Pub Date : 2022-08-07DOI: 10.1080/00050067.2022.2093625
Katey L. Davies, Sarah M. Hanley, Navjot Bhullar, Bethany M. Wootton
ABSTRACT Objective Body dysmorphic disorder (BDD) is a chronic mental health condition with symptoms typically emerging in early adolescence. Despite the onset in adolescence, most self-report BDD severity measures have not been validated with adolescent and young adult samples. The Dysmorphic Concerns Questionnaire (DCQ) was developed to assess dysmorphic concern and to date has only been psychometrically validated in adult samples. The aim of the current study was to examine the psychometric properties of the DCQ to ensure it is suitable for clinical use with adolescent and young adult patients. Method One hundred and ninety-five individuals aged 12–21 years (M = 18.25, SD = 2.51; 59% female) participated in the study. Results The DCQ demonstrated a unidimensional construct [χ2 (14) = 24.59, p = .04; RMSEA =.06, SRMR =.02 and CFI =.99], with good internal consistency (α = .88). The DCQ also showed high convergent validity with measures of BDD symptomatology, however, divergent validity was not supported in this study. Known-groups validity of the DCQ was established, with a large effect size (d = 1.28). Conclusions These findings indicate that the DCQ is a brief, reliable, and valid measure that is appropriate to screen for symptoms of BDD in adolescent and young adults and to monitor symptom change during treatment. KEY POINTS What is already known about this topic: Body dysmorphic disorder is a mental health condition which results in significant functional impairment. The Dysmorphic Concerns Questionnaire (DCQ) is a psychometrically sound measure of dysmorphic concern. Body dysmorphic disorder commonly occurs in adolescence. What this topic adds: (1) This is the first study to evaluate the psychometric properties of the DCQ in a sample of adolescents and young adults. (2) The psychometric properties of the DCQ are similar in adult and adolescent/young adult samples. (3) The DCQ is appropriate to use with adolescent and young adult patients.
{"title":"A psychometric validation of the Dysmorphic Concerns Questionnaire (DCQ) in adolescents and young adults","authors":"Katey L. Davies, Sarah M. Hanley, Navjot Bhullar, Bethany M. Wootton","doi":"10.1080/00050067.2022.2093625","DOIUrl":"https://doi.org/10.1080/00050067.2022.2093625","url":null,"abstract":"ABSTRACT Objective Body dysmorphic disorder (BDD) is a chronic mental health condition with symptoms typically emerging in early adolescence. Despite the onset in adolescence, most self-report BDD severity measures have not been validated with adolescent and young adult samples. The Dysmorphic Concerns Questionnaire (DCQ) was developed to assess dysmorphic concern and to date has only been psychometrically validated in adult samples. The aim of the current study was to examine the psychometric properties of the DCQ to ensure it is suitable for clinical use with adolescent and young adult patients. Method One hundred and ninety-five individuals aged 12–21 years (M = 18.25, SD = 2.51; 59% female) participated in the study. Results The DCQ demonstrated a unidimensional construct [χ2 (14) = 24.59, p = .04; RMSEA =.06, SRMR =.02 and CFI =.99], with good internal consistency (α = .88). The DCQ also showed high convergent validity with measures of BDD symptomatology, however, divergent validity was not supported in this study. Known-groups validity of the DCQ was established, with a large effect size (d = 1.28). Conclusions These findings indicate that the DCQ is a brief, reliable, and valid measure that is appropriate to screen for symptoms of BDD in adolescent and young adults and to monitor symptom change during treatment. KEY POINTS What is already known about this topic: Body dysmorphic disorder is a mental health condition which results in significant functional impairment. The Dysmorphic Concerns Questionnaire (DCQ) is a psychometrically sound measure of dysmorphic concern. Body dysmorphic disorder commonly occurs in adolescence. What this topic adds: (1) This is the first study to evaluate the psychometric properties of the DCQ in a sample of adolescents and young adults. (2) The psychometric properties of the DCQ are similar in adult and adolescent/young adult samples. (3) The DCQ is appropriate to use with adolescent and young adult patients.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"280 - 289"},"PeriodicalIF":1.9,"publicationDate":"2022-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48477554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-05DOI: 10.1080/00050067.2022.2095891
Rosalyn B. Foo, H. Green
ABSTRACT Objective Little research has investigated professional identity in Australian clinical psychology postgraduate students. The current study examined potential predictors of professional identity for these students. Method Anonymous, self-report cross-sectional surveys for Australian postgraduate clinical psychology students were distributed via online survey links sent by their institution’s Program Director. Respondents reported professional identity, motivation, engagement, satisfaction with program, resilience, burnout, demographics, and enrolment type. Results Data from 77 respondents were analysed. Students reported an average 4.25/5 for sense of professional identity as a psychologist. Age, work experience, and stage of program were not associated with professional identity. In multivariate analyses, higher student satisfaction, lower burnout, and lower engagement with “student” aspects of postgraduate study were associated with stronger professional identity. Conclusions Levels of professional identity were relatively high and showed little influence of demographic variables. However, there is likely to be a reciprocal relationship between satisfaction with postgraduate study and professional identity for students, which would need to be evaluated in a different design to understand directions of association. Results also suggest that supporting postgraduate students in self-care and helping students to balance professional responsibilities and academic aspects of study are likely to assist in fostering postgraduates’ professional identity. KEY POINTS What is already known about this topic: Professional identity provides a sense of self in relation to membership of a specific profession. Students in health and social services professions, including psychology, have demonstrated emerging professional identities in their areas of study. In working professionals, professional identity has been found to be important for wellbeing and for relationships with colleagues and clients. What this paper adds: Professional identity amongst a sample of Australian postgraduate students in clinical psychology was independent of demographic variables such as age, gender, and previous work experience. Stronger professional identity in the current sample correlated with higher satisfaction with the program of study and lower level of burnout. In multivariate analysis, higher satisfaction with the program of study, lower burnout, and lower engagement with “academic” aspects of the program each independently predicted higher level of professional identity. From these cross-sectional findings, potential causal associations between predictors and professional identity remain to be clarified.
