Journal of Clinical Psychology in Medical Settings最新文献

"Coming Correct": Conducting Community Engagement Studios to Adapt Mindfulness-Based Cognitive Therapy for the Chronic Pain-Depression Comorbidity Among Older Black Adults. “走向正确”：指导社区参与工作室适应基于正念的认知疗法，以治疗老年黑人的慢性疼痛-抑郁共病。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-05-07 DOI: 10.1007/s10880-026-10153-0

Tony V Pham, Kozbi Bayne, Defne Yucebas, Nia Stewart, Denise Altagracia Taveras, Nomin Enkhtsetseg, Michael Kincade, Ana-Maria Vranceanu

{"title":"\"Coming Correct\": Conducting Community Engagement Studios to Adapt Mindfulness-Based Cognitive Therapy for the Chronic Pain-Depression Comorbidity Among Older Black Adults.","authors":"Tony V Pham, Kozbi Bayne, Defne Yucebas, Nia Stewart, Denise Altagracia Taveras, Nomin Enkhtsetseg, Michael Kincade, Ana-Maria Vranceanu","doi":"10.1007/s10880-026-10153-0","DOIUrl":"https://doi.org/10.1007/s10880-026-10153-0","url":null,"abstract":"Older Black adults experience disproportionately high rates of chronic pain (CP) and depression, yet inequities in access, recognition, and culturally resonant treatment persist. Mindfulness-based cognitive therapy (MBCT) is an evidence-based group intervention for depression with emerging promise for CP. However, adaptations for older Black adults with comorbid CP-depression remain underexplored. Guided by cultural intervention adaptation and community engagement principles, we conducted four Community Engagement Studios with 20 older Black adults in Boston (ages 51-84), all reporting CP (≥ 3 months) and mild to moderate depressive symptoms (PHQ-9 ≥ 15). Participants reviewed MBCT content and reflected on cultural relevance, barriers, and facilitators. Through thematic analysis of recorded transcripts, we identified themes pertaining to their perceptions of MBCT. Three themes emerged: (1) nuanced acceptance of mindfulness practices when adapted to faith, physical limitations, and language; (2) importance of instructors who are grounded in respect and shared cultural context; and (3) preference for flexible, sustainable delivery (community-based, hybrid options, shorter sessions). Our findings highlight MBCT's feasibility for older Black adults with the CP-depression comorbidity when adapted for cultural resonance, accessibility, and sustainability. Results will directly inform our adaptation of MBCT for the CP-depression comorbidity among older Black adults.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Specific Depressive Symptoms are Associated with Subtypes of Fatigue in Inflammatory Bowel Disease. 炎症性肠病中特定抑郁症状与疲劳亚型相关

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-05-05 DOI: 10.1007/s10880-026-10152-1

Brooke Duarte, Hyder Said, Jessica Salwen-Deremer

{"title":"Specific Depressive Symptoms are Associated with Subtypes of Fatigue in Inflammatory Bowel Disease.","authors":"Brooke Duarte, Hyder Said, Jessica Salwen-Deremer","doi":"10.1007/s10880-026-10152-1","DOIUrl":"https://doi.org/10.1007/s10880-026-10152-1","url":null,"abstract":"Fatigue is common in inflammatory bowel disease (IBD) yet firm understanding of its management remains unclear. While psychosocial factors influence fatigue, less is known about how these factors differ among fatigue subtypes. This study examined the contributions of self-reported disease activity and psychosocial factors to five fatigue subtypes. Patients with Crohn's disease or ulcerative colitis were recruited from an academic medical center. Participants completed online surveys including the Multidimensional Fatigue Inventory (MFI-20) and measures of depression, anxiety, pain interference, pain catastrophizing, and insomnia. In 312 participants, depression was most associated with subtypes of fatigue. Percent variance attributable to fatigue subtypes: general (17%), physical (12%), mental (25%), and reduced motivation (17%). Anxiety was most strongly associated with activity avoidance (17% variance). Factors associated to a lesser degree were pain interference and insomnia. The contribution of psychosocial factors to fatigue was as, if not more substantial than patient-reported disease activity. Symptom-level analysis found cognitive and behavioral symptoms of depression to be most associated with fatigue. While subtypes of fatigue differ in their association to psychosocial factors, depression was a consistent and strongly associated factor. Results highlight the importance of screening for depression and point to specific treatments that may be beneficial for fatigue management.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Illness Identity in Symptomatic Adults with Sickle Cell Disease: Preliminary Findings and Considerations. 有症状的成人镰状细胞病的疾病识别：初步发现和考虑。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-21 DOI: 10.1007/s10880-026-10140-5

