{"title":"Cognitive-Behavioral Therapy for Panic Disorder in Patients with Stable Coronary Artery Disease: A Feasibility Study.","authors":"Marie-Andrée Tremblay, Isabelle Denis, Stéphane Turcotte, Michel DeGrâce, Phillip J Tully, Guillaume Foldes-Busque","doi":"10.1007/s10880-022-09876-7","DOIUrl":"10.1007/s10880-022-09876-7","url":null,"abstract":"<p><p>Implementing cognitive-behavioral therapy (CBT), the first-line psychological treatment for panic disorder (PD), may be challenging in patients with comorbid coronary artery disease (CAD).This study aimed at assessing the feasibility and acceptability of a CBT for PD protocol that was adapted to patients suffering from comorbid CAD. It also aimed at evaluating the efficacy of the intervention to reduce PD symptomatology and psychological distress and improve quality of life. This was a single-case experimental design with pre-treatment, post-treatment and 6-month follow-up measures. Patients with PD and stable CAD received 14 to 17 individual, 1-h sessions of an adapted CBT for PD protocol. They completed interviews and questionnaires at pre-treatment, post-treatment and at a 6-month follow-up assessing intervention acceptability, PD symptomatology, psychological distress and quality of life. A total of 6 patients out of 7 completed the intervention and 6-month follow-up, indicating satisfactory feasibility. Acceptability was high (medians of ≥ 8.5 out of 9 and ≥ 80%) both at pre and post treatment. Remission rate was of 83% at post-treatment and 6-month follow-up. The intervention appeared to have positive effects on comorbid anxiety and depression symptoms and quality of life. The intervention appeared feasible and acceptable in patients with comorbid CAD. The effects of the adapted CBT protocol on PD symptoms, psychological distress and quality of life are promising and were maintained at the 6-month follow-up. Further studies should aim at replicating the present results in randomized-controlled trials.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"28-42"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9093559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9231612","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}
Kaitlyn E Brodar, Annette M La Greca, Rafael O Leite, Daniella Marchetti, Manuela Jaramillo, Maria Luzuriaga, Rajesh Garg, Patrice Saab
{"title":"Patient and Provider Views on Psychosocial Screening in a Comprehensive Diabetes Center.","authors":"Kaitlyn E Brodar, Annette M La Greca, Rafael O Leite, Daniella Marchetti, Manuela Jaramillo, Maria Luzuriaga, Rajesh Garg, Patrice Saab","doi":"10.1007/s10880-022-09867-8","DOIUrl":"https://doi.org/10.1007/s10880-022-09867-8","url":null,"abstract":"<p><p>Guidelines recommend routinely screening adults with diabetes for psychological concerns, but few diabetes clinics have adopted screening procedures. This study assessed patient and provider perspectives regarding the role of mental health in diabetes care, psychosocial screening procedures, and patients' support needs. Patients with diabetes (n = 15; 73.3% type 2) and their medical providers (n = 11) participated in qualitative interviews. Thematic content analysis was used to categorize results. Participants believed that mental health was important to address within comprehensive diabetes care. Patients expressed positive or neutral opinions about psychosocial screening. Providers had mixed reactions; many thought that screening would be too time-consuming. Both groups emphasized that screening must include referral procedures to direct patients to mental health services. Patients and providers interviewed in this study viewed psychosocial screening as compatible with diabetes care. Including a mental health professional on the treatment team could reduce potential burden on other team members.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"92-110"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230292","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}
Katherine A Traino, Hannah C Espeleta, Taylor M Dattilo, Rachel S Fisher, Larry L Mullins
{"title":"Childhood Adversity and Illness Appraisals as Predictors of Health Anxiety in Emerging Adults with a Chronic Illness.","authors":"Katherine A Traino, Hannah C Espeleta, Taylor M Dattilo, Rachel S Fisher, Larry L Mullins","doi":"10.1007/s10880-022-09870-z","DOIUrl":"https://doi.org/10.1007/s10880-022-09870-z","url":null,"abstract":"<p><p>Emerging adults with a chronic medical condition (CMC) are at increased risk for developing health anxiety (HA). Adverse childhood experiences (ACEs) have been linked to developing HA. CMCs and ACEs frequently co-occur among emerging adults. However, no known research has examined ACEs and HA within this critical developmental period. Further, increased negative illness appraisals (e.g., uncertainty, intrusivness) may partially explain the relation between ACEs and HA. The present study examined the following mediation model: ACEs → illness appraisals → HA. Emerging adults (N = 121) with a CMC completed self-report measures of demographics, ACEs, illness appraisals, and HA. Regression analyses were conducted to test each illness appraisal as a mediator between ACEs and HA. Results demonstrated significant indirect effects for both illness appraisals. Findings demonstrate greater ACEs may increase negative illness appraisals which heightens overall HA. Thus, these associations support trauma-informed care approaches to support emerging adults.