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Findings from this study suggest that targeting both pain and anxiety may positively impact outcomes in youth with FAPD. The ADAPT intervention has the potential to provide a cost effective and practical application of cognitive behavioral therapy using an innovative combination of in-person and technology-based platforms. Overall, the ADAPT intervention is a promising and innovative intervention to improve the outcomes of youth with FAPD.

Systematic screening for anxiety, pain, and pain-related disability as a routine part of medical care can be reliably implemented with clinically meaningful results. Future directions include examining the role of anxiety over the long-term and reducing clinician burden.

Building on support for the five-factor model (FFM) of personality disorder, the Five Factor Schizotypal Inventory (FFSI) was developed to assess maladaptive traits relevant to schizotypal personality disorder. While the development of the FFSI supports a continuity between schizotypal thinking and perception (STAP) and the FFM domain of Openness to Experience, other studies show inconsistent findings concerning the strength of this relationship. The current study evaluates these relationships by investigating specific components of a short-form of the FFSI (e.g., the FFSI-SF) and 2 other measures of maladaptive traits with the lower order components within commonly employed measures of Openness to Experience. Nomological network similarities were evaluated for the relation of these scales with a series of conceptually relevant variables including intelligence, creativity, and positive schizotypy in a sample of 403 undergraduates, including 102 that were prescreened for elevated symptoms of schizotypal personality disorder (PD). These analyses revealed strong relations across the 3 measures of traits relevant to STAP, supporting the validity of the FFSI-SF. Most notably, 2 specific scales-Multidimensional Personality Questionnaire (MPQ) Absorption and Openness to Fantasy appeared to best capture the core variance across these measures. Furthermore, a nuanced pattern of relations suggested that specific components of STAP (e.g., oddity and fantasy proneness) matched closely with components of Openness to Experience. The results provide additional support for view that schizotypal thinking can be well-captured by personality dimensions that run continuously across normal and pathological levels. (PsycINFO Database Record

Background To develop and test the feasibility and initial effectiveness of the Treatment and Education Approach for Childhood-onset Lupus (TEACH) protocol, a 6-session cognitive behavioral therapy (CBT) intervention for adolescents and young adults (AYA) with childhood-onset systemic lupus erythematosus (cSLE). Methods Females with cSLE ( n = 14; ages 13–19 years, M = 16.21 years) presenting to a pediatric rheumatology clinic subsequently completed the protocol, which was iteratively modified based on participant/interventionist feedback. Upon intervention completion, participants provided qualitative data on feasibility, acceptability, potential modifications, and perceived effectiveness of the program via a semi-structured interview, which was analyzed for shared themes. Participants also completed measures of fatigue, psychological distress, and pain intensity before and after the intervention. Nonparametric statistics were conducted to examine changes in outcome measures following the intervention. Results During the study, several protocol modifications were employed to better address the unique needs of individuals with cSLE (e.g., separate content for adolescents versus young adults). Results suggest that TEACH is feasible, acceptable, and potentially effective in the management of cSLE symptoms. Following the intervention, there was a statistically significant reduction in fatigue (Z = − 2.81, p < .01) and depressive symptoms (Z = − 2.69, p < .01). Reductions in pain and anxiety symptoms were marginal. Conclusions TEACH, a tailored CBT protocol for AYA with cSLE, is a feasible and potentially effective intervention for the management of fatigue and depressive symptoms. Future directions include testing the protocol in a larger controlled study.