Psychiatry最新文献_第3页

Therapeutic Alliance and Intervention Approach Among Acutely Suicidal Patients. 急性自杀患者的联合治疗及干预方法。

IF 2.4

Psychiatry Pub Date : 2019-01-01 Epub Date: 2018-08-17 DOI: 10.1080/00332747.2018.1485371

Craig J Bryan, David C Rozek, T Scott Burch, Bruce Leeson, Tracy A Clemans

{"title":"Therapeutic Alliance and Intervention Approach Among Acutely Suicidal Patients.","authors":"Craig J Bryan, David C Rozek, T Scott Burch, Bruce Leeson, Tracy A Clemans","doi":"10.1080/00332747.2018.1485371","DOIUrl":"https://doi.org/10.1080/00332747.2018.1485371","url":null,"abstract":"Decades of research have supported a positive correlation between the therapeutic alliance and a reduction in psychological symptoms, but studies investigating the correlation of therapeutic alliance with suiciderelated outcomes are sparse. Preliminary studies suggest a negative correlation of alliance with suicidal thoughts and occurrence of nonsuicidal self-injury following suicidefocused treatments (Bedics, Atkins, Comtois, & Linehan, 2012; Gysin-Maillart, Schwab, Soravia, Megert, & Michel, 2016) but no correlation in treatments that are not suicide focused (Bedics et al., 2012; Bryan et al., 2012). Interpersonal dynamics and intervention approaches may therefore interact with each other. Unfortunately, studies to date have not explicitly tested this possibility. To address this knowledge gap, we conducted a secondary analysis of a recently completed randomized clinical trial (RCT) finding that crisis response planning (CRP) significantly reduced suicidal thoughts and behaviors among 97 high-risk soldiers as compared to treatment as usual (TAU; Bryan et al., 2017). After providing consent, soldiers reporting suicide ideation during the past week and/or a lifetime history of suicide attempts were randomly assigned to either a CRP or TAU. Immediately postintervention, soldiers completed the Working Alliance Inventory—Short Form (Hatcher & Gillaspy, 2006). Suicide attempts were assessed with the Suicide Attempt Self-Injury Interview (Linehan, Comtois, Brown, Heard, & Wagner, 2006), and severity of suicide ideation was assessed with the Scale for Suicide Ideation (Beck & Steer, 1991). Although CRP alliance ratings were somewhat higher (M = 58.9, SD = 12.2) than TAU ratings (M = 53.3, SD = 15.6), this difference was not statistically significant (F (1, 91) = 3.19, p = .077, d = 0.42). Results of generalized linear mixed effects modeling with a robust sandwich estimator and baseline suicide ideation entered as a covariate indicated the interaction of therapeutic alliance with treatment group was a statistically significant predictor of follow-up suicide ideation (F (1, 41) = 6.83, p = .013) and suicide attempt (F (1, 87) = 4.97, p = .028). The forms of these interactions are displayed in Figure 1. In CRP, suicide ideation (B = −0.10, SE = 0.05, p = .044, R = 0.42)","PeriodicalId":510883,"journal":{"name":"Psychiatry","volume":" ","pages":"80-82"},"PeriodicalIF":2.4,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00332747.2018.1485371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40555746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Soldiers and Leaders With Combat Experience: Unit Health and Climate. 具有战斗经验的士兵和领导人:单位健康和气候。

IF 2.4

Psychiatry Pub Date : 2018-01-01 Epub Date: 2018-08-17 DOI: 10.1080/00332747.2018.1485372

