Journal of Clinical Psychology in Medical Settings最新文献

VA Primary Care Patients with Chronic Pain: A Comparison of Healthcare Utilization and Patient Characteristics Across Alcohol Risk Categories.

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-13 DOI: 10.1007/s10880-025-10072-6

Travis A Loughran, Jacob L Scharer, Dezarie Moskal, Jennifer S Funderburk, Katherine A Buckheit, Gregory P Beehler

{"title":"VA Primary Care Patients with Chronic Pain: A Comparison of Healthcare Utilization and Patient Characteristics Across Alcohol Risk Categories.","authors":"Travis A Loughran, Jacob L Scharer, Dezarie Moskal, Jennifer S Funderburk, Katherine A Buckheit, Gregory P Beehler","doi":"10.1007/s10880-025-10072-6","DOIUrl":"https://doi.org/10.1007/s10880-025-10072-6","url":null,"abstract":"Chronic pain is common in primary care and can be influenced by alcohol use. Co-occurring pain and at-risk alcohol use is associated with poor outcomes, but the prevalence of this co-occurrence is less well understood. This study aims to establish the prevalence of at-risk alcohol use in a sample of VA primary care patients with chronic pain, and determine health characteristics and care utilization of these patients. Eligible VA primary care patients with a musculoskeletal condition (n = 47,091) were classified as at risk, low risk, or abstainers based on responses to annual alcohol screening. Differences across groups in demographics, comorbid health conditions, health factors, and healthcare encounters were assessed. 45.7% of participants were abstainers, 38.5% were low risk, and 15.8% were at risk. Comparisons revealed abstainers to have higher frequencies of health conditions, as well as higher rates of emergency department and primary care utilization. At-risk patients had the highest rate of overall healthcare utilization and, when compared directly to low-risk patients, were more likely to be diagnosed with many physical and mental health conditions. Primary care teams will benefit from considering the impact of alcohol when treating patients with chronic pain. Further prioritization of integrated primary care is recommended.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624934","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

Feeling Trapped and Optimistic: Current Rather than Prospective Medical Conditions Dominate Self-Reported Emotions and Appraisals in Mechanically Ventilated Spinal Cord Injury Patients.

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-13 DOI: 10.1007/s10880-025-10065-5

Christina Weckwerth, Robert Gaschler, Uwe Hamsen, Aileen Spieckermann, Thomas Armin Schildhauer, Oliver Cruciger, Christian Waydhas, Christopher Ull

{"title":"Feeling Trapped and Optimistic: Current Rather than Prospective Medical Conditions Dominate Self-Reported Emotions and Appraisals in Mechanically Ventilated Spinal Cord Injury Patients.","authors":"Christina Weckwerth, Robert Gaschler, Uwe Hamsen, Aileen Spieckermann, Thomas Armin Schildhauer, Oliver Cruciger, Christian Waydhas, Christopher Ull","doi":"10.1007/s10880-025-10065-5","DOIUrl":"https://doi.org/10.1007/s10880-025-10065-5","url":null,"abstract":"Adverse medical conditions can involve present and expected future restrictions as a double burden: mechanically ventilated patients with spinal cord injury (SCI), on the one hand, face pain and communication restrictions. On the other hand, they are confronted with significant changes in their future life perspective. While past research on emotion and appraisals has studied SCI patients alone or in comparison with healthy controls, the current work disentangles the potential impact of (a) the adverse current state and (b) expected future restrictions by comparing mechanically ventilated intensive care unit (ICU) patients with vs. without SCI in eye-tracking-based self-reports on emotions and appraisals. Results suggest that patients of either group could provide faceted accounts of their current state, such as feeling trapped and insecure. However, the feedback that SCI and other ICU patients gave was similar, suggesting that current adversities dominate self-reports.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624930","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

Grit and Chronic Pain: Associations with Distress, Catastrophizing, Interference, and Control.

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-13 DOI: 10.1007/s10880-025-10073-5

Marc Heise, Josef I Ruzek, Nancy Haug, Matthew J Cordova

引用次数: 0

Predictors of Illness Behavior in Turkish Women with Cardiovascular Disease: The Role of Health Anxiety and Cyberchondria.

