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Toward reducing the duration of untreated psychosis in a Latinx community. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-19 Steven Regeser López,Alex Kopelowicz,Jodie Ullman,Doe Mayer,Maria Magdalena Santos,Maya Kratzer,William A Vega,Concepcion Barrio,Vanessa Calderon
OBJECTIVE To carry out and evaluate a communications campaign (La CLAve) to reduce the duration of untreated psychosis (DUP) in a U.S. Latinx community. METHOD We employed evidence-based messaging in multiple media outlets. We recruited 132 Latinxs with first-episode psychosis (FEP) and caregivers seeking mental health care within a high-density Latinx community. We evaluated the campaign's dissemination
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Ethnoracial status, intersectionality with gender, and psychotherapy utilization, retention, and outcomes. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-05 Thomas E Joiner,Morgan Robison,Lee Robertson,Pamela Keel,Allison M Daurio,Lushna M Mehra,Eugenia Millender
OBJECTIVE Psychotherapy access, utilization, retention, and effectiveness require continued improvement, especially for groups for whom availability and outcomes may be currently suboptimal, including ethnoracial minorities. Further, ethnoracial status' intersectionality with other identity variables (e.g., gender) may relate to structural barriers to care and effectiveness of care, an area in need
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How to model and interpret cross-lagged effects in psychotherapy mechanisms of change research: A comparison of multilevel and structural equation models. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-01 Fredrik Falkenström,Nili Solomonov,Julian A Rubel
OBJECTIVE Modeling cross-lagged effects in psychotherapy mechanisms of change studies is complex and requires careful attention to model selection and interpretation. However, there is a lack of field-specific guidelines. We aimed to (a) describe the estimation and interpretation of cross lagged effects using multilevel models (MLM) and random-intercept cross lagged panel model (RI-CLPM); (b) compare
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Associations between treatment adherence-competence-integrity (ACI) and adult psychotherapy outcomes: A systematic review and meta-analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-01 Niall Power,Louise A Noble,Melanie Simmonds-Buckley,Stephen Kellett,Corrie Stockton,Nick Firth,Jaime Delgadillo
OBJECTIVE To provide a comprehensive assessment of the association between psychological treatment adherence/competence/integrity (ACI) and clinical outcomes. METHOD The review protocol was preregistered (CRD42020193889). Studies that assessed ACI-outcome relationships for adult psychotherapy were searched across three databases (Scopus, PsycINFO, MEDLINE). Random effects meta-analyses were conducted
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A randomized trial of brief couple therapy for PTSD and relationship satisfaction. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-01 Leslie A Morland,Kayla C Knopp,Chandra E Khalifian,Alexandra Macdonald,Kathleen M Grubbs,Margaret-Anne Mackintosh,Julia J Becker-Cretu,Frederic J Sautter,Brian A Buzzella,Elizabeth R Wrape,Lisa H Glassman,Katelyn Webster,Min Ji Sohn,Shirley M Glynn,Ron Acierno,Candice M Monson
OBJECTIVE This three-arm randomized trial tested a brief version of cognitive-behavioral conjoint therapy (bCBCT) delivered in two modalities compared to couples' psychoeducation in a sample of U.S. veterans with posttraumatic stress disorder (PTSD) and their intimate partners. METHOD Couples were randomized to receive (a) in-person, office-based bCBCT (OB-bCBCT), (b) bCBCT delivered via home-based
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Marriage checkup in integrated primary care: A randomized controlled trial with active-duty military couples. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-01 Jeffrey A Cigrang,James V Cordova,Tatiana D Gray,Ashley L Fedynich,Emily Maher,Abby N Diehl,Matt Hawrilenko
OBJECTIVE This study assessed the efficacy of the marriage checkup, as adapted to integrated primary care settings and active-duty military couples, for improving relationship health and depressive symptoms. METHOD Married couples (N = 244, Mage = 32.4, 67.6% Caucasian) in which at least one member was active-duty Air Force were recruited from bases across the U.S. via online advertisement, emails
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The effect of stimulant medication on the learning of academic curricula in children with ADHD: A randomized crossover study. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-05-01 William E Pelham,Amy R Altszuler,Brittany M Merrill,Joseph S Raiker,Fiona L Macphee,Marcela Ramos,Elizabeth M Gnagy,Andrew R Greiner,Erika K Coles,Carol M Connor,Christopher J Lonigan,Lisa Burger,Anne S Morrow,Xin Zhao,James M Swanson,James G Waxmonsky,William E Pelham
OBJECTIVE Evaluate whether stimulant medication improves acquisition of academic material in children with attention deficit hyperactivity disorder (ADHD) receiving small-group, content-area instruction in a classroom setting. METHOD Participants were 173 children between the ages of 7 and 12 years old (77% male, 86% Hispanic) who met Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
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A false sense of security: Rapid improvement as a red flag for death by suicide. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-04-14 Katrina A Rufino,Hayate Beyene,Edward Poa,Robert J Boland,Michelle A Patriquin