Diana Cox, Mary Anne Toledo-Tamula, Matthew Hsieh, Emily Limerick, Courtney Fitzhugh, John Tisdale, Staci Martin Peron

{"title":"Illness Identity in Symptomatic Adults with Sickle Cell Disease: Preliminary Findings and Considerations.","authors":"Diana Cox, Mary Anne Toledo-Tamula, Matthew Hsieh, Emily Limerick, Courtney Fitzhugh, John Tisdale, Staci Martin Peron","doi":"10.1007/s10880-026-10140-5","DOIUrl":"https://doi.org/10.1007/s10880-026-10140-5","url":null,"abstract":"Illness identity, or how an individual integrates their disease into their sense of self, is an important psychological concept for medical populations. According to one model, there are four proposed dimensions of illness identity: Acceptance, Rejection, Enrichment, and Engulfment. Acceptance and Enrichment describe an individual's ability to embrace their illness and regard it as a source of positive meaning-making, while Rejection and Engulfment describe an individual's inclination to disregard or be preoccupied by their illness in unhelpful ways. This study aimed to describe illness identity in a sample of adults with symptomatic sickle cell disease (SCD) and examine how domains of illness identity correlate with physical and mental health variables. Forty-six adults with symptomatic SCD preparing to undergo nonmyeloablative hematopoietic transplants completed a baseline evaluation that included the Illness Identity Questionnaire (IIQ) and measures of depression, anxiety, fatigue, sleep disturbance, physical functioning, and pain. Levels of Enrichment were significantly higher than other dimensions of illness identity (Acceptance, Rejection, and Engulfment). Engulfment scores were positively correlated with sleep disturbance and pain, while Rejection scores were positively correlated with depression and negatively correlated with pain. Results suggest that illness identity is nuanced in adults with SCD. Clinicians and researchers should explore how psychosocial interventions can promote Enrichment and reduce Engulfment.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The Role of Psychosocial Risk Status in Relation to Outcomes Following Cognitive Behavioral Therapy for Youth with Abdominal Pain-Related Disorders of Gut-Brain Interaction. 心理社会风险状况在认知行为治疗青少年腹痛相关肠脑相互作用疾病的预后中的作用

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-20 DOI: 10.1007/s10880-026-10151-2

Thea Senger-Carpenter, Steven Pierce, Jocelyn Zuckerman, Elise Cheney-Makens, Michelle Adler, Natoshia Cunningham

{"title":"The Role of Psychosocial Risk Status in Relation to Outcomes Following Cognitive Behavioral Therapy for Youth with Abdominal Pain-Related Disorders of Gut-Brain Interaction.","authors":"Thea Senger-Carpenter, Steven Pierce, Jocelyn Zuckerman, Elise Cheney-Makens, Michelle Adler, Natoshia Cunningham","doi":"10.1007/s10880-026-10151-2","DOIUrl":"https://doi.org/10.1007/s10880-026-10151-2","url":null,"abstract":"It is unknown whether youth with abdominal pain-related disorders of gut-brain interaction (AP-DGBI) and clinically elevated pain intensity, functional disability, and anxiety (\"high-risk\") respond differentially to the Aim to Decrease Anxiety and Pain Treatment (ADAPT), an evidence-based cognitive behavioral therapy program, compared to youth with fewer risk factors (\"low-risk\"). This secondary analysis included youth aged 9-14 with AP-DGBI recruited from outpatient gastroenterology clinics and randomized to receive ADAPT plus treatment as usual (TAU) or TAU-alone. Baseline risk status was determined using an established grading system derived from validated measures. Differences in post-treatment (~ 8 weeks) pain intensity, functional disability, and anxiety were examined using a multivariate analysis of covariance model with an interaction of risk-status-by-treatment-allocation. Data from 79 youth were analyzed; 29 (36.7%) were high-risk. Risk status (F(3, 72) = 3.30, Wilks' Λ = 0.879, p = 0.025) predicted higher post-treatment pain intensity (estimated marginal mean difference high versus low risk 1.47 [95% Confidence Interval (CI) 0.44, 2.50]) and functional disability (5.71 [95% CI 1.38, 10.05]), but not anxiety. Accounting for risk status, ADAPT did not affect post-treatment outcomes and no risk-by-treatment-interaction emerged. Risk status predicted post-treatment outcomes for youth with AP-DGBI. Clinical implications include screening of psychosocial risk factors.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Advancing Pain Care for Individuals with Sickle Cell Disease: Two Innovative Psychological Approaches. 推进镰状细胞病患者的疼痛护理：两种创新的心理学方法。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-16 DOI: 10.1007/s10880-026-10149-w

