Journal of Clinical Psychology in Medical Settings最新文献

筛选
英文 中文
Applying the Somatic Symptom Disorder Diagnosis to Individuals with Fibromyalgia: Strengths and Limitations. 将躯体症状障碍诊断应用于纤维肌痛患者:优势与局限。
IF 1.6 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-09-01 Epub Date: 2024-02-24 DOI: 10.1007/s10880-024-10005-9
Lara R LoBrutto, Jared W Keeley, Natalie D Dautovich
{"title":"Applying the Somatic Symptom Disorder Diagnosis to Individuals with Fibromyalgia: Strengths and Limitations.","authors":"Lara R LoBrutto, Jared W Keeley, Natalie D Dautovich","doi":"10.1007/s10880-024-10005-9","DOIUrl":"10.1007/s10880-024-10005-9","url":null,"abstract":"<p><p>Amidst broad changes to the somatic disorder diagnoses, DSM-IV pain disorder was absorbed into DSM-5's somatic symptom disorder (SSD) as a specifier. However, clinical research testing of its use for the chronic pain population has been limited and its utility remains inconclusive. Using the exemplar of fibromyalgia, this article evaluates the validity, reliability, clinical utility, and acceptability of the SSD pain specifier. The diagnosis appears to have moderate validity but low specificity for the fibromyalgia population. The pain specifier has neither undergone sufficient field testing nor been evaluated for use by medical providers, with available data suggesting low reliability. Further research is needed to establish clinical utility via assessment of differential treatment outcomes. Concerns about social, legal, and economic consequences of classifying pain patients with a mental health diagnosis are outstanding. The current SSD criteria should be used with caution among the fibromyalgia patient population until its application for chronic pain has been further researched.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"607-613"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944200","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
Children in Mental Health Crisis: Pediatric Primary Care Providers’ Role in Bridging Treatment Following Higher Levels of Care 处于心理健康危机中的儿童:儿科初级保健提供者在更高层次护理之后的治疗中发挥的桥梁作用
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-08-03 DOI: 10.1007/s10880-024-10037-1
Rebecca A. Ferro, Sarah Edwards, Kelly Coble, Mark Riddle, Shauna P. Reinblatt, Chelsie Ader, Meghan Crosby Budinger, Amie F. Bettencourt
{"title":"Children in Mental Health Crisis: Pediatric Primary Care Providers’ Role in Bridging Treatment Following Higher Levels of Care","authors":"Rebecca A. Ferro, Sarah Edwards, Kelly Coble, Mark Riddle, Shauna P. Reinblatt, Chelsie Ader, Meghan Crosby Budinger, Amie F. Bettencourt","doi":"10.1007/s10880-024-10037-1","DOIUrl":"https://doi.org/10.1007/s10880-024-10037-1","url":null,"abstract":"<p>The current study examines the role of pediatric PCPs in bridging treatment for youth who have experienced mental health crises and the characteristics of these patients for whom PCPs sought psychiatric consultation and referral support from a child psychiatry access program, Maryland Behavioral Health Integration in Pediatric Primary Care. Psychiatric consultation and referral calls between 2012 and 2021 were included if a) the patient was recently seen in a higher level of care and b) the PCP was bridging treatment following the patient’s discharge; 208 calls met criteria. The most common mental health concerns included depressed mood, suicidal thoughts/gestures, and anxiety. Acute concerns of aggression, suicide attempts, and hallucinations were also reported. Over half of the patients had two or more mental health diagnoses. At the time of the call, only one quarter of these patients had outpatient therapy services while about half were receiving medication treatment. Most of these patients were discharged from the higher level of care without a care plan. Pediatric PCPs are managing their patients’ complex mental health concerns following receipt of higher levels of care. Improvements in collaboration and care coordination between pediatric PCPs and emergency department providers are needed.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":"31 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141883018","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
Brief Telephonic Motivational Interviewing for People Living with HIV with Follow-up Problems. 针对存在后续问题的艾滋病病毒感染者的简短电话激励访谈。
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-01-24 DOI: 10.1007/s10880-023-09993-x
E Gutiérrez-Velilla, R Robles-García, J J Sánchez-Sosa, S Ávila-Ríos, N P Caballero-Suárez
