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Clinical Psychology & Psychotherapy

Nasrin Esmaeilian, Mohsen Dehghani, Ernst H W Koster, Kristof Hoorelbeke
Borderline personality disorder (BPD) is a challenging problem. Early Maladaptive Schema (EMSs) are considered as important vulnerability factors for the development and maintenance of BPD. Literature suggests a complex relationship between BPD and EMSs. The current study employed network analysis to model the complex associations between central BPD features (i.e. Affective Instability, Identity Problems, Negative Relations, and Self-harm) and EMSs in 706 undergraduate students. The severity of BPD symptoms was assessed using the Personality Assessment Inventory-Borderline Subscale (PAI-BOR); the Young Schema Questionnaire-Short Form (YSQ-SF) was used to assess EMSs...
February 16, 2019: Clinical Psychology & Psychotherapy
José H Marco, M Jorquera, Irene Fernandez, R Baños, V Guillén
The Involvement Evaluation Questionnaire (IEQ) was created to evaluate the caregiver's experience of burden and the consequences of providing care to people with psychotic disorders. To date, the IEQ has not been validated with caregivers of people diagnosed with Borderline Personality Disorder (BPD). The main objective of the study was to confirm the psychometric properties and factorial structure of the Spanish version of the IEQ in 151 caregivers of people with BPD, with an average age of 54.52 (SD = 9.91)...
February 12, 2019: Clinical Psychology & Psychotherapy
Helen Warwick, Sara Tai, Warren Mansell
Bipolar disorder (BD) is considered a severe and lifelong mental health diagnosis. However, there is growing evidence of people defying the odds and recovering. Processes underlying recovery remain poorly understood. This study aimed to explore these recovery processes and extend on the length of recovery defined within previous research. Twelve people previously diagnosed with BD who had not experienced an episode of depression and/or mania for four or more years, were interviewed. Standardised diagnostic interviews (SCID-RV) confirmed past diagnosis and recovery time...
February 12, 2019: Clinical Psychology & Psychotherapy
Iona Naismith, Santiago Zarate Guerrero, Janet Feigenbaum
BACKGROUND: Cultivating self-compassion is increasingly recognized as a powerful method to regulate hyperactive threat-processes like shame and self-criticism, but fear of self-compassion (FSC) can inhibit this. These difficulties are under-explored in personality disorder (PD) despite their prevalence. Furthermore, little evidence exists regarding how these factors relate to adverse childhood events (ACEs) and attachment. METHOD: 53 participants with a diagnosis of PD completed measures including childhood abuse/neglect, invalidation, early warmth, self-compassion, shame, self-criticism, FSC, and anxious/avoidant attachment...
February 4, 2019: Clinical Psychology & Psychotherapy
Emma Černis, Carmen Chan, Myra Cooper
Deliberate self-harm in adolescents is an increasing clinical problem, but there is a limited understanding of the mechanisms causing or maintaining this behaviour. One proposed mechanism is that of dissociation. However, the role this mechanism may play is unclear: whilst some suggest that adolescents engage in self-harm to end the aversive experience of dissociation, others propose that self-harm is used to purposefully trigger a dissociative state to avoid emotional pain. This systematic review is the first to evaluate the available evidence regarding the relationship between dissociation and deliberate self-harm in adolescents (aged 18 or younger)...
January 28, 2019: Clinical Psychology & Psychotherapy
Dorothee Bernheim, Manuela Gander, Ferdinand Keller, Mathias Becker, Alexander Lischke, Renate Mentel, Harald J Freyberger, Anna Buchheim
Attachment characteristics play a key role in understanding borderline-specific problems with respect to childhood maltreatment. The aim of this study was to investigate how attachment representations may influence the trajectory of change in a one-year outpatient Dialectical Behavior Therapy (DBT) for patients with Borderline Personality Disorder (BPD). Attachment representations were assessed in 26 BPD patients and 26 healthy controls (HC) using the Adult Attachment Projective Picture System (AAP; George & West, 2012) before treatment...
