Clinical Case Studies最新文献

Acceptance and Commitment Therapy (ACT) and Self-Compassion for Generalized Anxiety Disorder and Comorbid Major Depressive Disorder: A Case Study 接受与承诺疗法（ACT）和自我同情治疗广泛性焦虑症和合并重度抑郁症：病例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-09-14 DOI: 10.1177/15346501241278297

Shannon B. Underwood, Sara V. White, John P. Forsyth

{"title":"Acceptance and Commitment Therapy (ACT) and Self-Compassion for Generalized Anxiety Disorder and Comorbid Major Depressive Disorder: A Case Study","authors":"Shannon B. Underwood, Sara V. White, John P. Forsyth","doi":"10.1177/15346501241278297","DOIUrl":"https://doi.org/10.1177/15346501241278297","url":null,"abstract":"The current case describes the implementation of Acceptance and Commitment Therapy (ACT) and self-compassion interventions with a 37-year-old Queer Hispanic woman “Cynthia” (pseudonym). Cynthia presented to a university training clinic, reporting pervasive difficulties with anxiety, an associated pattern of depressive episodes, and a trauma history. The therapist conceptualized Cynthia’s presenting problems through an ACT-based psychological flexibility framework. Functional analysis indicated intolerance of uncertainty, fusion to self-critical thoughts, and experientially avoidant behaviors (e.g., pervasive worry) contributed to Cynthia’s anxiety. Values clarification, as well as mindfulness- and acceptance-based interventions, were met with gains in quality-of-life scores and decreases in worry scores as treatment progressed. Additionally, self-compassion interventions were implemented to address pervasive self-criticism and feelings of low self-worth. Across 37 sessions, from pre-to-post treatment, Cynthia’s quality of life scores increased by 62.5%, and worry decreased by 52.8%. These results provide support for using ACT and self-compassion interventions for anxiety and co-occurring depression with a Queer, Hispanic woman.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"26 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Acceptance and Commitment Teletherapy for Mixed Anxiety and Depressive Symptoms During the COVID-19 Pandemic: A case Study 接受与承诺远程疗法治疗 COVID-19 大流行期间的混合焦虑和抑郁症状：个案研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-09-07 DOI: 10.1177/15346501241283059

Max Z. Roberts, Eric D. Tifft, John P. Forsyth, James F. Boswell

{"title":"Acceptance and Commitment Teletherapy for Mixed Anxiety and Depressive Symptoms During the COVID-19 Pandemic: A case Study","authors":"Max Z. Roberts, Eric D. Tifft, John P. Forsyth, James F. Boswell","doi":"10.1177/15346501241283059","DOIUrl":"https://doi.org/10.1177/15346501241283059","url":null,"abstract":"The present case details a successful treatment response to 21 sessions of Acceptance and Commitment Therapy (ACT) delivered via teletherapy for mixed anxiety and depressive symptomology during the COVID-19 pandemic. The client (“Natalie”), a 19-year-old, White, cisgender female, presented to a university training clinic reporting primary problematic anxiety consistent with a diagnosis of Generalized Anxiety Disorder. The therapist conceptualized Natalie’s anxiety through the ACT psychological flexibility model, wherein Natalie’s challenges appeared to be maintained by experiential avoidance and lack of committed action. This case highlights (a) the unique challenges of treating someone with pervasive anxiety amid the uncertain context of the COVID-19 pandemic, (b) repeated assessment of transdiagnostic processes to inform intervention focus, and (c) the process of ACT teletherapy. Symptom, process, and outcome measures taken bi-weekly throughout therapy suggested theoretically consistent and reliable treatment responses. Clinical implications of the case are discussed.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"15 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Parent-Child Interaction Therapy with Separated Parents of a 3-Year-Old Child with Conduct Problems and Callous-Unemotional Traits 为一名有行为问题和冷酷无情特质的 3 岁儿童的分居父母提供亲子互动疗法

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-08-31 DOI: 10.1177/15346501241279597

Nicholas David W. Smith, Julia Jordan, Heather Agazzi

{"title":"Parent-Child Interaction Therapy with Separated Parents of a 3-Year-Old Child with Conduct Problems and Callous-Unemotional Traits","authors":"Nicholas David W. Smith, Julia Jordan, Heather Agazzi","doi":"10.1177/15346501241279597","DOIUrl":"https://doi.org/10.1177/15346501241279597","url":null,"abstract":"Callous and unemotional (CU) traits are associated with an earlier onset of conduct problems in children. The presence of CU traits typically predicts a severe, stable, and aggressive pattern of behavior, especially when the onset of such behaviors begins in childhood. Children with conduct problems and CU continue to exhibit challenging behavior despite implementation of behavior management strategies compared to children with conduct problems alone. An emerging body of research suggests that Parent-Child Interaction Therapy (PCIT) specifically tailored to address the characteristics unique to CU traits (PCIT-CU) may be an effective intervention for children with conduct problems + CU. This case study presents the treatment of a 3-year-old boy using PCIT-CU who presents with oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder—combined presentation (ADHD-C), and CU traits. Both caregivers participated but were separated. Following the completion of treatment, conduct problems improved, parent ratings of CU traits decreased, and positive parenting practices increased. This case study adds to the growing literature in support of tailoring behavioral management training interventions for children with conduct problems + CU.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"70 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142203730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Anxiety Management in Chronic Idiopathic Urticaria within Integrated Primary Care 综合初级保健中慢性特发性荨麻疹患者的焦虑管理

