What approaches for promoting shared decision ‐making are used in child mental health? A scoping review
ConclusionEvidence suggests that a range of approaches are being developed to support SDM in child and youth mental health. Rigorous research evaluating the effectiveness of these approaches is urgently needed, particularly from the perspective of children and young people.Key practitioner message
This scoping review is the first to categorise and outline different shared decision‐making (SDM) approaches (tools, techniques, and technologies) as suggested by The Health Foundation and has identified six distinct approaches used in child and youth mental health
Each of the six extant SDM approaches has been qualitatively as...
Source: Clinical Psychology - July 28, 2017 Category: Psychiatry & Psychology Authors: Helen Cheng, Daniel Hayes, Julian Edbrooke ‐Childs, Kate Martin, Louise Chapman, Miranda Wolpert Tags: RESEARCH ARTICLE Source Type: research
Four years comparative follow ‐up evaluation of community‐based, step‐down, and residential specialist psychodynamic programmes for personality disorders
Although the fulcrum of service provision for personality disorder (PD) has shifted from hospital‐based to psychodynamically‐ and cognitively‐oriented outpatient programmes, very few studies have attempted to compare specialist moderate intensity outpatient programmes with specialist high‐intensity residential models, or to explore whether a period of inpatient treatment may be necessary to improve outcome and prognosis. In this article, we prospectively compare changes over a 4‐year period in 3 groups of patients with personality disorders (N = 162) treated in a specialist community‐based (CBP, N = 30), a ...
Source: Clinical Psychology - July 26, 2017 Category: Psychiatry & Psychology Authors: Marco Chiesa, Antonella Cirasola, Peter Fonagy Tags: RESEARCH ARTICLE Source Type: research
Intensive Short ‐Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process‐outcome study
The objective of this study was to evaluate the clinical‐ and cost‐effectiveness of Intensive Short‐Term Dynamic Psychotherapy (ISTDP) for generalized anxiety disorder (GAD). We further aimed to examine if a key clinical process within the ISTDP framework, termed the level of mobilization of unprocessed complex emotions (MUCE), was related to outcome. The sample consisted of 215 adult patients (60.9% female) with GAD and comorbid conditions treated in a tertiary mental health outpatient setting. The patients were provided an average of 8.3 sessions of ISTDP delivered by 38 therapists. The level of MUCE in treatment w...
Source: Clinical Psychology - July 4, 2017 Category: Psychiatry & Psychology Authors: Peter Lilliengren, Robert Johansson, Joel M. Town, Steve Kisely, Allan Abbass Tags: RESEARCH ARTICLE Source Type: research
Therapeutic alliance in psychological therapy for people with schizophrenia and related psychoses: A systematic review
Therapeutic alliance is a key predictor of therapy outcomes. Alliance may be particularly pertinent for people with schizophrenia as this group often have a history of interpersonal trauma and relationship difficulties including difficult relationships with mental health staff. This review aimed to determine (a) the quality of therapeutic alliance between people with schizophrenia and their therapists; (b) whether alliance predicts therapeutic outcomes; and (c) variables associated with alliance. Databases were searched from inception up to April 2015. The search yielded 4,586 articles, resulting in 26 eligible studies, in...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Lucy Shattock, Katherine Berry, Amy Degnan, Dawn Edge Tags: RESEARCH ARTICLE Source Type: research
Fluctuations in alliance and use of techniques over time: A bidirectional relation between use of “common factors” techniques and the development of the working alliance
ConclusionTherapists tend to modulate their use of common factors techniques across treatment. Additionally, when a strong working alliance is developed early in treatment, therapists tend to use more common factors later on. Moreover, high use of common factors techniques is predictive of later improvement in the alliance. (Source: Clinical Psychology)
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Nili Solomonov, Kevin S. McCarthy, Jack R. Keefe, Bernard S. Gorman, Mark Blanchard, Jacques P. Barber Tags: RESEARCH ARTICLE Source Type: research
Children's psychosocial functioning and parents' quality of life in paediatric short stature: The mediating role of caregiving stress
ConclusionsThese results suggest that, along with growth hormone treatments, multidisciplinary interventions in paediatric endocrinology should be family‐centred, by targeting both the children's psychosocial functioning and the parents' stress, in order to improve individual and family adaptation.Key Practitioner Message
Height‐related quality of life impairments and more internalizing problems in children and adolescents with short stature increase caregiving stress, which in turn has a negative impact on parents' quality of life, independently of patients' diagnosis, treatment status, and current height deviation.
I...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Neuza Silva, Monika Bullinger, Rachel Sommer, Anja Rohenkohl, Stefanie Witt, Julia Quitmann Tags: RESEARCH ARTICLE Source Type: research
Body image and nonsuicidal self ‐injury: Validation of the Body Investment Scale in participants with eating disorders
The Body Investment Scale (BIS) assesses body image feelings, body care, protection of the body, and comfort in touch, in order to identify and distinguish participants with self‐harming and self‐destructive tendencies. However, the psychometric properties of the BIS were not analysed in participants diagnosed with eating disorders. The main objective of the present study is to confirm the factor structure of the Spanish version of the BIS and analyse its psychometric properties in a sample composed of women diagnosed with eating disorders. Participants were 250 Spanish women between 12 and 60 years old (M = 26.05, ...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: J. H. Marco, M. Ca ñabate, J. García‐Alandete, G. Llorca, M. Real‐López, M. Beltrán, S. Pérez Tags: ASSESSMENT Source Type: research
Does assimilation of problematic experiences predict a decrease in symptom intensity?