{"title":"Investigating professional identity formation of postgraduate clinical psychology students","authors":"Rosalyn B. Foo, H. Green","doi":"10.1080/00050067.2022.2095891","DOIUrl":"https://doi.org/10.1080/00050067.2022.2095891","url":null,"abstract":"ABSTRACT Objective Little research has investigated professional identity in Australian clinical psychology postgraduate students. The current study examined potential predictors of professional identity for these students. Method Anonymous, self-report cross-sectional surveys for Australian postgraduate clinical psychology students were distributed via online survey links sent by their institution’s Program Director. Respondents reported professional identity, motivation, engagement, satisfaction with program, resilience, burnout, demographics, and enrolment type. Results Data from 77 respondents were analysed. Students reported an average 4.25/5 for sense of professional identity as a psychologist. Age, work experience, and stage of program were not associated with professional identity. In multivariate analyses, higher student satisfaction, lower burnout, and lower engagement with “student” aspects of postgraduate study were associated with stronger professional identity. Conclusions Levels of professional identity were relatively high and showed little influence of demographic variables. However, there is likely to be a reciprocal relationship between satisfaction with postgraduate study and professional identity for students, which would need to be evaluated in a different design to understand directions of association. Results also suggest that supporting postgraduate students in self-care and helping students to balance professional responsibilities and academic aspects of study are likely to assist in fostering postgraduates’ professional identity. KEY POINTS What is already known about this topic: Professional identity provides a sense of self in relation to membership of a specific profession. Students in health and social services professions, including psychology, have demonstrated emerging professional identities in their areas of study. In working professionals, professional identity has been found to be important for wellbeing and for relationships with colleagues and clients. What this paper adds: Professional identity amongst a sample of Australian postgraduate students in clinical psychology was independent of demographic variables such as age, gender, and previous work experience. Stronger professional identity in the current sample correlated with higher satisfaction with the program of study and lower level of burnout. In multivariate analysis, higher satisfaction with the program of study, lower burnout, and lower engagement with “academic” aspects of the program each independently predicted higher level of professional identity. From these cross-sectional findings, potential causal associations between predictors and professional identity remain to be clarified.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"58 1","pages":"198 - 208"},"PeriodicalIF":1.9,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48633329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-04DOI: 10.1080/00050067.2022.2089542
A. D. Monsoon, D. Preece, R. Becerra
ABSTRACT Objective The process model of emotion regulation posits beliefs about emotions inform regulation processes, affecting mental-health outcomes. Beliefs that emotions can be controlled (i.e., control beliefs, underpinning traditional Cognitive Behaviour Therapy) and accepted (i.e., acceptance beliefs, underpinning Acceptance and Commitment Therapy), though seemingly opposing, are both associated with lower psychological distress. This study tested the hypothesis that emotion regulation flexibility (i.e., using and applying a range of regulation strategies at the right times) may mediate the relationship between these beliefs and distress. Method 177 participants (87.6% female, Mage = 42.7) completed the 21-item Depression, Anxiety and Stress Scale, the Emotion Belief Questionnaire-General Controllability Composite, and two measures developed for this study: the Emotion Belief Questionnaire-Acceptance Variant and Emotion Regulation Flexibility Questionnaire. Results Emotion regulation flexibility mediated the relationship between control and acceptance beliefs and distress, such that stronger control and acceptance beliefs were associated with lower distress via higher emotion regulation flexibility. Conclusions Our results are consistent with theorising that both control and acceptance beliefs are useful for mental health; these beliefs may inform usage of control or acceptance-based emotion regulation strategies, which may reduce distress levels if applied flexibly. These findings are discussed regarding corresponding therapeutic interventions. Key Points What is already known about this topic: (1) The process model of emotion regulation posits beliefs about emotions inform emotion regulation processes and mental health outcomes. (2) Control and Acceptance beliefs while seemingly opposing are both associated with lower psychological distress. (3) Emotion regulation flexibility is associated with lower psychological distress. What this topic adds: (1) Having both high control and acceptance beliefs is associated with lowered psychological distress via higher emotional regulation flexibility. (2) Flexibly shifting beliefs is associated with lowered psychological distress. (3) Inflexible controls beliefs is not associated with psychological distress, while Inflexible acceptance beliefs is associated with psychological distress.
