journal
Journals Psychiatric Clinics of North A...

Psychiatric Clinics of North America

https://read.qxmd.com/read/38724130/advancements-in-cognitive-behavioral-therapy
#1
EDITORIAL
Rianne A de Kleine, Jasper A J Smits, Stefan G Hofmann
No abstract text is available yet for this article.
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724129/improving-exposure-therapy-rationale-and-design-of-an-international-consortium
#2
REVIEW
Jasper A J Smits, Jonathan S Abramowitz, Joanna J Arch, Santiago Papini, Rebecca A Anderson, Laura J Dixon, Bronwyn M Graham, Stefan G Hofmann, Jürgen Hoyer, Jonathan D Huppert, Jolene Jacquart, David Johnson, Peter M McEvoy, Dean McKay, Jill Newby, Michael W Otto, Andre Pittig, Winfried Rief, David Rosenfield, Kiara R Timpano, Andre Wannemüller
The Exposure Therapy Consortium (ETC) was established to advance the science and practice of exposure therapy. To encourage participation from researchers and clinicians, this article describes the organizational structure and activities of the ETC. Initial research working group experiences and a proof-of-principle study underscore the potential of team science and larger-scale collaborative research in this area. Clinical working groups have begun to identify opportunities to enhance access to helpful resources for implementing exposure therapy effectively...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724128/an-overview-of-research-on-acceptance-and-commitment-therapy
#3
REVIEW
Michael E Levin, Jennifer Krafft, Michael P Twohig
This review summarized recent systematic reviews and meta-analyses on randomized controlled trials evaluating acceptance and commitment therapy (ACT). Although the strength of evidence varies, overall there is plausible evidence for the efficacy of ACT for a wide range of areas including depression, anxiety disorders, obsessive-compulsive and related disorders, psychosis, substance use disorders, chronic pain, coping with chronic health conditions, obesity, stigma, and stress and burnout. ACT is also efficacious when delivered in digital self-help formats...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724127/technology-based-cognitive-behavioral-therapy-interventions
#4
REVIEW
Jill M Newby, Emily Upton, Elizabeth Mason, Melissa Black
Technology-delivered cognitive behavioral therapy (CBT) has enabled more people to access effective, affordable mental health care. This study provides an overview of the most common types of technology-delivered CBT, including Internet-delivered, smartphone app, and telehealth CBT, as well as their evidence for the treatment of a range of mental health conditions. We discuss gaps in the existing evidence and future directions in the field for the use of technology CBT interventions.
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724126/psychedelics-and-evidence-based-psychotherapy-a-systematic-review-with-recommendations-for-advancing-psychedelic-therapy-research
#5
REVIEW
Lewis Leone, Bryan McSpadden, Annamarie DeMarco, Lauren Enten, Rachel Kline, Gregory A Fonzo
Administration of psychedelics for mental health treatment, typically referred to as "psychedelic-assisted therapy," is a broad term with a very heterogeneous implementation. Despite increasing interest in the clinical application of psychedelic compounds for psychiatric disorders, there is no consensus on how to best integrate the psychedelic experience with evidence-based psychotherapeutic treatment. This systematic review provides a timely appraisal of existing approaches to combining psychotherapy with psychedelics and provides clear recommendations to best develop, optimize, and integrate evidence-based psychotherapy with psychedelic administration for straightforward scientific inference and maximal therapeutic benefit...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724125/cognitive-behavioral-therapy-enhancement-strategies
#6
REVIEW
David F Tolin, Kayla A Lord, Kelly A Knowles
