Journal of Clinical Psychology in Medical Settings最新文献

{"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":"10.1007/s10880-026-10140-5","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"579-586"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","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}

{"title":"Fertility Problem Inventory: Psychometric Properties and Validation in Spanish Women Undergoing Assisted Reproduction Treatment.","authors":"Verónica Martínez-Borba, Jorge Osma, Jorge L Ordóñez-Carrasco, Elena Crespo-Delgado, Laura Andreu-Pejó","doi":"10.1007/s10880-026-10131-6","DOIUrl":"10.1007/s10880-026-10131-6","url":null,"abstract":"<p><p>The Fertility Problem Inventory (FPI) is widely used to assess infertility-related stress. Despite its international application, a validated Spanish version is not yet available. Our aim is to assess the psychometric properties, reliability and construct validity evidence of the scores of the FPI Spanish version in women undergoing fertility treatments. 199 Women (mean age = 35.14, SD = 3.86, range 23-45) provided sociodemographic, obstetrics and psychological data. Confirmatory Factor Analyses tested six models (unidimensional and multidimensional) based on the original FPI and previous FPI validations, identifying the optimal structure. Factor loadings, reliability and correlations with anxiety, depression and life satisfaction were also conducted. The original five-factor structure proposed by the original authors showed the best fit. However, items 24, 25 and 28 showed very low factor loadings. The final model with 43 items, removing those with poor factor loading, demonstrated an acceptable model fit (χ²/df = 2.040; CFI = 0.915; TLI = 0.910; RMSEA = 0.073; SRMR = 0.099) and strong internal consistency (α = 0.82-0.87; ω = 0.83-0.87). Higher fertility-related stress was associated with increased anxiety and depressive scores as well as lower life satisfaction. These findings provide initial support of the FPI as a useful tool for assessing infertility-related stress in Spanish women.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"545-555"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165357","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":"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":"10.1007/s10880-026-10147-y","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"598-610"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582173/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proposed Framework for the Psychological Treatment of Munchausen by Proxy Survivors.","authors":"Mary J Sanders, Brenda Bursch","doi":"10.1007/s10880-026-10128-1","DOIUrl":"10.1007/s10880-026-10128-1","url":null,"abstract":"<p><p>Munchausen by Proxy abuse occurs when a caretaker with a psychiatric condition called Factitious Disorder Imposed on Another intentionally falsifies illness and/or disability in another, usually a mother falsifying illness or disability in her child. Optimal recovery from MBP abuse requires a variety of interventions with the survivor, with an emphasis on using accurate information to help the survivor better understand reality and develop a healthier self-narrative. The goals of this paper are to provide information about the psychological aspects of Munchausen by Proxy abuse and to propose a psychological treatment framework tailored to the needs of survivors. Components of the heuristic model, using the acronym STORIES, include Safety and Stabilization, Trauma Processing & Support, Obtaining Information; Rebuilding Trust and Relationships; Integration of Health and Well-Being; Empowerment and Self-Esteem, and Sustained Support and Follow-Up. The model can be used as a guide for mental health providers, child and adult welfare professionals, and legal experts within the field of maltreatment who are developing safety and treatment plans for MBP survivors.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"519-525"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146180341","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":"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":"10.1007/s10880-026-10142-3","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"455-465"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13582175/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Family Burden Associated with Pediatric Food Allergy: Contributions of Child Neophobia and Maternal Personality Traits.","authors":"Mariana Domingues, Andreia Monteiro, Ana Conde, Alice Coimbra, Maria Araújo","doi":"10.1007/s10880-025-10118-9","DOIUrl":"10.1007/s10880-025-10118-9","url":null,"abstract":"<p><p>Food allergy (FA) is a chronic condition that can markedly affect family quality of life (QoL). Children's food neophobia (FN) may increase dietary management difficulties and parental stress, while maternal personality traits can shape family adjustment. This study examined the associations between maternal neuroticism, child FN, and the perceived impact of FA on family QoL, also considering the influence of child age. Sixty-three Portuguese mothers of children with physician-diagnosed FA completed a sociodemographic and clinical questionnaire and validated self-report measures: the Food Neophobia Scale for Children, the NEO Five-Factor Inventory, and the Food Allergy Quality of Life Questionnaire - Parent Form (FAQLQ-PF). Preliminary correlations guided predictor selection, followed by multiple linear regression models (enter method) for each FAQLQ-PF subscale: Emotional Impact, Food Anxiety, and Dietary/Social Limitations. Higher maternal neuroticism, greater child FN, and older child age were significantly associated with a greater perceived impact of FA on family QoL. The models explained 35.5% of the variance in Emotional Impact, F (3, 58) = 12.19, p < .001; 35.5% in Food Anxiety, F (3, 58) = 12.19, p < .001; and 32.9% in Dietary/Social Limitations, F (3, 56) = 10.66, p < .001. These findings underscore the need to integrate psychological screening and tailored psychosocial support into allergy care, addressing both maternal emotional traits and child eating behaviors to promote adaptive family functioning.