Clinical psychology & psychotherapy最新文献

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Exploring the Interplay Between Intolerance of Uncertainty, Resilience and Psychopathological Correlates in Anorexia Nervosa 神经性厌食症不确定性不耐受、恢复力和精神病理相关因素之间的相互作用。
IF 2.7 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70248
Federica Toppino, Matteo Panero, Matteo Martini, Paola Longo, Laura Amodeo, Lisa Vennettillo, Giovanni Abbate-Daga
{"title":"Exploring the Interplay Between Intolerance of Uncertainty, Resilience and Psychopathological Correlates in Anorexia Nervosa","authors":"Federica Toppino,&nbsp;Matteo Panero,&nbsp;Matteo Martini,&nbsp;Paola Longo,&nbsp;Laura Amodeo,&nbsp;Lisa Vennettillo,&nbsp;Giovanni Abbate-Daga","doi":"10.1002/cpp.70248","DOIUrl":"10.1002/cpp.70248","url":null,"abstract":"<div>\u0000 \u0000 <p>Intolerance of uncertainty (IU) and resilience are two psychological constructs that can influence the onset, maintenance and prognosis of individuals with anorexia nervosa (AN). Existing literature in various contexts suggests that resilience is inversely associated with IU and may mediate the relationship between IU and affective symptoms. This study aimed to explore the interplay between these variables in AN by comparing a group of affected individuals with healthy controls (HCs). The cross-sectional study included 108 patients with AN accessing a specialized eating disorders centre and 121 HCs. Participants completed questionnaires measuring IU, resilience, eating and body-related psychopathology and anxious and depressive symptoms. The groups were compared with non-parametric tests, although correlation and bootstrapped mediation analyses were used to analyse the relationships among variables. Individuals with AN showed higher IU and lower resilience compared to HCs. IU scores positively correlated with all psychopathology measures across both groups and were negatively associated with resilience; resilience negatively correlated with anxiety and depression in both groups and with eating psychopathology only in the control group. Resilience partially mediated the relationship between IU and anxiety/depression in both groups. This study paves the way for a line of research focused on these psychological constructs in AN: Enhancing resilience resources in therapeutic settings may help address the emotional burden associated with high levels of IU, particularly regarding non-ED symptoms.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324871","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}
引用次数: 0
Co-Dependency Revisited: An Integrative Review of Conceptualisations and Mental Health Outcomes. 重新审视共同依赖:概念和心理健康结果的综合回顾。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70265
Elena Molina, Abigail Taiwo, Ben Grey
{"title":"Co-Dependency Revisited: An Integrative Review of Conceptualisations and Mental Health Outcomes.","authors":"Elena Molina, Abigail Taiwo, Ben Grey","doi":"10.1002/cpp.70265","DOIUrl":"10.1002/cpp.70265","url":null,"abstract":"<p><p>Co-dependency is a contested construct, applied to a broad range of relational difficulties. Despite its relevance, the term remains conceptually fragmented. This limits research development and clinical recognition, hindering the creation of effective interventions. An integrative systematic review is therefore needed to consolidate recent evidence and clarify its clinical significance, aiming to synthesise conceptualisations and mental health outcomes. Following PRISMA 2020 guidelines and PROSPERO registration (CRD42024575573), Scopus, PubMed, ProQuest Central, ProQuest Dissertations & Theses Global, EBSCO, PsycINFO and PsycARTICLES were searched in September 2024 for peer-reviewed studies published between 2013 and 2024. Eligible studies addressed co-dependency's conceptualisation and/or mental health outcomes in adults. Risk of bias was assessed using MMAT and JBI for textual evidence. Thirty studies met inclusion criteria (14 quantitative, 9 qualitative and 7 theoretical). Narrative synthesis identified six conceptual perspectives: sociocultural, relational, addiction/pathology-based, developmental, psychoanalytic and cognitive-personality. Co-dependency was consistently associated with emotional distress, disrupted identity and impaired relational functioning. Two integrative frameworks are proposed: one mapping intrapersonal and interpersonal contributors to co-dependency, and one illustrating a perpetuating model of mental health outcomes. Limitations include limited cultural generalisability and the exclusion of studies addressing adjacent constructs. Strengths include methodological diversity, transparent quality appraisal and the generation of clinically relevant models. Findings support a shift towards relationally and developmentally informed understandings of co-dependency.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70265"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644380","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}
