6,573 results match your criteria Journal of consulting and clinical psychology[Journal]


Are there any robust predictors of "sudden gainers," and how is sustained improvement in treatment outcome achieved following a gain?

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Department of Psychology, University of Pennsylvania.

Objective: It has been widely demonstrated that the process of change many patients undergo in therapy is not linear. Some patients benefit greatly from large sudden improvements, commonly referred to as "sudden gains." It is less clear whether certain baseline characteristics make patients more prone to displaying sudden gains, as well as what mechanisms are responsible for the lasting effects of sudden gains. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000401DOI Listing

Dyadic support and affect in patient-caregiver dyads following hematopoietic stem-cell transplantation: A diary study.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Maria Sklodowska-Curie-Oncology Center.

Objective: Cancer and its treatment are highly stressful events that may significantly affect the daily emotional well-being of patients and their informal caregivers. Patient- and caregiver-reported received and provided support may contribute to both dyad members' fluctuation in daily affect, but few studies have examined these associations from a dyadic perspective so far. The current study examined predictions derived from 3 theories on patterns of relations between subjectively assessed dyadic provided and received support and daily affect within dyad members: (a) invisible support theory, (b) the suggestion that providing support may be better than receiving it, and (c) beneficial supportive equity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000398DOI Listing

Sudden gains in the alliance in cognitive behavioral therapy versus brief relational therapy.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Gordon F. Derner School of Psychology, Adelphi University.

Objective: Two decades of empirical research suggest that changes in symptoms are not linear, and many patients gain much of their symptom reduction in one between-sessions interval. Theoretically, such gains are expected to be manifested in the working alliance as well, following a rupture session; however, no study to date has directly examined between-sessions sudden gains in the alliance. In the present study we examined whether ruptures predict subsequent sudden gains in the alliance, which in turn show an effect on outcome that is specific to the treatment in which the alliance is conceptualized as an active mechanism of change. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000397DOI Listing

Distress tolerance trajectories following substance use treatment.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill.

Objective: Distress tolerance (DT), the ability to withstand aversive internal states, represents an important risk factor for substance use relapse and a potential treatment target. Neurobiological research in substance using populations suggests that continued substance use could erode DT, whereas abstinence could bolster it. The current study characterized trajectories of behavioral and self-reported indices of DT and examined the prospective effect of substance use on DT trajectories among those seeking treatment for substance use. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000403DOI Listing
April 2019
1 Read

Preventive cognitive therapy versus care as usual in cognitive behavioral therapy responders: A randomized controlled trial.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Department of Research, Arkin.

Objective: The optimization of long-term outcomes is an important goal in the treatment of major depressive disorder. Offering subsequent preventive cognitive therapy (PCT) to patients who responded to acute cognitive behavioral therapy (CBT) may reduce the risk of relapse/recurrence.

Method: Therefore, a multicenter randomized controlled trial was conducted comparing the addition of eight weekly sessions of PCT to care as usual (CAU) versus CAU alone in patients with a history of depression in remission following treatment with CBT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000395DOI Listing

Examining race as a predictor and moderator of treatment outcomes for binge-eating disorder: Analysis of aggregated randomized controlled trials.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Department of Psychiatry, School of Medicine, Yale University.

Objective: To examine whether race predicted or moderated response to treatments for binge-eating disorder (BED).

Method: Participants were 592 adults (n = 113 Black; n = 479 White) with DSM-IV-defined BED who participated in randomized controlled trials (RCTs) at 1 medical center. Data were aggregated from RCTs for BED testing cognitive-behavioral therapy, behavioral weight loss, multimodal treatment, and/or control conditions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000404DOI Listing

Efficacy and mediators of a group cognitive-behavioral therapy for hoarding disorder: A randomized trial.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Institute of Living.

Objective: Hoarding disorder (HD) is a common and potentially debilitating psychiatric disorder. Thus far, psychological treatments have yielded modest effects and/or were time-consuming and costly to deliver. The aim of the present study was to test the efficacy of a brief group cognitive-behavioral therapy (CBT) for adults with HD and to test hypothesized mediators of treatment outcome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000405DOI Listing

Estimating outcome probabilities from early symptom changes in cognitive therapy for recurrent depression.

