Journal of Clinical Psychology in Medical Settings最新文献_第9页

How Treatment Motivation Predicts Favorable Outcomes in Interdisciplinary Multimodal Pain Treatment Among Patients with Chronic Primary Pain. 治疗动机如何预测慢性原发性疼痛患者在跨学科多模式疼痛治疗中的良好疗效？

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-04-20 DOI: 10.1007/s10880-023-09958-0

Alina Scheidegger, Juan Martín Gómez Penedo, Larissa Tatjana Blättler, Selma Aybek, Nina Bischoff, Martin Grosse Holtforth

{"title":"How Treatment Motivation Predicts Favorable Outcomes in Interdisciplinary Multimodal Pain Treatment Among Patients with Chronic Primary Pain.","authors":"Alina Scheidegger, Juan Martín Gómez Penedo, Larissa Tatjana Blättler, Selma Aybek, Nina Bischoff, Martin Grosse Holtforth","doi":"10.1007/s10880-023-09958-0","DOIUrl":"10.1007/s10880-023-09958-0","url":null,"abstract":"As motivation for psychological treatment at intake has been shown to predict favorable outcomes after an inpatient stay, this study aimed to further characterize the different components of psychological treatment motivation that predict favorable treatment outcomes. 294 inpatients with chronic primary pain participating in an interdisciplinary multimodal pain treatment in a tertiary psychosomatic university clinic completed a battery of psychological questionnaires at intake and discharge. Treatment motivation was assessed at intake using the scales of the FPTM-23 questionnaire, while pain intensity, pain interference, anxiety, and depression were assessed both at intake and discharge. After treatment, pain intensity, pain interference, anxiety, and depression were significantly reduced. While higher levels on the FPTM-23 scale of suffering predicted smaller decreases in anxiety after treatment, higher scores on the scale of hope, i.e., lower levels of hopelessness, predicted lower levels of pain interference, anxiety, and depression after treatment. None of the scales of treatment motivation predicted pain intensity levels after treatment. Above and beyond providing symptom relief, reducing hopelessness and fostering hope regarding the treatment process and outcome might help clinicians treat patients with chronic primary pain more effectively.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"48-57"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10924698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476782","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

Demographic Factors, Medication Adherence, and Post-transplant Health Outcomes: A Longitudinal Multilevel Modeling Approach. 人口学因素、用药依从性和移植后健康结果：纵向多层次建模方法。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-08-17 DOI: 10.1007/s10880-023-09970-4

Michael O Killian, Callie W Little, Savarra K Howry, Madison Watkivs, Kelli N Triplett, Dev M Desai

{"title":"Demographic Factors, Medication Adherence, and Post-transplant Health Outcomes: A Longitudinal Multilevel Modeling Approach.","authors":"Michael O Killian, Callie W Little, Savarra K Howry, Madison Watkivs, Kelli N Triplett, Dev M Desai","doi":"10.1007/s10880-023-09970-4","DOIUrl":"10.1007/s10880-023-09970-4","url":null,"abstract":"Few studies in pediatric solid organ transplantation have examined non-adherence to immunosuppressive medication over time and its associations with demographic factors and post-transplant outcomes including late acute rejection and hospitalizations. We examined longitudinal variation in patient Medication Level Variability Index (MLVI) adherence data from pediatric kidney, liver, and heart transplant recipients. Patient and administrative data from the United Network for Organ Sharing were linked with electronic health records and MLVI values for 332 patients. Multilevel mediation modeling indicated comparatively more variation in MLVI values between patients than within patients, longitudinally, over 10 years post transplant. MLVI values significantly predicted late acute rejection and hospitalization. MLVI partially mediated patient factors and post-transplant outcomes for patient age indicating adolescents may benefit most from intervention efforts. Results demonstrate the importance of longitudinal assessment of adherence and differences among patients. Efforts to promote medication adherence should be adapted to high-risk patients to increase likelihood of adherence.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"163-173"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10368338","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

