Clinical psychology & psychotherapy最新文献

{"title":"Strengths and Limits of Psychodynamic Intervention Rating Scale (PIRS) in Capturing Psychotherapeutic Micro-Process: A Systematic Review","authors":"Arianna Palmieri,&nbsp;Valentina Cimmino Picone,&nbsp;Alessandro Gennaro,&nbsp;Davide Ruffin,&nbsp;Valeria Capuani,&nbsp;Johann Roland Kleinbub","doi":"10.1002/cpp.70073","DOIUrl":"https://doi.org/10.1002/cpp.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Psychodynamic Intervention Rating Scale (PIRS) stands out as one of the most widely utilised coding systems aimed at categorising micro-process from psychotherapeutic dialogue due to its feasibility and adherence to the expressive–supportive continuum. Despite this, no comprehensive analysis of its application in the literature has been published. This systematic review aims to examine the state of the art, strengths, limitations and future perspectives of such a coding tool for verbatim transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search in databases (PsycINFO, Scopus, PubMed and Web of Science) covering publications from the PIRS's first occurrence in the scientific literature in 1992 to 2024 yielded 22 publications eligible for review. Three independent reviewers screened the studies and extracted data regarding PIRS applications and key findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The studies examined revealed that PIRS can reliably classify interventions across various therapeutic approaches, surpassing its psychodynamic origins. It demonstrated peculiar efficacy in understanding therapeutic alliance mechanisms and patients' responses according to their typical defensive patterns. However, the findings also indicated some limitations concerning the breadth of PIRS categories, which may overlook the essential nuances of micro-processes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the PIRS has proven its value for understanding clinical micro-process, its categories may be slightly refined. A proposal for a more granular classification of PIRS categories has finally been provided via a literature analysis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892878","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":"Exploring and Identifying Key Factors in Predicting Dyslexia in Children: Advanced Machine Learning Algorithms From Screening to Diagnosis","authors":"Abdullah Alrubaian","doi":"10.1002/cpp.70077","DOIUrl":"https://doi.org/10.1002/cpp.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The current study aimed to develop and validate a machine learning (ML)–based predictive models for early dyslexia detection in children by integrating neurocognitive, linguistic and behavioural predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with 300 Saudi Arabian children (150 children with dyslexia, 150 controls) aged 6–12 years and their parents. Participants underwent assessments for attention, phonological awareness, rapid automatised naming (RAN), cognitive flexibility and other predictors. Four ML models—logistic regression, random forest, XGBoost and an ensemble—were trained and evaluated using performance metrics (AUC, sensitivity, specificity). Recursive feature elimination (RFE) identified key predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The RFE (15-fold cross-validation) identified attention, RAN, early language delay, phonological awareness and cognitive flexibility as the top five predictors of dyslexia. The ML models demonstrated high diagnostic accuracy for dyslexia detection. Logistic regression achieved superior performance with an area under the curve (AUC) of 0.95 (95% CI: 0.92–0.98), sensitivity of 97%, specificity of 91% and overall accuracy of 94%. Random forest and XGBoost yielded slightly lower but robust AUCs (0.91 and 0.93, respectively), with balanced sensitivity (95%) and specificity (91%). The ensemble model harmonised algorithmic strengths, retaining an AUC of 0.93 while prioritising interpretability through weighted contributions from XGBoost (40%), random forest (30%) and logistic regression (30%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrated the transformative potential of ML in dyslexia diagnostics. By systematically prioritising phonological awareness, RAN and attention deficits, ML models offer a scalable, objective framework for early identification. These tools could alleviate reliance on subjective assessments, enabling timely interventions to mitigate dyslexia's long-term impacts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889127","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' Readiness to Treat Refugee Patients and the Influence of Professional Quality of Life: A Cross-Sectional Vignette Study","authors":"Pia Maria Schwegler,&nbsp;Theresa Neumann,&nbsp;Rita Rosner,&nbsp;Katharina Gossmann","doi":"10.1002/cpp.70076","DOIUrl":"https://doi.org/10.1002/cpp.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous research has shown that psychotherapists' characteristics influence their readiness to treat refugee patients. The impact of therapists' professional quality of life (ProQOL) regarding their treatment readiness for refugee patients is unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to evaluate the ProQOL among psychotherapists in Germany. It examines how these factors and previous experience working with refugees affect psychotherapists' treatment readiness for refugee patients with symptoms of post-traumatic stress disorder (PTSD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In our study, we assessed the treatment readiness of licensed psychotherapists (LPTs) and psychotherapists in training (PiTs) using randomized refugee verus nonrefugee vignettes. Participants (<i>N</i> = 821) rated their treatment readiness for the presented case, reported their professional quality of life on the ProQOL questionnaire as well as prior experience