Clinical Psychology-science and Practice最新文献

{"title":"A Systematic Meta-Review of Mindfulness-Based and Mindfulness-Integrated Programs with Parents and Families: Evidence from Over 25 Years of Research.","authors":"Na Zhang, Qiyue Cai, Hui Qi Tong, Larissa G Duncan, Irwin Sandler, Robert W Roeser, Yuan Lin, Liliana J Lengua","doi":"10.1037/cps0000376","DOIUrl":"10.1037/cps0000376","url":null,"abstract":"<p><p>This meta-review provides a high-level perspective of the research evidence on mindfulness interventions for parents and families. It summarizes conceptual and methodological features, examines intervention approaches, intervention effects, and identifies moderators and mediators of these effects. <b>S</b>earches were conducted across eight databases to identify systematic reviews of mindfulness-based or mindfulness-integrated interventions with parents. Review overlap was quantified, and methodological quality was assessed. Quantitative information (e.g. sample sizes, study designs, effect sizes) and qualitative information (e.g., conceptualizations, intervention approach) were extracted. Primary studies were categorized based on intervention approach classifications. Eighteen systematic reviews, including ten meta-analyses, were identified, encompassing 119 unique primary studies. The collective evidence suggests that mindfulness-based programs are a promising approach for reducing parenting stress. In contrast, findings were inconclusive for parents' general stress, mental health, well-being, trait mindfulness, mindful parenting, parenting behaviors, and child mental health. Reviews showed acceptable methodological quality and moderate overlap in primary studies. Variations in study designs, samples, intervention approaches, dosage, and analytic methods contributed to inconclusive findings. The reviews of mindfulness-based and mindfulness-integrated programs revealed a mix of intervention approach categories and inconsistencies in conceptualizations and operationalizations. The evidence on moderators of intervention effects was inconclusive. Parenting stress appeared to be a mediator of the intervention's effects on youth outcomes. The literature offers encouraging results as well as limitations of the extant research. Future research should clarify conceptualizations of intervention approaches, investigate mediators and moderators, and improve rigor. Implications for clinicians using mindfulness with parents are also discussed.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distress Tolerance and Self-Injurious Thoughts and Behaviors: A systematic review and commentary on methodological challenges.","authors":"Erin A Kaufman, Brianna Meddaoui, Sarah E Victor, Vanit Shah, Jin H Prunuske","doi":"10.1037/cps0000378","DOIUrl":"https://doi.org/10.1037/cps0000378","url":null,"abstract":"<p><p>Impaired distress tolerance (DT) is theorized to be an etiological and maintenance factor for self-injurious thoughts and behaviors (SITBs). However, the literature on DT and SITBs suffers from conflicting results and methodological challenges, and thus, is difficult to interpret.</p><p><strong>Objectives: </strong>We conducted a systematic review to synthesize available evidence on DT and the full range of SITBs.</p><p><strong>Methods: </strong>We included peer-reviewed, English-language manuscripts presenting empirical data on DT/intolerance in relation to SITB among humans. Studies were identified via a search covering results published through December 31, 2024 at Academic Search Premier, MEDLINE, PsychINFO, and PubMed (most recently executed June 20th, 2025). No formal risk of bias assessments were used. Results were synthesized by DT assessment type (self-report, behavioral, combined) and study approach (observational, longitudinal, intervention). Of the 1058 studies screened, 81 were eligible for inclusion with 30,052 participants. This review was neither funded nor preregistered.</p><p><strong>Results: </strong>Self-report measures appear to assess distress intolerance rather than high tolerance/endurance abilities. Findings generally indicate lower scores reflecting greater intolerance are associated with SITB across both suicide-related and non-suicidal self-injury outcomes; however, there are notable exceptions, and significant limitations associated with sample selection and research design that makes interpretation challenging.</p><p><strong>Discussion: </strong>The vast majority of results were obtained with a single self-report measure at one point in time. Laboratory paradigms reviewed seem to have poor ecological validity with limited relevance to the contexts in which SITBs emerge, and produced mixed associations with SITB. Within-person variability in DT has largely gone unexamined, and important mediators and moderators are underexplored. We discuss several areas for further research.