Brandon Gaudiano

Brandon Gaudiano
Brown University · Department of Psychiatry and Human Behavior

Ph.D.

About

147
Publications
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Publications

Publications (147)
Chapter
This chapter explores the treatment description in line with CLASP. It lists the general principles of working with suicidal patients, such as saying the word “suicide” without flinching, giving space and time, stressing a team approach, and being attentive and calm. CLASP involves a relatively unique combination of case management and individual a...
Chapter
This chapter narrates the requirements and training of CLASP advisors. It is vital for CLASP advisors to have a background in the delivery of structured behavioral intervention, a master’s degree in mental health counseling, and a foundation of general clinic management skills. Moreover, advisors are evaluated using CLASP Adherence and Competence S...
Chapter
This chapter introduces the Coping Long Term with Active Suicide Program (CLASP), which is a suicide prevention intervention process. Suicide behavior is viewed as a major public health problem as it is the third-leading cause of death across the world, especially for people between the ages of 15 and 24 years. Moreover, the chapter highlights how...
Chapter
This chapter tackles the issues and concluding comments of the CLASP intervention. CLASP is a distinctive combination of individual psychotherapy, family intervention, and case management, which is conducted primarily via telehealth. This chapter clarifies the difference in roles between a typical outpatient therapist and a CLASP treatment advisor....
Book
The Coping Long Term with Active Suicide Program (CLASP): Clinician Guide focuses on the development, studies, formats, and therapeutic strategies of CLASP in an effort to reduce suicide. Suicidal behavior is a major public health problem across the world. Moreover, evidence-based practice offers the most responsible course of action for the mental...
Chapter
This chapter tackles the theoretical rationale and components of CLASP. The three major components of CLASP are three individual in-person meetings, one significant other/family meeting, and 11 brief phone calls between the patient and significant other. Fundamental decisions guiding the specifics of the intervention are target population, intensit...
Chapter
This chapter tackles the adaptations for specific populations and settings in line with the process of CLASP. Adaptations can be made to CLASP for the treatment of patients at risk for suicide in the emergency department, military veterans transitioning from inpatient care, at-risk people with serious mental illness (SMI), and the adolescent popula...
Chapter
This chapter looks into the detailed session outline of CLASP. The step-by-step process of CLASP includes the establishment of the patient’s Life Plan document, family meetings with the patient and their significant other, and follow-up phone contacts. Moreover, sessions could be conducted during an inpatient stay depending on the duration of hospi...
Article
Objectives Acceptance and Commitment Therapy (ACT) is a third-wave behavioral and cognitive therapy that increases psychological flexibility through mindfulness, acceptance, and value-driven behavior change. ACT has been successfully used to inform a variety of health interventions. Using non-therapists to deliver ACT-based behavioral health interv...
Article
Background: A growing body of research focuses on developing and testing interventions that leverage mental health-related mobile health (mHealth) services for patients with schizophrenia and other schizophrenia-spectrum disorders. Yet, most formative research has focused on patient perspectives, with little attention paid to clinical stakeholders...
Article
Objective Inadequate medication adherence is a significant limitation for achieving optimal health outcomes across chronic health conditions. Mindfulness-based interventions (MBIs) have been increasingly applied to promote medical regimen adherence as MBIs have been shown to improve patient-level barriers to adherence (i.e., depressive symptoms, co...
Article
Researchers are continuing to focus on the nature and sources of burden of family caregivers of persons living with dementia. Caregiving stress and burden are assessed and addressed by social workers, including at high-risk times such as hospitalization. This study tested whether adult-child family caregivers experience greater perceived burden tha...
Article
Full-text available
The practice of generating and interpreting stories can be examined through a behavioral lens and has many potential implications for clinical practice. However, storytelling has for the most part yet to be integrated into the field of contextual behavioral science (CBS). A bedrock of human culture, storytelling has influenced both individual behav...
Article
Full-text available
An important period in the care of patients with schizophrenia-spectrum disorders is when they transition from inpatient to outpatient services and are at increased risk for relapse and rehospitalization. Thus, we developed and examined the initial feasibility, acceptability, and clinical effects of an mHealth transitions of care intervention (Mobi...