Jeffrey Pavlacic, Kristin Hanula, Derek Toth, Elizabeth Crabtree, Christina Abrams, Shantae Jenkins, Alyssa Rheingold, Rebecca Kilpatrick

{"title":"Advancing Pain Care for Individuals with Sickle Cell Disease: Two Innovative Psychological Approaches.","authors":"Jeffrey Pavlacic, Kristin Hanula, Derek Toth, Elizabeth Crabtree, Christina Abrams, Shantae Jenkins, Alyssa Rheingold, Rebecca Kilpatrick","doi":"10.1007/s10880-026-10149-w","DOIUrl":"https://doi.org/10.1007/s10880-026-10149-w","url":null,"abstract":"Sickle cell disease (SCD) is a hemoglobin disorder impacting red blood cell and resulting in difficult-to-control pain, which significantly impacts quality of life and psychological wellbeing. There are barriers preventing patients living with SCD from receiving psychological care, and limited work demonstrating best psychological pain care practices. We describe two innovative approaches for incorporating psychological care in two clinics (i.e., pediatric and adult) serving patients living with SCD in a Southeastern United States health system. The first is psychological screening and referral to psychotherapy program. The second is a mindfulness program offering bedside interventions, retreats, and individual sessions. These innovative treatment approaches emphasize adapting psychological care to address care barriers (e.g., access to care, cultural stigma). Adaptable, patient-centered psychological approaches may positively impact pain and decrease healthcare utilization in clinics serving patients managing SCD. Case studies highlight the importance of flexibility and adaptation in service delivery. Both programs are feasible in demonstrating uptake, coordinating across programs, and working with medical providers. Future research and clinical efforts should continue developing adaptable, culturally sensitive psychological approaches to target pain in patients living with SCD, improve quality of life and psychological wellbeing in patients managing SCD, and positively impact health systems.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Healthcare Staff Views on the Roles of Psychologists in Hospital Care: A Survey in Italy. 医务人员对心理学家在医院护理中的作用的看法：意大利的一项调查。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-16 DOI: 10.1007/s10880-026-10142-3

Lorenza Magliano, Gaetana Affuso, Alda Troncone, Michele Orditura, Zuzana Simonova

{"title":"Healthcare Staff Views on the Roles of Psychologists in Hospital Care: A Survey in Italy.","authors":"Lorenza Magliano, Gaetana Affuso, Alda Troncone, Michele Orditura, Zuzana Simonova","doi":"10.1007/s10880-026-10142-3","DOIUrl":"https://doi.org/10.1007/s10880-026-10142-3","url":null,"abstract":"Despite benefits for patients, families, and healthcare professionals, psychology remains only partially integrated into hospital care. A brief, practical questionnaire for routine use could help understand staff perceptions and support psychologists' integration. This study aimed to (a) develop and validate the Psychologist in Hospital Questionnaire (PHQ), an 18-item self-administered Italian instrument designed to assess staff perceptions of psychologists' roles in three domains: support for patients and families, integration into care pathways, and support and training for staff; (b) examine whether domain scores reflect professional and organizational differences. Between December 2024 and May 2025, all healthcare professionals were invited to complete the PHQ in a general hospital in Southern Italy. The instrument's psychometric structure was tested via confirmatory factor analysis (CFA), and its internal consistency was assessed with Cronbach's α. Differences in PHQ scores across professional and organizational variables were examined. CFA, performed on a sample of 347 participating staff, supported the three-factor structure with good fit indices and high internal consistency (α = 0.80-0.89). Psychologists were most valued for supporting and training staff, followed by supporting patients and families. Greater awareness of psychologists' support was observed among staff in units with regular access to psychologists and in medical units, supporting construct validity. The PHQ is a reliable 18-item tool suitable for routine evaluation of staff perceptions of psychologists' roles. Its use may guide hospital service planning and foster organizational models that strengthen psychologists' presence in healthcare teams.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Group-Based Psychological Interventions for Autistic Youth with Chronic Pain: Narrative Review and Practice Considerations for Intensive Interdisciplinary Pediatric Pain Treatment. 自闭症青少年慢性疼痛的群体心理干预：强化跨学科儿科疼痛治疗的叙事回顾和实践考虑。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-11 DOI: 10.1007/s10880-026-10138-z

