Abstract:
OBJECTIVE:Failure to adhere to treatment with antipsychotic medication is the most common cause of relapse among patients with schizophrenia. A novel multifamily group (MFG) intervention, informed by the Theory of Planned Behavior (TPB), demonstrated efficacy in increasing medication adherence and decreasing rehospitalizations in schizophrenia patients. This report explores the hypothesis that the improved outcomes obtained through the MFG approach were mediated by changes in the patients' attitudes toward medications, subjective norms-social influences, and perceived behavioral control of resources. METHOD:Data from a recently completed, randomized controlled trial of MFG was used to test the hypothesis that the improvement in adherence was mediated by the 3 TPB factors. Subjects were 174 Mexican American adults with schizophrenia-spectrum disorder who had participated in a study of MFG focused on improving medication adherence. Assessments occurred at baseline and at 4, 8, 12, 18, and 24 months. RESULTS:Path analysis revealed that the increased adherence associated with MFG was mediated by improvements in subjective norms but not attitudes toward medications nor perceived behavioral control. CONCLUSION:An MFG treatment specifically tailored to increase medication adherence among Mexican Americans with schizophrenia achieved its benefits by leveraging social influences through teaching family members how to support medication adherence in their ill relatives.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Kopelowicz A,Zarate R,Wallace CJ,Liberman RP,Lopez SR,Mintz Jdoi
10.1037/a0039346subject
Has Abstractpub_date
2015-10-01 00:00:00pages
985-93issue
5eissn
0022-006Xissn
1939-2117pii
2015-24230-001journal_volume
83pub_type
杂志文章,随机对照试验abstract::Although multidisciplinary pain programs have been demonstrated to be effective, the processes of improvement have yet to be clarified. Cognitive-behavioral models posit that improvement is due, in part, to changes in patient pain beliefs and coping strategies. To test the relationships between treatment outcome and c...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.62.1.172
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:Patients with major depressive disorder (MDD) and a comorbid personality disorder (PD) have been found to exhibit relatively poor outcomes in cognitive therapy (CT) and other treatments. Adaptations of CT focusing heavily on patients' core beliefs have yielded promising findings in the treatment of PD. Howeve...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000071
更新日期:2016-04-01 00:00:00
abstract::Three areas with special relevance to liability and child therapy are considered: informed consent, confidentiality, and child-abuse reporting laws. In each area, issues that may be confronted in therapy or in research on therapy are discussed, and a sampling of relevant laws is explored. Suggestions for avoiding pote...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.59.6.853
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVE:Cigarette smoking is the leading cause of preventable death in the United States. In addition, smoking rates among depressed and anxious smokers are higher than in the population at large. Furthermore, treating depressed and anxious smokers effectively is particularly challenging because of their significant ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037/a0027793
更新日期:2013-04-01 00:00:00
abstract::This study examined the prevalence and predictors of posttraumatic stress disorder (PTSD) symptoms in 70 men and women treated with bone marrow transplantation for cancer. Findings indicated that the number of symptoms present ranged from 0 to a possible high of 17 (M = 3.0, SD = 3.9). As predicted. lower social suppo...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.70.1.235
更新日期:2002-02-01 00:00:00
abstract::This article describes the use of concept mapping to develop a pictorial multivariate conceptual framework of staff views of a program of supported employment (SE) for individuals with severe mental illness. The SE program involves extended individualized supported employment for clients through a mobile job support w...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.62.4.766
更新日期:1994-08-01 00:00:00
abstract::A total of 172 individuals diagnosed with a schizophrenia spectrum disorder were followed for 36 months in 3 distinct models of community-based care. Functional outcome data gathered every 6 months were combined with service implementation data to test hypotheses concerning the impact of service characteristics on pro...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.65.3.464
更新日期:1997-06-01 00:00:00
abstract::This is the first dedicated review of quantitative studies on Sigmund Freud's proposition that the poorer the psychological health, the more limited are the benefits from treatment. Since observer-rated scales for psychological health-sickness were developed in 1949, many studies have applied them, and the majority sh...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:
更新日期:1993-08-01 00:00:00
abstract::The authors evaluated hospitalization cost offset of hostility management group therapy for patients with coronary heart disease (CHD) from a previously published randomized controlled trial (Y. Gidron, K. Davidson, & I. Bata, 1999). Twenty-six male patients with myocardial infarction or unstable angina were randomize...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.75.4.657
更新日期:2007-08-01 00:00:00
abstract::Despite recent advances in the medical management of hypertension, chronically elevated blood pressure remains a major health problem in the United States, affecting almost 50 million Americans. It is widely recognized that lifestyle factors contribute to the development and maintenance of elevated blood pressure. Thi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:
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abstract::This article reviews the empirical literature on psychosocial, psychopharmacological, and adjunctive treatments for children between the ages of 6 and 12 with internalizing disorders. The aim of this review was to identify interventions that have potential to prevent substance use disorders in adolescence by treating ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.70.6.1240
更新日期:2002-12-01 00:00:00
abstract::The effects of nicotine chewing gum and cigarettes on resting energy expenditure (REE) were evaluated. Twenty smoking women participated in nicotine gum and smoking administration, after which their REEs were measured. Results indicate an acute increase in REE for both nicotine gum and cigarettes. Metabolic rates for ...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.59.5.749
更新日期:1991-10-01 00:00:00
abstract:OBJECTIVE:To examine predictors and moderators of response to cognitive behavioral therapy (CBT) and medication treatments for binge-eating disorder (BED). METHOD:108 BED patients in a randomized double-blind placebo-controlled trial testing CBT and fluoxetine treatments were assessed prior, throughout, and posttreatm...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0027001
