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  Subjects -> PSYCHOLOGY (Total: 875 journals)
Showing 1 - 174 of 174 Journals sorted alphabetically
Acción Psicológica     Open Access   (Followers: 2)
Acta Colombiana de Psicología     Open Access   (Followers: 4)
Acta Comportamentalia     Open Access   (Followers: 3)
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Psychologica     Hybrid Journal   (Followers: 22)
Activités     Open Access   (Followers: 1)
Actualidades en Psicologia     Open Access   (Followers: 1)
Ad verba Liberorum : Journal of Linguistics & Pedagogy & Psychology     Open Access   (Followers: 8)
Addictive Behaviors Reports     Open Access   (Followers: 5)
ADHD Attention Deficit and Hyperactivity Disorders     Hybrid Journal   (Followers: 20)
ADHD Report The     Full-text available via subscription   (Followers: 6)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 39)
Advances in Mental Health     Hybrid Journal   (Followers: 69)
Advances in Physiotherapy     Hybrid Journal   (Followers: 50)
Advances in Psychology     Full-text available via subscription   (Followers: 58)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 29)
African Journal of Cross-Cultural Psychology and Sport Facilitation     Full-text available via subscription   (Followers: 3)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 391)
Aggressive Behavior     Hybrid Journal   (Followers: 15)
Aging, Neuropsychology, and Cognition     Hybrid Journal   (Followers: 33)
Ágora - studies in psychoanalytic theory     Open Access   (Followers: 3)
Aletheia     Open Access   (Followers: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 15)
American Imago     Full-text available via subscription   (Followers: 3)
American Journal of Applied Psychology     Open Access   (Followers: 34)
American Journal of Community Psychology     Hybrid Journal   (Followers: 24)
American Journal of Health Behavior     Full-text available via subscription   (Followers: 23)
American Journal of Orthopsychiatry     Hybrid Journal   (Followers: 4)
American Journal of Psychoanalysis     Hybrid Journal   (Followers: 21)
American Journal of Psychotherapy     Full-text available via subscription   (Followers: 34)
American Psychologist     Full-text available via subscription   (Followers: 164)
Anales de Psicología     Open Access   (Followers: 2)
Análise Psicológica     Open Access   (Followers: 1)
Análisis y Modificación de Conducta     Open Access   (Followers: 2)
Analysis     Full-text available via subscription   (Followers: 4)
Annual Review of Clinical Psychology     Full-text available via subscription   (Followers: 66)
Annual Review of Organizational Psychology and Organizational Behavior     Full-text available via subscription   (Followers: 26)
Annual Review of Psychology     Full-text available via subscription   (Followers: 204)
Anuario de Psicología / The UB Journal of Psychology     Open Access   (Followers: 1)
Anuario de Psicología Jurídica     Open Access   (Followers: 1)
Anxiety, Stress & Coping: An International Journal     Hybrid Journal   (Followers: 22)
Applied and Preventive Psychology     Hybrid Journal   (Followers: 13)
Applied Cognitive Psychology     Hybrid Journal   (Followers: 66)
Applied Neuropsychology : Adult     Hybrid Journal   (Followers: 32)
Applied Neuropsychology : Child     Hybrid Journal   (Followers: 18)
Applied Psychological Measurement     Hybrid Journal   (Followers: 17)
Applied Psychology     Hybrid Journal   (Followers: 130)
Applied Psychology: Health and Well-Being     Hybrid Journal   (Followers: 47)
Applied Psychophysiology and Biofeedback     Hybrid Journal   (Followers: 6)
Archive for the Psychology of Religion / Archiv für Religionspychologie     Hybrid Journal   (Followers: 16)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 26)
Archives of Scientific Psychology     Open Access   (Followers: 3)
Arquivos Brasileiros de Psicologia     Open Access   (Followers: 1)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia-Pacific Psychiatry     Hybrid Journal   (Followers: 3)
Asian American Journal of Psychology     Full-text available via subscription   (Followers: 5)
Asian Journal of Business Ethics     Hybrid Journal   (Followers: 7)
Assessment     Hybrid Journal   (Followers: 9)
At-Tajdid : Jurnal Ilmu Tarbiyah     Open Access   (Followers: 2)
Attachment: New Directions in Psychotherapy and Relational Psychoanalysis     Full-text available via subscription   (Followers: 16)
Attention, Perception & Psychophysics     Full-text available via subscription   (Followers: 10)
Australian and Aotearoa New Zealand Psychodrama Association Journal     Full-text available via subscription  
Australian Educational and Developmental Psychologist, The     Full-text available via subscription   (Followers: 6)
Australian Journal of Psychology     Hybrid Journal   (Followers: 16)
Australian Psychologist     Hybrid Journal   (Followers: 11)
Autism Research     Hybrid Journal   (Followers: 31)
Autism Research and Treatment     Open Access   (Followers: 29)
Autism's Own     Open Access  
Autism-Open Access     Open Access   (Followers: 5)
Avaliação Psicológica     Open Access  
Avances en Psicologia Latinoamericana     Open Access   (Followers: 1)
Aviation Psychology and Applied Human Factors     Hybrid Journal   (Followers: 18)
Balint Journal     Hybrid Journal   (Followers: 3)
Barbaroi     Open Access  
Basic and Applied Social Psychology     Hybrid Journal   (Followers: 32)
Behavior Analysis in Practice     Full-text available via subscription   (Followers: 6)
Behavior Analysis: Research and Practice     Full-text available via subscription   (Followers: 2)
Behavior Analyst     Hybrid Journal   (Followers: 2)
Behavior Modification     Hybrid Journal   (Followers: 9)
Behavior Research Methods     Hybrid Journal   (Followers: 17)
Behavior Therapy     Hybrid Journal   (Followers: 45)
Behavioral Development Bulletin     Full-text available via subscription  
Behavioral Interventions     Hybrid Journal   (Followers: 7)
Behavioral Neuroscience     Full-text available via subscription   (Followers: 50)
Behavioral Sciences & the Law     Hybrid Journal   (Followers: 21)
Behavioral Sleep Medicine     Hybrid Journal   (Followers: 6)
Behaviour     Hybrid Journal   (Followers: 12)
Behaviour Research and Therapy     Hybrid Journal   (Followers: 17)
Behavioural and Cognitive Psychotherapy     Hybrid Journal   (Followers: 116)
Behavioural Processes     Hybrid Journal   (Followers: 6)
Biofeedback     Hybrid Journal   (Followers: 4)
BioPsychoSocial Medicine     Open Access   (Followers: 6)
BMC Psychology     Open Access   (Followers: 15)
Body, Movement and Dance in Psychotherapy: An International Journal for Theory, Research and Practice     Hybrid Journal   (Followers: 9)
Boletim Academia Paulista de Psicologia     Open Access  
Boletim de Psicologia     Open Access  
Brain Informatics     Open Access   (Followers: 1)
British Journal of Clinical Psychology     Full-text available via subscription   (Followers: 125)
British Journal of Developmental Psychology     Full-text available via subscription   (Followers: 35)
British Journal of Educational Psychology     Hybrid Journal   (Followers: 32)
British Journal of Health Psychology     Full-text available via subscription   (Followers: 42)
British Journal of Mathematical and Statistical Psychology     Full-text available via subscription   (Followers: 20)
British Journal of Psychology     Full-text available via subscription   (Followers: 58)
British Journal of Psychotherapy     Hybrid Journal   (Followers: 66)
British Journal of Social Psychology     Full-text available via subscription   (Followers: 32)
Burnout Research     Open Access   (Followers: 7)
Cadernos de psicanálise (Rio de Janeiro)     Open Access  
Cadernos de Psicologia Social do Trabalho     Open Access  
Canadian Art Therapy Association     Hybrid Journal  
Canadian Journal of Behavioural Science     Full-text available via subscription   (Followers: 5)
Canadian Journal of Experimental Psychology     Full-text available via subscription   (Followers: 11)
Canadian Psychology / Psychologie canadienne     Full-text available via subscription   (Followers: 11)
Cendekia : Jurnal Kependidikan dan Kemasyarakatan     Open Access  
Child Development Perspectives     Hybrid Journal   (Followers: 26)
Child Development Research     Open Access   (Followers: 14)
Ciencia Cognitiva     Open Access   (Followers: 2)
Ciencia e Interculturalidad     Open Access  
Ciências & Cognição     Open Access  
Ciencias Psicológicas     Open Access  
Clínica y Salud     Open Access  
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 9)
Clinical Practice in Pediatric Psychology     Full-text available via subscription   (Followers: 10)
