Clinical psychology & psychotherapy最新文献

{"title":"Psychotic-Like Reasoning Styles in Patients With Borderline Personality Disorder? An Experimental Investigation of the Jumping to Conclusions Bias","authors":"Jakob Scheunemann,&nbsp;Lisa Schilling,&nbsp;Christina Andreou,&nbsp;Steffen Moritz","doi":"10.1002/cpp.70051","DOIUrl":"https://doi.org/10.1002/cpp.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Patients with borderline personality disorder (BPD) commonly display psychotic symptoms such as hallucinations or delusional/paranoid ideas. We used the fish task to investigate cognitive biases (jumping to conclusions and overcorrection) implicated in the aetiology of psychotic symptoms in patients with BPD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants received consecutive pieces of information to determine which of two lakes a fisherman was catching fish from. Outcome measures were draws to decision and frequency of premature decisions after just one and after not more than two fish (<i>jumping to conclusions</i>), probability estimate at the time of the decision (<i>decision threshold</i>) and adjustment of the probability estimate after receiving disconfirmatory information (<i>overcorrection</i>). With data aggregated from multiple studies, a total of 170 patients with BPD and 72 healthy controls (parallelized by age, gender and education) participated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The two groups showed similar draws to decision and frequencies of premature decisions. The decision threshold was also comparable across the groups. However, the patients with BPD showed overcorrection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The experimental study found no evidence for a jumping to conclusions bias or a lower decision threshold in patients with BPD. The stronger adjustment of probability estimates (overcorrection) in patients with BPD is compatible with the unstable affect, self-image and interpersonal relationships observed in patients with BPD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554469","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":"Do Cognitive Behavioural Therapy Interventions Lead to Schema Change in People With Psychosis? A Systematic Review and Meta-Analysis","authors":"Nadia Akers,&nbsp;Katherine Berry,&nbsp;Christopher D. J. Taylor","doi":"10.1002/cpp.70049","DOIUrl":"https://doi.org/10.1002/cpp.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Negative schemas have been highlighted as important factors in the development and maintenance of psychosis. However, evidence for schema therapy in people with experiences of psychosis and for schema-specific interventions is lacking for these disabling core beliefs. Cognitive behavioural therapy (CBT) interventions remain a first-line recommended psychological treatment for psychosis, alongside psychotropic medication. The current review aimed for the first time to investigate if CBT interventions led to schema change in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic search of five databases (PsycINFO, MEDLINE, Embase, CINAHL and Web of Science) identified 19 eligible studies, of which 10 were eligible for inclusion in the meta-analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A narrative synthesis highlighted the variety in CBT intervention length and focus. A small proportion of studies highlighted schema theory within their therapy rationale and within their subsequent CBT intervention. Meta-analytic findings demonstrated that participants receiving a CBT intervention experienced a significant reduction in their negative-self schemas at the end of therapy, compared with control participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings provide evidence that CBT for psychosis can reduce negative schemas in people with psychosis. The review also offers a rationale for considering schema more explicitly within CBT for psychosis intervention studies and clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535883","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 Comparison of Four Models of Community Psychiatry—A Systematic Review and Preliminary Meta-Analysis of the ACT Model","authors":"Kacper Wilk,&nbsp;Ewelina Kowalewska,&nbsp;Małgorzata Jakubowska,&nbsp;Maria Załuska,&nbsp;Michał Lew-Starowicz","doi":"10.1002/cpp.70048","DOIUrl":"https://doi.org/10.1002/cpp.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The aim of this systematic review and preliminary meta-analysis is to summarize the effectiveness of selected models of community psychiatry: community mental health center, flexible assertive community treatment, community mental health team and assertive community treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In order to determine the results of therapeutic interventions, comparison of symptom severity, level of functioning, use of institutional care, quality of life/well-being/recovery and satisfaction at baseline and during follow-up was conducted. Thirty-seven quantitative studies were selected, grouped according to the study model and compared in terms of positive, neutral and negative impact on patients according to efficacy factors. Additionally, a preliminary random-effects meta-analysis was performed on 11 studies to investigate the effectiveness of assertive community treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Review shows the overall positive results of the selected models. The best documented effects were an increase in the level of functioning and a reduction in institutional care. The number of articles collected indicates that community mental health center and assertive community treatment are better researched than community mental health team and flexible assertive community treatment models. Meta-analysis on assertive community treatment studies showed significant pooled effect sizes for domains of functioning, quality of life, hospitalizations and symptom severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The community mental health center and assertive community treatment