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Chaput KH, Freeman M, McMorris C, Metcalfe A, Cameron EE, Jung J, Tough S, Hicks LM, Dimidjian S, Tomfohr-Madsen LM. Effect of Remote Peer-Counsellor- delivered Behavioral Activation and Peer-support for Antenatal Depression on Gestational Age at Delivery: a single-blind, randomized control trial. Trials 2023; 24:240. [PMID: 36997966 PMCID: PMC10061403 DOI: 10.1186/s13063-023-07077-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 01/05/2023] [Indexed: 04/01/2023] Open
Abstract
BACKGROUND Antenatal depression (AD) is the most common complication of pregnancy in developed countries and increases the risk of preterm birth (PTB). Many pregnant individuals with AD do not obtain treatment due in part to risks associated with antidepressant medications, the expense and wait times for psychological services, and perceived stigma. Accessible and timely treatment of antenatal depression is crucial to minimize foetal impacts and associated long-term child health outcomes. Previous studies show that behavioural activation and peer support are promising avenues of treatment for perinatal depression. Additionally, remote and paraprofessional counselling interventions show promise as more accessible, sustainable, and cost-effective treatment avenues than traditional psychological services. The primary aim of this trial is to test the effectiveness of a remote, behavioural activation and peer support intervention, administered by trained peer para-professionals, for increasing gestational age at delivery among those with antenatal depression. The secondary aims are to evaluate the effectiveness for treating AD prior to delivery, with persistence into the postpartum; improving anxiety symptoms; and improving parenting self-efficacy compared to controls. METHODS A two-arm, single-blinded, parallel groups randomized controlled trial (RCT) with repeated measures will be conducted. Participants scoring >10 on the Edinburgh Postnatal Depression Scale will be recruited from the larger P3 cohort and invited to enroll. Assessments will be conducted prior to 27 weeks' gestation at trial intake (T1), post-intervention, prior to delivery (T2), 5-6 months postpartum (T3), and 11-12 months postpartum (T4) and will include self-report questionnaires and linked medical records. DISCUSSION Our remote, peer paraprofessional-delivered behavioural activation plus peer support intervention has the potential to successfully reduce symptoms of AD, which may in turn decrease the risk of PTB and subsequent health impacts. The current trial builds on previous findings and uses a patient-oriented approach to address priorities for patient care and to provide a cost-effective, accessible, and evidence-based treatment to pregnant individuals with AD. TRIAL REGISTRATION International Standard Randomised Controlled Trial Number (ISRCTN) registry (ISRCTN51098220) ISRCTN51098220. Registered on April 7, 2022.
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Affiliation(s)
- Kathleen H Chaput
- Department of Obstetrics and Gynecology, Cumming School of Medicine, University of Calgary, 2500 University Drive, NW, Calgary, AB, T2N 1N4, Canada.
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"Treat Me Like a Dumb American": a Qualitative Exploration of the American Immigrant Counselor Experience. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2023; 45:104-119. [PMID: 36466589 PMCID: PMC9702726 DOI: 10.1007/s10447-022-09497-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2022] [Indexed: 11/27/2022]
Abstract
This qualitative study addresses the gap in the limited literature on the experiences of American immigrant counselors practicing overseas. Seven American immigrant counselors were interviewed regarding their experience. Interviews were transcribed verbatim and analyzed using inductive Thematic Analysis. Three themes were identified: lack of cultural knowledge as counseling technique, American stereotypes/politics within the counseling session, and issues surrounding lack of counseling regulation and transfer of professional credentials. Implications for American counselor education are discussed.
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Listening Visits for maternal depression: a meta-analysis. Arch Womens Ment Health 2021; 24:595-603. [PMID: 33452571 DOI: 10.1007/s00737-020-01101-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 12/16/2020] [Indexed: 10/22/2022]
Abstract
Listening Visits are a non-directive counseling intervention delivered by nurses to depressed postpartum women. In 2007, Listening Visits were listed as a recommended treatment in British national guidelines. They were removed from the guideline update, due to the small effect size drawn from a meta-analysis of five clinical trials with depressed and non-depressed postpartum women. The purpose of this meta-analysis is to provide an estimate of the true population effect of Listening Visits as a treatment for maternal depression compared to control conditions. A meta-analytic review was conducted of studies published before October 2020. Inclusion criteria required that the study was a pragmatic or randomized trial of Listening Visits delivered by non-mental health specialists to mothers with elevated symptoms of maternal depression. Post-treatment depression rates for the treatment and control groups were extracted from eligible studies. Six studies met eligibility criteria which included 703 participants. Analyses of observed effect sizes corrected for study artifacts revealed an estimate of 0.66 (95% CI: 0.32, 0.99) with high heterogeneity (Q = 17.95, p = 0.003, I2 = 72.14). After removing outliers and addressing heterogeneity across observed effect sizes, the meta-analytic estimate across four methodologically similar studies and 651 participants was 0.43 (95% CI: 0.24, 0.62). The moderate effect size for Listening Visits, considered together with the advantages afforded by how, where, and who provides this treatment, supports Listening Visits as a first-line intervention in a stepped care approach for mothers with mild to moderately severe depression symptoms.
