Kelly A. O'Neil MA  Philip C. Kendall PhD  ABPP 《Child & family behavior therapy》2013,35(3):197-209

This study examined the role of comorbid depressive disorders (major depressive disorder or dysthymic disorder) and co-occurring depressive symptoms in treatment outcome and maintenance for youth (N = 72, aged 7–14) treated with cognitive-behavioral therapy for a principal anxiety disorder (generalized anxiety disorder, separation anxiety disorder, or social phobia). Hierarchical linear modeling examined treatment outcome and maintenance in terms of severity of the principal anxiety disorder. Results indicated that higher levels of child-reported depressive symptoms predicted less favorable treatment outcome. Higher levels of mother-reported depressive symptoms predicted less favorable treatment maintenance at a 1-year follow-up. Results suggest that co-occurring depressive symptoms play a role in effective treatment for anxiety-disordered youth and support the merits of treatment adaptations for these youth.  相似文献   

    

Lucie Timmers  Melissa Thong  Friedo W. Dekker  Elisabeth W. Boeschoten  Monique Heijmans  Mieke Rijken 《Psychology & health》2013,28(6):679-690

The present study explored illness perceptions of end stage renal disease (ESRD) patients on both haemodialysis (HD) and peritoneal dialysis (PD) treatment, and their associations with quality of life. Leventhal's self-regulation model (SRM) was used as a theoretical framework. Illness perceptions and quality of life were assessed with the IPQ-R and the SF-36 in 91 HD and 42 PD patients participating in the NECOSAD-study. Compared to HD patients, PD patients experienced more personal control and had a better understanding of the illness. Illness perceptions explained from 17 to 51% of the variance in quality of life scores. Perception of more symptoms, more consequences and lower personal control were associated with lower well-being. The concept of illness perceptions is useful in understanding the impact of ESRD and of dialysis treatment on quality of life. Interventions aimed at providing more knowledge about ESRD and dialysis, and provision of skills to coping with the illness and its consequences may improve quality of life in dialysis patients.  相似文献   

    

Katharina Wolff  Karin Nordin  Wibecke Brun  Gunilla Berglund  Gerd Kvale 《Psychology & health》2013,28(9):1143-1155

To ensure successful implementation of genetic screening and counselling according to patients best interests, the attitudes and motives of the public are important to consider. The aim of this study was to apply a theoretical framework in order to investigate which individual and disease characteristics might facilitate the uptake of genetic testing. A questionnaire using an extended version of the Theory of Planned Behaviour was developed to assess the predictive value of affective and cognitive expected outcomes, subjective norms, perceived control and uncertainty avoidance on the intention to undergo genetic testing. In addition to these individual characteristics, the predictive power of two disease characteristics was investigated by systematically varying the diseases fatality and penetrance (i.e. the probability of getting ill in case one is a mutation carrier). This resulted in four versions of the questionnaire which was mailed to a random sample of 2400 Norwegians. Results showed genetic test interest to be quite high, and to vary depending on the characteristics of the disease, with participants preferring tests for highly penetrant diseases. The most important individual predictor was uncertainty avoidance.  相似文献   

    

Werbart A  Levander S 《The International journal of psycho-analysis》2011,92(6):1455-1481

This longitudinal prospective study focuses on analysands' and analysts' implicit ideas of how psychoanalysis might help analysands' psychological problems. Seven analysands and their analysts were periodically interviewed. Single ideas of cure from 75 interviews were inductively categorized. Nine distinct types of cures emerged, representing the wished-for goals of psychoanalysis, as well as the actions to achieve the wished-for changes. Each category might comprise more or less utopian ideas of wished-for cure as well as ideas of an attainable, more limited cure, or combinations of these. The utopian ideas of wished-for cures persisted throughout the psychoanalytic process for more than half the analysands and analysts. The abandonment of these ideas was related to the experienced outcome of psychoanalysis. The relation between the theories of one analysand and her analyst is explored in depth in a case study with special emphasis on the analytic process. The study suggests that the psychoanalytic process might profit from the analyst's observance of such incongruities and an openness to work through them.  相似文献   

    

Vera Békés  Dominic Beaulieu-Prévost  Stéphane Guay  Geneviève Belleville  André Marchand 《Journal of aggression, maltreatment & trauma》2013,22(3):297-312

There is strong research evidence for the association of personality pathology and posttraumatic stress disorder (PTSD), as well as trauma-related negative cognitions (TRNC) and PTSD symptoms. However, the relationship between personality pathology and TRNC in the context of PTSD is mostly unknown. In the present study, we aimed to examine whether avoidant and borderline personality beliefs (PB, indicator of personality pathology) could predict therapy outcome in PTSD, and whether the relationship between PB and therapy outcome could be mediated by TRNC. Sixty patients with PTSD were assessed for PB, TRNC and PTSD symptoms at baseline, and for PTSD symptoms at the termination of Prolonged Exposure Therapy. Baseline avoidant PB predicted significant variance in PTSD symptoms at termination over and above baseline PTSD symptoms (16% reduction in treatment effect per SD on avoidant PB). Moreover, TRNC at baseline fully mediated the relationships between baseline avoidant PB and PTSD symptoms at termination. This is the first study to show that avoidant PB predicts treatment response in PTSD, and that patients with avoidant beliefs are more vulnerable to have TRNC, which are associated with impeded therapy response. Our results highlight the importance of targeting both dysfunctional PB and TRNC in PTSD interventions.  相似文献   