Psychometric Properties of the Short Scale Anxiety Sensitivity Index Among Adults with Chronic Respiratory Disease. 成人慢性呼吸系统疾病短期焦虑敏感指数的心理测量特性。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-09-28 DOI: 10.1007/s10880-023-09976-y

Heather L Clark, Laura J Dixon, Sujith Ramachandran, Patric J Leukel, Aaron A Lee

{"title":"Psychometric Properties of the Short Scale Anxiety Sensitivity Index Among Adults with Chronic Respiratory Disease.","authors":"Heather L Clark, Laura J Dixon, Sujith Ramachandran, Patric J Leukel, Aaron A Lee","doi":"10.1007/s10880-023-09976-y","DOIUrl":"10.1007/s10880-023-09976-y","url":null,"abstract":"Approximately one-third of adults with chronic respiratory disease (CRD) have comorbid depressive and anxiety disorders; yet these disorders are often unrecognized in this patient population. Transdiagnostic processes such as anxiety sensitivity (AS) are useful for identifying mechanisms underlying psychological and heath conditions. The Short-Scale AS Index (SSASI) is a brief self-report measure of AS which has potential clinical utility among CRD populations to evaluate psychological distress and inform comprehensive care. The present study investigated the psychometric properties of the SSASI among adults with CRDs. Participants were recruited from a web-based panel of adults with CRDs (n = 768; 49.3% female; 57.8% White) including adults with asthma only (n = 230), COPD only (n = 321), or co-occurring asthma and COPD (n = 217). Participants completed a battery of self-report questionnaires assessing psychological and medical symptoms. Analyses were conducted to examine the factor structure and measurement invariance across CRD groups. Convergent validity and criterion validity of the SSASI were assessed within each group. Results supported partial measurement invariance across CRD groups. The SSASI demonstrated high reliability, convergent validity, and criterion validity with each CRD group. Findings from this study and existing work indicate that the SSASI is an effective and economical assessment tool for identifying patients CRD who may benefit from psychological interventions to reduce AS.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"186-196"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41112691","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

Clinical Outcomes from an Interdisciplinary Outpatient Feeding Treatment Pilot Program. 跨学科门诊喂养治疗试点项目的临床结果。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-05-13 DOI: 10.1007/s10880-023-09963-3

Lori B Vincent, Meg Stone-Heaberlin, Kavya Kandarpa, Hannah McIntire, Krystin Turner, Kathy Krebs

{"title":"Clinical Outcomes from an Interdisciplinary Outpatient Feeding Treatment Pilot Program.","authors":"Lori B Vincent, Meg Stone-Heaberlin, Kavya Kandarpa, Hannah McIntire, Krystin Turner, Kathy Krebs","doi":"10.1007/s10880-023-09963-3","DOIUrl":"10.1007/s10880-023-09963-3","url":null,"abstract":"Many children with developmental disabilities experience feeding challenges, including food refusal and food selectivity. Feeding concerns are often multifaceted and, therefore, an interdisciplinary approach to treatment is needed. A pilot of an interdisciplinary outpatient feeding program was conducted in a hospital medical center by psychologists and occupational therapists. The pilot program focused on caregiver training and improvements in targeted feeding goals in both the clinic and home settings. Treatment outcomes from this pilot program found increases in bite acceptance, decreases in inappropriate mealtime behaviors, increases in caregiver-reported number of foods consumed, and mastery of most individualized feeding goals for children who participated in the treatment program. Additionally, caregivers reported decreased concerns related to feeding and increased confidence in addressing their child's feeding concerns after participation in the treatment. Caregivers also reported high levels of satisfaction with this pilot program and reported the intervention to be feasible.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"208-223"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10182748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9464139","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

Community Teens' COVID-19 Experience: Implications for Engagement Moving Forward. 社区青少年的新冠肺炎经历：对未来参与的影响。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-10-07 DOI: 10.1007/s10880-023-09975-z

Colleen Stiles-Shields, Karen M Reyes, Nia Lennan, Jim Zhang, Joseph Archer, Wrenetha A Julion, Madeleine U Shalowitz