with psychotherapy for refugees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The ProQOL differed significantly between therapists with and without experience treating refugees: Compassion satisfaction was higher, and burnout lowers for those who had already treated refugees. Overall, treatment readiness was lower for refugee than for nonrefugee patients. Therapists with prior experience of working with refugees reported a significantly higher treatment readiness for the refugee vignette. Treatment readiness was not affected by the reported ProQOL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Treatment experience with refugees did not negatively impact therapists' ProQOL but fostered their further treatment readiness for this specific patient group. Psychotherapists should be encouraged to gain initial treatment experience with refugees to improve long-term health care for refugees. Encouragement could be achieved by providing supervision or specialist training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889164","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":"Predictors of Treatment Success of Psychotherapy in Functional Disorders: A Systematic Review of the Literature","authors":"Caroline Rometsch,&nbsp;Alexandra Martin,&nbsp;Fiammetta Cosci","doi":"10.1002/cpp.70075","DOIUrl":"https://doi.org/10.1002/cpp.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Functional disorders (FDs) benefit from psychotherapy. However, the determinants predicting their efficacy remain largely unexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic literature review was conducted. PubMed, Web of Science, Embase, Cochrane collaboration and grey literature were screened from inception to November 2024. Randomized controlled trials on predictors of success of psychotherapy for FDs (e.g., somatoform disorders, irritable bowel syndrome [IBS], chronic fatigue syndrome/myalgic encephalomyelitis [CFS/ME], fibromyalgia [FM]) in adults (i.e., ≥ 18 years of age) were included. The review yielded 24 eligible studies and included 3382 participants. A standardized quality assessment via ROB-2 Tool was performed. PRISMA guidelines were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most studies applied CBT-based interventions (<i>n</i> = 19), mainly face-to-face, with some internet-based (<i>n</i> = 5), while fewer used emotional-based (<i>n</i> = 4), mindfulness-based (<i>n</i> = 3), psychodynamic (<i>n</i> = 1) or operant behavioural therapy (<i>n</i> = 1). The primary factors identified as predictive of treatment success in FM and somatization were the intensity of experienced pain. Moreover, the presence of mental disorders, i.e., depression and anxiety disorders, emerged as predictors for a range of disorders including FM, IBS, somatization disorder, hypochondriasis, medically unexplained symptoms and dissociative seizures. Symptom severity was recognized as a predictor across various FDs with findings indicated that severe severity could predict treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The body of research concerning predictors of treatment success in the context of FDs can help clinicians identifying appropriate psychotherapy trajectories.</p>\u0000 \u0000 <p><b>Trial Registration:</b> Not applicable. PROSPERO no. CRD42022379791; OSF (https://osf.io/8q7z9).</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865723","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 Therapist Perceptions and Engagement in Measurement-Based Care","authors":"Matteo Bugatti,&nbsp;Jesse Owen,&nbsp;Annika Helgadóttir Davidsen,&nbsp;Zach Richardson,&nbsp;Wendy Rasmussen,&nbsp;Douglas Newton","doi":"10.1002/cpp.70060","DOIUrl":"https://doi.org/10.1002/cpp.70060","url":null,"abstract":"<div>\u0000 \u0000 <p>Measurement-based care (MBC) is an evidence-based practice that has been supported by the American Psychological Association for almost two decades (APA 2006; Boswell et al. 2023). However, the widespread dissemination of technology-enabled platforms supporting the implementation of MBC in routine clinical settings has failed to significantly increase therapist rates of engagement in MBC. The present study was designed to examine the relationship between therapist perceptions of and their engagement in MBC, an area of inquiry that has yet to be pursued. A sample of 196 therapists and their respective clients (<i>N</i> = 12,166) was extracted from the therapist pool of a technology-enabled, digital mental health platform offering an automated MBC system. The sample of therapists was administered a previously validated measure assessing their perceptions of different aspects of MBC. Additionally, their frequency of viewing client outcome scores was assessed as an indicator of engagement in MBC. Analyses failed to detect a direct relationship between therapist perceptions of each aspect of MBC and their frequency of viewing client scores. Nonetheless, a subsequent cluster analysis identified a three-cluster solution. The cluster displaying the most positive perceptions of all aspects of MBC was associated with higher frequency of viewing client score. These findings suggest that therapist perceptions of MBC's clinical usefulness could have a unique impact on therapist engagement in MBC.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856764","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":"Dual Frameworks for Understanding OCD: Cognitive Misappraisals and Psychological Inflexibility in Clinical and Non-Clinical Populations","authors":"Zahra Nejad-Ebrahim Soumee,&nbsp;Amirhossein Rasouli,&nbsp;Jennifer Krafft,&nbsp;Seyedeh Elnaz Mousavi","doi":"10.1002/cpp.70065","DOIUrl":"https://doi.org/10.1002/cpp.