Article
Objective: Inpatient admissions are common for individuals with schizophrenia-spectrum disorders, and difficulty transitioning from the hospital to the community results in these individuals being at high risk for hospital readmissions. Thus, psychotic disorders account for high rates of rapid readmission within 30 days of discharge. Increasing ev...
Article
Objectives There are several definitions of mindfulness throughout the literature, many of which suggest an attitude of non-judgmental awareness. However, the concept of “non-judgment” itself has not previously been systematically operationally defined. Our purpose was to use an expert panel to generate an operational definition of non-judgment of...
Article
Objective: Ecological momentary assessment (EMA) via mobile devices offers a promising approach for collecting real-time data from psychiatric patients, potentially as an augment to traditional measurement-based care strategies. This study examined whether EMA had added value in collecting clinically important data from recently hospitalized adult...
Article
Purpose This article describes the protocol for a randomized effectiveness and cost-effectiveness trial of Stanley and Brown's Safety Planning Intervention (SPI) during pretrial jail detention to reduce post-release suicide events (suicide attempts, suicide behaviors, and suicide-related hospitalizations). Background With 10 million admissions per...
Article
A common setting where depression is identified and treated is in primary care, where there is a need for low‐intensity and cost‐effective interventions to be used as part of a stepped‐care model. The current study involved a pilot, parallel‐group, randomized controlled trial of a video self‐help intervention for primary care patients based on Acce...
Article
It is essential that investigators in clinical research settings follow ethical guidelines for monitoring, assessing, and responding to suicide risk. Given the unique considerations associated with suicide risk assessment in a research context, resources informing the development of research-specific suicide risk management procedures are needed. W...
Article
Full-text available
The aim of this study was to adapt Acceptance and Commitment Therapy for Inpatients (ACT-IN) for implementation in a typical hospital setting to prepare for a larger clinical trial. The sample consisted of 26 inpatients diagnosed with psychotic-spectrum disorders. Using an open trial design, patients received individual and group ACT-IN sessions du...
Article
The transition from psychiatric hospitalization to home is marked by high clinical vulnerability, characterized by risk of symptom rebound, exposure to preexisting stressors, and challenges with outpatient treatment linkage. Rates of rehospitalization during this post-discharge period, particularly for those with bipolar disorder, are reported to b...
Article
Hundreds of organizations are approved by the American Psychological Association (APA) to sponsor continuing education (CE) to psychologists who provide assessment and intervention services to the public. CE sponsors are held to standards by the APA that emphasize evidence-based practice, but less is known about what is taught in individual CE prog...
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Full-text available
Background and aims: There is evidence to suggest that biogenetic explanations for symptoms of mental disorders have become increasingly popular. Research suggests that such explanations provokes mixed blessings: biological explanations may reduce blame but also encourage prognostic pessimism and promote perceptions of pharmacological treatment ove...
Article
Objective: Individuals with psychotic-spectrum disorders use tobacco and cannabis at higher rates than the general population and individuals with other psychiatric disorders, which may contribute to increased rates of medical problems and mortality. The present study examined whether individuals with psychosis and comorbid tobacco and/or cannabis...
Article
We used ecological momentary assessment (EMA) to examine the period following hospitalization when risk for medication nonadherence is highest among patients with psychotic-spectrum disorders. EMA data were collected daily via smartphones from 23 patients with psychotic-spectrum disorders (totaling 1149 surveys) in the month immediately following d...
Article
Experiential avoidance (EA) has been linked to various negative psychological outcomes and is believed to play a key role in many forms of psychopathology. While EA has been studied in the context of depression, anxiety, posttraumatic stress disorder, and other diagnoses, this study is the first to investigate the role of EA in bipolar disorder (BD...
Article
Background: Current evidence-based guidelines provide unclear support for many common polypharmacy practices in schizophrenia. Excessive or complex polypharmacy (≥4 psychotropics) has been studied in patients with bipolar disorder, but not in schizophrenia to date. Methods: We conducted a digital medical record data extraction of 829 patients co...
