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181.
182.
Couple‐based Intervention for Depression: An Effectiveness Study in the National Health Service in England 下载免费PDF全文
Donald H. Baucom Melanie S. Fischer Michael Worrell Sarah Corrie Jennifer M. Belus Efthymia Molyva Sara E. Boeding 《Family process》2018,57(2):275-292
This study represents an effectiveness study and service evaluation of a cognitive behavioral, couple‐based treatment for depression (BCT‐D) provided in London services that are part of the “Improving Access to Psychological Therapies” (IAPT) program in England. Twenty‐three therapists in community clinics were trained in BCT‐D during a 5‐day workshop, followed by monthly group supervision for 1 year. The BCT‐D treatment outcome findings are based on 63 couples in which at least one partner was depressed and elected to receive BCT‐D. Eighty‐five percent of couples also demonstrated relationship distress, and 49% of the nonclient partners also met caseness for depression or anxiety. Findings demonstrated a recovery rate of 57% with BCT‐D, compared to 41% for all IAPT treatments for depression in London. Nonclient partners who met caseness demonstrated a 48% recovery rate with BCT‐D, although they were not the focus of treatment. BCT‐D was equally effective for clients regardless of the clinical status of the nonclient partner, suggesting its effectiveness in assisting both members of the couple simultaneously. Likewise, treatment was equally effective whether or not both partners reported relationship distress. The findings are promising regarding the successful application of BCT‐D in routine clinical settings. 相似文献
183.
Scott T. Wright Jennifer M. Breier Rachel M. Depner Pei C. Grant Jennifer Lodi-Smith 《Counselling psychology quarterly》2018,31(2):162-185
The processes of aging and confronting mortality are often accompanied by unique psychological challenges. From the perspective of positive psychology, such challenges can yield opportunities for growth, including increased wisdom. This qualitative study explored 15 terminally ill hospice patients’ perspectives on wisdom, the dying process, and the meaning of life using consensual qualitative research methods. Most participants cited humility as a key component of wisdom, emphasizing that “Wisdom is when we realize ‘I don’t really know much’.” Other components of wisdom included self-knowledge, rationality, experiential learning, listening to and learning from others, and sharing knowledge with others. Participants also suggested that the process of facing illness and death presents opportunities for positive growth, including changing priorities and learning to appreciate life more fully in the present moment. In considering the sources of meaning in their lives, participants emphasized relational connections, personal growth, spirituality, vocational fulfilment, and living a full life. Participants also shared their reflections on important past experiences and regrets. Lastly, participants offered advice to others based on their experiences facing illness and mortality. Implications for psychological care of the dying and future research are discussed. 相似文献
184.
The current study is a pilot evaluation of a six-week psychoeducational-support group based in an ambiguous loss framework for family members of people who hoard. Findings suggest that participants who completed the six-week intervention group (N?=?8) indicated positive results at the two-month follow up interview, reporting an increased understanding of family members’ hoarding behaviors and their own experiences related to the hoarding behavior and its impact on the family system. Participants also reported that having personal and professional support from others who understand hoarding behavior was helpful to them in lowering psychological distress and improving interactions with their family members. 相似文献
185.
Guided by the affective spillover hypothesis and the differential susceptibility to environmental influence frameworks, the present study examined how associations between interparental conflict and mothers' parenting practices were moderated by serotonin transporter (5-HTT) and oxytocin receptor (OXTR) genes. A sample of 201 mothers and their 2-year old child participated in a laboratory-based research assessment. Results supported differential susceptibility hypotheses within spillover frameworks. With respect to OXTR rs53576, mothers with the GG genotype showed greater differential maternal sensitivity across varying levels of interparental conflict. Mothers with one or two copies of the 5-HTTLPR S allele demonstrated differential susceptibility for both sensitive and harsh/punitive caregiving behaviors. Finally, analyses examined whether maternal depressive symptoms and emotional closeness to their child mediated the moderating effects. Findings suggest that maternal emotional closeness with their child indirectly linked OXTR with maternal sensitivity. The results highlight how molecular genetics may explain heterogeneity in spillover models with differential implications for specific parenting behaviors. Implications for clinicians and therapists working with maritally distressed parents are discussed. 相似文献
186.