OBJECTIVE Postdischarge from inpatient psychiatry is the highest risk period for suicide, thus better understanding the predictors of death by suicide during this time is critical for improving mortality rates after inpatient psychiatric treatment. As such, we sought to determine whether there were predictable patterns in suicide ideation in hospitalized psychiatric patients. METHOD We examined a sample
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Cultural adaptations of dialectical behavior therapy: A systematic review. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-04-14 Stephanie L Haft,Sinclaire M O'Grady,Esme A L Shaller,Nancy H Liu
OBJECTIVE Adapting mental health-care interventions to the race, ethnicity, or culture of the target group can enhance the acceptance and effectiveness of the treatment. Dialectical behavior therapy (DBT) is an evidence-based treatment that is principle-driven, rendering it well-suited for adaptations across cultural contexts. This article conducts a systematic review of the literature to determine
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A randomized controlled trial of moral reconation therapy to reduce risk for criminal recidivism among justice-involved adults in mental health residential treatment. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-04-11 Daniel M Blonigen,Michael A Cucciare,Thomas Byrne,Paige M Shaffer,Brenna Giordano,Jennifer S Smith,Christine Timko,Joel Rosenthal,David Smelson
OBJECTIVE Moral reconation therapy (MRT) is a cognitive-behavioral intervention to reduce risk for criminal recidivism. Despite being implemented widely in correctional settings, there are no randomized controlled trials of MRT, and its effectiveness for reducing recidivism among justice-involved adults in noncorrectional settings is unknown. METHOD In a pragmatic trial, 341 justice-involved patients
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A randomized clinical trial of acceptance and commitment therapy and the Duluth Model classes for men court-mandated to a domestic violence program. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-04-01 Amie Zarling,Dan Russell
OBJECTIVE This is the first randomized controlled trial to compare Acceptance and Commitment Therapy (ACT) with the Duluth Model curriculum, which took place in community-based corrections for the treatment of men convicted of domestic violence. ACT is a third-wave cognitive-behavioral approach that utilizes experiential methods to foster psychological flexibility. The Duluth Model curriculum is an
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Same name, same content? Evaluation of DSM-5-TR and ICD-11 prolonged grief criteria. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-04-01 Julia Haneveld,Rita Rosner,Anna Vogel,Anette Kersting,Winfried Rief,Regina Steil,Hannah Comtesse
OBJECTIVE Investigating the concordance of prolonged grief disorder (PGD) criteria that have been recently introduced to the 5th text revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) and the International Classification of Diseases 11th Revision (ICD-11). METHOD N = 193 treatment-seeking bereaved adults were assessed with the prolonged grief disorder 13 + 9 interview
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Emotional clarity and tolerance of emotional distress as mechanisms of change in short-term psychodynamic psychotherapy for chronic depression. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-04-01 Linne Melsom,Pål G Ulvenes,Ole André Solbakken,Patrick J Curran,Bruce E Wampold
OBJECTIVE The aim of this naturalistic process study was to investigate the relationship between emotional clarity and tolerance of emotional distress and depressive symptoms over the course of short-term psychodynamic psychotherapy for chronically depressed patients. METHOD Weekly self-reports of emotional clarity, tolerance of emotional distress, and depressive symptoms (PHQ-9) were provided by 252
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The relative efficacy of bona fide cognitive behavioral therapy and applied relaxation for generalized anxiety disorder at follow-up: A longitudinal multilevel meta-analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-03-21 Christoph Flückiger,Katja Carratta,A C Del Re,Greta Probst,Andreea Vîslă,Juan Martìn Gómez Penedo,Bruce E Wampold
OBJECTIVE This meta-analysis examined the relative efficacy of bona fide psychotherapy conditions in generalized anxiety disorder (GAD) from posttreatment to follow-up in adults. METHODS Omnibus tests of relative efficacy across bona fide psychotherapies for primary and secondary outcomes were conducted. Longitudinal multilevel subgroup analyses investigated, (a) applied relaxation versus cognitive
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The relation between the working alliance on mental illness and criminal thinking among justice-involved people with co-occurring mental illness and substance use disorders. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-03-01 Faith Scanlon,Sarah Hirsch,Robert D Morgan
OBJECTIVE The therapeutic working alliance is an important factor in producing treatment change and positive therapeutic outcomes for people with mental illness, yet little is known about the working alliance's role in treatment change in people with mental illness that is justice involved. In addition to treating the mental illness symptoms of justice-involved people with mental illness, addressing