引用次数: 0
Virtual Reality Body Exposure and Attentional Bias Modification in the Treatment of Adolescents With Anorexia Nervosa. 虚拟现实身体暴露与注意偏倚矫正治疗青少年神经性厌食症。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70273
Mariarca Ascione, Marta Carulla-Roig, Franck-Alexandre Meschberger-Annweiler, Eduardo Serrano-Troncoso, Anna Blasco-Martínez, Fernando Guerrero-Álvarez, Helena Miquel-Nabau, María Teresa Mendoza-Medialdea, Bruno Porras-Garcia, Marta Ferrer-Garcia, Manuel Moreno-Sánchez, José Gutierrez-Maldonado
{"title":"Virtual Reality Body Exposure and Attentional Bias Modification in the Treatment of Adolescents With Anorexia Nervosa.","authors":"Mariarca Ascione, Marta Carulla-Roig, Franck-Alexandre Meschberger-Annweiler, Eduardo Serrano-Troncoso, Anna Blasco-Martínez, Fernando Guerrero-Álvarez, Helena Miquel-Nabau, María Teresa Mendoza-Medialdea, Bruno Porras-Garcia, Marta Ferrer-Garcia, Manuel Moreno-Sánchez, José Gutierrez-Maldonado","doi":"10.1002/cpp.70273","DOIUrl":"10.1002/cpp.70273","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is a severe psychiatric disorder characterized by intense fear of gaining weight and persistent body image disturbance. Virtual reality-based mirror exposure therapy (VR-MET) may reduce body-related fear through embodied exposure, while attentional bias modification training (ABMT) may enhance exposure learning by promoting balanced attentional allocation. This controlled clinical study tested the hypothesis that adjunctive VR-MET would improve clinical outcomes beyond treatment as usual (TAU) alone, and that preceding VR-MET with ABMT would produce additional benefits in adolescent females with AN. Seventy-five female adolescents with AN were allocated to TAU, TAU+VR-MET or TAU+ABMT+VR-MET. Assessments were conducted pre- and post-intervention. Outcomes included eye-tracking indices of attentional bias (number of fixations, complete fixation time), state anxiety and fear of gaining weight, BMI and eating disorder-related measures. Compared with TAU alone, both VR-based conditions showed greater reductions in state anxiety and fear of gaining weight. State body dissatisfaction decreased significantly only in the TAU+VR-MET group. No significant changes were observed for BMI or most trait-level eating disorder measures. ABMT did not enhance clinical outcomes beyond VR-MET. Within the short-term assessment window, adjunctive VR-MET was associated with reductions in state-dependent emotional responses in adolescents with AN. Effects on trait-level symptoms were limited, and ABMT did not confer additional benefit in this unselected sample. Fully randomized studies with larger samples, extended exposure protocols, and follow-up assessments are needed to determine durability and broader clinical impact.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70273"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688781","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}
引用次数: 0
Correction to 'Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey'. 纠正“心理治疗师在治疗残疾患者时的观点和支持需求:一项在线调查的结果”。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70272
{"title":"Correction to 'Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey'.","authors":"","doi":"10.1002/cpp.70272","DOIUrl":"10.1002/cpp.70272","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70272"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13484140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632675","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}
引用次数: 0
Stressful Life Events and Suicidality in First-Episode Psychosis. 应激性生活事件与首发精神病的自杀倾向。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70278
Alícia Colomer-Salvans, Clara Serra-Arumí, Regina Vila-Badia, Ariadna Corbella-Sotil, Manuel Abella, Elena Rubio-Abadal, Raquel Leal-Pujol, Montserrat Dolz, Tatiana Bustos-Cardona, Júlia Rolduà-Ros, Núria Del Cacho, Anna Butjosa, Judith Usall
{"title":"Stressful Life Events and Suicidality in First-Episode Psychosis.","authors":"Alícia Colomer-Salvans, Clara Serra-Arumí, Regina Vila-Badia, Ariadna Corbella-Sotil, Manuel Abella, Elena Rubio-Abadal, Raquel Leal-Pujol, Montserrat Dolz, Tatiana Bustos-Cardona, Júlia Rolduà-Ros, Núria Del Cacho, Anna Butjosa, Judith Usall","doi":"10.1002/cpp.70278","DOIUrl":"10.1002/cpp.70278","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the association between lifetime cumulative and domain-specific stressful life events (SLEs) and suicidality in individuals with first-episode psychosis (FEP), while accounting for sociodemographic, clinical and psychosocial characteristics.