Journal of consulting and clinical psychology
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J Consult Clin Psychol · Feb 2012
Randomized Controlled TrialSlow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders.
Shame has long been seen as relevant to substance use disorders, but interventions have not been tested in randomized trials. This study examined a group-based intervention for shame based on the principles of acceptance and commitment therapy (ACT) in patients (N = 133; 61% female; M = 34 years old; 86% Caucasian) in a 28-day residential addictions treatment program. ⋯ These results demonstrate that an approach to shame based on mindfulness and acceptance appears to produce better treatment attendance and reduced substance use.
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J Consult Clin Psychol · Feb 2012
Randomized Controlled TrialRandomized trial of a broad preventive intervention for Mexican American adolescents.
This randomized trial of a family-focused preventive intervention for Mexican American (MA) adolescents evaluated intervention effects on adolescent substance use, internalizing and externalizing symptoms, and school discipline and grade records in 8th grade, 1 year after completion of the intervention. The study also examined hypothesized mediators and moderators of intervention effects. ⋯ Findings not only support the efficacy of the intervention to decrease multiple problem outcomes for MA adolescents but also demonstrate differential effects for parents and adolescents receiving the intervention in Spanish vs. English, and depending on their baseline levels of functioning.
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J Consult Clin Psychol · Feb 2012
Randomized Controlled TrialMotivational interviewing (MINT) improves continuous positive airway pressure (CPAP) acceptance and adherence: a randomized controlled trial.
Adherence to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea (OSA) is poor. We assessed the effectiveness of a motivational interviewing intervention (motivational interview nurse therapy [MINT]) in addition to best practice standard care to improve acceptance and adherence to CPAP therapy in people with a new diagnosis of OSA. ⋯ MINT is a brief, manualized, effective intervention that improves CPAP acceptance and objective adherence rates compared to standard care alone.