Publications by authors named "M D Constantino"

Background: Deliberate Practice (DP), which underscores the importance of expert mentorship, personalized learning objectives, feedback, and repetition, has been suggested as a method to enhance the effectiveness of therapists.

Method: The study tested the efficacy of an eight-week, structured, group-based online course, enriched with peer feedback, for 37 Cognitive Behavioral Therapists. The goal was to assess whether this intervention could boost the quality of therapist-patient alliances, as compared to a control group.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to compare heart and lung function at rest in people with early-onset type 2 diabetes and a matching control group without diabetes, focusing on age, sex, and body mass index (BMI).
  • - Eighteen participants with early-onset type 2 diabetes and fourteen controls underwent tests including echocardiography and pulmonary function, along with blood sample analyses for various biomarkers.
  • - Results showed that those with early-onset diabetes had significant differences in heart function, including worse left ventricular diastolic function and lower lung diffusing capacity compared to controls.
View Article and Find Full Text PDF

Aims: Pregnancies are increasingly affected by young-onset type 2 diabetes mellitus (YT2DM), an aggressive phenotype associated with a higher vascular risk profile compared to type 1 diabetes mellitus (T1DM). We compared pregnancy outcomes to illuminate areas where differing management guidance might be needed.

Methods: This retrospective single-centre study (2010 2019) included 259 singleton pregnancies affected by pregestational T1DM (N = 124) or YT2DM (N = 135) diagnosed at < 40 years.

View Article and Find Full Text PDF

Historically, evidence-based psychotherapy training has favored the standardized application of discrete treatment packages, with key outcomes being the therapist's adherence to and competent delivery of theory-prescribed ingredients. However, this model often fails to align with the priorities and values of clinicians, and research casts doubt on the notion that a therapist's faithful application of treatment protocols is a valid index of clinical expertise. Considering this, training and practice models that emphasize evidence-based clinician flexibility and patient-centered tailoring of interventions are receiving increased attention.

View Article and Find Full Text PDF

Treatment personalization has evolved into an important zeitgeist in psychotherapy research. To date, such efforts have principally embodied a unidirectional focus on personalizing interventions to the patient. For example, earlier work in this area attempted to determine whether, on average, certain patients with certain characteristics or needs would respond better to one treatment package versus others.

View Article and Find Full Text PDF