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Racial discrimination, mental health symptoms, and intimate partner violence perpetration in Black adults. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-24 Ana I Maldonado,Christopher M Murphy,Maxine Davis,Michele K Evans,Alan B Zonderman
OBJECTIVE This study had three goals: (a) to examine the association between racial discrimination and intimate partner violence (IPV) perpetration; (b) to determine whether this relationship is explained by mental health (MH) symptoms; and (c) to determine whether these associations vary by poverty status or gender. METHODS During the Wave 4 (2013-2017) visit of the Healthy Aging in Neighborhoods
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Internet-based CBT for somatic symptom distress (iSOMA) in emerging adults: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-17 Severin Hennemann,Katja Böhme,Maria Kleinstäuber,Harald Baumeister,Ann-Marie Küchler,David Daniel Ebert,Michael Witthöft
OBJECTIVE Persistent somatic symptom distress is common in emerging adults and is associated with adverse health outcomes and impairment. Internet-based interventions could help to prevent burden and chronicity. This randomized controlled trial tested the efficacy of a guided, cognitive-behavioral internet intervention for somatic symptom distress (iSOMA) in emerging adults at risk for somatic symptom
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A person-centered approach to understanding heterogeneity of youth receiving transdiagnostic treatment for emotional disorders. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-17 Sarah M Kennedy,Niza A Tonarely,Elizabeth Halliday,Jill Ehrenreich-May
OBJECTIVE Transdiagnostic models of youth psychopathology posit shared, underlying core features of emotional disorders that confer risk for and/or maintain symptoms. Youth may differ in the presence and severity of these underlying core features, and matching intervention strategies to such features may help personalize transdiagnostic interventions. We used latent profile analysis (LPA) to identify
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Genetic sensitivity predicts long-term psychological benefits of a relationship education program for married couples. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-03 Michael Pluess,Galena Rhoades,Rob Keers,Kayla Knopp,Jay Belsky,Howard Markman,Scott Stanley
OBJECTIVE Relationship education programs have proven effective in promoting relationship quality and preventing divorce among married couples. However, according to theories of Environmental Sensitivity, people differ for genetic reasons in their sensitivity to environmental influences with some more affected by both negative and positive experiences, including psychological interventions. METHOD
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Prospective effects of internalized stigma on same-sex relationship satisfaction: The mediating role of depressive symptoms and couple conflict. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-01 Josh Nguyen,Christopher A Pepping
OBJECTIVE Same-sex couples face unique minority stressors that affect relationship functioning, yet remarkably little research has examined the mechanisms by which individual and partner experiences of internalized stigma affect relationships over time. Using actor-partner interdependence models, the present study examined the effects of internalized stigma on relationship satisfaction, and whether
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Association between decentering and reductions in relapse/recurrence in mindfulness-based cognitive therapy for depression in adults: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-01 Michael T Moore,Mark A Lau,Emily A P Haigh,Brandilyn R Willett,Colin M Bosma,David M Fresco
OBJECTIVE "Decentering" is defined as the ability to observe one's thoughts and feelings as temporary, objective events in the mind (Safran & Segal, 1990), and is increasingly regarded as a candidate mechanism in mindfulness-based interventions. The present study sought to examine the role of decentering, and other related variables, in the efficacy of Mindfulness-based cognitive therapy (MBCT) as
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Mindfulness and acceptance-based interventions with Black Americans: A meta-analysis of intervention efficacy for depressive symptoms. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-01 Danyelle N Dawson,Markera C Jones,Catharine E Fairbairn,Heidemarie K Laurent
OBJECTIVE A growing literature supports mindfulness and acceptance-based interventions (MABIs) for depression prevention and treatment with individuals from dominant cultural groups, and MABIs have been theorized to be well suited to resonate with individuals from nondominant groups. The aim of the current meta-analysis was to determine whether this promise is realized in practice by evaluating the
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Candidate mechanisms of action of mindfulness-based trauma recovery for refugees (MBTR-R): Self-compassion and self-criticism. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-02-01 Anna Aizik-Reebs,Iftach Amir,Kim Yuval,Yuval Hadash,Amit Bernstein
OBJECTIVE Mindfulness- and compassion-based interventions may represent a promising intervention approach to the global mental health crisis of forced displacement. Specifically, Mindfulness-Based Trauma Recovery for Refugees (MBTR-R)-a mindfulness- and compassion-based, trauma-sensitive, and socioculturally adapted intervention for refugees and asylum-seekers-has recently demonstrated randomized control
