Samantha Coyle-Eastwick, Melissa Escobar, Jessica Wimmer, Michael Lindsey, Jarius Thompson, Carrie Masia Warner
{"title":"Social anxiety disorder in Black American adolescents: Cultural considerations in conceptualization, assessment, and treatment.","authors":"Samantha Coyle-Eastwick, Melissa Escobar, Jessica Wimmer, Michael Lindsey, Jarius Thompson, Carrie Masia Warner","doi":"10.1521/bumc.2024.88.2.171","DOIUrl":"10.1521/bumc.2024.88.2.171","url":null,"abstract":"<p><p>Social anxiety disorder (SAD) is characterized by significant distress and avoidance surrounding social and performance situations, with marked interpersonal and academic impairment. This review article highlights cultural considerations relevant to the conceptualization, identification, and treatment of SAD in Black youth. Research evaluating the utility of evidence-based measures to assess SAD suggests they are culturally relevant; however, gaps in knowledge regarding the psychometric properties of even the most widely used instruments are evident. In regard to intervention, cognitive behavioral therapy (CBT) approaches hold promise, yet there is a lack of research on the use of CBT with Black adolescents. Recommendations to incorporate cultural factors into CBT are provided, and future work investigating culturally adapted interventions is needed. Finally, given significant disparities in access and utilization of mental health services among Black youth, strategies to increase treatment engagement, such as school-based services, are important to consider.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia J Morris, Andrew D Wiese, Caitlin M Pinciotti, Rosa Pacheco, Mayra C Martinez Mallen, Ethan J Schweissing, Keaton J Soileau, James J Crowley, Eric A Storch
{"title":"Obsessive-compulsive disorder among individuals of Hispanic and Latin American ancestry: Cultural considerations for assessment and psychotherapy.","authors":"Olivia J Morris, Andrew D Wiese, Caitlin M Pinciotti, Rosa Pacheco, Mayra C Martinez Mallen, Ethan J Schweissing, Keaton J Soileau, James J Crowley, Eric A Storch","doi":"10.1521/bumc.2024.88.2.148","DOIUrl":"10.1521/bumc.2024.88.2.148","url":null,"abstract":"<p><p>Research specific to obsessive-compulsive disorder (OCD) among individuals of Hispanic and Latin American (H/L) ancestry is limited, as are culturally relevant assessment and treatment recommendations. This article discusses the implications of underrepresentation of H/L populations in OCD research and emphasizes the need to consider issues related to assessment, treatment, and structural barriers that hinder delivery of culturally appropriate first-line psychotherapy. Recommendations for assessment and treatment are provided to aid clinicians in distinguishing culturally normative thoughts and behaviors from OCD, as well as to inform the implementation of psychotherapeutic interventions with cultural humility. This manuscript offers recommendations for future research to tackle health equity concerns with respect to assessment and treatment and structural factors limiting access to culturally appropriate psychotherapy. Wide-scale efforts are needed to comprehensively understand how H/L cultures intersect with various OCD presentations and to further disseminate treatments to populations that have historically lacked access to mental health care.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer C Ramirez, Valérie La Buissonnière-Ariza, Elizabeth McIngvale, Katrina A Rufino, Lucy J Puryear, Christina Annette Treece, Sophie C Schneider, Sandra L Cepeda, Wayne K Goodman, Eric A Storch
{"title":"Perceived worsening of obsessive-compulsive disorder symptoms after childbirth in women and men: An understudied phenomenon.","authors":"Jennifer C Ramirez, Valérie La Buissonnière-Ariza, Elizabeth McIngvale, Katrina A Rufino, Lucy J Puryear, Christina Annette Treece, Sophie C Schneider, Sandra L Cepeda, Wayne K Goodman, Eric A Storch","doi":"10.1521/bumc.2024.88.1.48","DOIUrl":"10.1521/bumc.2024.88.1.48","url":null,"abstract":"<p><p>The aim of this study was to examine worsening of OCD symptoms after childbirth in individuals seeking assessment or treatment of OCD. The postpartum period may make parents biologically and psychologically vulnerable to OCD symptoms. Participants included 222 parents with OCD who completed surveys through a self-help website. Most women and almost half of men with self-reported OCD reported an increase in OCD symptoms following childbirth. Retrospective report of perceived worsening of OCD symptoms after childbirth was associated with more aggressive obsessions for both men and women, in comparison to individuals whose OCD symptoms did not worsen around childbirth. Women whose OCD symptoms worsened after childbirth reported more impairment in social functioning than individuals whose symptoms did not worsen. These results highlight the need to develop a better understanding of aggressive obsessions in parents, and improve education about prevalence, content, assessment, and intervention for aggression-focused intrusive thoughts.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vojkan Aleksic, Tatjana Gazibara, Biljana Jeremic, Sanja Gasic, Jelena Dotlic, Jasmina Stevanovic, Aleksandra Arsovic, Marija Milic
