Psychology and Psychotherapy-Theory Research and Practice最新文献

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Evaluation of a new online cognitive remediation therapy (CIRCuiTSTM) training for mental health professionals 评估一种新的在线认知补救疗法(CIRCuiTSTM)对心理健康专业人员的培训。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-11-30 DOI: 10.1111/papt.12510
Rumina Taylor, Adam Crowther, Rose Tinch-Taylor, Caroline da Cunha Lewin, Caterina Cali, Clare Reeder, Matteo Cella, Til Wykes
{"title":"Evaluation of a new online cognitive remediation therapy (CIRCuiTSTM) training for mental health professionals","authors":"Rumina Taylor,&nbsp;Adam Crowther,&nbsp;Rose Tinch-Taylor,&nbsp;Caroline da Cunha Lewin,&nbsp;Caterina Cali,&nbsp;Clare Reeder,&nbsp;Matteo Cella,&nbsp;Til Wykes","doi":"10.1111/papt.12510","DOIUrl":"10.1111/papt.12510","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Cognitive remediation (CR) improves cognition and aids recovery in people with psychosis. An active therapist provides increased benefit, but CR training for therapists is not routinely available, so CR has limited scalability. This study describes the development and evaluation of the first online CR therapist training programme.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online CR training, based on expert and novice therapist consultations, was developed, and then pilot tested with novice trainees and changes made to produce the evaluation version. Feasibility, acceptability, and training benefits were assessed in a group of naïve UK NHS mental health professionals. Training engagement with a group of clinicians who accessed the programme for professional development was compared to those who paid fees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most mental health professionals finished training and passed the knowledge test, indicating that training enhanced clinicians' knowledge. Fee-paying trainees had significantly faster completion times and a higher proportion finished in the recommended time. Those who were successful at passing the knowledge questionnaire had significantly fewer years in practice. The majority were satisfied with the programme, felt they had made considerable progress and that training would allow them to begin practicing CR, and would recommend the training to colleagues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This online CR training programme was feasible, acceptable to participants and showed benefits for clinicians. It improved knowledge even in the most junior of staff who have had less time to develop clinical know-how.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 2","pages":"234-247"},"PeriodicalIF":3.4,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expression of Concern: Eysenck, H. J. (1988). Personality, stress and cancer: Prediction and prophylaxis. British Journal of Medical Psychology, 61(1), 57–75. https://doi.org/10.1111/j.2044-8341.1988.tb02765.x 关注的表达:艾森克,H. J.(1988)。个性、压力与癌症:预测与预防。英国医学心理学杂志,61(1),57-75。https://doi.org/10.1111/j.2044-8341.1988.tb02765.x。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-11-14 DOI: 10.1111/papt.12508
The Challenging Histories Group of the British Psychological Society
{"title":"Expression of Concern: Eysenck, H. J. (1988). Personality, stress and cancer: Prediction and prophylaxis. British Journal of Medical Psychology, 61(1), 57–75. https://doi.org/10.1111/j.2044-8341.1988.tb02765.x","authors":"The Challenging Histories Group of the British Psychological Society","doi":"10.1111/papt.12508","DOIUrl":"10.1111/papt.12508","url":null,"abstract":"<p>This expression of concern has been agreed following an examination of papers by Hans Eysenck that were published in British Psychological Society journals. This was undertaken by the Challenging Histories Group of the Society. Specific allegations have been raised since the 1990s about work that Eysenck carried out in collaboration with Ronald Grossarth-Maticek. An inquiry in 2019 by King's College London concluded that 26 articles co-authored by Eysenck and Grossarth-Matcek were ‘unsafe’. King's College did not examine publications based on the same research programme that were solely authored by Eysenck. One of these is the above article originally published in the <i>British Journal of Medical Psychology</i> (now <i>Psychology and Psychotherapy: Theory, Research and Practice</i>). This presents the results of observational studies and a randomised trial on the prediction and prophylaxis of cancer and other fatal diseases. The effect sizes of the findings, as pointed out in the King's College inquiry, are ‘incompatible with modern clinical science and the understanding of disease processes' (King's College London, <span>2019</span>).</p><p>Accordingly, the Challenging Histories Group (<span>2023</span>) has decided to issue an Expression of Concern to readers. It has been published with the agreement of the journal Editors-in-Chief, the British Psychological Society and John Wiley &amp; Sons, Limited.</p>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 1","pages":"187"},"PeriodicalIF":3.4,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12508","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social identification, identity integration and wellbeing in people who hear voices 幻听者的社会认同,身份整合和幸福感。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-11-14 DOI: 10.1111/papt.12509
Lorna I. Hogg, Laura G. E. Smith, Tim Kurz, Anthony P. Morrison
