Abstract:
OBJECTIVE:Residential treatment for severe eating disorders (EDs) is associated with primarily positive outcomes. However, less is known about the moderators of treatment response. Comorbid post-traumatic stress disorder (PTSD) diagnosis is associated with increased ED symptom severity. This study investigated whether PTSD moderated outcomes of transdiagnostic, residential ED treatment based upon the Unified Protocol. METHOD:Female patients (N = 1055) in residential ED treatment completed a clinical interview to assess PTSD diagnosis and self-reported ED, depression, and anxiety symptoms, anxiety sensitivity, experiential avoidance, and mindfulness. We tested whether PTSD moderated trajectories of symptom change from treatment admission to discharge and 6-month follow-up using multilevel models. RESULTS:PTSD moderated change in ED symptoms, depression severity, and experiential avoidance. Patients with PTSD showed steeper symptom improvements from admission to discharge. However, PTSD was associated with greater symptom recurrence after residential treatment. CONCLUSIONS:Patients with comorbid PTSD demonstrated more improvement during residential treatment, but experienced steeper posttreatment symptom recurrence.
journal_name
J Clin Psycholjournal_title
Journal of clinical psychologyauthors
Scharff A,Ortiz SN,Forrest LN,Smith AR,Boswell JFdoi
10.1002/jclp.23106subject
Has Abstractpub_date
2021-01-15 00:00:00eissn
0021-9762issn
1097-4679pub_type
杂志文章abstract::Examined the relationship between preference for major counseling orientations and perception of counselor behavior in theoretically derived counseling interviews. Seventy-seven undergraduate students viewed demonstration interviews by Rogers and Lazarus, rated the counselor behavior on the Counselor Rating Form, and ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198407)40:4<1111::aid-jclp227040
更新日期:1984-07-01 00:00:00
abstract::Examined the relationship among depression, locus of control of reinforcement, and age in 26 depressed, female, psychiatric outpatients, 26 nondepressed controls, and 55 undergraduate students (23 male, 32 female), of whom 18 were depressed. The mean age of the patients and controls was 40.2, and of the students 19.7....
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198204)38:2<340::aid-jclp2270380
更新日期:1982-04-01 00:00:00
abstract:BACKGROUND:The positive personality characteristics of optimism, hope, self-esteem, and perceived availability of social support are believed to play an important role in psychological adjustment to stressful life events. For example, these characteristics have been shown to be associated with fewer mood disturbances i...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22083
更新日期:2014-12-01 00:00:00
abstract::The present study examined the clinical utility and psychometric properties of the Personality Assessment Inventory (PAI; Morey, 1991) within a large sample of chronic pain patients. Alpha coefficients and mean interitem correlations generally conformed with recommended psychometric standards and were similar to those...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20209
更新日期:2005-12-01 00:00:00
abstract::Twenty-five closed-head-injured adults (24 males, 1 female; M age = 28.8 years) were classified as "recovered" if they had returned to work, school, or a sheltered workshop for which pay was received and "non-recovered" if they did not meet these criteria. Current status was compared with MMPI, Adaptive Behavior Scale...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198711)43:6<699::aid-jclp2270430
更新日期:1987-11-01 00:00:00
abstract::This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" respo...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.10103
更新日期:2002-12-01 00:00:00
abstract::Alcohol abuse is linked strongly with neuropsychological deficits that may resemble deficits seen in head-injured individuals. Heavy daily drinking appears more damaging than episodic abusive consumption. Cognitive deficits associated with alcohol include abstraction, perceptuospatial, and problem-solving skills. Verb...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/1097-4679(199309)49:5<714::aid-jclp2270490
更新日期:1993-09-01 00:00:00
abstract::There is a very high prevalence of psychosis in U.K. prisons; moreover, a significant number of prisoners meet risk criteria for psychosis. We provide a report of psychological therapy with a client who met risk criteria for psychosis that took place in a prison setting. We applied a self-reflectivity framework when f...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22250
更新日期:2016-02-01 00:00:00
