Clinical Case Studies最新文献_第6页

Transitioning From In-Person to Telehealth Cognitive-Behavioral Therapy for Social Anxiety Disorder During the COVID-19 Pandemic: A Case Study in Flexibility in an Adverse Context. 在COVID-19大流行期间，从面对面到远程医疗的社交焦虑症认知行为疗法的过渡:不利环境下灵活性的案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-08-01 DOI: 10.1177/15346501211073595

Alma Teresa C Molino, Kathryn D Kriegshauser, Dakota McNamara Thornblade

{"title":"Transitioning From In-Person to Telehealth Cognitive-Behavioral Therapy for Social Anxiety Disorder During the COVID-19 Pandemic: A Case Study in Flexibility in an Adverse Context.","authors":"Alma Teresa C Molino, Kathryn D Kriegshauser, Dakota McNamara Thornblade","doi":"10.1177/15346501211073595","DOIUrl":"10.1177/15346501211073595","url":null,"abstract":"<p><p>Social anxiety disorder (SAD) is a condition in which people consistently and persistently experience significant fear and/or anxiety about one or more social situations in which they may be scrutinized and negatively evaluated. SAD has historically been found to respond well to cognitive-behavioral therapy (CBT) delivered both in-person and via telehealth; however, comparatively little information is available regarding response to treatment in the context of Coronavirus Disease 2019 (COVID-19) pandemic social and physical distancing guidelines, which have affected the way in which behavioral health services are delivered, as well as opportunities for interpersonal interactions which are either spontaneous or assigned as exposures. The current case study describes \"Jennifer\" (a pseudonym), a college student with a primary diagnosis of SAD, who was treated with primarily CBT interventions for 18 individual sessions over the course of approximately 6 months, which included treatment with a psychologist and a graduate student, implemented both in-person and via telehealth, both before and during the COVID-19 pandemic. Jennifer responded well to treatment, as evidenced by her self-report and decreases in symptom measure scores, engaged in CBT adapted to pandemic restrictions, and was able to utilize strategies learned during SAD treatment to address generalized anxiety and pandemic-related concerns. This case study demonstrates the feasibility of transitioning SAD care between providers and formats, as well as the robustness and flexibility of CBT strategies in the face of significant change, stress, and limitations of the external environment.</p>","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"273-290"},"PeriodicalIF":1.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8883132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44459311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A Case-Series Study Examining Acceptance and Commitment Therapy for Experiential Avoidance-Related Mixed Anxiety and Depression in a Telehealth Platform 一个案例系列研究检查接受和承诺治疗经验回避相关的混合性焦虑和抑郁在远程医疗平台

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-07-19 DOI: 10.1177/15346501221115113

Samuel D. Spencer, Monet S Meyer, A. Masuda

{"title":"A Case-Series Study Examining Acceptance and Commitment Therapy for Experiential Avoidance-Related Mixed Anxiety and Depression in a Telehealth Platform","authors":"Samuel D. Spencer, Monet S Meyer, A. Masuda","doi":"10.1177/15346501221115113","DOIUrl":"https://doi.org/10.1177/15346501221115113","url":null,"abstract":"Acceptance and commitment therapy (ACT) is a process-based, transdiagnostic approach to treatment that seeks to increase values-based, adaptive functioning (i.e., engaged living [EL]) in part through attenuating the impact of experiential avoidance (EA). The present case-series study examined EL and EA as mechanisms of change within a 10-week course of individual ACT delivered via a telehealth platform. Participants were two adult women with mental health concerns associated with clinically elevated EA. Throughout the study, we collected (a) daily self-monitored clinically relevant behaviors, (b) daily and weekly measures of EL and EA, and (c) pre-, mid-, post-treatment, and 3-month follow-up measures of psychopathology, quality of life, and ACT-related outcome variables. Results showed support for the efficacy of ACT, with both participants demonstrating slight improvements in clinically relevant behaviors, along with expected improvements in EL and EA. These favorable results were most pronounced for Participant 1. Results are discussed in the context of COVID-19-related adaptations (including telehealth), and within the framework of process-based ACT and its transdiagnostic applicability to a range of mental health concerns.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"22 1","pages":"78 - 96"},"PeriodicalIF":1.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48218308","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: 1

Treating Volitional Elimination Disorders in a Healthy Adult: Applying Cognitive Behavioral Principles in the Absence of Treatment Guidelines 治疗健康成人的意志消除障碍:在缺乏治疗指南的情况下应用认知行为原则