Clinical Psychological Science     Hybrid Journal   (Followers: 11)
Clinical Psychologist     Hybrid Journal   (Followers: 15)
Clinical Psychology & Psychotherapy     Hybrid Journal   (Followers: 67)
Clinical Psychology and Special Education     Open Access   (Followers: 1)
Clinical Psychology Review     Hybrid Journal   (Followers: 33)
Clinical Psychology: Science and Practice     Hybrid Journal   (Followers: 20)
Clinical Schizophrenia & Related Psychoses     Full-text available via subscription   (Followers: 8)
Coaching Psykologi - The Danish Journal of Coaching Psychology     Open Access   (Followers: 1)
Cogent Psychology     Open Access  
Cógito     Open Access  
Cognition & Emotion     Hybrid Journal   (Followers: 35)
Cognitive Behaviour Therapy     Hybrid Journal   (Followers: 14)
Cognitive Neuropsychology     Hybrid Journal   (Followers: 27)
Cognitive Psychology     Hybrid Journal   (Followers: 60)
Cognitive Research : Principles and Implications     Open Access  
Consciousness and Cognition     Hybrid Journal   (Followers: 26)
Construção Psicopedagógica     Open Access  
Consulting Psychology Journal : Practice and Research     Full-text available via subscription   (Followers: 3)
Contagion : Journal of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 8)
Contemporary Educational Psychology     Hybrid Journal   (Followers: 21)
Contemporary School Psychology     Hybrid Journal   (Followers: 4)
Contextos Clínicos     Open Access  
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 10)
Counseling Psychologist     Hybrid Journal   (Followers: 14)
Counseling Psychology and Psychotherapy     Open Access   (Followers: 7)
Counselling and Psychotherapy Research : Linking research with practice     Hybrid Journal   (Followers: 20)
Counselling and Values     Hybrid Journal   (Followers: 2)
Counselling Psychology Quarterly     Hybrid Journal   (Followers: 10)
Couple and Family Psychoanalysis     Full-text available via subscription   (Followers: 1)
Couple and Family Psychology : Research and Practice     Full-text available via subscription   (Followers: 4)
Creativity Research Journal     Hybrid Journal   (Followers: 20)
Creativity. Theories - Research - Applications     Open Access   (Followers: 1)
Criminal Justice Ethics     Hybrid Journal   (Followers: 8)
Cuadernos de Neuropsicología     Open Access   (Followers: 1)
Cuadernos de Psicologia del Deporte     Open Access  
Cuadernos de Psicopedagogía     Open Access  
Cultural Diversity and Ethnic Minority Psychology     Full-text available via subscription   (Followers: 12)
Cultural-Historical Psychology     Open Access  
Culturas Psi     Open Access  
Culture and Brain     Hybrid Journal   (Followers: 4)
Current Addiction Reports     Hybrid Journal   (Followers: 9)
Current Behavioral Neuroscience Reports     Hybrid Journal   (Followers: 2)
Current Directions In Psychological Science     Hybrid Journal   (Followers: 47)
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 1)
Current Opinion in Psychology     Hybrid Journal   (Followers: 4)
Current Psychological Research     Hybrid Journal   (Followers: 14)
Current Psychology     Hybrid Journal   (Followers: 15)
Current psychology letters     Open Access   (Followers: 2)
Current Research in Psychology     Open Access   (Followers: 21)
Cyberpsychology, Behavior, and Social Networking     Hybrid Journal   (Followers: 14)
Decision     Full-text available via subscription   (Followers: 2)
Depression and Anxiety     Hybrid Journal   (Followers: 14)
Depression Research and Treatment     Open Access   (Followers: 13)
Developmental Cognitive Neuroscience     Open Access   (Followers: 16)
Developmental Neuropsychology     Hybrid Journal   (Followers: 15)
Developmental Psychobiology     Hybrid Journal   (Followers: 9)
Developmental Psychology     Full-text available via subscription   (Followers: 44)
Diagnostica     Hybrid Journal   (Followers: 2)
Dialectica     Hybrid Journal   (Followers: 1)
Discourse     Full-text available via subscription   (Followers: 8)
Diversitas: Perspectivas en Psicologia     Open Access  
Drama Therapy Review     Hybrid Journal   (Followers: 1)
Dreaming     Full-text available via subscription   (Followers: 11)
Drogues, santé et société     Full-text available via subscription  
Dynamics of Asymmetric Conflict: Pathways toward terrorism and genocide     Hybrid Journal   (Followers: 12)
E-Journal of Applied Psychology     Open Access   (Followers: 7)
Ecopsychology     Hybrid Journal   (Followers: 6)
ECOS - Estudos Contemporâneos da Subjetividade     Open Access  
Educational Psychology Review     Hybrid Journal   (Followers: 25)
Educational Psychology: An International Journal of Experimental Educational Psychology     Hybrid Journal   (Followers: 46)
Educazione sentimentale     Full-text available via subscription  
Electronic Journal of Research in Educational Psychology     Open Access   (Followers: 6)
Elpis - Czasopismo Teologiczne Katedry Teologii Prawosławnej Uniwersytetu w Białymstoku     Open Access  
Emotion     Full-text available via subscription   (Followers: 32)
Emotion Review     Hybrid Journal   (Followers: 17)
En-Claves del pensamiento     Open Access   (Followers: 1)
Enseñanza e Investigacion en Psicologia     Open Access  
Epiphany     Open Access   (Followers: 3)

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Journal Cover Clinical Psychologist
  [SJR: 0.43]   [H-I: 9]   [15 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1328-4207 - ISSN (Online) 1742-9552
   Published by John Wiley and Sons Homepage  [1582 journals]
  • Pilot study of acceptance and commitment therapy for irritable bowel
           syndrome: A preliminary analysis of treatment outcomes and processes of
    • Authors: Nuno B. Ferreira; David Gillanders, Paul G. Morris, Maria Eugenicos
      Abstract: BackgroundThe aim of this study was to investigate the efficacy and proposed processes of change of acceptance and commitment therapy (ACT) in improving the outcomes of irritable bowel syndrome (IBS).MethodsA total of 56 consecutive patients recruited from a specialist clinic were included in the study and completed an ACT treatment protocol (one-day group workshop plus self-help manual). Assessments of process (acceptance of IBS) and outcome variables (symptom severity, avoidance behaviours, quality of life, and gastrointestinal anxiety) were carried at four time points (assessment, pre-treatment, post-treatment, and follow-up).ResultsA significant increase in the acceptance of IBS and improvement in all outcome variables was observed from pre- to post-treatment and follow-up (effect sizes medium to large). Improvements in all outcomes were associated with increases in acceptance of IBS. Changes in acceptance of IBS from pre- to post-treatment were a significant predictor of improvements in outcomes from pre-treatment to follow-up.ConclusionsResults support the efficacy of a brief ACT protocol in improving IBS outcomes and maintaining therapy effects at six-month follow-up. Preliminary support for the treatment process proposed was also found.
      PubDate: 2017-04-11T23:50:28.549996-05:
      DOI: 10.1111/cp.12123
  • Construing a therapeutic relationship online: An analysis of
           videoconference sessions
    • Authors: Sabrina Cipolletta; Eleonora Frassoni, Elena Faccio
      Abstract: ObjectiveThe aim of this study is to investigate the elements that characterize the formation of a therapeutic relationship when the sessions are conducted through videoconference.MethodConversation analysis was used to analyse the first three counselling sessions with five clients, for a total of 15 sessions.ResultsThe phenomena detected in the conversational sequences dealt with the following issues: starting up (early definition of the problem, motivation to use a communication technology, and therapeutic rules), technological ruptures (interruptions and multimedia repair), environment, privacy, and going beyond videoconferencing, such as inter-session contact and moving from videoconferencing to face-to-face meetings. The analysis of relational asymmetries also highlighted the relational dominance of the therapist. A series of these phenomena could be ascribed to the online modality; other ones are common in face-to-face sessions. The frequent request to integrate online sessions with face-to-face sessions might indicate that online psychotherapy is seen as a complement to face-to-face psychotherapy more than as a substitute for it.ConclusionsThe potential of online psychotherapy is still underestimated and further studies should be conducted on the specificities of the computer-mediated communication within the therapeutic relationship.
