Working Alliance, Interpersonal Problems, and Depressive Symptoms in Tele-Interpersonal Psychotherapy for HIV-infected Rural Persons: Evidence for Indirect Effects

2017 ◽  
Vol 74 (3) ◽  
pp. 286-303 ◽  
Author(s):  
Timothy Anderson ◽  
Andrew S. McClintock ◽  
Shannon S. McCarrick ◽  
Timothy G. Heckman ◽  
Bernadette D. Heckman ◽  
...  
2010 ◽  
Vol 15 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Mette M. Aanes ◽  
Maurice B. Mittelmark ◽  
Jørn Hetland

This paper investigated whether the lack of social connectedness, as measured by the subjective feeling of loneliness, mediates the well-known relationship between interpersonal stress and psychological distress. Furthermore, a relationship between interpersonal stress and somatic symptoms was hypothesized. The study sample included 3,268 women and 3,220 men in Western Norway. The main findings were that interpersonal stress was significantly related to psychological distress as well as to somatic symptoms, both directly and indirectly via paths mediated by loneliness. The size of the indirect effects varied, suggesting that the importance of loneliness as a possible mediator differs for depressive symptoms, anxiety symptoms, and somatic symptoms. In the case of depressive symptoms, more than 75% of the total effect was mediated through loneliness, while in the case of somatic symptoms just over 40% of the total effect was mediated through loneliness. This study supports the hypotheses that social connectedness mediates a relationship between interpersonal stress and psychological distress. The study also provides the first link between interpersonal stress, as measured by the Bergen Social Relationships Scale, and somatic symptoms, extending earlier research on the relationship between interpersonal stress and psychological distress.


2019 ◽  
Vol 4 (1) ◽  
pp. 98-106 ◽  
Author(s):  
Jameson K. Hirsch ◽  
Jessica Kelliher Rabon ◽  
Esther E. Reynolds ◽  
Alison L. Barton ◽  
Edward C. Chang

Author(s):  
Guilherme Welter Wendt

ABSTRACT Objective To explore distinctive links between specific depressive symptoms (e.g., anhedonia, ineffectiveness, interpersonal problems, negative mood, and negative self-esteem) and cyberbullying victimization (CBV). Methods This cross-sectional study collected data from 268 adolescents between the ages of 13 to 15 years-old (50.7% female) who responded to the Children’s Depression Inventory (CDI) and to the Revised Cyberbullying Inventory (RCBI). Results CBV was positively associated with all CDI’s domains (anhedonia, ineffectiveness, interpersonal problems, negative mood, and negative self-esteem). Demographics – such as age and gender – were not significant in explaining CBV. However, ineffectiveness (B = .46, p = .04) and negative mood (B = .37, p < .05) significantly predicted CBV. Conclusion This study reports the first Brazilian examination of the links existing between CBV and specific types of depressive symptoms. Data reinforce the negative impact of cyberbullying experiences on youth’s mental health, highlighting stronger associations between negative mood and CBV, which could inform more tailored interventions.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Kosuke Tamura ◽  
Steven D Langerman ◽  
Stephanie L Orstad ◽  
Sam J Neally ◽  
Marcus R Andrews ◽  
...  

Introduction: Little is known about whether links between perceived neighborhood social environment (PNSE) and depressive symptoms are mediated by physical activity (PA) levels. Hypothesis: We tested the hypotheses that total PA mediates relations between PNSE and depressive symptoms. Methods: We used Jackson Heart Study (JHS) baseline data. JHS is a prospective, community-based study of African Americans in the Jackson, MS (valid samples=2082; M age 52.4 years; 64% female). PNSE variables included neighborhood violence, problems (higher value=more violence or problems), and social cohesion (higher value=more cohesion). Depressive symptoms were measured by the Center for Epidemiological Studies Depression (CES-D) scale. Validated total PA, based on active living, sport, and work indices, was tested as the mediator. Linear regressions with bootstrap-generated 95% bias-corrected confidence intervals (BC CIs) were estimated using SAS 9.4 to test for significant unstandardized indirect effects, controlling for all covariates. Results: Participants had a mean depressive symptoms score of 10.8 ( SD =8.1). Neighborhood violence and problems were indirectly related to depressive symptoms via total PA ( β for indirect effects=.21, 95% BC CI =.02, .48 and .13, 95% BC CI =.01, .32, respectively). That is, higher violence and problems were related to lower total PA. In turn, higher total PA was associated with lower depressive symptoms ( Figure 1 ). Neighborhood violence and problems also were directly related to depressive symptoms ( p <.05). Yet, social cohesion was not indirectly or directly related to depressive symptoms. Conclusions: Higher perceived neighborhood violence and problems were positively related to depressive symptoms. These associations may be explained in part via lower total PA levels. Future interventions to reduce depressive symptoms attributed to neighborhood issues should consider PA promotion in conjunction with community efforts to reduce neighborhood violence and problems.


Author(s):  
Laura J. Dietz

Chapter 15 of Family-based Interpersonal Psychotherapy (FB-IPT) for Depressed Preadolescents introduces the termination phase of treatment, in which the therapist prepares the preadolescent and parent for the completion of family-based interpersonal psychotherapy (FB-IPT). In Session 12, the therapist continues to support the preadolescent’s practice of interpersonal skills and begins to review with the preadolescent and the parent the progress the preadolescent has made in treatment. There is continued emphasis on the link between improvement in the preadolescent’s depressive symptoms and the preadolescent’s use of communication and problem-solving skills. With both the preadolescent and the parent, the therapist begins to talk about the process of terminating this course of FB-IPT and next steps for the preadolescent, which may be ending outpatient therapy, referral to a maintenance group or individual maintenance therapy, or more intensive treatment, depending on the preadolescent’s degree of improvement and severity of residual depressive symptoms.


2018 ◽  
Vol 101 (4) ◽  
pp. 665-671 ◽  
Author(s):  
Jin Hui Joo ◽  
Seungyoung Hwang ◽  
Joseph J. Gallo ◽  
Debra L. Roter

2006 ◽  
Vol 194 (1) ◽  
pp. 15-20 ◽  
Author(s):  
John C. Markowitz ◽  
Kathryn L. Bleiberg ◽  
Paul Christos ◽  
Elizabeth Levitan

Author(s):  
Clara Strauss ◽  
Gemma Luke ◽  
Mark Hayward ◽  
Fergal Jones

AbstractMindfulness-based Cognitive Therapy (MBCT) was not intended for current depression, and lengthy mindfulness practices (≥30 min) can be challenging. Person-based cognitive therapy (PBCT) includes brief mindfulness practices (<10 min). While group PBCT can improve depressive symptoms whether benefits can be attributed to the brief practices is unclear. Twenty-eight participants with chronic major depression were randomly assigned to PBCT (n = 14) or treatment as usual (n = 14). Measures of mindfulness and depression were taken. Six PBCT participants were interviewed. Improvements in mindfulness in mediating the relationship between group and improvements in depressive symptoms just failed to reach statistical significance (95% confidence interval −0.97 to 14.84). Thematic analysis identified four themes: ‘altered relationship to symptoms’, ‘impact on self’, ‘the challenge of letting go’ and ‘effect of the group’. Although bootstrapped indirect effects were in the hypothesized direction they failed to reach statistical significance; this could be due to low power, but further research is needed. Qualitative themes support the potential of brief mindfulness practices and are similar to themes identified of mindfulness-based interventions with lengthier mindfulness practices. Findings suggest that some people experiencing current depression report benefit from the brief mindfulness practices included in PBCT but further research in larger samples is now needed.


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