JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS医疗环境中的临床心理学杂志
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS(英文缩写 J CLIN PSYCHOL MED S),ISSN 1068-9583,eISSN 1573-3572,中文译名:医疗环境中的临床心理学杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 1.977 | Q4 |
| 2022 | 2.200 | Q3 |
| 2023 | 1.600 | Q3 |
| 2024 | 1.900 | Q3 |
| 2025 | 1.600 | Q3 |
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS 最新收录文献
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1. Gender Dysphoria Among 46,XX Patients Diagnosed with Congenital Adrenal Hyperplasia in Childhood: A Case Series.
PMID:日期:2026-10-01Most research on gender identity in individuals with 46,XX congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (21-OHD) is focused on severe forms of CAH, commonly termed "classic CAH." Much less is known about gender identity outcomes in milder, non-classic/late-onset CAH, and how gender dysphoria may impact clinical care and management decisions. This case series presents four pediatric patients with 46,XX karyotype who were diagnosed with CAH in early-to mid-childhood and represents a varying spectrum of CAH severity. In each case, patients had female-typical genitalia or their genital variation was not appreciated and further evaluated by the care team at birth; thus, all patients were assigned female at birth without targeted discussion on gender development. Each patient later experienced gender dysphoria and identified as male, transitioning socially and/or medically. This case series reflects on commonalities across cases, intentional non-adherence to CAH medication to allow for desired increased androgen levels, as well as mental health concerns. This case series highlights the importance of interdisciplinary care for youth with 46,XX CAH, and in particular, the benefits of collaboration with behavioral health providers to improve care for patients with CAH throughout childhood and young adulthood.
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2. The Effects of Cancer Fear and Ruminative Thinking Styles on Attitudes Toward Cancer Screening Among Cancer Caregivers.
PMID:日期:2026-09-21Despite being exposed to a high risk of cancer and a substantial psychological burden, cancer caregivers often neglect their own health check-ups and cancer screening behaviors. This study aimed to examine the effects of ruminative thinking styles and cancer fear on attitudes toward cancer screening among cancer caregivers. This cross-sectional descriptive study was conducted between August 2025 and January 2026 with 446 primary caregivers of patients receiving outpatient treatment in the medical and radiation oncology departments of a training and research hospital located in eastern Turkey. Data were collected through face‒to-face interviews via a sociodemographic questionnaire, the Cancer Fear Scale, the Ruminative Thought Style Scale, and the short form of the Attitudes Toward Cancer Screening Scale. The results revealed a moderate, positive, and statistically significant association between fear of cancer and ruminative thoughts (r = 0.543, p < 0.001). Hierarchical regression analysis showed that fear of cancer explained 19.3% of the variance in attitudes toward cancer screening (R = 0.193) and that when ruminative thought was included, the explained variance increased to 22.4% (R = 0.224). Both variables were identified as significant and negative predictors of attitudes toward cancer screening (p < 0.001). This indicated that ruminative thought partially mediated the relationship between fear of cancer and attitudes toward cancer screening (indirect effect = -0.106, 95% bootstrap CI [- 0.171, -0.056]). These results show that fear of cancer and ruminative thoughts constitute significant psychological barriers that negatively influence the attitudes of individuals providing care to patients with cancer. This underscores the importance for care providers to develop interventions targeting these psychological barriers.
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3. FAMILY Matters: Parental Emotional State Mediates the Association Between Disease Burden and Child Self-Esteem in Pediatric-Onset Multiple Sclerosis.
PMID:日期:2026-09-15Pediatric-Onset Multiple Sclerosis (POMS) affects children's physical, cognitive, and emotional state, with consequences for parents as well. Parents of children with chronic illnesses often report elevated stress and psychological distress, yet their role in shaping children's psychological outcomes in POMS remains underexplored. This study examined whether parental emotional state mediates the association between children's disease-related factors and self-esteem. Thirty children and adolescents with POMS (ages 10-18) and their parents participated. Measures included child fatigue, processing speed, disease severity (EDSS), self-esteem, and parental stress and well-being. All participants scored within the low self-esteem range of the Rosenberg Self-Esteem Scale (RSES; M = 15.93, SD = 2.21), indicating reduced global self-worth. Among parents, emotional distress was evident, with 43% of parents meeting cutoffs for stress and low well-being. Mediation analyses revealed that parental stress significantly mediated the association between self-esteem and all three disease-related variables (fatigue: 95% CI = [.002, .059]; processing speed: 95% CI = [.080, 1.382]; EDSS: 95% CI = [- 1.041, -.044]). Parental well-being mediated only the association between processing speed and self-esteem (95% CI = [.076, 1.348]). Findings highlight parental stress as a robust pathway linking child disease burden to self-esteem. Addressing parent emotional state may improve outcomes and promote resilience in youth with POMS.