</p><p><strong>Methods: </strong>A descriptive, cross-sectional study was conducted with 97 individuals with FEP (34 females, 63 males) aged 13-51 years from the PROFEP study in Barcelona, Spain. SLEs were assessed with the Questionnaire of Stressful Life Events (QSLE) and suicidality with the Plutchik Scale of Suicide Risk (RS). Multivariate regression models examined associations between SLEs and suicidality, adjusting for sociodemographic, clinical and psychosocial characteristics.</p><p><strong>Results: </strong>Higher cumulative SLEs were associated with increased suicide risk and with suicide attempts (p = 0.020; p = 0.029, OR = 1.125). Partner- and legal-related SLEs were linked to greater suicide risk (p = 0.022; p = 0.035), whereas educational and family SLEs were linked to suicide attempts (p = 0.034, OR = 2.350; p = 0.004, OR = 2.065). SLEs were not associated with suicidal ideation. Suicide risk was associated with depression and increased perceived stress (both p = < 0.001), suicidal ideation with higher perceived stress and younger age (p = 0.005, OR = 1.107; p = 0.043, OR = 0.935) and suicide attempts with depression and male sex (p = 0.002, OR = 12.493; p = 0.029, OR = 0.075).</p><p><strong>Conclusion: </strong>Cumulative and domain-specific SLEs, particularly interpersonal, educational and legal events, play a significant role in suicide risk and suicide attempts in FEP. Perceived stress, depression and sociodemographic factors are also associated with suicidality in this population. These findings highlight the importance of screening for SLEs and suicidality and implementing stress-management interventions.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70278"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764749","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}
引用次数: 0
Exploring Cultural Influences in the Associations Between Emotion Regulation and Mental Health: A Systematic Review Comparing East Asian and Western Cultural Contexts. 情绪调节与心理健康关系中的文化影响:东亚与西方文化背景比较的系统回顾。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70276
Larissa Shiying Qiu, Marcus Lai, Asami Koike, Martin Sellbom, Belinda J Liddell, Laura Jobson
{"title":"Exploring Cultural Influences in the Associations Between Emotion Regulation and Mental Health: A Systematic Review Comparing East Asian and Western Cultural Contexts.","authors":"Larissa Shiying Qiu, Marcus Lai, Asami Koike, Martin Sellbom, Belinda J Liddell, Laura Jobson","doi":"10.1002/cpp.70276","DOIUrl":"10.1002/cpp.70276","url":null,"abstract":"<p><p>Culture shapes how individuals perceive, experience and regulate emotions. Emotion regulation literature, which informs current understandings of emotional disorders, is largely guided by Western frameworks. This review aimed to systematically examine cultural influences on emotion regulation use, and associated mental health outcomes, among individuals from East Asian and Western cultural contexts. The literature search was conducted across five databases in June 2024; the final review included 54 articles. First, findings revealed that East Asian individuals tended to engage more frequently in rumination and avoidance, endorse higher levels of secondary control appraisals (i.e., adjusting oneself to accommodate situational needs) and evaluate the self less favourably than those with Western cultural backgrounds. Second, evidence regarding cultural differences in suppression and reappraisal use was inconclusive. Third, associations between putatively maladaptive regulation strategies (e.g., suppression, avoidance and rumination) and mental health difficulties were less pronounced, absent or at times beneficial among East Asians. Fourth, perceived lack of secondary control was found to have more negative impacts on the mental health of East Asians. Finally, emerging research suggests that the use and effectiveness of emotion regulation strategies need to be considered in relation to individuals' endorsement of specific cultural values. In sum, this review highlights the importance of considering cultural influences on emotional processes, with key implications for clinical practices that target emotion regulation. Future research needs to explore within-strategy nuances (e.g., regulation for specific emotional valence) and strategies that are informed by East Asian cultural values (e.g., acceptance) to advance cross-cultural understanding of emotion regulation.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70276"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728804","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}
引用次数: 0
Deontological Guilt Differentially Affects Moral Behaviour in Participants With and Without Obsessive-Compulsive Disorder (OCD). 义务内疚感对有和无强迫症参与者道德行为的影响。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70252
M S Panasiti, A Mancini, I Parisi, I Gualtieri, S M Aglioti, F Mancini