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>OCD is a prevalent and debilitating mental disorder characterized by intrusive thoughts and repetitive behaviours. While cognitive models attribute OCD to dysfunctional beliefs and misinterpretations of intrusive thoughts, the inflexibility model emphasizes the role of experiential avoidance and cognitive fusion. This study investigates the relative predictive power of the cognitive and inflexibility frameworks in individuals with OCD compared to non-clinical controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 315 participants were recruited: 125 individuals with OCD and 190 non-clinical controls. Participants completed self-report measures of OCI-R, AAQ-II, CFQ and interpretation of intrusions (III). ANOVA and Pearson correlation analyses were conducted to examine group differences and relationships between variables. Finally, multiple stepwise regression analyses were performed to investigate the predictive power of these variables on OCD symptoms in both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicated that individuals with OCD exhibited significantly higher levels of cognitive fusion, experiential avoidance, and misinterpretation of intrusions compared to non-clinical controls. Regression analyses revealed that cognitive fusion and interpretation of intrusions were significant predictors of OCD symptoms in the non-clinical group (<i>R</i>² = 0.265***), while experiential avoidance and cognitive fusion were significant predictors in the clinical group (<i>R</i>² = 0.254***).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides evidence for a multifaceted understanding of OCD. While the interpretation of intrusions may be more relevant in subclinical experiences of OCD, experiential avoidance and cognitive fusion may be more important as severity increases. This shift in emphasis suggests that the inflexibility model may be a better predictor of OCD symptoms than the cognitive model in individuals with a long history of the disorder.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778379","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":"Interpersonal Problems and Their Impact on Alliance Ruptures in Psychotherapy","authors":"Flavio Iovoli,&nbsp;Marie Baranowski,&nbsp;Leonie S. Sander,&nbsp;Julian A. Rubel","doi":"10.1002/cpp.70071","DOIUrl":"https://doi.org/10.1002/cpp.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alliance ruptures are frequent occurrences in psychotherapy. Understanding the factors that contribute to these ruptures is important for optimizing therapeutic outcomes. From the perspective of interpersonal theory, the experience of interpersonal problems may play a significant role in the occurrence of alliance ruptures, as maladaptive relational patterns can trigger momentary interpersonal misattunements. This study aimed to investigate how specific interpersonal problems predict the frequency of alliance ruptures in the first three sessions of cognitive–behavioural therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty-four patients completed the Inventory of Interpersonal Problems (32 items) (IIP-32) as part of their routine outcome monitoring in an outpatient clinic. Subsequently, the first three regular therapy sessions were coded using the Rupture and Resolution Rating System (3RS). Multilevel Bayesian hurdle models were estimated, simultaneously modelling (1) the likelihood of experiencing at least one rupture and (2) the frequency of rupture occurrences among patients who had at least one.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Withdrawal ruptures were more frequent than confrontation ruptures. Higher affiliation and friendly–submissive tendencies were associated with fewer withdrawal ruptures but increased the likelihood of experiencing at least one withdrawal rupture. In contrast, hostile–submissive tendencies predicted more frequent withdrawal ruptures but were associated with a lower probability of at least one occurrence. For confrontation ruptures, the overall level of dysfunction and self-sacrificing tendencies predicted fewer confrontation ruptures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that specific interpersonal problems can provide therapists with crucial insights into subtle rupture occurrences. By understanding these dynamics, therapists can better recognize and address ruptures, ultimately enhancing the therapeutic process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762116","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":"Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series","authors":"C. Green,&nbsp;G. Mannion,&nbsp;I. Gill,&nbsp;S. Hartley,&nbsp;B. J. Dunlop,&nbsp;P. J. Taylor","doi":"10.1002/cpp.70043","DOIUrl":"https://doi.org/10.1002/cpp.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Onset of Eating Disorder (ED) peaks in young people, and interpersonal factors can influence development and maintenance. With increased referrals to ED services, accessible, brief interventions may support early intervention and improve outcomes. Cognitive Analytic Therapy (CAT) is a transdiagnostic relational approach, which can offer benefit for a range of presenting difficulties. This study aimed to assess the feasibility and acceptability of a brief, CAT-informed reformulation for young people with ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A case series design recruited eight young people who met inclusion and exclusion criteria to participate in the five-session reformulation intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Recruitment took place from NHS ED services. