Journal of consulting and clinical psychology最新文献

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Randomized trial of parent-child interaction therapy improves child-welfare parents' behavior, self-regulation, and self-perceptions. 亲子互动疗法改善儿童福利父母行为、自我调节和自我认知的随机试验。
IF 5.9 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-12-07 DOI: 10.1037/ccp0000859
Elizabeth A Skowron, Akhila K Nekkanti, Amanda M Skoranski, Carolyn M Scholtes, Emma R Lyons, Kathryn L Mills, David Bard, Alexus Rock, Elliot Berkman, Elizabeth Bard, Beverly W Funderburk
{"title":"Randomized trial of parent-child interaction therapy improves child-welfare parents' behavior, self-regulation, and self-perceptions.","authors":"Elizabeth A Skowron, Akhila K Nekkanti, Amanda M Skoranski, Carolyn M Scholtes, Emma R Lyons, Kathryn L Mills, David Bard, Alexus Rock, Elliot Berkman, Elizabeth Bard, Beverly W Funderburk","doi":"10.1037/ccp0000859","DOIUrl":"10.1037/ccp0000859","url":null,"abstract":"<p><strong>Objective: </strong>We conducted a large (<i>N</i> = 204) randomized, clinical trial to test the efficacy of parent-child interaction therapy (PCIT) on observed parenting, two key drivers of maladaptive parenting-self-regulation and social cognitions, and child behavior outcomes in a sample of child welfare-involved families.</p><p><strong>Method: </strong>Participants were randomly assigned to standard PCIT (<i>n</i> = 120) or services-as-usual (SAU; <i>n</i> = 84). The sample was characterized by low household income, significant exposures to adverse childhood experiences, and substance abuse. Intention-to-treat analyses were conducted on multiply imputed data followed by secondary per-protocol analyses.</p><p><strong>Results: </strong>Significant PCIT effects emerged on (a) increased positive parenting, reduced negative parenting and disruptive child behavior (small-to-medium intention-to-treat effects and medium-to-large per-protocol effects); (b) gains in parent inhibitory control on the stop-signal task (small-to-medium effects); (c) gains in parent-reported emotion regulation and (d) positive, affirming self-perceptions (small-to-medium effects), relative to the SAU control group. PCIT's effects on gains in parent emotion regulation were mediated by reductions in observed negative parenting. No differences in rates of parent commands or child compliance were observed across conditions. Harsh child attributions moderated treatment impact on parenting skills acquisition. PCIT parents who held harsher attributions displayed greater gains in use of labeled praises and declines in negative talk/criticism with their child, than control group parents.</p><p><strong>Conclusions: </strong>This randomized trial presents the first evidence that PCIT improves inhibitory control and emotion regulation in a child welfare parents and replicates other published trials documenting intervention gains in positive parenting and child behavior in child welfare families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"75-92"},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10894622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138498542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
For whom are treatments for criminal recidivism effective? Moderator effects from a randomized controlled trial of justice-involved veterans. 重犯治疗对谁有效?一项针对涉法退伍军人的随机对照试验的调节效应。
IF 4.5 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-02-01 DOI: 10.1037/ccp0000864
Daniel M Blonigen, Kathryn S Macia, Michael A Cucciare, David Smelson
{"title":"For whom are treatments for criminal recidivism effective? Moderator effects from a randomized controlled trial of justice-involved veterans.","authors":"Daniel M Blonigen, Kathryn S Macia, Michael A Cucciare, David Smelson","doi":"10.1037/ccp0000864","DOIUrl":"10.1037/ccp0000864","url":null,"abstract":"<p><strong>Objective: </strong>In a recent trial, moral reconation therapy (MRT)-a cognitive-behavioral intervention for criminal recidivism-was not more effective than usual care (UC) for veterans in behavioral health treatment. To determine for whom treatments of recidivism are most effective, we tested if recency of criminal history or psychopathic traits moderated MRT's effects on outcomes.