The Pain Ambulatory Monitoring Survey: Development and validation of an instrument for momentary within-day assessments of pain and cognitive-behavioral factors

Objectives & Methods The Pain Ambulatory Monitoring Survey (PAMS), a questionnaire measuring outcomes and mechanisms relevant to cognitive-behavioural models of chronic pain, was developed and validated over two studies. PAMS was designed for use over repeated momentary assessments via electronic diaries (PDAs). The first study aimed to support the factor structure and internal validity of multi-item scales in a mixed chronic pain sample completing a once-off questionnaire-based version of the PAMS scales. The second study aimed to validate average scores from one week of PAMS diary monitoring against a battery of standard questionnaires, in a mixed chronic pain sample. Results The first study revealed clear factor structure for all multi-item PAMS scales and adequate to excellent internal consistency. In the final study, the PAMS scales demonstrated adequate to excellent convergence with standardised questionnaires. Discussion The current set of studies describes a monitoring instrument that assesses pain and certain key functional consequences and cognitive-behavioural mechanisms in a brief yet valid way, making it suitable for use in intensive diary-based studies. The current study sets the stage for further theoretical work exploring the within-person relationships between pain, functioning, and cognitive-behavioural factors

Group therapy for binge eating in Type 2 diabetes: A randomized trial

Aims: This preliminary study addresses three related issues. First, there is a need to test the effectiveness of cognitive behavioural therapy (CBT) for binge eating in populations with Type 2 diabetes. Second, the impact of a treatment for binge eating on diabetes management is unknown. Finally, whilst a number of treatment modalities have been shown to improve binge eating, there has not been a comparison between CBT and a non-specific therapy for binge eating. Methods: Group CBT for binge eating was compared with a group nonprescriptive therapy (NPT), a therapy for which there is no theoretical or empirical support in eating disorders, in a randomized trial which included a post-treatment assessment and a 3-month follow-up. Results: There were no differences between CBT and NPT at post-treatment, with both treatments being associated with significant changes in binge eating, mood and body mass index. However, there was a significant relapse in binge eating at the 3-month follow-up in the NPT condition. This was in contrast to the CBT condition, where treatment gains were maintained. Finally, across treatments, reduction in binge eating from pre- to post-treatment was associated with reduction in HbA. Conclusions: Binge eating in Type 2 diabetes is responsive to psychosocial treatment, and reduction in binge eating appears to improve glycaemic control. However, this is a small study with a short follow-up period. Future studies will need to extend the follow-up period to assess for long-term maintenance of the effects of CBT on binge eating and diabetic control in this population

A Comparison of Delivery Methods of Cognitive-Behavioral Therapy for Panic Disorder: An International Multicenter Trial

Cognitive-behavioral therapy (CBT) is the psychological treatment of choice for panic disorder (PD). However, given limited access to CBT, it must be delivered with maximal cost-effectiveness. Previous researchers have found that a brief computer-augmented CBT was as effective as extended therapist-delivered CBT. To test this finding, this study randomly allocated 186 patients with PD across 2 sites in Scotland and Australia to 12 sessions of therapist-delivered CBT (CBT12), 6 sessions of therapist-delivered (CBT6) or computer-augmented CBT (CBT6-CA), or a waitlist control. On a composite measure, at post-treatment, the outcome for CBT12 was statistically better than the outcome for CBT6. The outcome for CBT6-CA fell between CBT12 and CBT6, but could not be statistically distinguished from either treatment. The active treatments did not differ statistically at 6-month follow-up. The study provided some support for the use of computers as an innovative adjunctive-therapy tool and merits further investigation

