A5039179268- Psychotherapy Techniques and Applications
- Child and Adolescent Psychosocial and Emotional Development
- Personality Disorders and Psychopathology
- Attachment and Relationship Dynamics
- Child Abuse and Trauma
- Mental Health Research Topics
- Cardiac Health and Mental Health
- Resilience and Mental Health
- Psychological Testing and Assessment
- Posttraumatic Stress Disorder Research
- Mental Health Treatment and Access
- Maternal Mental Health During Pregnancy and Postpartum
- Healthcare Systems and Technology
- Stuttering Research and Treatment
- Psychological Well-being and Life Satisfaction
- Digital Mental Health Interventions
- Psychological Treatments and Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Psychology Research and Bibliometrics
- Aging, Health, and Disability
- Injury Epidemiology and Prevention
- Health Policy Implementation Science
- Stress and Burnout Research
- Primary Care and Health Outcomes
- Suicide and Self-Harm Studies
Pontificia Universidad Católica de Chile
2012-2024
Millennium Institute for Research in Depression and Personality
2017-2024
Research Center for Integrated Disaster Risk Management
2015-2017
University of Massachusetts Amherst
2009
Universidad del Desarrollo
2005
Hospital del Salvador
2005
Universidad del Desarrollo del Estado de Puebla
2005
The present study examined the power of measures early preschool behavior to predict later diagnoses attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant (ODD)/conduct (CD).Participants were 168 children with problems at age 3 who underwent a multi-method assessment ADHD ODD symptoms followed annually for years.Fifty-eight percent 3-year-old met criteria and/or ODD/CD years later.Using diagnostic interview rating scales 3, status could be accurately predicted...
Although the alliance-outcome association is one of most consistent findings in psychotherapy research, it also highly heterogeneous. Little known about factors explaining this variability, and consequently there a lack adequate knowledge how to utilize improve treatment. The present study had following objectives: (a) examine associations between within- between-individual variability alliance outcome, controlling for previous symptomatic levels; (b) duration association; (c) potential...
Advanced statistical tools have created the opportunity to systematically examine effect of early trajectories in predictors therapeutic change, such as alliance development patterns, on outcome. To date, however, these methods been used almost exclusively symptoms later ones. Development patterns treatment, and their association with treatment outcome, received much theoretical attention, but few systematic examinations conducted so far.We integrated exploratory cluster analysis accumulated...
Complementing the development of evidence-based psychological therapies, practice-based evidence has developed from patient samples collected in routine care, addressing questions relevant to patients and practitioners, thereby expanding our knowledge therapies their impact. Implementation assessments care allows for timely clinical decision support collection multiple data sets by needs clinicians (e.g., outcome monitoring) researchers identifying impact therapist variables on outcomes).
Mental health financing in Chile: a pending debtIn spite of the high prevalence mental disorders Chile, there is significant deficit this area when compared to world's average.The for has not increased accordance with objectives proposed 2000 Chilean National Health and Psychiatry Plan, only three six priorities by plan have secure financial coverage.The Strategy Fulfilment Objectives decade 2011-2020 acknowledges that worsen quality life, increase risk physical illness, substantial economic...
Abstract Objective Because of the importance therapeutic alliance across psychotherapeutic treatments, it is important to study variables that predict development a positive alliance. This investigates if different levels gender, age, and income match between therapists clients early Method The sample consisted 28 547 adult receiving individual psychotherapy for depressive symptoms. There were no exclusion criteria control over treatment delivery. Session‐to‐session assessments collected...
Our objective was to assess low-cost and feasible feedback alternatives compare them Lambert's OQ system. We also studied patient, therapist, process characteristics that could moderate the effect of on outcome, session attendance, alliance.A total 547 patients, 75% female, average age 41 (SD = 13), 95% Latino, treated in an outpatient individual psychotherapy setting Chile were randomly assigned five conditions: no feedback, symptomatology, alliance, both symptomatology progress report. The...
This longitudinal study examined whether mothers' depressive symptomatology predicted parenting practices in a sample of 199 mothers 3‐year‐old children with behavior problems who were assessed yearly until age 6. Higher maternal symptoms associated higher overreactivity and laxness lower warmth when 6 years old. also related to increases across the preschool years. Moreover, depression (overreactivity laxness) covaried over time within mothers. These results provide evidence strong link...