</p><p><strong>Method: </strong>In a multisite trial, 341 veterans (95.3% male; 57.8% White/Non-Hispanic) with a criminal history who were admitted to behavioral health treatment programs were randomly assigned to UC or UC + MRT and followed at 6- and 12-months. Incarceration (yes/no) or criminal conviction (yes/no) in the year prior to enrollment and psychopathic traits at baseline (median split) were prespecified as moderators of treatment effects on primary (criminal thinking, criminal associations) and secondary outcomes (legal, employment, and family/social problems; substance use problems and days of use).</p><p><strong>Results: </strong>Among veterans incarcerated in the year prior to enrollment, MRT (vs. UC) was associated with greater reductions in criminal associations (6 months) and days drinking or using drugs (12 months). Among those convicted in the year prior to enrollment, MRT (vs. UC) was associated with greater reductions in employment problems (12 months) and days drinking or using drugs at each follow-up. For those high in psychopathic traits, MRT (vs. UC) was associated with greater reductions in days drinking or using drugs at each follow-up.</p><p><strong>Conclusions: </strong>For veterans in behavioral health treatment with recent criminal histories and high in psychopathic traits, MRT may be effective for reducing risk for criminal recidivism. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"92 2","pages":"118-128"},"PeriodicalIF":4.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing suicidal ideation in African American adolescents: A randomized controlled clinical trial. 减少非裔美国青少年自杀意念:一项随机对照临床试验。
IF 4.5 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-09-28 DOI: 10.1037/ccp0000849
W LaVome Robinson, Christopher R Whipple, Kate Keenan, Caleb E Flack, Sally Lemke, Leonard A Jason
{"title":"Reducing suicidal ideation in African American adolescents: A randomized controlled clinical trial.","authors":"W LaVome Robinson, Christopher R Whipple, Kate Keenan, Caleb E Flack, Sally Lemke, Leonard A Jason","doi":"10.1037/ccp0000849","DOIUrl":"10.1037/ccp0000849","url":null,"abstract":"<p><strong>Objective: </strong>Suicide rates among African American adolescents have increased exponentially in recent years. The socioecological stressors that can increase suicide risk for African American adolescents, in conjunction with unique suicide risk manifestations within this group, require culturally sensitive preventive interventions. This study examines the efficacy of the Adapted-Coping With Stress course (A-CWS), a culturally tailored preventive intervention, to reduce suicidal ideation in African American adolescents, utilizing a randomized controlled design.</p><p><strong>Method: </strong>Participants included 410 ninth-grade students in a large Midwestern city; most students identified as Black/African American. Participants were randomly assigned to either the A-CWS intervention or standard care control condition. All participants were assessed at baseline, immediately postintervention, and 6 and 12 months postintervention.</p><p><strong>Results: </strong>Treatment effects were examined using latent growth models comparing suicidal ideation trajectories in control and intervention conditions. Analyses were conducted using both intention-to-treat and treatment-as-received samples (i.e., intervention condition participants who attended at least 80% of sessions). In both intention-to-treat and treatment-as-received analyses, there was a significant treatment effect: Individuals in the A-CWS intervention condition with higher baseline ideation evidenced a superior reduction in suicidal ideation over the course of the study, relative to their counterparts in the standard care control condition.</p><p><strong>Conclusion: </strong>Findings indicate that the A-CWS preventive intervention is efficacious in reducing suicidal ideation among African American adolescents with higher levels of baseline suicidal ideation and that effects sustain over time, with the strongest effect evidenced 12 months postintervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"61-74"},"PeriodicalIF":4.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10841109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The efficacy of cognitive behavioral therapies for depression in China in comparison with the rest of the world: A systematic review and meta-analysis. 认知行为疗法在中国治疗抑郁症的疗效与世界其他地区的比较:一项系统综述和荟萃分析。