Disordered eating behaviours in Women with Type 2 diabetes mellitus

The aim of the article is to investigate the relationship between disordered eating, particularly binge eating, and Type 2 diabetes in women. Subjects included 215 women with Type 2 diabetes (mean age: 58.9 years, mean body mass index (BMI)=33.5 kg/m2). Measurements included a structured clinical interview for disordered eating (Eating Disorder Examination, EDE), self-report measures of psychological functioning, glycosylated haemoglobin A1c, BMI. A total of 20.9% of women was binge eating regularly. Binge eating was associated with poorer well being, earlier age of diagnosis, poorer self-efficacy for diet and exercise self-management, and higher BMI. Binge eating frequency predicted blood glucose control after controlling for BMI and exercise level. A history of binge eating independently predicted age of diagnosis of diabetes. Binge eating is relatively common in women with Type 2 diabetes. The relationship between binge eating severity and diabetic control is not explained by overweight. Binge eating may be an independent risk factor for Type 2 diabetes

The use of diaries in psychological recovery from intensive care

Intensive care patients frequently experience memory loss, nightmares, and delusional memories and some may develop symptoms of anxiety, depression, and post-traumatic stress. The use of diaries is emerging as a putative tool to 'fill the memory gaps' and promote psychological recovery. In this review, we critically analyze the available literature regarding the use and impact of diaries for intensive care patients specifically to examine the impact of diaries on intensive care patients' recovery. Diversity of practice in regard to the structure, content, and process elements of diaries for intensive care patients exists and emphasizes the lack of an underpinning psychological conceptualization. The use of diaries as an intervention to aid psychological recovery in intensive care patients has been examined in 11 studies, including two randomized controlled trials. Inconsistencies exist in sample characteristics, study outcomes, study methods, and the diary intervention itself, limiting the amount of comparison that is possible between studies. Measurement of the impact of the diary intervention on patient outcomes has been limited in both scope and time frame. Furthermore, an underpinning conceptualization or rationale for diaries as an intervention has not been articulated or tested. Given these significant limitations, although findings tend to be positive, implementation as routine clinical practice should not occur until a body of evidence is developed to inform methodological considerations and confirm proposed benefits

The diagnosis of posttraumatic stress disorder in school-aged children and adolescents following pediatric intensive care unit admission

Objectives: This study explored the diagnosis of posttraumatic stress disorder (PTSD) in children and adolescents following pediatric intensive care unit (PICU) admission. Specifically, the study aimed to describe the presentation and prevalence of PTSD symptoms 6 months postdischarge, explore the validity of the DSM-IV PTSD algorithm and alternative PTSD algorithm (PTSD-AA) in school-aged children and adolescents, and examine the diagnostic utility of Criterion C3 (inability to recall aspects of a trauma) in this cohort

Clinical Psychological Science

Clinical psychological science is both the most recognisable and sought after postgraduate training program in psychology. At the same time, it’s also probably the most misunderstood. Every year, the University of Southern Queensland receives over 300 applications for somewhere between 25 and 30 positions in its Master of Clinical Psychology program. It’s highly competitive owing to the large number of applicants and relatively few positions available in the program, and this pattern is common among other clinical psychology graduate programs throughout Australia. The purpose of this chapter is to educate undergraduate students about the many facets of clinical psychology. In this chapter, we’ll define clinical psychology, the scope of practice and research, discuss training paths, and provide examples of careers in clinical psychology. The goal of this chapter is to educate students about clinical psychology, the training needed to become a clinical psychologist, and provide models of how the different facets of clinical psychology are practiced in various settings

Characteristics of memories for traumatic and nontraumatic birth

© 2018 John Wiley & Sons, Ltd. Evidence for memory characteristic differences between trauma and other memories in non-clinical samples is inconsistent. However, trauma is frequently confounded with the event recalled. This study compares trauma and nontrauma memories for the same event, childbirth, in a non-clinical sample of 285 women 4-6 weeks after birth. None of the women met diagnostic criteria for post-traumatic stress disorder. Traumatic birth, defined by the DSM-5 event criterion, was reported by 100 women. The ratings of some memory characteristics did not differ between memories for traumatic and nontraumatic birth: All were rated highly coherent and central to women's lives, with moderate sensory memory. However, women who experienced traumatic births reported more involuntary recall, reliving, and negative/mixed emotions. Thus, trauma memories differed from nontrauma memories. In this non-clinical sample, this is likely to be due to encoding during trauma rather than the distinctive memory profile for memories retrieved by those experiencing trauma symptoms