J Consult Clin Psychol 2019 Apr 22. Epub 2019 Apr 22.

Department of Psychiatry, The University of Texas Southwestern Medical Center.

Objective: Acute-phase cognitive therapy (CT) is an efficacious treatment for major depressive disorder (MDD) producing benefits comparable to pharmacotherapy, but not all patients respond or remit. The purpose of the current analyses was to estimate CT patients' probability of nonresponse and remission from symptom improvement early in treatment.

Method: Data from 2 clinical trials of acute-phase CT for recurrent depression were pooled for analysis (N = 679). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000409DOI Listing

Cognitive versus behavioral skills in CBT for depressed adolescents: Disaggregating within-patient versus between-patient effects on symptom change.

J Consult Clin Psychol 2019 May;87(5):484-490

Division of Child and Adolescent Psychiatry, Columbia University.

Objective: Despite a growing body of research supporting the efficacy of cognitive-behavioral therapy (CBT) for depressed adolescents, few studies have investigated the role of the acquisition and use of CBT skills in accounting for symptom improvement. The present study examined the role of cognitive versus behavioral skills in predicting symptom improvement in depressed youth. Analyses considered different raters of patient skills (patient vs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000393DOI Listing
May 2019
1 Read

Putting the "cognitive" back in cognitive therapy: Sustained cognitive change as a mediator of in-session insights and depressive symptom improvement.

J Consult Clin Psychol 2019 May;87(5):446-456

Department of Psychology, The Ohio State University.

Objective: Although cognitive change has long been posited to drive symptom improvements in cognitive therapy (CT) of depression, whether it does so remains controversial. Methodological challenges have contributed heavily to the lack of resolution on this issue. Using a patient-reported measure of cognitive change, we tested the role of cognitive change in contributing to symptom change in CT. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000392DOI Listing
May 2019
1 Read

Personality and outcome in individuals with treatment-resistant depression-Exploring differential treatment effects in the Tavistock Adult Depression Study (TADS).

J Consult Clin Psychol 2019 May;87(5):433-445

Research Department of Clinical, Educational and Health Psychology, University College London.

Objective: Although research over the past decades has investigated the impact of the personality dimensions of dependency and self-criticism on treatment outcome, little is known of how these personality features influence responsiveness to treatment in patients with severe, chronic forms of depression.

Method: The present study uses data from the Tavistock Adult Depression Study, a randomized controlled trial investigating the effectiveness of long-term psychoanalytic psychotherapy (LTPP) compared with treatment as usual (TAU) for individuals diagnosed with treatment-resistant depression. Patients were rated with the Anaclitic-Introjective Depression Assessment Q-sort, which distinguishes between two more maladaptive (Submissive and Dismissive) and two less maladaptive (Needy and Self-Critical) subdimensions of dependent or anaclitic and self-critical or introjective depression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000391DOI Listing
May 2019
2 Reads

What's in a name? Branding of online mental health programming for university students.

J Consult Clin Psychol 2019 Apr;87(4):380-391

Department of Psychology, University of California, Los Angeles.

Objective: University students experience many help-seeking barriers, and thus not all students who could benefit from mental health services enroll in them. This study aimed to examine student enrollment in response to strategic marketing of an online prevention program for anxiety and depression.

Method: Data were collected from students at two universities during recruitment phases for the online program. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000383DOI Listing
April 2019
2 Reads

Randomized controlled trial of an online machine learning-driven risk assessment and intervention platform for increasing the use of crisis services.

J Consult Clin Psychol 2019 Apr;87(4):370-379

Department of Psychology, Harvard University.

Objective: Mental illness is a leading cause of disease burden; however, many barriers prevent people from seeking mental health services. Technological innovations may improve our ability to reach underserved populations by overcoming many existing barriers. We evaluated a brief, automated risk assessment and intervention platform designed to increase the use of crisis resources provided to those online and in crisis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000389DOI Listing

Provider fidelity and modifications to cognitive processing therapy in a diverse community health clinic: Associations with clinical change.

J Consult Clin Psychol 2019 Apr;87(4):357-369

National Center for PTSD.