IF 5.9 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-10-30 DOI: 10.1037/ccp0000854
Xiao-Miao Li, Fang-Fang Huang, Pim Cuijpers, Huan Liu, Eirini Karyotaki, Zhan-Jiang Li, Clara Miguel, Marketa Ciharova, Keith Dobson
{"title":"The efficacy of cognitive behavioral therapies for depression in China in comparison with the rest of the world: A systematic review and meta-analysis.","authors":"Xiao-Miao Li, Fang-Fang Huang, Pim Cuijpers, Huan Liu, Eirini Karyotaki, Zhan-Jiang Li, Clara Miguel, Marketa Ciharova, Keith Dobson","doi":"10.1037/ccp0000854","DOIUrl":"10.1037/ccp0000854","url":null,"abstract":"<p><strong>Objective: </strong>There is consistent evidence that cognitive behavioral therapies (CBTs) are effective interventions for adult depression. While some evidence has compared these effects in different countries, no prior systematic review and meta-analysis has compared the efficacy of CBTs between Chinese and people from the rest of the world. The current meta-analysis addressed this gap by a systematic review of eligible studies from Chinese and worldwide databases.</p><p><strong>Method: </strong>Hedges' g was calculated using a random-effects model. Subgroup analyses and multilevel meta-analytic models were conducted to examine the relationship among effect sizes and the characteristics in Chinese studies. Metaregression analyses were conducted to explore the difference of the efficacy of CBTs between Chinese studies and non-Chinese studies after controlling for the moderators.</p><p><strong>Results: </strong>A total of 34 (<i>n</i> = 3,710) studies in China and 307 (<i>n</i> = 30,333) studies from the rest of the world were included. The effect size of CBTs on depression for Chinese participants was 1.19 (95% CI [0.86, 1.52]), which was higher (<i>Q</i> = 4.63, <i>p</i> = .03) than the effect size of the rest of the world (0.82, 95% CI [0.74, 0.90]). After controlling for moderators, the effect size of Chinese studies was still higher than non-Chinese studies (β = 0.351, <i>p</i> = .011).</p><p><strong>Conclusions: </strong>CBTs are effective interventions for adult depression and deserve more attention in China for depression management. Moderators related to study design, clinical features, and cultural factors need to be considered in the interpretation of the results. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"105-117"},"PeriodicalIF":5.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71412451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing treatment expectations and decision making through informed consent for psychotherapy: A randomized controlled trial. 通过心理治疗的知情同意优化治疗期望和决策:一项随机对照试验。
IF 4.5 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-11-16 DOI: 10.1037/ccp0000851
Leonie Gerke, Franz Pauls, Sönke Ladwig, Sarah Liebherz, Klaus Michael Reininger, Levente Kriston, Manuel Trachsel, Martin Härter, Yvonne Nestoriuc
{"title":"Optimizing treatment expectations and decision making through informed consent for psychotherapy: A randomized controlled trial.","authors":"Leonie Gerke, Franz Pauls, Sönke Ladwig, Sarah Liebherz, Klaus Michael Reininger, Levente Kriston, Manuel Trachsel, Martin Härter, Yvonne Nestoriuc","doi":"10.1037/ccp0000851","DOIUrl":"10.1037/ccp0000851","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this research was to determine the efficacy and safety of an optimized informed consent (OIC) consultation for psychotherapy.</p><p><strong>Method: </strong>We performed a randomized controlled superiority online trial involving 2 weeks of treatment and 3 months of follow-up. One hundred twenty-two adults with mental disorders confirmed by structured interview currently neither in out- nor inpatient psychotherapy (mean age: 32, gender identity: 51.6% female, 1.6% diverse), were randomized. Participants received an information brochure about psychotherapy for self-study (treatment as usual [TAU]; <i>n</i> = 61) or TAU plus a one-session OIC utilizing expectation management, contextualization, framing, and shared decision making (<i>n</i> = 61). The primary outcome was treatment expectations at 2-week follow-up.