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reward Sensitivity's Associations with Morningness-Eveningness and Other Circadian-Coupled Behavioral Phenomena: A Systematic Review and Meta-Analysis of Cross-Sectional and Prospective Relationships.","authors":"Logan T Smith, Rachel F L Walsh, Olivia C Bishop, Mackenzie A Maddox, Robin Nusslock, Greg Murray, Lauren B Alloy","doi":"10.1037/cps0000349","DOIUrl":"10.1037/cps0000349","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis provides a quantitative synthesis of associations between reward sensitivity and morningness-eveningness and other circadian-coupled behaviors. The circadian system, which generates patterns of preferences and behaviors such as morningness-eveningness, social jetlag, and rest-activity rhythms, is linked to health outcomes. Reward sensitivity encompasses a trait-level tendency to be motivated by/respond to rewarding stimuli, which is a known risk factor for psychopathology. Theoretical and empirical support suggest these systems work together synergistically, and their interaction uniquely contributes to the onset/course of health conditions, including mood and substance use disorders, beyond the impact of each system independently. This review evaluates the strength of the association between circadian-coupled behavior and reward sensitivity.</p><p><strong>Methods: </strong>A systematic literature search (7/11/2025) was conducted in two databases (MEDLINE/PsycINFO), followed by a two-step screening process. Pooled effects and publication bias estimates were calculated.</p><p><strong>Results: </strong>Most included studies assessed the association between morningness-eveningness and reward sensitivity, which had a nonsignificant pooled effect. In clinical samples, eveningness displayed a moderate positive association with reward sensitivity (null in community samples). The association between morningness-eveningness and reward sensitivity differed by reward sensitivity measure. Social jetlag had a small negative pooled effect and social rhythm disruption had a moderate positive pooled effect.</p><p><strong>Discussion: </strong>Associations between morningness-eveningness and reward sensitivity (<i>k</i>=17) are minimal and heterogeneous, but meaningful effects appear in clinical samples. For social jetlag (<i>k</i>=3) and social rhythm disruption (<i>k</i>=3), the pattern of associations with reward sensitivity is variable. Future directions include prioritization of objective circadian measures, longitudinal designs, and multimodal measurement to clarify mechanisms.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":" ","pages":""},"PeriodicalIF":7.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narcissistic traits predict suicide risk because personality traits predict suicide risk: A commentary on \"The relationship between narcissism and suicidality\".","authors":"Michael L Crowe, Jaclyn C Kearns, Leigha Rose, Brian P Marx","doi":"10.1037/cps0000309","DOIUrl":"10.1037/cps0000309","url":null,"abstract":"","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"33 1","pages":"23-26"},"PeriodicalIF":7.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping Review of Experience Sampling Methodology Investigations of Posttraumatic Stress Disorder Symptoms.","authors":"Rachel L Zelkowitz, Haijing Wu Hallenbeck, Emma K Knutson, Tate F Halverson, Molly Goodrich","doi":"10.1037/cps0000339","DOIUrl":"10.1037/cps0000339","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is a serious mental health condition with profound impact at both the individual and population level. In recent years, there has been a surge of interest in studying PTSD using experience sampling methodologies (ESM), which allow for nuanced examination of how symptoms are experienced in or near real time, in the natural contexts of individuals' lives. We conducted a scoping review of studies of adults that employed ESM to assess PTSD symptoms. Our primary goals were to characterize the participants of such studies, key design features of ESM studies of PTSD, and analytical approaches employed for ESM data of PTSD symptoms. We also examined to what extent the current literature reflects best practices in reporting for ESM/ecological momentary assessment (EMA) studies. Our findings revealed an active and growing literature, with 136 published articles reflecting 89 unique samples identified. There were some commonalities across studies in population (e.g., US-based participants with unspecified trauma exposure), design (e.g., multiple assessments per day with Likert rating scales under an interval-contingent schedule), and analysis (e.g., representing symptoms as a composite in multilevel modeling). However, they varied in terms of design characteristics (e.g., study duration, number of assessments per day, other constructs assessed) and data analytic methods. Papers largely adhered to recent guidelines for reporting on ESM studies although opportunities for improvement were identified. Results support use of ESM to investigate the dynamics of PTSD symptoms. We discuss strengths and limitations of the existing literature and suggestions for future research.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"33 2","pages":"238-255"},"PeriodicalIF":7.