Abstract:
:Anorexia nervosa (AN) continues to remain poorly understood within eating disorders. Recent research and theory have moved away from understanding its aetiological causes, addressing instead potential maintaining factors. This study is focused on interpersonal maintenance factors: the response of close others. Relatives of those with AN typically carry the main burden of care, and research has found high levels of carer distress and unmet needs. Recent theories have proposed this emotional impact to contribute to expressed emotion and other unhelpful caregiver interactions which inadvertently maintain AN. One such understudied response is accommodation, described as a 'process' whereby caregivers 'assist or participate' in symptomatic behaviours of the cared for individual. There is a dearth of research relating to accommodation within eating disorders, particularly qualitative accounts. This study utilized a grounded theory methodology to explore caregivers' responses to managing AN, focusing particularly on carers' experience of accommodation. Eight participants with experience of caring for an individual diagnosed with AN were interviewed. Participants were recruited from a national eating disorder charity and regional eating disorder service. A number of themes emerged, including the importance of caregivers' emotional resources in mediating accommodation responses. Low-perceived efficacy over AN contributed to caregiver burnout. Decreased emotional resources influenced a shift in caregiving aims conducive with accommodation. Nevertheless, carers perceived accommodation as counterproductive to recovery and consequently experienced internal conflict (cognitive dissonance). Dissonance was reduced using a number of cognitive and behavioural strategies. The implications of these findings are discussed with reference to existing literature. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE:Anorexia nervosa (AN) can be difficult to manage. Over time, carers can feel powerless, and their emotional resources diminish. Diminished resources led to a shift in caregiving aims and responses. Subsequently, carers accommodated AN-related behaviours. Carers recognized accommodation as counterproductive and experienced internal conflict (dissonance). This was reduced using a number of strategies. Skill-based interventions designed to empower carers to manage difficult AN behaviours are recommended. Motivational interviewing to develop discrepancies between caregiving aims and responses may promote a shift in the caregiving approach.
journal_name
Clin Psychol Psychotherjournal_title
Clinical psychology & psychotherapyauthors
Fox JR,Whittlesea Adoi
10.1002/cpp.2020subject
Has Abstractpub_date
2017-03-01 00:00:00pages
488-500issue
2eissn
1063-3995issn
1099-0879journal_volume
24pub_type
杂志文章abstract:OBJECTIVE:To investigate the effectiveness of behavioral parent training (BPT) for preschool children with disruptive behaviours and to explore parental predictors of response. METHODS:Parents of 68 preschool children, aged between 2.7 and 5.9 years, participated in BPT. We evaluated the changes in children's behaviou...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2117
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:This paper describes the development and psychometric properties of the Health and Functioning ICF-60 (HF-ICF-60) measure, based on the World Health Organization (WHO) 'International Classification of Functioning, Disability and Health: ICF' (2001). The aims of the present study were to test psychometric pro...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1909
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:This study aimed to evaluate eye movement desensitization and reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD), by comparison to cognitive behavioural therapy (CBT) based on exposure and response prevention. METHOD:This was a pragmatic, feasibility randomized controlled trial in wh...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1002/cpp.2120
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to explore whether certain aspects of emotion dysregulation (i.e., facets of alexithymia and rumination) are more closely linked to hypochondriasis than to depression and vice versa. METHODS:Nineteen patients with hypochondriasis (HYP), 33 patients with depression, and 52 healthy c...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2089
更新日期:2017-11-01 00:00:00
abstract::In the interpersonal theory of suicide, perceived burdensomeness (PB) and thwarted belongingness (TB) are proximal triggers of suicidal ideation. Using the 15-item version of the Interpersonal Needs Questionnaire (INQ-15), suicidal ideation in psychiatric inpatients was predicted by the PB and TB scales, and cut-off s...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2343
更新日期:2019-03-01 00:00:00
abstract::Providing care for a relative with dementia is considered to be a chronic stressor that has been linked to negative mental health consequences for caregivers. A theoretical model was developed and tested to assess the degree to which ambivalence and guilt feelings contribute to caregivers' depressive symptomatology. P...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2116