</p><p><strong>Results: </strong>At 2-week follow-up, participants receiving OIC showed more positive treatment expectations compared to those receiving TAU only (mean difference: 0.70, 95% CI [0.36, 1.04]) with a medium effect size (<i>d</i> = 0.73). Likewise, OIC positively influenced motivation (<i>d</i> = 0.74) and adherence intention (<i>d</i> = 0.46). OIC entailed large effects on reduction of decisional conflict (<i>d</i> = 0.91) and increase of knowledge (<i>d</i> = 0.93). Participants receiving OIC showed higher capacity to consent to treatment (<i>d</i> = 0.63) and higher satisfaction with received information (<i>d</i> = 1.34) compared to TAU. No statistically significant group differences resulted for expected adverse effects of psychotherapy. Results were maintained at 3-month follow-up. Data sets for <i>n</i> = 10 cases (8.2%) were missing (postassessment <i>n</i> = 4, 2-week <i>n</i> = 6, 3-month follow-up <i>n</i> = 8).</p><p><strong>Conclusions: </strong>Explaining to patients how psychotherapy works via a short consultation was effective in strengthening treatment expectations and decision making in a nonharmful way. Further trials clarifying whether this effectively translates to better treatment outcomes are required. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"93-104"},"PeriodicalIF":4.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136397611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supplemental Material for Treatment Credibility as a Mechanism of Change in Cognitive Behavioral Therapy: Effects on Depression and Anxiety 作为认知行为疗法变化机制的治疗可信度的补充材料:对抑郁和焦虑的影响
IF 5.9 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-01-08 DOI: 10.1037/ccp0000866.supp
{"title":"Supplemental Material for Treatment Credibility as a Mechanism of Change in Cognitive Behavioral Therapy: Effects on Depression and Anxiety","authors":"","doi":"10.1037/ccp0000866.supp","DOIUrl":"https://doi.org/10.1037/ccp0000866.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"53 15","pages":""},"PeriodicalIF":5.9,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supplemental Material for A Home-Based Telehealth Randomized Controlled Trial of Skills Training in Affective and Interpersonal Regulation Versus Present-Centered Therapy for Women Veterans Who Have Experienced Military Sexual Trauma 针对经历过军队性创伤的女退伍军人的情感和人际关系调节技能培训与以当前为中心的疗法的家庭远程保健随机对照试验》补充材料
IF 5.9 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-01-08 DOI: 10.1037/ccp0000872.supp
{"title":"Supplemental Material for A Home-Based Telehealth Randomized Controlled Trial of Skills Training in Affective and Interpersonal Regulation Versus Present-Centered Therapy for Women Veterans Who Have Experienced Military Sexual Trauma","authors":"","doi":"10.1037/ccp0000872.supp","DOIUrl":"https://doi.org/10.1037/ccp0000872.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"44 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139447833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Randomized controlled trial of a web-based program for preventing anxiety and depression in university students. 一项预防大学生焦虑和抑郁的网络程序的随机对照试验。
IF 5.9 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI: 10.1037/ccp0000843
Leslie R Rith-Najarian, Elizabeth Gong-Guy, John C Flournoy, Denise A Chavira
{"title":"Randomized controlled trial of a web-based program for preventing anxiety and depression in university students.","authors":"Leslie R Rith-Najarian, Elizabeth Gong-Guy, John C Flournoy, Denise A Chavira","doi":"10.1037/ccp0000843","DOIUrl":"10.1037/ccp0000843","url":null,"abstract":"<p><strong>Objective: </strong>Few online interventions targeting anxiety and depression in university students are designed for universal delivery, and none for group-level delivery. This randomized controlled trial (NCT No. 04361045) examined the effectiveness of such a prevention program.</p><p><strong>Method: </strong>StriveWeekly is a web-based intervention designed with weekly self-guided skill modules (e.g., behavioral activation) that are synchronously delivered to all users. Student participants (<i>n</i> = 1,607) were recruited from one large public university, and 65.4% had no prior mental health service use. Participants were randomly assigned to 8 weeks of StriveWeekly (<i>n</i> = 804) or a waitlist condition (<i>n</i> = 803). Participants completed web-based surveys at baseline, posttest, and 3-month follow-up. The primary outcome was the self-reported Depression Anxiety and Stress Scale-21.