{"title":"Control and acceptance beliefs about emotions: associations with psychological distress and the mediating role of emotion regulation flexibility","authors":"A. D. Monsoon, D. Preece, R. Becerra","doi":"10.1080/00050067.2022.2089542","DOIUrl":"https://doi.org/10.1080/00050067.2022.2089542","url":null,"abstract":"ABSTRACT Objective The process model of emotion regulation posits beliefs about emotions inform regulation processes, affecting mental-health outcomes. Beliefs that emotions can be controlled (i.e., control beliefs, underpinning traditional Cognitive Behaviour Therapy) and accepted (i.e., acceptance beliefs, underpinning Acceptance and Commitment Therapy), though seemingly opposing, are both associated with lower psychological distress. This study tested the hypothesis that emotion regulation flexibility (i.e., using and applying a range of regulation strategies at the right times) may mediate the relationship between these beliefs and distress. Method 177 participants (87.6% female, Mage = 42.7) completed the 21-item Depression, Anxiety and Stress Scale, the Emotion Belief Questionnaire-General Controllability Composite, and two measures developed for this study: the Emotion Belief Questionnaire-Acceptance Variant and Emotion Regulation Flexibility Questionnaire. Results Emotion regulation flexibility mediated the relationship between control and acceptance beliefs and distress, such that stronger control and acceptance beliefs were associated with lower distress via higher emotion regulation flexibility. Conclusions Our results are consistent with theorising that both control and acceptance beliefs are useful for mental health; these beliefs may inform usage of control or acceptance-based emotion regulation strategies, which may reduce distress levels if applied flexibly. These findings are discussed regarding corresponding therapeutic interventions. Key Points What is already known about this topic: (1) The process model of emotion regulation posits beliefs about emotions inform emotion regulation processes and mental health outcomes. (2) Control and Acceptance beliefs while seemingly opposing are both associated with lower psychological distress. (3) Emotion regulation flexibility is associated with lower psychological distress. What this topic adds: (1) Having both high control and acceptance beliefs is associated with lowered psychological distress via higher emotional regulation flexibility. (2) Flexibly shifting beliefs is associated with lowered psychological distress. (3) Inflexible controls beliefs is not associated with psychological distress, while Inflexible acceptance beliefs is associated with psychological distress.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"236 - 248"},"PeriodicalIF":1.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58727729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.1080/00050067.2022.2093624
Shane McIver, M. O’Shea, Bowman Nixon, Z. Seidler, S. Evans
ABSTRACT Objective Men’s engagement in mental health treatment significantly lags behind that of women, despite prevalence rates highlighting that poor mental health is a public health issue shared equally between them. As such, examination of complementary and alternative mental health approaches that might support men’s mental health is crucial. The aim of this study was to explore the benefits and barriers associated with ongoing yoga practice among men currently attending community-based yoga classes, with an emphasis on identifying mental health outcomes. Method Qualitative data was gathered through semi-structured interviews with 14 men practicing yoga and analysed using thematic analysis. Results Themes related to six main aspects, including: a) being the only man in a yoga class, b) perceiving deeper elements of the practice and c) yoga and healthy ageing. Conclusions Findings from this study extend upon existing research supporting lifestyle interventions as an efficacious mental health treatment approach and provide support for initiatives enabling greater access to yoga among men. Factors influencing adoption and ongoing engagement are discussed accordingly. KEY POINTS What is already known about this topic: Men experience substantial rates of mental illness, yet significant barriers remain for accessing and engaging with treatment options. As a lifestyle intervention with established benefits, yoga is a promising approach for supporting men’s mental health. The barriers and enablers to men adopting and maintaining a yoga practice are not well understood. What this topic adds: Benefits of combining improved flexibility and increasing mindfulness improved mental health in specific ways. Ongoing outcomes also led to self-discovery, serving as further motivation for maintaining regular practice. Participants noted yoga’s capacity to improve mental and physical health across the lifespan.