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. Psychological distress, ED severity, personal recovery and motivation to change were assessed at baseline, post-intervention and follow-up. Participants also completed sessional measures of psychological distress and alliance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight eligible participants aged 15–24 years (M = 20.25, <i>SD</i> = 3.58) consented to take part and received the intervention. All participants attended all intervention sessions and completed all assessments. Participants reported positive experiences of the intervention. There was an associated reduction across clinical outcomes, including psychological distress and ED severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case series showed promising results on the feasibility and acceptability of a brief CAT-informed reformulation for young people with ED. However, the study had a small sample size and no comparator control group. Larger scale exploration of a brief CAT-informed reformulation for EDs among young people is warranted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Trial Registration</h3>\u0000 \u0000 <p>The study was preregistered with clinicaltrials.gov (NCT05746364).</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749351","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":"Latent Profiles of Early Maladaptive Schemas and Their Associations With Suicide Risk Factors in Patients With Mood Disorders","authors":"Chanhee Park,&nbsp;C. Hyung Keun Park","doi":"10.1002/cpp.70069","DOIUrl":"https://doi.org/10.1002/cpp.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Although early maladaptive schemas (EMSs) have been linked to suicidal ideation, their heterogeneous nature has not been fully explored in this relationship. This study sought to identify distinct latent profiles based on 18 EMSs in a clinical sample and examine how these profiles differ in relation to suicidal ideation and suicide risk factors, such as perceived burdensomeness, thwarted belongingness and fearlessness about death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data from routine clinical assessments of 799 outpatients with mood disorders (aged 18–49 years, 513 female, 286 male, <i>M</i>_<i>age</i> = 28.71) were analysed. Latent profile analysis was performed to identify distinct EMS profiles, and their associations with suicide risk factors were examined using the Bolck–Croon–Hagenaars method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five distinct EMS profiles emerged: <i>Low</i>, <i>Below Average</i>, <i>Above Average</i>, <i>Specific Elevation</i> and <i>High Risk</i>. The <i>Specific Elevation</i> profile demonstrated specifically elevated levels of social isolation/alienation, defectiveness/shame, failure, dependence/incompetence and insufficient self-control/self-discipline, while the levels of most other schemas were similar to the <i>Above Average</i> profile. The <i>High Risk</i> profile showed elevated levels across all schemas. Both the <i>Specific Elevation</i> profile and the <i>High Risk</i> profile exhibited the highest levels of perceived burdensomeness, thwarted belongingness and suicidal ideation, with no significant differences between them. Fearlessness about death did not differ among the profiles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The identified EMS profiles offer unique utility in predicting perceived burdensomeness, thwarted belongingness and suicidal ideation. The specific schemas that showed elevation in the <i>Specific Elevation</i> profile may serve as promising targets for mitigating suicide risk in patients with mood disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726802","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":"Validation and Refinement of the Short Version of Perinatal Grief Scale in Chinese Women Who Experience Perianal Loss: A Psychometric Study","authors":"Si Ni Li,&nbsp;Li Yang,&nbsp;Qing Yu Wang,&nbsp;Jiao Xie,&nbsp;Hui Cao,&nbsp;Wen Zhao,&nbsp;Su Qin Tang","doi":"10.1002/cpp.70067","DOIUrl":"https://doi.org/10.1002/cpp.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Short Version of the Perinatal Grief Scale (SVPGS) is a widely used scale of grief related to perinatal loss. This study aims to validate and refine the SVPGS among Chinese women experiencing perinatal loss by addressing its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After translating the SVPGS from English to Chinese and conducting a pre-test with 20 end-users, followed by an assessment of content validity involving 10 experts, a cross-sectional study was conducted to assess its internal reliability and structure, concurrent, convergent, divergent, known-group validities among 353 women who have experienced perinatal loss across eight hospitals in Hunan Province, China. A subset of 275 participants were reassessed over a 1-month interval for the test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The refined 15-item SVPGS demonstrated excellent internal consistency (Cronbach's α = 0.92) and strong 1-month test–retest reliability (κ = 0.83) compared to the original SVPGS. A three-factor structure consisting of 15 items was confirmed through item analysis, exploratory factor analysis, and parallel analysis. Confirmatory factor analysis further validated this structure, indicating a good fit for the refined SVPGS. Concurrent validity was supported by a large correlation between the SVPGS and refined SVPGS (<i>r</i> = 0.90, <i>p</i> &lt; 0.01). Convergent and divergent validities were confirmed through significant correlations with variables including depressive symptoms, anxiety symptoms, and post-traumatic stress disorder, psychological flexibility, mindfulness, self-compassion, perceived social support, and quality of life. Known-group validation revealed significant differences in these variables between high and low levels of the refined SVPGS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings indicate that the refined SVPGS is a brief, reliable, and valid tool for measuring grief in women who have experienced perinatal loss. Future research is strongly recommended to test the refined SVPGS across diverse samples and cultural contexts to enhance its generalizability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726803","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}