      PubDate: 2017-03-10T04:49:35.291231-05:
      DOI: 10.1111/cp.12117
  • Acceptance and Commitment Therapy delivered in a dyad after a severe
           traumatic brain injury: A feasibility study
    • Authors: Diane L. Whiting; Frank P. Deane, Grahame K. Simpson, Joseph Ciarrochi, Hamish J. Mcleod
      Abstract: ObjectiveThere is a high prevalence of complex psychological distress after a traumatic brain injury but limited evidence of effective interventions. We examined the feasibility of Acceptance and Commitment Therapy after a severe traumatic brain injury using the criteria, investigating a therapeutic effect, and reviewing the acceptability of measures, treatment protocol, and delivery method (in a dyad of two clients and a therapist).MethodTwo male outpatients with severe traumatic brain injury and associated psychological distress jointly engaged in a seven session treatment program based on Acceptance and Commitment Therapy principles. Pre- and post-treatment measures of mood, psychological flexibility, and participation were taken in addition to weekly measures.ResultsThe intervention showed a therapeutic effect with one participant, and appeared to be acceptable for both participants with regard to program content, measures, and delivery mode by in a dyad. One participant showed both significant clinical and reliable change across several outcome measures including measures of mood and psychological flexibility. The second participant did not show a reduction in psychological inflexibility, but did show a significant drop in negative affect. Significant changes pre- to post-treatment for measures of participation were not indicated. Qualitatively, both participants engaged in committed action set in accordance with their values.ConclusionsThis study suggests that Acceptance and Commitment Therapy may be feasible to be delivered in a dyad with individuals who have a severe traumatic brain injury. A further test of its potential efficacy in a phase II clinical trial is recommended.
      PubDate: 2017-03-07T23:36:30.070443-05:
      DOI: 10.1111/cp.12118
  • Substance-related and addictive disorders as mediators between borderline
           personality disorder and aggressive behavior
    • Authors: Francesca Martino; Marcantonio M. Spada, Marco Menchetti, Elena Lo Sterzo, Michele Sanza, Paola Tedesco, Cecilia Trevisani, Domenico Berardi
      Abstract: BackgroundImpulsivity is considered a core clinical feature in borderline personality disorder (BPD). Evidence also indicates that impulsivity is part of the biological vulnerability for BPD. The purpose of the study was to verify if the presence of substance-related and addictive disorders (SRADs) may increase impulsivity and aggression in BPD.MethodsEighty patients (27 with BPD, 26 with BPD and SRAD, 27 with other personality disorders (OPDs)) completed a comprehensive assessment for personality disorder symptoms, impulsivity, and aggressive behaviour.ResultsBPD patients with SRAD showed higher scores on impulsivity and aggression compared with other groups. Furthermore, no significant difference was observed between BPD and OPD patients on impulsivity and aggression.ConclusionThe presence of SRAD was found to be a mediator between BPD and impulsive and aggressive behaviour. The findings are discussed and directions for future research presented.
      PubDate: 2017-02-14T02:25:29.697969-05:
      DOI: 10.1111/cp.12115
  • Early maladaptive schemas in people with a fear of blushing
    • Authors: Peter D. Drummond; Sally J. Gatt
      Abstract: BackgroundAn extreme concern about blushing in front of others is associated with negative automatic thoughts about the social costs of blushing, but the beliefs that underlie these automatic thoughts are unknown.MethodsTo investigate this, 136 participants filled out questionnaires concerned with fear of blushing, social interaction anxiety, and early maladaptive schemas.ResultsFear of blushing was strongly associated with social interaction anxiety, emotional inhibition, and maladaptive schemas in the domain of disconnection and rejection. Specifically, a combination of emotional inhibition and social isolation and alienation was associated with fear of blushing, over and above other maladaptive schemas. Social interaction anxiety mediated the association between these maladaptive schemas and fear of blushing.ConclusionsBeliefs about feeling different from other people, and a strong need to hide private thoughts and feelings to avoid social disapproval, may be particularly important for triggering a fear of blushing. Thus, addressing these beliefs in schema-based therapy could be useful for managing this fear.
      PubDate: 2017-02-14T02:05:35.513902-05:
      DOI: 10.1111/cp.12114
  • Investigating the depression-anxiety link in clients receiving Integrative
    • Authors: Antigonos Sochos; Marina Kotonou
      Abstract: ObjectiveThe aim of this article was to investigate how anxiety and depression impact upon each other over the course of a counselling intervention.MethodA single-group repeated measures quasi-experimental design was employed. Data were collected at four time points: at pre-therapy assessment and at first, third, and last sessions. The sample consisted of 562 predominantly white British clients receiving Integrative Counselling at North Kent Mind, UK. Two measures were used: the Generalised Anxiety Disorder (GAD) Scale to measure anxiety and the Patient Health Questionnaire (PHQ) to measure depression.ResultsClients improved in both dimensions at every measurement point. Path analysis suggested that anxiety and depression remained interlinked throughout treatment but they presented different effect profiles. They both appeared to have a premature effect on the other, but they did so in different ways.ConclusionsThe therapeutic relationship may be a crucial factor in understanding the premature effect observed and future research should utilise direct measures of the relationship.
      PubDate: 2017-01-30T04:05:55.743835-05:
      DOI: 10.1111/cp.12113
  • Aboriginal and Torres Strait Islander health and wellbeing: Social
           emotional wellbeing and strengths-based psychology
    • Authors: Meegan Kilcullen; Anne Swinbourne, Yvonne Cadet-James
      Abstract: ObjectiveAddressing the continued health disparities between Australia's Indigenous and non-Indigenous peoples requires a multi-sector approach in which the discipline of psychology has a central role. These disparities are partially driven by a lack of culturally appropriate methods of health delivery. This study aimed to explore urban Aboriginal and Torres Strait Islanders’ perceptions of health and wellbeing through social emotional wellbeing and strengths-based frameworks.MethodsA qualitative study was conducted with 19 urban Australian Aboriginal and Torres Strait Islander people. Data was collected via individual semi-structured interviews and focus groups. Thematic analysis was conducted to identify strengths-based themes within the data.ResultsSeveral attributes and values emerged from participants’ understandings of enhancing mental health and wellbeing. These included acceptance, respect, forgiveness and integrity, honesty, courage, empathy, mindfulness, and spirituality.ConclusionsThere are similarities between the central tenets of the strengths- and values-based frameworks and a model of social emotional wellbeing. It is important to note that these attributes and values are understood at the individual, community, and cultural level. Each of these attributes and values are intricately linked to being mentally healthy and having strong cultural identity. These similarities may provide an avenue for shared cross-cultural understandings and knowledges of mental health and wellbeing that will support culturally appropriate service delivery.
      PubDate: 2017-01-28T00:10:40.921162-05:
      DOI: 10.1111/cp.12112
  • Issue Information - TOC
    • Pages: 1 - 1
      PubDate: 2017-03-06T00:30:46.581745-05:
      DOI: 10.1111/cp.12119
  • Reviewer Summary for Clinical Psychologist, 2016
    • Pages: 3 - 3
      PubDate: 2017-03-06T00:30:46.719167-05:
      DOI: 10.1111/cp.12116
  • A clinician's quick guide to evidence-based approaches: Bipolar disorder
    • Authors: Laura M. Smith; Greg Murray, Sheri L. Johnson
      Pages: 54 - 55
      PubDate: 2017-03-06T00:30:46.623457-05:
      DOI: 10.1111/cp.12121
  • Treatment adherence in adolescent psychiatric inpatients with severe
           disruptive behaviour
    • Authors: Sjoukje B. B. de Boer; Albert E. Boon, Anna M. de Haan, Robert vermeiren
      Abstract: ObjectiveTo examine pre-treatment characteristics associated with dropout in 224 adolescent psychiatric inpatients (mean age 17.1 years) with severe disruptive behaviour. To date, little is known about the factors predicting dropout among adolescents treated for severe disruptive behaviour. This is surprising, as dropout is a major problem in this specific group.MethodDropouts (n = 77) and completers (n = 147) were compared on known risk factors for dropout, such as severity of externalising problems and disorders, ethnic minority status, male gender, and lower academic functioning, as well as on other factors considered relevant: behavioural characteristics, including age of onset and different types of disruptive behaviour. Within dropout, withdrawal (termination against the advice of the therapist; n = 40) and pushout (termination against the wish of the client; n = 37) were distinguished.ResultsTwo characteristics significantly predicted dropout: early onset of disruptive behaviour and cannabis usage prior to treatment. Within the dropout group no differences were found between withdrawals and pushouts.ConclusionsPredicting dropout among adolescent psychiatric inpatients with severe disruptive behaviour is difficult. The two predictors found were already present at the time of admission and are therefore considered unalterable. However, they can be used to pinpoint individuals with higher chance at dropout, who in turn can be offered tailored interventions aimed at improving the therapeutic relationship.