It has been widely demonstrated that the process of change many patients undergo in therapy is not linear. Some benefit greatly from large sudden improvements, commonly referred to as "sudden gains." less clear whether certain baseline characteristics make more prone displaying gains, well what mechanisms are responsible for lasting effects gains.In a sample 547 receiving treatment an outpatient mental health clinic, machine learning approach was used search potential predictors gains. A...
Abstract The primary aim of this study is to improve our understanding therapists’ experience a “difficult patient” and consider the different variables involved in label. What makes patient be perceived as difficult by therapist public health services? Results analysis 10 qualitative semistructured interviews therapists working service Chile indicated that perceptions depend on go beyond patient's intrinsic characteristics, including patients’ negative attitude toward treating team, effects...
This study describes the psychometric properties of a Spanish version Shortened Outcome Questionnaire (OQ-30.2, Lambert et al., 2004), made for Chilean population. The questionnaire was administered to 546 patients in an outpatient mental health clinic and 100 non-clinical adults. Results indicated that measure has good internal consistency (α=0.90) sensitivity change. Furthermore, results were similar those obtained its original version, making possible use context.
Abstract Objective The article examines the role of family income on relationship between change in symptomatic burden and life satisfaction during six sessions naturalistically delivered individual psychotherapy. Method Five hundred thirty‐two clients receiving psychotherapy were assessed at baseline a session‐to‐session basis with OQ ‐30.2 questionnaire. Data analysed using bivariate latent class model structured residuals that included cross‐lagged autoregressive components residual...
Antecedentes: identificar subgrupos de pacientes que demuestren diferentes trayectorias cambio terapéutico durante psicoterapia en contextos realistas es relevante para el desarrollo procesos terapéuticos personalizados y efectivos.
This article presents information relevant to mental health professionals who work with adult patients posttraumatic stress disorder (PTSD) in the aftermath of natural disasters and lack specialized training evidencebased treatments for PTSD. The orientations based on a review several international guidelines working PTSD scientific literature. These were reviewed by panel Chilean experts. result, which is presented this article, consists series practical aimed at psychotherapists must after...
Objectives This study examined the relationship between patients' object relations and interpersonal process in psychotherapy. Namely, we tested hypothesis that quality of is positively associated with both patient‐ therapist‐rated alliance quality. Design Psychotherapy was administered naturalistically, quantitative data collection before during treatment. Methods Participants included 73 adult outpatients 23 therapists at two mental health clinics. Using Bell Object Relations Reality...
Higher lifetime trauma exposure and increased peritraumatic dissociation (PD) are well-known predictors of Post-Traumatic Stress Disorder (PTSD) symptoms following new (prospective PTSD symptoms). The interplay between those factors, however, is not well established. In this study, we aimed to assess whether PD mediates the influence on prospective symptoms. A total 387 adults visiting five emergency departments who had experienced a traumatic event within 72 hours completed baseline...
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Machine learning has a great potential for prospectively forecasting individual patient response to mental health care (MHC), thereby enabling treatment personalization. However, previous efforts have been limited populations living in predominantly higher income, developed countries. This study aimed extend the reach of precision MHC systems by developing and testing feasible readily implementable algorithm identifying patients at risk nonresponse routinely delivered psychotherapy Chile,...
Abstract Background Childhood maltreatment (CM), including emotional neglect, physical abuse, abuse and sexual is associated with an increased risk of adult depression, particularly neglect. Personality impairment a significant mediator in the relationship between CM depression. Methods This naturalistic cross‐sectional study aimed to examine mediating role personality functioning association types depressive symptoms clinical sample adults. We assessed two dimensions proposed by Section III...
Se comparan las características de quince mujeres hospitalizadas en un hospital general publico Santiago Chile, que recuerdan más tres experienciastraumáticas antes los 16 años, con 15 casos no ninguno. En 30 se estudian socio-demográficas, y aplican siguientes escalas: Acontecimientos Traumáticos Perry (TAI), escalas percepción familiar Valdés Cols (CTF-CSF) la Escala Abreviada Conductas Riesgo (ECRA). ambos grupos, constatándose una mayor frecuencia dificultades relaciones interpersonales,...