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Ehrenthal JC, Clauss J, Tettenborn AV, Reck C. Experience-Based Competency Training in Child and Adolescent Psychotherapy. ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE 2021. [DOI: 10.1026/1616-3443/a000635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Abstract. Background: Compared to adult psychotherapy training, there is little knowledge about the use of standardized actor-patients (SPs) for the development of professional competencies for younger patient populations. Objective: We assessed the effectiveness of two university-based training programs for diagnostic as well as intervention skills in child and adolescent psychotherapy. Methods: Psychology students took part in two courses on the development of diagnostic competencies ( N = 59) and on intervention skills ( N = 51). We applied active and experience-based learning strategies, including exercises on self-awareness, mindfulness, peer role-play, and the use of SPs. Competence gain as well as a general evaluation of the seminars were assessed by self-report. Results: For both seminars, self-reported competence increased significantly with a large effect. The retrospective evaluation of learning success and acceptance ratings of the didactic formats were high. Conclusions: Experience-based trainings that include SPs are a feasible option for child and adolescent psychotherapy. The findings are discussed from a conceptual as well as a practical perspective.
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Affiliation(s)
- Johannes C. Ehrenthal
- Department Psychologie, Humanwissenschaftliche Fakultät, University of Cologne, Germany
| | - Johannes Clauss
- Department Psychologie, Fakultät für Psychologie und Pädagogik, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Alexandra von Tettenborn
- Department Psychologie, Fakultät für Psychologie und Pädagogik, Ludwig-Maximilians-Universität München, Munich, Germany
| | - Corinna Reck
- Department Psychologie, Fakultät für Psychologie und Pädagogik, Ludwig-Maximilians-Universität München, Munich, Germany
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Wendt DJ, Tyson G. Diagnostic Accuracy in Australian Psychologists: Impact of Experience and Endorsement on the Anchoring Effect. AUSTRALIAN PSYCHOLOGIST 2020. [DOI: 10.1111/ap.12311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Brock RL, O'Hara MW, Segre LS. Depression Treatment by Non-Mental-Health Providers: Incremental Evidence for the Effectiveness of Listening Visits. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2017; 59:172-183. [PMID: 28349604 PMCID: PMC5556380 DOI: 10.1002/ajcp.12129] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Maternal depression is a prevalent public health problem, particularly for low-income mothers of young children. Intervention development efforts, which often focus on surmounting instrumental barriers to care, have not successfully engaged and retained women in treatment. Task-sharing approaches like Listening Visits (LV) could overcome key instrumental and psychological barriers by leveraging the access of trusted, community caregivers to deliver treatment. A recent randomized controlled trial (RCT) demonstrated the efficacy of LV delivered by non-mental-health providers as compared to usual care. The present report presents results from a follow-up phase of that RCT during which participants who had completed LV were followed for an additional 8 weeks and completed measures of depression and quality of life. In addition, participants who were initially randomized to the wait-list control group received LV and were assessed. Treatment gains previously observed in participants completing LV were enhanced during the 8-week follow-up period. Participants receiving LV during the follow-up period experienced significant improvement in depressive symptoms. Results demonstrate the sustainability of LV delivered by non-mental-health providers, and provide preliminary evidence for the replicability of this approach in a sample of predominately low-income pregnant women and mothers of young children.