It is generally accepted that the anterior temporal lobes support knowledge of famous people. The specific roles of the right and left temporal lobe remain a subject of debate, with some studies suggesting differential roles based on modality (visual versus verbal information) and others category (person knowledge versus general semantics). The present study re-examined performance of semantic dementia patients with predominantly right and predominantly left temporal lobe atrophy on famous face, famous name and general semantic tasks, with the specific aim of testing the hypothesis that the right temporal lobe has a privileged role for person knowledge and the left temporal lobe for general semantic knowledge. Comparisons of performance rankings across tasks showed no evidence to support this hypothesis. By contrast, there was robust evidence from naming, identification and familiarity measures for modality effects: right-sided atrophy being associated with relatively greater impairment for faces and visual tasks and left-sided atrophy for names and verbal tasks. A double dissociation in test scores in two patients reinforced these findings. The data present a challenge for the influential `semantic hub' model, which views the anterior temporal lobes as an area of convergence in which semantic information is represented in amodal form. 相似文献
187.
Alexander H. Jordan Benjamin J. Lovett Jennifer L. Sweeton 《Journal of multicultural counseling and development》2012,40(3):132-143
Social psychological research suggests that because of concerns about being perceived in stereotypical ways, people may experience negative affect and diminished attention and cognitive capacity during interracial interactions. The authors discuss this research in relation to therapy and assessment and also offer practical suggestions for ensuring culturally competent professional practice. La investigación en el campo de la psicología social sugiere que, debido a la preocupación por ser percibida de forma estereotipada, la gente puede experimentar sentimientos negativos y un nivel reducido de atención y capacidad cognitiva durante interacciones interraciales. Los autores discuten esta investigación en relación a la terapia y evaluación, y también ofrecen sugerencias prácticas para asegurar una práctica profesional culturalmente competente. 相似文献
188.
The burden of providing informal care to a family member can lead to caregiver depression and potentially harmful caregiving behavior. Given the interpersonal nature of caregiving, the relationship between caregivers and care recipients may impact caregiver responses. We applied attachment theory to understanding caregiver depression, and both potentially harmful and exemplary caregiving responses. We present data from 430 caregivers in the Family Relationships in Late Life (FRILL 2) Project, a multisite, longitudinal study of caregiving. Age, gender, and model of self were related to caregiving responses, suggesting that model of self may help identify caregivers at risk for poor responses. 相似文献
189.
The Structure of Internalizing Disorders in Middle Childhood and Evidence for Personality Correlates
Shauna C. Kushner Jennifer L. Tackett R. Michael Bagby 《Journal of psychopathology and behavioral assessment》2012,34(1):22-34
The current multi-method multi-informant investigation compared the fit of three competing models of internalizing problems
in middle childhood: (1) a unitary factor model, (2) a two-factor model corresponding to the DSM-IV Anxiety/Depression distinction,
and (3) a two-factor model corresponding to the Fear/Distress distinction observed in structural studies of adult psychopathology
(Krueger Archives of General Psychiatry, 56:921-926, 1999); Slade and Watson Psychological Medicine, 36:1593-1600, 2006). In total, 346 youths (mean age = 9.51, SD = .78) and their adult caregivers (344 mothers, 227 fathers) reported on childhood
internalizing symptoms and personality traits. Confirmatory factor analyses revealed adequate to good fit indices for all
three models, although the unitary factor model provided the most parsimonious summary of the data. Although the structural
analyses suggested that internalizing symptom subfactors were not clearly differentiated in middle childhood, hierarchical
regression analyses revealed that personality dimensions uniquely predicted the Anxiety/Fear and Depression/Distress disorders.
These results suggest that personality correlates differentiate childhood psychopathology structure before it is manifest
at the symptom level. 相似文献
190.
Jennifer Maskell Carney Heather Lewy Scott 《Journal of counseling and development : JCD》2012,90(3):290-297
School counselors play a crucial role in the prevention, assessment, treatment, and overall management of eating‐related problems among children and adolescents. This article provides a framework for conceptualizing these difficulties on a continuum of severity and includes recommendations at each level for intervention and consultation. Collaboration with other professionals is encouraged when confronted with these multifaceted issues. Efforts by school counselors are vital to prevention and recovery from eating disorders. 相似文献