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Journal of Clinical Psychology in Medical Settings

Edgar Landa-Ramírez, Joseph A Greer, Sofía Sánchez-Román, Rumen Manolov, Ma Magdalena Salado-Avila, Luz Adriana Templos-Esteban, Angélica Riveros-Rosas
The purpose of this study was to assess the effect of tailored cognitive behavioral therapy (CBT) on depression and anxiety symptoms present in Mexican terminal cancer patients. A non-concurrent multiple baseline design was used across individuals. Nine patients participated in the study, each receiving four to six therapy sessions. The effect size of the intervention range (NAP and Tau indexes) in the nine patients indicates that CBT intervention resulted in weak to moderate impact for anxiety and depression symptoms in this population...
April 20, 2019: Journal of Clinical Psychology in Medical Settings
Melissa A Alderfer, Beth A Logan, Stephen DiDonato, Leela Jackson, Marie J Hayes, Sandra T Sigmon
This pilot study examined changes in cancer-related post-traumatic stress symptoms (PTSS) across time for siblings of children with cancer. Siblings (N = 32; aged 8-18) completed a measure of anxiety, the Child PTSD Symptom Scale (CPSS), and the PTSD section of the Structured Clinical Interview for DSM-IV-TR (SCID) at twelve (SD = .9) and eighteen months (SD = 1.3) post-diagnosis. Moderate-to-severe PTSS was reported by 12 siblings (38%) at T1 and 7 (22%) at T2. Cluster analysis of PTSS data revealed five patterns: Few symptoms, stable across time (31%, n = 10); Mild symptoms, decreasing across time (16%, n = 5); Mild, stable symptoms (28%, n = 9); Moderate/severe symptoms, decreasing across time but remaining moderate (19%, n = 6); and Moderate/severe, stable symptoms (6%, n = 2)...
April 16, 2019: Journal of Clinical Psychology in Medical Settings
Ansley E Kenney, Jennifer L Harman, Andrew E Molnar, Niki Jurbergs, Victoria W Willard
Many children with cancer are diagnosed during infancy and toddlerhood (< 3 years of age), potentially resulting in disrupted and/or missed developmental opportunities. Our objective was to describe the functioning of infants and toddlers with cancer who were clinically referred for evaluation at a hospital-based psychology clinic. Data from 29 very young children with cancer (Mage  = 23.62 ± 6.6 months; 55.2% male) who completed clinically referred assessments from 2010 to 2015 were abstracted. Children were 11...
April 16, 2019: Journal of Clinical Psychology in Medical Settings
Jennifer L Petrongolo, Nataliya Zelikovsky, Rachel M Keegan, Susan L Furth, Andrea Knight
To examine if parent illness uncertainty is indirectly associated with child depression, anxiety, and HRQOL in the CKD/SLE population. Parent-child dyads (N = 31) from outpatient rheumatology and nephrology clinics included children (ages 9-18) diagnosed with CKD (Stage 1, 2, or nephrotic syndrome) or SLE. Parents completed demographic and uncertainty measures and children completed uncertainty, depression, anxiety, and HRQOL measures. This cross-sectional study examined mediational models using the percentile bootstrapping method...
April 15, 2019: Journal of Clinical Psychology in Medical Settings
Andrew D Gill, Tara McCuin, Marlene Maron
Amid rising trends in opioid use, hospitalizations for health conditions secondary to intravenous drug use are becoming more common. Such patients often require prolonged hospitalizations and frequently present with substance use histories, co-occurring mental health diagnoses, and unique behavioral health needs. These issues can adversely impact completion of medical treatment and place added burden on hospital staff. There is a growing need for medical institutions to develop policies and procedures which address the specific emotional, behavioral, and substance use needs of this patient population...
April 4, 2019: Journal of Clinical Psychology in Medical Settings
Patricia P Lakatos, Tamara Matic, Melissa Carson, Marian E Williams
Hospitalization in the Neonatal Intensive Care Unit (NICU) is a stressful and potentially traumatic experience for infants as well as their parents. The highly specialized medical environment can threaten the development of a nurturing and secure caregiving relationship and potentially derail an infant's development. Well-timed, dose-specific interventions that include an infant mental health approach can buffer the impact of medical traumatic stress and separations and support the attachment relationship. Many psychological interventions in the NICU setting focus on either the parent's mental health or the infant's neurodevelopmental functioning...
