Clinical psychology & psychotherapy最新文献

{"title":"Psychosocial Effects of Romantic Breakups During Emerging Adulthood: A Systematic Review","authors":"Joana G. Fernandes,&nbsp;Carina Santos,&nbsp;Mariana V. Martins","doi":"10.1002/cpp.70139","DOIUrl":"https://doi.org/10.1002/cpp.70139","url":null,"abstract":"<div>\u0000 \u0000 <p>The current study reviewed the psychosocial effects of romantic breakups in emerging adulthood, particularly focused on evidence related to psychological health and psychosocial development, including aspects of identity and intimacy. A systematic literature search was conducted in accordance with the PRISMA guidelines across EBSCOhost, PubMed and Web of Science (ISI) databases. Studies with available evidence on psychosocial dimensions and emerging adult populations who had experienced a romantic breakup were included and subjected to review evaluation. Forty-seven studies were eligible for inclusion. Results showed several negative and positive psychosocial outcomes and supported the effect of breakups on changes in self-concept and interpersonal intimacy. Diverse factors influenced positive and negative adjustment. Specifically, individuals experiencing more challenges were especially those with insecure attachment, a history of childhood abuse and maladaptive coping strategies. Conversely, individuals employing adaptive coping mechanisms and personal resources such as emotional regulation and mentalization tended to exhibit better postbreakup outcomes. The long-term effects remain inconclusive, highlighting the need for further research. These findings underscore the complexity of breakup experiences and highlight the crucial role of supportive factors in shaping psychosocial adjustment. This first systematic review of the psychosocial effects of breakups suggested that interventions targeted at emerging adults should enhance psychosocial transformations and individuals' specific needs to prevent maladjustment to breakups and psychological problems.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145272701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Content and Topography of Auditory Verbal Hallucinations in Adult Psychosis Patients: What Does a Voice Say, and How Does It Say It? An Umbrella Review and Collation","authors":"Anna Callahan,&nbsp;Cassie Hazell,&nbsp;Elena Serena Piccardi,&nbsp;Jonathan Souray,&nbsp;David Raune","doi":"10.1002/cpp.70145","DOIUrl":"10.1002/cpp.70145","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Auditory verbal hallucinations (‘voices’) in clinical psychosis are associated with significant distress and disability, but the efficacy of CBT for voices is modest. Greater phenomenological understanding is crucial for the development of theoretical models and more tailored CBT interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This work aimed to produce an evidence-based empirical framework of features of voice content and topography in adult psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Electronic databases, journal pages and book publishers were systematically searched. Identified reviews were screened against inclusion criteria and included reviews critically appraised. Study characteristics and data relating to voice content/topography were extracted and collated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-two reviews were identified. A framework of 172 features of voice content and topography was produced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This paper offers the most comprehensive evidence-based dissection of voice content and topography to date. Many features have been overlooked and should be tested for theoretical and clinical significance in order to further develop CBT and related interventions for voices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey","authors":"Bastian Hardt,&nbsp;Merit Donauer,&nbsp;Kristina Dürr,&nbsp;Johannes Michalak","doi":"10.1002/cpp.70159","DOIUrl":"10.1002/cpp.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Persons with disabilities are at elevated risk for mental disorders, yet little is known about the experiences, attitudes and needs of psychotherapists regarding this population. This study is among the first to examine outpatient psychotherapists' experiences in treating patients with disabilities and to explore their perspectives on accessibility and therapists' support needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An exploratory cross-sectional online survey was conducted in collaboration with a regional statutory health association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of <i>N</i> = 371 licensed outpatient psychotherapists in Germany participated in the study. All were qualified to treat adult patients under statutory health insurance. The survey included self-constructed items assessing treatment experiences, perceived accessibility and support needs, as well as a questionnaire for measuring explicit attitudes towards disability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most participants (<i>n</i> = 340; 91.6%) reported prior experience treating patients with disabilities. Attitudes were generally positive and significantly associated with the quality—but not the quantity—of treatment experience. Psychotherapists perceived greater efforts in treating patients with intellectual and hearing impairments, and 357 (96.2%) identified barriers in their own outpatient settings. Only 93 (25.1%) considered themselves experts in disability-related topics. A strong demand for further training was expressed, particularly for working with specific types of impairments, with a preference for professional development programmes offered both online and in person.