The BHPP Clinical Research Program conducts research to improve our understanding and treatment of mood, anxiety, personality, and psychotic disorders. The BHPP exemplifies an integrative approach in which research informs clinical practice, and clinical practice informs research. In order to maximize effectiveness in the context of evidence-based clinical care, it is important to evaluate program functioning and treatment effectiveness. Thus, a primary goal at the BHPP is to systematically design research efforts that utilize patient feedback to improve quality of care.
One of the BHPP’s primary aims is to determine the effectiveness of our program, as well as predictors of treatment outcome. We are continually tracking outcomes, as well as examining a range of patient-relevant and program-relevant factors that may impact treatment response. In collaboration with McLean’s Center for Depression, Stress, and Anxiety, we are examining whether behavioral performance on a cognitive control task predicts treatment response, as well as whether treatment is associated with improvement in cognitive control.
Mechanisms of Change
The BHPP recently began collecting patient data daily, thereby allowing the examination of mechanisms of change. We are currently examining whether changes in cognitive behavioral skills and psychological flexibility during treatment are associated with changes in depression and anxiety.
Given the heterogeneity and comorbidty of the BHPP’s patient population, we are interested in delineating important transdiagnostic vulnerability factors. This work aims to inform our theories of psychopathology and identify important targets for treatment.
The BHPP is constantly striving to improve patient care, which often takes the form of development of new group protocols based on current research findings. Our pre-doctoral interns and post-doctoral fellows are particularly involved with this aspect of treatment and program development. Recent examples include the development of new groups focusing on teaching dialectical behavior therapy skills, integrating spirituality into treatment, and improving self-compassion. We are currently comparing the effectiveness of two group protocols in enhancing physical activity.
The BHPPP is ideally suited to evaluate the psychometric properties of psychological assessments given the large number of patients that attend our program. We are especially interested in examining how measures perform in our naturalistic, acute population.
Rosmarin DH, Bigda-Peyton JS, Kertz SJ, Smith N, Rauch SL, Björgvinsson T. A test of faith in god and treatment: The relationship of belief in god to psychiatric treatment outcomes. Journal of Affective Disorder. 2013 Apr 25. 146(3):441-6. doi: 10.1016/j.jad.2012.08.030.
Kertz, SJ, Bigda-Peyton JS, Rosmarin DH, Björgvinsson T. The importance of worry across diagnostic presentations: Prevalence, severity, and associated symptoms in a partial hospital setting. Journal of Anxiety Disorders. 2012. 26(1), 126-133.
Kuller A, Libben MR, Rosmarin DH, Björgvinsson T. Does symptom type moderate the relationship between insight and outcome in cognitive behavioral therapy for psychosis? A preliminary investigation. Cognitive Behaviour Therapy. 2012. 41(4), 298-309. doi: 10.1080/16506073.2012.67667.