Assignment: Applying Current Literature to Clinical Practice
Assignment: Applying Current Literature to Clinical Practice
Assignment 1: Applying Current Literature to Clinical Practice Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients.
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For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice. Learning Objectives Students will: Assignment: Applying Current Literature to Clinical Practice Evaluate the application of current literature to clinical practice To prepare: Review this week’s Learning Resources and reflect on the insights they provide. Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment. Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues. The Assignment In a 5- to 10-slide PowerPoint presentation, address the following: Provide an overview of the article you selected. What population is under consideration? Assignment: Applying Current Literature to Clinical Practice What was the specific intervention that was used? Is this a new intervention or one that was already used? What were the author’s claims? Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why? Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature. Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature. Note:Please follow the directions Below are the titles of the articles (Select one). Select one of the following articles on psychodynamic therapy to evaluate in your Assignment: Aznar-Martinez, B., Perez-Testor, C., Davins, M., & Aramburu, I. (2016). Assignment: Applying Current Literature to Clinical Practice Couple psychoanalytic psychotherapy as the treatment of choice: Indications, challenges, and benefits. Psychoanalytic Psychology, 33(1), 1–20. doi:10.1037/a0038503 Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332 LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies. Psychoanalytic Psychology, 32(2), 334–351. doi:10.1037/a0035982 Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique. Psychoanalytic Psychology, 30(2), 281–299. doi:10.1037/a0031507 Tummala-Narra, P. (2013). Psychoanalytic applications in a diverse society. Psychoanalytic Psychology, 30(3), 471–487. doi:10.1037/a0031375
Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients Assignment: Applying Current Literature to Clinical Practice.
Learning Objectives
Students will:
Evaluate the application of current literature to clinical practice
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.
- Select one of the articles from the Learning Resources to evaluate for this Assignment.
Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues Assignment: Applying Current Literature to Clinical Practice.
The Assignment
In a 5- to 10-slide PowerPoint presentation, address the following: Provide an overview of the article you selected, including answers to the following questions:
- What type of group was discussed?
- Who were the participants in the group? Why were they selected?
- What was the setting of the group?
- How often did the group meet?
- What was the duration of the group therapy?
- What curative factors might be important for this group and why?
- What “exclusion criteria” did the authors mention?
You will select one of the following articles on group therapy to evaluate for this week’s Assignment.
Assignment 1: Applying Current Literature to Clinical Practice
- Bélanger, C., Laporte, L., Sabourin, S., & Wright, J. (2015). The effect of cognitive-behavioral group marital therapy on marital happiness and problem-solving self-appraisal. American Journal of Family Therapy, 43(2), 103–118. doi:10.1080/01926187.2014.956614 Note: Retrieved from Walden Library databases Assignment: Applying Current Literature to Clinical Practice.
Problem solving self-appraisal affects problem solving performance and marital adjustment. This study investigated the effects of cognitive-behavioral group marital therapy on couples’ adjustment and their self-appraisal of problem solving activities. Sixty-six couples participated in group couples therapy. Subjects were randomly assigned to an experimental or a waiting list control group. They completed the Problem Solving Inventory and the Marital Happiness Scale. Therapy was effective in improving global couple adjustment and problem solving self-appraisal. The program had a differential effect on the improvement of self-perceived problem solving abilities depending on the spouses’ initial self-appraised problem solving ability level Assignment: Applying Current Literature to Clinical Practice.
- Himelhoch, S., Medoff, D., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis. AIDS Patient Care & Stds, 21(10), 732–739. doi:10.1089/apc.2007.0012 Note: Retrieved from Walden Library databases.