Jacqueline N Warner, Leslie A Sim, Allison Hatley-Cotter, Janette Long, Karen Weiss, Lindsey Vater, Rocco Iacobone, William R Black

{"title":"Group-Based Psychological Interventions for Autistic Youth with Chronic Pain: Narrative Review and Practice Considerations for Intensive Interdisciplinary Pediatric Pain Treatment.","authors":"Jacqueline N Warner, Leslie A Sim, Allison Hatley-Cotter, Janette Long, Karen Weiss, Lindsey Vater, Rocco Iacobone, William R Black","doi":"10.1007/s10880-026-10138-z","DOIUrl":"https://doi.org/10.1007/s10880-026-10138-z","url":null,"abstract":"Emerging work characterizing youth with chronic pain increasingly recognizes a large cohort of youth with co-occurring chronic pain and autism. This development has prompted questions about how to adapt Intensive Interdisciplinary Pediatric Pain Treatment (IIPTs) and the group-based treatments commonly used in these settings to improve accessibility, acceptability, and utility for autistic participants. There is a need for clinically oriented literature that IIPT programs and clinical trialists can use to guide adaptation efforts. Given long-term risks of inadequately treated pediatric pain, we argue it is clinically and ethically important to identify reasonable autism-informed adjustments within existing IIPT frameworks, even as more empirical work unfolds to inform nuance. In this narrative review, we synthesize evidence from pediatric pain psychology and autism intervention literatures to identify overlapping mechanisms and opportunities for adaptation, with a specific focus on group-based CBT/ACT-oriented treatments delivered in IIPTs. We summarize emerging clinical characteristics of autistic adolescents enrolled in IIPTs, bridge autism and pediatric pain group treatment literature, map that literature onto pediatric pain targets and autism-informed IIPT group design considerations and provide practical examples of IIPT group modifications extended from the existing data and the authors' clinical experience delivering group-based pain psychology services to autistic youth in IIPTs. We also highlight constraints of group formats for autistic youth and emphasize flexible pathways of care.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Feasibility of Mobile Phone-Based Virtual Reality as a Non-pharmacologic Acute Procedural Pain Management Intervention in an Inpatient Burn Center. 基于手机的虚拟现实在住院烧伤中心作为非药物急性程序性疼痛管理干预的可行性。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-06 DOI: 10.1007/s10880-026-10146-z

Mariel Emrich, Andrew A McAleavey, Katarzyna Wyka, Andrew Greenway, Abraham P Houng, Philip H Chang, Constance Zhou, JoAnn Difede

{"title":"Feasibility of Mobile Phone-Based Virtual Reality as a Non-pharmacologic Acute Procedural Pain Management Intervention in an Inpatient Burn Center.","authors":"Mariel Emrich, Andrew A McAleavey, Katarzyna Wyka, Andrew Greenway, Abraham P Houng, Philip H Chang, Constance Zhou, JoAnn Difede","doi":"10.1007/s10880-026-10146-z","DOIUrl":"https://doi.org/10.1007/s10880-026-10146-z","url":null,"abstract":"Burn patients often experience severe procedural pain throughout hospitalization, and poorly controlled pain is a significant predictor of long-term psychological adjustment post-injury. Virtual Reality (VR) presents a promising adjunctive approach to pharmacological analgesics by redirecting patients' attention away from painful stimuli using immersive, multidimensional environments. Recent technological advances have made VR more affordable, portable, and hands-free permitting the head-mounted display to be easily transported with minimal set up, particularly conducive to hospital environments. This proof-of-concept randomized pilot trial compared VR-enhanced distraction to treatment as usual (TAU) during painful procedures (e.g., wound dressing changes) in hospitalized burn patients. Of 51 patients approached, 15 adults enrolled and 100% completed the study. VR was rated as highly enjoyable (M = 77.5/100) and moderately immersive (M = 63.3/100) with minimal side effects. Descriptively, VR participants demonstrated smaller increases in peri-procedural pain and anxiety relative to TAU and reported reduced cognitive pain during the procedure (i.e., time thinking about pain; M = 33.3 vs. 94.0). Within six hours post-procedure, fewer VR participants required pharmacologic analgesia compared to TAU participants (50.0% vs. 71.4%). Preliminary data indicate that portable VR appears to be a highly feasible and acceptable adjunct to traditional pharmacologic interventions for acute procedural pain in an inpatient burn center. Clinicaltrials.gov: NCT04685486.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The Information Needs and Experiences of Cardiac Implantable Electronic Device Caregivers: A Qualitative Analysis of Social Media Data. 心脏植入式电子设备护理人员的信息需求与经验：对社交媒体数据的定性分析。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-06 DOI: 10.1007/s10880-026-10147-y