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"143-152"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9034695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9599211","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":"Caring for the Family Caregiver: Development of a Caregiver Clinic at a Cancer Hospital as Standard of Care.","authors":"Rinat S Nissim, Sarah Hales","doi":"10.1007/s10880-022-09891-8","DOIUrl":"https://doi.org/10.1007/s10880-022-09891-8","url":null,"abstract":"<p><p>Family caregivers make significant contributions to the overall care of cancer patients and are the \"invisible backbone\" of the health care system. Family caregivers experience a wide range of challenges and can be considered patients in their own right, requiring support and dedicated attention, which may benefit them, the patients they are caring for, and the health care system. Despite consistent evidence on caregiver distress and unmet needs, most cancer care is organized around the patient as the target of care and caregiver distress is not screened for or addressed systematically. This article describes the development of a novel clinical, educational, and research program dedicated to supporting family caregivers at the Princess Margaret Cancer Center, Toronto, Canada and presents a model for a brief psychosocial intervention for caregivers. The objective of this article is to assist others in developing services to address the needs of family caregivers as a standard of care.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"111-118"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9195392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9285276","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}
Wendy L Ward, Jason J Washburn, Patrick T Triplett, Sara L Jones, Amber Teigen, Mikah Dolphin, Ole J Thienhaus, Natasha Deal
{"title":"Role Distinctions and Role Overlap Among Behavioral Health Providers.","authors":"Wendy L Ward, Jason J Washburn, Patrick T Triplett, Sara L Jones, Amber Teigen, Mikah Dolphin, Ole J Thienhaus, Natasha Deal","doi":"10.1007/s10880-022-09869-6","DOIUrl":"https://doi.org/10.1007/s10880-022-09869-6","url":null,"abstract":"<p><p>Integrated behavioral health care (IBHC) models are a growing trend for health care delivery, particularly in the primary setting. Clinicians working within IBHC contexts provide a spectrum of behavioral health services, including screening, prevention and health promotion, assessment, and treatment services. Integration of behavioral health providers into primary and specialty medical settings addresses the significant need for behavioral health services, improves care quality, improves patient experience, and reduces costs of care, access issues, and delays in service provision. While benefits are clear, what type of model to implement and which behavioral health care providers to include in that model remain elusive. This is partly due to the failure of IBHC models to include all behavioral health providers in their design, a lack of clarity of the expertise of each provider, and how providers work together. IBHC models are also complicated by contextual issues such as the relative availability of each profession, population health needs in different clinic populations, and financial factors. The purpose of this manuscript is to the clarify roles and responsibilities of different behavioral health professions including similarities and differences in their training, areas of unique expertise (role distinctions), shared responsibilities (role overlap), and relative cost and availability in the United States.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"80-91"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9599195","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}
Stephanie M Stahl, Shalini Manchanda, Noah Parker, Yelena Chernyak
{"title":"Insomnia and Upper Airway Stimulation Therapy Benefit and Adherence: A Case Series.","authors":"Stephanie M Stahl, Shalini Manchanda, Noah Parker, Yelena Chernyak","doi":"10.1007/s10880-022-09885-6","DOIUrl":"https://doi.org/10.1007/s10880-022-09885-6","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) and insomnia are common sleep disorders that often occur concurrently. The presence of one of these disorders often negatively impacts the other, including affecting treatment benefit and adherence. While insomnia has been shown to adversely affect positive airway pressure therapy adherence, minimal data are currently available on the effects of insomnia on upper airway stimulation (UAS) therapy for the treatment of OSA. We present two cases that highlight the negative impact of insomnia on UAS therapy usage and OSA management as well as the benefits of insomnia treatment on overall outcomes. Screening for and treatment of insomnia prior to UAS implantation are recommended.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"43-50"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230316","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}
Emily Cox-Martin, Phoutdavone Phimphasone-Brady, Lilian Hoffecker, Russell E Glasgow
{"title":"Psychosocial Interventions for Pain Management in Breast Cancer Survivors: A RE-AIM Evaluation.","authors":"Emily Cox-Martin, Phoutdavone Phimphasone-Brady, Lilian Hoffecker, Russell E Glasgow","doi":"10.1007/s10880-022-09874-9","DOIUrl":"10.1007/s10880-022-09874-9","url":null,"abstract":"<p><p>Psychosocial interventions for breast-cancer-related pain are effective, yet over 45% of survivors continue to struggle with this often-chronic side effect. This study evaluated multilevel indicators that can influence successful translation of interventions into clinical practice. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was applied to evaluate reporting of individual and setting/staff-level intervention indicators. A systematic search and multi-step screening process identified 31 randomized controlled trials for psychosocial interventions for breast cancer-related pain. Average reporting of indicators for individual-level dimensions (Reach and Effectiveness) were 65.2% and 62.3%, respectively. Comparatively, indicators for setting/staff-level dimensions were reported at a lower average frequency (Implementation, 46.8%; Adoption, 15.2%; Maintenance, 7.7%). Low reporting of setting/staff-level dimensions suggests gaps in the sustained implementation of psychosocial interventions. Implementation science methods and frameworks could improve trial design and accelerate the translation of psychosocial interventions for breast cancer-related pain into clinical practice.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"182-196"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9231616","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}
