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Journal of Consulting and Clinical Psychology
Journal Prestige (SJR): 2.757
Citation Impact (citeScore): 5
Number of Followers: 43  
 
  Full-text available via subscription Subscription journal(Not entitled to full-text)
ISSN (Print) 0022-006X - ISSN (Online) 1939-2117
Published by APA Homepage  [74 journals]
  • Motivational interviewing with personalized feedback to reduce alcohol use
           
    • Abstract: Objective: This randomized controlled trial tested the efficacy of motivational interviewing (MI) to reduce alcohol use among heavy drinking men who have sex with men (MSM) who are engaged in HIV care but not currently receiving addictions treatment. Method: One hundred eighty MSM living with HIV—recruited regardless of interest in changing drinking—were randomly assigned to MI or an assessment-only treatment as usual (TAU) control. MI comprised one in-person session followed by two brief phone calls and in-person booster sessions at 3 and 6 months. The Timeline Follow-Back Interview assessed past 30-day alcohol use and sexual behavior at 3, 6, and 12 months postbaseline, and serum samples and medical records assessed viral load, CD4 cell count, and liver function. Results: At 6 and 12 months, MI compared to TAU resulted in significantly fewer drinks per week (6 months: b = −8.72, 95% confidence interval (CI) [−12.69, −4.76]; 12 months: b = −5.98, 95% CI [−9.77, −2.19]) and lower number of heavy drinking days (6 months: incidence rate ratio = 0.55, 95% CI [0.38, 0.79]; 12 months: incidence rate ratio = 0.50, 95% CI [0.33, 0.78]). Effects on viral load, CD4 cell count, and liver function were nonsignificant. Among those reporting condomless sex with nonsteady partners at baseline, MI resulted in significantly lower rates of this behavior at 3 and 12 months compared to TAU. Conclusions: In MSM living with HIV, MI shows substantial promise for reducing heavy drinking and for reducing condomless sex among those at risk. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 23 Jul 2018 04:00:00 GMT
       
  • A latent transition analysis of a cluster randomized controlled trial for
           drug use prevention.
    • Abstract: Objective: The objective of the study was to evaluate the impact of #Tamojunto, a Brazilian adaptation of the Unplugged prevention program, on patterns of drug use among adolescents and to characterize their trajectories of drug use over time. Method: An in-cluster randomized controlled trial was conducted in 2014–2015 with 2 parallel arms (intervention and control). The intervention group attended 12 weekly classes of the #Tamojunto intervention. The control schools did not offer a prevention program. The target population was students attending seventh and eighth grades. The primary dichotomous outcome measures were use of drugs (any alcohol use, binge drinking, tobacco, marijuana, inhalants, and cocaine) in the past year assessed using a questionnaire before intervention and in 2 waves of follow-up (9 and 21 months). Results: A latent transition analysis in 6,391 students from 72 public schools in 6 Brazilian cities revealed 3 distinct patterns of drug use behavior: abstainers/low users (81.54% at baseline, 70.61% after 21 months), alcohol users/binge drinkers (16.65% at baseline, 21.45% after 21 months), and polydrug users (1.80% at baseline, 7.92% after 21 months). No differences in the probabilities of transitions between these drug use patterns were found between the intervention and control groups. The most likely trajectory was no transition between patterns, regardless of the intervention and baseline pattern. Conclusions: The intervention was not successful in changing adolescent drug use patterns over time, showing that the components of the Brazilian adaptation of the Unplugged prevention program should be reevaluated. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 23 Jul 2018 04:00:00 GMT
       
  • More than my RA: A randomized trial investigating body image improvement
           among women with rheumatoid arthritis using a functionality-focused
           intervention program.
    • Abstract: Objective: Negative body image is prevalent in women with rheumatoid arthritis and can affect other areas of well-being. Patients have expressed desire for body image to be addressed in treatment. Yet, it is not routinely addressed and no experimental intervention research has been conducted, until now. This randomized trial evaluated a brief online body image intervention for women with rheumatoid arthritis, with a focus on body functionality (everything the body is capable of doing) as the primary technique. Method: Women with rheumatoid arthritis and who wanted to feel better about their body (N = 84; Mage = 44.82) were randomized to the Expand Your Horizon intervention (comprising 3 writing exercises focusing on body functionality) or a waitlist control group. Primary outcomes concerned body image and secondary outcomes related to rheumatoid arthritis; these outcomes were assessed at pretest, posttest, and at 1-week and 1-month follow-up. Results: Multilevel modeling analyses showed that, relative to control, participants in the intervention experienced improvements in various aspects of body image (functionality appreciation, body appreciation, body satisfaction, body–self alienation) and decreases in depression, with effects persisting at 1-week and 1-month follow-up. No intervention effects were found for body–self harmony, rheumatoid arthritis-specific disability, pain-related disability, and anxiety. Conclusions: Focusing on body functionality can improve body image and reduce depression in women with rheumatoid arthritis. The intervention technique is easy and affordable to deliver and could be a fruitful addition to extant treatments for rheumatoid arthritis. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 23 Jul 2018 04:00:00 GMT
       
