Journal of Clinical Psychology最新文献_第9页

Seeing is believing: The effect of subtle communication in social media on viewers' beliefs about depression and anxiety symptom trajectories 眼见为实：社交媒体中的微妙沟通对观众关于抑郁和焦虑症状轨迹的信念的影响。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-29 DOI: 10.1002/jclp.23647

Whitney M. Whitted, Matthew W. Southward, Kristen P. Howard, Samantha B. Wick, Daniel R. Strunk, Jennifer S. Cheavens

Objective

One barrier to treatment seeking, uptake, and engagement is the belief that nothing can be done to reduce symptoms. Given the widespread use of social media to disseminate information about important issues, including psychological health, we sought to understand how the influence of social media communication regarding mental health impacts viewers' beliefs about psychopathology recovery.

Method

Undergraduate participants from a large Midwestern university (N = 322) were randomized to view a series of Tweets characterizing psychopathology from a fixed mindset perspective, a growth mindset perspective, or, in the control condition, Tweets unrelated to psychopathology. Afterward, they completed a series of questionnaires designed to assess beliefs about recovery from depression and anxiety.

Results

Participants in the growth mindset condition endorsed less pessimistic beliefs about their ability (i.e., self-efficacy) to alleviate symptoms of depression and anxiety, and they believed these symptoms to be less stable and innate relative to those in the fixed mindset condition.

Conclusion

Social media communication that characterizes psychopathology from a growth mindset perspective may be a viable intervention for improving beliefs around mental health self-efficacy and the malleable nature of mental illness, particularly depression and anxiety. Clinicians may be able to use social media platforms to promote functional beliefs around mental illness.

目的：寻求治疗、接受治疗和参与治疗的一个障碍是人们认为无法减轻症状。鉴于社交媒体被广泛用于传播有关心理健康等重要问题的信息，我们试图了解社交媒体有关心理健康的传播如何影响观众对精神病理学康复的信念：来自美国中西部一所大型大学的本科生参与者（N = 322）被随机分配观看一系列从固定心态角度、成长心态角度描述心理病理学特征的推文，或在对照条件下观看与心理病理学无关的推文。之后，他们完成了一系列旨在评估抑郁症和焦虑症康复信念的问卷调查：结果：与固定思维模式条件下的参与者相比，成长思维模式条件下的参与者对自己缓解抑郁和焦虑症状的能力（即自我效能）所持的悲观信念较少，而且他们认为这些症状不太稳定，也不是与生俱来的：结论：从成长型思维角度描述心理病理学特征的社交媒体传播可能是一种可行的干预措施，可以改善人们对心理健康自我效能感和心理疾病（尤其是抑郁症和焦虑症）可塑性的看法。临床医生或许可以利用社交媒体平台来促进有关精神疾病的功能性信念。

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引用次数: 0

Bipolar disorder and cumulative trauma: A systematic review of prevalence and illness outcomes 躁郁症与累积性创伤：关于发病率和疾病结果的系统回顾。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-26 DOI: 10.1002/jclp.23650

Amy-Leigh Rowe, Tania Perich, Tanya Meade

Background

The experience of cumulative trauma may be common in bipolar disorder (BD). However, it is not frequently reported as most studies focus on childhood trauma without examining differences in the amount of trauma experienced. This systematic review aimed to determine the prevalence of lifetime cumulative trauma in BD as well as explore associated illness outcomes.

Methods

A systematic review was completed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Both the prevalence and outcomes of cumulative trauma in BD were assessed. Five electronic databases were searched (Embase, MEDLINE, PsycINFO, Web of Science, and PTSD Pubs) for records from January 2010 until December 2022.

Results

A total of 20 studies, with 9304 participants were included in the narrative synthesis. At least one-third of BD participants had experienced cumulative trauma, with a prevalence range from 29% to 82%. The main outcomes associated with a history of cumulative trauma were earlier age of onset, longer episode duration, more lifetime mood episodes, greater likelihood of experiencing psychotic features, and higher likelihood of past suicide attempts.

Limitations

This review has been limited by the lack of studies directly assessing cumulative trauma in BD.

Conclusions

Cumulative trauma is prevalent in BD. Preliminary evidence indicates an association with a range of adverse outcomes, emphasizing the need for clinicians to obtain a detailed trauma history and to consider these risks in the management of the disorder. Future studies should report on the prevalence of cumulative trauma, particularly in adulthood as this area remains unexplored.