      PubDate: 2016-12-21T04:50:23.334631-05:
      DOI: 10.1111/cp.12111
  • A feasibility study of group-based cognitive behaviour therapy for older
           adults in residential care
    • Authors: Katrina Anderson; Tushara Wickramariyaratne, Annaliese Blair
      Abstract: ObjectiveThis study examined the feasibility of providing older adults living in residential aged care with group-based cognitive behavioural therapy (CBT) for depression and anxiety.MethodEighteen participants with subclinical to mild anxiety and/or depression were divided equally into a treatment group and a control group, with treatment consisting of a manualised CBT program for older adults with depression and anxiety. The residents who participated in the group program provided an accurate representation of “real-world” residential aged care facilities (RACF) populations; many with comorbid physical problems, mild cognitive impairment and functional decline, and a mean age of almost 80 years.ResultsThe residents showed that not only could they successfully engage in psychotherapy, they were able to experience the benefits such as building their skills and resilience, receiving validation and emotional support from their fellow residents and fostering friendships and social networks. Encouragingly, the treatment group also showed fewer depressive symptoms post-treatment.ConclusionsGroup-based psychotherapy should continue to be explored as a strategy to promote good mental health in RACFs, with further studies focusing on the feasibility of recruiting and treating clinical populations in this setting.
      PubDate: 2016-12-15T05:11:01.824812-05:
      DOI: 10.1111/cp.12109
  • Evaluation of a brief community-based mindfulness intervention for people
           with multiple sclerosis: A pilot study
    • Authors: Elizabeth Spitzer; Kenneth I. Pakenham
      Abstract: ObjectiveMindfulness-based interventions can improve quality of life (QoL) in people with multiple sclerosis (PwMS); however, the potential benefits of brief mindfulness group programs delivered in community settings have not been investigated with this population. This pilot study evaluated a brief (five-session) community-based group mindfulness program for PwMS.MethodParticipants were 23 PwMS recruited through Multiple Sclerosis Queensland, Australia. The study had a single intervention condition with pre-intervention, post-intervention and eight-week follow-up assessments. Primary outcomes were QoL, psychological distress and fatigue, and secondary outcomes were mindfulness, self-compassion, and acceptance.ResultsAnalyses revealed improvements in psychological distress, perceived stress, the mental health QoL dimension, mindfulness, self-compassion, and acceptance. All participants agreed they would recommend the program to others with multiple sclerosis and most reported that the program was helpful and enjoyable. Qualitative data showed that participants gained in present moment awareness, coping skills, self-compassion, acceptance, support, and changed perspectives.ConclusionsResults suggest that brief mindfulness interventions may improve psychological wellbeing in PwMS; however, a longer intervention period or programs that incorporate mindful movement activities may be needed to bring about improvements in physical health QoL dimensions and fatigue.
      PubDate: 2016-11-17T00:23:18.592416-05:
      DOI: 10.1111/cp.12108
  • Factor structure and psychometric properties of the new multidimensional
           depression scale in a non-clinical sample
    • Authors: Mohammad Darharaj; Mojtaba Habibi, Michael J. Power, Sanaz Pirirani, Faezeh Tehrani
      Abstract: ObjectiveThe New Multidimensional Depression Scale (NMDS) is a recently developed scale that measures emotional, cognitive, somatic, and interpersonal symptoms of depression comprehensively. Therefore, the aim of this study was to explore factor structure and psychometric properties of the Persian version of the NMDS in a group of community participants.MethodA total of 559 Iranian university students and staff members (including 263 males and 296 females) aged 18–60 years were selected by convenience sampling to complete a battery of tests including the New Multidimensional Depression Scale, Beck Depression Inventory-II, Oxford Happiness Inventory, Beck Anxiety Inventory, and Short Form Health Survey.ResultsFactor analysis of the Persian version of the NMDS confirmed its original four-factor structure. Furthermore, the results indicated its satisfactory internal consistency (Cronbach's α ranging from .89 for the somatic subscale to .93 for the cognitive subscale). Additionally, significant positive correlations between the NMDS scores with anxiety and cognitive and somatic-affective symptoms of depression and the significant negative correlations between its scores with happiness, mental health, and physical health indicated convergent and divergent validity of the NMDS, respectively.ConclusionsThese results supported the reliability and validity of the Persian version of the NMDS for the assessment of depression symptoms in non-clinical groups.
      PubDate: 2016-10-26T03:46:56.06856-05:0
      DOI: 10.1111/cp.12106
  • The specificity of the biosocial model to borderline traits
    • Authors: Duncan Gill; Wayne Warburton, Ken Beath
      Abstract: BackgroundA number of theories have been proposed to account for the development of borderline personality disorder (BPD). The biosocial model considers emotional dysregulation to be central to the disorder, caused in turn by an emotionally vulnerable child being raised in an invalidating environment. This aetiological model is potentially too broad, as many of these constructs may be equally important to other mental health conditions, making the model non-specific to BPD.MethodWe sought to contrast the explanatory value of the constructs identified by the biosocial model of BPD to an alternate form of psychopathology (chronic worry), using a nonclinical sample (N = 271), via the completion of self-report questionnaires.ResultsChildhood emotional vulnerability had a similar relationship to chronic worry as to borderline traits, with emotional dysregulation playing an important role in both disorders. Contrary to the biosocial model′s predictions, the interaction effects between the childhood antecedents were not found to play an important role in either psychopathology.ConclusionThe lack of an interaction effect between invalidating parenting and emotional vulnerability suggests that this aspect of the biosocial model may not be a strong predictor of BPD. Key elements of the biosocial model may have utility as more generic predictors of psychopathology.
      PubDate: 2016-10-12T23:46:20.216157-05:
      DOI: 10.1111/cp.12104
  • Suicidal women may risk their lives but not their social relationships
    • Authors: Ashleigh J Pasculli; Keith M Harris
      Abstract: ObjectiveRisk-taking is an important but understudied suicidal factor, particularly concerning women. This study examined a broad range of risk behaviours and perceptions that might aid the early detection of suicidality by clinicians and gatekeepers.MethodA purposive anonymous online survey, preferable for collecting data on stigmatised issues, produced a sample of 273 Australian/New Zealand women (aged 18–67 years) covering a broad spectrum of suicidal factors and risk-taking behaviours. Participants completed items on risk-taking perceptions and behavioural willingness, and the Suicidal Affect-Behavior-Cognition Scale. Demographic factors were controlled for in partial correlations and hierarchical regression modelling, which tested the validity of risk-taking variables as predictors of suicidality.ResultsSuicidality was positively associated with willingness to engage in infidelity, not wearing seatbelts or motorcycle helmets, and negatively associated with interpersonal risk-taking (unwillingness to endanger social relationships). Hierarchical regression modelling revealed these risk-taking perceptions and behaviours explained 34% of the variance in women's suicidality, after accounting for age and ethnicity.ConclusionsThis study demonstrated that some types of commonplace risk-taking, or avoidance, may serve as important indicators or warning signs for suicidal crises in women. Clinicians should consider possible underlying psychological distress when encountering these symptoms and behaviours.
      PubDate: 2016-09-09T03:45:21.079741-05:
      DOI: 10.1111/cp.12103
  • Accelerated outpatient individual cognitive-behaviour therapy for panic
           disorder: A case study
    • Authors: Bethany M. Wootton; Amy MacGregor
      Abstract: ObjectivePanic disorder (PD) is a common mental health condition which causes substantial disability. It is well known that cognitive-behavioural therapy (CBT) is an effective treatment for PD and this treatment is generally provided in 8–14 weekly sessions. A small number of preliminary studies have now investigated the efficacy of accelerated or intensive CBT in the treatment of PD and have found promising results. However, many of these existing treatment formats do not allow for optimal learning, since sessions are administered daily which does not allow time for the client to practice the skills between sessions.MethodThe aim of this study was to investigate the feasibility of an accelerated CBT (aCBT) approach where treatment was provided three times per week (90-min sessions) over a two-week period (six sessions in total) using a case study design. The participant completed a structured diagnostic interview to confirm diagnosis and outcome measures were administered at baseline, post-treatment, and three-month follow-up.ResultsThe results indicated that the participant significantly reduced symptoms of PD over a two-week period and no longer met diagnostic criteria for PD at three-month follow-up. Importantly, the participant also found the treatment format to be highly acceptable.ConclusionsThe results demonstrate the preliminary acceptability and efficacy of this aCBT approach in the treatment of PD.
