Journal of Clinical Psychology in Medical Settings最新文献_第3页

Clinical Education: Evaluating Depression in Patient Request for Termination of Medical Care. 临床教育：评估患者终止医疗护理请求中的抑郁症。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-08-30 DOI: 10.1007/s10880-025-10094-0

Sarah Thilges, Laura Wool, Elizabeth Murphy, Mekhala Merchant

引用次数: 0

Qualitative Investigation of Primary Care Provider Perspectives on the Assessment and Treatment of Insomnia. 初级保健提供者对失眠症评估与治疗观点的定性调查。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-08-19 DOI: 10.1007/s10880-025-10088-y

Jessica Ford, Colleen Blue, Corrine I Voils, Sara M Andrews, Stephanie Ferguson, Hayden Bosworth, Nina Sperber, Christi S Ulmer

{"title":"Qualitative Investigation of Primary Care Provider Perspectives on the Assessment and Treatment of Insomnia.","authors":"Jessica Ford, Colleen Blue, Corrine I Voils, Sara M Andrews, Stephanie Ferguson, Hayden Bosworth, Nina Sperber, Christi S Ulmer","doi":"10.1007/s10880-025-10088-y","DOIUrl":"10.1007/s10880-025-10088-y","url":null,"abstract":"Although common, insomnia is often undertreated and underrecognized in primary care settings. Few studies have examined primary care provider (PCP) perspectives to better understand the context of insomnia assessment and treatment. The purpose of the current study was to examine Veterans Affairs (VA) provider knowledge and practice regarding the assessment and treatment of insomnia by utilizing qualitative inquiry. We recruited PCPs at a VA healthcare facility located in the southeastern United States to engage in a qualitative descriptive study of their perspectives on the management of insomnia in the primary care setting. Participants completed a demographic form and semi-structured interviews. Interview data were analyzed using a rapid qualitative analysis approach. 12 PCPs participated in semi-structured interviews. Themes were knowledge gaps in appropriate assessment, treatment, and documentation practices. Providers tended to focus on the event that precipitated insomnia rather than factors that perpetuate it and relied heavily on sleep hygiene recommendations. Systemic barriers, such as time constraints, also impeded the highest quality of care. PCPs may benefit from additional training on factors that maintain insomnia and on evidence-based treatments for insomnia. There may also be an opportunity to develop tools such as shared decision-making aids to increase referrals to evidence-based treatments. Development of strategies to facilitate assessment and treatment of insomnia disorder in the context of busy, fast-paced primary care settings may be beneficial to veterans and civilians with sleep disorders.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882992","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

Mindful Self-Compassion to Reduce Pain Interference Among Adults with Osteogenesis Imperfecta. 正念自我同情减少成骨不全成人的疼痛干扰。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-08-14 DOI: 10.1007/s10880-025-10092-2

Amena Sediqi, Roya Al-Khalili, Saunya Dover, Corien Peeters, Adam Khalif, V Reid Sutton, Frank Rauch, Brendan Lee, Eric A Storch, Marie-Eve Robinson

{"title":"Mindful Self-Compassion to Reduce Pain Interference Among Adults with Osteogenesis Imperfecta.","authors":"Amena Sediqi, Roya Al-Khalili, Saunya Dover, Corien Peeters, Adam Khalif, V Reid Sutton, Frank Rauch, Brendan Lee, Eric A Storch, Marie-Eve Robinson","doi":"10.1007/s10880-025-10092-2","DOIUrl":"https://doi.org/10.1007/s10880-025-10092-2","url":null,"abstract":"Between 60 and 80% of adults with osteogenesis imperfecta (OI) experience chronic pain and associated interference. Currently available pain therapies often provide marginal efficacy. Mindful self-compassion (MSC) has emerged as a promising intervention for coping with chronic pain. We conducted a single-center 8-week pilot intervention study to assess the feasibility and acceptability of a MSC program among adults with OI and co-occurring chronic pain. Individuals attended the validated MSC course consisting of 8 weekly virtual 2-h sessions. Participants completed a battery of validated questionnaires assessing pain, various aspects of well-being, and physical function at baseline and post-intervention. Participants wore the ActiGraph GT9X Link watch to measure sleep duration and sleep efficiency. Seven adults with OI and co-occurring pain participated in the MSC program. The program was feasible, as indicated by high attendance and high questionnaire completion rates. Participants reported a mean ± standard deviation (SD) of 3.5 out of 5 ± 0.4 on the Intervention Acceptability Framework. 86% (6/7) of participants found the MSC program to be acceptable. While our pilot study was not powered to show efficacy, we observed a decrease in pain interference on the PROMIS pain interference questionnaire (mean 55.9 ± 5.5 at baseline vs. 50.0 ± 7.3 at 8 weeks). Implementation of the MSC program is feasible as a potential therapeutic option to address chronic pain in OI.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855383","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