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Affiliation(s)
- Rebecca L Brock
- Department of Psychology, The University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Michael W O'Hara
- Department of Psychological and Brain Sciences, The University of Iowa, Iowa City, IA, USA
| | - Lisa S Segre
- College of Nursing, The University of Iowa, Iowa City, IA, USA
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Macdonald J, Mellor-Clark J. Correcting Psychotherapists' Blindsidedness: Formal Feedback as a Means of Overcoming the Natural Limitations of Therapists. Clin Psychol Psychother 2014; 22:249-57. [PMID: 24453070 DOI: 10.1002/cpp.1887] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2013] [Revised: 12/11/2013] [Accepted: 12/22/2013] [Indexed: 11/07/2022]
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 pay greater attention to client difficulties, which may be hindering therapeutic work. To date, little attention has been given to understanding relevant mechanisms of formal feedback in psychological therapy. In order to understand and maximize the benefits of feedback, it is essential to explore potential mechanisms contributing to this effect. Research in social psychology may help to explain how feedback works. METHODS Findings on cognitive biases in the field of social psychology are explored and linked to preliminary findings in the field of psychotherapy research. RESULTS Research on cognitive biases and expertise is congruent with indications that clinical prediction in psychotherapy is unreliable and that it may be difficult for clinicians to detect errors in their judgement as a result of a lack of clear corrective feedback. This problem is linked to the fact that clinical outcomes occur in a complex 'noisy' environment where prediction is inherently difficult. CONCLUSION Formal feedback may derive its benefits from its ability to help correct naturally occurring biases in therapists' assessment of their work. If these biases are seen as normal, but often avoidable if feedback is used, this may pave the way to greater acceptance of formal feedback by clinicians and enhanced outcomes for clients. KEY PRACTITIONER MESSAGE The use of formal feedback tools can help therapists overcome inevitable limitations in their ability to predict poor response to treatment, enhancing the likelihood of detecting and resolving client difficulties in therapy.
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Jacobsson G, Lindgren TE, Hau S. Rites of passage: Novice students' experiences of becoming psychotherapist. NORDIC PSYCHOLOGY 2013. [DOI: 10.1080/19012276.2012.731313] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Dennhag I, Armelius BÅ. Baseline training in cognitive and psychodynamic psychotherapy during a psychologist training program. Exploring client outcomes in therapies of one or two semesters. Psychother Res 2012; 22:515-26. [PMID: 22468963 DOI: 10.1080/10503307.2012.677332] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
This effectiveness study explored the outcomes of 187 clients seen by 187 students undergoing baseline training in psychotherapy. Clients reduced their symptoms (SCL-90) and increased their positive self-image (SASB introject) during the therapy. Multiple regression analyses showed no differences between the cognitive and the psychodynamic training approaches and no differences between one and two semesters duration of the therapies. However, 2-3% of variance in end states was accounted for by the interaction between the variables, indicating a moderating effect of duration in the two approaches. Outcomes for clients in the cognitive training approach were significantly better with two semesters than with one semester, while there was no such difference in the psychodynamic approach. Consequences for baseline training are discussed.
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Affiliation(s)
- Inga Dennhag
- Department of Psychology, Umeå University, Umeå, Sweden.
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Öst LG, Karlstedt A, Widén S. The effects of cognitive behavior therapy delivered by students in a psychologist training program: an effectiveness study. Behav Ther 2012; 43:160-73. [PMID: 22304888 DOI: 10.1016/j.beth.2011.05.001] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2011] [Revised: 05/16/2011] [Accepted: 05/16/2011] [Indexed: 10/18/2022]
Abstract
Relatively little is known about the efficacy of clinically inexperienced student therapists carrying out cognitive behavior therapy (CBT) under supervision during a professional, psychologist training program. The current study evaluated this by collecting pre- and posttreatment data on 591 consecutive patients receiving treatment at the Psychotherapy Clinic of the Department of Psychology, Stockholm University, Sweden, over an 8-year period. The patients had mainly anxiety disorders or depression with a mean duration of 15 years, and received individual CBT for a mean of 18 sessions. They improved significantly on both general measures (Beck Anxiety Inventory [BAI], Beck Depression Inventory [BDI], and Quality of Life Inventory [QOLI]) and disorder-specific self-report scales. The proportions of recovered patients on the BAI (63%) and the BDI (60%) were higher than those of a comparison effectiveness study. On the specific self-report scales the current sample improved as much as the samples in extant efficacy trials. We conclude that clinically inexperienced student therapists who receive supervision from experienced supervisors can achieve treatment effects that are on a par with those of experienced licensed psychotherapists.
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Affiliation(s)
- Lars-Göran Öst
- Department of Psychology, Stockholm University, S-106 91 Stockholm, Sweden.