{"title":"Deontological Guilt Differentially Affects Moral Behaviour in Participants With and Without Obsessive-Compulsive Disorder (OCD).","authors":"M S Panasiti, A Mancini, I Parisi, I Gualtieri, S M Aglioti, F Mancini","doi":"10.1002/cpp.70252","DOIUrl":"10.1002/cpp.70252","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is characterised by a dysfunctional sensitivity to a sense of guilt that significantly interferes with everyday functioning and is believed to be a key mechanism in symptom maintenance. Mounting evidence indicates that individuals with OCD are particularly sensitive to deontological guilt, which stems from the perception of violating an internalised rule, as opposed to altruistic guilt, which arises from the feeling of having harmed others. Here, we assess the impact of deontological vs. altruistic guilt on moral behaviour in participants with OCD. Twenty participants with OCD and 20 gender- and age-matched comparison participants took part in a social game in which they could choose to lie for a personal reward (self-gain lie) or to benefit the other player (other-gain lie). During the game, they were exposed to stimuli designed to evoke one of three emotional states: deontological guilt (DG), altruistic guilt (AG) or a neutral state. Self-report ratings of DG and AG evoked by the stimuli were also recorded. Exposure to stimuli that evoke the anticipation of AG was associated with a decrease in self-gain lies and an increase in altruistic lies in all participants. When individual emotional ratings were taken into account, we found that stronger AG elicited by the stimuli was associated with fewer lies. In contrast, higher DG ratings were associated with a decrease in self-gain lies in controls but with an increase in self-gain lies in OCD participants. Our results support the notion that DG is particularly crucial for OCD participants and reveal that it can be particularly disruptive for them, suggesting that this emotion should be a primary target of psychotherapeutic intervention.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70252"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13032057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527361","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}
引用次数: 0
The Role of Subjective Well-Being in Therapist Responsiveness and Session Evaluation: A 10-Wave Longitudinal Study. 主观幸福感在治疗师反应性和会话评价中的作用:一项10波纵向研究。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70269
Marcin Rzeszutek, Paweł Łowicki, Szymon Szumiał, Magdalena Grabowska, Marcin Bagiński, Maria Ibisz, Justyna Kaczmarczyk, Bartłomiej Żukowski, Agata Urbanowicz, Olha Khmil, Monika Rutkowska-Michalik, Katarzyna Domagała, Kinga Łapińska, Samanta Rode, Teresa Lichota, Dorota Bubiak, Agnieszka Gierulska, Anna Mazur, Łukasz Sztajerowski, Aneta Kosińska, Piotr Fijewski
{"title":"The Role of Subjective Well-Being in Therapist Responsiveness and Session Evaluation: A 10-Wave Longitudinal Study.","authors":"Marcin Rzeszutek, Paweł Łowicki, Szymon Szumiał, Magdalena Grabowska, Marcin Bagiński, Maria Ibisz, Justyna Kaczmarczyk, Bartłomiej Żukowski, Agata Urbanowicz, Olha Khmil, Monika Rutkowska-Michalik, Katarzyna Domagała, Kinga Łapińska, Samanta Rode, Teresa Lichota, Dorota Bubiak, Agnieszka Gierulska, Anna Mazur, Łukasz Sztajerowski, Aneta Kosińska, Piotr Fijewski","doi":"10.1002/cpp.70269","DOIUrl":"10.1002/cpp.70269","url":null,"abstract":"<p><p>Our study examined the dynamics of the therapist responsiveness (TR) as well as session evaluation by the therapist (SET) with regard to weekly fluctuations in their subjective well-being (SWB: satisfaction with life and positive/negative affect) in a 10-week prospective framework while controlling for sociodemographic and work-related variables. In all, 296 therapists participated in this longitudinal study. The participants filled, after the session with a client chosen for the study period, the Patients' Experience of Attunement and Responsiveness Scale-Therapist Version, the Session Evaluation Questionnaire and the Satisfaction With Life Scale (with the Positive and Negative Affect Schedule) each week. Generalised estimating equations showed that better SWB of therapists was related to almost all the studied dimensions of TR and SET in the sessions during the period of observation. We also noticed significant differences in these associations when we analysed sociodemographic and work-related variables. The findings call for a greater focus on the psychological well-being of therapists, which may be linked to the quality of their work with the clients. The therapist's individual characteristics should be taken more into account in studies on the mechanisms of change in psychotherapy research.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70269"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644355","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}
