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Rosenkilde Dueholm posted an update 1 year, 3 months ago
The likelihood of the event was found to be precisely 0.19. Graphical representations of the data provided no indication of a substantial publication bias.
This meta-analysis indicated that baseline interpersonal difficulties significantly and consistently predict a less favorable psychotherapy outcome. At the outset of therapy, therapists could gain insight into patients’ interpersonal dynamics to better predict the course of treatment. With copyright 2023 held by the APA, all rights pertaining to this PsycINFO database record are reserved.
Analysis across multiple studies showed that baseline interpersonal problems have a small but reliable negative impact on the results of psychotherapy. To support more insightful prognostic conclusions, therapists should investigate patients’ interpersonal problems at the commencement of the therapeutic process. This PsycInfo database record, copyrighted by APA in 2023, holds all the associated rights.
The present research explored the validity and clinical relevance of adolescents’ self-reports regarding two different modes of processing during their account of a suicidal experience, as captured by the Suicide Narrative Interview (SNI). RI (Recall Intensity) items sought to capture the propensity for interviewees to become engrossed in their thoughts and feelings during the interview, in contrast to MM (Meaning Making) items, which sought to ascertain more removed and reflective processing.
A randomized clinical trial (RCT) for 16 weeks explored the construct and predictive validity of pretreatment MM and RI among depressed and suicidal adolescents.
= 113,
From a population of 1495, 841 individuals were female, with 518 identifying as Black/African American. Adolescents, during the baseline evaluation, judged MM and RI immediately following the SNI.
Baseline MM measurements were accompanied by protective factors that diminished the likelihood of suicidal thoughts, and RI was correlated with several risk factors that increased the risk of suicidal symptoms. Greater reductions in suicidal ideation and depressive symptoms were observed in RCT participants who self-reported high MM and low RI.
Adolescents’ memories of suicidal episodes are processed through separate modes, MM and RI, as the findings indicate, suggesting a potential for tailored clinical interventions for suicidal adolescents. Please return this PsycInfo Database Record (c) 2023 APA, all rights reserved.
MM and RI emerge as distinct memory processing patterns in adolescents experiencing suicidal thoughts, implying that RI and MM hold promise for a more refined assessment and treatment strategy for suicidal adolescents. asp2215 inhibitor The PsycINFO Database Record, 2023 copyright held by APA, possesses all rights to its contents.
Discrepancies in outcomes from evidence-based psychological treatments concerning sexual identity and racial/ethnic background remain uncertain, lacking definitive evidence. Despite the substantial body of research on dialectical behavior therapy (DBT), its effectiveness for sexual and racial/ethnic minority individuals remains a subject of limited inquiry. This study analyzed sexual identity, race/ethnicity, and their synergistic effect as predictive factors for treatment success and engagement in DBT.
Data from five clinical trials, strategically placed in research and community settings, presented a wide array of adult participants.
Individuals underwent standard DBT, DBT enhanced with additional interventions, or particular aspects of the DBT model. Sexual identity and racial/ethnic disparities in clinical outcomes (suicide attempts, nonsuicidal self-injury, global functioning, psychiatric hospitalizations), along with retention rates, were examined using longitudinal mixed-effects models.
Sexual identity, race/ethnicity, and their interaction proved ineffective in predicting the average severity or the pace of change over time for any observed clinical outcome. Identification as a sexual minority was linked to a reduced likelihood of discontinuing treatment.
= .44,
The experimental results showed a statistically trivial relationship, with a p-value less than 0.001. Although this phenomenon occurred, its impact was contingent on race and ethnicity; non-Hispanic White sexual minorities had the lowest dropout percentages. Exploratory examination of the data indicated potential variations in NSSI rates amongst sexual and racial/ethnic minority subgroups.
Findings on DBT treatment indicate no substantial disparities in outcomes for sexual minority and heterosexual patients, and no considerable variations between non-Hispanic White and racial/ethnic minority groups. DBT dropout rates varied according to the combination of sexual minority status and racial/ethnic background, with non-Hispanic sexual minorities more likely to complete the program compared to sexual minority individuals of color and heterosexual individuals. Subsequent investigations are essential to pinpoint potential subgroup and intersectional divergences. Within this 2023 PsycINFO database record, all rights are held by the American Psychological Association.