      PubDate: 2016-08-05T06:34:30.146998-05:
      DOI: 10.1111/cp.12100
  • The impact of technology on therapeutic alliance and engagement in
           psychotherapy: The therapist's perspective
    • Authors: Penelope Richards; Susan Simpson, Tarun Bastiampillai, Giada Pietrabissa, Gianluca Castelnuovo
      Abstract: ObjectiveIn this article, we investigate therapist views on their experiences using a technological adjunct (goACT) to traditional, face-to-face psychotherapy. goACT is a web-based mobile interactive software application that facilitates an interactive platform, allowing therapists to connect with their clients between face-to-face psychotherapy sessions.MethodParticipants were six provisional psychologists and seven patients. Data were collected at two post-therapy focus groups in order to qualitatively understand therapist experience of goACT as a therapy adjunct. Data were analysed utilising thematic analysis.ResultsFour main themes emerged: (1) “discretional use of goACT” linked to therapist preferences and client suitability; (2) “therapist concerns” linked to boundaries, workload, technological glitches, and therapeutic risks; (3) “goACT expands the parameters of therapy” through increased opportunities to provide care and connection with patients and increased access to the process of therapy; and (4) “goACT enhances therapy” through reciprocal responsibility and guided empowerment. Therapists in this study were more open to the use of technology in therapy than has been reported in previous research and did not find that it affected their workload.ConclusionTherapists indicated that when aligned to the specific needs of individual patients, an advanced mobile and web-based interactive software application (goACT) has the potential to enhance engagement, rapport, and patient empowerment in face-to-face psychotherapy.
      PubDate: 2016-08-05T06:31:44.201705-05:
      DOI: 10.1111/cp.12102
  • Diagnosis and dialogue in acute child and adolescent mental health care
    • Authors: Aidan Kelly; Paul Rhodes, Chloe MacDonald, Kristof Mikes-Liu
      Abstract: ObjectiveDebate concerning the diagnosis of mental health problems has accelerated since the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Despite this, little is known about how multi-disciplinary teams work together in the face of differing views.MethodConstructionist thematic analysis was used to analyse data from semi-structured interviews conducted with 20 mental health clinicians based at three acute child and adolescent mental health care units. Case discussions in team meetings were also observed.ResultsViews regarding diagnosis were largely a function of the role of team members and stratified according to hands-on involvement with young people. Nurses saw it as the least relevant to their practice, clinical psychologists and other allied health professionals were the most critical, and psychiatrists were the most pragmatic about the benefits. Despite these differences, and with a few exceptions, team unity was possible through dialogue regarding formulation.ConclusionDespite academic debates regarding diagnosis, professionals in acute mental health settings can work together effectively if united by psychological formulations.
      PubDate: 2016-07-27T23:55:24.100342-05:
      DOI: 10.1111/cp.12101
  • Improving accessibility of cognitive behavioural therapy for children and
           adolescents: Review of evidence and future directions
    • Authors: Marthinus J. Bekker; Kathleen M. Griffiths, Paula M. Barrett
      Abstract: BackgroundDespite great progress in Cognitive Behavioural Therapies (CBTs) for children and adolescents over the last two decades, as many as four out of five young people who could benefit from therapy are not accessing it. The demand on available services, the stigma of mental health difficulties, costs and time demands of treatment, and geographic isolation are some of the many barriers to effective treatments.MethodThe aim of this narrative review is to explore the literature on alternative formats of delivery that have the potential to reach more young people by lessening the barriers to access. Group delivery, intensive and brief formats, electronic and remote formats, and preventive approaches are considered with relevant literature in each area explored.ResultsThere is a substantial body of evidence, including some large-scale controlled trials, to support the group delivery of CBTs for children and adolescents. Preventive approaches also show great promise with some positive results from controlled trials. Intensive and brief delivery formats are emerging as an area of promise but to date they have not been the subject of large-scale controlled trials. Similarly, there is emerging evidence of the effectiveness of electronic CBT formats. Although each of these areas has been progressing, no direct comparison between these alternative approaches were found.ConclusionsAlthough evidence is developing for alternative formats of delivery that can be effective as well as reducing the barriers to accessing them, there remains a relative paucity of large-scale and controlled studies except those involving standard delivery formats. Further research validating alterative formats, their relative effectiveness and their impact on reach is necessary.
      PubDate: 2016-06-23T05:35:23.412628-05:
      DOI: 10.1111/cp.12099
  • Familial factors relating to alexithymic traits in adolescents with
           psychiatric disorders
    • Authors: Michela Gatta; Laura Balottin, Stefania Mannarini, Giulia Chesani, Lara Del Col, Andrea Spoto, Pier Antonio Battistella
      Abstract: ObjectiveFew studies have explored alexithymia at the family level. Nevertheless since family interactions have a crucial role in supporting the adolescents'development, the relationship between the emotional functioning of adolescents with psychiatric disorders and that of their parents is an interesting field to explore. Having established that a close relationship exists between adolescents'alexithymia and psychiatric symptoms, the present study aims to explore the link between alexithymic traits in parents and in their children, and between alexithymia and parental bonding perceived.MethodThe sample included 143 participants: adolescents with an ICD-10 psychiatric diagnosis (13–18 years), referred to a Childhood, Adolescence and Family Unit, and their parents. They were all assessed for alexithymia (Toronto Alexithymia Scale) and parental bonding perceived (Parental Bonding Instrument), while adolescents’ psychiatric symptoms were measured using different scales (Youth Self Report and Symptom Checklist-90-R).ResultsIn conjunction with an alexithymic collusion within the parental couple, parents’ emotional impairments predicted analogous problems in offspring. An intergenerational transmission of alexithymia emerges not only from mother to child but also from father to child. Moreover, the adolescents'emotional awareness was affected by the perception of their mothers’ and fathers’ parenting styles. Parents’ alexithymic traits, combined with children's perception of a neglectful parenting style, appear to be linked with emotional difficulties and therefore with a higher risk of psychological disorders in offspring.ConclusionsStudies focused on the intergenerational transmission of alexithymia and on the family emotional functioning will contribute to design more focused and acceptable treatments for adolescents and for families as well.
      PubDate: 2016-06-20T01:40:34.852139-05:
      DOI: 10.1111/cp.12098
  • A conceptual model of psychosocial adjustment of foster care adoptees
           based on a scoping review of contributing factors
    • Authors: Andrea del Pozo de Bolger; Debra Dunstan, Melissa Kaltner
      Abstract: Amendments to the child protection legislation in New South Wales (NSW), enacted in October 2014, prioritise adoption over foster care for children who cannot live safely with their families. Therefore, psychologists could have an increasing role in conducting assessments and interventions in this field. The purpose of this article is to provide psychologists and adoption researchers with a conceptual model for the psychosocial adjustment of foster care adoptees with a background of maltreatment. A scoping review of the literature on contributors to outcomes for children adopted from care was conducted. A model of adjustment was proposed in which the relationship between risk factors and adjustment is moderated by both adoptive family factors and relationship factors, and indirectly impacted by system supports. Finally, we name some of the psychological assessments and interventions that may have a key role in enhancing the adoptive family resources and parent–child relationships as moderators of outcomes.