{"title":"“The only man on the mat”: yoga as a therapeutic pathway for men’s mental health","authors":"Shane McIver, M. O’Shea, Bowman Nixon, Z. Seidler, S. Evans","doi":"10.1080/00050067.2022.2093624","DOIUrl":"https://doi.org/10.1080/00050067.2022.2093624","url":null,"abstract":"ABSTRACT Objective Men’s engagement in mental health treatment significantly lags behind that of women, despite prevalence rates highlighting that poor mental health is a public health issue shared equally between them. As such, examination of complementary and alternative mental health approaches that might support men’s mental health is crucial. The aim of this study was to explore the benefits and barriers associated with ongoing yoga practice among men currently attending community-based yoga classes, with an emphasis on identifying mental health outcomes. Method Qualitative data was gathered through semi-structured interviews with 14 men practicing yoga and analysed using thematic analysis. Results Themes related to six main aspects, including: a) being the only man in a yoga class, b) perceiving deeper elements of the practice and c) yoga and healthy ageing. Conclusions Findings from this study extend upon existing research supporting lifestyle interventions as an efficacious mental health treatment approach and provide support for initiatives enabling greater access to yoga among men. Factors influencing adoption and ongoing engagement are discussed accordingly. KEY POINTS What is already known about this topic: Men experience substantial rates of mental illness, yet significant barriers remain for accessing and engaging with treatment options. As a lifestyle intervention with established benefits, yoga is a promising approach for supporting men’s mental health. The barriers and enablers to men adopting and maintaining a yoga practice are not well understood. What this topic adds: Benefits of combining improved flexibility and increasing mindfulness improved mental health in specific ways. Ongoing outcomes also led to self-discovery, serving as further motivation for maintaining regular practice. Participants noted yoga’s capacity to improve mental and physical health across the lifespan.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"271 - 279"},"PeriodicalIF":1.9,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44582360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-29DOI: 10.1080/00050067.2022.2089543
Shobhna D. Bag, C. Kilby, Jessica N. Kent, Joanne E Brooker, K. Sherman
ABSTRACT Objective Resilience and self-compassion are related, yet distinct, constructs that have each been separately associated with psychological wellbeing. This study aimed to examine the relative contribution of these constructs to psychological wellbeing simultaneously by investigating whether greater levels of resilience and self-compassion were associated with improved psychological wellbeing as represented by greater optimism, life satisfaction, and positive affect, and lower negative affect and psychological distress. Method Participants (N = 168) in this online cross-sectional study first completed a demographic survey. Following this, participants completed measures of resilience, self-compassion, optimism, life satisfaction, positive affect, negative affect, and psychological distress. Results Multiple linear regression analyses indicated that self-compassion and resilience both held a moderate-to-strong positive association with optimism and life satisfaction, and a moderate-to-strong negative association with depressive symptoms. Only self-compassion was associated with anxiety, stress, and negative affect, all with a moderate-to-strong negative effect. Only resilience was associated with positive affect. Here, a moderate-to-strong positive effect was observed. Conclusions Results suggested that self-compassion and resilience contribute to psychological wellbeing in different ways. This indicates that targeted interventions aimed at increasing self-compassion and resilience simultaneously may contribute to improvements in different components of wellbeing. KEY POINTS What is already known about this topic: Psychological wellbeing is associated with general health, psychological development, and longevity. Greater self-compassion and resilience are independently associated with greater wellbeing. Both self-compassion and resilience can be targeted through psychological interventions to promote wellbeing. What this topic adds: (1) Self-compassion and resilience, when considered together, do not uniquely relate to all aspects of psychological wellbeing. (2) Both self-compassion and resilience were uniquely related to some components of wellbeing (e.g., optimism). For other aspects of wellbeing (e.g., minimal symptoms of anxiety), only one of self-compassion or resilience was uniquely related to wellbeing. (3) There is now a need to examine the unique effect of manipulating self-compassion and resilience on wellbeing to confirm if these patterns of associations are indicative of early intervention effectiveness.
{"title":"Resilience, self-compassion, and indices of psychological wellbeing: a not so simple set of relationships","authors":"Shobhna D. Bag, C. Kilby, Jessica N. Kent, Joanne E Brooker, K. Sherman","doi":"10.1080/00050067.2022.2089543","DOIUrl":"https://doi.org/10.1080/00050067.2022.2089543","url":null,"abstract":"ABSTRACT Objective Resilience and self-compassion are related, yet distinct, constructs that have each been separately associated with psychological wellbeing. This study aimed to examine the relative contribution of these constructs to psychological wellbeing simultaneously by investigating whether greater levels of resilience and self-compassion were associated with improved psychological wellbeing as represented by greater optimism, life satisfaction, and positive affect, and lower negative affect and psychological distress. Method Participants (N = 168) in this online cross-sectional study first completed a demographic survey. Following this, participants completed measures of resilience, self-compassion, optimism, life satisfaction, positive affect, negative affect, and psychological distress. Results Multiple linear regression analyses indicated that self-compassion and resilience both held a moderate-to-strong positive association with optimism and life satisfaction, and a moderate-to-strong negative association with depressive symptoms. Only self-compassion was associated with anxiety, stress, and negative affect, all with a moderate-to-strong negative effect. Only resilience was associated with positive affect. Here, a moderate-to-strong positive effect was observed. Conclusions Results suggested that self-compassion and resilience contribute to psychological wellbeing in different ways. This indicates that targeted interventions aimed at increasing self-compassion and resilience simultaneously may contribute to improvements in different components of wellbeing. KEY POINTS What is already known about this topic: Psychological wellbeing is associated with general health, psychological development, and longevity. Greater self-compassion and resilience are independently associated with greater wellbeing. Both self-compassion and resilience can be targeted through psychological interventions to promote wellbeing. What this topic adds: (1) Self-compassion and resilience, when considered together, do not uniquely relate to all aspects of psychological wellbeing. (2) Both self-compassion and resilience were uniquely related to some components of wellbeing (e.g., optimism). For other aspects of wellbeing (e.g., minimal symptoms of anxiety), only one of self-compassion or resilience was uniquely related to wellbeing. (3) There is now a need to examine the unique effect of manipulating self-compassion and resilience on wellbeing to confirm if these patterns of associations are indicative of early intervention effectiveness.