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-06-05 DOI: 10.1177/15346501221107133

Ellen F. Finch, Bethany Shikatani, A. Snir, L. Smith

{"title":"Treating Volitional Elimination Disorders in a Healthy Adult: Applying Cognitive Behavioral Principles in the Absence of Treatment Guidelines","authors":"Ellen F. Finch, Bethany Shikatani, A. Snir, L. Smith","doi":"10.1177/15346501221107133","DOIUrl":"https://doi.org/10.1177/15346501221107133","url":null,"abstract":"Elimination disorders are common in children, and numerous psychosocial treatments for pediatric enuresis and encopresis are available to guide clinicians. However, only five cases of functional elimination disorders in adults are published to date, all of which involve severe comorbid psychopathology, and no treatment guidelines for adult elimination disorders exist. This case report presents, to our knowledge, the first documented case of functional elimination disorder in an otherwise healthy, high-functioning adult. “Ben” is a 20-year-old male who sought treatment for chronic enuresis and encopresis, as well as difficulties with procrastination of schoolwork. Ben engaged in 21 weeks of cognitive behavioral therapy and reported substantial decreases in elimination disorder symptoms. However, improvements fluctuated throughout treatment and remained present at mild levels at 3-month follow-up. This report outlines the cognitive behavioral interventions applied throughout this treatment, which consisted of pediatric elimination disorder interventions adapted for an adult with additional cognitive behavioral tools.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"22 1","pages":"60 - 77"},"PeriodicalIF":1.0,"publicationDate":"2022-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46869976","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

ACT-Informed Treatment of Co-morbid Psychiatric Disorders in the Postpartum Period: A Case Report 产后合并精神疾病的act知情治疗:一例报告

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-29 DOI: 10.1177/15346501221091273

Lindsey Grove, A. I. Roche, Rena Doyle, Z. Stowe, E. Thomas

引用次数: 1

Online Cognitive Behavior Therapy for Two College Students With Attention-Deficit/Hyperactivity Disorder 两名大学生注意缺陷/多动障碍的在线认知行为治疗

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-29 DOI: 10.1177/15346501221090267

Carlos López-Pinar, Andrea Vicente-Gispert

{"title":"Online Cognitive Behavior Therapy for Two College Students With Attention-Deficit/Hyperactivity Disorder","authors":"Carlos López-Pinar, Andrea Vicente-Gispert","doi":"10.1177/15346501221090267","DOIUrl":"https://doi.org/10.1177/15346501221090267","url":null,"abstract":"Attention-deficit/hyperactivity disorder (ADHD) is a prevalent disorder among college students. Although there is growing literature supporting the effectiveness of cognitive behavioral therapy (CBT) for this population, no previous study has investigated the feasibility of it being delivered online. In addition, recent evidence suggests that online therapy could be possible for other diagnoses such as depression, anxiety, or health-related disorders. Therefore, research in this area could be critical, as online settings could also improve accessibility to evidence-based interventions for college students with ADHD. This study describes the implementation of CBT for ADHD intervention delivered online for two college students with this diagnosis. We found improvements in both self-reported and clinician-assessed outcomes, in measuring ADHD-related behaviors, executive functioning, emotional comorbidities, and quality of life. These changes were more evident in the case that was more severe at pre-treatment, and were maintained at a 6-month follow-up; even further improvements in self-reported quality of life were observed. These findings support the potential feasibility and clinical utility of online CBT in this population.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"22 1","pages":"18 - 37"},"PeriodicalIF":1.0,"publicationDate":"2022-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48924491","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

Using Behavior-Analytic Treatment to Teach Tongue Lateralization Skills to Children With Avoidant/Restrictive Food Intake Disorder 用行为分析疗法教授回避/限制性进食障碍儿童舌侧化技巧

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-22 DOI: 10.1177/15346501221092112

Laura E. Phipps, Sarah D Haney, Jason R. Zeleny, Ashley S. Andersen, Kathryn M. Peterson, Stephanie Orloski