引用次数: 0
Mindfulness in Technology: Feasibility and Preliminary Efficacy of VR-Assisted Meditation Among Veterans With Disabilities. 技术中的正念:vr辅助冥想在残疾退伍军人中的可行性和初步效果。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70266
Uğur Doğan, Hung Jen Kuo
{"title":"Mindfulness in Technology: Feasibility and Preliminary Efficacy of VR-Assisted Meditation Among Veterans With Disabilities.","authors":"Uğur Doğan, Hung Jen Kuo","doi":"10.1002/cpp.70266","DOIUrl":"10.1002/cpp.70266","url":null,"abstract":"<p><p>Veterans with physical disabilities may experience substantial psychological burden (e.g., PTSD symptoms) and practical barriers to accessing conventional mental health services. VR-assisted meditation could offer a low-threshold alternative, but evidence in this population remains limited. The objective of this study was to examine the feasibility, acceptability and preliminary efficacy of a VR-assisted meditation programme for veterans with disabilities. In a randomized controlled trial, 40 US veterans (mean age = 42 years) were assigned to either (a) weekly VR-assisted meditation sessions or (b) a no-intervention control condition. Psychological well-being (WHO-5), mindfulness (SMS), system usability (SUS) and user satisfaction (QUEST 2.0) were measured at baseline, post-intervention and follow-up. Compared with controls, the VR group showed higher post-intervention scores, with the clearest gains observed for psychological well-being and perceived system usability. Scores decreased slightly at follow-up but remained above the control condition. The pattern of benefits did not appear to differ by baseline anxiety level. VR-assisted meditation may be a feasible and acceptable approach for supporting well-being in veterans with disabilities. High perceived usability may support short-term engagement; however, the present findings are preliminary and do not establish clinical effectiveness or durability.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70266"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618575","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}
引用次数: 0
Comparison of Commonly Applied Outcome Inventories as Measures of General Internalizing Pathology in Psychological Therapies. 常用结果量表作为心理治疗中一般内化病理测量的比较。
IF 2.9 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2026-03-01 DOI: 10.1002/cpp.70270
Sakari J Lintula, Suoma E Saarni, Michael Barkham, Tom H Rosenström
{"title":"Comparison of Commonly Applied Outcome Inventories as Measures of General Internalizing Pathology in Psychological Therapies.","authors":"Sakari J Lintula, Suoma E Saarni, Michael Barkham, Tom H Rosenström","doi":"10.1002/cpp.70270","DOIUrl":"10.1002/cpp.70270","url":null,"abstract":"<p><p>Measuring general factors to capture severity of psychopathology broadly can be useful for assessing treatment outcomes of psychological therapies. Namely, general factors are suitable for broadband measurement, which has become increasingly important due to efforts to standardize outcome measurement. Reasons for measuring general factors include their predictive validity, relatability to parallel research in epidemiology, genetics and neurobiology, simplicity due to unidimensionality, longitudinal structural validity and potential for capturing transdiagnostic change. Psychotherapy register data (N = 5223; 4059, 77.7%, identify as female) of Finnish speaking adult patients entering psychological therapy were used to compare three patient self-report inventories suggested for routine use-Patient Health Questionnaire-9 (PHQ-9), Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and CORE-10-as measures of a general internalizing pathology factor. A multidimensional factor model was estimated, and noise factors were marginalized out of the analysis. Fisher information about internalizing was computed for each inventory. CORE-OM had high total Fisher information about internalizing, but per item information was markedly lower compared to CORE-10. Surprisingly, though not included a priori in the set of compared inventories, the Overall Anxiety Severity and Impairment Scale (OASIS) was as effective as CORE-10 per item, though OASIS provided low total information due to only comprising five items and was confounded by an anxiety specific factor. PHQ-9 did not perform well as a measure of internalizing. Results suggested CORE-10 to be a valid, brief, option for broadband outcome measurement in psychological therapies.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70270"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688747","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}
引用次数: 0
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