{"title":"Brief Telephonic Motivational Interviewing for People Living with HIV with Follow-up Problems.","authors":"E Gutiérrez-Velilla, R Robles-García, J J Sánchez-Sosa, S Ávila-Ríos, N P Caballero-Suárez","doi":"10.1007/s10880-023-09993-x","DOIUrl":"10.1007/s10880-023-09993-x","url":null,"abstract":"<p><p>Motivational interviewing (MI)-based interventions can be effective for people living with HIV (PLWHIV) with medical follow-up problems. This study aimed to assess the stage of motivation to attend medical appointments of PLWHIV with medical follow-up problems and to evaluate a single telephone session MI intervention directed to engage them in care. The change in stage was evaluated before and after the intervention, and attending medical appointments was monitored for six months. Thirty-nine PLWHIV participated; 51.3% were in precontemplation/contemplation and 49.7% in preparation/action stage. Most (excluding those in the action stage from the beginning) (n = 22, 71.0%) advanced to another stage after the intervention (z = - 4.235, p < .001), and most did not miss the following appointments. Brief and remote MI interventions could be useful in low-resource settings, especially for those in the early stages of change, to explore motivations related with missing medical appointments.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"493-500"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542304","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 and Experiences with the COVID-19 Pandemic Among Individuals with Inflammatory Bowel Disease. 炎症性肠病患者对新冠肺炎大流行的认识和经验。
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2023-11-06 DOI: 10.1007/s10880-023-09979-9
Ashley L Taylor, Jane Kogan, Jessica Meyers, Stephen Lupe, Benjamin Click, Benjamin Cohen, Eva Szigethy, Laurie Keefer, Cara Nikolajski
{"title":"Perceptions of and Experiences with the COVID-19 Pandemic Among Individuals with Inflammatory Bowel Disease.","authors":"Ashley L Taylor, Jane Kogan, Jessica Meyers, Stephen Lupe, Benjamin Click, Benjamin Cohen, Eva Szigethy, Laurie Keefer, Cara Nikolajski","doi":"10.1007/s10880-023-09979-9","DOIUrl":"10.1007/s10880-023-09979-9","url":null,"abstract":"<p><p>The COVID-19 pandemic resulted in increased feelings of emotional distress and disruptions in care across diverse patients subgroups, including those with chronic medical conditions such as inflammatory bowel diseases (IBD). We sought to understand the impact of the pandemic on the physical and emotional well-being of individuals with IBD and concurrent depression and/or anxiety symptoms. We conducted qualitative interviews after the beginning of the pandemic with 46 adults with IBD. Participants reported increased levels of emotional distress, feelings of social isolation, and uncertainty over whether IBD medications put them at increased risk. Young adults discussed feeling as if their lives had been disrupted. In addition, several individuals demonstrated resiliency and emphasized positives about the pandemic, including increased connectivity with family and friends, the convenience of being able to work from home despite their IBD symptoms, and lessened feelings of \"missing out.\" Our findings highlight several opportunities to improve the health and well-being of individuals with IBD and beyond including increased support for combatting social isolation, enhanced counseling about medication risks and benefits, and the incorporation of resiliency skills building.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"279-291"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71482126","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
Treating Hot Flashes with Hypnosis: Does Hypnotizability Modulate Reductions? 用催眠治疗潮热:催眠是否会调节潮热症状的减轻?
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-01-24 DOI: 10.1007/s10880-023-09994-w
Cameron T Alldredge, Jim R Sliwinski, Gary R Elkins
{"title":"Treating Hot Flashes with Hypnosis: Does Hypnotizability Modulate Reductions?","authors":"Cameron T Alldredge, Jim R Sliwinski, Gary R Elkins","doi":"10.1007/s10880-023-09994-w","DOIUrl":"10.1007/s10880-023-09994-w","url":null,"abstract":"<p><p>Hypnosis is an effective treatment option for a variety of concerns. Past research has suggested that those who score in the high range of hypnotizability initially show greater improvement than those in the low range. A post hoc analysis was conducted to examine the extent to which hypnotizability modulates the reduction of hot flash frequency. Average number of hot flashes reported during hypnosis treatment and a 12-week follow-up were grouped according to participants' level of hypnotizability. Using baseline data, the reduction percentage of hot flash frequency was plotted and visually examined to determine when a clinically significant reduction (50%) in hot flashes was reached. Our results suggested that, regardless of hypnotizability, participants ultimately obtained a 50% reduction in hot flash frequency. Interestingly, participants who were rated as either moderately or highly hypnotizable achieved a 50% reduction by Week 3 while those of low hypnotizability did not cross the 50% reduction threshold until the 12-week follow-up. Implications from these findings include the importance of assessing hypnotizability in clinical settings to better tailor treatment dose and expectations.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"465-470"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139542310","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
Implementation of 'IBD-Specific Cognitive Behavioural Therapy' for Patients with Inflammatory Bowel Diseases with Poor Mental Quality of Life, Anxiety and Depression. 对生活质量差、焦虑和抑郁的炎症性肠病患者实施 "IBD 专属认知行为疗法"。
