Journal Cover
Journal of Consulting and Clinical Psychology
Journal Prestige (SJR): 2.757
Citation Impact (citeScore): 5
Number of Followers: 45  
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ISSN (Print) 0022-006X - ISSN (Online) 1939-2117
Published by APA Homepage  [86 journals]
  • Editorial.
    • Abstract: This editorial provides a new policy going forward, and reaffirms a key policy issue for journal article reporting standards to Journal of Consulting and Clinical Psychology (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. The editorial team will be carefully screening articles for conformity to JARS/MARS guidelines, and articles may be rejected if guidelines are not followed. Although these policies will require more effort on the part of authors (and the editorial team), the author believes they reflect the best practice in clinical science and that they will have a positive effect not just on the journal but also on the field and public we ultimately serve. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • Exploring the temporal dynamics of the interpersonal theory of suicide
           constructs: A dynamic systems modeling approach.
    • Abstract: Objective: The interpersonal theory of suicide has contributed to advances in the understanding and prevention of suicidal behavior, with over a decade of empirical examination. Few studies, however, have used a longitudinal design with repeated short-term follow-ups to examine the temporal trajectories of perceived burdensomeness, thwarted belongingness, and suicidal ideation, nor have any studies to our knowledge investigated the propositions of the interpersonal theory of suicide using a dynamic systems theory approach. The present study examined the temporal dynamics of perceived burdensomeness, thwarted belongingness, and suicidal ideation, as moderated by capability for suicide, using dynamic systems modeling analyses in a sample of 91 adults at high risk for suicide (Mage = 27.03 years, SD = 8.64; 53.8% female, 44.0% male, 1.1% nonbinary, 1.1% transgender female). Method: Participants completed brief online self-report measures at 6 time-points, each 3 days apart. Results: Results were generally in support of the interpersonal theory of suicide: perceived burdensomeness, thwarted belongingness, and suicidal ideation exhibited patterns of temporal stability that were accentuated at high levels of capability for suicide; perceived burdensomeness and thwarted belongingness exhibited a reciprocal temporal pattern, as did perceived burdensomeness and suicidal ideation. However, thwarted belongingness did not have an incremental influence on suicidal ideation. Conclusions: Overall, these findings provide additional information about the nature of suicidal ideation and interpersonal risk factors over time and point to nonlinear dynamic systems modeling as an analytic technique that may prove useful in understanding trajectories of suicidal thoughts and behaviors. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • Randomized trial of a dissonance-based group treatment for eating
           disorders versus a supportive mindfulness group treatment.
    • Abstract: 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 = 2.22; 95% CI [1.01, 4.93]), though groups did not differ on eating disorder symptom change. Regarding secondary outcomes, BPT versus supportive mindfulness participants showed significantly lower dissonance about affirming the thin ideal at posttest and 6-month follow up (d = .38 and .32), body dissatisfaction at posttest and 6-month follow up (d = .62 and .62), negative affect at posttest and 6-month follow up (d = .49 and .48), and functional impairment (d = .36) at 6-month follow up; differences in thin-ideal internalization and abstinence from binge eating and compensatory behaviors were not significant. Conclusions: Whereas both treatments appeared effective, BPT produced larger effects and significantly greater remission of eating disorder diagnoses than a credible alternative treatment, which is very rare for trials that have compared active eating disorder treatments. Results suggest it would be useful to refine BPT and conduct target engagement research and efficacy trials. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • Meta-analysis of the efficacy of psychological and medical treatments for
           binge-eating disorder.