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Dimensions of treatment engagement among youth and caregivers: Structural validity of the REACH framework. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-31 Bruce F Chorpita,Kimberly D Becker
OBJECTIVE Although the literature on treatment engagement varies in its characterization and enumeration of the relevant dimensions, the dimensionality of treatment engagement has yet to be tested empirically using a uniform measurement approach. We therefore examined the structural validity of a hypothesized five-factor model, using a confirmatory factor-analytic approach applied to youth and caregiver
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Electronic bridge to mental health for college students: A randomized controlled intervention trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-31 Cheryl A King,Daniel Eisenberg,Jacqueline Pistorello,William Coryell,Ronald C Albucher,Todd Favorite,Adam Horwitz,Erin E Bonar,Daniel Epstein,Kai Zheng
OBJECTIVE Suicide is the second leading cause of death among college students in the United States, and the percentage of students reporting suicidal thoughts is increasing. Nevertheless, many students at risk do not seek mental health (MH) services. This randomized controlled trial (RCT) examined the efficacy of Electronic Bridge to Mental Health for College Students (eBridge) for increasing at-risk
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The temporal relationships between therapist adherence and patient outcomes in dialectical behavior therapy. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-27 Melanie S Harned,Robert J Gallop,Sara C Schmidt,Kathryn E Korslund
OBJECTIVE Although Dialectical Behavior Therapy (DBT) is a well-established evidence-based psychotherapy, little is known about the role of therapist adherence in promoting positive outcomes. This study evaluated the temporal relationships between therapist adherence to DBT and patient outcomes, as well as potential moderators of these relationships. METHOD Data were from six clinical trials conducted
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Effects of family intervention on psychosocial functioning and mood symptoms of youth at high risk for bipolar disorder. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-27 Marc J Weintraub,Christopher D Schneck,Filippo Posta,John A Merranko,Manpreet K Singh,Kiki D Chang,David J Miklowitz
OBJECTIVES Family-focused therapy (FFT) is associated with reduced rates of mood episodes among youth at high risk for bipolar disorder (BD). In a randomized trial of FFT compared to a psychoeducation-only treatment (enhanced care, EC), we sought to determine if changes in psychosocial functioning mediate mood improvements among high-risk youth. METHOD 119 youths with active mood symptoms and a family
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Changes in pain during buprenorphine maintenance treatment among patients with opioid use disorder and chronic pain. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-10 Karlyn A Edwards,Kevin E Vowles,R Kathryn McHugh,Kamilla L Venner,Katie Witkiewitz
OBJECTIVE Opioid use disorder (OUD) and chronic pain frequently co-occur. Little is known about changes in pain during buprenorphine/naloxone (BUP/NX) maintenance and whether outcomes vary by pain levels. The present study examined changes in pain intensity and pain interference over 12 weeks of BUP/NX maintenance among participants with OUD and chronic pain (N = 194). Differences in outcomes were
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Individual differences in response to once versus twice weekly sessions of CBT and IPT for depression. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-01 Sanne J E Bruijniks,Suzanne C van Bronswijk,Robert J DeRubeis,Jaime Delgadillo,Pim Cuijpers,Marcus J H Huibers
OBJECTIVE The Personalized Advantage Index (PAI) is a method to guide treatment selection by investigating which of two or more treatments is optimal for a given individual. Recently, it was shown that, on average, twice-weekly sessions of psychotherapy for depression lead to better outcomes compared to once-weekly sessions. The present study applied the PAI method to assess if subgroups of patients
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Evidence-based tailoring of treatment to patients, providers, and processes: Introduction to the special issue. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2022-01-01 Sigal Zilcha-Mano,Michael J Constantino,Catherine F Eubanks
Given the many evidence-supported psychotherapy interventions, and the fact that no single approach or therapist can successfully help all patients, in recent years, there has been a surge in studies focused on evidence-based methods of tailoring treatment to patients, providers, and processes. Although the field still has a long way to go in reliably mapping specific empirically supported avenues
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Shared decision-making for youth psychotherapy: A preliminary randomized clinical trial on facilitating personalized treatment. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-23 David A Langer,Lindsay E Holly,Celia E Wills,Martha C Tompson,Bruce F Chorpita