Perceptions of Child-Adult Relationship Enhancement (CARE) Training Usefulness for Educational, Behavioral, and Allied Health Professionals: Attitudes Toward Evidence-Based Practices. 儿童-成人关系增强（CARE）培训对教育、行为和联合卫生专业人员的有用性的认识：对循证实践的态度。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-08-08 DOI: 10.1007/s10880-025-10093-1

Julia L Kiefer, Kristin J Perry, Dustin E Sarver, Emily-Anne S Del Rosario, Lauren B Quetsch

{"title":"Perceptions of Child-Adult Relationship Enhancement (CARE) Training Usefulness for Educational, Behavioral, and Allied Health Professionals: Attitudes Toward Evidence-Based Practices.","authors":"Julia L Kiefer, Kristin J Perry, Dustin E Sarver, Emily-Anne S Del Rosario, Lauren B Quetsch","doi":"10.1007/s10880-025-10093-1","DOIUrl":"https://doi.org/10.1007/s10880-025-10093-1","url":null,"abstract":"Child-Adult Relationship Enhancement (CARE) is an evidence-informed approach to promote positive child-adult relationships in youth with behavior problems or traumatic stress. Implementing CARE in community settings may extend accessibility to evidence-based practices (EBP) for children in underserved areas. The present study examined health professionals' perceptions of CARE. Participants were 277 professionals from a statewide training initiative including early childhood educators (n = 178), allied health professionals (n = 48; speech, occupational, physical therapists), and behavioral health clinicians (n = 51) completing CARE training. Participants completed the Evidence-Based Practice Attitude Scale (Aarons (2004) Mental Health Services Research 6:61-74) (pre-training). Post-training, participants completed two scales created for this study which assessed participants perceptions of the training experience. Structural equation modeling evaluated differences in health professionals' perceptions of CARE and EBP. CARE was the most well received by allied health professionals, who reported greater favorability of EBP relative to behavioral health clinicians (0.12, 95% CI [.04, .24]). Additionally, results indicated greater favorability of EBP-mediated perceived usefulness (0.17, 95% CI [.07, .31]). CARE is a well-received training for professionals working with youth. Interprofessional training may enhance developmental and behavioral outcomes for youth, and our findings suggest particular receptivity to CARE by allied health professionals and implicate EBP favorability as a key driver.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799186","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

When Terror and War Supersede Cancer: A Case Study of a Ukrainian Cancer Survivor and Application of Trauma-Informed Care. 当恐怖和战争取代癌症：乌克兰癌症幸存者的案例研究和创伤知情护理的应用。

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-08-08 DOI: 10.1007/s10880-025-10091-3

Amy Siston, Maggie Collins

{"title":"When Terror and War Supersede Cancer: A Case Study of a Ukrainian Cancer Survivor and Application of Trauma-Informed Care.","authors":"Amy Siston, Maggie Collins","doi":"10.1007/s10880-025-10091-3","DOIUrl":"https://doi.org/10.1007/s10880-025-10091-3","url":null,"abstract":"This case study describes the implementation of trauma-informed and culturally informed cancer care, for a 40-year-old Ukrainian female with recurrent follicular lymphoma, displaced to the United States in the Spring of 2022 following the Russian invasion of Ukraine. The patient was referred to the psychosocial oncology service at an NCI-designated Comprehensive Cancer Center for evaluation and treatment of depression and anxiety. Stressors, along with the chronic trauma of fearing for her family's safety and the stress of being displaced from Ukraine, compounded her emotional burden. A modified form of trauma-informed care adapted for use with refugee and immigrant populations was applied, in addition to evidence-based treatments including Acceptance and Commitment Therapy, Cognitive Processing Therapy, and other cognitive behavioral techniques. At the conclusion of therapy, significant improvements were reported across physical function, social engagement, and emotional well-being. This case highlights the importance of flexibility in treatment modalities and the need to consider that the trauma of an ongoing and unpredictable war may require more therapeutic support than the experience of cancer.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799187","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