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"249 - 257"},"PeriodicalIF":1.9,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42775517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-29DOI: 10.1080/00050067.2022.2093623
T. Jones, J. Power, T. Jones, M. Pallotta-Chiarolli, N. Despott
ABSTRACT Objective This paper reports on a critical survivor-driven study exploring how Australian lesbian, gay, bisexual, transgender, intersex, queer and asexual (LGBTQA+) adults attempt recovery from religious Sexual Orientation and Gender Identity and Expression Change Efforts (SOGIECE), and what supports they find useful in this process. The study privileged the critical communal lens of self-titled survivors of perspectives through its reference group, and applied Bronfenbrenner’s psycho-social lens, in an effort to ensure research used by psychologists was for and with survivors rather than on them. Method Qualitative data on SOGIECE survivor experiences and perspectives was collected using two focus groups and interviews including a total of 35 Australian SOGIECE survivors aged 18+ years. Results Findings suggested that post-SOGIECE recoveries were more successful if survivors experience three provisions: people who are affirming with whom to be freely themselves – especially health and mental health practitioners, family and friends, and survivor support groups; considerable time and internal motivation to enable support to be effective; and conflicting aspects of identities and beliefs are reconciled in ways that foreground survivors’ autonomy in their reconstruction. Conclusions SOGIECE survivors need recovery plans that consider complexities at all levels of their ecology of development; and diversify their exposure to affirming supports and ideas at all levels. Mental health practitioners should be especially careful to foreground survivors’ autonomy in therapies, recalling that they likely experienced past abusive therapies/therapy dynamics. Key Points What is already known about this topic: People exposed to Sexual Orientation and Gender Identity and Expression Change Efforts (SOGIECE) are at increased risk for many mental health conditions. People exposed to SOGIECE are at increased risk of self-harm and suicide. SOGIECE survivors need distinct treatment considerations distinguishing ‘pathology’ from SOGIECE’s ‘negative effects’, and challenging past social conformity-drives. What this topic adds: SOGIECE survivors need community (re)building aid in their recovery confluent with their own faith goals and avoiding conformity with therapists’ (faith-negative/faith-positive) ideals. SOGIECE survivors need considerable time and different phases in recovery processes, to do developmental work discussing and reconciling dualities in identities, beliefs and social (re)engagements. Support approaches and resources closely aligned to SOGIECE survivors’ presented identities were emphasised for the initial recovery decision-making, these could later vary more across treatment.
{"title":"Supporting LGBTQA+ peoples’ recovery from sexual orientation and gender identity and expression change efforts","authors":"T. Jones, J. Power, T. Jones, M. Pallotta-Chiarolli, N. Despott","doi":"10.1080/00050067.2022.2093623","DOIUrl":"https://doi.org/10.1080/00050067.2022.2093623","url":null,"abstract":"ABSTRACT Objective This paper reports on a critical survivor-driven study exploring how Australian lesbian, gay, bisexual, transgender, intersex, queer and asexual (LGBTQA+) adults attempt recovery from religious Sexual Orientation and Gender Identity and Expression Change Efforts (SOGIECE), and what supports they find useful in this process. The study privileged the critical communal lens of self-titled survivors of perspectives through its reference group, and applied Bronfenbrenner’s psycho-social lens, in an effort to ensure research used by psychologists was for and with survivors rather than on them. Method Qualitative data on SOGIECE survivor experiences and perspectives was collected using two focus groups and interviews including a total of 35 Australian SOGIECE survivors aged 18+ years. Results Findings suggested that post-SOGIECE recoveries were more successful if survivors experience three provisions: people who are affirming with whom to be freely themselves – especially health and mental health practitioners, family and friends, and survivor support groups; considerable time and internal motivation to enable support to be effective; and conflicting aspects of identities and beliefs are reconciled in ways that foreground survivors’ autonomy in their reconstruction. Conclusions SOGIECE survivors need recovery plans that consider complexities at all levels of their ecology of development; and diversify their exposure to affirming supports and ideas at all levels. Mental health practitioners should be especially careful to foreground survivors’ autonomy in therapies, recalling that they likely experienced past abusive therapies/therapy dynamics. Key Points What is already known about this topic: People exposed to Sexual Orientation and Gender Identity and Expression Change Efforts (SOGIECE) are at increased risk for many mental health conditions. People exposed to SOGIECE are at increased risk of self-harm and suicide. SOGIECE survivors need distinct treatment considerations distinguishing ‘pathology’ from SOGIECE’s ‘negative effects’, and challenging past social conformity-drives. What this topic adds: SOGIECE survivors need community (re)building aid in their recovery confluent with their own faith goals and avoiding conformity with therapists’ (faith-negative/faith-positive) ideals. SOGIECE survivors need considerable time and different phases in recovery processes, to do developmental work discussing and reconciling dualities in identities, beliefs and social (re)engagements. Support approaches and resources closely aligned to SOGIECE survivors’ presented identities were emphasised for the initial recovery decision-making, these could later vary more across treatment.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"359 - 372"},"PeriodicalIF":1.9,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48900727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-13DOI: 10.1080/00050067.2022.2083484