OBJECTIVE Engaging youth and caregivers as active collaborators in the treatment planning process is a patient-centered approach with the potential to facilitate the personalization of established evidence-based treatments. This study is the first randomized clinical trial to evaluate shared decision-making (SDM) to plan youth psychotherapy. METHOD Forty youth (7-15 years; 33% ethnic minority) were
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Cognitive behavioral stress management effects on prenatal anxiety among low-income women. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-16 Carolyn Ponting,Denise A Chavira,Christine Dunkel Schetter,Guido G Urizar
OBJECTIVE Few studies have tested cognitive behavioral therapy to reduce prenatal anxiety despite substantial empirical support among individuals seeking treatment for anxiety symptoms. We examined whether a brief cognitive behavioral intervention delivered to low-income pregnant women would be efficacious for reducing prenatal anxiety. METHOD A sample of 100 primarily ethnic and racial minority pregnant
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Dimensions of skill use in the unified protocol: Exploring unique effects on anxiety and depression. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-16 Matthew W Southward,Shannon Sauer-Zavala
OBJECTIVE Although the Unified Protocol contains multiple distinct skills to target anxiety, depression, and related conditions, researchers have yet to establish if patients' use of these skills contributes to symptom change. Using data from the first-stage randomization of a sequential multiple assignment randomized trial, we tested whether general skillfulness, defined by skill knowledge, frequency
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Dose of psychotherapy and long-term recovery outcomes: An examination of attendance patterns in alcohol use disorder treatment. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-01 Rory A Pfund,Kevin A Hallgren,Stephen A Maisto,Matthew R Pearson,Katie Witkiewitz
OBJECTIVES The purpose of this study was to examine associations between psychotherapy session attendance, alcohol treatment outcomes, and Alcoholics Anonymous (AA) attendance. METHOD Using data from Project MATCH, repeated measures latent class analyses of psychotherapy session attendance were conducted among participants in the outpatient arm who were randomly assigned to complete 12-session cognitive-behavioral
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Subtyping patients with binge-eating disorder by dietary restraint and negative affect: Characteristics and treatment outcome. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-01 Jennifer Zoler Dounchis,Anna M Karam,Richard I Stein,Denise E Wilfley
OBJECTIVE This study examined patients with binge-eating disorder (BED) subtyped by dietary restraint (DR) and the negative affect (NA) dimension of depression, anxiety, hostility, and self-esteem, comparing clinical features and outcome of evidence-based psychological treatments. It was hypothesized that individuals with DR and high NA (DR-HNA) would have lower functioning and poorer immediate and
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Effectiveness of the Body Project eating disorder prevention program for different racial and ethnic groups and an evaluation of the potential benefits of ethnic matching. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-01 Eric Stice,Z Ayotola Onipede,Heather Shaw,Paul Rohde,Jeff M Gau
OBJECTIVE Provide an adequately powered tests of whether a group-delivered dissonance-based eating disorder prevention program (Body Project) is similarly effective for different racial and ethnic groups and evaluate whether an improved match between minority participant race/ethnicity and fellow group members is associated with larger effects. METHOD Study 1 examined data from 539 young women from
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Comparing the effectiveness of three substance use interventions for youth with and without homelessness experiences prior to treatment. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-01 Graham T DiGuiseppi,Joan S Tucker,John J Prindle,Benjamin F Henwood,Stanley J Huey,Eric R Rice,Jordan P Davis
OBJECTIVE Many adolescents and young adults receiving substance use treatment have experienced or are at risk for homelessness. It is unknown whether specific treatment approaches are more or less effective for youth experiencing homelessness (YEH) compared to stably housed youth. The present study compared the effectiveness of the Adolescent Community Reinforcement Approach, Motivational Enhancement
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A randomized controlled trial for identifying the most suitable treatment for depression based on patients' attachment orientation. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-01 Sigal Zilcha-Mano,Pavel Goldstein,Tohar Dolev-Amit,Tal Ben David-Sela,Jacques P Barber
OBJECTIVE Many active treatments exist for major depressive disorder (MDD), but little is known about their differential effects for various subpopulations of patients to guide precision medicine. This is the first randomized controlled trial (RCT) designed to identify differential treatment effects based on patients' attachment orientations. We tested an a priori preregistered hypothesis of the potential
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A comparison of the effects of sudden gains and depression spikes on short- and long-term depressive symptoms in a randomized controlled trial of behavioral activation and cognitive behavioural therapy. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-12-01 Heather A O'Mahen,Adele Hayes,Claire Harries,Asha Ladwa,Mohammod Mostazir,David Ekers,Dean McMillan,David Richards,Kimberly Wright