Objective: The purpose of this study is to examine associations between therapist adherence, competence, and modifications of an evidence-based protocol (EBP) delivered in routine clinical care and client outcomes.

Method: Data were derived from a NIMH-funded implementation-effectiveness hybrid study of Cognitive Processing Therapy (CPT) for PTSD in a diverse community health center. Providers (n = 19) treated clients (n = 58) as part of their routine clinical care. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430611PMC

Therapist and clinic effects in psychotherapy: A three-level model of outcome variability.

J Consult Clin Psychol 2019 Apr;87(4):345-356

Clinical Psychology Unit, Department of Psychology, University of Sheffield.

Objective: The study aimed to (a) investigate the effect of treatment location on clinical outcomes for patients receiving psychological therapy (a clinic effect, akin to the concept of a therapist effect) and (b) assess the impact of explanatory individual and aggregate demographic and process variables on the clinic and therapist effects.

Method: The sample comprised 26,888 patients, seen by 462 therapists, across 30 clinics. Mean patient age was 38 years (69% female, 90% White, 92% planned ending). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000388DOI Listing

Prevalence of psychiatric disorders at the intersection of race and sexual orientation: Results from the National Epidemiologic Survey of Alcohol and Related Conditions-III.

J Consult Clin Psychol 2019 Apr;87(4):321-331

Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University.

Objective: Sexual minority individuals display elevated rates of psychiatric and substance use disorders compared with heterosexuals. Racial/ethnic minority individuals report lower prevalence of disorders compared with White individuals. Research on sexual minority mental health often neglects research on racial/ethnic minority mental health and vice versa. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000377DOI Listing

Effectiveness and cost-effectiveness of repeated implementation intention formation on adolescent smoking initiation: A cluster randomized controlled trial.

J Consult Clin Psychol 2019 May 7;87(5):422-432. Epub 2019 Mar 7.

Department of Health Sciences.

Objective: Forming implementation intentions (if-then plans) about how to refuse cigarette offers plus antismoking messages was tested for reducing adolescent smoking.

Method: Cluster randomized controlled trial with schools randomized (1:1) to receive implementation intention intervention and messages targeting not smoking (intervention) or completing homework (control). Adolescents (11-12 years at baseline) formed implementation intentions and read messages on 8 occasions over 4 years meaning masking treatment allocation was not possible. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000387DOI Listing
May 2019
20 Reads

Interpersonal change as a mediator of the within- and between-patient alliance-outcome association in two treatments for generalized anxiety disorder.

J Consult Clin Psychol 2019 May 4;87(5):472-483. Epub 2019 Mar 4.

Department of Psychology, Ryerson University.

Objective: Although a better therapeutic alliance associates with treatment outcome, it may do so in different ways. For example, alliance quality may promote improvement as it shifts over time (within-patient changes); alternatively, alliance quality may also, or instead, influence outcome when generally higher or lower for some patients relative to others (between-patient differences). Although both components have been linked to patient improvement, the distinct mechanisms of these associations have been rarely examined. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000394DOI Listing
May 2019
1 Read

Sticking it out in trauma-focused treatment for PTSD: It takes a village.

J Consult Clin Psychol 2019 Mar;87(3):246-256

Center for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System.

Objective: One in 3 veterans will dropout from trauma-focused treatments for posttraumatic stress disorder (PTSD). Social environments may be particularly important to influencing treatment retention. We examined the role of 2 support system factors in predicting treatment dropout: social control (direct efforts by loved ones to encourage veterans to participate in treatment and face distress) and symptom accommodation (changes in loved ones' behavior to reduce veterans' PTSD-related distress). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000386DOI Listing
March 2019
2 Reads

Time-varying moderation of treatment outcomes by illness duration and comorbid depression in generalized anxiety disorder.

J Consult Clin Psychol 2019 Mar 4;87(3):282-293. Epub 2019 Feb 4.

Department of Biobehavioral Health, Pennsylvania State University.