Jasmine Hancock, T. Perich
ABSTRACT Objective Psychological interventions comprise a critical aspect of treatment for bipolar disorder. However, many interventions to date have focussed on clinical recovery outcomes, such as relapse prevention, rather than preferred personal recovery outcomes of hope and a meaningful life. The aim of this review was to identify, appraise and synthesise information regarding the availability, content and efficacy of recovery-oriented psychological interventions for individuals with bipolar disorder. Methods A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Databases searched included PubMed, EMBASE, PsychINFO, CINAHL and SCOPUS. The inclusion criteria were studies that assessed a psychological intervention in participants with a diagnosis of bipolar disorder and assessed personal recovery outcomes either qualitatively or qualitatively. Results Five articles were included from the titles assessed (N = 507). All studies (N = 5) employed recovery-focussed interventions based on principles of Cognitive Behaviour Therapy (CBT) and were quantitative designs. Two studies used online, self-paced interventions, two studies used group psychoeducation programs, and one study used individual manualised therapy. All studies found a significant improvement in personal recovery. No studies assessed personal recovery outcomes qualitatively. Conclusions Whilst data is limited, initial evidence suggests that recovery-oriented interventions may be effective in improving personal recovery in people living with bipolar disorder. Limitation of this review include a focus on those studies that assessed personal recovery. Clinicians should consider personal recovery-orientated interventions in the treatment of bipolar disorder and further assess recovery outcomes as part of practice. KEY POINTS What is already known about this topic: Recovery-orientated programs may be helpful for people living with a mental illness. Benefits have been found in mixed psychiatric samples in a range of studies. Peer led recovery programs may also assist manage symptoms and relapse in general samples. What this topic adds: There is growing interest in developing recovery interventions for bipolar disorder specifically. This review noted that CBT studies assessing recovery outcomes found improvements. Therapists should consider the use of recovery-focussed approaches in the treatment of bipolar disorder.
{"title":"Personal recovery in psychological interventions for bipolar disorder: a systematic review","authors":"Jasmine Hancock, T. Perich","doi":"10.1080/00050067.2022.2083484","DOIUrl":"https://doi.org/10.1080/00050067.2022.2083484","url":null,"abstract":"ABSTRACT Objective Psychological interventions comprise a critical aspect of treatment for bipolar disorder. However, many interventions to date have focussed on clinical recovery outcomes, such as relapse prevention, rather than preferred personal recovery outcomes of hope and a meaningful life. The aim of this review was to identify, appraise and synthesise information regarding the availability, content and efficacy of recovery-oriented psychological interventions for individuals with bipolar disorder. Methods A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Databases searched included PubMed, EMBASE, PsychINFO, CINAHL and SCOPUS. The inclusion criteria were studies that assessed a psychological intervention in participants with a diagnosis of bipolar disorder and assessed personal recovery outcomes either qualitatively or qualitatively. Results Five articles were included from the titles assessed (N = 507). All studies (N = 5) employed recovery-focussed interventions based on principles of Cognitive Behaviour Therapy (CBT) and were quantitative designs. Two studies used online, self-paced interventions, two studies used group psychoeducation programs, and one study used individual manualised therapy. All studies found a significant improvement in personal recovery. No studies assessed personal recovery outcomes qualitatively. Conclusions Whilst data is limited, initial evidence suggests that recovery-oriented interventions may be effective in improving personal recovery in people living with bipolar disorder. Limitation of this review include a focus on those studies that assessed personal recovery. Clinicians should consider personal recovery-orientated interventions in the treatment of bipolar disorder and further assess recovery outcomes as part of practice. KEY POINTS What is already known about this topic: Recovery-orientated programs may be helpful for people living with a mental illness. Benefits have been found in mixed psychiatric samples in a range of studies. Peer led recovery programs may also assist manage symptoms and relapse in general samples. What this topic adds: There is growing interest in developing recovery interventions for bipolar disorder specifically. This review noted that CBT studies assessing recovery outcomes found improvements. Therapists should consider the use of recovery-focussed approaches in the treatment of bipolar disorder.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"215 - 225"},"PeriodicalIF":1.9,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44707892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-09DOI: 10.1080/00050067.2022.2078649
Matthew McQueen, P. Strauss, A. Lin, Jacinta Freeman, N. Hill, A. Finlay-Jones, K. Bebbington, Y. Perry
ABSTRACT Objectives Following the outbreak of COVID-19, social distancing restrictions limited access to face-to-face mental health services in Western Australia (WA), necessitating a rapid transition to non-face-to-face alternatives, including telehealth. The current study investigated barriers and facilitators to telehealth access and engagement, and preferences for child and youth mental health service delivery during and beyond COVID-19. Methods Three participant groups were recruited via social media and partner organisations, and completed a tailored online survey: i) young people (14–25 years) who had ever accessed or attempted to access mental health support or services (n = 84), ii) parents of young people with a child aged 0–25 years who had ever accessed or attempted to access mental health support or services with or on behalf of their child (n = 68), and iii) professionals working in the child or youth mental health sector (n = 167). Results Regarding barriers to engagement, young people were primarily concerned with the privacy implications of telehealth and its efficacy relative to face-to-face alternatives. Parents and clinicians were more concerned