更新日期:2012-10-01 00:00:00
abstract::The effectiveness of motivational enhancement therapy (MET) in comparison with counseling as usual (CAU) for increasing retention and reducing substance use was evaluated in a multisite randomized clinical trial. Participants were 461 outpatients treated by 31 therapists within 1 of 5 outpatient substance abuse progra...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1037/0022-006X.75.4.556
更新日期:2007-08-01 00:00:00
abstract::This study explored the process of resolving an in-session impasse between a parent and an adolescent in family therapy. Focusing on altering the content and affective tone of a discussion, the "shift intervention" was used to direct a family's conversation away from trying to solve behavior management problems and to...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.3.481
更新日期:1996-06-01 00:00:00
abstract::Escalating reinforcement for sustained abstinence has been effective in treating cocaine abuse. Under this schedule, patients receive vouchers for cocaine-free urine samples; vouchers have monetary values that increase with the number of consecutive cocaine-free urine samples. Cocaine-abusing methadone patients were r...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.66.5.811
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:A substantial proportion of psychotherapeutic treatments are prematurely terminated because the client discontinues attendance. Interventions have been developed to reduce premature termination, but these are only moderately effective and often place considerable burden on clients and services. This research ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000341
更新日期:2018-12-01 00:00:00
abstract::The authors examined the amount and durability of change in the cognitive content of 156 adult outpatients with recurrent major depressive disorder after treatment with cognitive therapy. The pre-post magnitude of change was large for the Attributional Style Questionnaire Failure composite (d = 0.79), Dysfunctional At...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/0022-006X.75.3.432
更新日期:2007-06-01 00:00:00
abstract::With the diagnosis schizophrenia used as an example throughout, the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders's (American Psychiatric Association, 1994) approach to psychopathologic taxonomy is subjected to critical analysis as representing a fundamentally Aristotelian conception of t...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.64.6.1133
更新日期:1996-12-01 00:00:00
abstract::In this study, the authors examined the role of parental beliefs about the causes of child problems in predicting later mental health service use in a large, diverse population of at-risk youths. Study hypotheses were that parental beliefs consistent with biopsychosocial causes would be associated with later mental he...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.73.5.800
更新日期:2005-10-01 00:00:00
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journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0024597
更新日期:2011-10-01 00:00:00
abstract::The sexual attitudes and activities of 77 sexually abused and 89 comparison women (mean age = 20.41, SD = 3.38) were assessed 10 years after disclosure in a longitudinal, prospective study of the long-term effects of childhood sexual abuse. Abused participants were more preoccupied with sex, younger at first voluntary...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006x.71.3.575
更新日期:2003-06-01 00:00:00
abstract::Teacher, parent, peer, and self-ratings of depression and anxiety symptoms were obtained from 280 3rd-grade and 211 6th-grade children. Confirmatory factor analysis of these multitrait-multimethod data for 3rd graders revealed low but statistically significant levels of convergent validity, high levels of method varia...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.65.1.110
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To extend the sparse literature on moderators, we used time-varying effect modeling (TVEM; Tan, Shiyko, Li, Li, & Dierker, 2012) to examine how depressive symptoms and duration of generalized anxiety disorder (GAD) moderated effects of 3 treatments for GAD (applied relaxation [AR], cognitive-behavioral therap...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000385
更新日期:2019-03-01 00:00:00
abstract::Recidivism by spouse abusers was investigated using records of offenders in the U.S. Army Central Registry. Recidivism by gender and military status (active-duty or civilian spouse) was compared over a 70-month period. Between fiscal years 1989-1997, 48,330 offenders were identified in initial and recidivist incidents...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::Depression, burnout, and perceived job control (PJC) were assessed in 162 nurses. Depression accounted for over 19% of the variance associated with emotional exhaustion--an index of burnout--and PJC accounted for another 6%. Factor analysis of the scales used to measure depression and burnout documented their discrimi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.61.1.147
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to identify mediators of change in a previously published randomized controlled trial that compared Internet-delivered cognitive behavioral treatment based on exposure exercises (ICBT) with Internet-delivered stress management (ISM) for irritable bowel syndrome (IBS). ICBT and ISM ta...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0033439
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To examine the effectiveness of an Internet intervention for depression with a randomized, controlled trial in a large sample of adults recruited from the United States. METHOD:The current study examines the effectiveness of Deprexis, an Internet treatment for depression that was provided with relatively min...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000171
更新日期:2017-04-01 00:00:00
abstract::The purpose of this study was to compare cognitive-processing therapy (CPT) with prolonged exposure and a minimal attention condition (MA) for the treatment of posttraumatic stress disorder (PTSD) and depression. One hundred seventy-one female rape victims were randomized into 1 of the 3 conditions, and 121 completed ...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.70.4.867
更新日期:2002-08-01 00:00:00
abstract::In an effort to study the efficacy of attracting and intervening with adult marijuana users, 290 men and 92 women were screened for participation in a treatment-outcome study focused on marijuana cessation. The well-educated, self-referred sample reported using marijuana on 79 of the past 90 days before testing. Indic...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.61.6.1100
更新日期:1993-12-01 00:00:00