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Ashamed and Fused with Body Image and Eating: Binge Eating as an Avoidance Strategy.
This study examines the role of shame, depressive symptoms, weight and shape concerns and eating concerns, and body image-related cognitive fusion, on binge eating symptomatology severity. Participated in this study 73 patients with the diagnosis of BED, established through a clinical interview-Eating Disorder Examination 17.0D-who completed measures of external shame, body-image related cognitive fusion, depressive symptoms and binge eating symptomatology. Results revealed positive associations between binge eating severity and depressive symptoms, shame, weight and shape concerns, eating concerns and body image-related c...
Source: Clinical Psychology and Psychotherapy - December 26, 2015 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

They're NICE and Neat, but Are They Useful? A Grounded Theory of Clinical Psychologists' Beliefs About and Use of NICE Guidelines.
This study utilized grounded theory methodology to examine clinical psychologists' beliefs about and use of NICE guidelines. Eleven clinical psychologists working in the NHS were interviewed. The overall emerging theme was; NICE guidelines are considered to have benefits but to be fraught with dangers. Participants were concerned that guidelines can create an unhelpful illusion of neatness. They managed the tension between the helpful and unhelpful aspects of guidelines by relating to them in a flexible manner. The participants reported drawing on specialist skills such as idiosyncratic formulation and integration. However...
Source: Clinical Psychology and Psychotherapy - November 26, 2016 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Cognitive and metacognitive predictors of symptom improvement following treatment for social anxiety disorder: A secondary analysis from a randomized controlled trial.
This study examined change in negative cognitive and negative metacognitive beliefs as independent correlates of symptom improvement in 46 SAD patients undergoing evidence-based treatments. Both types of beliefs decreased during treatment. However, change in metacognitive belief was the only consistent independent predictor across all outcomes and change in cognitive beliefs did not significantly predict outcomes when change in self-consciousness was controlled. The implication of this finding is that metacognitive change might be more important than cognitive belief change in symptom outcome and recovery in SAD. KEY P...
Source: Clinical Psychology and Psychotherapy - March 16, 2017 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Exploring the paths between dysfunctional attitudes towards motherhood and postpartum depressive symptoms: The moderating role of self-compassion.
Authors: Fonseca A, Canavarro MC Abstract Better understanding how cognitive processes operate to influence women's depressive symptoms during the postpartum period is crucial for informing preventive and treatment approaches. The present study aimed to examine the relationship between women's dysfunctional attitudes towards motherhood and depressive symptoms, considering the mediating role of negative automatic thoughts and the moderating role of self-compassion. A sample of 387 women in the postpartum period cross-sectionally answered a set of questionnaires to assess dysfunctional attitudes towards motherhood, n...
Source: Clinical Psychology and Psychotherapy - September 30, 2017 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

Dissemination of exposure in the treatment of anxiety disorders and post-traumatic stress disorder among German cognitive behavioural therapists.
Authors: Schumacher S, Weiss D, Knaevelsrud C Abstract The efficacy of exposure is beyond doubt, which is reflected in guidelines recommending its application in the treatment of anxiety disorders and post-traumatic stress disorder (PTSD). Research suggests exposure to be underutilized in clinical practice in the United States and Europe. A systematic investigation of the dissemination of exposure in Germany is lacking. The present study examined the dissemination and application frequency of exposure among German cognitive behavioural therapists working in routine care. In an online-based survey, 331 psychotherapi...
Source: Clinical Psychology and Psychotherapy - August 18, 2018 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

A systematic review of metacognitions in Internet Gaming Disorder and problematic Internet, smartphone, and social networking sites use
CONCLUSIONS: The absence of longitudinal studies prevent us from providing definitive answers about the role of metacognitions in technological addictions. Despite this limitation, interventions that target metacognitions could be beneficial for people presenting with technological addictions.PMID:33783920 | DOI:10.1002/cpp.2588
Source: Clinical Psychology and Psychotherapy - March 30, 2021 Category: Psychiatry Authors: Silvia Casale Alessia Music ò Marcantonio M Spada Source Type: research

