Katherina Arteaga, Ty S Schepis, Ashley B Cole, Alessandro S De Nadai
{"title":"National treatment utilization among racially and ethnically diverse patients with PTSD.","authors":"Katherina Arteaga, Ty S Schepis, Ashley B Cole, Alessandro S De Nadai","doi":"10.1521/bumc.2025.89.1.1","DOIUrl":"10.1521/bumc.2025.89.1.1","url":null,"abstract":"<p><p>Research suggests that racial/ethnic minoritized individuals have elevated risk for experiencing trauma and developing posttraumatic stress disorder (PTSD) but are less likely to utilize mental health treatment compared to their non-Hispanic White counterparts. However, possessing health insurance may mitigate these disparities. We investigated this issue using a subsample of data obtained from the National Epidemiologic Survey on Alcohol and Related Conditions-III (N = 2,339), to estimate the likelihood of utilizing PTSD-specific and general mental health treatment among a racially/ethnically diverse sample of individuals diagnosed with PTSD. Insurance status was included as a moderating factor. Across racial/ethnic groups, insured individuals had more than twice the odds of utilizing PTSD-specific and general treatment than those without insurance. Black, Hispanic, and Asian/Native Hawaiian/Pacific Islander participants were significantly less likely to utilize PTSD-specific and general mental health treatment regardless of insurance status. These findings can inform targeted public health interventions to address mental health care disparities.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"1-26"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598382","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}
Savannah C Marshall, Andrew M Scott, Ashleigh Elcock, Brenda Key, Randi McCabe, Karen Rowa
{"title":"Investigating the psychometric properties of the Five Facet Mindfulness Questionnaire- Short Form.","authors":"Savannah C Marshall, Andrew M Scott, Ashleigh Elcock, Brenda Key, Randi McCabe, Karen Rowa","doi":"10.1521/bumc.2025.89.3.214","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.3.214","url":null,"abstract":"<p><strong>Objectives: </strong>The Five Facet Mindfulness Questionnaire - Short Form (FFMQ-15) measures the tendency to be mindful and is proposed as an alternative to the original 39-item version. This study examines the psychometric properties of the FFMQ-15 in a clinical sample to provide further support for a short-form version.</p><p><strong>Method: </strong>Participants (N = 244; M<sub>age</sub> = 29.68) included in the study completed the FFMQ-39 and FFMQ-15, the Brief Experiential Avoidance Questionnaire (BEAQ), and the Adult ADHD Self-Report Scale - Part A (ASRS). A confirmatory factor analysis (CFA) examined the structure of the FFMQ-15.</p><p><strong>Results: </strong>The FFMQ-15 demonstrates moderate to excellent internal consistency. The FFMQ-15 showed significant correlations in predicted directions with the FFMQ-39, the BEAQ, and the ASRS. The CFA supports a four-factor hierarchical model, excluding the Observing subscale.</p><p><strong>Conclusion: </strong>Results indicate reasonable psychometric properties of the FFMQ-15 but suggest further examination of the Observing subscale.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 3","pages":"214-239"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132432","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 Woodson, Junjia Xu, Martha J Falkenstein, Jennie M Kuckertz
{"title":"Baseline characteristics and treatment outcomes for people accessing a virtual partial hospital program versus a residential program for obsessive-compulsive disorder.","authors":"Olivia Woodson, Junjia Xu, Martha J Falkenstein, Jennie M Kuckertz","doi":"10.1521/bumc.2025.89.3.175","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.3.175","url":null,"abstract":"<p><p>Exposure and response prevention (ERP) is the first-line treatment for obsessive-compulsive disorder (OCD). While previous literature supports the effectiveness of higher levels of specialized ERP-based care for OCD (i.e., partial hospital, residential), little is known about how outcomes for these levels of care compare to each other, or who is accessing different levels of specialized care. The present study compared treatment outcomes and baseline demographic, clinical, and prior treatment characteristics between adults with OCD or a related disorder accessing a virtual partial hospital program (VPHP; n = 63) or a residential (n = 128) program. Analyses revealed no significant clinical differences between the programs at either baseline or across treatment. Programs significantly differed on whether patients had children or not. Findings suggest that both VPHP and residential treatment for OCD are effective forms of care, and future research should consider how demographic factors may influence treatment access and preferences.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 3","pages":"175-193"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132440","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}
Holger Zapf, Ursula Voelker, Dennis Radzuweit, Kirstin Goth, Sarah Hohmann, Carola Bindt, Johannes Boettcher