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-01-28 DOI: 10.1007/s10880-023-09996-8
Floor Bennebroek Evertsz', Claudi L Bockting, Annemarie Braamse, Mafalda N M van Dissel, Marjolijn Duijvestein, Liesbeth M Kager, Marianne Kool, Mark Löwenberg, Wout Mares, Pythia Nieuwkerk, Houkje A Sipkema, Zwanet Young, Hans Knoop
{"title":"Implementation of 'IBD-Specific Cognitive Behavioural Therapy' for Patients with Inflammatory Bowel Diseases with Poor Mental Quality of Life, Anxiety and Depression.","authors":"Floor Bennebroek Evertsz', Claudi L Bockting, Annemarie Braamse, Mafalda N M van Dissel, Marjolijn Duijvestein, Liesbeth M Kager, Marianne Kool, Mark Löwenberg, Wout Mares, Pythia Nieuwkerk, Houkje A Sipkema, Zwanet Young, Hans Knoop","doi":"10.1007/s10880-023-09996-8","DOIUrl":"10.1007/s10880-023-09996-8","url":null,"abstract":"<p><p>This paper describes the implementation of inflammatory bowel disease (IBD)-specific cognitive behavioural therapy (CBT) for IBD patients with poor quality of life (QoL), anxiety and depression, in four hospitals in the Netherlands. Treatment outcomes were compared with those of a previously published randomized control trial (RCT) of 'IBD-specific CBT', following a benchmark strategy. Primary outcome was IBD-specific QoL (IBDQ) completed before and after CBT, secondary outcomes were anxiety and depressive symptoms (HADS, CES-D). Semi-structured interviews were conducted among a pilot of gastroenterologists, nurse specialists and psychologists to evaluate 'IBD-specific CBT'. 94 patients started treatment (280 screened). At follow-up, 63 participants (67% compared to 81% in the RCT benchmark) completed the IBDQ. Treatment effect sizes of the implementation study were comparable and slightly larger than those of RCT benchmark. Gastroenterologists, IBD nurses and psychologists found CBT necessary for IBD patients with poor QoL, depression and/or anxiety disorders. 'IBD-specific CBT' can be successfully implemented. Regular supervision of psychologists performing 'IBD-specific CBT' treatment is needed.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"258-278"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570574","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 Practices in Clinical Supervision in Primary Care. 基层医疗临床监督的当前实践。
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-02-12 DOI: 10.1007/s10880-023-10001-5
Stacy A Ogbeide, Cory Knight, Alex Young, Deepu George, Brittany Houston, Maribeth Wicoff, Yajaira Johnson-Esparza, Gabriela Gibson-Lopez
{"title":"Current Practices in Clinical Supervision in Primary Care.","authors":"Stacy A Ogbeide, Cory Knight, Alex Young, Deepu George, Brittany Houston, Maribeth Wicoff, Yajaira Johnson-Esparza, Gabriela Gibson-Lopez","doi":"10.1007/s10880-023-10001-5","DOIUrl":"10.1007/s10880-023-10001-5","url":null,"abstract":"<p><p>The purpose of this study was to examine current clinical supervision practices within primary care settings. We used a descriptive survey design, which blends quantitative and qualitative data, and examined the current state of clinical supervision practices and approaches in primary care and the type of training the behavioral health consultants received to provide supervision to pre-licensure level behavioral health trainees. Ninety-four participants completed the survey in 2022. Seventy-one percent of respondents felt they had adequate training to be an effective integrated behavioral health (IBH) supervisor; however, most training came from sources, such as workshops, continuing education, or supervision of supervision. Further efforts to establish universal competencies and formal training programs are needed to meet the growing need for IBH services in primary care.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"316-328"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722873","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 Education: Psychosocial Assessment and Treatment Planning for Patients with Inflammatory Bowel Disease. 临床教育:炎症性肠病患者的社会心理评估和治疗计划。
IF 1.6 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-05-11 DOI: 10.1007/s10880-024-10006-8
Megan Petrik, Tyler Kuhn, Sarah Kinsinger
{"title":"Clinical Education: Psychosocial Assessment and Treatment Planning for Patients with Inflammatory Bowel Disease.","authors":"Megan Petrik, Tyler Kuhn, Sarah Kinsinger","doi":"10.1007/s10880-024-10006-8","DOIUrl":"10.1007/s10880-024-10006-8","url":null,"abstract":"<p><p>Psychosocial factors play an important role in the disease course and illness experience of patients with inflammatory bowel disease (IBD). Consultation with a health psychologist is an important component of care for many IBD patients and provides an opportunity to identify areas of psychosocial concern, recognize coping deficits and strengths, and facilitate treatment recommendations. Psychosocial assessment in IBD requires a nuanced approach that goes beyond general mental health screening and considers the disease-specific concerns that impact patients. In this paper, we outline strategies for an IBD-focused psychological evaluation, including specific guidance for assessing disease-specific concerns of anxiety, depression, post-traumatic stress, sleep, pain, body image disturbance, food-related quality of life, and psychological resilience.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"237-244"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908896","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