{"title":"Using Behavior-Analytic Treatment to Teach Tongue Lateralization Skills to Children With Avoidant/Restrictive Food Intake Disorder","authors":"Laura E. Phipps, Sarah D Haney, Jason R. Zeleny, Ashley S. Andersen, Kathryn M. Peterson, Stephanie Orloski","doi":"10.1177/15346501221092112","DOIUrl":"https://doi.org/10.1177/15346501221092112","url":null,"abstract":"Oral-motor skills needed for efficient consumption of table-textured foods (e.g., tongue lateralization) often develop as children are exposed to food at increasingly higher textures (e.g., soft meltable, crunchy, and chewy; Volkert et al., 2014). For children with avoidant/restrictive food intake disorder (ARFID; American Psychiatric Association, 2013; World Health Organization, 2019), these oral-motor skills may not develop without intervention. We review case studies of three children diagnosed with ARFID who did not display the skills necessary for efficient consumption of regular table-textured food. We collaborated with a speech-language pathologist to identify oral-motor targets and used a behavior-analytic treatment to teach tongue lateralization skills necessary for safe and effective chewing. We used a treatment package consisting of nonremoval of the utensil with prompting and differential reinforcement to shape functional tongue movements. We discuss considerations for practitioners and the importance of individualized treatment and collaboration with other disciplines while teaching oral-motor skills necessary for chewing and consuming table-textured food.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"22 1","pages":"3 - 17"},"PeriodicalIF":1.0,"publicationDate":"2022-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44325974","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: 2

Online Cognitive Therapy for Social Anxiety Disorder in Adolescence: A Clinical Case Study Using the CT@TeenSAD 青少年社交焦虑障碍的在线认知治疗:使用CT@TeenSAD的临床案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-18 DOI: 10.1177/15346501221091519

Ana Ganho-Ávila, Diana Vieira Figueiredo, P. Vagos

{"title":"Online Cognitive Therapy for Social Anxiety Disorder in Adolescence: A Clinical Case Study Using the CT@TeenSAD","authors":"Ana Ganho-Ávila, Diana Vieira Figueiredo, P. Vagos","doi":"10.1177/15346501221091519","DOIUrl":"https://doi.org/10.1177/15346501221091519","url":null,"abstract":"SAD is an intense fear or anxiety associated with past, current, or future social situations. The Clark and Wells (1995) cognitive model for SAD has been proved to be clinically effective in adults, and its developmentally sensitive adaptations for adolescents have recently shown promising results. Given this evidence and considering that adolescence is typically the age of onset for the first SAD symptoms and a critical developmental period for the delivery of evidence-based interventions, we adapted CT for adolescents for online intervention (CT@TeenSAD) encompassing 10 weekly, 90 min sessions, extended by two booster sessions. This work presents the first case study of that intervention as applied to Merida (M.; pseudonym; 17-year-old, girl). The estimated Reliable Change Index shows M.’s progress for most of her symptoms, from pre-to post-treatment (RCI-1 range: −.53 to −8.03), and the maintenance of benefits at 3 months follow-up (RCI-2 range: .00 to −2.25). A relapse in the adoption of safety behaviors was seen between post-treatment and follow-up, which might be explained by the life-changing challenges experienced by M. between session 10 and follow-up, concerning her transition from high school to college. M.’s case study offers a first glance on the promising results of CT@TeenSAD related to its efficacy and feasibility. Likewise, it offers the opportunity to critically appraise the limitations of the intervention as well as practical challenges and suggestions thought to be useful for therapists willing to implement CT@TeenSAD in the future.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"533 - 551"},"PeriodicalIF":1.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42974548","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: 4

Schema Therapy in the Nursing Home Setting: A Case Study of a Cognitively Impaired Patient 图式疗法在养老院环境:一个认知障碍病人的个案研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-18 DOI: 10.1177/15346501221091790