{"title":"Level of personality functioning of adolescents in an acute psychiatric treatment setting: A cohort study.","authors":"Holger Zapf, Ursula Voelker, Dennis Radzuweit, Kirstin Goth, Sarah Hohmann, Carola Bindt, Johannes Boettcher","doi":"10.1521/bumc.2025.89.3.240","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.3.240","url":null,"abstract":"<p><strong>Background: </strong>Adolescents admitted as acute inpatients are a particularly vulnerable psychosocial population. This study aimed to examine their level of personality functioning in an acute psychiatric treatment setting.</p><p><strong>Methods: </strong>We evaluated personality functioning in 62 adolescents using the Level of Personality Functioning-Questionnaire 12-18 (LoPF-Q 12-18) from a patient perspective and the Level of Personality Functioning Scale (LPFS) completed by clinicians.</p><p><strong>Results: </strong>Adolescent patients exhibited a relatively high level of impaired personality functioning, with females tending to show partly higher levels of impairment than males. The agreement between self-reported and clinician reported impairment of personality functioning was low. Biopsychosocial mental health was a strong predictor of self-reported and clinician-reported levels of personality functioning, in contrast to nonsuicidal self-injurious behavior and suicidality.</p><p><strong>Conclusion: </strong>Our findings identify important characteristics of adolescents in acute psychiatric inpatient units. The LoPF-Q may serve as a valuable screening tool for diagnostics and treatment.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 3","pages":"240-258"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132467","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}
Jacob J Gustaveson, Zoë E Laky, Kara N Kelley, David A F Haaga
{"title":"What do therapists with prior experience treating trichotillomania do differently?","authors":"Jacob J Gustaveson, Zoë E Laky, Kara N Kelley, David A F Haaga","doi":"10.1521/bumc.2025.89.3.194","DOIUrl":"10.1521/bumc.2025.89.3.194","url":null,"abstract":"<p><p>Greater therapist experience is not necessarily associated with superior treatment outcomes, but some data suggest that experience with a specific disorder or treatment protocol is helpful. This study conducted a secondary analysis of one such finding, in which therapists with previous experience treating trichotillomania (TTM) achieved better outcomes than did TTM-novice therapists in a randomized controlled trial of the Comprehensive Behavioral (ComB) model. Sixty session recordings from this trial were randomly selected for coding on rationally-selected dimensions of therapist competence, of which seven proved sufficiently reliable for between-groups analysis. Sessions conducted by experienced therapists were superior in management of session time and most indicators tapping complex ComB-specific skills, whereas they were inferior to novice therapists on addressing patient nonadherence. Discussion focused on possible explanations for these results and proposed testing a sequence in which TTM therapists could begin with less complex interventions and implement ComB only after developing improved expertise.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 3","pages":"194-213"},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132553","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":"Heads I win, tails you lose: Interpersonal aspects of borderline personality disorder.","authors":"Mark L Ruffalo","doi":"10.1521/bumc.2025.89.1.52","DOIUrl":"10.1521/bumc.2025.89.1.52","url":null,"abstract":"<p><p>Since borderline personality disorder was identified as a distinct psychiatric syndrome in the 1970s, it has been recognized as a disorder marked by disturbance in interpersonal functioning. Understanding the borderline patient's characteristic modes of relating to self and others is therefore of significant theoretical and clinical importance. This article seeks to examine multiple facets of borderline personality disorder believed to contribute to interpersonal dysfunction, including: common communication patterns observed in borderline patients, such as double-bind communication; the primitive or paleologic thinking that results in misperception of benign interpersonal phenomena; and the destabilizing effect of a persistent pattern of stimulation and frustration (idealization and devaluation) on human relationships. This discussion of communication dilemmas and paradoxes is believed to represent a novel contribution to the literature on borderline psychopathology. It is argued that a broader recognition of these psychodynamic processes will yield improvement in psychotherapeutic models and treatment of this severe and disabling disorder.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"52-69"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598381","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":"The Turkish adaptation and psychometric characteristics of the Intolerance of Uncertainty Index-A for Children.","authors":"Fulya Türk, Zeynep Hamamcı","doi":"10.1521/bumc.2025.89.2.134","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.134","url":null,"abstract":"<p><p>Intolerance of uncertainty (IU) is a cognitive factor linked to various mental health disorders, especially anxiety, in children and adolescents. This study aimed to adapt and validate the Intolerance of Uncertainty Index-A for Children (IUI-A-C) into Turkish. A sample of 552 participants aged 10 to 19 years (M = 13.84, SD = 2.29) completed the Turkish version of the IUI-A-C and measures of anxiety. The study assessed confirmatory factor analysis, internal consistency reliability, criterion validity, item discrimination, and test-retest reliability. The adapted scale showed good psychometric properties, with confirmatory factor analysis indicating a good fit to the data. Internal consistency reliability was adequate (Cronbach's α = .73), and criterion validity was supported by a moderate positive correlation with anxiety measures. Item discrimination analysis demonstrated the scale's ability to differentiate between high and low levels of IU, and test-retest reliability was excellent (intraclass correlation coefficient = .92). Thus, the Turkish IUI-A-C is a valid and reliable tool for assessing IU in children and adolescents.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"134-153"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327720","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}