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4. Burnout Factors for Pediatric Psychologists Across Career Stages.
PMID:日期:2026-09-11Given the prevalence of burnout among healthcare professionals and the drastic impact of the COVID-19 pandemic on mental health services, the primary objective of this study was to examine the characteristics of burnout for pediatric psychologists in clinical practice. Additional objectives included identifying personal and systemic factors associated with burnout and comparing burnout factors between early-career (ECP) and mid-/senior-career pediatric psychologists. Participants included 92 active members of the American Psychological Association (APA) Division 54-Society of Pediatric Psychology. Participants completed a survey assessing demographic and professional characteristics and the Affectivity and Burnout Scales (Iverson et al., 1998). In the overall sample, lower positive affectivity, social support, autonomy, higher negative affectivity, and role stress contributed to higher burnout. Among ECPs, younger age, greater non-clinical responsibilities, and higher total hours worked contributed to greater emotional exhaustion in addition to the shared factors affecting burnout. Mid-/senior-career psychologists experienced greater emotional exhaustion compared to ECPs. Affectivity, social support, autonomy, role stress, and burnout contributed to job satisfaction across all career stages. Interventions for decreasing burnout and increasing job satisfaction should target job-related, social, and intrapersonal factors, and be individualized to unique needs of psychologists at different career stages.
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5. Study of Acceptance and Commitment Therapy for Parents in the NICU.
PMID:日期:2026-08-31This study evaluated the feasibility and proof of concept of a structured 4-week acceptance and commitment therapy (ACT) protocol for parents of infants admitted to a Level III neonatal intensive care unit (NICU). This investigation emphasized successful protocol implementation, treatment adherence, and preliminary individual-level clinical outcomes. Participants included volunteer, English-speaking parents aged > 18 years, whose infants were < 35 weeks gestational age and admitted to the NICU with an anticipated stay > 28 days. Senior psychiatric residents delivered the ACT protocol in 4-weekly sessions addressing: (1) values versus goals, (2) avoidance behaviors, (3) acceptance, present-moment awareness, and observing self, and (4) values and committed action. Pre- and post-intervention assessments measured acceptance and action, parental bonding, confidence, post-traumatic stress disorder (PTSD), resiliency, and depression. Feasibility was evaluated through treatment adherence and the proportion of participants demonstrating clinically meaningful change on validated measures. Of 24 enrolled parents, 20 (83%) completed all four sessions, demonstrating strong treatment adherence. Post-intervention, parents demonstrated significant improvements in acceptance and action, parental bonding, and confidence. A borderline significant reduction in PTSD symptoms was observed, while measures of resiliency and depression showed no change. Clinically meaningful individual-level change was observed across multiple outcomes. This proof-of-concept study demonstrates the feasibility of delivering a structured ACT protocol at the NICU bedside and provides preliminary individual-level evidence of clinical benefit for parents. Further research with larger samples is needed to confirm these findings and explore long-term outcomes.
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6. "I'm afraid to eat a piece of toast": The Lived Experience of Balancing Eating and Health Behaviors in Adults with Chronic Pain.
PMID:日期:2026-08-29Chronic pain affects millions and is frequently comorbid with disordered eating behaviors; however, standard eating disorder screening tools often fail to capture the full scope of eating-related difficulties in this population. The purpose of this project was to explore the lived experience of eating problems among adults with complex chronic pain. Sixteen participants (15 women, age range 21-69, all White, non-Hispanic, cisgender) were interviewed by a member of the interprofessional research team, and data were analyzed using Reflexive Thematic Analysis. Participants described eating difficulties that extended far beyond traditional eating disorder criteria. Researchers constructed five overarching themes that represented the data: (1) Trapped in a Vicious Cycle (interplay of pain, medication side effects, mood, and maladaptive eating); (2) Living with Unpredictability and Trying to Manage Uncertainty (fear and trial-and-error surrounding food triggers); (3) Embodiment and Identity (profound shifts in body image, self-concept, and life trajectory); (4) Social Isolation (avoidance of social activities and perceived lack of understanding); and (5) Practical Barriers (financial, physical, and logistical obstacles to obtaining and preparing food). Findings show eating problems in chronic pain are complex, biopsychosocial phenomena characterized by fear-avoidance, impossible trade-offs, identity disruption, and systemic barriers rather than solely motivational or weight-related issues.
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7. Treating Multiple Chemical Sensitivity as a Specific Phobia Using Cognitive Behavioural Therapy: A Case Study in an Older Adult.
