Longitudinal Association of Therapeutic Alliance and Clinical Outcomes in Supported Housing for Chronically Homeless Adults

submitted by osefroshed 9 months ago - Topic: Psychology

General psychotherapy research has underscored the importance of the therapeutic alliance in client outcomes. This study examined the association between therapeutic alliance and client outcomes specifically between chronically homeless clients in a supported housing program and their case managers. Using data from a federal supported housing initiative, participants were categorized into those who rated their therapeutic alliance with case managers at 3 months as relatively high (top 75th percentile; n = 123), relatively low (bottom 25th percentile; n = 128), or did not identify any primary mental health provider at 3 months (n = 25). Controlling for baseline differences, there were no group differences on any outcomes, except that participants who rated high therapeutic alliance at 3 months reported the highest subjective quality of life and perceived social support. Client outcomes in supported housing may rely more on practical assistance and access to other services than the quality of the therapeutic relationship with their primary mental health provider.

submitted by kerbojantan 4 months ago - Topic: Psychology

Efforts to reduce skin cancer risk behaviors using appearance-oriented interventions (e.g. ultraviolet (UV) light photos showing skin damage) or motivational interviewing (MI) have shown promise in recent trials. In the study a randomized 2 (UV photo versus no UV photo) x 2 (MI versus no MI) fact...

Longitudinal and concurrent pathways to alcoholism: the importance of perception of neighborhood disorder

submitted by DarMisael 3 months ago - Topic: Psychology

Neighborhood-level and individual-level variables from childhood and adulthood were examined in relation to alcoholism in adulthood. In 1976–1978, children from working-class neighborhood schools in Montreal, Canada participated in a study examining the outcomes of childhood behaviors. At this ...

Adult Separation Anxiety Disorder in DSM-5

submitted by morji 1 month ago - Topic: Psychology

Unlike other DSM-IV anxiety disorders, separation anxiety disorder (SAD) has been considered a disorder that typically begins in childhood, and could be diagnosed only in adults “if onset is before 18.” Moreover, SAD is the only DSM-IV anxiety disorder placed under “Disorders Usually First ...

Social support and leisure-time physical activity: longitudinal evidence from the Brazilian Pro-Saude cohort study

submitted by orwol 1 year and 9 months ago - Topic: Psychology

Although social support has been observed to exert a beneficial influence on leisure-time physical activity (LTPA), multidimensional approaches examining social support and prospective evidence of its importance are scarce. The purpose of this study was to investigate how four dimensions of socia...

Newborn Irritability Moderates the Association Between Infant Attachment Security and Toddler Exploration and Sociability

submitted by jwoezil 1 year and 8 months ago - Topic: Psychology

This longitudinal investigation of 84 infants examined whether the effect of 12-month attachment on 18- and 24-month exploration and sociability with unfamiliar adults varied as a function of newborn irritability. As expected, results revealed an interaction between attachment (secure vs. insecur...

Housing Instability Is as Strong a Predictor of Poor Health Outcomes as Level of Danger in an Abusive Relationship: Findings From the SHARE Study

submitted by ciostan 1 year and 2 months ago - Topic: Psychology

Advocates, clinicians, policy makers, and survivors frequently cite intimate partner violence (IPV) as an immediate cause of or precursor to housing problems. Research has indicated an association between homelessness and IPV, yet few studies examine IPV and housing instability. Housing instabili...

The Relationship Between Change in Therapeutic Alliance Ratings and Improvement in Youth Symptom Severity: Whose Ratings Matter the Most?

submitted by Mydayneergy 1 year and 2 months ago - Topic: Psychology

This paper presents the psychometric evaluation of brief measures of therapeutic alliance (TA) for youths, clinicians and caregivers and a longitudinal analysis of relationships between changes in TA and changes in youth symptom and functioning severity. Psychometric analyses using methods from C...

The Relationship Between Marijuana Use and Intimate Partner Violence in a Nationally Representative, Longitudinal Sample

submitted by mnasawetz 1 year and 1 month ago - Topic: Psychology

Intimate partner violence is a significant public health problem, as these behaviors have been associated with a number of negative health outcomes including illicit drug use, physical injury, chronic pain, sexually transmitted diseases, depression, and posttraumatic stress disorder. The current ...

Evidence-Based Practices in Community Mental Health: Outcome Evaluation

submitted by DaytoIsaia 11 months ago - Topic: Psychology

In 23, questions were being raised relating to the lack of evidence-based treatments available in public mental health and whether the use of treatments found effective in research settings would be equally effective in real world situations. In response, one state passed a bill mandating a disea...

Prognostic factors, course, and outcome of depression among older primary care patients: The PROSPECT study

submitted by jomelqoder 10 months ago - Topic: Psychology

We sought to examine whether there are patterns of evolving depression symptoms among older primary care patients that are related to prognostic factors and long-term clinical outcomes. Primary care practices were randomly assigned to Usual Care or to an intervention consisting of a depression ca...