Mustafa Kerim Şimşek, Amitai Abramovitch, Dean McKay, Samuel Armen, Jonathan S Abramowitz
{"title":"The Revised Obsessive-Compulsive Inventory-Child Version: Adaptation, psychometric properties, and norms in Turkish culture.","authors":"Mustafa Kerim Şimşek, Amitai Abramovitch, Dean McKay, Samuel Armen, Jonathan S Abramowitz","doi":"10.1521/bumc.2025.89.1.70","DOIUrl":"10.1521/bumc.2025.89.1.70","url":null,"abstract":"<p><p>The Obsessive-Compulsive Inventory-Child Version (OCI-CV), which was developed to assess OCD symptoms in children and adolescents, was recently revised (OCI-CV-R) after hoarding was removed as an OCD symptom dimension in the DSM-5. The study aimed to examine the validity of the OCI-CV-R for assessing OCD symptoms in Turkish culture. A total of 1,062 youths, aged 9 to 18 years, participated in this study to assess the OCI-CV-R's psychometric properties in the Turkish culture. Analysis included factor analyses and assessments of validity and reliability. Results demonstrated that the Turkish version of the OCI-CV-R had good model fit values for the five-factor structure of the scale. The revised scale also revealed measurement invariance between two age groups: children (ages 9-11) and adolescents (ages 12-18). The findings indicate that the OCI-CV-R is a valid and reliable instrument for assessing OCD symptoms among Turkish-speaking populations and thus can replace the previous version.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"70-90"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598384","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}
Luana Dumans Laurito, Carla Pereira Loureiro, Maria Eduarda Moreira-de-Oliveira, Rafaela Venancio Dias, Bianca Torres, Livi Faro, Michael P Twohig, Gabriela B de Menezes, Leonardo F Fontenelle
{"title":"Acceptance and commitment therapy associated with exposure and response prevention for obsessive-compulsive disorder: An online group protocol adapted for the Brazilian context.","authors":"Luana Dumans Laurito, Carla Pereira Loureiro, Maria Eduarda Moreira-de-Oliveira, Rafaela Venancio Dias, Bianca Torres, Livi Faro, Michael P Twohig, Gabriela B de Menezes, Leonardo F Fontenelle","doi":"10.1521/bumc.2025.89.2.111","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.111","url":null,"abstract":"<p><p>Acceptance and commitment therapy (ACT) combined with exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). Due to the influence of sociocultural factors on OCD symptomatology, it is crucial to customize and assess ACT within diverse cultural settings. We present an online group protocol for ACT-ERP, tailored for Brazilian adults with OCD, based on a prior pilot study and the work of Twohig and colleagues. The protocol adaptations for online use in a group format included technical arrangements, adjusted session frequency, and cultural adaptations with appropriate translations. These modifications addressed cultural analogies and socioeconomic challenges, enhancing accessibility and relevance for Brazilians. Adapting this intervention to the Brazilian context aims to optimize OCD treatment, offering a culturally sensitive approach for Brazilian patients.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"111-133"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327717","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}
Jessica Szu-Chi Cheng, Gianna M Colombo, Megan M Dailey, Caitlin M Pinciotti, Haoran C Peng, Andrew D Wiese, Erika S Trent, Allie N Townsend, Ogechi Cynthia Onyeka, Wayne K Goodman, Eric A Storch
{"title":"Accuracy, reach, and content quality of information about obsessive-compulsive disorder on TikTok.","authors":"Jessica Szu-Chi Cheng, Gianna M Colombo, Megan M Dailey, Caitlin M Pinciotti, Haoran C Peng, Andrew D Wiese, Erika S Trent, Allie N Townsend, Ogechi Cynthia Onyeka, Wayne K Goodman, Eric A Storch","doi":"10.1521/bumc.2025.89.2.154","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.154","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is one of the most popular health-related topics on TikTok but is often misrepresented. This study analyzed the accuracy (i.e., accurate, overgeneralizing, or inaccurate), reach (i.e., views, likes, comments, and shares), and content quality (i.e., understandability and actionability) of 117 informational TikTok videos about OCD. Content creator type (health care professionals [HCPs], individuals with lived experiences, and others) was determined. Of the 117 analyzed videos, 64 (54.7%) were accurate, 31 (26.5%) overgeneralizing, and 22 (18.8%) inaccurate. HCP-created videos were significantly more accurate (82.1% accurate) than non-HCP-created ones (individuals with lived experiences: 63.6% accurate; others: 35.7%). Reach metrics did not vary significantly across accuracy levels and creator types. Videos analyzed were moderately understandable, and accurate videos were significantly more understandable. However, actionability was low overall. Results suggest that misinformation about OCD on TikTok is common and is being disseminated almost as widely as accurate information. Clinical implications are discussed.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"154-174"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327718","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}