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-08-28 DOI: 10.1177/15346501241278373

Jennifer E. Phillips, Kate O’Brien, Vicki Fritz, Ciara Incorvati

引用次数: 0

Eye Movement Desensitization and Reprocessing of Maleficium: Case Study of a “Cursed” Woman Suffering From Unexplained Pain Maleficium 的眼动脱敏和再处理：一名遭受莫名疼痛的 "受诅咒 "妇女的案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-08-17 DOI: 10.1177/15346501241275202

Giuseppe Scimeca

引用次数: 0

Integrating brief exposure exercises to support cognitive processing therapy for treatment of PTSD: A case study 整合简短暴露练习，支持认知加工疗法治疗创伤后应激障碍：案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-08-01 DOI: 10.1177/15346501241271982

Alyssa M. Medenblik, Todd M. Moore, Gregory L. Stuart

{"title":"Integrating brief exposure exercises to support cognitive processing therapy for treatment of PTSD: A case study","authors":"Alyssa M. Medenblik, Todd M. Moore, Gregory L. Stuart","doi":"10.1177/15346501241271982","DOIUrl":"https://doi.org/10.1177/15346501241271982","url":null,"abstract":"Posttraumatic stress disorder (PTSD) is a prevalent and concerning mental health diagnosis across the globe. There are multiple evidence-based treatments that have been shown to effectively treat PTSD, including cognitive processing therapy (CPT) and exposure-based interventions. This case study depicts using CPT for treating uncomplicated PTSD in a 28-year-old woman, while integrating brief exposure exercises in the client’s homework. These exercises helped target avoidance symptoms and acute distress as well as increase quality of life, such that the client was better able to engage in CPT. Follow up data indicated a significant reduction in PTSD symptoms as measured by the Posttraumatic Stress Disorder Checklist (PCL-5) such that she no longer met clinical criteria for a diagnosis of PTSD or experienced significant distress related to her trauma. This data reflects the utility of integrating other evidence-based exercises into manualized treatment to create nuanced, individualized treatment plans. Clinical and research implications regarding the utility of implementing an integrated, conceptualization-driven treatment approach are discussed.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"37 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141884265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Addressing Body Dissatisfaction in Women in Larger Bodies Using Exposure-based Interventions: A Case Report 利用暴露式干预解决大块头女性对身体不满意的问题：案例报告

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-05-28 DOI: 10.1177/15346501241254747

Rachel M. Butler, Cheri A. Levinson

{"title":"Addressing Body Dissatisfaction in Women in Larger Bodies Using Exposure-based Interventions: A Case Report","authors":"Rachel M. Butler, Cheri A. Levinson","doi":"10.1177/15346501241254747","DOIUrl":"https://doi.org/10.1177/15346501241254747","url":null,"abstract":"Exposure therapy has been examined as a treatment for eating disorders, but research has yet to determine how to adapt these approaches for those in larger bodies who experience weight stigma. This case study reports on the use of values-based exposure interventions to reduce body dissatisfaction and body-related concerns in a woman with binge eating disorder in a larger body. We used a values-based approach to mirror and body image exposure that focused on fear tolerance and valued actions, as opposed to belief disconfirmation or habituation-based approaches to exposure, which may invalidate weight stigmatizing experiences. The client was a white cisgender woman in her late 20’s with binge eating disorder and major depressive disorder enrolled in trial of Transdiagnostic Network-Informed Personalized Treatment for eating disorders. Symptoms were assessed at pre-, mid-, post-treatment and one-month follow-up. The client was highly satisfied with treatment and experienced clinically significant reductions in eating disorder symptoms and shape and weight concerns. Decreases in body dissatisfaction, feeling fat, and overvaluation of weight and shape were large. Clinical impairment decreased, and quality of life increased. A detailed description of the approach to body image exposure for those in larger bodies is provided. Using a values-based approach to body image exposures may help account for weight stigma experienced by those in larger bodies while decreasing avoidance of personally meaningful experiences, body dissatisfaction, and eating disorder symptoms.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"19 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141170065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Intervention for an Australian carer of a person with dementia: A single case study 对澳大利亚痴呆症患者护理者的干预：单个案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-04-08 DOI: 10.1177/15346501241245434

