Marina Kukla
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View article: Use of Cognitive‐Behavioral Therapy in a Nation‐Wide Veterans Health Administration Sample: The Role of Clinic, Therapist, and Patient Factors
Use of Cognitive‐Behavioral Therapy in a Nation‐Wide Veterans Health Administration Sample: The Role of Clinic, Therapist, and Patient Factors Open
Objective To examine the use of CBT‐CP (Cognitive‐behavioral therapy for chronic pain) by CBT‐CP‐trained therapists to treat patients with pain over a five‐year period (October 2015–February 2020). Data Sources and Study Setting CBT‐CP is …
View article: An Investigation of Employment Hope as a Key Factor Influencing Perceptions of Subjective Recovery among Adults with Serious Mental Illness Seeking Community Work
An Investigation of Employment Hope as a Key Factor Influencing Perceptions of Subjective Recovery among Adults with Serious Mental Illness Seeking Community Work Open
Introduction: Employment is an important contributor to recovery in people with serious mental illness (SMI), yet studies have not explored how subjective elements of employment hope contribute to perceptions of global recovery in this pop…
View article: Disruption and sustainment of cognitive behavioral therapy for chronic pain in the Veterans Health Administration following the onset of the COVID-19 pandemic
Disruption and sustainment of cognitive behavioral therapy for chronic pain in the Veterans Health Administration following the onset of the COVID-19 pandemic Open
The sustainability of evidence-based practices (EBPs) is a pressing issue for implementation science and healthcare systems. The COVID-19 pandemic and related policies severely strained healthcare systems, thus representing a key test of t…
View article: Learning from women veterans who navigate invisible injuries, caregiving, and reintegration challenges
Learning from women veterans who navigate invisible injuries, caregiving, and reintegration challenges Open
Background As women comprise a greater proportion of military service members, there is growing recognition of how their experiences in the early phase of military to civilian transitions have an important influence on their health and rei…
View article: Promoting Meaning and Recovery for Psychosis: Comparison of Metacognitively-Oriented Psychotherapists and Clinicians in Psychiatric Rehabilitation
Promoting Meaning and Recovery for Psychosis: Comparison of Metacognitively-Oriented Psychotherapists and Clinicians in Psychiatric Rehabilitation Open
As expected, both similarities and differences arose between clinician groups. Results indicated that both groups focused on the therapeutic relationship and monitoring progress and outcomes. Unexpectedly, MERIT therapists reported growth …
View article: The Association Between Reintegration, Perceptions of Health and Flourishing During Transition from Military to Civilian Life Among Veterans with Invisible Injuries
The Association Between Reintegration, Perceptions of Health and Flourishing During Transition from Military to Civilian Life Among Veterans with Invisible Injuries Open
Veterans with mental health or cognitive conditions who are separating from military service often face challenges transitioning to civilian life. However, questions remain about the relationship between reintegration and key psychosocial …
View article: Recovery-oriented inpatient mental health care and readmission.
Recovery-oriented inpatient mental health care and readmission. Open
A growing body of literature supports the association between psychotherapeutic services in inpatient units and better patient outcomes. However, further research is needed to examine this association. More work is needed to develop approp…
View article: Metacognitive Reflection and Insight Therapy (MERIT) Delivered Virtually During the COVID-19 Pandemic: An Illustration of Two Cases
Metacognitive Reflection and Insight Therapy (MERIT) Delivered Virtually During the COVID-19 Pandemic: An Illustration of Two Cases Open
View article: Modeling Contingency in Veteran Community Reintegration: A Mixed Methods Approach
Modeling Contingency in Veteran Community Reintegration: A Mixed Methods Approach Open
Researchers need approaches for analyzing complex phenomena when assessing contingency relationships where specific conditions explain an outcome only when combined with other conditions. Using a mixed methods design, we paired configurati…
View article: Inpatient Mental Healthcare before and during the COVID-19 Pandemic
Inpatient Mental Healthcare before and during the COVID-19 Pandemic Open
Prior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Ve…
View article: Recovery-oriented acute inpatient mental health care: Operationalization and measurement.
Recovery-oriented acute inpatient mental health care: Operationalization and measurement. Open
A final scale of 23, behaviorally anchored items demonstrated a four-factor structure including the following factors: inpatient treatment planning, outpatient treatment planning, group programming, and milieu. While several items require …
View article: A national survey of patient completion of cognitive behavioral therapy for chronic pain: The role of therapist characteristics, attempt rates, and modification.
A national survey of patient completion of cognitive behavioral therapy for chronic pain: The role of therapist characteristics, attempt rates, and modification. Open
Therapists who attempt CBT-CP more frequently may experience better completion rates, perhaps due to practice effects or contextual factors that support both attempts and completion. Future research should examine this relationship using o…
View article: Meaning, integration, and the self in serious mental illness: Implications of research in metacognition for psychiatric rehabilitation.
Meaning, integration, and the self in serious mental illness: Implications of research in metacognition for psychiatric rehabilitation. Open
Promoting metacognitive capacity may be a previously unrecognized active element of existing rehabilitative interventions. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
View article: Peer Support for Self-Management of Chronic Pain: the Evaluation of a Peer Coach-Led Intervention to Improve Pain Symptoms (ECLIPSE) Trial
Peer Support for Self-Management of Chronic Pain: the Evaluation of a Peer Coach-Led Intervention to Improve Pain Symptoms (ECLIPSE) Trial Open
View article: Exploring peer coaches’ outcomes: Findings from a clinical trial of patients with chronic pain
Exploring peer coaches’ outcomes: Findings from a clinical trial of patients with chronic pain Open
View article: The long and winding road to postsecondary education for U.S. veterans with invisible injuries.
