{"title":"Psychological Support in Prenatal Diagnosis: The Parental Perspective.","authors":"Virginia Rinaldi, Lucia Bonisoli, Rosella Giuliani, Marcella Caputi, Alessandro Cuder, Giuseppina Battain, Sandra Pellizzoni","doi":"10.1007/s10880-026-10168-7","DOIUrl":"https://doi.org/10.1007/s10880-026-10168-7","url":null,"abstract":"<p><p>The communication of a diagnosis of fetal malformation is a very complex event for the parental couple to experience. The aim of the study is to report a planned evaluation of an ongoing psychological support within a prenatal diagnosis clinic, examining the extent to which it represents a source of support service for parental couples. An ad hoc semi-structured questionnaire was administered to couples who had received a prenatal diagnosis of fetal malformation, regardless of whether they had received psychological support. Descriptive analyses were performed on quantitative items, while an inductive thematic analysis was applied to open-ended responses to identify recurring themes. The results show that the majority of couples who used the support reported being satisfied with it. The ultrasound examination and specialist consultation were considered by the majority of the participants to be the most appropriate moments to receive the counseling. On the other hand, 41.38% of the couples who did not receive support would have liked to have received it. Finally, the majority of the couples, regardless of whether they received psychological support, would recommend that couples in similar situations seek psychological support and that other hospital facilities integrate such services. The results show that among couples who have received psychological support, most reported having benefited from it. In the absence of the psychologist within the multidisciplinary team, however, only a few participants have actively requested it. The findings are discussed in terms of the clinical relevance of psychological support at the time of fetal diagnostic assessments and specialist consultation.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110260","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}
Jaclyn L Papadakis, Jax Whitehead, Jonathan L Poquiz, Emilie K Johnson, Courtney Finlayson, Diane Chen
{"title":"Gender Dysphoria Among 46,XX Patients Diagnosed with Congenital Adrenal Hyperplasia in Childhood: A Case Series.","authors":"Jaclyn L Papadakis, Jax Whitehead, Jonathan L Poquiz, Emilie K Johnson, Courtney Finlayson, Diane Chen","doi":"10.1007/s10880-026-10174-9","DOIUrl":"https://doi.org/10.1007/s10880-026-10174-9","url":null,"abstract":"<p><p>Most research on gender identity in individuals with 46,XX congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (21-OHD) is focused on severe forms of CAH, commonly termed \"classic CAH.\" Much less is known about gender identity outcomes in milder, non-classic/late-onset CAH, and how gender dysphoria may impact clinical care and management decisions. This case series presents four pediatric patients with 46,XX karyotype who were diagnosed with CAH in early-to mid-childhood and represents a varying spectrum of CAH severity. In each case, patients had female-typical genitalia or their genital variation was not appreciated and further evaluated by the care team at birth; thus, all patients were assigned female at birth without targeted discussion on gender development. Each patient later experienced gender dysphoria and identified as male, transitioning socially and/or medically. This case series reflects on commonalities across cases, intentional non-adherence to CAH medication to allow for desired increased androgen levels, as well as mental health concerns. This case series highlights the importance of interdisciplinary care for youth with 46,XX CAH, and in particular, the benefits of collaboration with behavioral health providers to improve care for patients with CAH throughout childhood and young adulthood.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109975","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}
{"title":"The Effects of Cancer Fear and Ruminative Thinking Styles on Attitudes Toward Cancer Screening Among Cancer Caregivers.","authors":"Muhammet Faruk Yiğit, Yakup Sarpdağı, Mehmet Uçar","doi":"10.1007/s10880-026-10173-w","DOIUrl":"https://doi.org/10.1007/s10880-026-10173-w","url":null,"abstract":"<p><p>Despite being exposed to a high risk of cancer and a substantial psychological burden, cancer caregivers often neglect their own health check-ups and cancer screening behaviors. This study aimed to examine the effects of ruminative thinking styles and cancer fear on attitudes toward cancer screening among cancer caregivers. This cross-sectional descriptive study was conducted between August 2025 and January 2026 with 446 primary caregivers of patients receiving outpatient treatment in the medical and radiation oncology departments of a training and research hospital located in eastern Turkey. Data were collected through face‒to-face interviews via a sociodemographic questionnaire, the Cancer Fear Scale, the Ruminative Thought Style Scale, and the short form of the Attitudes Toward Cancer Screening Scale. The results revealed a moderate, positive, and