PMID:日期:2026-08-28Multiple Chemical Sensitivity (MCS) is a poorly understood condition characterised by physical symptoms triggered by minimal exposure to odorous or chemical agents, often without identifiable organic pathology. This case study describes cognitive behavioural therapy (CBT) for MCS in an older adult referred to a respiratory team after developing persistent, generalised reactions to odours following an acute toxic inhalation. Symptoms led to severe avoidance, functional impairment and suicidal ideation. Following medical evaluation, psychological assessment did not support the alternative diagnoses considered and informed a working formulation of specific phobia. Treatment comprised 14 sessions, beginning virtually because of avoidance, progressing to in vivo exposure and concluding with relapse-prevention planning. Outcome measures and self-report indicated substantial reductions in anxiety and health-related worry, alongside achievement of all functional goals. Improvements were maintained at 10- and 22-month follow-up, with low anxiety scores and marked reductions in beliefs about harm from previously feared stimuli. This case illustrates how a specific-phobia formulation and phobia-focussed CBT may be applicable to some MCS presentations following appropriate medical evaluation. It also highlights a potential role for clinical psychologists in respiratory settings. As a single case, the findings provide descriptive evidence of improvement but cannot establish a causal treatment effect.
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8. Detection of Perinatal Mood and Anxiety Symptoms in Patients Presenting in a Specialty Fetal Care Center During Pregnancy.
PMID:日期:2026-08-20The Edinburgh Postnatal Depression Scale (EPDS) and its three-item subsection (EPDS-3A) are screening tools for perinatal depression and anxiety, respectively. There is limited research on their use in fetal care centers despite high rates of perinatal mood and anxiety disorders. This study aims to evaluate the short-term test-retest reliability of the EPDS and assess the utility of the EPDS-3A. Screening data collected during a clinical quality improvement initiative at a fetal care clinic was evaluated, including EPDS, EPDS-3A, and Generalized Anxiety Disorder-7 (GAD-7) scores. Rates of positive screens and sensitivity/specificity analyses were calculated to compare anxiety screeners. Initially the EPDS and GAD-7 were administered at every visit (visits ranged from 1 to 30 d). The EPDS-3A had good sensitivity and specificity compared against the GAD-7. When comparing either a positive score on the EPDS and/or a positive score on the EPDS-3A to the GAD-7, sensitivity increased and specificity decreased. During the study, the GAD-7 was discontinued due to redundancy, and screening cadence was reduced. The EPDS with the EPDS-3A has excellent identification of psychological distress in a fetal care center. Screening scores appear to be reliable up to one month, and more frequent administration may be unnecessary.
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9. Recruitment and Retention of Racially Minoritized Families in a Pediatric Behavioral Diabetes Research Study.
PMID:日期:2026-08-18Racially minoritized youth are disproportionately affected by type 1 diabetes (T1D)-related inequities yet remain underrepresented in pediatric behavioral research. This study examined recruitment and retention strategies used in a pilot intervention to increase equitable participation. The Research on Optimizing the Use of Technology with Education for T1D was a telehealth behavioral intervention for youth aged 10-15 years with T1D and their caregivers. This study aimed to recruit a sample comprised of at least 50% youth from racially minoritized backgrounds. Recruitment outcomes, contact attempts, enrollment rates, retention, and engagement metrics were tracked and examined. Of 323 families contacted, 60 were enrolled and randomized (19.8% overall recruitment rate; 78% enrollment among eligible families). Recruitment required an average of 4.6 contact attempts and approximately one month between initial contact and enrollment. Six-month caregiver and youth survey completion was 84.7%, and 12-month completion was 78%. Overall, 75% attended at least one intervention session and 60% completed all three sessions. 80% engaged with the caregiver coach component. Findings demonstrate that recruitment and retention of racially minoritized families in pediatric behavioral diabetes research is feasible when intentional, flexible, and culturally responsive strategies are implemented. Transparent reporting of recruitment processes may inform future efforts to improve equitable research participation.
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10. Designing, Implementing, and Evaluating an Adapted Stress First Aid and Psychological First Aid Model in a Hospital Setting: Results from a Multi-year Study.
PMID:日期:2026-07-30Healthcare workers are exposed to many stressors including long hours, intense physical and emotional labor, and consistent exposure to suffering and death. Together these stressors can culminate into more chronic and severe stress responses when not appropriately addressed. To help mitigate the impact of these stressors, peer-administered post-event psychosocial support programs have been developed, such as Psychological First Aid and Stress First Aid. Unfortunately, few resources exist to help those interested in designing, implementing, and evaluating such a program within their organization. This manuscript provides an in-depth review of the development and implementation of an adapted peer-administered post-event psychosocial support training program created in a Mid-Atlantic Level 1 Trauma Hospital to meet the organization's specific needs. The adapted program blends elements of Psychological First Aid and Stress First Aid and was found to be an effective means to improve healthcare workers' ability to recognize and respond to stress injuries among colleagues. Findings indicate that support programs, such as Psychological First Aid and Stress First Aid, can be adapted to meet specific needs of the institution while still being highly effective in training healthcare workers.