      PubDate: 2016-05-28T02:10:26.291642-05:
      DOI: 10.1111/cp.12090
  • Clinical competencies and training needs of psychologists working with
           adults with intellectual disability and comorbid mental ill health
    • Authors: Joyce Man; Maria Kangas, Julian Trollor, Naomi Sweller
      Abstract: ObjectivesPsychologists play a pivotal role in meeting the mental health needs of people with intellectual disabilities. The aim of this study was to investigate the perceptions of Australian psychologists who work with adults with intellectual disabilities and mental ill health regarding their clinical competencies, workplace supports and training needs.MethodOne hundred and nine psychologists in Australia completed a self-report online survey exploring clinical attitudes and practices when working with adults with intellectual disabilities and mental ill health. Provisional, generalist and clinical psychologists from a range of disability and non-disability work settings were recruited.ResultsFindings revealed that provisional, generalist and clinical psychologists reported no significant differences in levels of agreement on self-perceived clinical competencies in conducting mental health assessments. Psychologists in private practice and in non-government organisations reported more adequate workplace resources to support mental health assessments for people with intellectual disabilities than did psychologists in government settings. Psychologists across work settings expressed similar views in self-perceived clinical competencies and workplace training supports. The majority of psychologists reported limited formal academic training in intellectual disabilities and expressed a need for continual and specialised training in mental health and intellectual disabilities.ConclusionsImplications for further training in mental health and intellectual disabilities highlight the need to cater to the specific needs of psychologists in the field.
      PubDate: 2016-04-28T03:52:18.445014-05:
      DOI: 10.1111/cp.12092
  • Predictors and moderators of outcomes and readmission for adolescent
           inpatients with anorexia nervosa: A pilot study
    • Authors: Eva Vall; Tracey D. Wade
      Abstract: ObjectiveThis pilot study investigated predictors, moderators, and mediators of outcome and readmission in adolescents receiving specialist inpatient treatment for anorexia nervosa.MethodAdolescents (n = 40) aged between 14 and 17 years (mean = 15.42) were assessed at admission and discharge from a specialist inpatient programme and again at three-month follow-up on the following outcome variables: eating disorder pathology, quality of life (QOL), and body mass index (BMI) centile. Readmissions to hospital were recorded over the three months post-discharge period. Potential predictors were drawn from theoretical models.ResultsReadmission during the three-month follow-up period was less likely for first presentations. Higher baseline purging, concern over mistakes, perfectionism, ineffectiveness, and mood intolerance were associated with higher levels of eating disorder pathology and poorer QOL over all points of follow-up. Driven exercise moderated weight outcomes such that higher levels of baseline exercise resulted in a lower BMI centile at follow-up. Greater weight gain during treatment predicted higher BMI centile at follow-up, and increased perfectionism during treatment predicted a greater likelihood of being readmitted within three months of discharge.ConclusionsWeight gain during inpatient treatment should be encouraged to improve later weight outcomes. Focusing on the prevention of growth in perfectionism may be useful in improving psychological outcomes as will prioritising the elimination of purging and improved emotional regulation and self-efficacy. Efforts should be made to reduce driven exercise to promote better weight-related outcomes.
      PubDate: 2016-04-15T04:11:18.183711-05:
      DOI: 10.1111/cp.12091
  • Personal agency in women's recovery from depression: The impact of
           antidepressants and women's personal efforts
    • Authors: Claire Cartwright; Kerry Gibson, John Read
      Abstract: BackgroundWomen are twice as likely to experience depression and use antidepressants as men. Personal agency protects against depression; however, social factors contribute to lower levels of agency in women.AimsThis study examines women's experiences of using antidepressant treatment along with the other activities and practices they engage in to support their recovery from depression. It aims to understand how these experiences promote or diminish women's sense of agency in regard to their recovery.MethodFifty women took part in telephone interviews focusing on experiences of antidepressants as well as personal efforts to recover. A thematic analysis examined the agency-promoting and agency-diminishing experiences of using antidepressant treatment and engaging in other activities.ResultsAntidepressants promoted agency when they gave women relief from depressive symptoms, allowing women to become more proactive in recovery. Women engaged in a range of activities they believed assisted recovery and hence enhanced agency. These included exercise, gaining social support, and engaging in therapy. Some, however, had shifted to long-term antidepressant use. Failed attempts to discontinue due to severe withdrawal symptoms, fear of a relapse, and the biochemical model of depression created a sense of dependence on antidepressants and thereby diminished personal agency in relation to recovery.ConclusionsAntidepressants can support women to become agential in their recovery. However, long-term use signifies greater dependency on antidepressants, and personal agency is seen as insufficient. The fear of withdrawal symptoms and the biochemical model undermine women's sense of personal agency in relation to recovery.
      PubDate: 2016-04-15T04:10:59.001438-05:
      DOI: 10.1111/cp.12093
  • Characteristics of non-suicidal self-injury in women accessing internet
           help sites
    • Authors: Emma B. Black; Helen Mildred
      Abstract: BackgroundThis article aimed to examine and compare the frequency of occurrence of a broad range of non-suicidal self-injury (NSSI) behaviours in an international sample of women.MethodsFemale participants with NSSI (n = 464) were recruited via a range of websites and completed a questionnaire examining 17 different types of NSSI types and their frequency, severity, and duration.ResultsPrevalent acts were cutting, scratching, and word carving; cutting and scratching occurred frequently, whilst word carving most often occurred as a single episode. Analyses revealed significant differences between Australian and U.S. participants, with U.S. participants having significantly higher rates of cutting, wound interference, carving, scratching, and sharp object sticking. Participants also reported on other self-harm methods not assessed by the questionnaire.ConclusionsWord carving may be qualitatively different from other forms of NSSI. More severe NSSI methods (e.g., bone breaking) are less prevalent than less dangerous methods (e.g., scratching). Participants considered a range of indirectly harmful or suicidal behaviours as self-injury contrary to researcher or clinician understanding. Finally, there may be cultural differences in relation to NSSI between countries where such behaviours are common, although further research is required to determine this.
      PubDate: 2016-04-15T04:10:37.836909-05:
      DOI: 10.1111/cp.12094
  • Early maladaptive schema, social functioning and distress in psychosis: A
           preliminary investigation
    • Authors: Christopher D.J. Taylor; Sean F. Harper
      Abstract: BackgroundCognitive models of psychosis suggest that negative schema confer vulnerability to and maintain psychotic symptoms. However, few studies have investigated schema among individuals with psychotic symptoms, and research has yet to investigate associations between early maladaptive schema and social functioning and distress. The current preliminary study aimed to investigate these issues.MethodsA cross-sectional design was utilised. Participants with experience of psychosis (n = 20) completed questionnaires measuring early maladaptive schema, social functioning, and global distress.ResultsSocial functioning was significantly associated with two schema: dependency and enmeshment. Eight schema were significantly associated with distress. However, a cross-sectional design and small sample size limit the generalisability of the results.ConclusionsThese results suggest that early maladaptive schema may have an important role in psychosis, and could be considered as part of psychological therapies that seek to enhance social functioning and reduce distress.
      PubDate: 2015-12-10T20:44:06.673512-05:
      DOI: 10.1111/cp.12082
  • A preliminary analysis of a competence assessment tool for postgraduate
           training programmes in clinical and forensic psychology
    • Authors: Leanne Humphreys; Rocco Crino, Ian Wilson, Timothy Hannan
      Abstract: BackgroundThe extent to which clinical competency development is assessed throughout postgraduate training programmes in professional psychology in Australian universities is variable, with significant differences in assessment philosophies and methodologies across academic institutions, and between clinical and field supervisors. Few competency assessment tools exist, and those that do have demonstrated limited psychometric support to date. This study reports the results of a preliminary analysis of a competence assessment tool developed for use within cognitive-behaviourally oriented postgraduate training programmes of clinical and forensic psychology.MethodsA working party of academics identified core competencies being taught within the programmes and articulated behavioural descriptions of each competency, graded across skill levels. Participants (n = 43) were students enrolled in postgraduate training programmes of clinical and forensic psychology participating in a 1 day per week, year-long placement within a university-based psychology clinic. Students were assessed utilising the competence assessment tool at a point midway through their placement and again at the conclusion of the placement.ResultPreliminary analyses demonstrated that the Clinical Skills Assessment Tool is a psychometrically sound assessment instrument.ConclusionThe development of a clinical competence assessment tool for use within postgraduate training programmes of clinical and forensic psychology supports the assertion that such programmes enhance the competencies they are designed to develop.