statistically significant association between fear of cancer and ruminative thoughts (r = 0.543, p < 0.001). Hierarchical regression analysis showed that fear of cancer explained 19.3% of the variance in attitudes toward cancer screening (R<sup>2</sup> = 0.193) and that when ruminative thought was included, the explained variance increased to 22.4% (R<sup>2</sup> = 0.224). Both variables were identified as significant and negative predictors of attitudes toward cancer screening (p < 0.001). This indicated that ruminative thought partially mediated the relationship between fear of cancer and attitudes toward cancer screening (indirect effect = -0.106, 95% bootstrap CI [- 0.171, -0.056]). These results show that fear of cancer and ruminative thoughts constitute significant psychological barriers that negatively influence the attitudes of individuals providing care to patients with cancer. This underscores the importance for care providers to develop interventions targeting these psychological barriers.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017066","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}
Noa Gur, Tammy Pilowsky Peleg, Dan Hoofien, Esther Ganelin-Cohen
{"title":"FAMILY Matters: Parental Emotional State Mediates the Association Between Disease Burden and Child Self-Esteem in Pediatric-Onset Multiple Sclerosis.","authors":"Noa Gur, Tammy Pilowsky Peleg, Dan Hoofien, Esther Ganelin-Cohen","doi":"10.1007/s10880-026-10172-x","DOIUrl":"https://doi.org/10.1007/s10880-026-10172-x","url":null,"abstract":"<p><p>Pediatric-Onset Multiple Sclerosis (POMS) affects children's physical, cognitive, and emotional state, with consequences for parents as well. Parents of children with chronic illnesses often report elevated stress and psychological distress, yet their role in shaping children's psychological outcomes in POMS remains underexplored. This study examined whether parental emotional state mediates the association between children's disease-related factors and self-esteem. Thirty children and adolescents with POMS (ages 10-18) and their parents participated. Measures included child fatigue, processing speed, disease severity (EDSS), self-esteem, and parental stress and well-being. All participants scored within the low self-esteem range of the Rosenberg Self-Esteem Scale (RSES; M = 15.93, SD = 2.21), indicating reduced global self-worth. Among parents, emotional distress was evident, with 43% of parents meeting cutoffs for stress and low well-being. Mediation analyses revealed that parental stress significantly mediated the association between self-esteem and all three disease-related variables (fatigue: 95% CI = [.002, .059]; processing speed: 95% CI = [.080, 1.382]; EDSS: 95% CI = [- 1.041, -.044]). Parental well-being mediated only the association between processing speed and self-esteem (95% CI = [.076, 1.348]). Findings highlight parental stress as a robust pathway linking child disease burden to self-esteem. Addressing parent emotional state may improve outcomes and promote resilience in youth with POMS.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976987","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}
Katherine Schwartzkopf, Michele Tsai Owens, Kate Koehn, Sara Fligelman
{"title":"Burnout Factors for Pediatric Psychologists Across Career Stages.","authors":"Katherine Schwartzkopf, Michele Tsai Owens, Kate Koehn, Sara Fligelman","doi":"10.1007/s10880-026-10170-z","DOIUrl":"https://doi.org/10.1007/s10880-026-10170-z","url":null,"abstract":"<p><p>Given the prevalence of burnout among healthcare professionals and the drastic impact of the COVID-19 pandemic on mental health services, the primary objective of this study was to examine the characteristics of burnout for pediatric psychologists in clinical practice. Additional objectives included identifying personal and systemic factors associated with burnout and comparing burnout factors between early-career (ECP) and mid-/senior-career pediatric psychologists. Participants included 92 active members of the American Psychological Association (APA) Division 54-Society of Pediatric Psychology. Participants completed a survey assessing demographic and professional characteristics and the Affectivity and Burnout Scales (Iverson et al., 1998). In the overall sample, lower positive affectivity, social support, autonomy, higher negative affectivity, and role stress contributed to higher burnout. Among ECPs, younger age, greater non-clinical responsibilities, and higher total hours worked contributed to greater emotional exhaustion in addition to the shared factors affecting burnout. Mid-/senior-career psychologists experienced greater emotional exhaustion compared to ECPs. Affectivity, social support, autonomy, role stress, and burnout contributed to job satisfaction across all career stages. Interventions for decreasing burnout and increasing job satisfaction should target job-related, social, and intrapersonal factors, and be individualized to unique needs of psychologists at different career stages.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945043","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}
Mrinmoyee Kalasikam, Rachel Nelson-Rigg, Sarah Byrd-Skinner, Anna Joy Rogers, Ramona Phinehas