The long and winding road to postsecondary education for U.S. veterans with invisible injuries. Open
Many Veterans with invisible injuries face complex challenges stemming from military experiences, the family dynamics to which they return, and reintegration issues that demand novel forms of resilience. Collaboration between university st…
View article: Metacognition over time is related to neurocognition, social cognition, and intrapsychic foundations in psychosis
Metacognition over time is related to neurocognition, social cognition, and intrapsychic foundations in psychosis Open
View article: Work-focused cognitive behavioral therapy to complement vocational services for people with mental illness: Pilot study outcomes across a 6-month posttreatment follow-up.
Work-focused cognitive behavioral therapy to complement vocational services for people with mental illness: Pilot study outcomes across a 6-month posttreatment follow-up. Open
These findings suggest that CBTw may potentially be a useful tool to enhance the effects of vocational programs. Future work should test CBTw in a randomized controlled trial and examine strategies for implementation in real-world vocation…
View article: Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy
Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy Open
Metacognition refers to a spectrum of activities which spans from noticing discrete experiences to synthesizing them into a larger sense of the self and others. Evidence suggesting that deficits in metacognition are broadly present in schi…
View article: Metacognitive Reflection and Insight Therapy (MERIT): Application to a Long-Term Therapy Case of Borderline Personality Disorder
Metacognitive Reflection and Insight Therapy (MERIT): Application to a Long-Term Therapy Case of Borderline Personality Disorder Open
Impairments in metacognitive capacity-or the processes that enable individuals to access, understand, and integrate their ideas about their own and others' mental states-are a core barrier to recovery for many people with borderline person…
View article: Metacognitive Deficits Predict Impaired Insight in Schizophrenia Across Symptom Profiles: A Latent Class Analysis
Metacognitive Deficits Predict Impaired Insight in Schizophrenia Across Symptom Profiles: A Latent Class Analysis Open
The integrated model of insight in schizophrenia suggests that poor insight is the result of multiple factors which compromise persons' abilities to integrate streams of information into a personal awareness of psychiatric challenges, and …
View article: The Comparative Effectiveness of a Model of Job Development versus Treatment as Usual
The Comparative Effectiveness of a Model of Job Development versus Treatment as Usual Open
Job development is critical to assisting people with serious disabilities to obtain jobs, but little is known about the actual methods that make job development effective. Using a post-only quasi-experimental design, this study examined th…
View article: Metacognitive Deficits Predict Impaired Insight in Schizophrenia Across Symptom Profiles: A Latent Class Analysis
Metacognitive Deficits Predict Impaired Insight in Schizophrenia Across Symptom Profiles: A Latent Class Analysis Open
The integrated model of insight in schizophrenia suggests that poor insight is the result of multiple factors which compromise persons' abilities to integrate streams of information into a personal awareness of psychiatric challenges, and …
View article: Helping veterans achieve work: A Veterans Health Administration nationwide survey examining effective job development practices in the community.
Helping veterans achieve work: A Veterans Health Administration nationwide survey examining effective job development practices in the community. Open
Respondents highlight several potentially effective job development strategies; tools and resources may be developed around these strategies to bolster job development implementation and allow opportunities for fruitful employer interactio…
View article: 61.2 The Functional Significance of Metacognitive Capacity in Schizophrenia: Associations With Negative Symptoms and Insight
61.2 The Functional Significance of Metacognitive Capacity in Schizophrenia: Associations With Negative Symptoms and Insight Open
Background: Metacognition refers to a range of mental activities which lay at the root of the formation of complex and integrated ideas which allow for a sense of one’s self and of others. Metacognitive acts involve both noticing discrete …
View article: 98. Cognitive–Behavioral Therapy to Enhance Work Success in Persons With Mental Illness: A Pre–Post Pilot Study
98. Cognitive–Behavioral Therapy to Enhance Work Success in Persons With Mental Illness: A Pre–Post Pilot Study Open
Background: Unemployment is a substantial problem amongst persons with mental illness (Zivin et al., 2011). Among people with mental illness who obtain work, low productivity, poor work performance, and underemployment are also common. Thi…
View article: Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment
Comparing the Costs and Acceptability of Three Fidelity Assessment Methods for Assertive Community Treatment Open
View article: How Do Patients with Chronic Pain Benefit from a Peer-Supported Pain Self-Management Intervention? A Qualitative Investigation
How Do Patients with Chronic Pain Benefit from a Peer-Supported Pain Self-Management Intervention? A Qualitative Investigation Open
Peer support represents a promising approach to chronic pain management that merits further study. The current study helps to identify intervention elements perceived by participants to be important in achieving positive results. Understan…
View article: Comparative Effectiveness of a Burnout Reduction Intervention for Behavioral Health Providers
Comparative Effectiveness of a Burnout Reduction Intervention for Behavioral Health Providers Open
Although it did not demonstrate comparative effectiveness versus a control condition, BREATHE could be strengthened and targeted toward both distressed providers and their organizations.
View article: Correlates of attendance in mental health services for individuals with psychotic disorders: A critical review
Correlates of attendance in mental health services for individuals with psychotic disorders: A critical review Open
Low attendance to mental health care results in loss of time, money, and treatment gains. No prior review in this area has taken into account the quality of studies or varying definitions of attendance. The current review provides a critic…