Catastrophizing Mediates the Relationship Between Pain and Quality of Life and Illness-Focused Coping for Patients with IBD. 灾难化介导炎症性肠病患者疼痛与生活质量及疾病焦点应对的关系

IF 1.9 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-07-30 DOI: 10.1007/s10880-025-10084-2

Justin Gates, Dean Tripp, Margret Lo, Michael Beyak

{"title":"Catastrophizing Mediates the Relationship Between Pain and Quality of Life and Illness-Focused Coping for Patients with IBD.","authors":"Justin Gates, Dean Tripp, Margret Lo, Michael Beyak","doi":"10.1007/s10880-025-10084-2","DOIUrl":"https://doi.org/10.1007/s10880-025-10084-2","url":null,"abstract":"In individuals with inflammatory bowel disease, pain is common. Alongside the experience of pain, pain catastrophizing occurs via rumination, magnification, and helplessness-this process often impacts an individual's health-related quality of life. With that said, there is a shortage of inflammatory bowel disease research examining temporal changes in the relationship between pain and health-related quality of life and potential mediators of this association. The objective of this study is to investigate the longitudinal serial mediation effects of pain catastrophizing and pain coping on the relationship between pain and health-related quality of life. An archival dataset included participants diagnosed with inflammatory bowel disease recruited at the gastrointestinal tertiary care clinic at Hotel Dieu Hospital in Kingston, Ontario. Pain, health-related quality of life, pain catastrophizing, and coping were measured. Through data analysis, it was discovered that present pain predicted future pain catastrophizing, which later predicted illness-focused coping. Illness-focused coping then predicted lower levels of health-related quality of life. Overall, this study provides a perspective on the broader implication that pain catastrophizing and coping have on the experience of pain and health-related quality of life in those with inflammatory bowel disease, suggesting a starting point for clinical intervention.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753524","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

Expressive Writing and Self-Care in Palliative Care Professionals: A Qualitative Longitudinal Study. 表达性写作与缓和疗护专业人员自我照顾：一项质性纵向研究。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-07-23 DOI: 10.1007/s10880-025-10082-4

Chiara Cosentino, Giovanna Artioli, Giovanna Casella, Stella Neri, Gisele Manfrini, Clelia D'Apice, Annavittoria Sarli, Antonio Bonacaro

{"title":"Expressive Writing and Self-Care in Palliative Care Professionals: A Qualitative Longitudinal Study.","authors":"Chiara Cosentino, Giovanna Artioli, Giovanna Casella, Stella Neri, Gisele Manfrini, Clelia D'Apice, Annavittoria Sarli, Antonio Bonacaro","doi":"10.1007/s10880-025-10082-4","DOIUrl":"https://doi.org/10.1007/s10880-025-10082-4","url":null,"abstract":"Palliative care professionals are exposed to emotionally intense situations. Stress, anxiety, and burnout can impact the dimension of care through the loss of motivation. Expressive writing in the general population effectively promotes emotion regulation through meaning-making. This study aimed to evaluate the impact of Expressive writing on the meaning change in the perception of traumatic professional events in multi-professional palliative care settings in Italy. We conducted a prospective study with longitudinal qualitative methodology, following an ad-hoc expressive writing protocol. The study involved the selection of 10 various palliative care professionals working in hospices, hospital palliative care units, and community palliative care. We identified six main themes that shifted meaning throughout the four writing sessions: description of the phenomena, strong emotions, health workers' elaborations, processing feelings, improvement strategies, and interior resources. Expressive writing is effective in helping palliative care professionals process intense emotions and feelings related to a traumatic event, stimulating critical self-reflection and self-care, and supporting meaning-making.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698693","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

Psychologists' Well-Being, Stressors, and Practices in Academic Health Centers: A Peri-Pandemic Update. 心理学家的幸福感、压力源和学术健康中心的实践：大流行前后的更新。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-07-18 DOI: 10.1007/s10880-025-10086-0