with the technological pitfalls of telehealth (e.g., internet-connectivity, picture/sound issues). Telehealth’s accessibility was highlighted as a facilitator for all groups. Although certain participant groups were considered to be more suited to telehealth than others, most participants endorsed a blended approach to the future provision of mental health services. Conclusions To facilitate a blended approach to the delivery of child and youth mental health services, participants recommended more reliable and affordable internet access, implementing funding models that support telehealth delivery, and training for clinical staff. KEY POINTS What is already known about this topic: At the time of writing, Western Australia has been fortunate enough to resist a large-scale outbreak of COVID-19, making the state relatively unique in its experience of the pandemic. Despite this, the state has experienced periods of social distancing requirements and associated impact on mental health service provision. Young people have been especially susceptible to mental health decline during the pandemic. Social distancing requirements have necessitated the rapid transition of mental health service provision from face-to-face to non-face-to-face alternatives. What this topic adds: Findings from this study provide localised insights into barriers and facilitators to engagement with non-face-to-face service delivery from the perspective of children and young people, carers and mental health professionals. Despite concerns about the relative efficacy of telehealth compared to traditional face-to-face services and challenges with technology, the majority of young people, parents, and mental health professionals in the study felt that moving forwards, child and youth mental health services should be provide
{"title":"Mind the distance: experiences of non-face-to-face child and youth mental health services during COVID-19 social distancing restrictions in Western Australia","authors":"Matthew McQueen, P. Strauss, A. Lin, Jacinta Freeman, N. Hill, A. Finlay-Jones, K. Bebbington, Y. Perry","doi":"10.1080/00050067.2022.2078649","DOIUrl":"https://doi.org/10.1080/00050067.2022.2078649","url":null,"abstract":"ABSTRACT Objectives Following the outbreak of COVID-19, social distancing restrictions limited access to face-to-face mental health services in Western Australia (WA), necessitating a rapid transition to non-face-to-face alternatives, including telehealth. The current study investigated barriers and facilitators to telehealth access and engagement, and preferences for child and youth mental health service delivery during and beyond COVID-19. Methods Three participant groups were recruited via social media and partner organisations, and completed a tailored online survey: i) young people (14–25 years) who had ever accessed or attempted to access mental health support or services (n = 84), ii) parents of young people with a child aged 0–25 years who had ever accessed or attempted to access mental health support or services with or on behalf of their child (n = 68), and iii) professionals working in the child or youth mental health sector (n = 167). Results Regarding barriers to engagement, young people were primarily concerned with the privacy implications of telehealth and its efficacy relative to face-to-face alternatives. Parents and clinicians were more concerned with the technological pitfalls of telehealth (e.g., internet-connectivity, picture/sound issues). Telehealth’s accessibility was highlighted as a facilitator for all groups. Although certain participant groups were considered to be more suited to telehealth than others, most participants endorsed a blended approach to the future provision of mental health services. Conclusions To facilitate a blended approach to the delivery of child and youth mental health services, participants recommended more reliable and affordable internet access, implementing funding models that support telehealth delivery, and training for clinical staff. KEY POINTS What is already known about this topic: At the time of writing, Western Australia has been fortunate enough to resist a large-scale outbreak of COVID-19, making the state relatively unique in its experience of the pandemic. Despite this, the state has experienced periods of social distancing requirements and associated impact on mental health service provision. Young people have been especially susceptible to mental health decline during the pandemic. Social distancing requirements have necessitated the rapid transition of mental health service provision from face-to-face to non-face-to-face alternatives. What this topic adds: Findings from this study provide localised insights into barriers and facilitators to engagement with non-face-to-face service delivery from the perspective of children and young people, carers and mental health professionals. Despite concerns about the relative efficacy of telehealth compared to traditional face-to-face services and challenges with technology, the majority of young people, parents, and mental health professionals in the study felt that moving forwards, child and youth mental health services should be provide","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"301 - 314"},"PeriodicalIF":1.9,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42060455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-26DOI: 10.1080/00050067.2022.2078648
Peter Smith, Kylie Rice, N. Schutte, K. Usher
ABSTRACT Cultural responsiveness is a term accepted by many as the best descriptor for professionals working with Indigenous clients in cross-cultural situations. This article sets out a guideline and a model of cultural responsiveness that can be adopted by mental health professionals worldwide. This model positions reflexivity at the centre and as the source and force that drives the cultural responsiveness dynamic. Domains of this model were previously identified from the literature and provide a guideline for students and practitioners to learn and to work in ways that are culturally responsive. Implications for the use of this model within teaching and learning contexts as well as within professional practice are discussed. Key points What is already known about this topic: Cultural responsiveness is a fundamental requirement for mental health practitioners working with Aboriginal and Torres Strait Islander people. Cultural responsiveness is a core learning component for students of psychology aspiring to work as mental health practitioners. Reflexivity is an important aspect of the cultural responsiveness dynamic. What this topic adds: A new model of cultural responsiveness that is dimensional and iterative. A model that centres reflexivity as the source and impetus for developing cultural responsiveness. A more defined guideline of cultural responsiveness that assists teaching and learning for institutions, students, and practitioners.