April 2, 2019: Journal of Clinical Psychology in Medical Settings
Els P M van Meijel, Maj R Gigengack, Eva Verlinden, Alida F W van der Steeg, J Carel Goslings, Frank W Bloemers, Jan S K Luitse, Frits Boer, Martha A Grootenhuis, Ramón J L Lindauer
In this study, we determined the long-term prevalence of posttraumatic stress disorder (PTSD) in children and adolescents after accidental injury and gained insight into factors that may be associated with the occurrence of PTSD. In a prospective longitudinal study, we assessed diagnosed PTSD and clinically significant self-reported posttraumatic stress symptoms (PTSS) in 90 children (11-22 years of age, 60% boys), 2-4 years after their accident (mean number of months 32.9, SD 6.6). The outcome was compared to the first assessment 3 months after the accident in 147 children, 8-18 years of age...
March 28, 2019: Journal of Clinical Psychology in Medical Settings
Hannah Ferentzi, Constanze Pfitzer, Lisa-Maria Rosenthal, Felix Berger, Katharina R L Schmitt, Peter Kramer
Unfavorable neurological outcome in children after cardiopulmonary resuscitation in infancy is frequent. However, few studies have investigated the development of these patients using comprehensive developmental tests and the feasibility of the Bayley Scales of Infant Development, 3rd Edition (BSID-III) has not been reported for this population. In this cross-sectional pilot study, we assessed the cognitive, language, and motor development in infants after cardiopulmonary resuscitation of ≥ 5 min with the BSID-III at the age of 12 or 24 months, depending on recruitment age...
March 8, 2019: Journal of Clinical Psychology in Medical Settings
David Ogez, Katherine Péloquin, Laurence Bertout, Claude-Julie Bourque, Daniel Curnier, Simon Drouin, Caroline Laverdière, Valérie Marcil, Rebeca Ribeiro, Melissa Callaci, Emélie Rondeau, Daniel Sinnett, Serge Sultan
Intervention programs have been developed to help parents cope with their child's cancer. Despite some studies reporting a high level of evidence, it is unclear how these programs build on each other. Appraising models of change is critical to advance scientific knowledge and provide evidence-based interventions. This review aims to identify existing programs, explicitly formulate their underlying models, evaluate how they translate into concrete activities, as well as identify and discuss their development process...
February 26, 2019: Journal of Clinical Psychology in Medical Settings
Christina J Nicolais, Ruth Bernstein, Estefany Saez-Flores, Katherine A McLean, Kristin A Riekert, Alexandra L Quittner
Cystic fibrosis (CF) is a progressive, genetic disease affecting multiple organ systems. Treatments are complex and take 2-4 h per day. Adherence is 50% or less for pulmonary medications, airway clearance, and enzymes. Prior research has identified demographic and psychological variables associated with better adherence; however, no study has extensively identified facilitators of treatment adherence (e.g., adaptive behaviors and cognitions) in a sample of parents and adolescents. Forty-three participants were recruited from four CF centers as part of a larger measurement study...
February 21, 2019: Journal of Clinical Psychology in Medical Settings
Kim M E Janssens, Chloë Sweerts, Ad J J M Vingerhoets
We examined several aspects of the crying experiences of physicians and medical interns, including the most common reasons to cry in the workplace, and their perceptions of and attitudes towards crying in the workplace and in the presence of a patient. A sample of Dutch physicians and medical interns (Nphysicians  = 1068 and Nmedical interns  = 302 and for the full version Nphysicians  = 776 and Nmedical interns  = 181) completed an especially designed anonymous online questionnaire about experiences with crying in the workplace, and perceptions of and attitudes towards crying in the workplace and in the presence of patients...
February 19, 2019: Journal of Clinical Psychology in Medical Settings
Mary Jo Santo Pietro, Donald R Marks, Ashlyne Mullen
More than 2 million people in the United States are living with some form of aphasia, a communication disorder that has been associated with high incidence of clinical depression. Despite their large numbers, persons with aphasia have received little clinical attention from psychologists and other mental health providers. The life participation interventions and supported communication methods developed and routinely employed by speech-language pathologists could assist mental health professionals in addressing the needs of this underserved population...
February 18, 2019: Journal of Clinical Psychology in Medical Settings
Rachel S Fisher, Kendra N Krietsch, David M Janicke
The objective of this study is to describe children's adherence to changing sleep schedules within a small-scale, single-subject, at-home sleep manipulation experiment. Subjects were six healthy children (male = 4, ages 6-8). Children underwent: baseline, a 7-day self-selected sleep pattern; Condition A1, a 3- to 12-day stabilized sleep pattern (assigned time into/out of bed set at baseline averages); Condition B, a 3- to 12-day phase-delayed sleep pattern (time into/out of bed 2 h later than Condition A); and Condition A2, a 3- to 7-day return-to-stabilized sleep pattern (time into/out of bed at Baseline averages, identical to Condition A1)...