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"492-501"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850416","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":"Profiles of Depressive Symptoms Among Pregnant Patients Carrying Fetuses with Congenital Anomalies.","authors":"Katherine Traino, Alexandria Budney, Ashika Mani, Lindsay Zajac, Christina Paidas Teefey, Joanna Cole","doi":"10.1007/s10880-025-10114-z","DOIUrl":"10.1007/s10880-025-10114-z","url":null,"abstract":"<p><p>Pregnant people carrying fetuses with congenital anomalies are at increased risk for depressive symptoms. However, the nature of these symptoms is not well-understood. The present study identified profiles of prenatal depressive symptomatology and examined demographic and clinical predictors of profile membership. Pregnant persons (N = 6657) with a confirmed structural fetal anomaly diagnosis at a maternal-fetal care center completed psychosocial measures. K-means clustering analyses identified profiles. ANOVA and chi-square analyses evaluated predictors. Four profiles emerged: Minimal Depressive Type (n = 2259, 33.93%), Emotionally Dysregulated Type (n = 1909, 28.68%), Anxious and Somatic Type (n = 1789, 26.87%), and High Depressive Type (n = 700, 10.52%); indicating a higher likelihood of somatic, anxious, and emotion dysregulation symptoms rather than feelings of guilt/shame and loss of self. Racial identity, number of live births, antidepressant use, relationship with father of baby, and insurance status were associated with profile membership. Findings contribute to the understanding of perinatal depression among those with fetal anomalies, and highlight the need to further examine the clinical utility of depression profiles and responsiveness to psychosocial intervention.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"556-566"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145633998","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":"Psychology Referrals in Pediatric Sports Medicine: Patterns from an Integrated Clinic.","authors":"Casey Lawless, Chelsey Bowman, Kevin Latz, Angela C Vanderpool, Mallory Netz, Kalani Gates, Alexandra B Gibson, Carisa Parrish","doi":"10.1007/s10880-025-10119-8","DOIUrl":"10.1007/s10880-025-10119-8","url":null,"abstract":"<p><p>This study evaluated results from a novel psychology clinic integrated within a pediatric sports medicine (SM) program. Participants included 151 patients (mean age = 14.86, 62.25% female) seen for an initial psychology visit. Patients completed self-report measures, and referral and patient characteristics were abstracted via medical record. The sample was heterogeneous in terms of demographic variables and illness- or injury-related factors. Most common referral reasons were anxiety, general coping, depression, and pain. Adjustment and anxiety disorders were the most common diagnoses, while pain management, sleep, school, and eating were also common areas of difficulty. Rates of previous mental health (MH) treatment (52.98%), attention-deficit/hyperactivity disorder (ADHD) diagnosis (15.23%) or attention concerns (10.60%), and history of suicidal ideation (SI, 23.65%) were high. Youth in this sample endorsed poorer health-related quality of life (HRQOL) than comparative samples. Findings support the potential benefit of integrated psychological care to address a variety of MH challenges in pediatric SM.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"466-473"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911758","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":"Measuring Physician Trust: An In-Depth Psychometric Analysis of the Trust in Physicians Scale Considering Social Desirability.","authors":"Chloe Lau, Francesco Bruno, Georgia Marunic, Lena Quilty, Catherine Li, Donald Saklofske, Francesca Chiesi","doi":"10.1007/s10880-026-10139-y","DOIUrl":"10.1007/s10880-026-10139-y","url":null,"abstract":"<p><p>While the Trust in Physicians Scale demonstrates strong reliability and validity in previous findings, further research is necessary to continue evaluating item response theory parameters and the effects of social desirability. Undergraduate participants (N = 730) between 17 and 48 years of age (M = 18.41, SD = 1.63) completed the Trust in Physicians questionnaire and criterion validity measures. Results from Gulliksen's Pool indicated suitability for factor analysis and goodness of fit was appropriate for a unidimensional model (GFI = 1.00; RMSEA = .09; CFI = .98). When controlling for social desirability, factor loadings ranged from .39 to .84 for the Trust in Physicians factor. Loadings on the social desirability control scale ranged from .08 to .25, suggesting positive links with trust in physician and social desirability. Item response theory analyses under Samejima's graded response model reveal item discrimination values between .42 and 1.71 (m = 1.01). Proper measurement may enable physicians to identify patients who may require attention to therapeutic rapport.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"502-508"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147355298","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":"Differences in Dyadic Coping Between Couples Facing Early-Stage Dementia Compared with Couples Facing a Visual Impairment and Healthy Couples.","authors":"Peter Muijres, Josef Jenewein, Katharina Weitkamp, Fridtjof Nussbeck, Isabella Bertschi, Christina Breitenstein, Mona Neysari, Guy Bodenmann","doi":"10.1007/s10880-025-10124-x","DOIUrl":"10.1007/s10880-025-10124-x","url":null,"abstract":"<p><p>The concept of dyadic coping (DC) describes ways in which couples cope with stress together, including, for example, supportive DC (i.e., supporting a partner's individual coping efforts) or delegated DC (i.e., taking over tasks from one's partner). Previous research has primarily focused on DC in relation to chronic physical illnesses, foremost cancer. However, stress related to neurocognitive or physical conditions differs with regard to symptoms, course of progression, and associated psychological and social challenges. The current study aims to examine how DC in individuals with early-stage dementia differs from DC in individuals with a visual impairment or in a healthy condition, as well as how DC differs between their partners. Data from two studies were first matched with a sample of couples facing early-stage dementia (n = 37). Couples facing a visual impairment and healthy couples served as control groups. The Dyadic Coping Inventory was used to assess the DC exchanged. Analyses of variance and covariance as well as post hoc tests were used to test for differences in DC. Results show that partners of persons with early-stage dementia report receiving less supportive DC than partners in couples facing a visual impairment or healthy couples, as well as less delegated DC than partners in healthy couples. We did not find any differences on any DC domains in the persons with early-stage dementia compared to persons with visual impairment or persons in healthy couples. This study shows that DC of partners in couples facing early-stage dementia differs from partners in couples facing a visual impairment or healthy couples. Partners should avoid overprotective behaviors that could diminish the sense of self-efficacy of the person with early-stage dementia. Besides methodological suggestions, suggestions are made how tailored interventions, like facilitating participation and portioning tasks, may help improve DC, relationship functioning, and mental health.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"567-578"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145952255","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}