Clinical psychology & psychotherapy最新文献

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148092958","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 Use and Outcomes of Compassion-Focused Group Interventions With Children and Adolescent Clinical Populations: A Systematic Review and Narrative Synthesis","authors":"Georgia Roberts,&nbsp;Nicole Parish,&nbsp;Victoria Samuel","doi":"10.1002/cpp.70259","DOIUrl":"10.1002/cpp.70259","url":null,"abstract":"<p>Research has investigated the outcomes of compassion-focused therapy for adult populations, with systematic reviews and meta-analyses supporting its effectiveness. Comparatively, the literature investigating compassion-focused interventions for child and adolescent populations is less developed, with fewer empirical studies to date. Most existing literature on compassion interventions has been in a group context. A systematic review was conducted to explore the state of the evidence base for compassion-focused groups used with child and adolescent clinical populations. This narrative synthesis aimed to review the methodological quality and outcomes of the published and unpublished literature. Ovid, Scopus, EBSCO and ProQuest platforms were utilised to search databases with studies from the year 2005 onwards. Nine studies were identified, including 138 participants receiving a compassion-focused intervention aged between 11 and 17 years. There was some evidence to suggest that compassion-focused groups have the potential to increase self-compassion and improve the wellbeing of children and adolescents. However, the outcomes were varied, and methodological concerns limited interpretations of results. Additionally, the heterogeneity between studies made it challenging to synthesise the literature and draw conclusions regarding the effectiveness of these groups for this population. Future research would benefit from higher quality empirical studies comparing compassion-focused groups to other interventions, alongside a greater consistency in valid outcome measure use across research.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13006158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497861","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":"Clinician Burnout and Flourishing: Predicting Client Dropout in a Practice-Research Network","authors":"Seungbin Oh,&nbsp;Matteo Bugatti,&nbsp;Madalynn Hines,&nbsp;Steven J. Sandage,&nbsp;Jesse Owen","doi":"10.1002/cpp.70258","DOIUrl":"10.1002/cpp.70258","url":null,"abstract":"<div>\u0000 \u0000 <p>This study examined the association between therapist-level flourishing and burnout with early client dropout. Participants included 141 therapists (<i>M</i>_age = 46.1; 82.8% White; 80.7% female) and 12,988 adult clients (<i>M</i>_age = 37.8; 41.9% White; 62.5% female) using a US-based digital mental health network. Early dropout was operationalised as attending fewer than three sessions. Therapists completed self-report measures of burnout and flourishing. Multilevel logistic regression examined therapist-level predictors of early dropout, accounting for nested client data. Approximately 27.8% of clients dropped out early. Therapists accounted for 9.4% of the variance in client dropout. Therapist flourishing was significantly associated with lower dropout rates (OR = 0.90, 95% CI [0.814, 0.998]), while therapist burnout was not (OR = 1.01, 95% CI [0.758, 1.353]). More years in practice (OR = 1.02, 95% CI [1.013, 1.031]) and larger weekly caseloads (OR = 1.02, 95% CI [1.003, 1.033]) were both significantly linked to higher early dropout rates. Dropout was significantly lower for White clients (OR = 0.827, 95% CI [0.736, 0.929]) and White therapists (OR = 0.711, 95% CI [0.539, 0.938]). Therapist flourishing may support early client retention, while higher caseload, more experience and racial/ethnic disparities are associated with increased dropout. Findings highlight the need for wellness promotion, structural support and culturally responsive practices in psychotherapy.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147490812","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":"Emotion Regulation and Neurocognitive Profiles in Adolescents With Selective Mutism","authors":"Celal Yesilkaya,&nbsp;Serkan Turan","doi":"10.1002/cpp.70261","DOIUrl":"10.1002/cpp.70261","url":null,"abstract":"<p>While selective mutism (SM) is often conceptualized as a childhood anxiety disorder, longitudinal evidence suggests persistent difficulties into adolescence, yet the underlying cognitive and emotional mechanisms remain poorly understood. We aimed to address this gap by examining whether specific neurocognitive impairments and emotion regulation difficulties characterize adolescents with SM. Eighty-nine adolescents (42 SM, 47 HC), aged 11–17 years, were assessed using the Strengths and Difficulties Questionnaire (SDQ), the Difficulties