January 22, 2019: Clinical Psychology & Psychotherapy
Else M Bisseling, Melanie P J Schellekens, Philip Spinhoven, Félix R Compen, Anne E M Speckens, Marije L van der Lee
Mindfulness-Based Cognitive Therapy (MBCT) is an innovative evidence-based intervention in mental and somatic health care. Gaining knowledge of therapeutic factors associated with treatment outcome can improve MBCT. This study focused on predictors of treatment outcome of MBCT for cancer patients and examined whether group cohesion, therapeutic alliance and therapist competence predicted reduction of psychological distress after MBCT for cancer patients. Moreover, it was examined whether therapist competence facilitated therapeutic alliance or group cohesion...
January 16, 2019: Clinical Psychology & Psychotherapy
Martin Kraepelien, Kerstin Blom, Nils Lindefors, Robert Johansson, Viktor Kaldo
The objective of this study was to explore the effects of treatment compliance in a guided individually tailored internet-based treatment (TAIL) in relation to depression and comorbid symptoms. Compliance with the homework in the different treatment components in TAIL, each aimed at a specific condition, were rated for 207 participants by independent assessors. Six subgroups (n = 34-131) were constructed consisting of participants with co-occurring symptoms of worry, panic, social anxiety, stress, insomnia or pain...
January 16, 2019: Clinical Psychology & Psychotherapy
Katharina Dannehl, Winfried Rief, Frank Euteneuer
Major depression (MD) is often accompanied by deficits in cognitive functioning. Cognitive behavioral therapy (CBT) has beneficial effects on MD. The aim of this study was to examine whether cognitive behavioral therapy affects verbal learning and memory in patients with MD and whether CBT that emphasizes exercise during behavioral activation has additional effects on verbal performance. Ninety-eight patients with MD were randomly assigned to CBT emphasizing either exercise during behavioral activation (CBT-E) or CBT emphasizing pleasurable low-energy activities (CBT-C)...
January 4, 2019: Clinical Psychology & Psychotherapy
Simon Riches, Fareeha Khan, Shifaa Kwieder, Helen L Fisher
Simulation training is an effective teaching tool enabling learners to gain a subjective understanding of a range of skills. Our aim in this study was to pilot and evaluate a newly designed simulation of auditory hallucinations as a future training tool for clinicians. This was a mixed-methods study in two parts. In Phase 1, trainee and qualified clinical psychologists (N = 25) attended the London-based immersive art exhibition, Altered States of Consciousness, which included an auditory hallucinations simulation...
December 19, 2018: Clinical Psychology & Psychotherapy
Suqin Tang, Maarten C Eisma, Jie Li, Amy Y M Chow
Given the severe mental health consequences that may ensue after bereavement it is crucial to better understand malleable cognitive factors that are associated with poorer bereavement outcomes. Grief rumination (i.e. repetitive thinking about the causes and consequences of a loss) is a malleable cognitive process that is concurrently and longitudinally associated with post-loss mental health problems. To assess grief rumination, the English and Dutch Utrecht Grief Rumination Scale (UGRS) were recently developed...
December 14, 2018: Clinical Psychology & Psychotherapy
Samta P Pandya
There is a need to generate evidence on whether meditationꞋs core aspect of building and nurturing calm and peace serves as a mood stabilizer for current and recurrent episodes of depression through the acute and maintenance phases of treating bipolar disorder II affected patients. A two-year longitudinal multi-city randomized controlled trial experiment was conducted comprising 311 bipolar disorder II affected patients in the intervention and control group respectively across eight African and Asian cities...
December 10, 2018: Clinical Psychology & Psychotherapy
David Kealy, William E Piper, John S Ogrodniczuk, Anthony S Joyce, Rene Weideman
The ability to infer psychological meaning in behaviour--referred to as psychological mindedness--has been posited as a patient characteristic that contributes to the therapy process, and consequently to therapeutic success. The present study was developed to examine the relationship between patients' psychological mindedness and improvement in patients' personal treatment goals in interpretive and supportive group therapies for complicated grief, along with patients' importance to group process. The study was conducted with a clinical sample of 109 patients (79% female; average 45 years old) receiving treatment for complicated grief...
