obsessive beliefs (termed "confirmatory events"). In both cases, the authors used accepted strategies for treating suicidality in other contexts (such as antidepressants, lithium, and electroconvulsive therapy), which proved unsuccessful...
2018: Bulletin of the Menninger Clinic
Elizabeth McIngvale
No abstract text is available yet for this article.
2018: Bulletin of the Menninger Clinic
Nathaniel Van Kirk, Terri L Fletcher, Jill L Wanner, Natalie Hundt, Ellen J Teng
Given the high degree of diagnostic overlap and limited empirical literature surrounding the comorbidity between posttraumatic stress disorder (PTSD) and obsessive-compulsive disorder (OCD), appropriately conceptualizing the relationship between the comorbid symptoms and their impact on the treatment process can be challenging. This is especially true when the symptoms of the two disorders become functionally connected, with each symptom set maintaining the other. This article details the case of a veteran with comorbid PTSD and OCD who sought intensive trauma-focused treatment within the U...
2018: Bulletin of the Menninger Clinic
Kim Melchior, Ingmar H A Franken, Colin van der Heiden
Obsessive-compulsive disorder (OCD) is a common and disabling disorder. The most effective psychological treatment for OCD is currently exposure with response prevention (ERP). Although ERP is an effective therapy, recovery rates are relatively modest, so there is room for improvement. Metacognitive therapy (MCT) for OCD focuses primarily on modifying metacognitive beliefs about obsessions and compulsions, instead of their actual content. Based on a few small preliminary studies, there are some indications for the effectiveness of MCT for OCD...
2018: Bulletin of the Menninger Clinic
Eli R Lebowitz, Yaara Shimshoni
Current evidence-based treatments for obsessive-compulsive disorder in children and adolescents include cognitive-behavioral therapy, specifically exposure and response prevention, and psychopharmacological treatments. Despite the established efficacy of these treatments, many youth do not benefit from them, and barriers, including lack of motivation and resistance to treatment, prevent many youth from even attempting them. Parent-based treatments offer an alternative approach to child-based therapy. SPACE (Supportive Parenting for Anxious Childhood Emotions) is a parent-based treatment that focuses on systematically reducing family accommodation, or the changes that parents make to their own behavior to help a child avoid or alleviate distress related to the disorder, while increasing supportive responses to the child's symptoms...
2018: Bulletin of the Menninger Clinic
Suzanne Mouton-Odum, David C Houghton
Trichotillomania (TTM) is a poorly understood condition that causes significant impairment, but effective behavioral management strategies exist. The phenomenology of TTM is complex and requires an individualized treatment approach, and there are some important facets of TTM that have only recently been recognized. Specifically, contemporary research indicates that hair pulling is often performed to regulate aversive sensations and provide somatosensory reward. In this article, we describe the complex phenomenology of TTM, evidence-based treatment options, and illustrate a case of sensory-based TTM treated effectively with a comprehensive behavioral intervention...
2018: Bulletin of the Menninger Clinic
Amita D Jassi, Georgina Krebs, Angela Lewis, Blake Stobie
Evidence for using cognitive-behavioral therapy (CBT) for the treatment of obsessive-compulsive disorder (OCD) in young people emphasizes the use of exposure with response prevention (ERP) as the key ingredient. CBT with a cognitive focus is used more often in adults, and comparatively there is less evidence for its use with young people. Although a significant proportion of young people with OCD respond well to CBT using ERP, a subset does not. Therefore, there is a need to consider alternative approaches...
2018: Bulletin of the Menninger Clinic
(no author information available yet)
No abstract text is available yet for this article.
2018: Bulletin of the Menninger Clinic
Ana Isabel Rosa-Alcázar, Marina Iniesta-Sepúlveda
Obsessive-compulsive symptom profiles vary widely among individuals and may be affected by cultural backgrounds. In the case of scrupulosity, moral and religious principles are the target of obsessive-compulsive symptoms. Cognitive biases and beliefs have special relevance in the origin and maintenance of obsessive scrupulosity. In addition, rigid and exaggerated beliefs about morality are held by these patients. Moral and religious principles are mainly transmitted by family. These influences may be more prominent in cultures, such as the Spanish culture, where family and religion are important values for individuals...
2018: Bulletin of the Menninger Clinic
Eric B Lee, Clarissa W Ong, Woolee An, Michael P Twohig
Acceptance and commitment therapy (ACT) is a modern form of cognitive behavior therapy (CBT) with growing support for treating obsessive-compulsive disorder (OCD). We present a case wherein a client presented with scrupulosity-related OCD. We briefly review scrupulosity, explain the theory behind ACT, and present a case, the treatment process, and desired outcomes. Exposure and response prevention (ERP) is described from an ACT perspective and discussed as an option for people with OCD who may be reluctant to engage in more traditional forms of ERP...
2018: Bulletin of the Menninger Clinic
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