Meghan K Ford, Samantha D Roberts, Brendan F Andrade, Mary Desrocher, Shari L Wade, Sara Ahola Kohut, Tricia S Williams
{"title":"Building I-INTERACT-North: Participatory Action Research Design of an Online Transdiagnostic Parent-Child Interaction Therapy Program to Optimize Congenital and Neurodevelopmental Risk.","authors":"Meghan K Ford, Samantha D Roberts, Brendan F Andrade, Mary Desrocher, Shari L Wade, Sara Ahola Kohut, Tricia S Williams","doi":"10.1007/s10880-022-09875-8","DOIUrl":"https://doi.org/10.1007/s10880-022-09875-8","url":null,"abstract":"<p><p>To adapt an existing virtual family-based mental health intervention learning platform (I-InTERACT-North), using participatory action research design, to meet the needs of parents and children with congenital, neonatal, and neurodevelopmental conditions that impact development. A purposive sample of parent knowledge users recruited from a large pediatric hospital (n = 21) and clinician stakeholders (n = 16) participated in one interview. An iterative process was adopted to implement feedback in the adaption of the learning platform. Qualitative thematic analysis was used to examine themes across participant feedback. Initial satisfaction with the adapted website was high. Qualitative results revealed four themes: acceptability, usability, recommendations, and dissatisfaction. Addressed with iterations, technical difficulties, wanting more information on content, resources, and intended audience were areas of dissatisfaction. This study reflects the importance of participatory action research methods in informing virtual mental health interventions. Future directions to improve the learning platform are discussed.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"204-215"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9063871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284814","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}
E C Karademas, P Simos, R Pat-Horenczyk, I Roziner, K Mazzocco, B Sousa, G Stamatakos, G Tsakou, F Cardoso, D Frasquilho, E Kolokotroni, C Marzorati, J Mattson, A J Oliveira-Maia, K Perakis, G Pettini, L Vehmanen, P Poikonen-Saksela
{"title":"The Interplay Between Trait Resilience and Coping Self-efficacy in Patients with Breast Cancer: An International Study.","authors":"E C Karademas, P Simos, R Pat-Horenczyk, I Roziner, K Mazzocco, B Sousa, G Stamatakos, G Tsakou, F Cardoso, D Frasquilho, E Kolokotroni, C Marzorati, J Mattson, A J Oliveira-Maia, K Perakis, G Pettini, L Vehmanen, P Poikonen-Saksela","doi":"10.1007/s10880-022-09872-x","DOIUrl":"https://doi.org/10.1007/s10880-022-09872-x","url":null,"abstract":"<p><p>The role of self-efficacy to cope with breast cancer as a mediator and/or moderator in the relationship of trait resilience to quality of life and psychological symptoms was examined in this study. Data from the BOUNCE Project ( https://www.bounce-project.eu/ ) were used. Women diagnosed with and in treatment for breast cancer (N = 484), from four countries, participated in the study. Trait resilience and coping self-efficacy were assessed at baseline (soon after the beginning of systemic treatment), and outcomes (quality of life, psychological symptoms) 3 months later. Hierarchical regression, mediation, moderation, and conditional (moderated) mediation and moderation analyses were performed to examine the study hypotheses. Coping self-efficacy mediated the impact of trait resilience. In addition, higher levels of resilience in combination with higher levels of coping self-efficacy were associated with better outcomes. Country of origin had no impact on these results. Overall, it seems that coping self-efficacy is a key factor that should be taken into account for research and intervention efforts in cancer.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"119-128"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9284815","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}
Jenifer L Vohs, Molin Shi, Emily G Holmes, Melissa Butler, Sarah A Landsberger, Sujuan Gao, Fanqian Ouyang, Evgenia Teal, Kristen Merkitch, William Kronenberger
{"title":"Novel Approach to Integrating Mental Health Care into a Primary Care Setting: Development, Implementation, and Outcomes.","authors":"Jenifer L Vohs, Molin Shi, Emily G Holmes, Melissa Butler, Sarah A Landsberger, Sujuan Gao, Fanqian Ouyang, Evgenia Teal, Kristen Merkitch, William Kronenberger","doi":"10.1007/s10880-022-09882-9","DOIUrl":"https://doi.org/10.1007/s10880-022-09882-9","url":null,"abstract":"<p><p>It is now widely accepted that there is a growing discrepancy between demand and access to adequate treatment for behavioral or mental health conditions in the United States. This results in immense personal, societal, and economic costs. One rapidly growing method of addressing this discrepancy is to integrate mental health services into the primary care setting, which has become the de facto service provider for these conditions. In this paper, we describe the development and implementation of a novel integrated care program in a large mid-western university-based healthcare system, drawn from the collaborative care model, and describe the benefits in terms of both health care utilization and depression outcomes. Limitations and proposed future directions are discussed.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"30 1","pages":"3-16"},"PeriodicalIF":2.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9290809","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}