Clinical psychology & psychotherapy最新文献

{"title":"Virtual Reality Interventions and Psychosocial Functioning in Schizophrenia Spectrum Disorders: A Systematic Review","authors":"Emine Ilgın Hoşgelen,&nbsp;Sinem Güneri,&nbsp;Burak Erdeniz,&nbsp;Köksal Alptekin","doi":"10.1002/cpp.70020","DOIUrl":"10.1002/cpp.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to evaluate the effectiveness of virtual reality (VR) intervention programs that aim to improve psychosocial functioning in schizophrenia spectrum disorders and evaluate the quality assessment of these studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guideline was followed to conduct this systematic review. The literature search was performed in Web of Science (WoS) and PubMed, by two independent researchers on two occasions, on 1 March 2023 and 20 August 2023. Risk of bias of the studies was evaluated by The Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifteen studies met inclusion criteria, targeting social skills (<i>n</i> = 5), social cognitive skills (<i>n</i> = 7) and vocational training (<i>n</i> = 3). In these studies, a total of 292 participants enrolled in VR interventions and a total of 258 participants enrolled in control groups. In this systematic review, there were eight cohort studies, where seven were with a single-group pretreatment and posttreatment evaluation and one was with a control group, and one controlled trial and six randomized controlled trials were included. Several studies reported significant improvements in both psychosocial functioning and clinical symptoms, whereas others found improvements only in either psychosocial functioning or clinical symptoms, and still others found no improvements at all. The limitations of the studies include small sample sizes and standardized intervention methods. There is a very high variability in session duration, frequency and total treatment period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although VR intervention programs offer unique opportunities for psychosocial improvement, heterogeneity in methodologies and mixed results highlight the need for further research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846054","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 and Dissociative Symptoms: A Systematic Review and Meta-Analysis","authors":"Lauren C. Blackman,&nbsp;Elizabeth Pizarro-Campagna,&nbsp;Pamela D. Pilkington","doi":"10.1002/cpp.70026","DOIUrl":"10.1002/cpp.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dissociation is an underresearched and important clinical construct associated with impaired functioning and poor quality of life. Improved understanding of the modifiable correlates of dissociation can inform early detection and effective treatments. The aim of this systematic review and meta-analysis was to synthesise the evidence on the associations between dissociative symptoms and early maladaptive schemas (EMSs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The reviewed studies reported unadjusted association/s between dissociative symptoms and EMS/s and were published in English in peer-reviewed journals. PsycINFO, PubMed and CINAHL Complete databases were searched on 17 April 2024, and citation searches were completed on 27 April 2024. Random-effects meta-analyses were completed to evaluate the magnitude of the associations between dissociative symptoms and each of the 18 EMSs. Methodological quality was assessed using the AXIS tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of nine cross-sectional studies published between 2001 and 2023 were included (pooled <i>N</i> = 2300). Dissociative symptoms were positively correlated with 14 of the 18 EMSs. The largest associations were with the defectiveness/shame (<i>r</i>[7] = 0.45, 95% CI [0.34, 0.56]), vulnerability to harm (<i>r</i>[5] = 0.45, 95% CI [0.30, 0.58]) and social isolation schemas (<i>r</i>[8] = 0.39, 95% CI [0.25, 0.51]). Moderate to considerable heterogeneity was present in 14 of the meta-analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The emerging findings suggest EMSs are important cognitive correlates of dissociation that warrant increased empirical attention. In particular, longitudinal research is needed to explore temporal causality. Additional research could examine whether targeting EMSs relating to feeling unlovable, isolated and vulnerable to harm can help ameliorate dissociative symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834082","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 Trauma-Related Voices Model: An Integration of Auditory Verbal Hallucinations and Posttraumatic Stress","authors":"Laura P. Strachan,&nbsp;Georgie Paulik,&nbsp;Peter M. McEvoy","doi":"10.1002/cpp.70024","DOIUrl":"https://doi.org/10.1002/cpp.70024","url":null,"abstract":"<div>\u0000 \u0000 <p>Many trauma-affected voice hearers report comorbid posttraumatic stress and voices (auditory verbal hallucinations) that are directly (voices repeat phrases spoken by perpetrators) or indirectly (voice content and trauma are thematically similar) related to their trauma. Models of PTSD and positive symptoms of psychosis are insufficient in explaining the comorbidity between PTSD and voices, and interventions based on these