Positive beliefs about worry: An evaluation of the Why Worry-II questionnaire in patients with anxiety and mood disorders: Implications for theory and treatment
Clin Psychol Psychother. 2022 Jan 4. doi: 10.1002/cpp.2705. Online ahead of print.ABSTRACTPositive beliefs about worry are an important factor that has been shown to be associated with the reduction of worry severity with cognitive behavioural therapy. The present study evaluated the psychometric properties of a measure of positive beliefs about worry, the Why Worry Questionnaire II (WW-II; Hebert et al., 2014, 0.1016/j.paid.2013.08.009) with a clinical sample. The present study also compared mean scores on the WW-II in the present clinical sample with scores found in non-clinical samples. Finally, the study compared mean ...
Source: Clinical Psychology and Psychotherapy - January 5, 2022 Category: Psychiatry Authors: Ricks Warren Elizabeth Yu Source Type: research

How to manage patients with eating disorders in the inpatient setting
Case Dr. Wimberly A 25-year-old female pharmacy student is brought to the emergency department by her parents after a presyncopal episode while at home for a school break. Her parents are concerned that she has lost quite a bit of weight over the last year. Initial vitals are notable for HR 38 and supine BP 110/70. Upon standing, BP decreases to 85/60 and HR increases to 115.  Labs are notable for slightly low potassium and normal serum phosphorus. BMI is 15.2.   Background Eating disorders (EDs) are serious psychiatric illnesses with significant morbidity and mortality. The Diagnostic and Statistical Manual of Mental...
Source: The Hospitalist - March 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Clinical Guidelines Eating Disorders Hospital Medicine Source Type: research

Metacognitions and Mindful Attention Awareness in Depression: A Comparison Of Currently Depressed, Previously Depressed and Never Depressed Individuals.
In conclusion, the study shows that metacognitions and mindful attention awareness are two related but separate constructs and that metacognitions emerged as the best predictor of depression. These results provide support for the metacognitive model of emotional disorders. Copyright © 2015 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Metacognitions and mindful attention awareness are related but separate constructs Both mindful attention awareness and metacognition are associated with depression Anxiety and negative beliefs about worry (metacognitions) are most important in predicting depression Addressing me...
Source: Clinical Psychology and Psychotherapy - October 10, 2015 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

C-PTSD and Eating Disorders
As a relatively new and still poorly recognized concept, few people come to therapy identifying as suffering from Complex Post Traumatic Stress Disorder (C-PTSD). As a rule, a diagnosis of C-PTSD comes only after the process of self-discovery in therapy has begun. When people suffering from C-PTSD are referred to a therapist, or decide to seek help for themselves, it is usually because they are seeking help for one of its symptoms, including dissociative episodes, problems forming relationships, and alcohol or substance abuse. One of the more common issues that leads to the discovery of C-PTSD is the presence of an eating ...
Source: Psych Central - January 19, 2018 Category: Psychiatry Authors: Fabiana Franco, Ph.D. Tags: Addictions Anorexia Binge Eating Bulimia Eating Disorders Loneliness Psychology PTSD Trauma Treatment affect regulation Bingeing Body Image C-PTSD Child Abuse child neglect Childhood Trauma complex posttraumatic stress di Source Type: news

Evaluating the "C" and "B" in brief CBT for distressing voices in routine clinical practice in an uncontrolled study.
Authors: Paulik G, Hayward M, Jones AM, Badcock JC Abstract Brief and single-symptom forms of Cognitive Behaviour Therapy (CBT) for distressing voices may increase access to evidence-based psychological therapy and transcend diagnostic barriers. The current study evaluated the "C" and "B" in CBT for distressing voices in a transdiagnostic voices clinic. The "B" module (component of therapy) sought to enhance coping with voices and the "C" module evaluated the accuracy of negative beliefs about the self and voices. The aims of the study were to investigate: (1) whether modules B and/or C led to significant and clini...
Source: Clinical Psychology and Psychotherapy - September 1, 2019 Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research

The therapeutic process in psychological treatments for eating disorders: A systematic review
DiscussionAs most studies assessed only a limited number of process aspects, the ability to draw conclusions about their overall impact regarding outcome is rather limited. Therefore, future process‐outcome research is needed beyond investigations of treatment efficacy for eating disorders. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014)
Source: International Journal of Eating Disorders - May 1, 2014 Category: Eating Disorders and Weight Management Authors: Anne Brauhardt, Martina de Zwaan, Anja Hilbert Tags: Review Source Type: research