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the need for enhanced training, improved structural accessibility and informed policy development. Despite positive attitudes, notable gaps remain in preparedness and environmental access, emphasizing the importance of integrating disability-related content into psychotherapist training and professional development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145198248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Eating Disorders in People With Borderline Personality Disorder: A Systematic Review and Meta-Analysis","authors":"Théo Paudex,&nbsp;Francky Teddy Endomba,&nbsp;Nathalie Forestier,&nbsp;Achille Pierandrei,&nbsp;Jean-Christophe Chauvet-Gélinier,&nbsp;Jean-Michel Pinoit","doi":"10.1002/cpp.70150","DOIUrl":"https://doi.org/10.1002/cpp.70150","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of the study was to estimate the prevalence of eating disorders (EDs) across the borderline personality disorder (BPD) population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>After protocol registration (number = CRD42023415721), we systematically searched PubMed/MEDLINE, PsycINFO and Web of Science for articles that allowed the assessment of the proportion of at least one ED in a sample of patients with BPD. Risk of bias was estimated using the Joanna Briggs Institute (JBI) checklist for studies reporting prevalence data, and we used a random-effects meta-analytic model. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) statement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 34 articles were included, with 20 reports (<i>N</i> = 4107) related to EDs without distinction, and 20 (<i>n</i> = 3901), 20 (<i>n</i> = 4369), seven (<i>n</i> = 766), and six (<i>n</i> = 1773) reports related to anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and eating disorder not otherwise specified (EDNOS), respectively. The overall frequency of EDs in BPD was estimated to be 29.7% (95% CI = [21.6%, 38.4%]), while the frequencies of AN, BN, BED, and EDNOS were estimated to be 9.98% (95% CI = [5.6%, 15.3%]), 16.3% (95% CI = [12.1%, 21.1%]), 16.3% (95% CI = [6%, 30%]) and 18.8% (95% CI = [10.6%, 28.6%]), respectively. The overall risk of bias was moderate, there was no publication bias, and the certainty levels of our evidence were low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This meta-analytic review highlights the high frequency of EDs in BPD. It could serve as a basis for exploring the determinants of these comorbidities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Through this systematic review and meta-analysis, we found a high prevalence of EDs and their subtypes in patients with BPD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145146959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Beneficial Effect of Psychological Flexibility on First Responders' Traumatic Symptomatology in the Outbreak of War","authors":"Rotem Saar-Ashkenazy","doi":"10.1002/cpp.70158","DOIUrl":"10.1002/cpp.70158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Israeli–Gaza conflict has re-erupted on October 7th, and the unique events of that day presented unprecedented challenges to first responders (FRs). Notwithstanding, while there is empirical evidence regarding the long-term psychological consequences of FRs, little is known regarding the immediate mental health consequences, as well as personal resources, as events continued to unfold on a daily basis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The current study examined the relationship between traumatic stress symptoms (TSS) and psychological flexibility (PF) levels among FRs and controls during the first weeks of the Iron Swords war.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data were collected during the first month of the Iron Swords war from 295 participants living in Southern Israel, of whom 55 (19%) were FRs. All participants filled out scales assessing TSS and PF and provided relevant background information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, high TSS levels were associated with low PF. In addition, FRs showed higher levels of TSS, whereas no group differences were found in PF. Most importantly, a significant interaction of study group × PF was observed, revealing that while the PF–TSS link connection was significant for both FRs and non-FRs, it was significantly stronger among FRs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the importance of targeting specific tailored interventions in the mentioned population. Clinical interventions aimed towards FRs should focus on the extent to which they are able to use PF as a resource, as this appears to be an important parameter in their ability to cope with traumatic stress symptomatology.