OBJECTIVE The aim of this study was to examine the effects of sudden gains and depression spikes in a randomized controlled trial of cognitive behavioral therapy (CBT) and behavioral activation (BA) for depression (COBRA trial). METHOD This is a secondary analysis of 300 adults with major depressive disorder (MDD) who received CBT (n = 156) or BA (n = 144) (Richards et al., 2016). The Patient Health
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Efficacy of internet-based treatment for genito-pelvic pain/penetration disorder: Results of a randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-11-29 Anna-Carlotta Zarski,Matthias Berking,David Daniel Ebert
OBJECTIVE The aim of this study was to evaluate the efficacy of an internet-based treatment for Genito-Pelvic Pain/Penetration Disorder (GPPPD) which adversely affects women's sexuality and is associated with reduced well-being and mental health comorbidities. METHOD Two-hundred women with GPPPD (no penetrative intercourse ≥6 months) were randomly allocated to the intervention group (IG) or a waitlist
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Extracurricular involvement in the school-age period and adolescent problem behavior among low-income youth. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-11-01 Julia S Feldman,Yiyao Zhou,Chelsea Weaver Krug,Melvin N Wilson,Kathryn Lemery-Chalfant,Daniel S Shaw
OBJECTIVE The present study tested the protective role of youth's school-age extracurricular involvement and multiple informants' reports of adolescent internalizing and externalizing problems in a sample of youth from low-income households. METHOD Participating youth (n = 635, 49% female, 49% White, 28% Black/African American, 14% biracial, 8% other race, 13% Hispanic/Latinx) were drawn from the Early
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Neurocognitive predictors of treatment outcomes in psychotherapy for comorbid PTSD and substance use disorders. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-11-01 J Cobb Scott,Kevin G Lynch,David P Cenkner,Shannon M Kehle-Forbes,Melissa A Polusny,Ruben C Gur,Shirley Chen,Edna B Foa,David W Oslin
OBJECTIVE Comorbidity between posttraumatic stress disorder (PTSD) and substance use disorders (SUD) is common, and both are associated with cognitive dysfunction. However, few studies examine the impact of cognitive deficits on treatment outcomes. Here, we leverage data from a randomized clinical trial of integrated versus phased psychotherapy for SUD and PTSD to examine the relation of cognitive
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Treating adults with a dual diagnosis of borderline personality disorder and posttraumatic stress disorder related to childhood abuse: Results from a randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-11-01 Nikolaus Kleindienst,Regina Steil,Kathlen Priebe,Meike Müller-Engelmann,Miriam Biermann,Thomas Fydrich,Christian Schmahl,Martin Bohus
OBJECTIVE About half of individuals seeking treatment for borderline personality disorder (BPD) present with co-occurring posttraumatic stress disorder (PTSD). However, therapies that have been proven efficacious for simultaneously treating the full spectrum of core symptoms in patients with a dual diagnosis of BPD + PTSD are lacking. METHOD This is a subgroup analysis from a randomized controlled
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Interpersonal cognitions as a mechanism of change in cognitive behavioral therapy for generalized anxiety disorder? A multilevel dynamic structural equation model approach. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-11-01 Juan Martín Gómez Penedo,Peter Hilpert,Martin Grosse Holtforth,Christoph Flückiger
OBJECTIVE This study aimed to investigate the effects of changes in interpersonal cognitions on outcome during cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) and how these effects are moderated by patients' interpersonal problems at intake. METHOD A sample of 80 adult patients diagnosed with GAD who were undergoing CBT within a randomized controlled trial completed a questionnaire
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Effects of competence feedback on therapist competence and patient outcome: A randomized controlled trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-11-01 Florian Weck,Yvonne M Junga,Reinhold Kliegl,Daniela Hahn,Katharina Brucker,Michael Witthöft
OBJECTIVE Therapist competence is considered essential for the success of psychotherapy. Feedback is an intervention which has the potential to improve therapist competence. The present study investigated whether competence feedback leads to an improvement of therapist competence and patient outcome. METHOD Sixty-seven master-level clinical trainees were randomly assigned to either a competence feedback
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Therapist-level moderation of within- and between-therapist process-outcome associations. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-07 Alice E Coyne,Michael J Constantino,James F Boswell,David R Kraus
OBJECTIVE Although higher quality patient-therapist alliance and more positive patient outcome expectation (OE) consistently predict symptomatic/functional improvement in psychotherapy, most research has failed to capture the nuance in these process-outcome relations by parsing them into within-therapist (i.e., differences between patients treated by the same therapist) and between-therapist (i.e.