ConclusionThe results supported the assimilation model's suggestion that assimilation progress promotes decreases in symptom intensity in the treatment of clients with major depressive disorder. (Source: Clinical Psychology)
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Isabel Morais Basto, William B. Stiles, Daniel Rijo, Jo ão Salgado Tags: RESEARCH ARTICLE Source Type: research
Do therapists' subjective variables impact on psychodynamic psychotherapy outcomes? A systematic literature review
ConclusionsThe present review clarifies how a deep examination of the contribution of therapists' subjective characteristics can help elucidate the complex association between relational and technical factors related to the outcome of psychodynamic treatments. (Source: Clinical Psychology)
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Vittorio Lingiardi, Laura Muzi, Annalisa Tanzilli, Nicola Carone Tags: RESEARCH ARTICLE Source Type: research
Analysing phase progression in Susan's case
This study adds a phase‐by‐phase perspective to the case of Susan, with the aim of better understanding the processes of change in this therapeutic case. A team of 3 raters integrated the sequential phases of the Paradigmatic Complementarity Metamodel with a moment‐by‐moment tracking method—the Developmental Analysis of Psychotherapy Process method—to analyse this therapeutic process and clarify what happened throughout that may explain phase gains and how the therapist facilitated them. The results suggest that Susan evolved in accordance with the sequence of phases proposed by the Paradigmatic Complementarity...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Joana F. Ferreira, Ant ónio B. Vasco, Michael Basseches, Andreia Santos, João M. Ferreira Tags: RESEARCH ARTICLE Source Type: research
Preschool children's response to behavioural parent training and parental predictors of outcome in routine clinical care
ConclusionsBPT under routine care conditions clearly improves disruptive behaviours in preschool children. Mothers who consider themselves as inadequate in disciplining and mothers whose partners do not consume high levels of alcohol report the largest improvements.Key practitioner
Disruptive behaviours in referred preschool children improve when parents follow behavioural parent training under routine care conditions.
Behavioural parent training is useful to help parents experience fewer behaviours as troublesome.
About one third of the parents for whom behavioural parent training was indicated never started the treatment...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Lianne Veen ‐Mulders, Pieter J. Hoekstra, Maaike H. Nauta, Barbara J. Hoofdakker Tags: RESEARCH ARTICLE Source Type: research
Tracking and understanding phase progression in Lisa's case
This study adds a phase‐by‐phase perspective to the well‐known, and thoroughly analysed on a moment‐by‐moment basis, case of Lisa. The aim is to see whether this phase‐by‐phase analysis adds anything valuable to the understanding of the processes of change in this case and the therapeutic processes in general.In this good‐outcome case study, a team of raters integrated the temporal sequencing phase component of the Paradigmatic Complementarity Metamodel (PCM) with a moment‐by‐moment tracking method—the Developmental Analysis of Psychotherapy Process Method (DAPP)—to analyse what occurred along the p...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Joana F. Ferreira, Ant ónio B. Vasco, Michael Basseches, Nuno Conceição, Catarina Vaz‐Velho, Rhonda Goldman Tags: RESEARCH ARTICLE Source Type: research
Resilience to suicide ideation: A cross ‐cultural test of the buffering hypothesis
Depression and suicide ideation are common in student populations across the world. The present study investigated factors buffering the association between depression and suicide ideation. A total of 2,687 Chinese students and 601 German students took part in the investigation. Social support, satisfaction with life, self‐efficacy, psychosocial stress resistance, and positive mental health were considered as resilience factors moderating the association between depressive symptoms and suicide ideation within both samples. Positive mental health moderated the impact of depressive symptoms on suicide ideation in German an...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Paula Siegmann, Tobias Teismann, Nathalie Fritsch, Thomas Forkmann, Heide Glaesmer, Xiao Chi Zhang, Julia Brailovskaia, J ürgen Margraf Tags: RESEARCH ARTICLE Source Type: research
Effectiveness of bereavement counselling through a community ‐based organization: A naturalistic, controlled trial
This controlled, longitudinal investigation tested the effectiveness of a bereavement counselling model for adults on reducing complicated grief (CG) symptoms. Participants (N = 344; 79% female; mean age: 49.3 years) were adult residents of Scotland who were bereaved of a close relation or partner, experiencing elevated levels of CG, and/or risks of developing CG. It was hypothesized that participants who received intervention would experience a greater decline in CG levels immediately following the intervention compared to the control participants, but the difference would diminish at follow‐up (due to relapse). Data...
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Catherine Newsom, Henk Schut, Margaret S. Stroebe, Stewart Wilson, John Birrell, Mirjam Moerbeek, Maarten C. Eisma Tags: RESEARCH ARTICLE Source Type: research
The Music Therapy Session Assessment Scale (MT ‐SAS): Validation of a new tool for music therapy process evaluation
ConclusionsAs suggested by the consistent results of 2 different analyses, MT‐SAS is a reliable tool that globally evaluates sonorous–musical and nonverbal behaviours related to emotional attunement and empathetic relationship between patient and therapist during active MT sessions. (Source: Clinical Psychology)
Source: Clinical Psychology - July 1, 2017 Category: Psychiatry & Psychology Authors: Alfredo Raglio, Marco Gnesi, Maria Cristina Monti, Osmano Oasi, Marta Gianotti, Lapo Attardo, Giulia Gontero, Lara Morotti, Sara Boffelli, Chiara Imbriani, Cristina Montomoli, Marcello Imbriani Tags: ASSESSMENT Source Type: research