    • Abstract: 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. Pharmacotherapy and pharmacological weight loss treatment mostly outperformed pill placebo conditions with small effects on binge-eating outcome. These results were confirmed for the most common treatments of cognitive-behavioral therapy, self-help treatment based on cognitive-behavioral therapy, and lisdexamfetamine. In RCTs with active control groups, there was limited evidence for the superiority of one treatment category or treatment. In a few studies, psychotherapy outperformed behavioral weight loss treatment in short- and long-term binge-eating outcome and led to lower longer-term abstinence than self-help treatment, while combined treatment revealed no additive effect on binge-eating outcome over time. Overall study quality was heterogeneous and the quality of evidence for binge-eating outcome was generally very low. Conclusions: This comprehensive meta-analysis demonstrated the efficacy of psychotherapy, structured self-help treatment, and pharmacotherapy for patients with BED. More high quality research on treatments for BED is warranted, with a focus on long-term maintenance of therapeutic gains, comparative efficacy, mechanisms through which treatments work, and complex models of care. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • A combined mindfulness–prolonged chewing intervention reduces body
           weight, food craving, and emotional eating.
    • Abstract: 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. Method: This study randomized participants to either intervention (n = 23) or waitlist group (n = 23) to investigate the effectiveness of a 4-session mindfulness and prolonged chewing intervention. Dependent variables were body mass index and food craving as well as emotional, external, and intuitive eating. Results: Across the 8 weeks of intervention, significant Group × Measurement time interactions pointed to decreases in body mass index and disadvantageous eating styles (food cravings, emotional and external eating) and an increase in intuitive eating in the intervention group. Weight loss in the intervention group was maintained after a 4-week follow up. Conclusion: A combination of mindfulness and a specific chewing training that increases awareness of satiety strongly impacted energy intake and related eating styles. Such interventions obviate loss-oriented calorie reduction and foster enjoyment and focused tasting of foods. Conventional weight-loss diets might incorporate such brief interventions in more long-term dieting trials. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • Little evidence for late-onset ADHD in a longitudinal sample of women.
    • Abstract: 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. Method: From a larger, 16-year longitudinal study, a subsample of young women without childhood ADHD (N = 87) was assessed at four time points between childhood and adulthood via a multimethod, multiinformant approach. We used a stepped diagnostic procedure to identify those who initially met symptom criteria for ADHD after childhood and then evaluated them for remaining DSM ADHD diagnostic criteria, including impairment, cross-situational symptoms, and comorbid diagnoses. Results: Of 87 participants, 17 met ADHD symptom criteria after childhood. Fifteen showed no evidence of childhood onset, 10 showed clear evidence of impairment, and nine had cross-situational symptoms. Of these nine, all but one showed clinically significant co-occurring or preexisting psychiatric diagnoses and/or substance use that might account for ADHD symptoms. Conclusions: Although 19.5% of women from our subsample without childhood ADHD met symptom criteria for ADHD during adolescence/adulthood, only one showed the needed combination of impairment and cross-situational symptoms without significant co-occurring mental health problems. It is possible that uncomplicated cases of adult ADHD do arise, yet we find little supporting evidence herein. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • 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).
    • Abstract: 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. Method: Comment on O’Haire and Rodriguez (2018). Results: Positive findings presented in O’Haire and Rodriguez (2018) and Yarborough et al. (2017) included reduced self-reported PTSD symptoms, decreased depression symptoms, improvements in relationships, and increased activity levels. In addition to the benefits, Yarborough, Stumbo, Yarborough, Owen-Smith, and Green (2018) described challenges that veterans had not expected, including the demands of long, intensive training sessions required to receive a service animal, and an increase in unwanted public attention. In light of this preliminary evidence, a critical appraisal and identification of next steps for future research are in order. In this commentary we argue that rigorous randomized controlled trials comparing veterans who receive service dogs with those who do not are due. Such trials should account for self-selection bias and some veterans’ overly optimistic expectations for service dogs, both of which have not previously been controlled for in non-randomized studies to date and may present a challenge to trial validity. We also argue that future research needs an adequate long-term follow-up evaluation period and should investigate the specific mechanisms of action at work (i.e. how do service dogs improve PTSD symptoms and quality of life). Conclusions: Additional trials are needed to establish the efficacy of service dogs for veterans with PTSD. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 20 Dec 2018 05:00:00 GMT
  • Increasing bystander behavior to prevent adolescent relationship violence:
           A randomized controlled trial.
