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62.
ABSTRACTA bibliometric analysis was performed to examine the impact and use of the peer-reviewed occupational therapy intervention effectiveness literature addressing adults with mental illness, 2000–2016. Of 2,597 articles, 68 were quantitative studies assessing an intervention for adults with mental illness. These studies had a collective citation count of 1,455 and were published in 29 journals in 14 countries. The majority (n?=?36; 52.94%) were randomized controlled and two-group controlled studies. The most commonly assessed interventions were life skills and community reintegration (n?=?20, 29.41%) and supported employment (n?=?16, 23.52%). Sixty-five (95.58%) studies found statistically significant results on the primary or secondary outcomes. 相似文献
63.
For many years psychoanalytic and psychodynamic therapies have been considered to lack a credible evidence-base and have consistently failed to appear in lists of ‘empirically supported treatments’. This study systematically reviews the research evaluating the efficacy and effectiveness of psychodynamic psychotherapy for children and young people. The researchers identified 34 separate studies that met criteria for inclusion, including nine randomised controlled trials. While many of the studies reported are limited by sample size and lack of control groups, the review indicates that there is increasing evidence to suggest the effectiveness of psychoanalytic psychotherapy for children and adolescents. The article aims to provide as complete a picture as possible of the existing evidence base, thereby enabling more refined questions to be asked regarding the nature of the current evidence and gaps requiring further exploration. 相似文献
64.
Cathy Urwin 《Journal of Child Psychotherapy》2013,39(2):134-160
This paper describes a framework for evaluating the effectiveness of child psychotherapy used by child psychotherapists in an inner city Child and Adolescent Mental Health Service (CAMHS). The Hopes and Expectations for Treatment Approach (HETA) involves using the assessment for psychotherapy that normally precedes treatment to derive a baseline from which to generate a set of hopes/expectations as regards the effects of the treatment on the part of parents and the psychotherapist, to be revisited one year after the start of the psychotherapy and/or at its completion. The Strength and Difficulties Questionnaire, for parents and schools, was also administered before and after the treatment. The characteristics of the first 30 children referred for psychotherapy over a particular time period are described. Of the first 15 children in this group to complete one year of individual psychotherapy, all showed change or significant change in the areas concerning parents' and therapists' hopes at the end-of-year review, as rated by parents and psychotherapists. A case of a child with conduct disorder is used to describe how the assessment generated a psychoanalytic formulation, how the therapist's understanding was fed back to the parents, and how the parents' and therapist's hopes and expectations were derived and recorded. This case illustrates powerfully the impact of trauma in the parents' backgrounds on the internal world of the child, and how the method provides a useful bridge between parent and child work. Feedback from the psychotherapists, the parents and the referrers using the framework is reviewed, and in conclusion the paper argues for the framework's value in promoting good practice in the treatment and management of complex cases and in enhancing awareness of the nature and scope of the psychotherapy process. 相似文献
65.
Michael J. A Wohl Kimberly Matheson Nyla R. Branscombe Hymie Anisman 《Political psychology》2013,34(5):713-729
European and Chinese Canadians' perceptions and expectations of the Canadian government's apology for the head tax placed on Chinese immigrants during the early twentieth century were examined, along with Chinese Canadians' willingness to forgive the transgression. Among both European and Chinese Canadians, beliefs about the importance attributed to the event and perception of the apology as deserved and sincere heightened expectations of improved intergroup relations. Collective guilt acceptance among European Canadians heightened the relation between perceived sincerity and positive expectations, whereas collective guilt assignment by Chinese Canadians heightened the relation between sincerity and forgiveness. A one‐year follow‐up of whether Chinese Canadians were equally satisfied with the apology indicated that their willingness to grant forgiveness had waned, and although on the whole expectations of improved relations were met, those who assigned more collective guilt were less convinced. Intergroup apologies and their effectiveness at facilitating intergroup relations are discussed. 相似文献
66.