Amanda L Adrian, Jeffrey L Thomas, Amy B Adler

{"title":"Soldiers and Leaders With Combat Experience: Unit Health and Climate.","authors":"Amanda L Adrian, Jeffrey L Thomas, Amy B Adler","doi":"10.1080/00332747.2018.1485372","DOIUrl":"https://doi.org/10.1080/00332747.2018.1485372","url":null,"abstract":"Objective: The present study investigated the association between previous deployment experience and somatic symptoms, mental health, unit climate perceptions, anger, and risk taking among junior-enlisted soldiers who were preparing to deploy or who were in garrison, or home duty station. The study also investigated potential differences in these variables based on unit leader deployment history. Method: Soldiers in a combat unit were surveyed either in a predeployment (n = 1,554; one week before deployment) or garrison setting (n = 1,326). Surveys addressed deployment history, health, unit climate, and leader deployment history. Results: Those in the predeployment sample with deployment history had significantly more somatic symptoms, posttraumatic stress disorder (PTSD), sleep problems, and anger reactions, and significantly less favorable unit climate perceptions, compared to those without deployment history. Higher rates of sleep problems, anger reactions, and endorsement of a risk-taking item, along with less favorable unit climate perceptions, were also reported by experienced soldiers in the garrison sample. In both samples, soldiers with experienced leaders endorsed more risk-taking behaviors than those with inexperienced leaders. Predeployment soldiers with experienced leaders also reported higher unit cohesion than those with inexperienced leaders. Conclusions: Previous deployments appear to increase the risk for a range of outcomes reported by soldiers at predeployment and in garrison. Findings suggest the impact of deployment should be considered well beyond the traditional deployment phases. Future research should examine what experienced leaders bring to units, in terms of boosting cohesion and potentially increasing the willingness of unit members to engage in risk-taking behaviors.","PeriodicalId":510883,"journal":{"name":"Psychiatry","volume":" ","pages":"391-407"},"PeriodicalIF":2.4,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00332747.2018.1485372","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40443524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Steven and Me. 史蒂文和我。

IF 2.4

Psychiatry Pub Date : 1994-05-01 DOI: 10.1080/00332747.1994.11024682

Terry Krupa

引用次数: 2

Psychotherapy and Experience. 心理治疗与经验。

IF 2.4

Psychiatry Pub Date : 1994-05-01 DOI: 10.1080/00332747.1994.11024672

David Reiss

引用次数: 0

Introduction. 介绍。

IF 2.4

Psychiatry Pub Date : 1994-05-01 DOI: 10.1080/00332747.1994.11024679

John S Strauss, Paula N Goering

引用次数: 0

Communion. 圣餐。

IF 2.4

Psychiatry Pub Date : 1994-05-01 DOI: 10.1080/00332747.1994.11024681

Patricia K Leebens

引用次数: 0

Introduction. 介绍。

IF 2.4

Psychiatry Pub Date : 1994-05-01 DOI: 10.1080/00332747.1994.11024673

Robert Paul Liberman, Gene R Moss

引用次数: 0

Commentary on Krupa and Leebens. 评克鲁帕和利本斯。

IF 2.4

Psychiatry Pub Date : 1994-05-01 DOI: 10.1080/00332747.1994.11024683

Heather Munroe-Blum

引用次数: 2

Revitalizing an ailing group psychotherapy program. 重振一个病入膏肓的团体心理治疗项目。

IF 2.4

Psychiatry Pub Date : 1982-05-01 DOI: 10.1080/00332747.1982.11024144

D Johnson, R Howenstine

引用次数: 2

Hospitalized adolescents who act out: a treatment approach. 行为失控的住院青少年:一种治疗方法

IF 2.4

Psychiatry Pub Date : 1982-05-01 DOI: 10.1080/00332747.1982.11024145

L H Crabtree

{"title":"Hospitalized adolescents who act out: a treatment approach.","authors":"L H Crabtree","doi":"10.1080/00332747.1982.11024145","DOIUrl":"https://doi.org/10.1080/00332747.1982.11024145","url":null,"abstract":"The general propensity of hospitalized adolescents to act out and to become locked in conflict with the staff is well documented. The fact that these patients are adolescent and incarcerated all but guarantees that disruptions will take place, and when these disruptions reach impasse proportions, collective distress and disturbance will generally result (Crabtree and Cox 1972; Marohn, Dalle-Molle, and Offer 1973; Levinson and Crabtree 1979; Crabtree and Levinson 1980). Often the catalyst for this type of ward tension is the borderline or sociopathic delinquent. The sensitivity of these patients to injustice and their capacity to provoke abuse exacerbates the ever-present tendency of their fellow adolescent patients to rebel and oppose. This paper will provide guidelines which can help to maximize the treatability of severely acting-out adolescent patients in the hospital setting and protect the treatment program from their destructiveness. First, I will focus on a specialized unit in a general psychiatric hospital. The unit consisted of approximately 20 patients, male and female, in their teens to early 20s, with an average stay of three months. One-fourth were psychotic, one-fourth had marked problems of behavior with school, family and the law, and one-half were suicidally depressed or afflicted with other self-destructive personality disorders. Next I will explore aspects of handling the \"outlaw leader\"--the persistent delinquent who initiates and orchestrates a process of disruptive transformation of the therapeutic community, characterized by the dominance of frustration, provocation, and retaliation by the staff.","PeriodicalId":510883,"journal":{"name":"Psychiatry","volume":" ","pages":"147-58"},"PeriodicalIF":2.4,"publicationDate":"1982-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00332747.1982.11024145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40492354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8