更新日期:2018-01-01 00:00:00
abstract::Complicated grief (CG), also called prolonged grief disorder, is a debilitating condition that can develop following a loss. There is growing evidence that cognitive-behavioural interventions are efficacious in the treatment of CG. The present preliminary study used data from 43 patients with CG who were randomly assi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1002/cpp.720
更新日期:2011-07-01 00:00:00
abstract:UNLABELLED:The Supervisory Relationship Questionnaire (SRQ) is one of the few theoretically sound and psychometrically valid questionnaires for measuring the SR within clinical supervision. However, its length can make it difficult to use in clinical practice and research. This study aimed to produce a shorter version ...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1935
更新日期:2016-01-01 00:00:00
abstract::Interrelating is a combination of each person's relating towards a specified other and each person's view of the other's relating towards him/her. Negative interrelating is a maladaptive form of interrelating. The study aims to (1) compare the negative interrelating within the families of neurotic and psychotic psycho...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.687
更新日期:2010-11-01 00:00:00
abstract::The current open trial evaluated an inference-based approach (IBA) to the treatment of obsessive-compulsive disorder (OCD) across symptom subtypes and treatment-resistant cases. Following formal diagnosis through semi-structured interview by an independent evaluator, a total of 125 OCD participants across five major s...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2024
更新日期:2017-03-01 00:00:00
abstract::A common setting where depression is identified and treated is in primary care, where there is a need for low-intensity and cost-effective interventions to be used as part of a stepped-care model. The current study involved a pilot, parallel-group, randomized controlled trial of a video self-help intervention for prim...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2436
更新日期:2020-05-01 00:00:00
abstract::The present study examined the relationship between self-perceived attachment styles and interpersonal problems. Specifically, we utilized a clinical sample from an outpatient university-based community clinic who completed the Experiences in Close Relationships Scale-Revised, the Relationship Questionnaire and Invent...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.596
更新日期:2009-01-01 00:00:00
abstract::Screening tools developed for Western populations have produced heterogeneous prevalence estimates for depression and anxiety disorders among refugees. The use of these instruments assumes that psychopathological symptoms are manifested similarly across different cultural groups. Here, we scrutinized whether depressiv...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2499
更新日期:2020-08-17 00:00:00
abstract::In this article, the authors study the factorial structure of the Italian translation of the Outcome Questionnaire 45 (OQ-45) in a sample of college students (n = 522) and psychiatric outpatients (n = 301). The relative goodness of fit of six competing models of the OQ-45 was examined using confirmatory factor analysi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.601
更新日期:2008-11-01 00:00:00
abstract::This study suggests some potential pathways leading towards maintained gains or further growth versus deterioration after naturalistic psychotherapy with experienced clinicians. This is explored in a way that transcends specific theoretical orientations. Sixteen therapies, all showing reliable improvement on Outcome Q...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2162
更新日期:2018-03-01 00:00:00
abstract::Despite the importance of psychotherapists' subjective experiencse working with patients with mental issues, little is known about the relationship between therapists' emotional reactions and patients' personality problems. The present study is a systematic review of quantitative research on the association between pa...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2455
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Music therapy (MT) interventions are aimed at creating and developing a relationship between patient and therapist. However, there is a lack of validated observational instruments to consistently evaluate the MT process. AIM:The purpose of this study was the validation of Music Therapy Session Assessment Sc...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2115
更新日期:2017-11-01 00:00:00
abstract::There are an increasing, but limited, number of studies investigating the benefits of mindfulness interventions for people experiencing psychosis. To our knowledge, changes following mindfulness for psychosis have not yet been explored from a personal construct perspective. This study had two main aims: (i) to explore...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1966
