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71.
Couple‐based Intervention for Depression: An Effectiveness Study in the National Health Service in England
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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
72.
A. Chacko A.-C. V. Bedard D. Marks G. Gopalan N. Feirsen J. Uderman 《Child neuropsychology》2018,24(4):427-450
The present study examines the potential of sequencing a neurocognitive intervention with behavioral parent training (BPT) to improve executive functions (EFs), psychiatric symptoms, and multiple indices of functional impairment in school-age children aged 7 to 11 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Specifically, in a randomized controlled trial design, 85 children were assigned to either Cogmed Working Memory Training (CWMT) followed by an empirically supported, manualized BPT intervention, or to a placebo version of CWMT followed by the same BPT intervention. Working memory maintenance (i.e., attention control/short-term memory), working memory processing and manipulation, ADHD and oppositional defiant disorder (ODD) symptoms, impairment in parent–child dynamics, familial impairment, and overall functional compromise were evaluated as outcomes. The results suggest specific effects of the combined CWMT and BPT program on verbal and nonverbal working memory storage and nonverbal working memory processing and manipulation but no incremental benefits in regard to ADHD symptoms, ODD symptoms, and functional outcomes. The present findings do not support the hypothesis regarding the complementary and augmentative benefits of sequenced neurocognitive and BPT interventions for the treatment of ADHD. These results, the study’s limitations, and future directions for research are further discussed. 相似文献
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74.
Amirkhan JH 《American journal of community psychology》2012,49(1-2):55-71
The link between stress and health has not received strong empirical support, possibly due to problems in the stress measures used. Here, the first wholly empirical development of a new “Stress Overload Scale” is described. A pool of 150 items was formed to reflect “overload”, a common denominator in stress theories. Then, the results of five sequenced studies, conducted in heterogeneous community samples, were used to pare the item pool. Exploratory (n = 431) and confirmatory (n = 433) analyses revealed two factors (Event Load and Personal Vulnerability) corresponding to theoretical constructs; only the best factor markers were submitted to further construct validity (n = 310) and reliability tests (n = 342). The 24 strongest items were selected for the SOS, which demonstrated criterion validity in predicting who (n = 285) would become sick following a common stressor. The SOS is (1) psychometrically strong, especially in its validity relative to popular measures; (2) appropriate to community research, due to its brevity and fit to a broad demographic spectrum; (3) unique in its ability to cross‐section individuals into risk categories. It should prove useful to community psychologists in determining etiology, diagnosing risk for pathology, and evaluating the efficacy of interventions. 相似文献
75.
Manon J.B. VinckenCor Meesters Iris M. EngelhardErik Schouten 《Personality and individual differences》2012,52(3):301-305
The White Bear Suppression Inventory [WBSI; Wegner and Zanakos (1994)] was developed to assess the tendency to suppress unwanted thoughts. Most psychometric studies of the WBSI have included healthy students and adults with obsessive-compulsive disorder. There has been increasing interest in thought suppression in children and adolescents, especially after a traumatic event, but little is known about the psychometric properties of the WBSI for children. The aim of this research was to examine the psychometric qualities of the WBSI in a Dutch sample of children and adolescents. Two studies were conducted. First, the WBSI’s factor structure, internal consistency and test-retest stability were examined in a sample of 203 primary school children (9-13 years). Second, the factor structure and content validity were assessed in 89 children and adolescents (8-18 years) who attended the emergency room after a road traffic accident. Results demonstrated that the WBSI items contribute to a single factor measuring the suppression of unwanted thoughts and that the reliability is satisfactory. Associations between the WBSI and PTSD-symptoms demonstrated sufficient content validity. The findings suggest that the WBSI can appropriately be used in child and adolescent samples. 相似文献
76.
The Behavior Assessment System for Children, Second Edition (BASC-2) Behavioral and Emotional Screening System Parent Form (BESS Parent; Kamphaus & Reynolds, 2007) is a recently developed instrument designed to identify behavioral and emotional risk in students. To describe the underlying factor structure for this instrument, exploratory (EFA) and confirmatory factor analyses (CFA) were conducted utilizing two subsets of a large, nationally-representative sample. The results of the EFA suggested that the BESS Parent contained a four-factor latent structure (i.e., Externalizing, Internalizing, Adaptive Skills, and Inattention), which was supported by CFA. Results support further investigation into utilizing four subscales in addition to an overall risk score; distributional and reliability information for the BESS Parent subscales is provided. Practical implications for school psychologists interested in early identification and directions for future research are discussed. 相似文献
77.
Koss KJ George MR Bergman KN Cummings EM Davies PT Cicchetti D 《Journal of experimental child psychology》2011,109(3):336-352
Marital conflict is a distressing context in which children must regulate their emotion and behavior; however, the associations between the multidimensionality of conflict and children’s regulatory processes need to be examined. The current study examined differences in children’s (N = 207, mean age = 8.02 years) emotions (mad, sad, scared, and happy) and behavioral strategies to regulate conflict exposure during resolved, unresolved, escalating, and child-rearing marital conflict vignettes. Children’s cortisol levels were assessed in relation to child-rearing and resolved conflict vignettes. Anger and sadness were associated with escalating and child-rearing conflicts, fearfulness was related to escalating and unresolved conflicts, and happiness was associated with resolution. Anger was associated with children’s strategies to stop conflict, whereas sadness was associated with monitoring and avoidant strategies. Cortisol recovery moderated the link between fearfulness and behavioral regulation. These results highlight the importance of children’s emotions and regulatory processes in understanding the impact of marital conflict. 相似文献
78.
Wexler L 《American journal of community psychology》2011,47(1-2):157-169
Community psychology emphasizes the importance of context in the study of people's lives, and culture influences this in profound ways. To develop programs that effectively address diverse communities' problems, it is essential to recognize how Euro-American human service systems are understood and responded to by the many different people being served by them. The article describes how some broadly defined social services-conceptualized and implemented within a Euro-American framework-are ill suited for the everyday realities of Alaska Native villages. The cultural discontinuities are illustrated through ethnographic vignettes. The article concludes with suggestions for developing more culturally-responsive ways to conceive of and do programming for Alaska Native and possibly other Indigenous and minority communities. 相似文献
79.
Neumann C Wampler M Taylor J Blonigen DM Iacono WG 《Journal of research in personality》2011,45(2):145-152
The current study examined the longitudinal stability and invariance of psychopathic traits in a large community sample of male twins from ages 17 to 23. Participants were assessed across 6 years to gauge the stability and measurement invariance of the Minnesota Temperament Inventory (MTI), a Cleckley-based measure of psychopathic personality traits, and how family functioning and externalizing behavior were linked to these traits. A latent variable approach was used to model the structure of the MTI and provide a statistical test of measurement invariance across time. The results revealed support for invariance and moderate to strong stability of the MTI factors, which showed significant associations with the external correlates in late adolescence but not early adulthood. 相似文献
80.
Three hundred and four participants in the Lothian Birth Cohort 1936 study took a validated IQ-type test at age 11 years and a battery of cognitive tests at age 70 years. Three tests of health literacy were completed at age 72 years; the Rapid Estimate of Adult Literacy in Medicine (REALM), the Test of Functional Health Literacy in Adults (S-TOFHLA), and the Newest Vital Sign (NVS). Participants who had a lower childhood IQ exhibited poorer performance on all three tests of health literacy taken in older adulthood. Relative cognitive change from age 11 to 70 and education were also important factors influencing performance on health literacy tasks, independent of childhood cognitive ability. It is important to understand the determinants of low health literacy in order to support individuals in managing their own health. 相似文献