{"title":"Reflexivity: a model for teaching and learning cultural responsiveness in mental health","authors":"Peter Smith, Kylie Rice, N. Schutte, K. Usher","doi":"10.1080/00050067.2022.2078648","DOIUrl":"https://doi.org/10.1080/00050067.2022.2078648","url":null,"abstract":"ABSTRACT Cultural responsiveness is a term accepted by many as the best descriptor for professionals working with Indigenous clients in cross-cultural situations. This article sets out a guideline and a model of cultural responsiveness that can be adopted by mental health professionals worldwide. This model positions reflexivity at the centre and as the source and force that drives the cultural responsiveness dynamic. Domains of this model were previously identified from the literature and provide a guideline for students and practitioners to learn and to work in ways that are culturally responsive. Implications for the use of this model within teaching and learning contexts as well as within professional practice are discussed. Key points What is already known about this topic: Cultural responsiveness is a fundamental requirement for mental health practitioners working with Aboriginal and Torres Strait Islander people. Cultural responsiveness is a core learning component for students of psychology aspiring to work as mental health practitioners. Reflexivity is an important aspect of the cultural responsiveness dynamic. What this topic adds: A new model of cultural responsiveness that is dimensional and iterative. A model that centres reflexivity as the source and impetus for developing cultural responsiveness. A more defined guideline of cultural responsiveness that assists teaching and learning for institutions, students, and practitioners.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"209 - 214"},"PeriodicalIF":1.9,"publicationDate":"2022-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47846536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-23DOI: 10.1080/00050067.2022.2073807
M. Oxlad, Jessica D’Annunzio, A. Sawyer, J. Paparo
ABSTRACT Objective In a field with limited placement resources, further exacerbated by challenges due to COVID-19, simulation-based learning (SBL) represents a novel, evidence-based way to expose psychology students to learning opportunities. We examine students’ experiences and perceptions of SBL during postgraduate psychology training and their views on using extended SBL to aid clinical competence development. Methods 84 students in postgraduate training programs from across Australia completed a methods cross-sectional survey about SBL. Quantitative data were analysed using descriptive statistics, while responses to open-ended questions were examined using content analysis. Results The most common forms of SBL were role play, simulated initial interviews and psychological assessments. Students viewed SBL as a valid way to develop assessment and intervention skills and recognised it as a useful means to develop clinical competence. SBL was seen as a good way to ease into client work and incorporating more SBL into professional psychology was viewed as beneficial. From qualitative data, two superordinate themes were generated: SBL May Confer Many Benefits for Professional Training and SBL is Complex and Not Without Challenges. Conclusions Provisional psychologists see value in SBL and appear largely supportive of increasing SBL in professional training. However, educators must be clear on why and how SBL will be used and seek to follow best-practice guidelines.
{"title":"Postgraduate students’ perceptions of simulation-based learning in professional psychology training","authors":"M. Oxlad, Jessica D’Annunzio, A. Sawyer, J. Paparo","doi":"10.1080/00050067.2022.2073807","DOIUrl":"https://doi.org/10.1080/00050067.2022.2073807","url":null,"abstract":"ABSTRACT Objective In a field with limited placement resources, further exacerbated by challenges due to COVID-19, simulation-based learning (SBL) represents a novel, evidence-based way to expose psychology students to learning opportunities. We examine students’ experiences and perceptions of SBL during postgraduate psychology training and their views on using extended SBL to aid clinical competence development. Methods 84 students in postgraduate training programs from across Australia completed a methods cross-sectional survey about SBL. Quantitative data were analysed using descriptive statistics, while responses to open-ended questions were examined using content analysis. Results The most common forms of SBL were role play, simulated initial interviews and psychological assessments. Students viewed SBL as a valid way to develop assessment and intervention skills and recognised it as a useful means to develop clinical competence. SBL was seen as a good way to ease into client work and incorporating more SBL into professional psychology was viewed as beneficial. From qualitative data, two superordinate themes were generated: SBL May Confer Many Benefits for Professional Training and SBL is Complex and Not Without Challenges. Conclusions Provisional psychologists see value in SBL and appear largely supportive of increasing SBL in professional training. However, educators must be clear on why and how SBL will be used and seek to follow best-practice guidelines.","PeriodicalId":47679,"journal":{"name":"Australian Psychologist","volume":"57 1","pages":"226 - 235"},"PeriodicalIF":1.9,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47247024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：