December 4, 2018: Clinical Psychology & Psychotherapy
Rebecca Philipp, Levente Kriston, Jana Lanio, Franziska Kühne, Martin Härter, Steffen Moritz, Ramona Meister
We evaluated the effectiveness and acceptability of metacognitive interventions for mental disorders. We searched electronic databases and included randomized and non-randomized controlled trials comparing metacognitive interventions with other treatments in adults with mental disorders. Primary effectiveness and acceptability outcomes were symptom severity and dropout, respectively. We performed random-effects meta-analyses. We identified Metacognitive Training (MCTrain), Metacognitive Therapy (MCTherap) and Metacognition Reflection and Insight Therapy (MERIT)...
November 19, 2018: Clinical Psychology & Psychotherapy
Derek D Szafranski, Daniel F Gros, Ron Acierno, Kathleen T Brady, Therese K Killeen, Sudie E Back
Treatment dropout is often assumed to be due to worsening or lack of symptom improvement, despite minimal research examining symptom change among treatment dropouts. Thus, the present study examined symptom change in veterans who discontinued evidence-based treatment for comorbid posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Participants were veterans who completed at least 1 session of a 12-session Concurrent Treatment of PTSD and Substance Use Disorders using Prolonged Exposure (COPE) for comorbid PTSD/AUD...
November 12, 2018: Clinical Psychology & Psychotherapy
Jeffrey B Brookings, Cathy L Pederson
In the interpersonal theory of suicide, perceived burdensomeness (PB) and thwarted belongingness (TB) are proximal triggers of suicidal ideation. Using the 15-item version of the Interpersonal Needs Questionnaire (INQ-15), suicidal ideation in psychiatric inpatients was predicted by the PB and TB scales and cutoff scores were recommended. In this study, women (N = 942) who reported one or more chronic, invisible illnesses completed an online survey including the INQ-15 and the Suicide Behaviors Questionnaire-Revised (SBQ-R)...
November 7, 2018: Clinical Psychology & Psychotherapy
Matthew W R Stevens, Daniel L King, Diana Dorstyn, Paul H Delfabbro
OBJECTIVE: While there is sufficient research and clinical evidence to support the inclusion of gaming disorder in the latest revision of the International Classification of Diseases (ICD-11), relatively little is known about the effectiveness of first-line psychological treatment for gaming disorder or Internet gaming disorder (IGD) as it is listed in the DSM-5. This systematic review employed meta-analytic techniques to determine the effectiveness of cognitive-behavioral therapy (CBT) for IGD on four key outcomes: IGD symptoms, anxiety, depression, and time spent gaming...
October 20, 2018: Clinical Psychology & Psychotherapy
Pierre Philippot, Martine Bouvard, Céline Baeyens, Vincent Dethier
This article presents the theoretical, clinical, and practical arguments supporting a process-based transdiagnostic approach to psychotherapy. A working definition of "psychological process" is provided, as well as a tri-dimensional categorization of psychological processes potentially involved in psychopathology. Guidelines are proposed to select psychological interventions based on the active psychopathological processes evidenced in a given case. We also provide a rationale to organize treatment as a set of modules, each addressing a specific psychopathological process...
October 19, 2018: Clinical Psychology & Psychotherapy
Soledad Quero, Mar Molés, Daniel Campos, Sabrina Andreu-Mateu, Rosa M Baños, Cristina Botella
Adjustment disorders (AD) and complicated grief (CG) are serious mental conditions that have a high prevalence and are associated with significant impairments in social and work functioning. Recently, these categories have been better specified in the new ICD-11 proposal. Empirical research on the efficacy of treatments for these problems is scarce. This study aims to offer long-term efficacy data from a between-groups controlled study that compares two treatment conditions (AD-protocol applied in a traditional way: N= 18; and the same protocol supported by virtual reality-VR-: N =18) and a waiting list (WL) control group (N =18)...
October 17, 2018: Clinical Psychology & Psychotherapy
Rebecca Tyrer, Ciara Masterson
Case formulation is considered important in both the development of the therapeutic relationship and in starting the process of therapeutic change. Cognitive analytic therapy describes the developmental origins and maintenance of a client's problems in both written (reformulation letter) and diagrammatic form (Sequential diagrammatic reformulation; SDR). This study aimed to investigate the effects of these reformulation tools on insight and symptom change. A small-N repeated measures design was employed with quantitative and qualitative measures collected from six therapist/client dyads...
October 10, 2018: Clinical Psychology & Psychotherapy
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