Mitchell Nicmanis, Melissa Oxlad, Anna Chur-Hansen

{"title":"The Information Needs and Experiences of Cardiac Implantable Electronic Device Caregivers: A Qualitative Analysis of Social Media Data.","authors":"Mitchell Nicmanis, Melissa Oxlad, Anna Chur-Hansen","doi":"10.1007/s10880-026-10147-y","DOIUrl":"https://doi.org/10.1007/s10880-026-10147-y","url":null,"abstract":"Although cardiac implantable electronic devices (CIEDs) significantly improve physiological and mortality outcomes, both patients and their caregivers can experience considerable psychosocial distress. This study aimed to characterise the information needs and experiences of CIED caregivers discussed on a social media platform. Data were systematically collected using a Python-based script that filtered for CIED caregivers' posts to the social media platform Reddit based on predefined keywords. Reflexive content analysis was used to analyse and describe the data. From 2138 posts collected, 190 posts from 151 caregivers were identified after filtering and screening. Included caregivers most often cared for fathers or husbands, who typically had pacemakers and a median age of 67 years (IQR = 30). Four categories described the main topics of caregivers' discussions: Concerns about the health of patients (79% of users), Managing and coping with patients' lives and deaths (75%), The difficulties of being a caregiver (62%), and Engagement with healthcare (41%). This study highlights that CIED caregivers using social media reported substantial burdens and challenges, adopting social media as a source of support. Given the parallels with caregivers of other patient populations, the findings demonstrate the need for healthcare guidelines, policies, and practices to support CIED caregivers.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Feasibility Outcomes from a Pilot Randomized Controlled Trial of Brief Cognitive Behavioral Therapy for Chronic Pain Among Military Veterans. 短期认知行为治疗退伍军人慢性疼痛的一项随机对照试验的可行性结果。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2026-04-06 DOI: 10.1007/s10880-026-10148-x

Gregory Beehler, Jennifer Funderburk, Paul King, Michael Wade, Wade Goldstein, Jennifer Murphy, Alicia Heapy, Katherine Dollar

{"title":"Feasibility Outcomes from a Pilot Randomized Controlled Trial of Brief Cognitive Behavioral Therapy for Chronic Pain Among Military Veterans.","authors":"Gregory Beehler, Jennifer Funderburk, Paul King, Michael Wade, Wade Goldstein, Jennifer Murphy, Alicia Heapy, Katherine Dollar","doi":"10.1007/s10880-026-10148-x","DOIUrl":"10.1007/s10880-026-10148-x","url":null,"abstract":"Brief Cognitive Behavioral Therapy for Chronic Pain is an abbreviated treatment designed for use in integrated primary care. This pilot study aimed to assess the feasibility of treatment delivery and study procedures in preparation for conducting a future effectiveness trial. Thirty patients with chronic musculoskeletal pain were recruited from a Veterans Health Administration medical center. Following baseline assessment, patients were randomized to either Brief Cognitive Behavioral Therapy for Chronic Pain plus primary care treatment as usual or primary care treatment as usual alone. Recruitment was completed on time averaging 2.5 patients enrolled per month. Completion of study assessments was high (i.e., 13% missing at 6-week assessment; 10% missing at 12-week assessment). Patients assigned to Brief Cognitive Behavioral Therapy for Chronic Pain averaged 5.6 of 6 possible sessions and reported strong therapeutic relationships with their therapists. Descriptive analyses indicated that clinically significant improvement in pain-related activity interference, pain intensity, and depression symptoms was demonstrated in the treatment group only. This treatment is feasible to deliver in the context of a clinical trial and shows potential as a time-limited approach to impart pain self-management skills among primary care patients. A powered effectiveness trial is warranted. This trial was registered at ClinicalTrials.gov (NCT03490981) on 10/1/2018.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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