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Seeing the forest for the trees: Predicting attendance in trials for co-occurring PTSD and substance use disorders with a machine learning approach. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Teresa López-Castro,Yihong Zhao,Skye Fitzpatrick,Lesia M Ruglass,Denise A Hien
Objective: High dropout rates are common in randomized clinical trials (RCTs) for comorbid posttraumatic stress disorder and substance use disorders (PTSD + SUD). Optimizing attendance is a priority for PTSD + SUD treatment development, yet research has found few consistent associations to guide responsive strategies. In this study, we employed a data-driven pipeline for identifying salient and reliable
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Estimating prevalence of PTSD among veterans with minoritized sexual orientations using electronic health record data. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Jillian C Shipherd,Kristine Lynch,Elise Gatsby,Zig Hinds,Scott L DuVall,Nicholas A Livingston
Objective: Questionnaire studies show people with minoritized sexual orientations (MSOs) face increased risk for conditions including posttraumatic stress disorder (PTSD). This study replicated Harrington et al.'s (2019) electronic health record probabilistic algorithm to evaluate lifetime PTSD prevalence in Veterans Health Administration (VHA)-using veterans. Method: In 115,853 MSO veterans and a
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Prospective associations between bi+ minority stressors and internalizing symptoms: The mediating roles of general and group-specific processes. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Christina Dyar,Brian A Feinstein,Elissa L Sarno,Sophia Pirog,Michael E Newcomb,Sarah W Whitton
Objective: The prevalence of anxiety and depressive (i.e., internalizing) disorders is higher among bi+ individuals (i.e., individuals with attractions to more than one gender and/or who identify as bisexual or pansexual) compared to both heterosexual and lesbian/gay individuals. Cross-sectional research has demonstrated that stressors unique to bi+ individuals are associated with internalizing symptoms
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Mindfulness-based online intervention to improve quality of life in late-stage bipolar disorder: A randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Greg Murray,Neil Thomas,Erin E Michalak,Steven H Jones,Sara Lapsley,Steven J Bowe,Fiona Foley,Kathryn Fletcher,Tania Perich,Sheri L Johnson,Sue Cotton,Lesley Berk,Cathrine Mihalopoulos,Michael Kyrios,Michael Berk
Objective: Adjunctive psychological interventions improve outcomes in bipolar disorder (BD), but people in latter stages likely have different clinical needs. The objective here was to test the hypothesis that for people with ≥10 episodes of BD, a brief online mindfulness-based intervention (ORBIT 2.0) improves quality of life (QoL) relative to a Psychoeducation control. Method: A rater-masked, pragmatic
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Change in negative attention bias mediates the association between attention bias modification training and depression symptom improvement. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Christopher G Beevers,Kean J Hsu,David M Schnyer,Jasper A J Smits,Jason Shumake
OBJECTIVE Attention bias modification training (ABMT) is purported to reduce depression by targeting and modifying an attentional bias for sadness-related stimuli. However, few tests of this hypothesis have been completed. METHOD The present study examined whether change in attentional bias mediated a previously reported association between ABMT condition (active ABMT, sham ABMT, assessments only;
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Cognitive remediation therapy in anorexia nervosa-A randomized clinical trial. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Timo Brockmeyer,Hagen Schmidt,Anna Leiteritz-Rausch,Johannes Zimmermann,Wally Wünsch-Leiteritz,Andreas Leiteritz,Hans-Christoph Friederich
Objective: Especially for adult patients with anorexia nervosa (AN), treatment response is generally low to moderate. The present study aimed to evaluate the efficacy of cognitive remediation therapy (CRT) as adjunctive treatment for AN regarding clinical and cognitive outcomes. Method: In this randomized controlled superiority trial, 167 adult and adolescent (≥17 years) patients with AN were randomly
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Enhancing efficacy of a dissonance-based obesity and eating disorder prevention program: Experimental therapeutics. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-10-01 Eric Stice,Paul Rohde,Jeff M Gau,Meghan L Butryn,Heather Shaw,Kasie Cloud,Laura D'Adamo
OBJECTIVE Test the hypothesis that the efficacy of a dissonance-based obesity/eating disorder prevention program, Project Health, could be enhanced by implementing it in single-sex groups and adding food response inhibition and attention training. METHOD Using a 2 × 2 factorial design, young adults (N = 261; Mage = 19.3, 79% female; 64% White) were randomized to (a) single-sex or (b) mixed-sex groups