Objective: To extend the sparse literature on moderators, we used time-varying effect modeling (TVEM; Tan, Shiyko, Li, Li, & Dierker, 2012) to examine how depressive symptoms and duration of generalized anxiety disorder (GAD) moderated effects of 3 treatments for GAD (applied relaxation [AR], cognitive-behavioral therapy [CBT], and nondirective therapy [ND]) over time using intensive repeated measures.

Method: In a secondary analysis of Borkovec and Costello (1993), 66 GAD clients were randomly assigned to AR (n = 23), CBT (n = 23), or ND (n = 20). Clients received 12 therapy sessions over 6 weeks, and after 2 weeks of posttreatment assessment, had 2 additional weekly fading sessions. Read More

View Article

Download full-text PDF

Source
http://doi.apa.org/getdoi.cfm?doi=10.1037/ccp0000385
Publisher Site
http://dx.doi.org/10.1037/ccp0000385DOI Listing
March 2019
16 Reads

Randomized cost-effectiveness trial of group interpersonal psychotherapy (IPT) for prisoners with major depression.

J Consult Clin Psychol 2019 Apr 4;87(4):392-406. Epub 2019 Feb 4.

Division of Dissemination and Training, National Center for PTSD.

Objective: This study tested the effectiveness and cost-effectiveness of interpersonal psychotherapy (IPT) for major depressive disorder (MDD) among prisoners. It is the first fully powered randomized trial of any treatment (pharmacological or psychosocial) targeting MDD among incarcerated individuals.

Method: One hundred eighty-one male (n = 117) and female (n = 64) prisoners from prison facilities in 2 states were randomized to group IPT (delivered by master's-level and nonspecialist prison counselors) for MDD plus prison treatment as usual (TAU) or to TAU alone. Read More

View Article

Download full-text PDF

Source
http://doi.apa.org/getdoi.cfm?doi=10.1037/ccp0000379
Publisher Site
http://dx.doi.org/10.1037/ccp0000379DOI Listing
April 2019
15 Reads

Impact of a father-daughter physical activity program on girls' social-emotional well-being: A randomized controlled trial.

J Consult Clin Psychol 2019 Mar 14;87(3):294-307. Epub 2019 Jan 14.

Priority Research Centre for Physical Activity and Nutrition.

Objective: To increase girls' well-being, strategies are needed to optimize their social-emotional competence during childhood. Although positive fathering is important for girls, many fathers discount their unique influence and few participate in interventions. The Dads And Daughters Exercising and Empowered (DADEE) program was developed to engage fathers and their daughters through shared physical activity experiences. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000374DOI Listing
March 2019
1 Read

Additive effectiveness of mindfulness meditation to a school-based brief cognitive-behavioral alcohol intervention for adolescents.

J Consult Clin Psychol 2019 May 14;87(5):407-421. Epub 2019 Jan 14.

Centre for Youth Substance Abuse Research.

Objective: This randomized controlled trial is the 1st study to evaluate the additive efficacy of mindfulness meditation to brief school-based universal cognitive behavior therapy (CBT + MM) for adolescent alcohol consumption. Previous studies have lacked strong controls for nonspecific effects, and treatment mechanisms remain unclear. The present study compared a CBT + MM condition to an active control CBT intervention with progressive muscle relaxation (CBT + PMR) for nonspecific effects and an assessment-only control (AoC). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000382DOI Listing
May 2019
4 Reads

Change mechanisms in psychotherapy: Both improved insight and improved affective awareness are necessary.

J Consult Clin Psychol 2019 Apr 10;87(4):332-344. Epub 2019 Jan 10.

Department of Psychology, University of Oslo.

Objective: Insight and affect awareness are correlated with outcome in a number of studies across different treatment orientations. In this study, we perform a full mediational analysis to examine whether improvement of both cognitive insight and affect awareness are mediators of the specific effects of transference work in dynamic psychotherapy.

Method: This was a dismantling randomized controlled clinical trial specifically designed to study long-term effects of transference work (exploration of problematic patterns in the therapeutic relationship). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000381DOI Listing
April 2019
1 Read

Changes in parental prosody mediate effect of parent-training intervention on infant language production.

J Consult Clin Psychol 2019 Mar 27;87(3):313-318. Epub 2018 Dec 27.

Department of Psychology.