abstract::The psychometric structure of the Wechsler Memory Scale (WMS) and its relationship to the revised Wechsler Adult Intelligence Scale (WAIS-R) were studied in an outpatient population of 103 individuals with low Full Scale IQ scores (M = 71). We found that the age correction of the WMS scores gave memory quotients (WMQ)...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198807)44:4<549::aid-jclp2270440
更新日期:1988-07-01 00:00:00
abstract::Fees for mental health services is a subject that is often discussed but seldom researched. Fee information that pertained to 112 adult outpatients who returned a follow-up questionnaire and 147 who did not return it was reviewed in light of several indices of patients' response to clinic services. The study also asse...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198207)38:3<669::aid-jclp2270380
更新日期:1982-07-01 00:00:00
abstract::This article addresses the impact of discovered marital infidelity on the couple's young children, adolescents, and adult children. It distinguishes between two types of infidelity, affairs and womanizing, and suggests differential treatments for each. Treatment must address the impact of the secrecy, which is always ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20193
更新日期:2005-11-01 00:00:00
abstract::S. L. Shapiro and colleagues (2006) have described a testable theory of the mechanisms of mindfulness and how it affects positive change. They describe a model in which mindfulness training leads to a fundamental change in relationship to experience (reperceiving), which leads to changes in self-regulation, values cla...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20579
更新日期:2009-06-01 00:00:00
abstract::In the present study, we examined loneliness and negative life events as predictors of suicide risk (viz., hopelessness and suicidal behaviors) in a sample of 160 Hispanic adults. Consistent with expectations, we found loneliness and negative life events to be positively associated with both hopelessness and suicidal ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20721
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:Previous research in a nonclinical sample has suggested that schizotypal, dissociative, and imaginative processes may play a role in obsessive-compulsive disorder (OCD) symptoms (Aardema & Wu, ). The present study aims to extend these findings in a clinical sample. METHOD:N = 75 adults (mean age = 37.99; 61....
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22173
更新日期:2015-06-01 00:00:00
abstract::Four groups of women (N = 115) self-identified as having histories of childhood sexual abuse or no such histories and self-identified as either heterosexual or lesbian were compared using a questionnaire and the MMPI-2. Subjects ranged in age from 21-60 years with 60% between ages 30-50 years. Results of a Three-Way M...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/(sici)1097-4679(199712)53:8<791::aid-jclp2
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:The development of a constructive therapeutic alliance may represent an important feature of interpersonal adaptation in clients with Borderline Personality Disorder (BPD). The present study explores cognitive heuristics as dynamic features of change in relationship with the therapeutic alliance in the treatm...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.22775
更新日期:2019-07-01 00:00:00
abstract::Measured the efficacy of music, progressive muscle relaxation, and a combination of both variables on tension reduction. Ss were three sections (N = 76) of an introductory music class. Each section received either sedative music (M), progressive muscle relaxation (PMR), or both (M + PMR) as treatment. Vasoconstriction...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198303)39:2<213::aid-jclp2270390
更新日期:1983-03-01 00:00:00
abstract::Analyzed the Matching Familiar Figures (MFF) Test, which has been employed by researchers to determine conceptual tempo, for potential use as a tool for the clinician. The literature indicates that the test is valid in terms of range and structural clarity of information provided. The psychological factors inherent in...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198110)37:4<812::aid-jclp2270370
更新日期:1981-10-01 00:00:00
abstract::Administered the Low Back (Lb) Scale, a special derivative of the MMPI, to 20 patients with functional low back pain and 20 patients with verifiable organic evidence for their low back complaints. The Social Desirability Scale also was administered in order to assess the test-taking attitudes of the patients. The two ...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197904)35:2<306::aid-jclp2270350
更新日期:1979-04-01 00:00:00