      PubDate: 2015-10-22T04:37:30.439915-05:
      DOI: 10.1111/cp.12080
  • “It has taken me a long time to get to this point of quiet
           confidence”: What contributes to therapeutic confidence for clinical
    • Authors: Aisling McMahon; David Hevey
      Abstract: BackgroundWithin clinical psychology, there is a broad training and range of practice. However, most clinical psychologists practice psychotherapy and this study explored what relates to confidence in therapeutic practice.MethodAn online survey was distributed to Irish psychologists. Three-quarters of the survey participants constituted 46% of the total population of Irish health service psychologists, the remainder working in various non-health service settings. Clinical psychologists practising psychotherapy were the focus of this study (N = 170).ResultsPsychotherapy practice was a dominant activity for nearly all clinical psychologists but only 13% believed that their psychology training fully equipped them to practice psychotherapy and nearly one-half felt limited confidence for therapeutic work. More confident clinical psychologists were more satisfied with the psychotherapy knowledge and skills gained during clinical psychology training, more satisfied with their supervisory support, had spent longer in personal therapy, and had more years of experience.ConclusionsPerceived quality of psychotherapy training during clinical psychology training provides an essential foundation for therapeutic confidence. Ongoing access to satisfying supervision in post-qualification practice also supports confident therapeutic work. In addition, the significance of substantial experience of personal therapy for confidence points to its inclusion as a valuable part of clinical psychology training.
      PubDate: 2015-09-15T22:24:04.413337-05:
      DOI: 10.1111/cp.12077
  • Longitudinal associations between fathers' mental health and the quality
           of their coparenting relationships
    • Authors: Rhys Price-Robertson; Jennifer Baxter, Stephanie Mathews
      Abstract: BackgroundAlthough the body of research on fathers' mental health is growing, very few studies have explored the relationship between paternal mental health and coparenting. Coparenting is a construct that links different family subsystems, and refers to the ways in which parental figures relate to one another in their roles as parents.MethodsThis study used data from 4,933 families to explore the relationship between co-resident fathers' mental health and the quality of their coparenting relationships, based on a limited set of coparenting items but utilising both fathers' and mothers' reports from three waves of the nationally representative Longitudinal Study of Australian Children.ResultsResults indicated an association between fathers' mental health and the quality of their coparenting relationships, after controlling for variables such as parental relationship happiness, father involvement, and maternal mental health. Fathers who reported mild or serious psychological distress were more likely to report lower quality coparenting relationships. Furthermore, fathers' and mothers' reports of the coparental relationship were broadly comparable, indicating that the association between fathers' mental health and coparenting quality could not be attributed entirely to the negative effect of mental distress on fathers' appraisals of their own coparenting.ConclusionsThese findings suggest that it may be advantageous to develop clinical interventions that focus specifically on engendering coparenting skills in families where the father has mental health concerns.
      PubDate: 2015-07-07T23:28:43.394193-05:
      DOI: 10.1111/cp.12072
  • Positive psychological correlates of successful weight maintenance in
    • Authors: Sharon Robertson; Matthew Davies, Helen Winefield
      Abstract: BackgroundWeight loss maintenance is a complex and an enduring problem. A substantial amount of research and subsequent treatments have been based on behavioural and medical interventions with limited success. Much less is known regarding reliable psychological predictors of successful weight maintenance, especially those related to the field of positive psychology that aims to improve health and happiness. This cross-sectional study is among the first to explore the positive psychological differences between successful maintainers (defined as losing 10% body weight and maintaining this for at least 12 months) and non-maintainers in a non-clinical Australian population.MethodParticipants were 250 Australian residents, aged between 18 and 65 years, who had attempted to lose weight over the last 12 months. An online survey method recorded satisfaction with life, positive and negative affect, gratitude, flourishing, strengths, and hope.ResultsResults suggest there are significant differences in some positive psychological variables between successful maintainers and non-maintainers in this population. Maintainers reported significant differences in frequency of positive mood and the agentic thinking component of hope, both correlates of psychological health. In addition, maintainers engaged in more frequent diet, exercise, and self-weighing behaviours in comparison with non-maintainers.ConclusionsGiven the lack of success regarding weight maintenance in general, it may be important to recognise that in addition to the 10% weight loss recommended for better physical health, the addition of specific behavioural and positive psychological variables to existing treatment protocols may improve mood and motivation, in the service of encouraging more effective weight maintenance behaviour.
      PubDate: 2015-07-07T23:26:50.08305-05:0
      DOI: 10.1111/cp.12073
  • From eating identity to authentic selfhood: Identity transformation in
           eating disorder sufferers following psychotherapy
    • Authors: Claudia Cruzat-Mandich; Fernanda Díaz-Castrillón, Tatiana Escobar-Koch, Susan Simpson
      Abstract: BackgroundThe following article illustrates the development of the identity configuration process of Chilean female patients with an eating disorder (ED) following successful psychotherapeutic treatment.MethodThis was a qualitative, descriptive study, which explored patients' subjective perspectives. In-depth interviews were conducted with 20 female patients, and data were analysed according to procedures established by the Grounded Theory method.ResultsFour dimensions of identity were identified: (1) self-image as idealised versus imperfect; (2) knowledge of one's inner world; (3) impulse control; and (4) life goals. Transcending these themes was the central notion of identity and a shift in this identity from someone who defines themselves by their eating disorder toward a more authentic and complex sense of self.ConclusionResults suggest that successful treatment facilitates the construction of an authentic identity, which includes developing a more realistic and complex understanding of themselves and their emotional and physical needs.
      PubDate: 2015-04-28T03:19:47.053834-05:
      DOI: 10.1111/cp.12067
  • Paranoia in the general population: A revised version of the General
           Paranoia Scale for adults
    • Authors: Célia Barreto Carvalho; Marina Sousa, Carolina Motta, José Pinto-Gouveia, Suzana Nunes Caldeira, Ermelindo Bernardo Peixoto, Joana Cabral, Allan Fenigstein
      Abstract: BackgroundParanoid ideation has been regarded as a cognitive and a social process used as a defence against perceived threats. According to this perspective, paranoid ideation can be understood as a process extending across the normal–pathological continuum.MethodsIn order to refine the construct of paranoid ideation and to validate a measure of paranoia, 906 Portuguese participants from the general population and 91 patients were administered the General Paranoia Scale (GPS), and two conceptual models (one- and tridimensional) were compared through confirmatory factor analysis (CFA).ResultsResults from the CFA of the GPS confirmed a different model than the one-dimensional model proposed by Fenigstein and Vanable, which comprised three dimensions (mistrust thoughts, persecutory ideas, and self-deprecation). This alternative model presented a better fit and increased sensitivity when compared with the one-dimensional model. Further data analysis of the scale revealed that the GPS is an adequate assessment tool for adults, with good psychometric characteristics and high internal consistency.ConclusionThe model proposed in the current work leads to further refinements and enrichment of the construct of paranoia in different populations, allowing the assessment of three dimensions of paranoia and the risk of clinical paranoia in a single measure for the general population.
      PubDate: 2015-04-01T21:46:37.276864-05:
      DOI: 10.1111/cp.12065
  • The role of personality and coping in adjustment disorder
    • Authors: Beatriz Vallejo-Sánchez; Ana M. Pérez-García
      Abstract: BackgroundNumerous studies have found that both personality and the coping strategies used in response to stress play important roles in the development of mental health problems, particularly adjustment disorder (AD), which is characterised by the onset of different emotional symptoms or behaviour in response to an identifiable stressor.MethodsThe aim of this study was to analyse the differences between 80 outpatients (68% female, average age 36) diagnosed with AD at a mental health unit and 80 controls (48% female, average age 39; people subjected to similar stress but with no psychopathology) with regard to personality, coping, and certain socio-demographic variables.ResultsPatients presented less extraversion and a considerably greater neuroticism than the control group. They employed disengagement strategies to a greater extent and humour strategies less frequently than the control group.ConclusionsThe results contribute to clarify a controversial diagnostic category that has been the subject of very little research. They also provide guidelines for intervention.
      PubDate: 2015-03-11T21:28:39.279428-05:
      DOI: 10.1111/cp.12064
  • Competency-based training and assessment in Australian postgraduate
           clinical psychology education
    • Authors: Bruce Stevens; Judy Hyde, Roslyn Knight, Alice Shires, Rebecca Alexander
      Abstract: BackgroundCompetency-based training and assessment is considered the best practice internationally in postgraduate clinical psychology education. In Australia, there are still some ways to go as programmes begin to integrate competency-based pedagogical models into clinical training and assessment. Further understanding of the strengths and challenges of these models will be useful to educators interested in developing a competency-based approach.MethodsA structured literature review was carried out using the databases PsychInfo, PubMed, and PsychArticles. Keywords were: competency, and “training” or “assessment” or “model” or “clinical” or “psychology” or “medicine” or “allied health.” Articles had to be written in the English language and published in peer-reviewed journals. Relevant book chapters and web references from professional accreditation bodies were also assessed for inclusion. A total of 54 references were utilised in the review.ResultsThe review supports the relevance of competency-based learning and teaching. It draws on seminal benchmarking work from the international literature and considers the strengths and limitations of competency-based approaches to clinical health training and assessment. The review provides support for the ongoing progression towards competency-based training models in Australian postgraduate clinical psychology.ConclusionsCompetency-based training and assessment methods offer educators sophisticated mechanisms for ensuring that clinical psychology graduates are prepared to meet the demands of professional practice and public accountability. Further efforts at integrating competency-based training models into Australian postgraduate curriculum, and associated research into the outcomes, are necessary to ensure a pedagogical culture of best practice in this country.