Objective: Parent-training interventions to reduce behavior problems in young children typically coach parents on the content of their speech, but rarely assess parents' prosody during parent-child interactions. Infant-directed speech helps shape the parent-infant relationship and promote language development, which predicts adaptive behavioral outcomes in children. The current study examined (a) the effect of a parent-training intervention on parents' vocal cues in interactions with their infant and (b) whether parental prosody mediated the impact of the intervention on infant language production. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000375DOI Listing
March 2019
2 Reads

Treatment integrity in psychotherapy research and implications for the delivery of quality mental health services.

J Consult Clin Psychol 2019 Mar 27;87(3):221-233. Epub 2018 Dec 27.

Department of Psychology.

Objective: Treatment integrity, or the degree to which an intervention is delivered as intended, serves a crucial function as an independent variable check in treatment outcome research. Implementation science focuses on understanding and improving the processes (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000370DOI Listing
March 2019
1 Read

Family therapy techniques and one-year clinical outcomes among adolescents in usual care for behavior problems.

J Consult Clin Psychol 2019 Mar 27;87(3):308-312. Epub 2018 Dec 27.

National Center on Addiction and Substance Abuse.

Objective: This study tested whether use of family therapy (FT) techniques predicted long-term clinical outcomes in usual care for adolescents enrolled in either family-based or non-family-based treatment for conduct and substance use problems.

Method: Participants included 70 adolescents (53% female; mean age 15.4 years) from diverse backgrounds (64% Hispanic, 16% African American, 11% multiracial) assessed at baseline and 3-, 6-, and 12-month follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000376DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461369PMC
March 2019
2 Reads

An Internet-based controlled trial of interpretation bias modification versus progressive muscle relaxation for body dysmorphic disorder.

J Consult Clin Psychol 2019 Mar 27;87(3):257-269. Epub 2018 Dec 27.

Department of Psychology.

Objective: The current study extended upon previous research efforts by evaluating the utility and feasibility of an 8-session Internet-based interpretation bias modification (IBM) training protocol targeting evaluation- and appearance-related threat biases characteristic of the disorder compared to a progressive muscle relaxation (PMR) condition for treatment of body dysmorphic disorder (BDD).

Method: Fifty participants with BDD were recruited from across the United States and randomly assigned to eight sessions of either IBM or PMR. Assessments of interpretation bias, BDD symptoms, depression, and anxiety were administered at pretreatment, 1-week posttreatment, and 3-month follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000372DOI Listing
March 2019
4 Reads

Measures of psychosocial care utilization in a national sample of cancer patients.

J Consult Clin Psychol 2019 Mar 27;87(3):234-245. Epub 2018 Dec 27.

Cancer Prevention Research Center.

Objective: Cancer is one of the most physically and emotionally debilitating diseases. Despite evidence that psychosocial care can improve psychological and physiological functioning, as few as 4.4% of patients are willing to engage in psychosocial treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000369DOI Listing
March 2019
2 Reads

The effect of implementation climate on program fidelity and student outcomes in autism support classrooms.

J Consult Clin Psychol 2019 Mar 20;87(3):270-281. Epub 2018 Dec 20.

Department of Psychiatry.

Objective: An organization's implementation climate, or the extent to which use of an intervention is expected, supported, and rewarded by colleagues and supervisors, has been identified as critical to successful intervention implementation and outcomes. The effect of implementation climate has not been well studied in special education settings. The present study examines the association between teachers' perceptions of implementation climate, teacher fidelity to a school-based program for students with autism, and student outcomes (measured as changes in IQ) over time. Read More

View Article

Download full-text PDF

Source
http://doi.apa.org/getdoi.cfm?doi=10.1037/ccp0000368
Publisher Site
http://dx.doi.org/10.1037/ccp0000368DOI Listing
March 2019
13 Reads

The validity of risk assessment instruments for transition-age youth.

J Consult Clin Psychol 2019 Feb 20;87(2):171-183. Epub 2018 Dec 20.

Systems for Psychosocial Advances Research Center (SPARC).