{"title":"Community Teens' COVID-19 Experience: Implications for Engagement Moving Forward.","authors":"Colleen Stiles-Shields, Karen M Reyes, Nia Lennan, Jim Zhang, Joseph Archer, Wrenetha A Julion, Madeleine U Shalowitz","doi":"10.1007/s10880-023-09975-z","DOIUrl":"10.1007/s10880-023-09975-z","url":null,"abstract":"Data collected from pediatric primary care settings during the pandemic suggest an increase in internalizing symptoms and disparities in care based upon minoritized identity status(es). To inform care moving forward, the current study characterized the pandemic and related technology usage experiences of teenaged pediatric patients from communities with high hardship indexes. As part of a larger mixed-methods study, 17 teens (Mean age = 15.99 ± .99) and 10 caregivers independently voiced experiences related to the pandemic during remote focus group and interview sessions. Thematic analyses were used to assess qualitative data; descriptive analyses were used to characterize qualitative data. Despite no direct queries about the pandemic, 41% of teens and 40% of caregivers described their lived experiences during the pandemic. Two subthemes emerged within the primary theme of COVID-19: (1) Wellness/Mental Health and (2) Smartphone Use and Utility. Although distress and negative effects were voiced, questionnaire data indicated normative psychosocial functioning for both teen self-report and caregiver proxy report. Informed by the voiced experiences of teens and their caregivers from communities with high hardship indexes, methods for better assessing and managing internalizing symptoms in teen patients are presented. A multi-modal and multi-informant approach that leverages technology to garner information about teens' experiences and deliver care may help improve the well-being of teens in communities systemically burdened with disparities.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"143-152"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11174976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41132212","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

Reviewer Recognition and Appreciation. 认可和感谢审稿人。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 DOI: 10.1007/s10880-024-10009-5

引用次数: 0

Thwarted Belongingness and Suicide Risk in Primary Care: Perceived Burdensomeness and Psychache as Mediators. 基层医疗机构的归属感受挫与自杀风险：感知到的负担和心理痛苦是中介。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-05-02 DOI: 10.1007/s10880-023-09960-6

Byron D Brooks, Trever J Dangel, Andréa R Kaniuka, Emma Jaszczak, Anusha Limdi, Jon R Webb, Jameson K Hirsch

引用次数: 0

Using a Delphi Technique to Define Primary Care Behavioral Health Clinical Supervision Competencies. 使用德尔菲技术定义初级保健行为健康临床监督能力。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-06-02 DOI: 10.1007/s10880-023-09964-2

Stacy A Ogbeide, Bryan Bayles

{"title":"Using a Delphi Technique to Define Primary Care Behavioral Health Clinical Supervision Competencies.","authors":"Stacy A Ogbeide, Bryan Bayles","doi":"10.1007/s10880-023-09964-2","DOIUrl":"10.1007/s10880-023-09964-2","url":null,"abstract":"There is an increasing need for Primary Care Behavioral Health (PCBH) workforce development (i.e., increase in well-trained PCBH providers) given the growth of behavioral health (BH) integration into primary care, specifically at a time when behavioral health needs are increasing because of the COVID-19 pandemic (Kanzler and Ogbeide in Psychol Trauma 12(S1):S177-S179, https://doi.org/10.1037/tra0000761 , 2020). Therefore, it is imperative to provide current and future behavioral health clinical supervisors in primary care settings specific competencies, given there are no current competencies specific to clinical supervision within the PCBH Model. Using a Delphi process, the authors identified and reached expert consensus on competencies for BH clinical supervisors in primary care. A purposive sample (in: Patton, Qualitative evaluation and research methods, Sage, Newbury Park, 1990) of fifteen experts (n = 15) in PCBH clinical training and education evaluated quantitative and qualitative domains and specific competencies associated with PCBH supervision gathered during an initial in-depth qualitative interview. This was followed by two subsequent rounds of quantitative Delphi surveys to reach consensus. The response rates from our panel of experts were 100% (15/15) for all stages (interviews, round one and round two surveys). Three domains (Primary Care Knowledge, Clinical Supervisor Development, and Clinical Supervision Skills) were rated as essential for providing clinical supervision with PCBH for pre-licensure level learners. The development of competencies will further support BH clinical supervisor needs, professional development, and provide a concrete way to evaluate progress towards teaching and training excellence. This will also have a great impact on the development of the future BH workforce within primary care.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"108-121"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10236401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9574868","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

Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views. 内外科护理期间提供的危险饮酒干预：患者和医护人员的观点。

IF 1.6 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-03-23 DOI: 10.1007/s10880-023-09954-4

Christine Timko, Mandy Lewis, Mai Chee Lor, Laura Aldaco-Revilla, Daniel Blonigen, Mark Ilgen

{"title":"Hazardous Drinking Interventions Delivered During Medical-Surgical Care: Patient and Provider Views.","authors":"Christine Timko, Mandy Lewis, Mai Chee Lor, Laura Aldaco-Revilla, Daniel Blonigen, Mark Ilgen","doi":"10.1007/s10880-023-09954-4","DOIUrl":"10.1007/s10880-023-09954-4","url":null,"abstract":"Addressing hazardous drinking during medical-surgical care improves patients' health. This formative evaluation examined patients' consideration of options to change drinking and engage in treatment. It explored whether interventions such as \"DO-MoST\" overcome treatment barriers. We interviewed 20 medical-surgical patients with hazardous drinking in a trial of DO-MoST, and 16 providers. Analyses used a directed content approach. Patients were receptive to and comfortable discussing drinking during medical-surgical care. Interventions like DO-MoST (patient-centered, motivational approach to shared decision making) addressed some treatment barriers. Patients and providers viewed such interventions as helpful by building a relationship with a psychologist who facilitated self-awareness of drinking behaviors, and discussing connections between alcohol- and physical health-related problems and potential strategies to address drinking. However, both groups expressed concerns about individual and system-level barriers to long-term change. Interventions like DO-MoST bridge the gap between the patient's medical treatment episode and transition to other health care settings. TRIAL REGISTRATION: The study is registered on ClinicalTrials.gov (ID: NCT03258632).","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"224-235"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9885657","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

Positive Schemas, Coping, and Quality of Life in Pediatric Recurrent Abdominal Pain. 小儿复发性腹痛的积极模式、应对方法和生活质量。

IF 2.2 3区心理学

Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-03-23 DOI: 10.1007/s10880-023-09952-6

Soeun Lee, Rachel Tomlinson, Margaret N Lumley, Kevin C Bax, Dhandapani Ashok, C Meghan McMurtry

{"title":"Positive Schemas, Coping, and Quality of Life in Pediatric Recurrent Abdominal Pain.","authors":"Soeun Lee, Rachel Tomlinson, Margaret N Lumley, Kevin C Bax, Dhandapani Ashok, C Meghan McMurtry","doi":"10.1007/s10880-023-09952-6","DOIUrl":"10.1007/s10880-023-09952-6","url":null,"abstract":"Pediatric recurrent abdominal pain is commonly associated with negative impacts on quality of life (QOL). Positive schemas (core beliefs about the self with subthemes of self-efficacy, optimism, trust, success, and worthiness) are a resilience factor that has not yet been examined within a pediatric recurrent pain context. This cross-sectional study examined (a) associations between positive schemas, pain coping, and youth QOL, and (b) exploratory analyses to investigate whether specific positive schema subthemes predicted QOL outcomes in youth with recurrent abdominal pain. Participants were 98 youth with recurrent abdominal pain (i.e., pain related to a disorder of gut-brain interaction [DGBI] or organic cause) who completed measures on positive schemas, QOL, and pain coping. Age and diagnostic status were controlled for in analyses. Positive schemas were significantly positively correlated with emotional, social, school, and overall QOL, as well as with approach and problem-focused avoidant coping, and significantly negatively correlated with emotion-focused coping. Worthiness was the strongest and only significant predictor of youth social functioning. Positive schemas may be an important cognitive resilience factor to consider within interventions for pediatric recurrent pain.","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"37-47"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9162126","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