  • Relation of self-weighing to future weight gain and onset of disordered
           eating symptoms.
    • Abstract: Objective: Frequent self-weighing is recommended in weight loss interventions and may prevent weight gain. However, concerns regarding the associations between self-weighing and eating disorders have been expressed and the relations between self-weighing and weight gain/eating pathology have not been examined prospectively. We tested whether (a) frequency of baseline self-weighing in college students with weight concerns predicted weight change over 2-year follow-up, (b) this relation was moderated by eating disorder symptoms, and (c) self-weighing predicted future eating disorder symptoms. Method: Data were merged from two trials evaluating obesity/eating disorder prevention programs in 762 students (Mage = 18.7; 86% women). Participants reported how often they weighed themselves at baseline; body mass index (BMI) and eating disorder symptoms were assessed over 2-year follow-up. Results: Baseline self-weighing predicted weight gain, with more frequent weighers experiencing greater gains (i.e., +0.8 of BMI) over follow-up. This relation was moderated by the frequency of binge eating but not weight/shape concerns or compensatory behaviors; the combination of more frequent self-weighing and binge eating was associated with greatest weight gain (+1.6 of BMI). More frequent weighers also reported higher onset of compensatory behaviors, relative to non-self-weighers (odds ratio = 3.90, 95% confidence interval [1.76, 8.75]). Conclusions: Young adults who weighed themselves more frequently had greater weight gain than those who self-weighed less frequently, especially those who engaged in binge eating, and were at risk for future unhealthy compensatory behaviors. Findings suggest that frequent self-weighing may have negative effects for some young adults, and that relations between self-weighing and weight control outcomes require further investigation. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 23 Jul 2018 04:00:00 GMT
       
  • Brief strategic therapy and cognitive behavioral therapy for women with
           binge eating disorder and comorbid obesity: A randomized clinical trial
           one-year follow-up.
    • Abstract: Objective: Binge eating disorder (BED) is frequently linked with obesity and related health risks like cardiovascular disease and diabetes. The purpose of this randomized clinical trial (RCT) was to determine the effectiveness of brief strategic therapy (BST) compared with cognitive-behavioral therapy (CBT) 1 year after a two-phase inpatient and outpatient-telemedicine treatment for BED. Method: Italian women with BED and comorbid obesity were recruited from a self-referred inpatient treatment program for weight loss (N = 60) and randomly assigned to either the BST treatment condition (n = 30) or CBT treatment condition (n = 30). Inpatient psychotherapy sessions were conducted in person and outpatient telemedicine psychotherapy sessions were conducted over the telephone. Multilevel growth curve modeling was used to estimate average growth trajectories from baseline to 1 year after treatment for the following outcomes: binge eating frequency, weight, and global functioning. Results: One year after treatment, women in the BST condition decreased in binge eating frequency and women in the CBT condition did not, whereas women in both conditions improved in weight and global functioning. BST was statistically and clinically superior to CBT in improving binge eating frequency, weight, and global functioning. Conclusions: Examining BED, given the current obesity epidemic, is an important area of study. Findings suggest that BST is statistically and clinically more effective than CBT in treating BED, promoting weight loss, and improving global functioning among women with BED and comorbid obesity 1 year after treatment. Telemedicine may be instrumental in reducing attrition. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 23 Jul 2018 04:00:00 GMT
       
  • Severe and enduring anorexia nervosa' Illness severity and duration
           are unrelated to outcomes from cognitive behaviour therapy.
    • Abstract: Objective: The present study aimed to examine whether Anorexia Nervosa (AN) illness severity or duration is associated with retention or treatment response in outpatient, enhanced cognitive–behavioral therapy (CBT-E). Method: Patients with a confirmed AN diagnosis (N = 134) completed measures of eating disorder symptoms and quality of life, and had their BMI objectively measured before, during, and after treatment. We evaluated whether illness severity or duration predicted treatment outcomes, using longitudinal regression models. Results: Greater levels of illness severity and duration were not associated with poorer treatment outcomes. Conclusions: Patients with more severe or long-standing AN illness did just as well in CBT-E as any other patient starting treatment. Therefore, classifying individuals as “severe and enduring” appears to lack clinical utility in CBT-E. Clinicians should continue to administer evidence-supported treatments such as CBT-E for patients with AN, regardless of duration or severity of AN illness. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
      PubDate: Mon, 23 Jul 2018 04:00:00 GMT
       
 
 
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