{"title":"Residents as Patients: Assessing Adherence and Barriers to Recommended Health Maintenance Visits.","authors":"Mrinmoyee Kalasikam, Rachel Nelson-Rigg, Sarah Byrd-Skinner, Anna Joy Rogers, Ramona Phinehas","doi":"10.1007/s10880-026-10171-y","DOIUrl":"https://doi.org/10.1007/s10880-026-10171-y","url":null,"abstract":"<p><p>Despite research suggesting that resident physicians frequently struggle to prioritize their own health and well-being, little is known about their personal healthcare behaviors. This study aims to quantify preventive healthcare utilization and assess the barriers and facilitators to care-seeking among resident physicians. A 22-question survey was electronically distributed to 110 ACGME-accredited residency programs across different specialties across the United States. Quantitative data were analyzed using STATA, and qualitative data were analyzed using inductive qualitative content analysis to identify barriers to healthcare utilization.Of 356 survey respondents, 316 residents (88.8%) provided complete responses from 18 specialties representing 27 unique states. While 87% reported attending at least one medical visit during residency, 13% did not access any primary care, dental, vision, mental, or OB/GYN-related healthcare. On average, out of 5 healthcare maintenance recommendations, residents met 1.78 recommendations (SD = 1.17). Respondents cited multiple barriers to routine health maintenance visits, including lack of free time during business hours and negative feelings about burdening fellow residents when taking time off. Resident physicians demonstrated suboptimal adherence to recommended utilization of five preventive healthcare domains. Residency programs can mitigate these barriers through scheduling flexibility, protected time, and institutional incentives for healthcare utilization.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912599","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}
Ishita Rai, Margaret Bublitz, Joanna MacLean, Nina K Ayala, Cemile Ceren Sönmez, Madison Pomerantz, Meghan Sharp
{"title":"Patient Perceptions of In-person and Telehealth Group Support for Postpartum Mood and Anxiety Disorders Before and After the COVID-19 Pandemic.","authors":"Ishita Rai, Margaret Bublitz, Joanna MacLean, Nina K Ayala, Cemile Ceren Sönmez, Madison Pomerantz, Meghan Sharp","doi":"10.1007/s10880-026-10135-2","DOIUrl":"10.1007/s10880-026-10135-2","url":null,"abstract":"<p><strong>Introduction: </strong>Group-based support is effective at reducing symptoms of postpartum mood and anxiety disorders (PMADs); however, barriers to access exist. Telehealth is an important advancement in healthcare delivery that may mitigate access barriers.</p><p><strong>Objective: </strong>This mixed-methods study explored barriers and facilitators to participation in a provider-led PMADs support group offered in-person and/or via video telehealth.</p><p><strong>Methods: </strong>Group attendance and demographics were assessed via chart review for 94 patients who participated via in-person, and/or video telehealth groups. Semi-structured interviews with a purposive sample of attendees (N = 24) explored: (1) barriers to attendance, (2) preference for modality, and (3) recommendations for future care. Framework matrix analysis identified common themes in patient experience. Patients completed the Client Satisfaction Questionnaire.</p><p><strong>Results: </strong>Group attendance was significantly higher in telehealth compared to in-person format (t = 8.13, p < 0.001). Satisfaction did not differ by modality (F = 0.44, p = 0.65). Themes from qualitative interviews included logistical and technological challenges that served as barriers and/or facilitators to attendance.</p><p><strong>Discussion: </strong>Barriers to PMAD group participation are present for both in-person and telehealth modalities. While telehealth may mitigate barriers to in-person care, patients raised concerns about the quality of support received from online relationships.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"535-544"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146180391","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}
{"title":"The Impact of Empathy and Coping Traits on Psychological Responses: A Longitudinal Study on Medical and Nursing Students.","authors":"Taku Saito, Norihito Noguchi, Kotaro Shoji, Fumiko Waki, Masanori Nagamine","doi":"10.1007/s10880-026-10144-1","DOIUrl":"10.1007/s10880-026-10144-1","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare professionals are expected and motivated to engage empathetically with patients, their families, yet how different components of empathy, coping traits interact to shape psychological responses remains unclear. This study examined these relationships in medical, nursing students to inform tailored educational interventions METHODS: Participants who completed two surveys 2 years apart (30 medical students and 88 nursing students) were included. Empathy traits were assessed using the Interpersonal Reactivity Index, coping traits using the Brief Coping Orientation to Problems Experienced Inventory, and psychological responses using the Professional Quality of Life Scale. Mixed-effects models for repeated measures analyzed the impact of empathy and coping traits. Latent profile analysis (LPA) classified participants by empathy and coping traits.