背景：累积性创伤可能是躁郁症（BD）的常见症状。然而，由于大多数研究关注的是童年时期的创伤，而没有对所经历的创伤量的差异进行研究，因此有关累积性创伤的报道并不多见。本系统综述旨在确定终生累积性创伤在躁狂症患者中的患病率，并探讨相关的疾病结局：方法：根据《系统综述和元分析首选报告项目》（Preferred Reporting Items for Systematic Reviews and Meta-Analyses，PRISMA）指南完成了一项系统综述。方法：根据系统综述和荟萃分析首选报告项目（PRISMA）指南完成了一项系统综述，评估了累积性创伤在 BD 中的患病率和结果。检索了五个电子数据库（Embase、MEDLINE、PsycINFO、Web of Science 和 PTSD Pubs）中从 2010 年 1 月至 2022 年 12 月的记录：共有 20 项研究、9304 名参与者被纳入叙述性综述。至少三分之一的 BD 参与者经历过累积性创伤，发病率从 29% 到 82% 不等。与累积性创伤史相关的主要结果是：发病年龄较早、发作持续时间较长、终生情绪发作次数较多、出现精神病特征的可能性较大以及既往自杀未遂的可能性较高：本综述因缺乏直接评估BD累积性创伤的研究而受到限制：累积性创伤在 BD 中很普遍。初步证据表明，累积性创伤与一系列不良后果有关，这强调了临床医生需要获得详细的创伤史，并在治疗该疾病时考虑到这些风险。未来的研究应报告累积性创伤的发病率，尤其是成年期的发病率，因为这一领域的研究仍有待深入。

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引用次数: 0

Transdiagnostic effects of therapist self-disclosure on diverse emotional experiences of clients with emotional disorders and schizophrenia 治疗师自我披露对情感障碍和精神分裂症患者不同情感体验的跨诊断影响。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-24 DOI: 10.1002/jclp.23648

Tal Alfi-Yogev, Yogev Kivity, Dana Atzil-Slonim, Adar Paz, Libby Igra, Adi Lavi-Rotenberg, Ilanit Hasson-Ohayon

Objective

Despite the clinical significance of emotional diversity, also known as emodiversity, there has been limited investigation into the therapeutic interventions that influence this construct. In the current study we examined the association between immediate therapist self-disclosure (TSD) and emodiversity among two diagnostic groups who tend to experience emotional difficulties: people with schizophrenia and people with emotional disorders (i.e., depression and/or anxiety).

Method

The sample comprised 74 clients (37 diagnosed with schizophrenia and 37 with emotional disorders) treated by 45 therapists in a university clinic setting. Following each session, clients self-reported their emotions, and therapists completed a measure of frequency and centrality of their immediate TSD during the session.

Results

Longitudinal multilevel models indicated that immediate TSD was positively associated with clients' global emodiversity, both at the within- and the between-client levels, as well as with clients' negative emodiversity at the between-client level. Moreover, clients with emotional disorders and clients with schizophrenia did not differ in the association between immediate TSD and emodiversity. In addition, across groups, clients treated by therapists who used more immediate TSD on average showed greater increases in global emodiversity during treatment.

Conclusions

immediate TSD is associated with clients' ability to experience rich and diverse emotional experiences across different disorders. The theoretical and clinical implications of these findings are discussed.

目的：尽管情绪多样性（又称情感多样性）具有重要的临床意义，但对影响这一概念的治疗干预措施的研究却十分有限。在本研究中，我们研究了治疗师即时自我披露（TSD）与情绪多样性之间的关系，这两个诊断群体往往会遇到情绪方面的困难：精神分裂症患者和情绪障碍患者（即抑郁和/或焦虑）：样本包括在大学诊所接受 45 名治疗师治疗的 74 名客户（37 名被诊断为精神分裂症，37 名患有情感障碍）。每次治疗后，求助者都会自我报告情绪，治疗师也会在治疗过程中完成对其即时 TSD 频率和中心性的测量：结果：纵向多层次模型显示，在客户内部和客户之间，即时 TSD 与客户的总体情绪多样性呈正相关，在客户之间，即时 TSD 与客户的负面情绪多样性也呈正相关。此外，情感障碍患者和精神分裂症患者在即时 TSD 与情感多样性之间的关系上没有差异。此外，在不同组别中，由平均使用更多即时TSD的治疗师治疗的患者在治疗过程中表现出更大的全球情感多样性增长。结论：即时TSD与患者在不同障碍中体验丰富多样的情感体验的能力有关。本文讨论了这些发现的理论和临床意义。

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引用次数: 0

Experiential avoidance as a mediator of risk factors for higher order internalizing psychopathology in the perinatal period 体验性回避是围产期高阶内在化精神病理学风险因素的中介。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-24 DOI: 10.1002/jclp.23644

Michelle L. Miller, Lily J. Jiang, Michael W. O'Hara

Objectives

Perinatal psychopathology can be damaging. This study examined the strength of the associations between risk factors and all perinatal mood and anxiety disorder symptoms while assessing the mediating effect of experiential avoidance.