    • Abstract: Objective: The present research reports a randomized controlled trial evaluating TakeCARE, a video bystander program designed to help prevent relationship and sexual violence among high school students. Method: High school students (n = 165) were randomly assigned to view TakeCARE or a control video. Students completed self-report measures of bystander behavior and bystander self-efficacy before viewing the videos. One week later, students completed the self-efficacy measure and were observed in virtual reality simulations of situations that offered opportunities to engage in bystander behavior. Measures were readministered at a 6-month follow-up. Results: Compared to students who viewed the control video, students who viewed TakeCARE self-reported more bystander behavior at the 6-month follow-up. They were also observed to engage in greater levels of bystander behavior in the virtual reality simulations at postintervention and 6-month follow-up. Self-efficacy partially mediated this effect on observed bystander behavior. Conclusion: Video bystander programs like TakeCARE might be an effective addition to high school efforts to prevent relationship and sexual violence. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 26 Nov 2018 05:00:00 GMT
  • Therapists’ empathic accuracy toward their clients’ emotions.
    • Abstract: Objective: Therapists’ empathic accuracy (EA) toward their clients’ fluctuating emotions is a crucial clinical skill that underlies many therapeutic interventions. In contrast to the subjective components of empathy, limited empirical work has addressed EA or its effect on the outcomes of psychotherapy. Here, we differentiate between the components of EA (tracking accuracy, directional discrepancy) as well as the valence of the target emotions (positive vs. negative). We also investigated the relative contribution of cognitive and emotional processes to therapists’ EA and examined the associations between EA and treatment outcomes. Method: The sample comprised 93 clients treated by 62 therapists in a university setting. Prior to each session, clients self-reported their symptoms. Following each session, clients rated their positive (PE) and negative (NE) emotions during the session and therapists rated their own emotions, as well as their assessment of their clients’ emotions. Results: Therapists accurately tracked their clients’ PE and NE and were more accurate for NE. Therapists tended to overestimate their clients’ NE and underestimate their clients’ PE. Therapists’ emotions were associated with their clients’ emotions (real similarity). Therapists’ emotions were also associated with their assessments of their clients’ emotions (assumed similarity). Therapists’ own emotions partially mediated the association between clients’ emotions and therapists’ assessments. Therapists’ inaccuracy in assessing their clients’ PE was associated with higher reported symptoms in the next session. Conclusion: These findings help provide a better understanding of the specific characteristics associated with more EA and underscore the importance of EA in facilitating clients’ emotional well-being. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 26 Nov 2018 05:00:00 GMT
  • Cognitive “insomnia” processes in delayed sleep–wake phase disorder:
           Do they exist and are they responsive to chronobiological treatment'
    • Abstract: Objective: To systematically investigate whether cognitive “insomnia” processes are implicated in adolescent Delayed Sleep–Wake Phase Disorder (DSWPD) and to examine whether these processes are responsive to chronobiological treatment. Method: Sixty-three adolescents (M = 15.8 ± 2.2 years, 63.5% f) diagnosed with DSWPD and 40 good sleeping adolescents (M = 15.9 ± 2.4 years, 75% f) completed baseline measures of sleep, daytime functioning and cognitive “insomnia” processes (i.e., repetitive negative thinking, physiological hyperarousal, distress, sleep-related attention and monitoring, sleep misperception). Sixty DSWPD adolescents (M = 15.9 ± 2.2 y, 63% f) entered a treatment trial and received 3 weeks of light therapy. Sleep, daytime functioning, and insomnia were measured again post-treatment and at 3-month follow-up. Results: Adolescents with DSWPD had significantly later sleep timing (d = 0.99–1.50), longer sleep latency (d = 1.14), and shorter total sleep time (d = 0.85) on school nights, compared with the good sleeping adolescents. There was evidence of cognitive “insomnia” symptoms, with the DSWPD group reporting more repetitive negative thinking (d = 0.70–1.02), trait hyperarousal (d = 0.55), distress (d = 2.19), sleep associated monitoring (d = 0.76), and sleep onset misperception (d = 1.29). Across treatment and follow-up, adolescents with DSWPD reported advanced sleep timing (d = 0.54–0.62), reduced sleep latency (d = 0.53), increased total sleep time (d = 0.49), and improved daytime functioning (d = 0.46–1.00). Repetitive negative thinking (d = 0.64–0.96), physiological arousal (d = 0.69), distress (d = 0.87), and sleep onset misperception (d = 0.37) also showed improvement. Conclusions: Cognitive “insomnia” processes may be implicated in the development and maintenance of DSWPD in adolescents. Many of these processes are amendable to chronobiological treatment; however, residual symptoms may place adolescents at risk of poor treatment outcome or relapse. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 15 Nov 2018 05:00:00 GMT
  • Working alliance predicts symptomatic improvement in public
           hospital–delivered psychotherapy in Nairobi, Kenya.