Feasibility Study of Taking Back Control Together, an Intervention to Support Parents of Children with Cancer. 共同夺回控制权的可行性研究--一项为癌症患儿父母提供支持的干预措施。
IF 1.6 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2023-12-21 DOI: 10.1007/s10880-023-09998-6
Ariane Levesque, David Ogez, Vivianne Gravel, Valérie Marcil, Daniel Curnier, Émélie Rondeau, Daniel Sinnett, Katherine Péloquin, Serge Sultan
{"title":"Feasibility Study of Taking Back Control Together, an Intervention to Support Parents of Children with Cancer.","authors":"Ariane Levesque, David Ogez, Vivianne Gravel, Valérie Marcil, Daniel Curnier, Émélie Rondeau, Daniel Sinnett, Katherine Péloquin, Serge Sultan","doi":"10.1007/s10880-023-09998-6","DOIUrl":"10.1007/s10880-023-09998-6","url":null,"abstract":"<p><strong>Introduction: </strong>Parents of children with cancer can experience increased emotional distress. This study aimed to assess the feasibility (i.e., reach, treatment fidelity, and social validity) of Taking Back Control Together (TBCT).</p><p><strong>Methods: </strong>We assessed reach with the enrollment and dropout ratios. We assessed treatment fidelity using items from existing programs, controlling for the reliability of the items. For social validity, we used an adapted version of the Treatment Evaluation Inventory and compared means with theoretical cut-points.</p><p><strong>Results: </strong>42 participants enrolled in the intervention. The enrollment and dropout ratios were 39% and 38%, respectively. Treatment fidelity was 77.3-84.3% (95%CI 75.3-86%). Acceptability (M = 90%), satisfaction (M = 87%), and relevance (M = 82%) were significantly positive.</p><p><strong>Conclusion: </strong>This study suggests that certain elements of TBCT need to be reassessed before the intervention is pilot tested. Although reach was likely impacted by the COVID-19 pandemic, it could be improved with some modifications to the intervention.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"444-454"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138829987","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
Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation. 走向接纳与价值观:与 IBD 心理教育相比,ACTforIBD 的定性研究。
IF 2.2 3区 心理学
Journal of Clinical Psychology in Medical Settings Pub Date : 2024-06-01 Epub Date: 2024-02-12 DOI: 10.1007/s10880-023-09999-5
Kathryn Wilkin, Subhadra Evans, Leesa Van Niekerk, Daniel Romano, Matthew Fuller-Tyszkiewicz, Simon Knowles, Susan Chesterman, Leanne Raven, Antonina Mikocka-Walus
{"title":"Moving Towards Acceptance and Values: A Qualitative Study of ACTforIBD Compared to IBD Psychoeducation.","authors":"Kathryn Wilkin, Subhadra Evans, Leesa Van Niekerk, Daniel Romano, Matthew Fuller-Tyszkiewicz, Simon Knowles, Susan Chesterman, Leanne Raven, Antonina Mikocka-Walus","doi":"10.1007/s10880-023-09999-5","DOIUrl":"10.1007/s10880-023-09999-5","url":null,"abstract":"<p><p>The current study explored perspectives of those with inflammatory bowel disease (IBD) and comorbid anxiety and/or depression on a hybrid acceptance and committment therapy (ACT) intervention, compared to an active control. This qualitative study was nested within a randomized controlled trial (RCT) where an experimental group received an 8-week blended delivery ACTforIBD intervention (four sessions telehealth, four sessions pre-recorded self-directed), while an active control group received a psychoeducation program of similar intensity. Semi-structured interviews were conducted post-intervention and at a 3-month follow-up. Themes were interpreted using reflexive thematic analysis. Twenty individuals participated; ten in each condition. Seven themes were constructed, including three shared themes between groups: I Am Worth Advocating For, Present Moment Is My Biggest Ally, and Ambivalence About Self-Directed Modules. Two themes were identified for the ACTforIBD group: Symptoms Are Going to Happen and Moving Toward Values while two themes identified from the ActiveControl group were: Reset and Refresh and It's Ok to Say No. Acceptance and values modules from ACTforIBD were perceived as useful in reducing psychological distress for those with IBD, while the ActiveControl group felt their program affirmed existing effective coping strategies. Access to external resources for self-directed modules and networking may increase engagement with content long term.</p>","PeriodicalId":15494,"journal":{"name":"Journal of Clinical Psychology in Medical Settings","volume":" ","pages":"245-257"},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11102374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722874","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信