Method

Participants (N = 246) completed assessments during pregnancy (28–32 weeks) and the postpartum (6–8 weeks). Structural equation modeling (SEM) was used to examine associations between risk factors and latent factors: distress (composed of depression, generalized anxiety, irritability, and panic symptoms); fear (social anxiety, agoraphobia, specific phobia, and obsessive-compulsive); and bipolar (mania and obsessive-compulsive).

Results

During pregnancy, past psychiatric history, anxiety sensitivity, maladaptive coping, and age were significant risk factors. In the postpartum, negative maternal attitudes and past psychiatric history were only risk factors for symptoms that composed distress. Experiential avoidance mediated the relation between maladaptive coping and symptoms that composed fear.

Conclusion

It is important to assess for psychological risk factors starting in pregnancy. This study identified critical risk factors that are associated with the underlying commonality among perinatal mood and anxiety symptoms. Some of the risk factors as well as the mediator are malleable (negative maternal attitudes, experiential avoidance), creating new possibilities for prevention and treatment of perinatal mood and anxiety disorder symptoms.

目的：围产期精神病理学可能会造成伤害。本研究考察了风险因素与所有围产期情绪和焦虑障碍症状之间的关联强度，同时评估了体验性回避的中介效应：方法：参与者（N = 246）在孕期（28-32 周）和产后（6-8 周）完成评估。采用结构方程建模（SEM）来研究风险因素与潜在因素之间的关联：痛苦（包括抑郁、广泛性焦虑、易怒和恐慌症状）；恐惧（社交焦虑、广场恐惧症、特殊恐惧症和强迫症）；双相情感障碍（躁狂症和强迫症）：怀孕期间，既往精神病史、焦虑敏感性、适应不良的应对方式和年龄是重要的风险因素。在产后，产妇的消极态度和既往精神病史只是构成痛苦症状的风险因素。体验性回避在适应不良的应对方式和恐惧症状之间起到了中介作用：从孕期开始评估心理风险因素非常重要。本研究发现了与围产期情绪和焦虑症状潜在共性相关的关键风险因素。其中一些风险因素和中介因素具有可塑性（消极的母性态度、经验性回避），为围产期情绪和焦虑障碍症状的预防和治疗提供了新的可能性。

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引用次数: 0

The association of childhood trauma with suicidality in adult psychiatric patients: The mediating role of NSSI and the moderating role of self-esteem 童年创伤与成年精神病患者自杀倾向的关联：NSSI的中介作用和自尊的调节作用。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-24 DOI: 10.1002/jclp.23646

Jing Zhou, Tao Hu, Shuang Xue, Zaiquan Dong, Wanjie Tang

Background

The contribution of specific childhood trauma subtypes to suicidal thoughts and the associated mechanisms remains unclear, particularly in psychiatric patients.

Methods

Face-to-face interviews were conducted with 449 psychiatric patients aged 18–73. Childhood trauma, self-esteem, nonsuicidal self-injury (NSSI), and suicidality were assessed retrospectively. Regression and moderated mediation model were employed to examine these relationships.

Results

Emotional and sexual abuse were independently associated with suicidality. Female patients reported higher levels of emotional and sexual abuse, lower self-esteem, and a heightened risk of suicide. Self-esteem moderated the links between childhood trauma and NSSI, as well as between NSSI and suicidality. NSSI served as a mediator between childhood trauma and suicidality.

Conclusions

Suicide prevention in mentally ill patients should involve targeted programs addressing specific childhood trauma. Additionally, psychological interventions to enhance self-esteem and assist individuals engaging in NSSI behavior are crucial.