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent-Focused Group Schema Coaching; CAREFREE (Carers Programme for Fluency in Resonance and Empowerment in Eating Disorders) Intervention for Parents of Adolescents With Anorexia Nervosa: A Multiple Baseline Design","authors":"Fatemeh Seifi,&nbsp;Javad Molazadeh,&nbsp;Abdulaziz Aflakseir,&nbsp;Changiz Rahimi Taghanaki,&nbsp;Susan Simpson","doi":"10.1002/cpp.70157","DOIUrl":"https://doi.org/10.1002/cpp.70157","url":null,"abstract":"<div>\u0000 \u0000 <p>Although family-based interventions are effective for adolescents with anorexia nervosa (AN), they often neglect the intense emotional burden faced by parents, which may limit their full therapeutic impact. This study aimed to pilot the CAREFREE parent-focused schema coaching programme and evaluate its feasibility, acceptability and preliminary effects on parental emotion regulation, parent–child interaction and adolescent AN outcomes. A three-tiered non-concurrent multiple baseline design was employed. Participants were Iranian mothers (M = 44.7 years, SD = 2.19) of female adolescents with AN (M = 15.16 years, SD = 5.54) enrolled in the 12-week online CAREFREE intervention. Outcomes were assessed at four time points using validated measures of parental difficulties in emotion regulation (DERS-16), parent–child interaction (PACHIQ-R) and adolescent percentage of median body mass index (%mBMI), alongside weekly visual analogue scales (VAS) assessing parental guilt, anger management, empathy and emotional presence. Feasibility, acceptability, and intervention fidelity were evaluated. Data were analysed in R software using visual inspection, non-overlap indices and linear mixed-effects modelling. Significant improvements were observed in all parental outcomes, including guilt, anger management, empathy, emotional presence, difficulties in emotion regulation and parent–child interaction, with effects maintained at follow-up. Adolescents' %mBMI significantly increased, whereas no significant changes were found in their body image-related outcomes. Feasibility and acceptability were supported by acceptable completion rates and high parent satisfaction. The CAREFREE intervention was feasible and acceptable and showed promising effects on parental functioning and adolescent weight outcomes. However, future research should incorporate direct adolescent-focused components, and larger controlled trials are required to more rigorously assess the intervention's impact.</p>\u0000 <p><b>Trial Registration:</b> Iranian Registry of Clinical Trials: IRCT20220714055467N1</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Maladaptive Schemas as Core Therapeutic Targets in Eating Disorders and Obesity: A Schema Therapy–Informed Network Analysis","authors":"Matteo Aloi,&nbsp;Marianna Rania,&nbsp;Elvira Anna Carbone,&nbsp;Renato de Filippis,&nbsp;Ettore D'Onofrio,&nbsp;Lavinia Rotella,&nbsp;Daria Quirino,&nbsp;Susan Simpson,&nbsp;Cristina Segura-Garcia","doi":"10.1002/cpp.70153","DOIUrl":"https://doi.org/10.1002/cpp.70153","url":null,"abstract":"<p>Early maladaptive schemas (EMSs) are stable cognitive-emotional patterns central to the psychopathology of eating disorders (EDs) and obesity. This study used a schema therapy–informed network analysis to explore the structure and significance of EMSs in people with anorexia nervosa (AN, <i>n</i> = 129), bulimia nervosa (BN, <i>n</i> = 124), binge-eating disorder (BED, <i>n</i> = 166), and obesity (<i>n</i> = 152). Networks were modelled using the Young Schema Questionnaire (YSQ-S3), with expected influence as the main centrality, in a final sample of 571 patients. In AN, the most central schemas were Defectiveness/Shame, Negativity/Pessimism, and Subjugation, reflecting self-criticism, hopelessness, and submission. BN showed a similar pattern with high centrality for Subjugation, Defectiveness/Shame, and Negativity/Pessimism. In BED, central EMSs included Subjugation, Social Isolation, Negativity/Pessimism, and Abandonment, emphasizing loneliness and emotional vulnerability. The obesity group showed dominant roles for Negativity/Pessimism, Social Isolation, Subjugation, and Mistrust/Abuse, indicating patterns of mistrust, hopelessness, and relational avoidance. Negativity/Pessimism and Subjugation were central across all groups, highlighting their transdiagnostic relevance. Interestingly, Social Isolation appeared prominently in BED and obesity, possibly associated with earlier experiences of bullying and rejection. These findings underscore the clinical value of targeting central EMSs in schema therapy, offering a network-based framework to guide individualized interventions across EDs and obesity.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Predictive Value of Emotion Regulation in Cocaine Use Disorder Severity: Psychotherapeutic Implications During Hospitalization for Detoxification","authors":"Alba Palazón-Llecha,&nbsp;Joan Trujols,&nbsp;Mercè Madre,&nbsp;Santiago Duran-Sindreu,&nbsp;Francesca Batlle,&nbsp;Núria Mallorquí-Bagué","doi":"10.1002/cpp.70155","DOIUrl":"https://doi.org/10.1002/cpp.70155","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Traditional treatment approaches in cocaine use disorder (CUD) still report high rates of poor outcomes. Emotion regulation (ER) is a transdiagnostic factor that may contribute to the initiation and maintenance of CUD, strengthening addiction severity. A deeper understanding of ER in this population is crucial for improving treatment outcomes. This study explores whether ER difficulties at treatment entry predict addiction severity and withdrawal symptom severity after discharge in patients with CUD. Secondarily, it examines whether withdrawal symptom severity mediates the relationship between ER difficulties and relapse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 70 CUD patients underwent a 14-day inpatient detoxification. At admission, cocaine use–related variables and ER questionnaires (DERS and ERQ) were registered. After discharge, addiction severity (SDS), craving (WCS), cocaine withdrawal symptom severity (CSSA) and relapse were recorded. Multiple linear regression and mediation analysis were conducted to address the primary and secondary aims, respectively. This study draws on data from a larger randomized clinical trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Impulse control difficulties and nonacceptance of emotional responses predicted SDS, and nonacceptance of emotional responses predicted CSSA. However, mediation analyses showed no indirect effect of DERS total score on relapse through the effect of the mediating variable CSSA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ER screening at hospitalization admission may optimize treatment by identifying high-risk CUD patients. Third-generation therapies targeting ER skills may enhance outcomes by helping patients manage emotional distress, potentially reducing addiction severity and withdrawal symptoms. Because of mixed results and the exploratory nature of this study, further research on the ER role in this context is needed.