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13245632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anger-Related Affect and Suicidal Thoughts and Behaviors: A Systematic Review and Meta-Analysis.","authors":"Kirsten H Dillon, Tapan A Patel, Molly Goodrich, Sarah Siegel, Stefanie T LoSavio, David Miller, Gabriella Ponzini, Pallavi Aurora, Samantha Kaplan, Nathan A Kimbrel, Tate F Halverson","doi":"10.1037/cps0000293","DOIUrl":"10.1037/cps0000293","url":null,"abstract":"<p><strong>Objective: </strong>Growing evidence indicates anger-related affect (i.e., anger, hostility, and irritability) is a transdiagnostic risk factor for suicide. The goal of this meta-analysis was to systematically review the literature and calculate the effect size of these relationships.</p><p><strong>Method: </strong>We examined the relationships between suicidal thoughts and behaviors and anger, irritability, and hostility with data from 107 published studies (total <i>N</i> = 141,434).</p><p><strong>Results: </strong>Our analyses uncovered a moderate-sized average correlation (<i>r</i> = .31) between anger-related affect and suicidal thoughts and behaviors. There were no significant differences between the effect size estimates of the three separate anger constructs. Studies assessing suicide attempts were associated with significantly lower effect sizes than studies assessing death by suicide or suicidal ideation. Studies that assessed suicidal thoughts and behaviors using a clinical interview were associated with lower effect size estimates than those assessing via self-report or chart review. Additionally, studies that assessed current suicidal thoughts and behaviors were associated with higher effect size estimates versus those that assessed lifetime occurrence. Studies that assessed suicide in an outpatient setting were associated with lower effect sizes than those in community, inpatient, or forensic settings. There were no other significant moderators (i.e., sociodemographic or study design variables) of the relationship between overall anger and suicide.</p><p><strong>Conclusions: </strong>Findings highlight the importance of anger as a potential risk factor for suicide. Future research is needed to examine these relationships longitudinally and to look at different facets of anger (e.g. experience vs. expression).</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"32 4","pages":"354-367"},"PeriodicalIF":6.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12697221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145755424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Landscape of Randomized Controlled Trials for Behavioral Health-Focused Psychosocial Interventions for Youth in the Juvenile Legal System: A Systematic Review.","authors":"Kaitlin M Sheerin, Alyssa Vieira, Shannon Williamson-Butler, Miyah Grant, Lindsey Nichols, Andrew Creamer, Kathleen A Kemp","doi":"10.1037/cps0000282","DOIUrl":"10.1037/cps0000282","url":null,"abstract":"<p><strong>Objective: </strong>Youth in the juvenile legal system (JLS) exhibit high rates of behavioral health concerns and the development and evaluation of effective interventions is essential. The present study provided a systematic review of randomized controlled trials (RCTs) of community-based psychosocial interventions focused on behavioral health among JLS-involved youth. This review sought to characterize the number of studies conducted, types of interventions tested, and the frequency of different types of primary outcomes (e.g., conduct problems, internalizing concerns).</p><p><strong>Method: </strong>A systematic search of articles published between January 1, 1990 and June 30, 2024 was conducted in PubMed, Ovid MEDLINE, Embase, APA PsycINFO, and Cochrane Library's CENTRAL and Reviews, and Clinicaltrials.gov.</p><p><strong>Results: </strong>Fifty one studies from 38 unique RCTs were published over a 33.5 year period, with an average of 1.52 studies published annually. Family-focused interventions were most frequently tested and the most commonly studied outcomes were delinquency and conduct problems, followed by alcohol and substance use.</p><p><strong>Conclusions: </strong>There was a dearth of RCTs focused on the behavioral health of youth in the JLS published in the past 33.5 years. It seems imperative to scale up the number of RCTs conducted with this population, with a focus on both system diversion and ameliorating behavioral health concerns.</p><p><strong>Public health relevance: </strong>Randomized controlled trials provide strong scientific evidence for psychosocial interventions and are often the key to funding support for treatment programs for behavioral health concerns among juvenile legal system-involved youth. Even so, our findings indicated that there was a relative dearth of trials focused on this population-and especially trials focused on concerns beyond conduct problems and delinquency.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"32 4","pages":"329-346"},"PeriodicalIF":7.