{"title":"Social identification, identity integration and wellbeing in people who hear voices","authors":"Lorna I. Hogg,&nbsp;Laura G. E. Smith,&nbsp;Tim Kurz,&nbsp;Anthony P. Morrison","doi":"10.1111/papt.12509","DOIUrl":"10.1111/papt.12509","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Hearing voices is associated with public stigma and this can influence readiness to identify as a voice hearer (VH) and psychological wellbeing. In this study, we investigated the relationships between a VH social identity, the integration of that identity with other important social identities and wellbeing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional study, with a subset of longitudinal data across three time points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>People who self-identified as voice hearers completed questionnaires (VH social identity, identity integration, wellbeing and perceptions of in-group and out-group empathy) at three time points, spaced at 3-monthly intervals. The final sample comprised 182 participants at T1, 91 at T2 and 75 at T3. Hierarchical linear multiple regression analyses were used to test all hypotheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The integration of a VH social identity was strongly associated with better psychological wellbeing at T1. Identity integration was also associated with static wellbeing scores at 6 months. Effects on wellbeing were not accounted for by either severity of voice-hearing or paranoia. Whilst perceptions of in-group empathy were associated with VH social identification, perceptions of outgroup empathy were important for identity integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Integrating a VH social identity with other important identities into a coherent sense of self is important for wellbeing in voice hearers; perceived in-group and outgroup empathy are important in this process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 2","pages":"215-233"},"PeriodicalIF":3.4,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mindful parenting and child behaviour problems: A chain mediating role of parental and child communicating performance 注意育儿和儿童行为问题:父母和儿童沟通表现的连锁中介作用。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-30 DOI: 10.1111/papt.12507
Chengyu Fu, Jiayi Tang, Dan Chen, Ruotong Zhang, Yeng Zh. Chong, Wei Xu
{"title":"Mindful parenting and child behaviour problems: A chain mediating role of parental and child communicating performance","authors":"Chengyu Fu,&nbsp;Jiayi Tang,&nbsp;Dan Chen,&nbsp;Ruotong Zhang,&nbsp;Yeng Zh. Chong,&nbsp;Wei Xu","doi":"10.1111/papt.12507","DOIUrl":"10.1111/papt.12507","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study investigates the impact of mindful parenting on child behaviour problems and examines the chain mediating role of parental and child communicating performance in this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 10-month follow-up survey was conducted, utilizing the Interpersonal Mindfulness in Parenting Scale (IM-P), the Parent–Child Communication Inventory, and the abbreviated version of the Child Behaviour Checklist (CBCL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At baseline (T1), higher levels of mindful parenting in parents were significantly and positively associated with both T1 parental communicating performance and child communicating performance. After 10 months, all three variables showed significant negative associations with child behaviour problems. T1 parental communication performance positively correlated with T1 child communication performance. After controlling for T1 child behaviour problems, children's gender and age, and parents' gender, the indirect association between T1 parents' levels of mindful parenting and T2 child behaviour problems was significant, mediated by T1 parental communicating performance and T1 child communicating performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mindful parenting enhances parental communication behaviour, leading to improved child communication behaviour and reduced child behaviour problems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 1","pages":"173-186"},"PeriodicalIF":3.4,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review 研究精神病患者的特定负面症状与元认知功能之间的关系:一项系统综述。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-21 DOI: 10.1111/papt.12505
Nicola McGuire, Andrew Gumley, Ilanit Hasson-Ohayon, Stephanie Allan, Warut Aunjitsakul, Orkun Aydin, Sune Bo, Kelsey A. Bonfils, Anna-Lena Bröcker, Steven de Jong, Giancarlo Dimaggio, Felix Inchausti, Jens Einar Jansen, Tania Lecomte, Lauren Luther, Angus MacBeth, Christiane Montag, Marlene Buch Pedersen, Gerdina Henrika Maria Pijnenborg, Raffaele Popolo, Matthias Schwannauer, Anne-Marie Trauelsen, Rozanne van Donkersgoed, Weiming Wu, Kai Wang, Paul H. Lysaker, Hamish McLeod