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Dadds MR, Smallbone S, Nisbet I, Dombrowski J. Willingness, Confidence, and Knowledge to Work with Adolescent Sex Offenders: An Evaluation of Training Workshops. BEHAVIOUR CHANGE 2012. [DOI: 10.1375/bech.20.2.117.24839] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
AbstractIncreasing attention is being paid to best practice in mental health sciences. One crucial aspect of this is the extent to which the mental health workforce has the knowledge and skills to implement state-of-the-art interventions. Recently, evidence has indicated that sexual offending often begins in adolescence, can be a persistent disorder when left untreated, and is associated with a range of other mental health problems in the perpetrator and subsequently in victims. A small number of evaluations of treatment programs are appearing but little work has appeared addressing the issue of how the workforce is equipped, or can be trained, to work with this challenging population. In this paper we present data on the effects of training on knowledge, skills, confidence, and willingness, to work with this client group. Trainees were 107 mental health workers who attended training workshops provided throughout Queensland, Australia by the Griffith Adolescent Forensic Assessment and Treatment Centre. Results showed that the measures developed for assessing training effects were change sensitive and valid. Training was associated with increases in self-rated skills, confidence, knowledge, and willingness to work with this population, and these changes were maintained for the follow-up sample.
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Gone JP, Trimble JE. American Indian and Alaska Native mental health: diverse perspectives on enduring disparities. Annu Rev Clin Psychol 2011; 8:131-60. [PMID: 22149479 DOI: 10.1146/annurev-clinpsy-032511-143127] [Citation(s) in RCA: 229] [Impact Index Per Article: 17.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
As descendants of the indigenous peoples of the United States, American Indians and Alaska Natives (AI/ANs) have experienced a resurgence in population and prospects since the beginning of the twentieth century. Today, tribally affiliated individuals number over two million, distributed across 565 federally recognized tribal communities and countless metropolitan and nonreservation rural areas. Although relatively little evidence is available, the existing data suggest that AI/AN adults and youth suffer a disproportionate burden of mental health problems compared with other Americans. Specifically, clear disparities have emerged for AI/AN substance abuse, posttraumatic stress, violence, and suicide. The rapid expansion of mental health services to AI/AN communities has, however, frequently preceded careful consideration of a variety of questions about critical components of such care, such as the service delivery structure itself, clinical treatment processes, and preventive and rehabilitative program evaluation. As a consequence, the mental health needs of these communities have easily outpaced and overwhelmed the federally funded agency designed to serve these populations, with the Indian Health Service remaining chronically understaffed and underfunded such that elimination of AI/AN mental health disparities is only a distant dream. Although research published during the past decade has substantially improved knowledge about AI/AN mental health problems, far fewer investigations have explored treatment efficacy and outcomes among these culturally diverse peoples. In addition to routine calls for greater clinical and research resources, however, AI/AN community members themselves are increasingly advocating for culturally alternative approaches and opportunities to address their mental health needs on their own terms.
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Affiliation(s)
- Joseph P Gone
- Department of Psychology, University of Michigan, Ann Arbor, Michigan 48109, USA.
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Dennhag I, Ybrandt H, Armelius K. Self-image patterns as predictors of change and outcome of trainee-led psychotherapy. Psychother Res 2011; 21:201-9. [DOI: 10.1080/10503307.2010.542783] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Montgomery EC, Kunik ME, Wilson N, Stanley MA, Weiss B. Can paraprofessionals deliver cognitive-behavioral therapy to treat anxiety and depressive symptoms? Bull Menninger Clin 2010; 74:45-62. [DOI: 10.1521/bumc.2010.74.1.45] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Armstrong J. How effective are minimally trained/experienced volunteer mental health counsellors? Evaluation of CORE outcome data. COUNSELLING & PSYCHOTHERAPY RESEARCH 2010. [DOI: 10.1080/14733140903163284] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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The effectiveness and applicability of motivational interviewing: a practice-friendly review of four meta-analyses. J Clin Psychol 2009; 65:1232-45. [DOI: 10.1002/jclp.20638] [Citation(s) in RCA: 382] [Impact Index Per Article: 25.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Carroll JFX. Concerns About Aspects of Harm Reduction and the Overselling of Evidence-Based Practices in the Treatment of Alcohol/Other Drug Problems. ALCOHOLISM TREATMENT QUARTERLY 2009. [DOI: 10.1080/07347320903014271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Carey TA, Rickwood DJ, Baker K. What does $AUD27,650,523.80 worth of evidence look like? CLIN PSYCHOL-UK 2009. [DOI: 10.1080/13284200802676417] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | | | - Keith Baker