Abstract A considerable body of research has suggested that essential hypertension is related to both expressed anger and suppressed hostility. This study suggests and provides some evidence that these reported results may simply have arisen as the result of a lack of proper statistical control and differential item functioning across the items on which the measures were based. Three groups of respondents were selected (a) those diagnosed as having hypertension (b) a group who admitted to having a chronic medical condition unrelated to hypertension and (c) individuals who did not have a chronic medical condition. A confirmatory factor model was used to test the structure of a measure of expressed anger and suppressed hostility. Differences were then examined across the three conditions at both the factor and item levels within a MIMIC structure and controlling for age and gender. Differential effects were found between females and males on two observed measures of expressed anger. Age had a direct effect on both the measure of expressed anger and suppressed hostility. After the effects of age and gender were controlled, no statistically significant group differences were found. Previous results indicating a difference on expressed anger and suppressed hostility may, as in the present analysis, be put down to a combination of lack of appropriate statistical control, and to ignoring the differential pattern of responding across the observed measures. 相似文献
67.
Anke Ehlers Nick Grey Jennifer Wild Richard Stott Sheena Liness Alicia Deale Rachel Handley Idit Albert Deborah Cullen Ann Hackmann John Manley Freda McManus Francesca Brady Paul Salkovskis David M. Clark 《Behaviour research and therapy》2013,51(11):742-752
ObjectiveTrauma-focused psychological treatments are recommended as first-line treatments for Posttraumatic Stress Disorder (PTSD), but clinicians may be concerned that the good outcomes observed in randomized controlled trials (RCTs) may not generalize to the wide range of traumas and presentations seen in clinical practice. This study investigated whether Cognitive Therapy for PTSD (CT-PTSD) can be effectively implemented into a UK National Health Service Outpatient Clinic serving a defined ethnically mixed urban catchment area.MethodA consecutive sample of 330 patients with PTSD (age 17–83) following a wide range of traumas were treated by 34 therapists, who received training and supervision in CT-PTSD. Pre and post treatment data (PTSD symptoms, anxiety, depression) were collected for all patients, including dropouts. Hierarchical linear modeling investigated candidate moderators of outcome and therapist effects.ResultsCT-PTSD was well tolerated and led to very large improvement in PTSD symptoms, depression and anxiety. The majority of patients showed reliable improvement/clinically significant change: intent-to-treat: 78.8%/57.3%; completer: 84.5%/65.1%. Dropouts and unreliable attenders had worse outcome. Statistically reliable symptom exacerbation with treatment was observed in only 1.2% of patients. Treatment gains were maintained during follow-up (M = 280 days, n = 220). Few of the selection criteria used in some RCTs, demographic, diagnostic and trauma characteristics moderated treatment outcome, and only social problems and needing treatment for multiple traumas showed unique moderation effects. There were no random effects of therapist on symptom improvement, but therapists who were inexperienced in CT-PTSD had more dropouts than those with greater experience.ConclusionsThe results support the effectiveness of CT-PTSD and suggest that trauma-focused cognitive behavior therapy can be successfully implemented in routine clinical services treating patients with a wide range of traumas. 相似文献
68.
Carool Kersten 《文化与宗教》2013,14(3):301-304
The issue of leadership is one that spans many organisations. While management literature has examined this topic in depth, little comment has been made regarding the legitimacy of traditional business leadership theories, developed primarily in the United States, for use in a values-based organisation such as the organised church. The unique spiritual nature of Christian organisations is in some ways at odds with the assumptions of traditional leadership models. That said, many churches in the United States and churches outside the United States, but influenced by US institutional structures, are desperately seeking improvement in both pastoral and organisational effectiveness. This research examines traditional treatment of leadership and identifies implications of traditional and more recent theories of leadership for pastoral leaders and Christian laypeople. 相似文献
69.
《Cognitive behaviour therapy》2013,42(3):192-198
The goal of the current study was to test the generalizability of cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) in a frontline service setting. Twenty‐nine patients who presented to treatment clinics with problematic worry were provided CBT for GAD. Among the intent‐to‐treat sample, there were no significant changes in worry or depression from pre‐ to posttreatment. Treatment completers showed significant pre‐ to posttreatment reductions on measures of worry and depression. The magnitude of change was smaller than has been reported in randomized control trials (RCTs). Although the frontline service setting differed from RCT settings in multiple ways, treatment completers nonetheless achieved moderate to large decreases in self‐reported worry and depression. 相似文献
70.