models have limited effectiveness in treating voices. This study presents a model that generates novel research into the factors underlying trauma-related voices that may inform effective interventions. Maintaining factors from existing models of PTSD and positive symptoms were combined into an integrative model of trauma-related voices. Theorised relationships between factors were used to identify possible differential pathways to direct and indirect voices. An integrative, trauma-related voices (TRV) model was developed that identifies multiple causal pathways to trauma-related voices. A future research agenda is proposed to test novel hypotheses based on the integrative model. The TRV model is a practical tool for complex case conceptualisation and generates novel hypotheses that may inform more effective treatments. Future studies are needed to test elements of the TRV model and should recruit transdiagnostic samples with diverse posttraumatic stress and voice hearing symptoms.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764066","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":"Using Artificial Intelligence to Identify Effective Components of Computer-Assisted Cognitive Behavioural Therapy","authors":"Jeremy J. Coleman,&nbsp;Jesse Owen,&nbsp;Jesse H. Wright,&nbsp;Tracy D. Eells,&nbsp;Becky Antle,&nbsp;Markessa McCoy,&nbsp;Christina Signe Soma","doi":"10.1002/cpp.70023","DOIUrl":"https://doi.org/10.1002/cpp.70023","url":null,"abstract":"<div>\u0000 \u0000 <p>Although clinician-supported computer-assisted cognitive-behaviour therapy (CCBT) is well established as an effective treatment for depression and anxiety, less is known about the specific interventions used during coaching sessions that contribute to outcomes. The current study used artificial intelligence (AI) to identify specific components of clinician-supported CCBT and correlated those scores with therapy outcomes. Data from a randomized clinical trial comparing clinician-supported CCBT with treatment as usual in a primary care setting were utilized. Participants (<i>n</i> = 95) engaged in CCBT with coaching sessions. The primary outcome was the Patient Health Questionnaire (PHQ-9), with Generalized Anxiety Disorder (GAD-7), Satisfaction with Life Scale (SWLS) and Automatic Thoughts Questionnaire (ATQ) ratings as secondary outcomes, which were assessed at 12 weeks (post), 3- and 6-month follow-up. The Lyssn system utilized AI technology to code CBT techniques and common general psychotherapeutic techniques. After controlling for initial ratings, 13 Lyssn-variables were observed to be significantly associated with reducing anxiety on the GAD-7 after 12 weeks of treatment. Among the most effective CBT interventions for anxiety included the use of guided discovery, understanding, interpersonal effectiveness and agenda setting. The most beneficial intervention was the proportion of open questions across all variables. Lyssn did not identify any CBT-specific interventions significantly associated with PHQ-9, SWLS or ATQ. Therapist use of CBT-specific techniques was significantly associated with reduction of anxiety symptoms after 12 weeks, but such gains were not observed at follow up. Therapist use of open questions was observed to be the most impactful technique contributing to treatment outcomes.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764067","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 Moderating Role of Demoralization on the Association Between Exposure to War and Posttraumatic Stress Symptoms Among Israeli Civilians in Reaction to the October 7 War: A Longitudinal Study","authors":"Wafaa Sowan,&nbsp;Svetlana Baziliansky","doi":"10.1002/cpp.70021","DOIUrl":"https://doi.org/10.1002/cpp.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During wartime, many people experience distress, uncertainty, helplessness and a lack of control. These negative feelings are at the root of demoralization symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The present prospective study examined the impact of exposure to war and demoralization symptoms on PTSS 6 months later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were 338 Israeli citizens with indirect war exposure. Participants answered questionnaires on exposure to war, demoralization and PTSS at two time points (4 weeks and 6 months after the onset of the October 7 war).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed that higher exposure to war (Time 1) was associated with higher levels of demoralization symptoms (Time 1) and PTSS (Time 2). Moreover, the moderation analysis indicated that the impact of exposure to war on PTSS was significant only for medium (<i>b</i> = 4.279, <i>SE</i> = 1.33, <i>p</i> &lt; 0.001) and high (<i>b</i> = 8.304, <i>SE</i> = 1.88, <i>p</i> &lt; 0.001) levels of demoralization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Demoralization symptoms and PTSS are likely to occur during wartime. However, war exposure alone does not explain PTSS; it is contingent on demoralization levels. Demoralization shortly following the outbreak of war appears to be a predictor of PTSS. This finding suggests that screening for demoralization with a brief simple questionnaire might be a useful clinical tool to identify individuals in the short term who may have increased risk of PTSD in the long term.