abstract::Previous reports on the use of the MMPI with chronic pain patients have produced a variety of results. No single configural feature or scale identifies the chronic pain patient, regardless of the origin or verifiability of the etiology of the pain. Elevations on the neurotic triad occur frequently, but do not have the...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198611)42:6<878::aid-jclp2270420
更新日期:1986-11-01 00:00:00
abstract::Attempting to reveal unconscious content and promoting self-actualization may be counterproductive for clients who come from collectivistic cultures. Such treatment goals may expose clients to harsh confrontations with the family. Clients with dependency traits, low ego-strength, and strict families may be helped thro...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.20568
更新日期:2009-02-01 00:00:00
abstract::The present study reports on the development of a Dutch PTSD scale based on the DSM-III criteria for PTSD. Test-retest reliability was .91. The scale showed an internal consistency with a coefficient alpha of .88. Factor analysis on a large sample of Resistance veterans (N = 967) yielded six factors, which represent i...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(199303)49:2<196::aid-jclp2270490
更新日期:1993-03-01 00:00:00
abstract::The effects of phenothiazines and social skills training on a severely withdrawn schizophrenic were examined. Regulation of phenothiazine levels had the result that the patient became more receptive to behavioral interventions. Specific application of a token economy program effected a marked improvement in the assert...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197510)31:4<588::aid-jclp2270310
更新日期:1975-10-01 00:00:00
abstract::Studied the relationship between attitudes toward the rights and proper roles of women in society and attitudes toward seeking professional help for emotional problems in a sample of 80 college students. Liberal attitudes toward women were associated with positive help-seeking attitudes in men and women, contrary to p...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197904)35:2<473::aid-jclp2270350
更新日期:1979-04-01 00:00:00
abstract::Examined diagnostic differences between black, white, and Hispanic-American patients (N = 1968) seen in psychiatric outpatient clinics of a large hospital in the South Bronx. Distribution of diagnoses also was compared statistically in relation to the diagnostician's ethnicity. Results indicated statistical difference...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(198107)37:3<529::aid-jclp2270370
更新日期:1981-07-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to explore sleep quality as a potential mediator between depression symptoms and diabetes quality of life (DQOL), and anxiety symptoms and DQOL. METHOD:Participants were 83 male and 3 female veterans with type 2 diabetes (Mage = 62.4). Self-report measures were completed during the...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/jclp.21866
更新日期:2013-10-01 00:00:00
abstract::Recent literature has suggested that the traditional dichotomy of organic vs. functional classification for pain patients is unimportant in determining the role of personality variables in predicting treatment outcome. The present study examined the role of MMPI variables in predicting treatment outcome in pain patien...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197910)35:4<832::aid-jclp2270350
更新日期:1979-10-01 00:00:00
abstract::Determined whether individuals who adapted well or poorly to the loss of their vision could be differentiated on the basis of the Cattell 16PF. Well adjusted individuals were defined as those who displayed minimal depression and high social independence, while poorly adjusted individuals were highly depressed and soci...
journal_title:Journal of clinical psychology
pub_type: 杂志文章
doi:10.1002/1097-4679(197801)34:1<84::aid-jclp22703401
更新日期:1978-01-01 00:00:00
abstract::The extent and potential dangerousness of the problem of domestic violence warrants systematic screening and assessment in all mental health settings. Few empirical studies have approached the question of domestic violence with the aim of identifying risk markers, making it impossible to identify a particular characte...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/1097-4679(200010)56:10<1289::AID-JCLP4>3.0
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:The pairing of analysis of variance (ANOVA)-based analyses with designs lacking multiple measurement of client change may lead to conclusions that are inconsistent with theoretical expectations about how change will occur. Multilevel modeling (MLM), when used with multiple assessments of client outcomes, pro...
journal_title:Journal of clinical psychology
pub_type: 杂志文章,评审
doi:10.1002/jclp.21964
更新日期:2013-06-01 00:00:00