DBT treatment efficacy appears consistent across sexual orientation, with no discernible disparities noted between sexual minority and heterosexual participants, and likewise no distinctions observed between non-Hispanic White and racial/ethnic minority individuals, according to the findings. Sexual minority status, combined with racial/ethnic background, predicted DBT program completion, where non-Hispanic sexual minorities were more likely to finish the program than sexual minorities of color and heterosexual participants. Subsequent studies are needed to pinpoint the nuanced differences across subgroups and their intersections. All rights are reserved for the PsycINFO database record, copyright 2023, APA.
Youth involved in the justice system experience a greater frequency of suicidal thoughts and behaviors along with corresponding behavioral health concerns. However, there’s a noticeably lower level of service use compared to youth in the general population. The efficacy of the subject matter of this study was examined
The effectiveness of probation officers in identifying, referring, and linking individuals with substance use disorders (STB) to behavioral health (BH) services is enhanced by the use of a digital clinical decision support system (CDSS). The intervention’s timeline, spanning periods before and after the COVID-19 shutdown, led us to examine how the disruption of public agency service delivery influenced the study’s results.
A comparative study utilizing administrative record data from 1488 youth, aged 10-18 years, of whom 56% were male and 56% White, examined differences between care-as-usual (baseline) and e-Connect in screening, identification of STB and BH problems, referral procedures, and commencement of treatment.
E-Connect facilitated a more than five-fold increase in the identification of YIJ with STB by probation officers, a finding corroborated by the adjusted odds ratio, compared to the standard care.
YIJ’s referral rate to BH services for treatment is over 11 times higher, as indicated by a value of 586 and a 95% confidence interval of [324, 117].
A substantial difference was found (1104; 95% confidence interval [654-1943]). Participants in the e-Connect treatment program were approximately 17 times more likely to embark upon (a).
In the data analysis, a value of 1692 was determined, with a 95% confidence interval ranging from 917 to 3260. Results remained static during the intervals before and after the COVID-19 shutdown.
By employing CDSS technology, e-Connect, an early digital STB screening, referral, and linkage-to-service system, successfully aids probation officers in connecting youth on their caseloads to treatment services. This strategy might assist in determining STB and establishing connections across systems in other youth-focused organizations, including schools, which are frequently managing youth behavioral health issues with minimal clinical support. Copyright 2023, the American Psychological Association maintains all rights for the PsycINFO database record.
Utilizing a CDSS framework, the digital STB screening, referral, and linkage-to-service system, e-Connect, helps probation officers effectively connect youth on their caseloads with treatment programs. The identification of STB and cross-system linkages within other youth-serving organizations, such as schools, which are increasingly dealing with youth behavioral health problems with minimal clinical assistance, may be aided by such an approach. The APA, holding all rights to this PsycINFO database record, retains copyright 2023.
The prevalence of violence within intimate relationships remains a significant public health concern, and those impacted often necessitate a range of support systems to ensure their safety. Survivors’ increased risk of housing instability and homelessness has prompted a rise in domestic violence agencies’ use of housing-based interventions, like Domestic Violence Housing First (DVHF), to support their needs. Building on previous studies that show the positive impact of DVHF, this research investigates contextual factors modifying outcomes for the 406 survivors accessing domestic violence support services within the Pacific Northwestern region. Latent profile analysis separated participants into three latent classes: (a) high abuse and instability, (b) experiencing ongoing effects, and (c) demonstrating positive change. Utilizing latent transition analysis, we estimated the likelihood of participants transitioning to various latent classes longitudinally, considering social support (SS), financial constraints, and the utilization of DVHF services as model predictors. The association of DVHF receipt with higher odds of survivors transitioning into the ‘doing better’ class was apparent, signifying positive impacts on their safety, housing stability, mental health, and well-being. Social support and financial hardship were also prominent factors associated with class categorization, whereby individuals with greater social support and improved financial standing tended to fall into the ‘doing better’ class category.