Karen Bell-Weinberg, Michelle Kelly

{"title":"Intervention for an Australian carer of a person with dementia: A single case study","authors":"Karen Bell-Weinberg, Michelle Kelly","doi":"10.1177/15346501241245434","DOIUrl":"https://doi.org/10.1177/15346501241245434","url":null,"abstract":"Caring for a person with dementia can negatively impact the physical, mental, and social wellbeing of an informal carer. Providing complex and challenging care often results in carer burden, stress, and distress, which can continue even when the care recipient transitions into an aged care facility. This case study aims to demonstrate that optimising carer support, knowledge, skill acquisition, and promotion of wellbeing benefits carers and those they care for across contexts. It provides a weekly account of an informal Australian carer’s experience with the STrAtegies for RelaTives (START) manualised intervention program. The study used reliable change indices, standardised measures, and carer surveys to provide insights into the carer’s experience of the program and outcomes during and after the therapy. The results showed reliable and clinically significant change, demonstrating an improvement in all measures. The carer’s mood symptoms and their perceived burden of care decreased. The carer also reported decreased dementia symptoms in their care recipient. Both the carer and the care recipient experienced increased quality of life. These findings are consistent with recent literature on the feasibility of the START program and are aligned with the National Dementia Plan.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"28 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140570578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Application and Fading of Synchronous Reinforcement for Increasing Self-Feeding for a Child with Autism Spectrum Disorder and History of Trauma 同步强化的临床应用和消退，提高自闭症谱系障碍和创伤史患儿的自我喂养能力

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-04-04 DOI: 10.1177/15346501241244755

Nicole C. Demchuk, Megan H. Bigham, Bethany A. Hansen

{"title":"Clinical Application and Fading of Synchronous Reinforcement for Increasing Self-Feeding for a Child with Autism Spectrum Disorder and History of Trauma","authors":"Nicole C. Demchuk, Megan H. Bigham, Bethany A. Hansen","doi":"10.1177/15346501241244755","DOIUrl":"https://doi.org/10.1177/15346501241244755","url":null,"abstract":"In the current case study, we evaluated synchronous reinforcement (SSR) as an intervention to increase self-feeding for a 5-year-old male diagnosed with ASD and a pediatric feeding disorder who also had a history of trauma. Synchronous reinforcement is a schedule of covariation where reinforcement is delivered continuously contingent on responding. Synchronous reinforcement has not been previously reported in the literature in a feeding context. A benefit of reinforcement-based procedures, such as SSR, is that they may align with recommendations for trauma-informed care by preventing or limiting the necessity of physical guidance procedures for those with a history of physical trauma. This is of particular significance given children with disabilities are more likely to experience traumatic events and abuse. We demonstrated that SSR was an effective intervention for increasing self-feeding, as well as methods for fading SSR as a treatment component. We discuss the potential for SSR as a trauma-informed approach, and the importance of caregiver collaboration and programming for generalization.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"50 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140570379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Continuous Saliva Packing Resulting in Feeding Tube Dependence: In-Home Behaviour-Analytic Treatment 持续唾液包裹导致喂食管依赖：居家行为分析治疗

IF 1 4区心理学

Clinical Case Studies Pub Date : 2024-03-21 DOI: 10.1177/15346501241241540

Tessa Taylor, Nikolas F. Roglić

{"title":"Continuous Saliva Packing Resulting in Feeding Tube Dependence: In-Home Behaviour-Analytic Treatment","authors":"Tessa Taylor, Nikolas F. Roglić","doi":"10.1177/15346501241241540","DOIUrl":"https://doi.org/10.1177/15346501241241540","url":null,"abstract":"Saliva packing can be one of the most severe life-threatening and challenging behaviours to treat. A 9-year-old male with autism spectrum disorder and intellectual disability had 100% nasogastric (NG) feeding tube dependence and significant adaptive behaviour regression (in speaking, using the toilet and his hands, school attendance, sleep). He participated in an intensive behaviour-analytic paediatric feeding treatment programme. Saliva packing, as an automatically-maintained undifferentiated behaviour that persisted in all waking contexts despite high engagement in activities, warranted an additional outside of meal approach. He began swallowing, met 100% of his 21 goals, gained weight, and eliminated tube dependence. He reached a variety of 94 across all food groups, drinks, and supplements. Caregivers were trained and reported high social validity, and gains generalised and maintained in 1-month follow-up. This is the first case to our awareness in Australia of an in-home solely behaviour-analytic intervention to eliminate tube dependence, and it was conducted without hunger provocation, weight loss, or limited nutritional variety.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"24 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140196941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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