    • Abstract: Objective: Although patient–therapist collaboration (working alliance) has been studied extensively in Europe and America, it is unknown to what extent the importance of working alliance for psychotherapy outcome generalizes to lower- and middle-income countries. Additionally, there is a need for more studies on the alliance using methods that are robust to confounders of its effect on outcome. Method: In this study, 345 outpatients seeking care at the 2 public psychiatric hospitals in Nairobi, Kenya, filled out the Session Alliance Inventory (SAI) and the Clinical Outcomes in Routine Evaluation—Outcome Measure (CORE–OM) during each session. The effect of alliance on next-session psychological distress was modeled using the random intercept cross-lagged panel model, which estimates a cross-lagged panel model on within- and between-subjects disaggregated data. Results: Changes in the working alliance from session to session significantly predicted change in psychological distress by the next session, with an increase of 1 point of the SAI in a given session resulting in a decrease of 1.27 points on the CORE–OM by the next session (SE = .60, 95% confidence interval [−2.44, −.10]). This finding represents a medium-sized standardized regression coefficient of between .16 and .21. Results were generally robust to sensitivity tests for stationarity, missing data assumptions, and measurement error. Conclusion: Results affirm cross-cultural stability of the session-by-session reciprocal effects model of alliance and psychological distress–symptoms as seen in a Kenyan psychiatric outpatient sample, using the latest developments in cross-lagged panel modeling. A limitation of the study is its naturalistic design and lack of control over several variables. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 15 Nov 2018 05:00:00 GMT
  • PTSD symptom clusters and suicide attempts among high-risk military
           service members: A three-month prospective investigation.
    • Abstract: Objective: Suicide rates within the U.S. military are elevated, and the assessment and treatment of posttraumatic stress disorder (PTSD) has been identified as one potential conduit for suicide risk reduction. Despite increased interest in examining whether PTSD symptom clusters differentially predict suicide-related outcomes, to our knowledge no study has examined this question utilizing a prospective design for which suicide attempts is the outcome. Thus, the present study assessed whether PTSD symptom clusters differentially predict suicide attempts at 3-month follow-up and examined the moderating role of combat exposure. Method: Participants were 758 military service members referred for psychiatric evaluation for suicide-related concerns and who provided both baseline and follow-up data (76.8% male, Mage = 25.20 y [SDage = 6.22 y], 61.6% White/Caucasian, 28.2% combat-exposed). Baseline PTSD symptom clusters scores were derived from an abbreviated version of the PTSD Checklist—Military Version (PCL-M). Suicide attempts occurring from baseline to follow-up were assessed with the Suicide Attempt Self-Injury Interview (SASII). Logistic regression models were utilized, controlling for baseline suicide risk severity (i.e., frequency of suicidal ideation, levels of suicidal intent, past suicide plans and attempts) and sociodemographic characteristics. Results: The hyperarousal symptom cluster was the only significant predictor of subsequent suicide attempts and, moreover, this association was significant for combat-exposed service members but not for non-combat-exposed service members. Conclusions: PTSD hyperarousal symptoms, characterized in part by overarousal (e.g., agitation), should be considered in military suicide risk assessment and prevention efforts, particularly for combat-exposed service members. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Thu, 15 Nov 2018 05:00:00 GMT
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