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Miller GD Iverson KM Kemmelmeier M Maclane C Pistorello J Fruzzetti AE Crenshaw KY Erikson KM Katrichak BM Oser M Pruitt LD Watkins MM 《Professional psychology, research and practice》2010,41(3):228-235
Psychotherapists often experience stress while providing psychotherapy, in particular when working with difficult presentations such as suicidality. As part of a larger study on the treatment of recently suicidal college students with borderline traits, 6 therapists in training collected their own salivary samples for alpha-amylase (AA) and cortisol (C) analyses immediately before and after sessions with 2 selected clients. On average, samples were collected for the same therapist-patient dyad throughout the year-long study to ensure that data reflected therapist responses across stages of treatment. Therapists also completed a working alliance questionnaire and rated perceived session difficulty immediately after each selected session. Contrary to expectations, therapists demonstrated elevated levels of stress as measured by AA and C at presession relative to postsession levels. Greater session difficulty was related to more pronounced declines in AA, whereas a stronger working alliance was linked to more pronounced reductions in C. Results suggest that physiological stress responses while working with recently suicidal clients with borderline traits occur primarily in terms of session anticipatory anxiety, whereas AA and C changes may be affected differently by factors such as session difficulty and working alliance. This is a pilot study, limited by its sample size, but the design, findings, and inclusion of physiological measures present an initial step in an essential line of research. 相似文献
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Robyn D. Walser Megan L. Oser Christy T. Tran Joan A. Cook 《Journal of Loss and Trauma》2016,21(1):62-73
Understanding the impact of trauma on late-life functioning in older females is needed in order to provide best care. We explored the impact of trauma on late-life psychological and physical health and functioning among older women (n = 48) who served in the military, or participated in a military lifestyle. Eleven of these women were not veterans, but married to military personnel. Number of traumatic exposures and types of events experienced was associated with increased trauma symptom severity. Trauma symptom severity was associated with decreased physical functioning and increased pain. Increased numbing and avoidance was significantly associated with poorer physical functioning and increased pain. Older women in this study remained at risk of experiencing negative consequences of trauma in terms of increased quantity and severity of trauma symptoms and physical decline and pain. Clinical and research implications are discussed. 相似文献
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The present study sought to extend prior work, showing an association between self-reported distress tolerance and self-reported antiretroviral treatment (ART) adherence, by conducting a multimethod test of the association between distress tolerance and objective measures of ART adherence among a sample of 140 individuals (23.6% female) with human immunodeficiency virus (HIV). Findings indicated that, after accounting for negative affectivity and ART side-effect severity, distress tolerance was significantly associated with pill count adherence as well as viral load. Specifically, a differential association was observed whereby self-reported distress tolerance was associated with pill count adherence, whereas behavioral distress tolerance was associated with viral load. Importantly, no associations were observed between either measure of distress tolerance and CD4 count. Findings are discussed in terms of the importance of both behavioral and perceived distress tolerance assessment among patients with HIV as well as potential clinical implications related to the integration of distress tolerance-focused treatments into existing interventions for individuals with HIV. 相似文献
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Huggins JL Bonn-Miller MO Oser ML Sorrell JT Trafton JA 《Behaviour research and therapy》2012,50(1):72-78
The current study investigated the role of during treatment changes in pain anxiety in the relation between during treatment changes in pain acceptance and chronic pain outcomes. Participants included 45 (15 women) adults (Mage = 50.42, SD = 7.69) who were HIV positive and experienced chronic pain. They were offered 12 weekly, 90-min group CBT sessions to increase understanding about chronic pain and to improve coping skills. Four hierarchical regression analyses were conducted to examine the mediating role of treatment changes in pain anxiety in the relation between treatment changes in pain acceptance and chronic pain outcomes. Results suggest that increases in pain acceptance during treatment were associated with decreased levels of pain anxiety during treatment, as well as decreases in pain-related impairment at treatment completion. Furthermore, decreases in pain anxiety during treatment were associated with decreases in pain-related impairment at treatment completion. Finally, treatment changes in pain anxiety were found to partially mediate the association between treatment changes in pain acceptance and pain-related impairment at treatment completion. Results are discussed within the context of better understanding the processes of change within a CBT model for chronic pain patients. 相似文献
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Bowers C Deaton J Oser R Prince C Kolb M 《The International journal of aviation psychology》1995,5(2):145-167
Increasing levels of automation are being introduced into the cockpit. Yet, it is difficult to predict the impact of these automatic systems on other elements of flight, such as crew communication and the ability to arrive at an effective decision. This study attempted to clarify the relation among these variables. Forty-eight pilots were assigned to two-person crews and asked to fly a simulated mission in either automated or manual conditions using a low-fidelity simulator. The scenario was designed to require crewmembers to arrive at a collective decision based on information obtained about an evolving simulated disaster. The results indicated that the introduction of automation was not associated with better performance. However, several significant differences were observed in the communications of crews flying in the automated versus manual conditions. The results are discussed in terms of their implications for communications training for advanced technology aircraft. 相似文献
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John Torous Michael E. Levin David K. Ahern Megan L. Oser 《Cognitive and behavioral practice》2017,24(2):215-225
Objective
To review the current literature for evidence regarding the feasibility and efficacy of smartphone-based cognitive-behavioral intervention mobile applications, compare such to the number of applications on the commercial marketplaces, and explore potential steps forward for research in the field.Methods
A literature search was conducted for papers published before February 2015 featuring quantitative results on clinical outcomes regarding the use of a smartphone for cognitive behavioral therapy, dialectical behavioral therapy, behavioral activation, and acceptance and commitment therapy. A search for the number of related applications available to consumers on the Apple and Google Play commercial marketplaces was also conducted.Results
Nine studies, described in 11 articles, were identified that featured the use of smartphones in cognitive-behavioral interventions. The majority of studies presented pilot results suggesting the potential feasibility/efficacy of such apps. Four hundred and forty-seven related applications were found to be available on the commercial marketplaces.Conclusions
The research base for smartphone-based cognitive-behavioral intervention mobile applications is preliminary at this point although results are encouraging. There is a discrepancy between the published literature and commercial applications available to consumers. We suggest potential steps forward in research to advance clinical use and research on this topic. 相似文献8.
Webster JM Dickson MF Saman DM Mateyoke-Scrivner A Oser CB Leukefeld C 《Journal of Addictions & Offender Counseling》2010,30(2):99-111
Differences between violent and nonviolent probationers were examined in the growing, yet understudied, rural probation population. Violent rural probationers had higher rates of substance use, criminal activity, and mental health symptoms than did nonviolent rural probationers. Implications for practitioners are discussed. 相似文献
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