L. Botter, D. Gerritsen, R. O. Oude Voshaar

{"title":"Schema Therapy in the Nursing Home Setting: A Case Study of a Cognitively Impaired Patient","authors":"L. Botter, D. Gerritsen, R. O. Oude Voshaar","doi":"10.1177/15346501221091790","DOIUrl":"https://doi.org/10.1177/15346501221091790","url":null,"abstract":"The use of schema therapy to treat personality disorders in older adults is gaining scientific attention. Personality disorders are prevalent in one out of ten older adults and have a detrimental effect on quality of life. Although 24% or more of nursing home residents may have personality disorders, psychotherapeutic treatment options in the case of comorbid cognitive impairment have not yet been studied. This study concerns a 63-year-old care-dependent male nursing home resident with a personality disorder, a substance use disorder, and several cognitive impairments due to cerebrovascular disease, who presented with complaints of loneliness, low self-esteem, sleeping problems and anger outbursts. Schema therapy was delivered based on the schema mode model for a period of 27 months. Post-treatment assessment demonstrated a decrease in early maladaptive schemas and dysfunctional schema modes and improved personality functioning overall. Although situational psychological distress fluctuated throughout treatment, quality of life improved after 7 months and remained stable onwards. Presented complaints either remitted or strongly diminished. Substance use was also addressed and was in remission for the last 20 months of therapy. This case study suggests that schema therapy is a viable treatment for older adults with personality disorders who present with cognitive impairments in nursing homes.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"552 - 570"},"PeriodicalIF":1.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46162733","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: 1

A Familial Case Study Exploring the Effects of a Strengths-Based Camp Intervention on Children’s Self-Perception 基于力量的营地干预对儿童自我感知影响的家庭案例研究

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-17 DOI: 10.1177/15346501221092415

Kaytryn D. Campbell, Amanda J. Hasselle, Kathryn H. Howell

{"title":"A Familial Case Study Exploring the Effects of a Strengths-Based Camp Intervention on Children’s Self-Perception","authors":"Kaytryn D. Campbell, Amanda J. Hasselle, Kathryn H. Howell","doi":"10.1177/15346501221092415","DOIUrl":"https://doi.org/10.1177/15346501221092415","url":null,"abstract":"Childhood victimization can negatively affect children’s self-perception, a multifaceted developmental asset that can be delineated into Global Self-Worth, Social Competence, and Behavioral Conduct. Despite the importance of self-perception, few studies have examined how strengths-based interventions impact self-perception among youth experiencing victimization. Using a familial case study design, the current study evaluated how a camp-based intervention, known as Camp HOPE, affected self-perception among siblings who experienced childhood victimization. Participants included three siblings and their mother who all identify as Black/African American and reside in the Midsouth, United States. The siblings participated in a week-long, overnight camp with other children exposed to victimization. The family was evaluated across three timepoints: pre-camp, 1 month post-camp, and 4 months post-camp. Participating in Camp HOPE appeared to have differential effects on the siblings’ self-perception. Specifically, all three children endorsed small to medium improvements in perceived Behavioral Conduct, but the camp differentially impacted their Global Self-Worth and Social Competence. Findings suggest that Camp HOPE may enhance self-perception among Black/African American children who have experienced victimization. This intervention may also be more accessible and acceptable, compared to traditional treatment formats.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"21 1","pages":"571 - 587"},"PeriodicalIF":1.0,"publicationDate":"2022-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46711478","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: 1

A Competing Stimuli Intervention Package to Treat Automatically Reinforced Destructive Behavior 竞争刺激干预包治疗自动强化破坏性行为

IF 1 4区心理学

Clinical Case Studies Pub Date : 2022-05-10 DOI: 10.1177/15346501221099218

L. A. Shawler, Joy C. Clayborne, Julia T. O’Connor

{"title":"A Competing Stimuli Intervention Package to Treat Automatically Reinforced Destructive Behavior","authors":"L. A. Shawler, Joy C. Clayborne, Julia T. O’Connor","doi":"10.1177/15346501221099218","DOIUrl":"https://doi.org/10.1177/15346501221099218","url":null,"abstract":"Behaviors maintained by automatic reinforcement are often more difficult to treat due to difficulty with identifying the relevant maintaining variable(s). One common intervention to treat automatically maintained behavior includes competing stimuli. Competing stimuli promote item engagement which may replace challenging behavior (i.e., response competition). Competing stimuli have shown to be a widely successful intervention across diverse topographies of challenging behavior; however, few studies have evaluated the use of competing stimuli on destructive behavior. The purpose of the current study was to treat automatically maintained destructive behavior with a competing stimuli intervention package for an adolescent with developmental disabilities. Results showed a decrease in destructive behavior when access to competing stimuli was a component of an intervention package in a clinic setting. Also, preliminary data are provided showing treatment effects when caregivers implemented the intervention. Due to the complexity of the final intervention package, recommendations for clinicians are provided which focus on improving feasibility, practicality, and sustainability of treatment components.","PeriodicalId":46059,"journal":{"name":"Clinical Case Studies","volume":"22 1","pages":"138 - 154"},"PeriodicalIF":1.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47656282","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