Search

In this paper we paper evaluate the effectiveness of eight sessions of cognitive analytic therapy (CAT) for treating obsessive morbid jealousy (OMJ), using a mixed-methods A/B with followup single-case design. Ideographic jealousy measures were collected throughout baseline (2 sessions), treatment (6 sessions) and follow-up phases (one session), creating a 160-day time series. Nomothetic measures were completed at assessment, end of treatment and at followup. A structured qualitative interview was completed. Significant reductions to idiographic jealousy measures occurred during the treatment phase, with these gains maintained over followup. The intensity of the jealousy shifted from moderate to mild and this change was attributed to CAT. Methodological issues and future directions for the treatment of OMJ are discussed.

Background: Diabetes is a complex chronic health condition that can have a significant impact on physical health and psychological wellbeing. Diabetes management can be particularly difficult for young people (YP) with a diagnosis, and complications arising from poor diabetes self-care can be personally and economically costly. There are ongoing local and national priorities to improve diabetes care management (NHS England, 2016/2017) and streamline resources. A service evaluation was commissioned to understand YP's experiences of living with diabetes. Methods: A qualitative approach was used to elicit YP's (16-25) experiences of living with diabetes. Eight YP were interviewed using a semi-structured format. Results: Five themes were identified from the data: 1) Experience of diagnosis, 2) Day-to-day management, 3) Self-identity, 4) Interactions with staff and 5) Peer support. Conclusions: Overall, the findings of this evaluation indicated that YP found navigating and balancing the demands of diabetes and engagement in typical developmental activities a challenging process. These were sometimes at odds with the priorities of healthcare professionals (HCPs), and lead to differences in the perception of optimal diabetes management. This in turn often had a major impact on engagement and diabetes self-care. The evaluation identified that there is an important role for a psychology service to support the psychological wellbeing of YP with diabetes and to create a shared understanding between YP and HCPs to help increase engagement, collaboration and self-management. [ABSTRACT FROM AUTHOR]

In this paper we paper evaluate the effectiveness of eight sessions of cognitive analytic therapy (CAT) for treating obsessive morbid jealousy (OMJ), using a mixed-methods A/B with followup single-case design. Ideographic jealousy measures were collected throughout baseline (2 sessions), treatment (6 sessions) and follow-up phases (one session), creating a 160-day time series. Nomothetic measures were completed at assessment, end of treatment and at followup. A structured qualitative interview was completed. Significant reductions to idiographic jealousy measures occurred during the treatment phase, with these gains maintained over followup. The intensity of the jealousy shifted from moderate to mild and this change was attributed to CAT. Methodological issues and future directions for the treatment of OMJ are discussed. [ABSTRACT FROM AUTHOR]

Objectives: Improving Access to Psychological Therapies (IAPT) is a national‐level dissemination programme for provision of evidence‐based psychological treatments for anxiety and depression in the United Kingdom. This paper sought to review and meta‐analyse practice‐based evidence arising from the programme. Design: A pre‐registered (CRD42018114796) systematic review and meta‐analysis. Methods: A random effects meta‐analysis was performed only on the practice‐based IAPT studies (i.e. excluding the clinical trials). Subgroup analyses examined the potential influence of particular methodologies, treatments, populations, and target conditions. Sensitivity analyses investigated potential sources of heterogeneity and bias. Results: The systematic review identified N = 60 studies, with N = 47 studies suitable for meta‐analysis. The primary meta‐analysis showed large pre‐post treatment effect sizes for depression (d = 0.87, 95% CI [0.78–0.96], p <.0001) and anxiety (d = 0.88, 95% CI [0.79–0.97], p <.0001), and a moderate effect on functional impairment (d = 0.55, 95% CI [0.48–0.61], p <.0001). The methodological features of studies influenced ESs (e.g., such as whether intention‐to‐treat or completer analyses were employed). Conclusions: Current evidence suggests that IAPT enables access to broadly effective evidence‐based psychological therapies for large numbers of patients. The limitations of the review and the clinical and methodological implications are discussed. Practitioner points: IAPT interventions are associated with large pre‐post treatment effect sizes in depression and anxiety measures.IAPT interventions are associated with moderate treatment effect sizes with regards to work and social adjustment.A reduction in dropout and also the prevention of post‐treatment relapse via the offer of follow‐up support are important areas for future development. [ABSTRACT FROM AUTHOR]

Background : Mediation studies test the mechanisms by which interventions produce clinical outcomes. Consistent positive mediation results have previously been evidenced (Hayes et al., 2006) for the putative processes that compromise the psychological flexibility model of acceptance and commitment therapy (ACT). Aims : The present review aimed to update and extend the ACT mediation evidence base by reviewing mediation studies published since the review of Hayes et al. (2006). Method : ACT mediation studies published between 2006 and 2015 were systematically collated, synthesized and quality assessed. Results : Twelve studies met inclusion criteria and findings were synthesized by (a) the putative processes under investigation, and (b) the outcomes on which processes were tested for mediation. Mediation results were found to be generally consistent with the psychological flexibility model of ACT. However, studies were limited in methodological quality and were overly focused on a small number of putative processes. Conclusions : Further research is required that addresses the identified methodological limitations and also examines currently under-researched putative processes. [ABSTRACT FROM AUTHOR]