Amy M Williams, Anastasia Bullock, Caitlin A LaGrotte, Michelle T Jesse, Sheila M Dowd, John A Yozwiak, William N Robiner

{"title":"Psychologists' Well-Being, Stressors, and Practices in Academic Health Centers: A Peri-Pandemic Update.","authors":"Amy M Williams, Anastasia Bullock, Caitlin A LaGrotte, Michelle T Jesse, Sheila M Dowd, John A Yozwiak, William N Robiner","doi":"10.1007/s10880-025-10086-0","DOIUrl":"https://doi.org/10.1007/s10880-025-10086-0","url":null,"abstract":"The SARS-CoV-2 (COVID-19) pandemic strained healthcare systems and professionals. Psychologists were not immune from these effects. This study examined stressors, well-being, and the roles of psychologists in academic health centers during the second year of the pandemic. Members of the Association of Psychologists in Academic Health Centers (APAHC) completed a survey addressing burnout, work capacity, stress, career satisfaction, sources of professional stress, and changes in practices. Items were compared with the 2017 APAHC Membership Survey. Compared to 2017, the 2021 respondents reported increased stress and burnout, as well as diminished work capacity, without decreased career satisfaction. Additionally, the number of professional stressors endorsed by the majority of respondents increased from four stressors in 2017 and seven in 2021 when retrospectively reporting prior to March 2020, to thirteen stressors in post-March 2020 reporting. In 2021, burnout was associated with greater overall stress, perceived faculty stress, fewer hours for relaxation or to pursue enjoyable activities, more non-billable clinical hours, and time spent on non-clinical consultation. Higher stress levels and fewer hours for relaxation were associated with being overextended in one's work capacity. These findings may inform well-being initiatives for psychologists in academic health centers and highlight the imperative for well-being for psychologists.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667745","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 Effects of Asthma, Anxiety, and Depression on Sleep Outcomes Among Youth in Puerto Rico. 哮喘、焦虑和抑郁对波多黎各青少年睡眠结果的影响。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-07-04 DOI: 10.1007/s10880-025-10089-x

Damaris Lopez Mercado, Maria Teresa Coutinho, Daphne Koinis-Mitchell, Rafael Ramirez Padilla, Pedro Garcia, Glorisa Canino, Edna Acosta-Perez, Alexander N Ortega

{"title":"The Effects of Asthma, Anxiety, and Depression on Sleep Outcomes Among Youth in Puerto Rico.","authors":"Damaris Lopez Mercado, Maria Teresa Coutinho, Daphne Koinis-Mitchell, Rafael Ramirez Padilla, Pedro Garcia, Glorisa Canino, Edna Acosta-Perez, Alexander N Ortega","doi":"10.1007/s10880-025-10089-x","DOIUrl":"https://doi.org/10.1007/s10880-025-10089-x","url":null,"abstract":"The objective of this study is to examine the associations among asthma, depression, and anxiety with sleep outcomes among youth in Puerto Rico and determine whether age moderates the associations. Data came from surveys of 333 youth aged 10-17 living in Puerto Rico. Predicted probabilities derived from logistic regression models were used to assess the associations of asthma, depression, and anxiety with sleep outcomes. Models included interactions between age group (10-13 vs 14-17) and asthma, depression, and anxiety when predicting sleep outcomes. The predicted probability of obtaining a sufficient amount of sleep was 15.9 percentage-points higher among those with asthma compared to those without asthma (p = 0.009), 21.9 percentage-points higher among older youth with asthma compared to older youth without asthma (p = 0.004), and 33.9 percentage-points lower among younger youth with depression compared to younger youth without depression (p = 0.019). There were no significant differences in the predicted probabilities of perceived sleep quality according to asthma, depression, or anxiety status. Findings suggest that age moderates the associations among asthma, depression, and sleep among youth in Puerto Rico. Younger youth with depression may be at increased risk for poor sleep outcomes.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560262","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

Ethical Issues in International Research in Pediatric Psychology: Challenges and Opportunities. 儿科心理学国际研究中的伦理问题：挑战与机遇。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-06-30 DOI: 10.1007/s10880-025-10087-z

Rocío de la Vega, Eileen Chaves, Tatiana Lund, Gerald P Koocher, Line Caes

引用次数: 0