{"title":"Associations of night eating with depressive symptoms among health sciences students living in a postconflict region.","authors":"Vojkan Aleksic, Tatjana Gazibara, Biljana Jeremic, Sanja Gasic, Jelena Dotlic, Jasmina Stevanovic, Aleksandra Arsovic, Marija Milic","doi":"10.1521/bumc.2024.88.1.29","DOIUrl":"10.1521/bumc.2024.88.1.29","url":null,"abstract":"<p><p>Populations affected by war may experience food insecurity, which could predispose them to eating disorders. A cross-sectional study was conducted among health sciences students in Northern Kosovo from November 2018 to March 2019. Data were collected using the sociodemographic Night Eating Questionnaire (NEQ), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). The study sample comprised 534 students. The prevalence of students who had at least mild depression (BDI ≥ 10) was 20.6%. More frequent night eating was consistently associated with a higher EDI score in the total sample as well as in the subgroup of students whose EDI score was ≥ 10. In addition, having poorer sleep quality and having more anxiety symptoms were associated with having stronger depressive symptoms. In a population of health sciences students who live in a post-conflict region, night eating is associated with having stronger depressive symptoms.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Welcoming 2024.","authors":"Eric A Storch","doi":"10.1521/bumc.2024.88.1.1","DOIUrl":"10.1521/bumc.2024.88.1.1","url":null,"abstract":"","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cultural considerations for substance use and substance use disorders among Black men.","authors":"Alexandria G Bauer, Jahnayah Bellot, Carolyn Bazan, Ayanna Gilmore, Kaan Kideys, Allyson Cameron","doi":"10.1521/bumc.2024.88.2.108","DOIUrl":"10.1521/bumc.2024.88.2.108","url":null,"abstract":"<p><p>There are complex cultural considerations for understanding, assessing, and treating substance use disorders (SUD) among Black men, from the initiation of substance use through SUD-related outcomes. This narrative review provides insight into some of these factors, including the individual, interpersonal, and community-level risk and protective factors (e.g., family and social roles, religiosity, racism and discrimination, exposure to trauma and adversity) underlying relative risk for substance use and disparities in SUD-related outcomes. This article also highlights the ways that public attitudes and policies related to substance use have contributed to ongoing inequities in SUD treatment access for Black men. Recommendations for clinical research and practice include increasing focus on measurement equivalence, creating pathways for access to community-based and specialty treatment, and providing services that are culturally affirming, relevant, and appropriate. Comprehensive efforts are needed to reduce SUD-related inequities and promote positive well-being among Black men and their communities.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Cheli, Gil Goldzweig, Francesca Chiarello, Veronica Cavalletti
{"title":"Evolutionary systems therapy for paranoid personality disorder: A seven cases series.","authors":"Simone Cheli, Gil Goldzweig, Francesca Chiarello, Veronica Cavalletti","doi":"10.1521/bumc.2024.88.1.61","DOIUrl":"10.1521/bumc.2024.88.1.61","url":null,"abstract":"<p><p>Little is known about effective psychosocial treatments for paranoid personality disorder. This study explores the feasibility of a novel treatment, namely Evolutionary Systems Therapy, in supporting individuals diagnosed with paranoid personality disorder. Seven patients attended 10 months of individual therapy without receiving any psychopharmacological treatment. The primary outcome was the feasibility of the intervention, while the secondary outcomes were remission from the diagnosis and reliable changes in personality pathology and paranoid ideation. All recruited patients completed the intervention and did not report any adverse events. Six out of seven patients experienced remission from the diagnosis of paranoid personality disorder. All participants showed reliable changes in personality pathology and paranoid ideation, which were maintained at the 1-month follow-up. Further research is needed to confirm these encouraging results.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claire E Cusack, Scout Silverstein, Autumn J Askew, Melissa Simone, M Paz Galupo, Cheri A Levinson