背景：特定童年创伤亚型对自杀想法的影响及其相关机制仍不清楚，尤其是在精神病患者中：方法：对 449 名 18-73 岁的精神病患者进行了面对面访谈。对童年创伤、自尊、非自杀性自伤（NSSI）和自杀倾向进行了回顾性评估。研究采用回归和调节中介模型来检验这些关系：结果：情感虐待和性虐待与自杀行为有独立的关联。女性患者的情感虐待和性虐待程度较高，自尊心较低，自杀风险较高。自尊调节了童年创伤与非自杀性行为之间的联系，以及非自杀性行为与自杀倾向之间的联系。NSSI是童年创伤与自杀倾向之间的中介因素：结论：预防精神病患者自杀应针对特定的童年创伤开展有针对性的计划。此外，采取心理干预措施以增强自尊和帮助有 NSSI 行为的人也至关重要。

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引用次数: 0

Change motivation and mindfulness in individual psychotherapy: Examining a sample of adult outpatients with depression and/or anxiety 个体心理治疗中的改变动机和正念：研究抑郁症和/或焦虑症成人门诊患者样本。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-20 DOI: 10.1002/jclp.23645

Ines Baumann, Julia Kalmar, Elena Gruber, Paul Blanck, Eva Vonderlin, Thomas Heidenreich, Johannes Mander

Objectives

Existing literature has demonstrated that both motivation to change and mindfulness are associated with therapy outcomes in samples with mental disorders. Between the constructs of mindfulness and motivation to change occurs some theoretical-related and empirical overlap. However, it is still little known about the association of these two constructs. For this reason, we investigated the relationship of motivation to change and mindfulness in a sample of 116 adult outpatients with a primary diagnosis of depression or anxiety.

Methods

An outpatient sample of 116 depressive and/or anxious patients filled in the German short version of the University of Rhode Island Change Assessment (URICA-S) and the German version of the Kentucky Inventory of Mindfulness Skills (KIMS) before the start of cognitive-behavioral therapy (pre) and after the 25th cognitive-behavioral therapy session (post). To assess the association between change motivation and mindfulness, we calculated correlations, hierarchical regressions and cross-lagged panel models (CLPM).

Results

Several positive and negative significant correlations at the premeasurement time point, at the postmeasurement time point, and over time (from pre to postmeasurement time point) demonstrated a relation between the KIMS and the URICA-S. Hierarchical regression analyses and CLPM pointed towards relations between mindfulness and change motivation over time and in both directions for some subscales of the KIMS and the URICA-S.

Conclusion

A bidirectional relation between motivation to change and mindfulness was supported in our naturalistic psychotherapy setting for several subscales. For a better understanding of the interconnection between the two constructs, future research should focus on the application of interventions to improve either mindfulness or motivation to change in psychotherapy. Additionally, the interactional effects of mindfulness and change motivation on therapy outcomes should be investigated.

研究目的现有文献表明，改变动机和正念都与精神障碍样本的治疗效果有关。在正念和改变动机这两个概念之间，存在一些理论上和经验上的重叠。然而，人们对这两个概念之间的关联仍然知之甚少。为此，我们对116名主要诊断为抑郁症或焦虑症的成年门诊患者进行了调查，以了解改变动机与正念之间的关系：方法：116 名抑郁症和/或焦虑症门诊患者在认知行为疗法开始前（前）和第 25 次认知行为疗法结束后（后），填写了罗德岛大学变化评估（URICA-S）德文简版和肯塔基正念技能量表（KIMS）德文版。为了评估改变动机与正念之间的关联，我们计算了相关性、分层回归和交叉滞后面板模型（CLPM）：结果：在测量前时间点、测量后时间点以及随着时间的推移（从测量前到测量后时间点），KIMS和URICA-S之间存在一些正相关和负相关。层次回归分析和CLPM表明，在KIMS和URICA-S的某些分量表中，正念与改变动机之间存在双向关系：结论：在我们的自然心理治疗环境中，改变动机与正念之间的双向关系在几个分量表中得到了支持。为了更好地理解这两个概念之间的相互联系，未来的研究应侧重于在心理治疗中应用干预措施来提高正念或改变动机。此外，还应该研究正念和改变动机对治疗结果的交互影响。

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引用次数: 0

A preliminary investigation of the mediating roles of self-compassion and emotion dysregulation in the relationship between maladaptive perfectionism and obsessive-compulsive behaviors 关于自我同情和情绪失调在适应不良的完美主义与强迫行为之间的中介作用的初步调查。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-18 DOI: 10.1002/jclp.23640

Alyssa Sher, Bethany M. Wootton, Josephine Paparo

Introduction

Recent research has highlighted an association between maladaptive perfectionism and obsessive-compulsive disorder (OCD). However, the mechanisms underlying this relationship are not well understood. The primary aim of this preliminary study was to investigate whether self-compassion and emotion dysregulation independently mediated this relationship. The secondary aim was to determine whether serial mediation existed between these factors. Whether these relations held for overall obsessive-compulsive (OC) symptoms, versus distinct dimensions of OCD, was also of interest.