We review the literature on various strategies to augment cognitive-behavioral therapy (CBT). Although traditional pharmacotherapy has only a small additive effect, research demonstrates that it is possible to select interventions that potentiate known mechanisms of CBT. D-cycloserine appears to potentiate activity at the N-methyl D-ethyl aspartate receptor and thereby facilitates fear extinction. Exercise may increase neural plasticity and thereby increase the efficacy of CBT for depression and anxiety. Noninvasive brain stimulation is thought to target the specific cortical regions needed for CBT response, but results have been mixed...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724124/a-review-of-transdiagnostic-mechanisms-in-cognitive-behavior-therapy
#7
REVIEW
Matthew W Southward, Madeline L Kushner, Douglas R Terrill, Shannon Sauer-Zavala
Cognitive behavior therapies (CBTs) are the gold standard treatment for many psychiatric conditions. However, relatively little is known about how CBTs work. By characterizing these mechanisms, researchers can ensure CBTs retain their potency across diagnoses and delivery contexts. We review 3 classes of putative mechanisms: CBT-specific skills (eg, cognitive restructuring, behavioral activation), transtheoretical mechanisms (eg, therapeutic alliance, treatment expectancies, self-efficacy beliefs), and psychopathological mechanisms (aversive reactivity, positive affect, attachment style)...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724123/southampton-adaptation-framework-to-culturally-adapt-cognitive-behavior-therapy-an-update
#8
REVIEW
Farooq Naeem, Peter Phiri, Nusrat Husain
Cultural values, traditions, and norms influence the practice of psychotherapy. It is now widely accepted that modern evidence-based therapies such as CBT need to be culturally adapted for them to be successfully applied to clients from a non-Western background. There are multiple factors to support cultural adaptations, such as evidence from research and an increase in cultural awareness and globalization. A number of meta-analyses supporting culturally adapted interventions have been published across the globe...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724122/cognitive-behavioral-therapy-for-anxiety-and-depression-in-children-and-adolescents
#9
REVIEW
Orri Smárason, Gudmundur Skarphedinsson, Eric A Storch
Anxiety and depression are prevalent and impairing psychiatric problems for children and adolescents. In this review, the authors summarize information about their prevalence and impact, the most common assessment methods, the main components of cognitive behavioral therapy (CBT), and research on the effectiveness of CBT for these disorders. Future directions, including improving access to CBT through technology-based approaches and increasing personalization of treatment, are discussed.
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724121/cognitive-behavioral-therapy-strategies-for-enhancing-treatment-engagement
#10
REVIEW
Nikolaos Kazantzis
Treatment engagement, crucial in cognitive behavioral therapy (CBT) outcomes, centers on consistent implementation of between-session homework. This article explores clinical features affecting engagement, including challenges related to psychosocial stressors and negative core beliefs. Empirical evidence supports the positive causal and correlational relationship between homework and symptom reduction. Recent studies highlight the role of patient beliefs and suggest a collaborative approach in homework design...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38724120/novel-approaches-toward-studying-change-implications-for-understanding-and-treating-psychopathology
#11
REVIEW
Saida Heshmati, Marlon Westhoff, Stefan G Hofmann
In this article, the authors critically evaluate contemporary models of psychopathology and therapies, underscoring the limitations of traditional symptom-based classification approaches in mental health. The authors introduce a paradigm shift in the field, toward a process-oriented and dynamic systems approach to psychotherapy that offers deeper insights into the complex interplay of symptoms and individual experiences in psychopathology. These approaches offer a more personalized and effective understanding and treatment of mental health issues, moving beyond static and 1-dimensional views...
June 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302216/pediatric-sleep-as-the-foundation-for-healthy-sleep-across-the-life-span
#12
EDITORIAL
Argelinda Baroni, Jessica R Lunsford-Avery
No abstract text is available yet for this article.