{"title":"Eating disorders among queer and trans individuals: Implications for conceptualization, assessment, and treatment.","authors":"Claire E Cusack, Scout Silverstein, Autumn J Askew, Melissa Simone, M Paz Galupo, Cheri A Levinson","doi":"10.1521/bumc.2024.88.2.128","DOIUrl":"10.1521/bumc.2024.88.2.128","url":null,"abstract":"<p><p>Eating disorders (EDs) have been traditionally viewed as a disorder affecting cisgender, heterosexual women. Yet, the prevalence of EDs among queer and trans (QnT) individuals, coupled with the lack of interventions that attend to contextual factors related to sexual orientation and gender identity, underscore a critical health disparity issue requiring urgent attention. Here, we first review factors pertaining to QnT individuals' minoritized sexual and gender identities that are important to consider in ED conceptualization for this population (e.g., minority stressors, identity-based body image standards). Next, we describe problematic assumptions present in existing ED assessment and propose more inclusive approaches. Lastly, we provide suggestions for practices that providers can implement within their treatment of EDs among QnT individuals.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Silvia M Pol, Niek Zuidhof, Dennis Sennef, Anneke M Sools, Gerben J Westerhof
{"title":"The allocation of patients with personality disorders to a suitable treatment approach: The development of a checklist based on patients' life stories.","authors":"Silvia M Pol, Niek Zuidhof, Dennis Sennef, Anneke M Sools, Gerben J Westerhof","doi":"10.1521/bumc.2024.88.3.239","DOIUrl":"https://doi.org/10.1521/bumc.2024.88.3.239","url":null,"abstract":"<p><p>Treatment assignment for patients with personality disorders (PDs) involves a complex process consisting of diagnostic assessment and deciding on the most appropriate psychotherapeutic treatment. This article describes the development of a checklist for systematic analysis of life stories to support reflective and transparent assignment of patients to either dialectical behavioral therapy (DBT) or schema-focused therapy (SFT). In a first study, an email survey, focus group, and member check were conducted among eight clinical experts to identify relevant dimensions in life stories in patients with PDs. In a second study, a checklist based on these dimensions was developed in three rounds of testing with nine clinical experts and nine psychology students. Checklist results were compared to actual assigned treatment for 20 patients. Systematic evaluation of life stories, is promising in supporting the allocation of patients with PDs to a suitable treatment approach by focusing on specific and consensual dimensions in patients' life stories.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recollections of parental psychological control: Associations with dysfunctional individuation, depressive symptoms, and shame and guilt.","authors":"Jillian Rodger, David Kealy","doi":"10.1521/bumc.2024.88.3.270","DOIUrl":"https://doi.org/10.1521/bumc.2024.88.3.270","url":null,"abstract":"<p><p>Excessive parental psychological control may disrupt individuals' psychosocial development, thus influencing later psychological problems. The present study tests a retrospectively worded Parental Control and Disrespect Scale (PCDS) to examine factor structure and model fit as well as associations with individuation-related difficulties and negative affect. Study measures were completed by 482 adults at a single time-point. Confirmatory factor analysis suggested acceptable model fit of the retrospectively worded PCDS. PCDS scores were significantly associated with dysfunctional individuation, depressive symptoms, and generalized shame and guilt, remaining significant after controlling for age, gender, and neuroticism. Moderation analysis indicated certain associations as stronger among female participants, such that dysfunctional individuation was lower at decreased levels of parental control among women, while generalized guilt was higher at increased parental control among women. Findings support the retrospective use of the PCDS, indicating links between parental psychological control, individuation-related difficulties, and negative affect problems.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}