Journal of Clinical Psychology in Medical Settings最新文献

This study aimed to determine whether illness behavior in women with cardiovascular disease varied based on specific sociodemographic characteristics and to explore the effect of health anxiety and cyberchondria on the level of illness behavior. A descriptive and cross-sectional study was conducted with 255 women with cardiovascular disease who applied to the cardiology outpatient clinic of a state hospital in Turkey between June and August 2023. Data were collected using personal information forms, such as the Scale for the Assessment of Illness Behavior, Health Anxiety Scale, and Cyberchondria Severity Scale. The data were analyzed using ANOVA, t-test, Pearson correlation, and hierarchical linear regression. The study determined that the participants' illness behavior levels differed according to some sociodemographic characteristics (p < .05). Hierarchical regression analysis revealed that education above university level (β = - 0.276), rhythm disorder diagnosis (β = - 0.100), health anxiety (β = - 0.441), and cyberchondria (β = - 0.141) were predictors of illness behavior (p < .05). These variables explained 40% of the variance in illness behavior. Sociodemographic characteristics, health anxiety, and cyberchondria should be considered when planning health services for women with heart disease to reduce abnormal illness behavior.

The health disparities experienced by gender-diverse youth have not yet been adequately examined within specific pediatric populations, such as chronic pain. Furthermore, such disparities need to be examined within the context of the COVID-19 global pandemic, a time when clinicians observed an increase in gender-diverse patients seeking care for pediatric chronic pain. The goal of this study is to better understand the clinical pain-related and psychosocial presentation of gender-diverse youth who sought treatment for chronic pain prior to and following the start of the COVID-19 pandemic. Deidentified intake data were identified using the data repository of an outpatient multidisciplinary pain clinic at a tertiary hospital between December 2017 and November 2023. Descriptive data and the comparison of the gender-diverse patients presenting before and following the start of the COVID-19 pandemic are presented. Gender-diverse participants with pediatric chronic pain generally reported psychological functioning within the "moderate" range and pain-related measures in the "elevated" range. No significant differences were found between youth presenting for care prior to and following the start of the COVID-19 pandemic. 92% of the sample was seen following the start of the pandemic. Far more gender-diverse participants sought treatment for chronic pain following the start of the pandemic. More research, including qualitative data about patient experiences, is needed to ensure pain providers are offering affirming care.

Individuals with inflammatory bowel disease (IBD) often experience stigmatization. Disease disclosure has been associated with lower enacted stigma (i.e., engaging in discriminatory treatment), but minimal research has investigated IBD disclosure and enacted stigma experimentally. The present study's aim was to examine the effect of IBD disclosure on enacted stigma in a vignette paradigm. Participants included 244 adults from the United States who were randomized into one of three vignette groups: disclosure of IBD, non-disclosure of IBD, and control (no IBD). Vignettes in both IBD groups depicted a person with frequent bowel movements. Each vignette group contained a workplace, social, and recreational setting. Participants completed measures of enacted stigma, IBD knowledge, and IBD familiarity after reading the vignettes. Participants reported greater propensity to enact stigma in response to vignettes depicting non-disclosure of IBD than vignettes depicting disclosure of IBD or no IBD and for vignettes depicting the recreational setting compared to the workplace and social setting. Enacted stigma was negatively correlated with IBD knowledge. Disease disclosure may result in decreased stigma from others. Furthermore, educating the public about IBD may be beneficial for reducing enacted stigma towards individuals with IBD.

Psychologists have unique and valuable skill sets that are increasingly recognized and desired for leadership positions within academic health centers (AHCs; Kirch and Ast, in J Clin Psychol Med Settings 24:86-91, 2017). Despite this trend, there are not many specialized leadership training opportunities for psychologists employed at AHCs. The Leadership for Psychologists in Academic Health Centers (L-PAHC) Conference was conceptualized and implemented as a virtual conference offering to address this professional development need. This paper details the conference overview, target audience, content, and speakers, scheduling and implementation, and evaluation and feedback from the inaugural L-PAHC Virtual Conference. The conference was well attended (n = 97), with a range of career stages represented (41% early, 45% mid-career, 14% late career). Attendees included APAHC members (76.3%) and non-members, most of whom were already serving in leadership roles (86%). Interactive conference engagement was high, and feedback was generally positive and indicative of attainment of conference training goals (M = 4.85 of possible 5; SD = 0.36). All respondents recommended that L-PAHC should be held again and most reported that they would return. The L-PAHC Conference was well received and highly rated for addressing leadership training needs for psychologists in AHCs. Specific feedback and recommendations for future leadership training are provided.