{"title":"Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review","authors":"Nicola McGuire,&nbsp;Andrew Gumley,&nbsp;Ilanit Hasson-Ohayon,&nbsp;Stephanie Allan,&nbsp;Warut Aunjitsakul,&nbsp;Orkun Aydin,&nbsp;Sune Bo,&nbsp;Kelsey A. Bonfils,&nbsp;Anna-Lena Bröcker,&nbsp;Steven de Jong,&nbsp;Giancarlo Dimaggio,&nbsp;Felix Inchausti,&nbsp;Jens Einar Jansen,&nbsp;Tania Lecomte,&nbsp;Lauren Luther,&nbsp;Angus MacBeth,&nbsp;Christiane Montag,&nbsp;Marlene Buch Pedersen,&nbsp;Gerdina Henrika Maria Pijnenborg,&nbsp;Raffaele Popolo,&nbsp;Matthias Schwannauer,&nbsp;Anne-Marie Trauelsen,&nbsp;Rozanne van Donkersgoed,&nbsp;Weiming Wu,&nbsp;Kai Wang,&nbsp;Paul H. Lysaker,&nbsp;Hamish McLeod","doi":"10.1111/papt.12505","DOIUrl":"10.1111/papt.12505","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Disrupted metacognition is implicated in development and maintenance of negative symptoms, but more fine-grained analyses would inform precise treatment targeting for individual negative symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This systematic review identifies and examines datasets that test whether specific metacognitive capacities distinctly influence negative symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>PsycINFO, EMBASE, Medline and Cochrane Library databases plus hand searching of relevant articles, journals and grey literature identified quantitative research investigating negative symptoms and metacognition in adults aged 16+ with psychosis. Authors of included articles were contacted to identify unique datasets and missing information. Data were extracted for a risk of bias assessment using the Quality in Prognostic Studies tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>85 published reports met criteria and are estimated to reflect 32 distinct datasets and 1623 unique participants. The data indicated uncertainty about the relationship between summed scores of negative symptoms and domains of metacognition, with significant findings indicating correlation coefficients from 0.88 to −0.23. Only eight studies investigated the relationship between metacognition and individual negative symptoms, with mixed findings. Studies were mostly moderate-to-low risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The relationship between negative symptoms and metacognition is rarely the focus of studies reviewed here, and negative symptom scores are often summed. This approach may obscure relationships between metacognitive domains and individual negative symptoms which may be important for understanding how negative symptoms are developed and maintained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conlclusion</h3>\u0000 \u0000 <p>Methodological challenges around overlapping participants, variation in aggregation of negative symptom items and types of analyses used, make a strong case for use of Individual Participant Data Meta-Analysis to further elucidate these relationships.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 2","pages":"191-214"},"PeriodicalIF":3.4,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12505","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49685070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: An unsafe article on the prediction and prevention of cancer published in British Journal of Medical Psychology 社论:发表在《英国医学心理学杂志》上的一篇关于癌症预测和预防的不安全文章。
IF 2.6 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-18 DOI: 10.1111/papt.12506
The Challenging Histories Group of the British Psychological Society
{"title":"Editorial: An unsafe article on the prediction and prevention of cancer published in British Journal of Medical Psychology","authors":"The Challenging Histories Group of the British Psychological Society","doi":"10.1111/papt.12506","DOIUrl":"10.1111/papt.12506","url":null,"abstract":"","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 3","pages":"405-407"},"PeriodicalIF":2.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathways from childhood trauma to aberrant salience: A structural equation approach to mentalization model 从童年创伤到异常显著性的途径:心理化模型的结构方程方法。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-09 DOI: 10.1111/papt.12503
Ercan Ozdemir, Angus MacBeth, Helen Griffiths
{"title":"Pathways from childhood trauma to aberrant salience: A structural equation approach to mentalization model","authors":"Ercan Ozdemir,&nbsp;Angus MacBeth,&nbsp;Helen Griffiths","doi":"10.1111/papt.12503","DOIUrl":"10.1111/papt.12503","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this study was to explore the relationship between affective disturbances and aberrant salience in the context of childhood trauma, attachment, and mentalization in an analogue study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using a cross-sectional design, an online community sample completed self-report measures of key variables. Structural equation modelling was used to test childhood trauma's influence on aberrant salience via a set of intermediate risk factors (depression, negative schizotypy, and insecure attachment). These intermediate risk factors were assumed to lead to the proximal risk factors of aberrant salience (i.e., disorganized schizotypy and disorganized attachment) depending on the vulnerability of mentalizing capacity to elevated stress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sample (<i>N</i> = 1263) was 78% female and aged between 18 and 35 years. The tested models closely fitted the observed data, revealing significant pathways from childhood trauma to aberrant salience via the hypothesized pathways. The direct effect of childhood trauma on aberrant salience was significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest that the pathway to aberrant salience may be characterized by disorganization of self-state and intersubjectivity as a function of diminishment in mentalizing ability. This may relate to changes in attachment organization and socio-cognitive capacity, which could constitute possible risk factors signalling development of aberrant salience.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 1","pages":"157-172"},"PeriodicalIF":3.4,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12503","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cognitive behavioural therapy for psychosis: The end of the line or time for a new approach? 精神病的认知行为疗法:新方法的终点还是时间?