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Abstract
Depressed mood is highly prevalent among HIV-infected individuals. Some but not all studies have found group psychotherapy to be efficacious in this population. We performed a systematic review and meta-analysis of double-blinded, randomized controlled trials to examine efficacy of group psychotherapy treatment among HIV infected with depressive symptoms. We used PubMed, the Cochrane database, and a search of bibliographies to find controlled clinical trials with random assignment to group psychotherapy or control condition among HIV infected patients with depressive symptoms. The principal measure of effect size was the standard difference between means on validated depression inventories. We identified 8 studies that included 665 subjects: 5 used cognitive behavioral therapy (CBT), 2 used supportive therapy, and 1 used coping effectiveness training. Three of the 8 studies reported significant effects. The pooled effect size from the random effects model was 0.38 (95% confidence interval [CI]: 0.23-0.53) Assignment: Applying Current Literature to Clinical Practice representing a moderate effect. Heterogeneity of effect was not found to be significant (p = 0.69; I(2) = 0%). Studies reporting use of group CBT had a pooled effect size from the random effects model of 0.37 (95% CI: 0.18-0.56) and was significant. Studies reporting the use of group supportive psychotherapy had a pooled effect size from the random effects model 0.58 (95% CI: -0.05-1.22) and was nonsignificant. The results of this study suggest that group psychotherapy is efficacious in reducing depressive symptoms among, HIV-infected individuals. Of note, women were nearly absent from all studies. Future studies should be directed at addressing this disparity.
- Pessagno, R. A., & Hunker, D. (2013). Using short-term group psychotherapy as an evidence-based intervention for first-time mothers at risk for postpartum depression. Perspectives in Psychiatric Care, 49(3), 202–209. doi:10.1111/j.1744-6163.2012. 00350.x Note: Retrieved from Walden Library databases Assignment: Applying Current Literature to Clinical Practice.
Abstract
Purpose:
The purposes were to (a) provide an 8-week, short-term, psychotherapy group as a nonpharmacologic, evidence-based intervention for first-time mothers at risk for postpartum depression (PPD) and (b) determine if women’s scores in the Edinburgh Postnatal Depression Scale changed after participation in the intervention.
Conclusion:
The women who participated in the short-term group psychotherapy intervention experienced a decrease in their Edinburgh Postnatal Depression Scale scores, reducing their risk for PPD.
Practice Implications
Group psychotherapy is an effective, evidence-based intervention to reduce the risk for PPD and should remain a current competency of psychiatric advanced practice nurses.
- Sayın, A., Candansayar, S., & Welkin, L. (2013). Group psychotherapy in women with a history of sexual abuse: What did they find helpful? Journal of Clinical Nursing, 22(23/24), 3249–3258. doi:10.1111/jocn.12168Note: Retrieved from Walden Library databases Assignment: Applying Current Literature to Clinical Practice.
Abstract
Aims and objectives
To define the effects of group psychotherapy in women with a history of sexual abuse, to find possible predictors for dropout and treatment outcome rates and to find which therapeutic factors of group psychotherapy are perceived by group members to be most helpful.
Background:
Sexual abuse of women is a global concern and causes many psychiatric and psychological sequelae. Group psychotherapy is one of the preferred treatment modalities.
Design:
Prospective cohort study.
Methods:
Forty-seven women with a history of childhood and/or adulthood sexual abuse were recruited for weekly 12-session group psychotherapy. Subjects were given the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Clinician Administered Post-traumatic Stress Disorder Scale, the Dissociative Experiences Scale, the Childhood Trauma Questionnaire and the Group Therapeutic Factors Questionnaire. Re-evaluations were made after the 6th and 12th session and also at a six-month follow-up session.
Results:
Group psychotherapy significantly reduced participants’ levels of depression (screening/12th session mean scores, 22.45/11.10), anxiety (15.45/4.32) and symptoms of post-traumatic stress disorder (42.27/9.32), and this decline became statistically significant at the 6th session and tended to persist at the six-month follow-up. Assignment: Applying Current Literature to Clinical Practice Higher levels of dissociative symptoms at baseline were associated with less response to treatment, but higher levels of attendance at group sessions. Group members rated existential factors (41.40 ± 12.39), cohesiveness (37.42 ± 8.32) and universalism (37.56 ± 7.11) as the most helpful therapeutic factors Assignment: Applying Current Literature to Clinical Practice.
Conclusion:
Group psychotherapy was significantly effective in reducing levels of depression, anxiety and posttraumatic stress disorder symptoms in this sample of women. Dissociation had a significant effect on both treatment outcome and treatment adherence. For this sample of women, group psychotherapy was most helpful for reducing feelings of stigma, isolation and shame Assignment: Applying Current Literature to Clinical Practice