Research has identified that individuals with chronic pain comfort eat in response to their pain, however, little is known about the function that comfort eating serves for chronic pain patients. Given the synergistic relationship between higher body weight and chronic pain, it is important to further understand the role and impact of eating behaviours, such as comfort eating, for individuals with chronic pain. This study aimed to investigate the perceived function of pain-induced comfort eating for chronic pain sufferers. Adult participants (N = 141) with chronic pain were recruited through online advertisements. Participants completed self-report questions on an online survey platform. Over two-thirds of the sample identified with engaging in comfort eating in response to chronic pain flare-ups. Results revealed that the most endorsed function of pain-induced comfort eating was 'to have a pleasant experience' (51.8%), followed by 'distraction' (49.6%) and 'to reduce emotions' (39%). This study provides further evidence that comfort eating is common amongst individuals with chronic pain and sheds light on the perceived function of comfort eating for those who are managing chronic pain. Given the potential impact on outcomes for chronic pain patients, future studies should further investigate the relationship between comfort eating and chronic pain.

Consultation-liaison (CL) psychology is a subspecialty of clinical health psychology primarily focused on providing both consultation and liaison services in the medical inpatient setting to benefit patients, families, and/or healthcare providers. The goals of this paper are threefold. The first is to educate clinicians about the scope and functions of traditional CL psychology services. The second is to identify contemporary areas of growth and development in CL psychology services. The third is to discuss practical recommendations and lessons we have learned throughout the process of establishing and sustaining CL psychology services at our organization. Additionally, we discuss the future of CL psychology particularly with regard to the dearth of CL psychology research.

Integrated Care (IC) models have increased, but the current mechanisms to analyze the efficacy and fidelity of behavioral interventions within IC models are limited. A mixed methods concurrent process evaluation was used within the context of a randomized clinical trial to assess intervention fidelity for a Solution-focused brief therapy (SFBT) intervention implemented within an IC model. A qualitative content analysis was conducted to develop a participant survey and charting template for the SFBT intervention. Quantitative data were collected through (1) participant surveys, (2) interventionist self-report surveys, and (3) data from participant charts. Descriptive statistics and repeated measures ANOVA were used to analyze quantitative data. Data triangulation was used to present findings. The average SFBT intervention was 24.6 min and 33/34 (97%) of participants in the intervention group completed all 3 SFBT sessions. Most visits were weekly follow-ups (53.9%), followed by biweekly (28.2%) and then 3-week follow-ups (5.1%). The interventionist used session templates and a self-report checklist to monitor intervention integrity. Those in the intervention group had increased growth regarding Solution-focused core constructs (a scale created by the authors) when compared to the treatment-as-usual group (F [1, 64] = 22.7, p < 0.001): mean difference, 15.1 [95% CI 11.2 to 18.9]. Our study examined fidelity comprehensively and provides a foundation for studies interested in fidelity monitoring of SFBT interventions as well as behavioral interventions within IC models. Trial Registration: The study was pre-registered at ClinicalTrials.gov Identifier: NCT05838222 on 01/05/2023.

Chronic orofacial pain (COFP; i.e., musculoskeletal, neurovascular, or neuropathic pain in the face, mouth, or jaw that lasts for at least 3 months) is prevalent and debilitating. Chronic pain and substance use frequently co-occur, and individuals with COFP face unique challenges (e.g., uncertainty about future pain episodes, difficulty eating, drinking and talking) that may influence substance use. Nevertheless, no work to date has comprehensively assessed substance use among individuals with COFP. Here, we examine the prevalence of substance use among adults with COFP. Participants included 246 adults with COFP who were recruited from the Facial Pain Association. Participants completed an online survey that included a comprehensive assessment of substance use (i.e., Alcohol, Smoking, and Substance Involvement Screening Test) between December 2023 and January 2024. Most participants (82.9%) have used ≥ 1 substance in their lifetime, over two-thirds (68.3%) currently use ≥ 1 substance, and nearly half (43.5%) engage in risky substance use. The most commonly used substances were alcohol, tobacco, cannabis, opioids, and sedatives. This study presents a comprehensive assessment of substance use among adults with COFP. Findings extend prior work documenting high rates of substance use among individuals with chronic pain to a sample of adults with COFP. Given that substance use can exacerbate chronic pain and interfere with pain management, findings underscore the importance of assessing and addressing substance use among individuals with COFP.

Chronic pain acceptance has been identified as a crucial determinant of functioning among individuals living with chronic pain. However, research examining the relationship between chronic pain acceptance and pain-related disability has revealed variability across studies. The aims of this meta-analysis were to synthesize associations between chronic pain acceptance and pain-related disability, and test the moderating influence of pain characteristics, demographic factors, and methodological variables. Searches of PubMed and PsycINFO electronic databases located 24 studies (N = 6072) reporting correlations between chronic pain acceptance and pain-related disability. Meta-analytic calculations were performed using random effects models. Results indicated a negative association between chronic pain acceptance and pain-related disability that can be characterized as moderate in magnitude (r = -.45) and was stable across pain characteristics and demographic factors. Moderator analyses suggested the association between chronic pain acceptance and pain-related disability may be sensitive to the measures used to assess these constructs. These findings underscore the role of chronic pain acceptance in pain-related disability and reinforce the clinical significance of acceptance-based approaches in enhancing functional outcomes among chronic pain patients.