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Family-centered prevention buffers the effect of financial strain on parenting interactions, reducing youth conduct problems in African American families. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-09-01 Justin A Lavner,Allen W Barton,Olutosin Adesogan,Steven R H Beach
OBJECTIVE This study examined whether a family-focused prevention program for African American families could buffer the negative effect of perceived financial strain on protective parent-child interactions and thereby reduce the indirect effect of financial strain on youth conduct problems. METHOD Three hundred and forty-six African American couples with an early adolescent child (M age = 10.9 years
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Long-term cross-over effects of the family check-up prevention program on child and adolescent depression: Integrative data analysis of three randomized trials. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-09-01 Arin M Connell,Kelsey Magee,Elizabeth Stormshak,Thao Ha,Erika Westling,Melvin Wilson,Daniel Shaw
OBJECTIVE The present study examined prevention effects of the family check-up (FCU) prevention program on longitudinal changes in youth depression, using harmonized data collected across three prevention trials, including one trial initiated in early childhood and two initiated in early adolescence (total N = 2,322). METHOD Data from parent and youth reports of youth depression were harmonized using
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Exploring termination setback in a psychodynamic therapy for panic disorder. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-09-01 Thomas Nilsson,Fredrik Falkenström,Sean Perrin,Martin Svensson,Håkan Johansson,Rolf Sandell
OBJECTIVE Termination in psychodynamic therapy (PDT) is a potentially conflictual and turbulent phase for patients, with a risk for increases in symptoms. However, few studies of PDT have assessed symptoms frequently enough during the treatment to determine whether such setbacks are in fact common in PDT. METHOD In a doubly randomized clinical preference trial, 217 adults, female = 163; M age = 34
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In-session reflective functioning in psychotherapies for borderline personality disorder: The emotion regulatory role of reflective functioning. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-09-01 Yogev Kivity,Kenneth N Levy,Kristen M Kelly,John F Clarkin
OBJECTIVE The capacity for understanding mental states (reflective functioning; RF) is considered essential for self-growth, social learning, and emotion regulation. Impaired RF is thought to play a central role in borderline personality disorder (BPD). We examined whether asking patients to consider mental states in-session has a down-regulatory effect on emotional arousal in treatments for BPD. METHOD
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Does cognitive behavioral therapy for depression target positive affect? Examining affect and cognitive change session-to-session. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-09-01 Megan L Whelen,Daniel R Strunk
OBJECTIVE Researchers have been interested in the role of negative affect (NA) and positive affect (PA) in cognitive behavioral therapy (CBT) for depression. We examined cognitive change (CC) and these two affect variables across the course of CBT. METHOD Patients (N = 125; M age = 31.7, SD = 13.35; 60% female; 83% Caucasian) participated in 16 weeks of CBT for depression. They completed the Beck Depression
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Dropout from psychological interventions for refugees and asylum seekers: A meta-analysis. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-09-01 Verena Semmlinger,Keisuke Takano,Hannah Schumm,Thomas Ehring
BACKGROUND Refugees and asylum seekers often suffer from migration stressors and related psychopathology. However, providing this population with psychological treatment has a number of barriers (e.g., culture and language differences), which are widely thought to hinder the success and continuation of treatment. OBJECTIVE The current systematic review and meta-analysis aims to provide first comprehensive
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Therapist adaptations to evidence-based practices and associations with implementation outcomes in child therapy sessions. Journal of Consulting and Clinical Psychology (IF 7.156) Pub Date : 2021-08-19 Stephanie H Yu,Lauren Brookman-Frazee,Joanna J Kim,Miya L Barnett,Blanche Wright,Anna S Lau
OBJECTIVE Community therapists inevitably adapt evidence-based practices (EBPs) to meet the needs of their clients and practice settings. Yet, the implications of spontaneous, therapist-driven adaptations for EBP implementation outcomes are not well understood. We used a sequential QUAN → qual mixed-methods design to examine how different types of therapist-described adaptations were associated with