- Mental Health ACT , Canberra, Australian Capital Territory, Australia
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O'donovan A, Dyck M. Effective training in clinical and counselling psychology: Not as simple as it sounds. AUSTRALIAN PSYCHOLOGIST 2007. [DOI: 10.1080/00050060108259640] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Dyck MJ, O'donovan A. Training in clinical and counseling psychology. AUSTRALIAN PSYCHOLOGIST 2007. [DOI: 10.1080/00050060108259639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Foley JM. Empirically Supported Treatment endeavour: A successful future or inevitable debacle? CLIN PSYCHOL-UK 2007. [DOI: 10.1080/13284200410001666213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Jessica M Foley
- Center for Psychological Studies, Nova Southeastern University , Fort Lauderdale, FL, USA
- Nova Southeastern University Center for Psychological Studies , 3301 College Avenue, Fort Lauderdale, FL, 3314-7796, USA,
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Helmes E, Wilmoth D. Influences in training in psychology and outcomes: A rejoinder to Dyck and O'Donovan. AUSTRALIAN PSYCHOLOGIST 2007. [DOI: 10.1080/00050060410001660326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- E Helmes
- James Cook University , Australia, and
| | - D Wilmoth
- State Forensic Mental Health Services , Perth, Australia
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Straughan H, Buckenham M. In‐Sight: an evaluation of user‐led, recovery‐based, holistic group training for bipolar disorder. JOURNAL OF PUBLIC MENTAL HEALTH 2006. [DOI: 10.1108/17465729200600024] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Dyck MJ, O'Donovan A. What are the benefits of longer training in psychology? A comment on Helmes and Wilmoth (2002). AUSTRALIAN PSYCHOLOGIST 2006. [DOI: 10.1080/00050060310001707227] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Reupert A. The Counsellor's Self in Therapy: An Inevitable Presence. INTERNATIONAL JOURNAL FOR THE ADVANCEMENT OF COUNSELLING 2006. [DOI: 10.1007/s10447-005-9001-2] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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O'Donovan A, Dyck MJ. Does a Clinical Psychology Education Moderate Relationships Between Personality or Emotional Adjustment and Performance As a Clinical Psychologist? ACTA ACUST UNITED AC 2005. [DOI: 10.1037/0033-3204.42.3.285] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Burke BL, Dunn CW, Atkins DC, Phelps JS. The Emerging Evidence Base for Motivational Interviewing: A Meta-Analytic and Qualitative Inquiry. J Cogn Psychother 2004. [DOI: 10.1891/jcop.18.4.309.64002] [Citation(s) in RCA: 89] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
This article offers a meta-analytic, qualitative, and process review of the empirical literature for adaptations of motivational interviewing (AMIs), a promising approach to treating problem behaviors. AMIs are equivalent to other active treatments and yield moderate effects (from 0.35 to 0.56) compared to no-treatment/placebo for problems involving alcohol, drugs, and diet and exercise. Results do not support the efficacy of AMIs for smoking or HIV-risk behaviors. Conclusions regarding the mechanisms of action for AMIs are limited by methodological problems: confounding motivational interviewing with feedback, unclear definitions of the AMI interventions used, difficulties in therapist training, and limited use of treatment integrity rating scales. Extant research suggests that AMIs are equivalent in efficacy to and briefer than cognitive behavioral skills training (CBST) approaches. Since AMIs focus on readiness to change while CBST targets the change process, AMIs may be useful as preludes or additions to CBST.
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Changes in Therapists' Conceptualization and Practice of Therapy Following Empathy Training. CLINICAL SUPERVISOR 2004. [DOI: 10.1300/j001v22n02_04] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Caspar F, Berger T, Hautle I. The Right View of Your Patient: A Computer-Assisted, Individualized Module for Psychotherapy Training. ACTA ACUST UNITED AC 2004. [DOI: 10.1037/0033-3204.41.2.125] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Armstrong J, McLeod J. Research into the organisation, training and effectiveness of counsellors who work for free. COUNSELLING & PSYCHOTHERAPY RESEARCH 2003. [DOI: 10.1080/14733140312331384243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Kim NS, Ahn WK. Clinical psychologists' theory-based representations of mental disorders predict their diagnostic reasoning and memory. ACTA ACUST UNITED AC 2002. [DOI: 10.1037/0096-3445.131.4.451] [Citation(s) in RCA: 150] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Fals-Stewart W, Birchler GR. Behavioral couples therapy with alcoholic men and their intimate partners: The comparative effectiveness of bachelor's- and master's-level counselors. Behav Ther 2002. [DOI: 10.1016/s0005-7894(02)80009-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
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