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302215/medications-used-for-pediatric-insomnia
#13
REVIEW
Vijayabharathi Ekambaram, Judith Owens
Pediatric insomnia can affect physical and mental health and cause cognitive deficits, social deficits and decrease quality of life. There are no Food and Drug Administration approved medications approved for pediatric insomnia. Pharmacologic interventions derive mostly from adult data or pediatric case reports. This review focuses on Food and Drug Administration approved prescription drugs (in adults), over-the-counter drugs, and off-label pediatric insomnia drugs. This review helps the clinician learn general principles, practice guidelines, and pharmacologic considerations for medication selection in the pediatric population...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302214/screening-and-evaluation-of-sleep-disturbances-and-sleep-disorders-in-children-and-adolescents
#14
REVIEW
Suman K R Baddam, Craig A Canapari, Jenna Van de Grift, Christopher McGirr, Alexandra Y Nasser, Michael J Crowley
Sleep disturbances and sleep disorders are prevalent in children/adolescents and have a bidirectional relationship with pediatric medical and mental health disorders. Screening tools and mechanisms for the evaluation and treatment of sleep disturbances and sleep disorders in the pediatric mental health clinic are less well-known; hence, sleep disturbances and disorders are under-recognized in the pediatric clinics. We present specific, validated screening and evaluation tools to identify sleep disturbances and sleep disorders in children/adolescents...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302213/classification-and-epidemiology-of-sleep-disorders-in-children-and-adolescents
#15
REVIEW
Irina Trosman, Anna Ivanenko
Sleep disturbances are common in children and adolescents but still remain unrecognized and undertreated. Several classification systems of sleep disorders are available, which include recent attempts to develop more specific nosologic categories that reflect developmental aspects of sleep. The prevalence of sleep disorders has been studied across various samples of healthy, typically developing children and those with special medical, psychiatric, and neurodevelopmental needs. Sleep disorders are highly prevalent in children and adolescents with psychiatric disorders, making it important for mental health professionals to be aware of sleep problems and to address them in the context of psychiatric comorbidities...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302212/when-night-falls-fast-sleep-and-suicidal-behavior-among-adolescents-and-young-adults
#16
REVIEW
Sara N Fernandes, Emily Zuckerman, Regina Miranda, Argelinda Baroni
Sleep disturbances have been linked to suicidal ideation and behaviors in adolescents. Specifically, insomnia and nightmares are associated with current suicide risk and predict future ideation. Associations between hypersomnia, sleep apnea, and suicide remain inconclusive. Potential biological mechanisms underlying these relationships include executive functioning deficits and hyperarousal. Related psychological factors may include thwarted belongingness, perceived burdensomeness, and negative appraisals. Assessing suicide risk in patients with sleep disturbances, and vice versa, is needed...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302211/neurocognitive-effects-of-sleep-disruption-in-children-and-adolescents
#17
REVIEW
Karen Spruyt
A main childhood task is learning. In this task, the role of sleep is increasingly demonstrated. Although most literature examining this role focuses on preadolescence and middle adolescence, some studies apply napping designs in preschoolers. Studies overall conclude that without proper sleep a child's cognitive abilities suffer, but questions on how and to what extent linger. Observational studies show the hazards of potential confounders such as an individual's resilience to poor sleep as well as developmental risk factors (eg, disorders, stressors)...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302210/sleep-and-mood-disorders-among-youth
#18
REVIEW
Lauren D Asarnow, Riya Mirchandaney
This article reviews the literature on mood disorders and sleep disorders among children and adolescents. Research suggests that sleep plays an important role in the development, progression, and maintenance of mood disorder symptoms among children and adolescents. Sleep problems as early as maternal perinatal insomnia may predict and predate depression among youth. Children and adolescents who develop comorbid mood disorders and sleep problems represent a particularly high-risk group with more severe mood episode symptoms, higher rates of self-harm and suicidality, and less responsivity to treatment...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302209/afraid-and-awake-the-interaction-between-trauma-and-sleep-in-children-and-adolescents
#19
REVIEW
Veronica Fellman, Patrick J Heppell, Suchet Rao
Traumatic experiences and sleep disturbances are both common in children and adolescents. Because of the reciprocal relationship between sleep complaints and trauma, a mental health evaluation should include not only an assessment of posttraumatic stress disorder and other trauma symptoms but also a specific evaluation of sleep-related complaints. Similarly, if a history of both trauma and sleep complaints is identified, an effective trauma-informed intervention, whether psychological, psychopharmacologic, or a combination of the two, should directly address sleep issues...
March 2024: Psychiatric Clinics of North America
https://read.qxmd.com/read/38302208/sleep-related-problems-and-pediatric-anxiety-disorders
#20
REVIEW
Katherine Crowe, Carolyn Spiro-Levitt
Sleep-related problems are highly prevalent among childhood and adolescent anxiety disorders. The objective of this review was to summarize the relevant clinical research literature as it pertains to the nature of the association between sleep-related problems and youth anxiety, developmental factors relevant to this association, and intervention efforts to target comorbid sleep challenges and anxiety. Limitations of the literature and future directions are discussed.
March 2024: Psychiatric Clinics of North America
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