      PubDate: 2015-03-11T21:28:29.795872-05:
      DOI: 10.1111/cp.12061
  • Training in acceptance and commitment therapy fosters self-care in
           clinical psychology trainees
    • Authors: Kenneth I. Pakenham
      Abstract: BackgroundDespite the need for training in self-care for clinical psychology trainees (CPTs), research is limited, with little progress in the evaluation of effective approaches for teaching self-care. This study investigated the effects on self-care in CPTs of an acceptance and commitment therapy (ACT) university course with an explicit focus on self-care skills in addition to ACT competencies.MethodsFifty-seven CPTs completed a questionnaire to evaluate the self-care course components (2011 to 2013), and a subsample of 22 CPTs completed measures of self-care self-efficacy, and the importance of self-care training at the beginning and end of the course.ResultsAll CPTs found the course helpful in fostering self-care, and 73.7% reported one or more behavioural self-care changes. Most frequently reported self-care changes and helpful course components were related to the six ACT therapeutic processes. Pairwise t-tests showed that self-care self-efficacy significantly increased from the beginning to the end of the course and that student views on the importance of self-care training remained stable over the course duration.ConclusionsFindings support the interweaving of training in psychotherapy competencies and self-care skills via a self-as-laboratory approach within an ACT framework.
      PubDate: 2015-02-15T23:03:31.937723-05:
      DOI: 10.1111/cp.12062
  • Maternal perinatal anxiety: A review of prevalence and correlates
    • Authors: Liana S. Leach; Carmel Poyser, Kate Fairweather-Schmidt
      Pages: 4 - 19
      Abstract: BackgroundA growing body of research has examined maternal anxiety symptoms and disorders during the perinatal period. This systematic review provides an update of the literature reporting on the prevalence and risk factors for maternal perinatal anxiety.MethodsThree databases (PubMed, PsycInfo and Web of Science) were searched to identify articles focused on the prevalence and risk factors for maternal perinatal anxiety published between 2006 and 2014. Initially, 1416 unique papers were identified, and 98 papers met the inclusion criteria for the review.ResultsMaternal perinatal anxiety is common. The number of studies reporting prevalence estimates for perinatal anxiety disorders has grown; however, there is wide variation in reported estimates (2.6–39% for “any anxiety disorder”). Prominent risk factors identified included socio-economic disadvantage, history of poor mental health, adverse circumstances around the pregnancy and birth, and poor quality partner relationships. Complexities in reviewing this literature include significant heterogeneity in study methodology.ConclusionsThere is a substantial evidence-based reporting prevalence estimates and identifying the key risk factors for maternal anxiety during the perinatal period. However, there is further need to synthesise the available literature in a meaningful way in order to translate findings into useful screening tools and intervention programs.
      PubDate: 2015-03-04T03:46:34.729878-05:
      DOI: 10.1111/cp.12058
  • A systematic review and meta-analysis of behaviourally based psychological
           interventions and pharmacological interventions for trichotillomania
    • Authors: Reneta Slikboer; Maja Nedeljkovic, Steven J. Bowe, Richard Moulding
      Pages: 20 - 32
      Abstract: BackgroundTrichotillomania (hair-pulling disorder) is a debilitating and distressing disorder associated with great secrecy and shame. A lack of understanding regarding interventions for Trichotillomania contributes to poor routine outcomes for the disorder.MethodThis systematic review and meta-analysis assessed the efficacy of behaviourally based psychological interventions and pharmacological interventions for trichotillomania compared to a range of control groups. Participants were adults who have been diagnosed with trichotillomania. A systematic search was conducted of the Cochrane library, EBSCOhost, MEDLINE before 1966, and Google Scholar for relevant randomised controlled trials.ResultsOf the total 462 records identified, 12 studies were included in the quantitative synthesis, and nine studies were included in meta-analyses.ConclusionsAnalyses revealed that—from medication approaches—fluoxetine was not found to be efficacious. However, N-acetyl cysteine, clomipramine, and olanzapine showed potential for the treatment of trichotillomania. Regarding psychotherapy, behaviour therapy showed superior efficacy when compared to a passive control group. However, when behaviour therapy was compared to an active control group (progressive muscle relaxation, supportive therapy), both conditions showed similar efficacy in treating trichotillomania. It was concluded that the psychological mechanisms in trichotillomania may be more complex than the behavioural model indicates. Implications and limitations are discussed.
      PubDate: 2015-07-21T03:59:47.94889-05:0
      DOI: 10.1111/cp.12074
  • The effectiveness of an outpatient Acceptance and Commitment Therapy Group
           programme for a transdiagnostic population
    • Authors: Richelle Anne Pinto; Mandy Kienhuis, Monique Slevison, Andrea Chester, Annie Sloss, Keong Yap
      Pages: 33 - 43
      Abstract: BackgroundAlthough a growing number of studies have demonstrated the efficacy of Acceptance and Commitment Therapy (ACT) for the treatment of psychological disorders, the effectiveness of transdiagnostic group ACT programmes in an applied clinical setting requires further evaluation.MethodsThe current study examined the effectiveness of a 10-week ACT transdiagnostic group programme delivered in a private psychiatric hospital. Pre- and post-treatment outcomes were measured in 55 adults presenting with various psychiatric diagnoses. Treatment processes were also analysed.ResultsAt post-intervention, participants demonstrated significantly greater valued living, cognitive defusion, and acceptance. No significant differences were evident in participants' mindfulness. Significant improvements were also evident on depression, anxiety, stress, functional disability, satisfaction with life, and personal well-being. Reliable change indices were also calculated and revealed reliable improvements in a range of outcomes for 27% to 46% of participants. Participant attendance rates, clinician adherence to the manualised ACT content, and patient satisfaction were all high.ConclusionsCollectively, results provided support for the effectiveness of ACT in increasing psychological flexibility and improving psychological symptoms in a transdiagnostic population. However, the current study also showed that many patients did not respond to the intervention and further research is recommended to ascertain predictors of treatment response.
      PubDate: 2015-02-12T21:22:27.202055-05:
      DOI: 10.1111/cp.12057
  • How can a donkey fly on the plane? The benefits and limits of animal
           therapy with refugees
    • Authors: Danielle Every; Kayleigh Smith, Bradley Smith, Joshua Trigg, Kirrilly Thompson
      Pages: 44 - 53
      Abstract: BackgroundHumanitarian migrants experience higher rates of mental illness than the resident population, limiting their social and economic opportunities and contributions. Effective interventions are thus critical to improve the settlement outcomes. Many therapists employ narrative and expressive therapies because of their holistic approach to both trauma and psychosocial stressors, and their benefits for working with people with limited English literacy. A potential non-language-based intervention that has been effective with other groups, but which has not yet been evaluated in relation to refugees, is animal-assisted therapy. Animal therapy has been shown to reduce social isolation, increase well-being and reduce the symptoms of anxiety and depression in general and clinical populations. However, there is a need to understand if and how these benefits apply to refugees.MethodsWe used open-ended questions presented in an online survey for Australian therapeutic and support practitioners working with refugees.ResultsWe found that interactions with animals in school and community settings have positive outcomes for increasing social interaction, building trust, and reducing difficult behaviours, especially with children. Some clients are more timid around animals, and some express specific cultural concerns about the type of animal. Practitioners recommended that clients are approached individually about their views on animals prior to including animals in therapy or community activities. They also recommend avoiding assumptions about particular cultures and animals, as these are not universal.ConclusionsCulturally appropriate animal therapy may thus be a complementary therapy that improves the therapeutic relationship, overall well-being, and settlement outcomes, especially with refugee children.
      PubDate: 2015-07-07T23:28:27.852906-05:
      DOI: 10.1111/cp.12071
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