Article
This study involved the initial development and testing of a video self-help intervention called LifeStories, which features real patients describing their use of coping strategies for depression based on Acceptance and Commitment Therapy. We conducted a baseline-controlled open trial (AB design) of 11 individuals diagnosed with major depressive di...
Article
Objective: There is increasing attention to the nature and sources of burden experienced by family caregivers of persons with dementia. This study aimed to test whether adult-child family caregivers of persons with dementia suffer greater perceived burden than spousal caregivers. Methods: Family caregivers were recruited during care-recipient clini...
Article
Full-text available
Patients with schizophrenia-spectrum disorders frequently require treatment at inpatient hospitals during periods of acute illness for crisis management and stabilization. Acceptance and Commitment Therapy (ACT), a “third wave” cognitive-behavioral intervention that employs innovative mindfulness-based strategies, has shown initial efficacy in rand...
Article
Öst's (2014) systematic review and meta-analysis of Acceptance and Commitment Therapy (ACT) has received wide attention. On the basis of his review, Öst argued that ACT research was not increasing in its quality and that, in contradiction to the views of Division 12 of the American Psychological Association (APA), ACT is “not yet well-established f...
Article
Background: The objective of this study was to determine whether hatha yoga is an efficacious adjunctive intervention for individuals with continued depressive symptoms despite antidepressant treatment. Method: We conducted a randomized controlled trial of weekly yoga classes (n = 63) v. health education classes (Healthy Living Workshop; HLW; n...
Article
Psychological flexibility refers to attending to the present moment and accepting internal experiences in order to effectively adapt behavior in the pursuit of valued goals. Previous research has linked mental health stigma to lower levels of psychological flexibility (i.e., psychological inflexibility or experiential avoidance), resulting in negat...
Article
Full-text available
Bipolar disorder with comorbid substance abuse is associated with high rates of treatment nonadherence. Adherence interventions developed to date have had mixed effects in this population. Valued living (i.e., the consistency between a patient's personal values and daily actions) represents a potentially useful treatment target thatmay improve adhe...
Article
Background: Up to 50% of patients with psychotic-spectrum disorders are medication nonadherent. The use of real-time assessment via ecological momentary assessment (EMA) on mobile devices might offer important insights into adherence behaviors that cannot be measured in the clinic. However, existing EMA studies have only studied acutely ill patien...
Article
We evaluated the feasibility and acceptability of a novel, 12-week, adjunctive, smartphone-assisted intervention to improve treatment adherence in bipolar disorder. Eight participants completed 4 in-person individual therapy sessions over the course of a month, followed by 60 days of twice-daily ecological momentary intervention (EMI) sessions, wit...
Article
A new model of medication adherence, rooted in an understanding of psychological flexibility, is presented here to illustrate how Acceptance and Commitment Therapy processes might guide the development of more effective adherence interventions for patients with psychotic-spectrum disorders. Medication adherence is a product of a negotiated, collabo...
Article
Full-text available
Over the past several decades, a number of different systems have been developed to help clinicians select a psychological treatment most likely to benefit a particular patient according to the best available scientific evidence. These systems include empirically supported treatment lists, treatment registries, evidence-based practice guidelines, e...
Article
Full-text available
Background In large health care systems, decision regarding broad implementation of psychotherapies for inpatients with psychosis require substantial evidence regarding effectiveness and feasibility for implementation. It is important to recognize challenges in conducting research to inform such decisions, including difficulties in obtaining consen...
Chapter
Psychiatric disorders are prevalent conditions that affect hundreds of millions of people worldwide (World Health Organization, 2004). Although rates vary depending on the definition used, epidemiological research suggests that nearly 50 % of individuals will at some point in their lives meet diagnostic criteria for a psychiatric condition from amo...
Article
A description of and pilot data for a new adjunctive intervention designed to reduce suicidal behavior among high-risk individuals are presented. The Coping Long Term with Active Suicide Program (CLASP) has three major components: (1) three individual, in-person meetings, (2) one significant other/family meeting, and (3) 11 brief (15-30 minute) pho...