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-07 DOI: 10.1111/papt.12498
Katherine Newman-Taylor, Richard Bentall
{"title":"Cognitive behavioural therapy for psychosis: The end of the line or time for a new approach?","authors":"Katherine Newman-Taylor,&nbsp;Richard Bentall","doi":"10.1111/papt.12498","DOIUrl":"10.1111/papt.12498","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Following its introduction in the early 1990s, cognitive behavioural therapy for psychosis (CBTp) has been evaluated in a large number of clinical trials and is now established as a recommended treatment in the UK National Health Service and elsewhere in the world. Meta-analyses, however, indicate modest effects compared to treatment as usual or comparison therapies such as supportive counselling. Here, we seek to identify factors impacting the effectiveness of CBTp, and avenues for future psychotherapy research that may improve outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We outline two recent umbrella reviews and discuss factors likely to impact the effectiveness of CBTp.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Modest effect sizes from meta-analyses mask heterogeneous outcomes, with some people benefiting and others possibly being harmed by therapy. Common factors such as the therapeutic alliance play an important role in determining outcomes but have been largely neglected by CBTp researchers. There is also the promise of improving outcomes by identifying and targeting the psychological mechanisms that either maintain psychotic symptoms (e.g. worry) or are causally implicated (e.g. trauma).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It is unlikely that everyone with psychosis will be equally responsive to the same therapeutic protocols. We need a new, personalised psychotherapy approach to CBTp research and practice, and can learn from research for anxiety and depression examining predictors of therapeutic response to inform treatment decisions. Precision psychological therapies informed by a combination of individual characteristics, common factors and a focus on specific mechanisms will require new research strategies and are likely to lead to improved outcomes for people with psychosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 1","pages":"4-18"},"PeriodicalIF":3.4,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41179364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional neurological disorder: A qualitative study exploring individuals' experiences of psychological services 功能性神经障碍:一项探索个体心理服务体验的定性研究。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-06 DOI: 10.1111/papt.12504
Amelia Staton, David Dawson, Hannah Merdian, Anna Tickle, Tammy Walker
{"title":"Functional neurological disorder: A qualitative study exploring individuals' experiences of psychological services","authors":"Amelia Staton,&nbsp;David Dawson,&nbsp;Hannah Merdian,&nbsp;Anna Tickle,&nbsp;Tammy Walker","doi":"10.1111/papt.12504","DOIUrl":"10.1111/papt.12504","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Individuals with a diagnosis of FND report experiencing stigma in medical settings, however, there is a paucity of research exploring their experiences in psychological services. The aim of this research was to explore experiences of accessing UK psychological services, from the perspective of those with FND.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study utilised a qualitative approach with data collected from semi-structured interviews (<i>n</i> = 15) and analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One superordinate theme, ‘the stigmatised self within the therapeutic relationship’, and five interrelated subthemes were identified: ‘internalised stigma and self-doubt’, ‘selective disclosure to professionals’, ‘perceptions of psychological explanations’, ‘having to educate the professionals’ and ‘attunement and trust within the therapeutic relationship’. Positive therapeutic relationships were perceived to mitigate the impact of these perceived barriers. The conceptualisation of FND and the perception of how this was responded to by services and professionals was a central tenet throughout the related themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Intra-personal, interpersonal and organisational stigma impact access and engagement to psychological treatment. The findings of this study highlight the need for increased training provision for practitioners with a focus on actively challenging FND stigma within services at both an individual and systemic level.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"97 1","pages":"138-156"},"PeriodicalIF":3.4,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/papt.12504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An exploration of the relationship between voices, dissociation, and post-traumatic stress disorder symptoms 探索声音、分离和创伤后应激障碍症状之间的关系。
IF 3.4 3区 医学
Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2023-10-06 DOI: 10.1111/papt.12493
Emily Piesse, Georgie Paulik, Danielle Mathersul, Lee Valentine, Ilias Kamitsis, Sarah Bendall
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