Objective: There is increasing recognition in the justice system that transition-age youth (TAY) are in a unique developmental period that may require tailored policies and practices. This study investigated the differential predictive validity and potential for disparate impact of both juvenile (the Structured Assessment of Violence Risk for Youth and Youth Level of Service/Case Management Inventory) and adult risk assessment instruments (the Historical-Clinical-Risk Management-20 [HCR-20] and the Violence Risk Appraisal Guide [VRAG]) with this age group (ages 16-24), relative to adolescents (ages 12-15) or older adults (ages 25-40).

Method: The authors obtained secondary data sets for the 4 instruments totaling 3,353 cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000366DOI Listing
February 2019
2 Reads

A multimethod screening approach for pediatric depression onset: An incremental validity study.

J Consult Clin Psychol 2019 Feb 20;87(2):184-197. Epub 2018 Dec 20.

Department of Psychology.

Objective: Screening protocols that rely on a single informant are inadequate in predicting pediatric depression. Multi-informant and risk factor screening approaches are potentially more sensitive methods for identifying depression risk, but the incremental validity of these protocols has not been adequately tested. Using a translational analytic approach and multimethod, longitudinal study design, we simultaneously tested several multi-indicator approaches to depression screening to identify an optimal algorithm for predicting depression onset in youth. Read More

View Article

Download full-text PDF

Source
http://doi.apa.org/getdoi.cfm?doi=10.1037/ccp0000364
Publisher Site
http://dx.doi.org/10.1037/ccp0000364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336512PMC
February 2019
15 Reads

Cognitive behavioral therapy for social activation in recent-onset psychosis: Randomized controlled trial.

J Consult Clin Psychol 2019 Feb 20;87(2):151-160. Epub 2018 Dec 20.

Department of Psychiatry.

Objective: Negative symptoms largely account for poor outcome in psychotic disorders but remain difficult to treat. A cognitive-behavioral approach to these symptoms showed promise in chronic schizophrenia patients. We explored whether a combination of group and individual treatment focused on social activation (CBTsa) could benefit patients recently diagnosed with a psychotic disorder. Read More

View Article

Download full-text PDF

Source
http://doi.apa.org/getdoi.cfm?doi=10.1037/ccp0000362
Publisher Site
http://dx.doi.org/10.1037/ccp0000362DOI Listing
February 2019
20 Reads

Trajectories and predictors of response in youth anxiety CBT: Integrative data analysis.

J Consult Clin Psychol 2019 Feb 20;87(2):198-211. Epub 2018 Dec 20.

Department of Statistics and Biostatistics.

Objective: Integrative data analysis was used to combine existing data from nine trials of cognitive-behavioral therapy (CBT) for anxious youth ( = 832) and identify trajectories of symptom change and predictors of trajectories.

Method: Youth- and parent-reported anxiety symptoms were combined using item-response theory models. Growth mixture modeling assessed for trajectories of treatment response across pre-, mid-, and posttreatment and 1-year follow-up. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000367DOI Listing
February 2019
3 Reads

Preliminary evidence is promising, but challenges remain in providing service dogs to veterans: Commentary on preliminary efficacy of service dogs as a complementary treatment for posttraumatic stress disorder in military members and veterans (O'Haire & Rodriguez, 2018).

J Consult Clin Psychol 2019 01;87(1):118-121

Kaiser Permanente Northwest Center for Health Research.

Objective: Veterans with posttraumatic stress disorder (PTSD) are interested in service dogs to manage or reduce symptoms. Until recently, evidence was anecdotal with few research studies documenting the feasibility or benefits of service dogs for veterans. In the past year, new studies have presented preliminary evidence on the benefits of service dogs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000352DOI Listing
January 2019
3 Reads

Little evidence for late-onset ADHD in a longitudinal sample of women.

J Consult Clin Psychol 2019 Jan;87(1):112-117

Department of Psychology, University of California, Berkeley.

Objective: Individuals with late-onset symptoms of attention-deficit/hyperactivity disorder (ADHD) are presenting to providers at increasing rates. Recent birth-cohort studies reveal evidence for late-onset ADHD, but conclusions are challenged by measurement methods as well as presence of participant impairment and psychiatric comorbidities. We examined the occurrence of late-onset ADHD in a small but thoroughly investigated group of diverse (47% white) women followed from childhood to adulthood. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000353DOI Listing
January 2019
3 Reads

A combined mindfulness-prolonged chewing intervention reduces body weight, food craving, and emotional eating.