in Emotion Regulation Scale (DERS) and a neuropsychological battery evaluating attention, inhibition, processing speed, memory and social cognition. Adolescents with SM demonstrated greater emotional awareness difficulties (<i>p</i> = 0.010), with no differences in total DERS scores. SDQ scores indicated higher inattention/hyperactivity (<i>p</i> &lt; 0.001), alongside significantly higher prosocial behaviour (<i>p</i> &lt; 0.001). Neurocognitive findings revealed intact verbal learning but impaired immediate and delayed recall (<i>p</i> &lt; 0.001), better delayed visual memory (<i>p</i> = 0.001). Children with SM made fewer total errors on Wisconsin Card Sorting Test (<i>p</i> = 0.021) and showed higher foil accuracy on CPT (<i>p</i> = 0.007), but demonstrated significantly poorer Stroop colour-word (<i>p</i> = 0.001) and interference scores (<i>p</i> = 0.001). Adolescents with SM showed a distinctive cognitive–emotional profile, suggesting that internal emotional processing and external social sensitivity are dissociated during adolescence. Longitudinal and neurobiological research is warranted to elucidate mechanisms and refine treatment strategies.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484960","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148083873","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148116128","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148085523","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 Mentalisation Switch: Therapist Reflective Capacity and Alliance Dynamics in Digital MCT+ for Bipolar Disorder—A Longitudinal Quantitative Case Series","authors":"Roberto Maluenda-Gatica,&nbsp;Christian Araya,&nbsp;Javier Morán-Kneer,&nbsp;Ulises Ríos,&nbsp;Steffen Moritz,&nbsp;Angus MacBeth","doi":"10.1002/cpp.70260","DOIUrl":"10.1002/cpp.70260","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study conducted a preliminary naturalistic effectiveness evaluation of Individualised Metacognitive Therapy (MCT+) delivered via videoconferencing for individuals with bipolar I disorder (BD-I) in a real-world clinical setting in Chile. It also explored how therapist characteristics—specifically mentalisation capacity—influence the therapeutic alliance in digital psychotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A longitudinal quantitative case series design was implemented across 14 therapist–patient dyads. Patients received 12 weekly sessions of MCT+ online. Standardised measures assessed anxiety (GAD-7), depression (PHQ-9), metacognitive beliefs (MCQ-30), psychological distress (CORE-10) and quality of life (WHOQOL-BREF). Therapeutic alliance was tracked session-by-session (WAI-S). Therapist mentalisation and attachment were evaluated at baseline (MASC-SP, RFQ-8, ECR-12). Changes in outcome measures were analysed using paired <i>t</i>-tests, effect sizes (Cohen's <i>d</i>), correlations, reliable change indices (RCI) and hierarchical linear modelling (HLM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Across the intervention, there were significant decreases in anxiety (<i>d</i> = 0.64) and improvements in metacognitive beliefs (<i>d</i> = 0.37). Depression showed a modest improvement (<i>d</i> = 0.34), while changes in quality of life were negligible (<i>d</i> = −0.21). Hierarchical modelling indicated a significant interaction between automatic and controlled mentalisation (<i>b</i> = −0.45, <i>p</i> = 0.008), suggesting that flexible adjustment supported therapeutic alliance development. Attachment style showed no significant associations with the alliance (largest unadjusted effect: <i>ρ</i> = −0.54, <i>p</i> = 0.073; all adjusted <i>ps</i> &gt; 0.99).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Digital MCT+ showed preliminary effectiveness in reducing anxiety and maladaptive metacognitive beliefs among individuals with BD-I, with more limited effects on depression and quality of life. Importantly, therapist mentalisation flexibility—the capacity to shift between automatic and controlled modes, or the <i>mentalisation switch</i>—emerged as a central mechanism for alliance building and engagement in digital contexts, highlighting a key target for clinical training and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13001804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484912","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":"Correction to ‘Mental Imagery of the Self in Body Dysmorphic Disorder: A Mixed-Methods Systematic Review’","authors":"","doi":"10.1002/cpp.70257","DOIUrl":"10.1002/cpp.70257","url":null,"abstract":"<p>\u0000 <span>Hill, S.</span>, <span>Hotton, M.</span>, <span>Wallave, M.</span>, <span>Veale, D.</span>, <span>Lau-Zhu, A.</span>, <span>Mental Imagery of the Self in Body Dysmorphic Disorder: A Mixed-Methods Systematic Review</span>. <i>Clinical Psychology and Psychotherapy</i>, 15; <span>33</span>(<span>1</span>):e70229. https://doi.org/10.1002/cpp.70229.