Method

Three hundred and ninety-two university students (M_age = 21.81, SD = 8.01), predominantly female (79.18%), participated in an online questionnaire that included a dimensional measure of OCD. Scales assessing maladaptive perfectionism, self-compassion, emotion dysregulation, and negative emotion states were also included.

Results

Greater maladaptive perfectionism was related to more severe OCD. Emotion dysregulation, but not self-compassion, independently mediated this relationship. A serial mediation relationship was found, in that greater maladaptive perfectionism was associated with lower self-compassion, which was linked to greater emotion dysregulation, and in turn related to more severe OC behaviors. In addition, distinct patterns emerged for separate OC dimensions.

Conclusions

These findings highlight emotion regulation and self-compassion as potential targets for OCD prevention, especially in individuals with symptoms in the symmetry and unacceptable thoughts dimensions.

简介最近的研究强调了适应不良的完美主义与强迫症（OCD）之间的关系。然而，人们对这种关系的内在机制还不甚了解。这项初步研究的主要目的是调查自我同情和情绪失调是否独立地调解了这种关系。次要目的是确定这些因素之间是否存在序列中介。这些关系是否适用于整体强迫症（OC）症状，还是适用于强迫症的不同维度，也是研究的兴趣所在：三百九十二名大学生（年龄=21.81，标准差=8.01）参与了在线问卷调查，其中包括强迫症的维度测量。问卷还包括评估适应不良完美主义、自我同情、情绪失调和消极情绪状态的量表：结果：更严重的适应性完美主义与更严重的强迫症有关。情绪失调（而非自我同情）独立地调节了这种关系。研究还发现了一种序列中介关系，即适应不良的完美主义程度越高，自我同情程度越低，而自我同情程度越低，情绪失调程度越高，进而导致强迫症行为越严重。此外，不同的 OC 维度出现了不同的模式：这些研究结果突出表明，情绪调节和自我同情是预防强迫症的潜在目标，尤其是对有对称性和不可接受想法症状的人而言。

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引用次数: 0

Cross-cultural adaptation and clinical application of the Perth Empathy Scale 珀斯移情量表的跨文化适应和临床应用。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-18 DOI: 10.1002/jclp.23643

Qingying Ye, Yang Liu, Siyu Zhang, Ke Ni, Sufen Fu, Wenjie Dou, Wei Wei, Bao-Ming Li, David A. Preece, Xin-Lu Cai

Objective

Alterations of empathy have been observed in patients with various mental disorders. The Perth Empathy Scale (PES) was recently developed to measure a multidimensional construct of empathy across positive and negative emotions. However, its psychometric properties and clinical applications have not been examined in the Chinese context.

Methods

The Chinese version of the PES was developed and administered to a large Chinese sample (n = 1090). Factor structure, internal consistency, test–retest reliability, and convergent, discriminant, as well as concurrent validity were examined. Moreover, 50 patients with major depressive disorder (MDD) and 50 healthy controls were recruited to explore the clinical utility of the PES.

Results

Confirmatory factor analyses supported a theoretically congruent three-factor structure of empathy, namely Cognitive Empathy, Negative Affective Empathy and Positive Affective Empathy. The PES showed good to excellent internal consistency reliability, good convergent and discriminant validity, acceptable concurrent validity, and moderate to high test–retest reliability. Patients with MDD had significantly lower PES scores compared to healthy controls. Linear discriminant function comprised of the three factors correctly differentiated 71% of participants, which further verified the clinical utility of the PES.

Conclusions

Our findings indicated that the Chinese version of the PES is a reliable and valid instrument to measure cognitive and affective empathy across negative and positive emotions, and could therefore be used in both research and clinical practice.