</p><p><strong>Results: </strong>Piecewise linear mixed-effect models found significant group by time interactions for depression (<i>t</i> = -3.05, <i>p</i> = .002), anxiety (<i>t</i> = -3.01, <i>p</i> = .003), and total symptoms (<i>t</i> = -3.34, <i>p</i> < .001). Relative to the waitlist, students assigned to StriveWeekly improved more from baseline to posttest (between-group <i>d</i> = 0.18-0.21). These small effects were maintained through follow-up, and subsequently replicated by the original waitlist. The intervention was initiated by 73.0% of students in the StriveWeekly condition (modules completed: <i>M</i> = 3.72), and 71.6% of all posttest respondents rated the intervention highly.</p><p><strong>Conclusion: </strong>Findings supported StriveWeekly's effectiveness for large scale indicated prevention of anxiety and depression symptoms in university students. However, further development and research are still needed, as not all students used the intervention, reported satisfaction, or experienced improvement. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"1-15"},"PeriodicalIF":5.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of mental health outcomes of three refugee groups in an advocacy-based intervention: A precision medicine perspective. 基于倡导的干预中三个难民群体心理健康结果的预测因素:精准医学视角。
IF 4.5 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI: 10.1037/ccp0000847
Meredith A Blackwell, Jessica R Goodkind, Elizabeth A Yeater, M Lee Van Horn
{"title":"Predictors of mental health outcomes of three refugee groups in an advocacy-based intervention: A precision medicine perspective.","authors":"Meredith A Blackwell, Jessica R Goodkind, Elizabeth A Yeater, M Lee Van Horn","doi":"10.1037/ccp0000847","DOIUrl":"10.1037/ccp0000847","url":null,"abstract":"<p><strong>Objective: </strong>Precision medicine is an area with great potential for mental health, but has made limited gains prognostically in predicting effective treatments. For refugees exposed to violence, culture may be a crucial factor in predicting treatment outcomes.</p><p><strong>Method: </strong>For this study, 290 participants from three regions (Afghanistan, the Great Lakes region of Africa, and Iraq and Syria) participated in a randomized controlled trial of an advocacy-based intervention. Emotional distress symptoms were measured prior to intervention, midintervention (3 months), postintervention (6 months), and follow-up (6 months after the end of intervention). Number of traumatic events, resource access, social support, and English proficiency were tested for potential predictive effects on intervention outcome.</p><p><strong>Results: </strong>Multilevel generalized linear models revealed that Afghans' (<i>B</i> = -0.259, <i>SE</i> = 0.108, <i>p</i> = .013), and Great Lakes Africans' (<i>B</i> = -0.116, <i>SE</i> = 0.057, <i>p</i> = .042) emotional distress symptoms improved as a function of the intervention, while Iraqis and Syrians showed no intervention effects. For Afghans, English proficiency (<i>B</i> = -0.453, <i>SE</i> = 0.157, <i>p</i> < .01) and social support (<i>B</i> = -0.179, <i>SE</i> = 0.086, <i>p</i> = .037) were most strongly correlated to emotional distress, while for Africans, resource access (<i>B</i> = -0.483, <i>SE</i> = 0.082, <i>p</i> < .001) and social support (<i>B</i> = -0.100, <i>SE</i> = 0.048, <i>p</i> = .040) were the strongest predictors of emotional distress.</p><p><strong>Conclusions: </strong>Response to advocacy-based interventions and active ingredients may be influenced by culture; findings have implications for refugees and precision medicine. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":" ","pages":"16-25"},"PeriodicalIF":4.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41112635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revealing subgroup-specific mechanisms of change via moderated mediation: A meditation intervention example. 通过适度中介揭示特定亚组的变化机制:一个冥想干预的例子。
IF 4.5 1区 心理学
Journal of consulting and clinical psychology Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI: 10.1037/ccp0000842
Christian A Webb, Matthew J Hirshberg, Oscar Gonzalez, Richard J Davidson, Simon B Goldberg
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