\u0000 </p><p><b><i>Note:</i></b> Boxes are marked ‘✔’ to indicate ‘yes’, ‘-’ to indicate ‘unsure/partial’ or ‘✘’ to indicate ‘no’ to MMAT criteria. Boxes in grey are where the item was not applicable due to a different study design—the MMAT requires only items relevant to the study's design be scored. <b>Screening:</b> S1. Are there clear research questions? S2. Do the collected data allow to address the research questions? <b>Qualitative studies:</b> 1.1. Is the qualitative approach appropriate to answer the research question? 1.2. Are the qualitative data collection methods adequate to address the research question? 1.3. Are the findings adequately derived from the data? 1.4. Is the interpretation of results sufficiently substantiated by data? 1.5. Is there coherence between qualitative data sources, collection, analysis and interpretation? <b>Quantitative randomized studies:</b> 2.1. Is randomization appropriately performed? 2.2. Are the groups comparable at baseline? 2.3. Are there complete outcome data? 2.4. Are outcome assessors blinded to the intervention provided? 2.5. Did the participants adhere to the assigned intervention? <b>Quantitative non-randomized studies:</b> 3.1. Are the participants representative of the target population? 3.2. Are measurements appropriate regarding both the outcome and intervention (or exposure)? 3.3. Are there complete outcome data? 3.4. Are the confounders accounted for in the design and analysis? 3.5. During the study period, is the intervention administered (or exposure occurred) as intended? <b>Quantitative descriptive studies:</b> 4.1. Is the sampling strategy relevant to address the research question? 4.2. Is the sample representative of the target population? 4.3. Are the measurements appropriate? 4.4. Is the risk of nonresponse bias low? 4.5. Is the statistical analysis appropriate to answer the research question? <b>Mixed-method studies:</b> 5.1. Is there an adequate rationale for using a mixed-methods design to address the research question? 5.2. Are the different components of the study effectively integrated to answer the research question? 5.3. Are the outputs of the integration of qualitative and quantitative components adequately interpreted? 5.4. Are divergences and inconsistencies between quantitative and qualitative results adequately addressed? 5.5. Do the different components of the study adhere to the quality criteria of each tradition of the methods involved?</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147480031","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":"Mapping Schema Modes in Voice Hearers: Investigating the Role of Schema Modes in Voice Hearers' Experience","authors":"Branda Newton,&nbsp;Petra Skeffington,&nbsp;Caitlin Reddyhough,&nbsp;Christopher W. Lee,&nbsp;Arnoud Arntz,&nbsp;Georgie Paulik","doi":"10.1002/cpp.70256","DOIUrl":"10.1002/cpp.70256","url":null,"abstract":"<p>Auditory verbal hallucinations, or hearing voices, occur across various mental health conditions and can vary widely in distress and content. Understanding the factors that influence these experiences is essential for effective therapy. Schema therapy, particularly its concept of schema modes, offers a framework to explore how emotional states and coping strategies shape the nature and distress of voice hearing. Despite this, there is limited research on the relationship between schema modes and voice-hearing experiences. This study aimed to address this gap by developing a schema mode profile for transdiagnostic voice hearers, and investigating whether schema modes predict voice-related distress and positive or negative voice-related content. The study included 76 voice hearers who completed assessments of their voices and schema modes. The schema mode scores in voice hearers were generally elevated compared to nonclinical and Axis I populations (e.g., those with anxiety or depressive disorders) and closely mirrored those of Axis II populations (e.g., personality disorders). The greatest elevations compared to Axis I patients were observed in the Vulnerable Child, Impulsive Child, Detached Protector, Bully and Attack and Punitive Parent modes. Regression analyses showed that Vulnerable Child mode significantly predicted greater voice-related distress. For negative voice content, both the Vulnerable Child and Detached Self-Soother modes were associated with an increased negativity. For positive voice content, the Happy Child and Enraged Child modes were positive predictors, while the Detached Self-Soother was negatively associated with positive voice experiences. These findings suggest schema modes may play a role in voice-hearing experiences, offering promising avenues for schema therapy interventions and future research.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472444","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}