目的在患有各种精神障碍的患者身上，我们观察到了移情能力的改变。珀斯移情量表（Perth Empathy Scale, PES）是最近开发的一种测量积极情绪和消极情绪的多维移情量表。然而，该量表的心理测量学特性和临床应用尚未在中国进行研究：方法：开发了中文版移情测验，并对大量中国样本（n = 1090）进行了施测。方法：我们开发了中文版 PES，并对大量中国样本（n = 1090）进行了施测，考察了因子结构、内部一致性、重测信度、收敛效度、区分效度和并发效度。此外，还招募了 50 名重度抑郁障碍（MDD）患者和 50 名健康对照者，以探讨 PES 的临床实用性：确认性因子分析支持理论上一致的移情三因子结构，即认知移情、消极情感移情和积极情感移情。移情测验显示出良好至卓越的内部一致性信度、良好的收敛效度和区分效度、可接受的并发效度以及中度至高度的测试-再测信度。与健康对照组相比，MDD 患者的 PES 分数明显较低。由三个因子组成的线性判别函数能正确区分71%的参与者，这进一步验证了PES的临床实用性：我们的研究结果表明，中文版PES是一种可靠且有效的工具，可用于测量消极和积极情绪中的认知和情感移情，因此可用于研究和临床实践。

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引用次数: 0

Different factors identified by stakeholder group for barriers and facilitators to measurement-based care implementation in behavioral health clinics 利益相关者小组确定的行为健康诊所实施基于测量的护理的障碍和促进因素。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-17 DOI: 10.1002/jclp.23639

Amy M. Yule, Soo Jeong Youn, Kimberlye Dean, Diana W. Woodward, Elizabeth S. Firmin, Joanna Kramer, Mira Stone, Luana Marques, Timothy E. Wilens

Introduction

Despite the benefits of measurement-based care (MBC) in the behavioral health setting, there have been difficulties in implementation and low saturation. Although barriers and facilitators to MBC implementation have been identified, research has generally only included the perspective of one stakeholder group. The current study aims to examine the similarities and differences—by stakeholder group—in the identified barriers to and facilitators of implementing MBC in the behavioral health setting.

Method

A purposeful sampling approach was used to recruit and conduct interviews and focus groups with stakeholders (clinicians, clinic leaders, and administrative staff) from four behavioral health clinics at an academic medical center that is part of a larger healthcare system. The data coding process included a directed content analytic approach whereby the coding team used an iterative process to analyze deidentified transcripts starting with a codebook based on the Consolidated Framework for Implementation Research (CFIR) constructs.

Results

A total of 31 clinicians, 11 clinic leaders, and 8 administrative staff participated in the interviews and focus groups. There was convergence among all stakeholder regarding which CFIR constructs were identified as barriers and facilitators, but there were differences in the specific thematic factors identified by stakeholders as barriers and facilitators within each of these implementation constructs. The barriers and facilitators that stakeholders identified within each CFIR construct were often connected to their specific role in implementing MBC.

Conclusion

Collecting information on barriers and facilitators to MBC implementation from the multiple stakeholders involved in the process may enhance successful implementation of MBC given the variation between groups in identified thematic factors. Administrative staff perspectives, which have not been reported in the literature, may be of particular importance in planning for successful MBC implementation.

导言：尽管基于测量的护理（MBC）在行为健康领域有诸多益处，但在实施过程中却困难重重，饱和度较低。虽然已经确定了实施 MBC 的障碍和促进因素，但研究通常只包括一个利益相关群体的观点。本研究旨在探讨各利益相关群体在行为健康环境中实施 MBC 的障碍和促进因素的异同：方法：采用有目的的抽样方法，对一家学术医疗中心的四家行为健康诊所的利益相关者（临床医生、诊所领导和行政人员）进行招募，并与他们进行访谈和焦点小组讨论，该学术医疗中心是大型医疗保健系统的一部分。数据编码过程包括定向内容分析法，即编码小组使用迭代过程分析去身份化的记录誊本，从基于实施研究综合框架（CFIR）构建的编码手册开始：共有 31 名临床医生、11 名诊所领导和 8 名行政人员参加了访谈和焦点小组。所有利益相关者在哪些 CFIR 构架被认定为障碍和促进因素方面意见一致，但在每个实施构架中，利益相关者认定为障碍和促进因素的具体主题因素存在差异。利益相关者在每个 CFIR 构架中确定的障碍和促进因素往往与他们在实施流式细胞生殖技术中的具体角色有关：结论：从参与这一过程的多个利益相关者那里收集有关实施乳糜泻的障碍和促进因素的信息，可能会促进乳糜泻的成功实施，因为不同群体在确定的主题因素方面存在差异。行政人员的观点在文献中未见报道，可能对计划成功实施乳糜泻尤为重要。