Article
Background: Expectancies and treatment preferences are known to affect the outcomes of patients enrolled in clinical trials for depression, but there is little research on their influence when the public is considering participation in these trials. Method: We conducted an online survey (May 2013) in which participants (N = 615) were randomly as...
Article
Background: BACKGROUND: In routine practice, major depressive disorder (MDD) with psychotic features often goes under-recognized and undertreated. Previous research has specified several demographic and clinical differences in MDD patients with psychotic features compared with those without psychosis in routine outpatient practice, but there is li...
Article
Background: Published data suggest that cannabis use is associated with several negative consequences for individuals with bipolar disorder (BD), including new manic episode onset, psychosis, and functional disability. Yet much less is known about cannabis use disorders (CUDs) in this population, especially in more acutely symptomatic groups. Met...
Article
Acceptance-based depression and psychosis therapy (ADAPT), a mindfulness/acceptance-based behavioral activation treatment, showed clinically significant effects in the treatment of depression with psychosis in a previous open trial. The goal of the current study was to further test the feasibility of ADAPT to determine the utility of testing it in...
Article
Full-text available
Severe mental illnesses, including schizophrenia and other psychotic-spectrum disorders, are a major cause of disability worldwide. Although efficacious pharmacological and psychosocial interventions have been developed for treating patients with schizophrenia, relapse rates are high and long-term recovery remains elusive for many individuals. Furt...
Article
Full-text available
Bipolar disorder and substance use disorders are highly debilitating conditions, and especially when co-occurring, are associated with a variety of negative outcomes. Surprisingly, there is a relative lack of research on feasible and effective psychosocial treatments for individuals with comorbid bipolar and substance use disorder (BD-SUD), and a d...
Chapter
Over the past several decades, researchers have sought to examine the beneficial effects of psychotherapy using methods that have been shaped over time by seminal studies. One such methodology considered to be the “gold standard” in psychotherapy research is the efficacy trial, which tests a treatment under highly controlled conditions. An addition...
Article
Full-text available
This special issue tackles questions with articles that discuss the relevance of hypnosis to our understanding of a wide range of topics. The contributors familiarize readers with the fascinating history of hypnosis, contend that hypnosis should be accorded a more prominent place in our emerging understanding of the varieties of conscious and uncon...
Article
Individuals with bipolar disorder (BD) often receive complex polypharmacy regimens as part of treatment, yet few studies have sought to evaluate patient characteristics associated with this high medication burden. This retrospective chart review study examined rates of complex polypharmacy (i.e.,≥4 psychotropic medications), patterns of psychotropi...
Article
Full-text available
We conducted a secondary analysis of data from a clinical trial to explore the relationship between degree of personality disorder (PD) pathology (i.e., number of subthreshold and threshold PD symptoms) and mood and functioning outcomes in Bipolar I Disorder (BD-I). Ninety-two participants completed baseline mood and functioning assessments and the...
Article
Introduces this first issue of Psychology of Consciousness: Theory, Research, and Practice (PSYCON). As the articles in this issue demonstrate, the study of consciousness has become one of the most fascinating and rapidly developing areas in psychology, with exciting developments spanning the fields of neuroscience, social, cognitive, and clinical...
Article
For the past 30years, generations of scholars of cognitive behavior therapy (CBT) have expressed concern that clinical practice has abandoned the close links with theory that characterized the earliest days of the field. There is also a widespread assumption that a greater working knowledge of theory will lead to better clinical outcomes, although...
Article
Dialectical behavior therapy (DBT) is one empirically supported treatment for individuals diagnosed with borderline personality disorder (BPD), and has demonstrated efficacy in reducing distress and behaviors that are often utilized by those with BPD to manage that distress. Treatment dropout rates of those with BPD receiving DBT are high, with ser...
Data
For the past 30 years, generations of scholars of cognitive behavior therapy (CBT) have expressed concern that clinical practice has abandoned the close links with theory that characterized the earliest days of the field. There is also a widespread assumption that a greater working knowledge of theory will lead to better clinical outcomes, although...