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759854","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":"Mental Pain Questionnaire: Clinimetric Properties of a Potential Global Person-Centred Outcome Measure","authors":"Fiammetta Cosci,&nbsp;Danilo Carrozzino,&nbsp;Chiara Patierno,&nbsp;Sara Romanazzo,&nbsp;Carmen Berrocal,&nbsp;Alberto Chiarugi,&nbsp;Francesco De Cesaris,&nbsp;Serena Guiducci,&nbsp;Giovanni Mansueto,&nbsp;Kaj Sparle Christensen,&nbsp;Tom Sensky","doi":"10.1002/cpp.70022","DOIUrl":"https://doi.org/10.1002/cpp.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Mental Pain Questionnaire (MPQ) was developed using a clinimetric approach to bring together the key features of mental pain into a single, brief, transdiagnostic scale. The present study aims at extending the validation of the MPQ to people from three different clinical settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicentre, cross-sectional study on adults diagnosed with migraine (<i>n</i> = 256), systemic sclerosis (<i>n</i> = 219), or mental disorders (<i>n</i> = 138) was conducted. The MPQ was administered; Rasch and Mokken analyses were performed to assess clinimetric validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall fit to the Rasch model indicated a misfit, improved by the exclusion of a single item. MPQ showed to be unidimensional. MPQ total score and individual items scalability were optimal except for the same item. The total MPQ score showed an optimal scalability for the systemic sclerosis sample and an acceptable scalability for the migraine and mental disorders samples. Local dependency was found between two pairs of items. Person separation reliability indices (PSI 0.45) showed that the MPQ could not distinguish between groups with different levels of mental pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Mental pain has the potential to serve as a truly generic patient-centred outcome measure. Recommendations are made for revisions of the original MPQ, but these will require testing in further validation studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707983","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":"Impact of Indirect Trauma and Disaster Media Exposure on Psychological States and Temporal Processes: The Case of 2023 Turkey Earthquakes","authors":"Irem Tugce Oz,&nbsp;Giorgia Cona","doi":"10.1002/cpp.70008","DOIUrl":"10.1002/cpp.70008","url":null,"abstract":"<p>Turkey experienced two devastating earthquakes, which resulted in more than 50,000 deaths and millions of injured and homeless individuals. The negative influence of direct exposure to trauma has been proven, but the impact of indirect exposure remains unclear. In this study, we focused on indirect types of trauma exposure: the loss of someone in the earthquake and the exposure to disaster media. We aimed to explore the influence of these dimensions on psychological states, including earthquake trauma severity, post-traumatic stress disorder (PTSD) symptoms, depression, anxiety, hopelessness and life satisfaction and temporal-psychological measures, such as intertemporal decision-making tendencies and time perspectives. The sample (<i>N</i> = 215) consisted of Turkish individuals who experienced the earthquakes through two types of indirect exposure: having lost someone and being exposed to disaster media. Findings showed that having a loss in the earthquake was related to high levels of trauma, anxiety, hopelessness and a past-negative time perspective. Repetitive exposure to disaster media was linked to higher levels of trauma, PTSD symptoms, depression, anxiety, stress and a past-negative time perspective. Importantly, the amount of traumatization in case of losing someone was modulated by the frequency of disaster-media exposure. Even indirect exposure to the disaster substantially disturbs many processes, and the media magnifies such disturbances.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681063","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 Relationship Between Metacognitive Beliefs and Suicidal Ideation Among Chinese Male Prisoners: A Network Analysis","authors":"Xiaoqing Zeng,&nbsp;Mengye Wang","doi":"10.1002/cpp.70019","DOIUrl":"10.1002/cpp.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The relationship between metacognitive beliefs and suicidal ideation is complex, yet there is limited research exploring ‘the fine-grained and comorbid pathways between the two variables’, particularly in prisoners.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected from prisoners who completed demographic surveys and psychological scales between February and March 2024. Demographic information included age, educational background and duration of imprisonment. The Metacognitions Questionnaire-30 (MCQ-30) and Self-Rating Idea of Suicide Scale (SIOSS) were administered. Using R 4.2.3 software, a network model of metacognitive beliefs and suicidal ideation was constructed, with expected influence (EI) and bridge expected influence (BEI) calculated to compare the roles of specific symptoms within the network.