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-10 DOI: 10.1007/s10880-025-10071-7

Haluk Furkan Sahan, Fatma Uslu-Sahan, Basak Sahin

{"title":"Predictors of Illness Behavior in Turkish Women with Cardiovascular Disease: The Role of Health Anxiety and Cyberchondria.","authors":"Haluk Furkan Sahan, Fatma Uslu-Sahan, Basak Sahin","doi":"10.1007/s10880-025-10071-7","DOIUrl":"https://doi.org/10.1007/s10880-025-10071-7","url":null,"abstract":"This study aimed to determine whether illness behavior in women with cardiovascular disease varied based on specific sociodemographic characteristics and to explore the effect of health anxiety and cyberchondria on the level of illness behavior. A descriptive and cross-sectional study was conducted with 255 women with cardiovascular disease who applied to the cardiology outpatient clinic of a state hospital in Turkey between June and August 2023. Data were collected using personal information forms, such as the Scale for the Assessment of Illness Behavior, Health Anxiety Scale, and Cyberchondria Severity Scale. The data were analyzed using ANOVA, t-test, Pearson correlation, and hierarchical linear regression. The study determined that the participants' illness behavior levels differed according to some sociodemographic characteristics (p < .05). Hierarchical regression analysis revealed that education above university level (β = - 0.276), rhythm disorder diagnosis (β = - 0.100), health anxiety (β = - 0.441), and cyberchondria (β = - 0.141) were predictors of illness behavior (p < .05). These variables explained 40% of the variance in illness behavior. Sociodemographic characteristics, health anxiety, and cyberchondria should be considered when planning health services for women with heart disease to reduce abnormal illness behavior.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597089","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

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-10 DOI: 10.1007/s10880-025-10069-1

Maureen T S Burns, Allison M Smith, Carolina Donado, Morgan Mitcheson, Sarah M Nelson

{"title":"Pain-Related and Psychosocial Functioning in Gender-Diverse Youth with Chronic Pain Prior to and Following the Start of the COVID-19 Pandemic.","authors":"Maureen T S Burns, Allison M Smith, Carolina Donado, Morgan Mitcheson, Sarah M Nelson","doi":"10.1007/s10880-025-10069-1","DOIUrl":"https://doi.org/10.1007/s10880-025-10069-1","url":null,"abstract":"The health disparities experienced by gender-diverse youth have not yet been adequately examined within specific pediatric populations, such as chronic pain. Furthermore, such disparities need to be examined within the context of the COVID-19 global pandemic, a time when clinicians observed an increase in gender-diverse patients seeking care for pediatric chronic pain. The goal of this study is to better understand the clinical pain-related and psychosocial presentation of gender-diverse youth who sought treatment for chronic pain prior to and following the start of the COVID-19 pandemic. Deidentified intake data were identified using the data repository of an outpatient multidisciplinary pain clinic at a tertiary hospital between December 2017 and November 2023. Descriptive data and the comparison of the gender-diverse patients presenting before and following the start of the COVID-19 pandemic are presented. Gender-diverse participants with pediatric chronic pain generally reported psychological functioning within the \"moderate\" range and pain-related measures in the \"elevated\" range. No significant differences were found between youth presenting for care prior to and following the start of the COVID-19 pandemic. 92% of the sample was seen following the start of the pandemic. Far more gender-diverse participants sought treatment for chronic pain following the start of the pandemic. More research, including qualitative data about patient experiences, is needed to ensure pain providers are offering affirming care.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597086","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 Effect of Disclosure on Enacted Stigma Towards Individuals with Inflammatory Bowel Disease.

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-05 DOI: 10.1007/s10880-025-10070-8

Chalé M Jacks, Lauren A Stutts

{"title":"The Effect of Disclosure on Enacted Stigma Towards Individuals with Inflammatory Bowel Disease.","authors":"Chalé M Jacks, Lauren A Stutts","doi":"10.1007/s10880-025-10070-8","DOIUrl":"https://doi.org/10.1007/s10880-025-10070-8","url":null,"abstract":"Individuals with inflammatory bowel disease (IBD) often experience stigmatization. Disease disclosure has been associated with lower enacted stigma (i.e., engaging in discriminatory treatment), but minimal research has investigated IBD disclosure and enacted stigma experimentally. The present study's aim was to examine the effect of IBD disclosure on enacted stigma in a vignette paradigm. Participants included 244 adults from the United States who were randomized into one of three vignette groups: disclosure of IBD, non-disclosure of IBD, and control (no IBD). Vignettes in both IBD groups depicted a person with frequent bowel movements. Each vignette group contained a workplace, social, and recreational setting. Participants completed measures of enacted stigma, IBD knowledge, and IBD familiarity after reading the vignettes. Participants reported greater propensity to enact stigma in response to vignettes depicting non-disclosure of IBD than vignettes depicting disclosure of IBD or no IBD and for vignettes depicting the recreational setting compared to the workplace and social setting. Enacted stigma was negatively correlated with IBD knowledge. Disease disclosure may result in decreased stigma from others. Furthermore, educating the public about IBD may be beneficial for reducing enacted stigma towards individuals with IBD.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556988","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