    

Marit Råbu  Hanne Haavind  Per-Einar Binder 《Counselling and Psychotherapy Research》2013,13(1):71-80

Aim: To explore the process of ending in psychotherapy, in particular how clients and therapists draw on their notions of client improvements and prepare for the upcoming end. Data: The data comes from an intensive process‐outcome study at the University of Oslo, Norway. The study includes audio‐recording from all sessions and separate post‐therapy interviews with clients and therapists. Twelve psychotherapy dyads were selected because they had reached a ‘good enough’ ending. Therapy duration ranged from 7–43 months. The number of sessions ranged from 10–67. Method and analysis: A hermeneutical‐phenomenological approach analysed and combined the observational and reflexive data. The analysis was carried out using a method for systematic text condensation and through reflexive dialogues with the material and between the researchers. Findings and discussion: The language of improvement towards the end of treatment seemed packed with metaphors conveying growth in both affective and relational management. Metaphors based on travel (how they have moved); cleaning (how they have cleaned up and sorted out things); sensing (how the clients have grown stronger, got their heads above water and see things differently); and the clients’ feeling of having received something (gifts or tools) are widely used. Such metaphors are created in the interaction with a mutual sensitivity to their capacity to confirm and regulate affect towards the end. In this sense, the metaphors celebrate accomplishments in a way that exceeds therapy, and the client can keep them to use afterwards.  相似文献   

    

James McElvaney  Ladislav Timulak 《Counselling and Psychotherapy Research》2013,13(4):246-253

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Gillian Proctor  Rebecca Hargate 《Counselling and Psychotherapy Research》2013,13(3):235-241

Aims: The aim of this paper is to present an attempt to collate the results of the client‐completed Goal Attainment Form (GAF) and to explore the usefulness of analysing the data in this way. The GAF is used primarily to add qualitative idiosyncratic data to the quantitative data collected by the CORE‐OM (Clinical Outcomes for Routine Evaluation Outcome Measure) questionnaire. Method: A sample of 477 completed GAF were used during short‐term therapy through primary care mental health services to investigate potential correlations in various different aspects between the GAF and the CORE outcome measure (CORE‐OM). The themes from these forms were qualitatively analysed to compare how clients describe their experience of therapy with clinical perspectives. Results: The results reveal several significant correlations. Themes used by clients to describe their problems and benefits of therapy were different from clinicians' perspectives. Discussion and recommendations: Several suggestions and recommendations are offered regarding evaluation, therapy and primary care short‐term therapy services.  相似文献   

    

Jennifer A. Hall  Sharon D. Herzberger  Karleen J. Skowronski 《Aggressive behavior》1998,24(6):439-454

Social learning theory predicts that outcome expectancies and values should independently predict behavior, but past studies of aggression have failed to test this hypothesis specifically. We asked low–socioeconomic status children to imagine themselves engaging in aggressive behaviors and to rate the likelihood of each of a number of outcomes (outcome expectancies) and to rate how much they cared about those outcomes (outcome values). The relationship between self-reported aggression and outcome expectancies, values, and expectancy by value interactions was assessed. Expectancies, values, and their interactions were differentially related to aggression depending on the specific outcome investigated (e.g., punishment, bad feelings in self or other, prevention of future aggression, and peer respect). Results are discussed in terms of implications for theory and for future research. Aggr. Behav. 24:439–454, 1998. © 1998 Wiley-Liss, Inc.  相似文献   

    

E. Gonzalez‐Bono  A. Salvador  J. Ricarte  M.A. Serrano  M. Arnedo 《Aggressive behavior》2000,26(3):235-240

Mood, personal merit, and/or its perception have been suggested to be mediating factors in testosterone responses to competition. Previously we have found that personal contribution and attribution were related to testosterone levels after successful competition. To confirm such associations, two basketball teams (n = 17 players) that emerged as winners in two actual matches were studied. Salivary testosterone levels and mood were measured before and after the games. Individual contribution to the outcome was assessed, and personal satisfaction and causal attribution of outcome were reported by players. Testosterone concentrations increased to near significance in Team 1 but not in Team 2, who attributed their victory more to luck than did Team 1. This latter team showed notably decreased vigor, and both teams showed fatigue at the end of the match. Post‐match testosterone levels were only significantly, negatively related to external attribution. The results support the idea that causal attribution of the outcome is contributing to the variance of the testosterone responses to real confrontations where the outcome is highly dependent on personal merit. Aggr. Behav. 26:235–240, 2000. © 2000 Wiley‐Liss, Inc.  相似文献