J Consult Clin Psychol 2019 Jan;87(1):106-111

Department of Psychology and Center for Cognitive Neuroscience, University of Salzburg.

Objective: Conventional weight-loss programs that induce a calorie deficit mostly fail in long-term weight reduction and disadvantageous eating styles often remain unchanged. Mindfulness interventions therefore redirect the focus away from the weight-loss goal and toward the process of eating itself. By eating more mindfully, at a slower pace, and with an enhanced focus on bodily sensations, participants might not only indirectly reduce their daily calorie intake but also eat less craving and stress driven. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000361DOI Listing
January 2019
3 Reads

Meta-analysis of the efficacy of psychological and medical treatments for binge-eating disorder.

J Consult Clin Psychol 2019 Jan;87(1):91-105

Integrated Research and Treatment Center Adiposity Diseases, Department of Medical Psychology, University of Leipzig.

Objective: To provide a comprehensive meta-analysis on the efficacy of psychological and medical treatments for binge-eating disorder (BED), including those targeting weight loss.

Method: Through a systematic search before March 2018, 81 published and unpublished randomized-controlled trials (RCTs), totaling 7,515 individuals with BED (Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition [DSM-IV] and Fifth Edition [DSM-5]), were retrieved and analyzed using random-effect modeling.

Results: In RCTs with inactive control groups, psychotherapy, mostly consisting of cognitive-behavioral therapy, showed large-size effects for the reduction of binge-eating episodes and abstinence from binge eating, followed by structured self-help treatment with medium-to-large effects when compared with wait-list. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000358DOI Listing
January 2019
2 Reads

Randomized trial of a dissonance-based group treatment for eating disorders versus a supportive mindfulness group treatment.

J Consult Clin Psychol 2019 Jan;87(1):79-90

Oregon Research Institute.

Objective: This report evaluates a dissonance-based group eating disorder treatment designed to be a cost-effective front-line transdiagnostic treatment that could be more widely implemented than extant treatments that are more intensive and expensive relative to a supportive mindfulness group treatment typical of that offered at colleges.

Method: Young women with eating disorders (N = 84) were randomized to 8-week dissonance-based Body Project treatment (BPT) or supportive mindfulness treatment, completing diagnostic interviews and questionnaires at pretest, posttest, and 6-month follow up.

Results: Regarding primary outcomes, by 6-month follow up 77% of BPT participants no longer met diagnosis for an eating disorder versus 60% of supportive mindfulness participants (relative risk ratio = 2. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309312PMC
January 2019
9 Reads

Editorial.

Authors:
Joanne Davila

J Consult Clin Psychol 2019 Jan;87(1):1-2

Stony Brook University.

This editorial provides a new policy going forward, and reaffirms a key policy issue for journal article reporting standards to (JCCP). JCCP will now require all clinical trials presenting analyses of primary outcomes to be registered. By clinical trials, the author means those studies designed to examine the efficacy or effectiveness of a treatment or preventive intervention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000380DOI Listing
January 2019
1 Read

Prevention of anxiety and depression in school children: Effectiveness of the transdiagnostic EMOTION program.

J Consult Clin Psychol 2019 Feb 13;87(2):212-219. Epub 2018 Dec 13.

Centre for Child and Adolescent Mental Health, Eastern and Southern Norway.

Objective: The objective of the study was to examine the effectiveness of a transdiagnostic program (EMOTION, Coping Kids Managing Anxiety and Depression) targeting symptoms of anxiety and depression in schoolchildren by comparing the intervention condition (EC) to a control condition (CC).

Method: A clustered randomized design was used with schools as the unit of randomization. Children ( = 1686) aged 8-12 years in 36 schools completed screening using the Multidimensional Anxiety Scale (MASC-Child) and The Mood and Feelings Questionnaire Short version (SMFQ-Child). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000360DOI Listing
February 2019
1 Read

Reducing intrusive memories of trauma using a visuospatial interference intervention with inpatients with posttraumatic stress disorder (PTSD).