</p><p><strong>Results: </strong>Personal distress was significantly associated with increased secondary traumatic stress (STS) and burnout, and decreased compassion satisfaction. Empathic concern was associated with increased compassion satisfaction. Active coping and support seeking were associated with increased compassion satisfaction and reduced burnout, whereas indirect coping was associated with increased STS and burnout. LPA identified three distinct profiles of empathy and coping traits, showing significant differences in psychological responses.</p><p><strong>Discussion: </strong>Differences in empathy and coping traits influence psychological responses in medical and nursing students. Tailored interventions that consider these traits may be more effective.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"587-597"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147433072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jodi Summers Holtrop, Dennis Gurfinkel, Vanessa Owen, Douglas H Fernald, Lakshmi Karra, Patrick Hosokawa, Shandra Brown Levey, Lauren Tolle, Jay Shore
{"title":"Practice Members' Perspectives on the Implementation of Colorado Integrated Behavioral Health Plus (CIBH +).","authors":"Jodi Summers Holtrop, Dennis Gurfinkel, Vanessa Owen, Douglas H Fernald, Lakshmi Karra, Patrick Hosokawa, Shandra Brown Levey, Lauren Tolle, Jay Shore","doi":"10.1007/s10880-026-10134-3","DOIUrl":"10.1007/s10880-026-10134-3","url":null,"abstract":"<p><p>Integrated Behavioral Health is a key solution in addressing significant problems of access and quality of care. This study assessed practice members' perspectives on the feasibility, acceptability, and appropriateness of an integrated care model called Colorado Integrated Behavioral Health Plus (CIBH +) in a large integrated health system. Seven family medicine practices implemented CIBH + . Practice members completed surveys regarding feasibility, acceptability, and appropriateness (analyzed with descriptive statistics) and semi-structured interviews (analyzed using a grounded theory hermeneutic editing approach). A total of 156 practice members responded to the survey (62% response rate) and 46 participated in interviews (78% response rate). Respondents indicated high levels of agreement about the perceived feasibility, acceptability, and appropriateness of CIBH + . Qualitative themes included: (1) observing the benefits to patients and comprehensive team care reinforced the value of integrating care; (2) supports from teamwork, leadership, and telehealth facilitated implementation; and (3) limitations from role clarity, staffing, space, telehealth, and lack of long-term care options remained challenging for implementation. Identifying the key features of CIBH + may make practical implementation in other settings more feasible to implement and acceptable for patients and care teams to use.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"431-442"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-Licensure Behavioral Consultation in Primary Care: Building the Workforce.","authors":"Stacy Ogbeide, Sujina Parajuli, Meredith Williamson, Brittany Houston","doi":"10.1007/s10880-026-10162-z","DOIUrl":"10.1007/s10880-026-10162-z","url":null,"abstract":"<p><p>The goal of this project was to examine the impact of the Behavioral Health Consultant Continuing Education course on training licensed behavioral health professionals to provide clinical services utilizing the primary care behavioral health (PCBH) model for behavioral health integration. Three cohorts of learners participated in a 10-month long course concentrated on competency development within the PCBH model over a 3-year period. This course focused on preparing licensed behavioral health professionals to function as behavioral health consultants (BHCs) in primary care settings in rural and urban areas. The course was held in person and virtually. Learners completed pre- and post-BHC competency development surveys. Post-course surveys were completed to evaluate satisfaction with the content and impact of the course on PCBH skill development. The results indicate that the program yielded improvements over time, with benefits evident across modules and cohorts. While localized differences existed, they were relatively small and did not significantly impact the overall pattern of learning gains. These findings strongly support the program's effectiveness in enhancing knowledge and skills among participants. Overall, this demonstrates an approach to building and evaluating continuing education content for behavioral health professionals within the PCBH model. Virtual and in-person courses developed using adult learning frameworks for busy behavioral health professionals show promise as an approach that institutions of higher education and health care organizations can adopt to improve the clinical practice of BHCs in primary care settings.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"443-449"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}