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoughts on Future Directions for Translation of Psychological Treatment: Commentary on Bitterman et al.","authors":"Allison M Letkiewicz, Stewart A Shankman","doi":"10.1037/cps0000287","DOIUrl":"10.1037/cps0000287","url":null,"abstract":"","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"32 3","pages":"259-262"},"PeriodicalIF":7.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147572191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Evidence Support an Emotion Regulation Model of Anorexia Nervosa? A Systematic Review of Over a Decade of Research.","authors":"Valerie Z Wong, Emily M Koithan, Bolade M Santos, Adanya Johnson, Ann F Haynos","doi":"10.1037/cps0000244","DOIUrl":"10.1037/cps0000244","url":null,"abstract":"<p><strong>Objectives: </strong>Over a decade ago, a model was proposed to explain the role of emotion regulation in the development and maintenance of anorexia nervosa (AN). Research on emotion regulation in AN has since rapidly increased, prompting a need to revisit the evidence base regarding whether AN may be considered a disorder of emotion regulation.</p><p><strong>Methods: </strong>We conducted a systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across PubMed, PsychInfo, and Web of Science on the emotion regulation literature in the years following the proposal of this emotion regulation model. Inclusion criteria were: (a) empirical and quantitative articles in English; (b) human samples; (c) analysis pertaining to AN; and (d) focused on a domain of emotion regulation. The review yielded 134 eligible articles (from a pool of 562 non-duplicate studies) examining emotion regulation constructs in AN, encompassing individual-level emotional and environmental vulnerabilities, use of adaptive and maladaptive emotion regulation strategies, and eating disorder behaviors as emotion regulation.</p><p><strong>Results: </strong>Overall, evidence supported the relevance of emotion regulation to the conceptualization of AN. Individuals with AN demonstrated greater individual and environmental vulnerabilities to dysregulation, less adaptive and more maladaptive emotion regulation strategies, and greater tendency to engage in eating disorder behaviors to regulate emotions. Findings on emotional reactivity were more mixed.</p><p><strong>Discussion: </strong>Results highlight that continued research on emotion regulation across restrictive eating presentations is needed. Further, treatments directly targeting emotion regulation warrant further investigation. Emotion regulation models continue to hold promise in characterizing core mechanisms of AN.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"32 1","pages":"1-17"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145803203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Going Beyond Trauma: A Scoping Review on the Prevalence of Symptom-Relevant Negative Autobiographical Memories in Anxiety Disorders and Obsessive-Compulsive Disorder.","authors":"M Alexandra Kredlow, Hayley E Fitzgerald, Joseph K Carpenter, Stefan G Hofmann, Michael W Otto","doi":"10.1037/cps0000245","DOIUrl":"10.1037/cps0000245","url":null,"abstract":"<p><p>Although negative autobiographical memories play a defined etiological role for trauma-related disorders, it is less clear what role they play in other anxiety-related disorders. Understanding the prevalence of negative autobiographical memories that are conceptually related to a patient's symptoms (i.e., symptom-relevant negative autobiographical memories; SNAMs) in anxiety-related disorders may help inform the development of novel memory-based interventions. The current scoping review examined the prevalence of SNAMs in anxiety disorders and obsessive-compulsive disorder, including SNAMs that were reported to have occurred around symptom onset (i.e., Symptom Onset SNAMs) and SNAMs that were reported to have occurred at any time (i.e., Lifetime SNAMs). Lifetime SNAMs also included a subcategory of SNAMs associated with intrusive imagery. The relationship of the presence of SNAMs to symptom onset, disorder status, and symptom severity was also examined. A systematic search identified 39 relevant articles. The prevalence of Symptom Onset SNAMs assessed by the Phobic Origins Questionnaire, interviews, and the Origins Questionnaire ranged from 30-89% (IQR = 50-68.5%; samples = 23), 23-61% (IQR = 30-49%; samples = 11), and 17-37% (samples = 6), respectively. The prevalence of Lifetime SNAMs ranged from 89-100% (samples = 6) and Intrusive Imagery-Related Lifetime SNAMs ranged from 38-100% (IQR = 60.5-79%; samples = 12). Five of 14 studies observed a significantly higher rate of SNAMs in patient relative to control samples. Findings are discussed with regard to limitations of the current evidence and future research that can inform the value of targeting SNAMs in treatment.</p>","PeriodicalId":10434,"journal":{"name":"Clinical Psychology-science and Practice","volume":"32 1","pages":"77-95"},"PeriodicalIF":7.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}