更新日期:2016-11-01 00:00:00
abstract::A growing body of research on verbal hallucinations shows the importance of beliefs about and relationships with the voices for their pathological course. In particular, beliefs about the omnipotence of the voices and the need to control them, and relationships with them that involve efforts to resist or fight them, h...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.563
更新日期:2008-03-01 00:00:00
abstract::Emotions are considered to be an important feature in eating disorders. The present study aimed to conduct a systematic review and metasynthesis of qualitative studies, which considered the role of emotions in eating disorders in order to gain further insight on how these individuals experience various emotions and th...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,meta分析,评审
doi:10.1002/cpp.2365
更新日期:2019-07-01 00:00:00
abstract:UNLABELLED:Despite the growing recognition of the value of mental imagery within the field of cognitive-behavioural therapy (CBT), there is minimal research relating to clinicians' experiences of using imagery. This paper explores recently qualified CBT therapists' clinical experiences of using imagery and their percep...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1920
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:Monitoring of client progress in psychological therapy using formal outcome measures at each session has been shown to increase the effectiveness of treatment. It seems likely that this 'feedback' effect is achieved by enabling therapists to identify clients at risk of treatment failure so that therapists can p...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.1887
更新日期:2015-05-01 00:00:00
abstract:UNLABELLED:COURAGE in Europe was a 3-year project involving 12 partners from four European countries and the World Health Organization. It was inspired by the pressing need to integrate international studies on disability and ageing in light of an innovative perspective based on a validated data-collection protocol. CO...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.1856
更新日期:2014-05-01 00:00:00
abstract::What differentiates those who are able to adapt well to adverse life events (i.e., persons who are resilient) from those who are not (e.g., persons who develop post-traumatic stress symptoms)? Previous work suggests that enhanced autobiographical integration of trauma memories is associated with more severe post-traum...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.644
更新日期:2010-05-01 00:00:00
abstract:UNLABELLED:Previous research has demonstrated significant relationships between metacognition and problem drinking. In this study, we aimed to investigate further these relationships by testing the fit of a metacognitive model of problem drinking in a sample of 174 problem drinkers from a university student population....
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.620
更新日期:2009-09-01 00:00:00
abstract:PURPOSE:There is much evidence indicating the presence of social deficits in schizophrenia and the detrimental effect of these deficits on global functioning in this population. As a result, social skills training (SST) has emerged as a legitimate psychosocial treatment, although effectiveness research has revealed sma...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.1850
更新日期:2014-09-01 00:00:00
abstract::The aims of the present study were to develop and validate a scale specifically focused on shame feelings derived from chronic illness-related experiences, the Chronic Illness-related Shame Scale (CISS) and to fill a gap in literature and analyse the role of this construct in the association between inflammatory bowel...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2035
更新日期:2017-01-01 00:00:00
abstract::Recent findings have suggested some potential psychological vulnerability factors for development of obsessive-compulsive (OC) symptoms, including cognitive factors of appraisal and thought control, religiosity, self-esteem and personality characteristics such as neuroticism. Studies demonstrating these associations u...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.642
更新日期:2010-03-01 00:00:00
abstract::It remains unclear what processes lead to the establishment of persecutory delusions in acute phases of schizophrenia. Recently, it has been argued that persecutory delusions arise from an interaction among a range of emotional, cognitive and social factors. In this work, we explored this possibility by first discussi...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章,评审
doi:10.1002/cpp.746
更新日期:2012-05-01 00:00:00
abstract::The aim of the current study was to test the validity of the Norwegian version of the Desire Thinking Questionnaire (DTQ). Three cross-sectional surveys were conducted investigating the psychometric properties of the DTQ in alcohol use (N = 588), nicotine use (N = 446) and social media use (N = 359). Principal compone...
journal_title:Clinical psychology & psychotherapy
pub_type: 杂志文章
doi:10.1002/cpp.2524
更新日期:2020-10-22 00:00:00