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The network model revealed 21 significant edges between metacognitive beliefs and the suicidal ideation community. The most vital edges across communities included ‘Negative beliefs about worry’ and ‘Despair’, ‘Cognitive confidence’ and ‘Despair’, ‘Cognitive self-consciousness’ and ‘Optimism’, and ‘Cognitive confidence’ and ‘Sleep’ (with edge weights of 0.30, 0.16, −0.16 and 0.11, respectively). ‘Despair’ demonstrated the highest EI value, exerting the strongest impact on the network. The highest BEI values were found for ‘Negative beliefs about worry’ and ‘Despair’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Network analyses underscore the intricate interplay between metacognitive beliefs and suicidal ideation among prisoners at the symptom level. These findings highlight specific areas for therapeutic focus, potentially leading to more effective mental health support for incarcerated individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675230","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":"Changes in Emotion Regulation During the Course of Dialectical Behaviour Therapy: Effects on Non-Suicidal Self-Injury and Binge Eating Across Two Samples","authors":"Lauren M. Harris,&nbsp;Emily R. Weiss,&nbsp;Margaret T. Davis,&nbsp;Thomas Alex Daniel,&nbsp;Victoria R. Hart-Derrick,&nbsp;Sarah Barnes,&nbsp;Chelsea D. Cawood","doi":"10.1002/cpp.70018","DOIUrl":"10.1002/cpp.70018","url":null,"abstract":"<div>\u0000 \u0000 <p>Dialectical Behaviour Therapy (DBT) has demonstrated effectiveness in reducing harmful behaviours associated with emotion dysregulation, including non-suicidal self-injury (NSSI) and binge eating. It has been hypothesized that the effects of DBT on NSSI and binge eating are the result of improvements in emotion regulation (ER); however, the extent to which changes in ER account for reductions in these behaviours is unclear. The present study leverages two unique clinical samples to examine the degree to which changes in ER influence changes in the frequency of NSSI and binge eating over the course of DBT. Participants included 189 Veterans receiving outpatient DBT and 117 civilians enrolled in a DBT Intensive Outpatient Program. Analyses examined changes in ER, binge eating and NSSI over the course of treatment, as well as the extent to which NSSI and binge eating frequency were influenced by changes in ER. In the Veteran sample, DBT led to improvements in ER abilities and significant reductions in NSSI and binge eating; however, changes in ER did not account for observed reductions in NSSI or binge eating. In the civilian sample, the effects of DBT on ER, NSSI and binge eating were nonsignificant. Our findings suggest that ER may not be the only mechanism through which DBT exerts its effects on NSSI and binge eating. The effects of DBT on ER and self-damaging behaviours may vary based on factors such as treatment setting, time in treatment and clinical severity of the sample.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675109","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":"Presence and Impact of Adverse Childhood Experiences and Reflective Functioning on Aggression in Adults With Antisocial Behaviour","authors":"Judith Luijkx,&nbsp;Linda M. A. van Loon,&nbsp;Brenda De Wit-De Visser,&nbsp;Arno van Dam","doi":"10.1002/cpp.70011","DOIUrl":"https://doi.org/10.1002/cpp.70011","url":null,"abstract":"<p>This cross-sectional study investigated the relationship between the presence and impact of ACEs with both reactive and proactive aggression, and the possible moderating role of mentalization (operationalized as reflective functioning) in these expected relationships. Sixty-five inpatient and outpatient adults with any kind of antisocial behaviour completed the Dutch version of the Traumatic Experiences Checklist, the Reactive-Proactive Aggression Questionnaire, and the Adult Attachment Interview with the use of the Reflective Functioning Scale. Preliminary analysis showed a remarkably high level of ACEs, and a relatively high reported impact of these experiences. We found a positive relationship between the total presence of ACEs (including childhood maltreatment and adverse household factors), and both reactive and proactive aggression. We also found positive relationships between the experienced impact of these ACEs and both reactive and proactive aggression. Regarding childhood maltreatment in family of origin, we did not find a correlation between the presence of these experiences and respectively reactive and proactive aggression. However, we found a correlation between the impact of childhood maltreatment and reactive aggression. These results suggest that in addition to the cumulative experience of ACEs, the subjective burden of these experiences on individuals must not be underestimated in case of aggression. Additional moderation analysis showed no differences in these relationships in case of less developed versus medium-high developed reflective functioning. The findings substantiate the importance of early prevention and treatment programs with focus on ACEs to possibly reduce aggression.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666051","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}