{"title":"Different factors identified by stakeholder group for barriers and facilitators to measurement-based care implementation in behavioral health clinics","authors":"Amy M. Yule, Soo Jeong Youn, Kimberlye Dean, Diana W. Woodward, Elizabeth S. Firmin, Joanna Kramer, Mira Stone, Luana Marques, Timothy E. Wilens","doi":"10.1002/jclp.23639","DOIUrl":"10.1002/jclp.23639","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Despite the benefits of measurement-based care (MBC) in the behavioral health setting, there have been difficulties in implementation and low saturation. Although barriers and facilitators to MBC implementation have been identified, research has generally only included the perspective of one stakeholder group. The current study aims to examine the similarities and differences—by stakeholder group—in the identified barriers to and facilitators of implementing MBC in the behavioral health setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A purposeful sampling approach was used to recruit and conduct interviews and focus groups with stakeholders (clinicians, clinic leaders, and administrative staff) from four behavioral health clinics at an academic medical center that is part of a larger healthcare system. The data coding process included a directed content analytic approach whereby the coding team used an iterative process to analyze deidentified transcripts starting with a codebook based on the Consolidated Framework for Implementation Research (CFIR) constructs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 31 clinicians, 11 clinic leaders, and 8 administrative staff participated in the interviews and focus groups. There was convergence among all stakeholder regarding which CFIR constructs were identified as barriers and facilitators, but there were differences in the specific thematic factors identified by stakeholders as barriers and facilitators within each of these implementation constructs. The barriers and facilitators that stakeholders identified within each CFIR construct were often connected to their specific role in implementing MBC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Collecting information on barriers and facilitators to MBC implementation from the multiple stakeholders involved in the process may enhance successful implementation of MBC given the variation between groups in identified thematic factors. Administrative staff perspectives, which have not been reported in the literature, may be of particular importance in planning for successful MBC implementation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Preliminary investigation of objective and subjective experiences of relatives of individuals with hoarding behaviors 对有囤积行为者亲属的客观和主观体验的初步调查。

IF 3 3区心理学 Q1 Arts and Humanities

Journal of Clinical Psychology

Pub Date : 2024-01-12 DOI: 10.1002/jclp.23641

Tina L. Mayes, Mary E. Dozier, Eliza J. Davidson, Irwin F. Rosenfarb, Christiana Bratiotis, Catherine R. Ayers

Objective

Families of individuals with hoarding symptoms report substantial burden; however, there has been no investigation of potential positive experiences. The objective of this study was to examine the experiences reported by individuals with a relative with elevated hoarding symptoms using a cross-sectional design. The current investigation expands on the literature in this area by incorporating a detailed interview of experiences in conjunction with validated measures of hoarding symptomology.

Methods

Twenty-nine adults with relatives with elevated hoarding symptoms completed self-report measures of hoarding severity for themselves and their relative and a clinician-administered assessment of their experiences with their family member with hoarding symptoms.

Results

Participants endorsed significant burden across a range of areas, including permanent changes in their daily routine. The majority (93%) of participants reported at least one positive experience, with 69% endorsing companionship as a benefit of the relationship. Greater symptom severity of the relative with hoarding symptoms was associated with greater subjective burden and decreased positive experiences.

Conclusion

Our results add further evidence to the potential for interpersonal psychotherapy to lead to a reduction in hoarding symptomology.

目的：据报告，有囤积症状的人的家庭承受着巨大的负担；然而，却没有对潜在的积极体验进行调查。本研究的目的是采用横断面设计，调查有亲属囤积症状加重的人所报告的经历。本次调查将详细的经历访谈与经过验证的囤积症状测量方法结合起来，从而扩展了这一领域的文献：29名有亲属有严重囤积症状的成年人完成了对自己和亲属囤积严重程度的自我报告测量，以及由临床医生对他们与有囤积症状的家庭成员的经历进行的评估：结果：参与者认为自己在各方面都承受着巨大的负担，包括日常生活的永久性改变。大多数参与者（93%）都报告了至少一次积极的经历，其中 69% 的人认为陪伴是这种关系带来的好处。有囤积症状的亲属症状严重程度越高，主观负担越重，积极体验越少：我们的研究结果进一步证明，人际心理治疗有可能减轻囤积症状。

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引用次数: 0