J Consult Clin Psychol 2018 Dec;86(12):1076-1090

Department of Psychosomatic Medicine and Psychotherapy.

Objective: The core clinical feature of posttraumatic stress disorder (PTSD) is recurrent intrusive memories of trauma. This study aimed to test a novel and simple intervention, inspired by the concepts of concurrent task interference and memory reconsolidation, to reduce the occurrence of intrusive memories among inpatients with complex PTSD.

Method: In this open-label single case series 20 patients with longstanding complex PTSD in inpatient treatment monitored the occurrence of intrusive trauma memories (intrusions) over the course of their admission (5 to 10 weeks). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000340DOI Listing
December 2018
4 Reads

A randomized control trial of a deviance regulation theory intervention to increase alcohol protective strategies.

J Consult Clin Psychol 2018 Dec;86(12):1061-1075

Department of Psychology.

Objective: Normative feedback remains an effective approach to reducing alcohol use among college students. However, this approach is difficult to extend to protective behavioral strategies (PBS), which are proximal to alcohol-related problems. Deviance regulation theory (DRT) is a social psychology theory that posits individuals engage in behaviors to standout out in positive ways or avoid standing out in negative ways. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292690PMC
December 2018
2 Reads

Sustaining attendance at a mental health service: A randomized controlled trial.

J Consult Clin Psychol 2018 Dec;86(12):1056-1060

Department of Psychology and Neuroscience.

Objective: A substantial proportion of psychotherapeutic treatments are prematurely terminated because the client discontinues attendance. Interventions have been developed to reduce premature termination, but these are only moderately effective and often place considerable burden on clients and services. This research evaluated a brief, low-cost self-regulation intervention (i. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000341DOI Listing
December 2018
4 Reads

Evaluative conditioning as a body image intervention for adolescents with eating disorders.

J Consult Clin Psychol 2018 Dec;86(12):1046-1055

Department of Clinical Psychological Science, Maastricht University.

Objective: The aim was to investigate whether a computer-based evaluative conditioning intervention improves body image in adolescents with an eating disorder. Positive effects were found in earlier studies in healthy female students in a laboratory and a field setting. This study is the first to test evaluative conditioning in a clinical sample under less controlled circumstances. Read More

View Article

Download full-text PDF

Source
http://doi.apa.org/getdoi.cfm?doi=10.1037/ccp0000311
Publisher Site
http://dx.doi.org/10.1037/ccp0000311DOI Listing
December 2018
20 Reads

Towards personalized, brain-based behavioral intervention for transdiagnostic anxiety: Transient neural responses to negative images predict outcomes following a targeted computer-based intervention.

J Consult Clin Psychol 2018 Dec;86(12):1031-1045

Deparments of Psychiatry and Psychology, University of Pittsburgh.

Objective: Clinical anxiety is prevalent, highly comorbid with other conditions, and associated with significant medical morbidity, disability, and public health burden. Excessive attentional deployment toward threat is a transdiagnostic dimension of anxiety seen at both initial and sustained stages of threat processing. However, group-level observations of these phenomena mask considerable within-group heterogeneity that has been linked to treatment outcomes, suggesting that a transdiagnostic, individual differences approach may capture critical, clinically relevant information. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287282PMC
December 2018
1 Read

Interpretation training to target repetitive negative thinking in generalized anxiety disorder and depression.

J Consult Clin Psychol 2018 Dec;86(12):1017-1030

Department of Psychology, University of California, Davis.

Objective: Repetitive negative thinking (RNT) for example, worry in generalized anxiety disorder (GAD) and rumination in depression, is often targeted during psychological treatments. To test the hypothesis that negative interpretation bias contributes to worry and rumination, we assessed the effects of inducing more positive interpretations in reducing RNT.

Method: Volunteers diagnosed with GAD (66) or depression (65) were randomly allocated to one of two versions of cognitive bias modification for interpretation (CBM-I), either with or without RNT priming prior to training, or a control condition, each involving 10 Internet-delivered sessions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1037/ccp0000310DOI Listing
December 2018
2 Reads