Article
An increasing number of mindfulness interventions are being used with individuals with psychosis or schizophrenia, but no known meta-analysis has investigated their effectiveness. To evaluate the efficacy of mindfulness interventions for psychosis or schizophrenia, we conducted an effect-size analysis of initial studies. A systematic review of stud...
Article
Background Perceived causes of depression can affect treatment preferences and outcomes. Men and women may have somewhat differing views about the causes of their depression, but there is a paucity of research on gender differences in hospitalised patients with depression.Aims We examined potential gender differences in hospitalised patients’ perce...
Article
In this chapter, the authors examine issues related to engagement in treatment and present techniques and strategies designed to improve the implementation of acceptance/mindfulness interventions for psychosis. Engaging and retaining patients with psychosis in treatment can be challenging at times. Acceptance and commitment therapy (ACT) and functi...
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Full-text available
We are delighted to welcome you to this special introductory issue of Psychology of Consciousness: Theory, Research, and Practice (PSYCON). As the articles in this issue illustrate, the study of consciousness has become one of the most fascinating and rapidly developing areas in psychology, with exciting discoveries spanning the fields of neuroscie...
Article
Full-text available
Research suggests that cognitive and behavioral therapies produce significant benefits over medications alone in the treatment of severe, nonpsychotic major depression or primary psychotic disorders such as schizophrenia. However, previous research has not demonstrated the efficacy of psychotherapy for major depression with psychotic features. In t...
Article
Overview of ACT for Psychosis What is ACT? How Does ACT Differ from Traditional CBT? Research Related to ACT for Psychosis Clinical Implications ACT for Psychosis Treatment Protocol Session Summaries Case Illustration Conclusion References
Article
Objective: The objective was to learn about the characteristics of psychotherapists who use energy meridian techniques (EMTs). Methods: We conducted an Internet-based survey of the practices and attitudes of licensed psychotherapists. Results: Of 149 survey respondents (21.4% social workers), 42.3% reported that they frequently use or are inclined...
Article
Objective: Attenuated psychosis syndrome (APS) is being proposed for inclusion in Section III of DSM-5 for those impaired by subthreshold psychotic symptoms that are not better accounted for by another diagnosis and not meeting criteria for a psychotic disorder. The rationale is to identify patients who are at high risk for transition to a psychot...
Article
Full-text available
Previous research on patients' expectancies for improvement in clinical trials typically has been conducted after patients have already agreed to participate in a study. Depressed patients (n = 55) read 3 vignettes describing hypothetical clinical trials of antidepressant vs pill placebo, antidepressant vs antidepressant, and psychotherapy vs psych...
Article
Aims: Many patients have stigma about depression, which may inhibit treatment seeking. However, most previous research in this area has been conducted in outpatient samples. The current study investigated self-stigma and its relationship with treatment beliefs in depressed patients receiving psychiatric hospital treatment. Method: The sample con...
Article
Cognitive behavior therapy (CBT) has been shown to be efficacious when used as an adjunct to pharmacotherapy for psychotic disorders. Acceptance and Commitment Therapy (ACT) is a contextual form of CBT that attempts to alter one’s relationship to symptoms of psychosis rather than attempting to reduce or control them. Two previously published random...
Article
To determine if family caregivers of hospitalized individuals with dementia exhibit greater depression severity than caregivers of outpatients. Caregivers were recruited during care recipient treatment. Measures assessed depression, stress, burden, and grief. Forty-one caregivers of a hospitalized patient and 44 caregivers of an outpatient (total N...
Article
Despite increasing dissemination efforts, many psychotherapists still do not use treatments that are supported by research. Some have claimed that psychotherapists rely more on their clinical intuition than scientific evidence when making treatment decisions, but there is a paucity of research on this topic. The aim of the study was to examine the...
Article
Previous research suggests that depression and family functioning are related and that women and men may differ in how they respond to and cope with depression. Significantly less attention has been paid to whether sex moderates the relationship between family functioning and depression. In the current study, the relationship between depression sev...
Article
Critical thinking is assumed to be an important factor in the promotion of evidence-based treatment practices. However, little is known about attitudinal and other dispositional factors that may influence critical thinking in psychotherapists specifically. The aim of the current study was to identify factors associated with critical thinking abilit...