February 13, 2019: Journal of Clinical Psychology in Medical Settings
Danielle L Terry, Christopher P Terry
Behavioral health issues like anxiety and depression negatively impact numerous aspects of primary care, including medical regimen adherence, communication, physical well-being, and engagement in beneficial health behaviors. This study aimed to examine internal and family medicine residents': (1) patterns of addressing mental health concerns (e.g., frequency of referral for psychotherapy and/or medication), (2) self-perceptions of competency in assessment and treatment of specific mental health disorders, and (3) frequency of utilization of efficacious therapeutic strategies during clinical encounters...
February 13, 2019: Journal of Clinical Psychology in Medical Settings
Nina Ogińska-Bulik, Paulina Michalska
Cognitive activity, manifested as trauma-related ruminative thinking, and deficits in emotional processing are believed to perpetuate the symptoms of posttraumatic stress disorder (PTSD). The aim of this study was to determine the mediating role of rumination in the relationship between emotional processing difficulties and PTSD symptoms. Data from 60 women aged from 40 to 67 (mean 58.0; SD 6.97) with breast cancer diagnosis were analyzed. The participants completed three questionnaires: the Impact of Event Scale-Revised to assess PTSD symptoms, the Event Related Rumination Inventory to measure intrusive and deliberate rumination, and the Emotional Processing Scale to assess emotional processing deficits...
February 12, 2019: Journal of Clinical Psychology in Medical Settings
Hanneke Poort, Patrick Onghena, Harriët J G Abrahams, Heather S L Jim, Paul B Jacobsen, Nicole M A Blijlevens, Hans Knoop
Treatment-related fatigue significantly limits quality of life among chronic myeloid leukemia (CML) patients receiving tyrosine kinase inhibitors (TKIs), yet no interventions to reduce this symptom have been studied. We examined preliminary feasibility and efficacy of cognitive behavioral therapy for TKI treatment-related fatigue in patients with CML. We used a mixed methods convergent design and collected quantitative data through randomized single-case experiments. We included CML patients receiving TKIs and reporting severe fatigue...
February 12, 2019: Journal of Clinical Psychology in Medical Settings
Christina M Luberto, Daniel L Hall, Emma Chad-Friedman, Elyse R Park
Fear of cancer recurrence (FCR) is a common problem among cancer survivors and evidence-based interventions grounded in theoretical models are needed. Mindfulness-Based Cognitive Therapy (MBCT) is an evidence-based intervention for reducing health anxiety that could be useful to apply to FCR. However, there has only been one study of MBCT for FCR to date, and the theoretical rationale and practical application of MBCT for FCR has not been described. The purpose of this paper is to offer an evidence-based rationale for MBCT to treat FCR based on a health anxiety model; describe the process of adapting MBCT to target FCR; and present a case study of the adapted protocol for treating FCR in a young adult breast cancer survivor to illustrate its delivery, feasibility, acceptability, and associated changes in outcomes...
February 11, 2019: Journal of Clinical Psychology in Medical Settings
L Guadagnoli, T H Taft
The aim of the current study is to evaluate internalized stigma in individuals diagnosed with an eosinophilic gastrointestinal disorder (EGID) and its impact on psychosocial and health-related outcomes. The final study sample consisted of 149 patients with a self-reported EGID diagnosis for at least 6 months. Participants completed measures evaluating internalized stigma, disease-specific quality of life, emotional distress (anxiety, depression) and answered questions regarding healthcare utilization. Overall, increased internalized stigma was associated with decreased disease-specific quality of life, and increased anxiety and depression...
February 9, 2019: Journal of Clinical Psychology in Medical Settings
Trisha L Raque-Bogdan, Amanda Kracen, Nicole E Taylor, Ellen Joseph, Heather Engblom, Kaitlin Ross, Taylor Michl, Afton Nelson, Hannah Rowold
Cancer centers have adopted a holistic approach to cancer treatment to better meet the psychosocial needs of cancer survivors. However, the current number of psychosocial providers in oncology is inadequate to meet the growing demand and psychosocial providers may face barriers in accessing oncology-specific training. The current study aims to explore the career development of psychologists working in oncology to inform training and workplace supports, as well as to inform training for health psychologists interested in other sub-specialties...
February 8, 2019: Journal of Clinical Psychology in Medical Settings
Marc Baertschi, Nicolas Favez, João Flores Alves Dos Santos, Michalina Radomska, François Herrmann, Pierre Burkhard, Alessandra Canuto, Kerstin Weber
Patients with Parkinson's disease (PD) may benefit from deep brain stimulation (DBS) to improve motor and medication-induced symptoms. Yet mixed evidence regarding the outcome of successful DBS on couple satisfaction has been highlighted in the literature. Thirty patients diagnosed with PD were included in a study investigating couple satisfaction (MSS-14), depression (HAD-D) and anxiety (HAD-A) at four measurement times: before DBS and 6, 12, and 18 months post-surgically. Sixteen spouses/partners were included as well...
January 31, 2019: Journal of Clinical Psychology in Medical Settings
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