Current Landscape of Child and Adolescent Psychology Internship Programs and Implications for Workforce Development. 儿童和青少年心理学实习计划的现状及对劳动力发展的影响。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-01 Epub Date: 2024-07-23 DOI: 10.1007/s10880-024-10033-5

Laura J Dilly, William G Sharp, Valerie Volkert

{"title":"Current Landscape of Child and Adolescent Psychology Internship Programs and Implications for Workforce Development.","authors":"Laura J Dilly, William G Sharp, Valerie Volkert","doi":"10.1007/s10880-024-10033-5","DOIUrl":"10.1007/s10880-024-10033-5","url":null,"abstract":"Doctoral psychology internships play a key role in the development of the competencies of the clinical child and adolescent psychologist workforce needed to serve the increasing behavioral and mental health needs of children. This study surveyed 50 internship training directors regarding workforce needs, the structure of experiential internship components, and the organizational infrastructure and funding of internship programs that provide focused care to children and adolescents within medical settings. Findings suggest that internships most commonly occur within academic medical settings and include clinical child psychology, integrated care, pediatric psychology, neuropsychology, and developmental disabilities tracks. On average, sites had 6 interns, 3 tracks, and 4 major rotations per track. Training directors identified program funding to be the greatest barrier to sustaining internship programs. Currently, internships are funded through clinical revenue, grants, and organizational funds covering an average intern salary of $31,020 plus benefits as well as 0.3 FTE of a training director's time to administrate the program. The number of internship tracks within a single program was associated with greater administrative time for the training director. Implications for advocacy at the federal, state, profession, and institutional level to increase funding and decrease barriers to training are discussed.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"182-191"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751860","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

Stop and Think: A Case Study Illustrating the Implementation of Bright IDEAS-YA Being Delivered via Telehealth to a Young Adult Cancer Patient. 停一停，想一想：通过远程医疗为年轻成人癌症患者实施 Bright IDEAS-YA 的案例研究。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-01 Epub Date: 2024-03-16 DOI: 10.1007/s10880-024-10004-w

Samantha Reese, Madeline H Bono, Diana B Díaz, Kristine A Donovan, Olle Jane Z Sahler, Marie E Barnett, Kristine Levonyan-Radloff, Katie A Devine

{"title":"Stop and Think: A Case Study Illustrating the Implementation of Bright IDEAS-YA Being Delivered via Telehealth to a Young Adult Cancer Patient.","authors":"Samantha Reese, Madeline H Bono, Diana B Díaz, Kristine A Donovan, Olle Jane Z Sahler, Marie E Barnett, Kristine Levonyan-Radloff, Katie A Devine","doi":"10.1007/s10880-024-10004-w","DOIUrl":"10.1007/s10880-024-10004-w","url":null,"abstract":"Bright IDEAS-Young Adults (Bright IDEAS-YA) is a problem-solving skills training intervention that has been adapted for young adults with cancer. Presently, a multisite randomized control trial is being conducted to determine Bright IDEAS-YA's efficacy in supporting a young adult population. This case study demonstrates the young adult adaptation of Bright IDEAS - Bright IDEAS-YA - being delivered to a young adult cancer patient via telehealth. Telehealth is a novel delivery method for Bright IDEAS and Bright IDEAS-YA that was established due to COVID-19 safety precautions. The patient, who reported challenges in several life domains, was taught how to apply the Bright IDEAS-YA framework over six telehealth sessions. After completing the Bright IDEAS-YA framework, the patient reported increased feelings of confidence in managing new stressors, which was corroborated through outcome measures delivered during and following intervention. This case illustrates how early psychosocial intervention following a cancer diagnosis, delivered via telehealth, can help patients develop and implement personal strategies to reduce stress levels.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"131-136"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140140278","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}

引用次数: 0

Enhancing Diabetes Management Through Personality Assessment: A Pilot Study. 通过人格评估加强糖尿病管理：试点研究。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-01 Epub Date: 2024-03-13 DOI: 10.1007/s10880-024-10002-y

Steven K Huprich, Brandi C Roelk, Theresa Poppe

引用次数: 0

A Systematic Review of Trajectories of Clinically Relevant Distress Amongst Adults with Cancer: Course and Predictors. 癌症成人临床相关苦恼轨迹的系统回顾：病程和预测因素。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-03-01 Epub Date: 2024-05-05 DOI: 10.1007/s10880-024-10011-x

Leah Curran, Alison Mahoney, Bradley Hastings

引用次数: 0