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov; ID: NCT05207228.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145110645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alexithymia as a Bridge Between Negative Affect and Schizotypy: A Cross-Sectional Network Model","authors":"Ercan Ozdemir,&nbsp;Angus MacBeth,&nbsp;Helen Griffiths","doi":"10.1002/cpp.70156","DOIUrl":"10.1002/cpp.70156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Schizotypy provides a theoretically grounded framework for investigating psychosis proneness, reflecting a multidimensional structure that parallels the positive, negative and disorganized symptoms of schizophrenia. Alexithymia, a trait characterized by difficulties in identifying (DIF) and describing feelings (DDF) and a tendency towards externally oriented thinking (EOT), has been robustly linked to schizophrenia. Despite these associations, the relationship between alexithymia and schizotypy remains underexplored. Moreover, given that both constructs are closely associated with negative affect, it is critical to account for this potential confound to estimate their associations accurately.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We employed a cross-sectional design in a non-clinical sample to examine the associations among the dimensions of alexithymia, negative affect and schizotypy. Network models were estimated using Spearman correlations and the EBICglasso method to capture conditionally independent associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sample (<i>N</i> = 420) was predominantly female (<i>n</i> = 314), with ages ranging from 18 to 37 years (<i>M</i> = 28.72, SD = 4.52). More than half (<i>n</i> = 232) reported receiving mental health treatment, and 127 participants self-reported a personal history of psychosis. DIF and negative schizotypy emerged as central to different clusters in the network. Specifically, DIF served as a bridge linking positive and disorganized schizotypy dimensions to anxiety and stress, whereas negative schizotypy was a central bridge connecting DDF and EOT to depression. These estimates were psychometrically stable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest DIF and negative schizotypy as plausible mechanisms of change facilitating emotional attunement and resilience against distress due to unusual self-experiences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Maladaptive Schemas and Gaming and Alcohol Use Disorder Symptoms","authors":"Andrzej Cudo,&nbsp;Dorota Mącik","doi":"10.1002/cpp.70152","DOIUrl":"10.1002/cpp.70152","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The study investigated the relationship between early maladaptive schemas (EMS), gaming disorder (GD) and alcohol use disorder (AUD) symptoms. Previous studies did not address the possible relationship between AUD and GD symptoms, which could lead to an incomplete understanding of the relationship between EMS and these disordered behaviours. The current study addressed this research gap by testing the relationship between AUD, GD symptoms and EMS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 1054 participants (565 females, M = 22.96 years, SD = 2.52) who reported playing video games and consuming alcohol within the past 12 months. Participants completed the Young Schema Questionnaire (YSQ-S3), Gaming Disorder Test (GDT) and Problem Drinking Scale (PDS). Seemingly Unrelated Regression (SUR) analysis was used to model the relationships between EMS, GD and AUD symptoms while controlling for gender, age, gaming hours and alcohol consumption frequency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AUD symptoms were positively associated with dependence/incompetence, vulnerability to harm or illness, self-punitiveness and entitlement/grandiosity schemas and negatively related to social isolation/alienation and insufficient self-control/self-discipline schemas. GD symptoms were positively related to enmeshment and subjugation schemas and negatively associated with unrelenting standards and pessimism/negativism schemas. Significant differences were found between GD and AUD symptoms in their associations with specific EMS, suggesting distinct psychological pathways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlighted the differential roles of EMS in AUD and GD symptoms. The results suggest that EMS contribute uniquely to addictive behaviours and underscore the importance of considering schema-based interventions. Future research should further explore the mediating role of parenting styles in the development of AUD and GD symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 5","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145084967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}