are most likely to indicate efficiency and safety. The community mental health team and flexible assertive community treatment models should be explored in future studies. Results of the preliminary meta-analysis provide further evidence for the effectiveness of assertive community treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143438775","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":"Are Therapists Less Skilful in Teletherapy Than In-Person Therapy Scenarios? A Latent Profile Analysis of Facilitative Interpersonal Skills","authors":"Tao Lin,&nbsp;Katie Aafjes-van Doorn,&nbsp;Timothy G. Heckman,&nbsp;Eva Antebi-Lerman,&nbsp;Timothy Anderson","doi":"10.1002/cpp.70047","DOIUrl":"https://doi.org/10.1002/cpp.70047","url":null,"abstract":"<p>Emerging research suggests that therapists feel less efficacious administering therapy remotely than in-person. These findings, however, are based almost exclusively on therapist self-reports. The current study compared therapists' self-reported and observer-rated therapeutic skills across simulated in-person and teletherapy scenarios to determine if common factors and therapeutic skills differed between the two treatment settings. A diverse sample of 223 licensed therapists and trainees simulated the provision of psychotherapy using standardised clips of challenging therapeutic scenarios in both tele- and in-person therapy. Common factors and therapeutic skills in tele- and in-person therapy simulations were rated by trained coders and compared. Latent profile analysis identified latent subgroups of therapists based on differences between skills when providing in-person and teletherapy. Both self-report and observer-rated measures indicated that therapists demonstrated reduced common factors and therapeutic skills in teletherapy scenarios than in-person therapy scenarios. Three latent profiles based on differences in skills between teletherapy versus in-person therapy among therapists were identified: developing teletherapists (54.26%), teletherapy experts (34.98%) and teletherapy-challenged therapists (10.76%). No variable assessed in the study differentiated the three groups. Therapists generally demonstrated lower levels of therapeutic skills in teletherapy compared with in-person therapy settings. Considerable variability in the skill difference between the two psychotherapy formats was found among therapists. Trainings targeting skills that are complicated by teletherapy (e.g., emotional expression) are needed.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439150","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 Subjective Experience of the Punitive Parent Mode in Individuals With Borderline Personality Disorder Following Schema Therapy: A Qualitative Study","authors":"Mariëlle C. E. Baelemans,&nbsp;Puk Plooij,&nbsp;Nathan Bachrach,&nbsp;Arnoud Arntz","doi":"10.1002/cpp.70045","DOIUrl":"https://doi.org/10.1002/cpp.70045","url":null,"abstract":"<p>Borderline personality disorder (BPD) is often characterized by self-critical and punitive thoughts, emotions, beliefs and behaviours, conceptualized in schema therapy (ST) as the punitive parent mode (PPM). This mode involves internalized punitive messages from childhood from the behaviour and reactions of significant others, leading to self-hatred, guilt and self-denial. Although patients with BPD frequently report auditory verbal hallucinations (AVHs) as manifestations of the PPM, this phenomenon is often overlooked in ST studies. We conducted semistructured interviews with 16 (ex)patients (63% female) from two Dutch mental health institutions to explore their experiences with the PPM before, during and after ST. An independent, double-coded systematic content analysis was performed. Approximately half of the participants reported AVHs linked to the PPM before therapy. The patients characterized the PPM by pervasive self-critical messages, contributing to intense emotional and physical distress and maladaptive coping strategies. Participants reported that ST techniques, including group therapy, imagery rescripting (ImRs) and the empty chair technique (ECT), effectively reduced the power and credibility of the PPM, including AVHs. The self-reported improvements included more adaptive coping mechanisms, increased social support and a general experience of reduced PPM. This study highlights the prevalence of the PPM as AVHs in individuals with BPD and demonstrates the efficacy of ST in reducing the impact of PPM, including in cases involving AVHs. Clinical implications include the need for relapse prevention plans and further exploration into how ST's effects can be enhanced. Future research should explore the broader spectrum of psychotic experiences in BPD and consider integrating PPM-related AVHs into the assessment and treatment of BPD.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404359","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":"Prototype Models of Personality Disorders: Prototype Convergence and Association With Pathological Traits","authors":"Steven K. Huprich,&nbsp;Callie Jowers,&nbsp;Emily Dowgwillo,&nbsp;Hannah Ethridge,&nbsp;Sharon M. Nelson,&nbsp;John H. Porcerelli","doi":"10.1002/cpp.70034","DOIUrl":"https://doi.org/10.1002/cpp.70034","url":null,"abstract":"<div>\u0000 \u0000 <p>The goal of this study was to evaluate whether personality disorder prototypes derived from three different models have similar pathological trait profiles within the Alternative Model of Personality Disorders (AMPD). Trainee clinicians (<i>N</i> = 329) rated a patient they were currently treating using the Shedler–Westen Assessment Procedure, the DSM-5 hybrid model prototype match (modified from the original prototype DSM-5 proposal) and the <i>Psychodynamic Diagnostic Manual</i> prototype match. Correlations among each PD prototype model with the DSM-5 traits were assessed. Theoretically similar prototypes across the SWAP-II, DSM-5 hybrid model and PDM were correlated with several traits across models, ranging from small-to-large effect sizes. Similar prototypes also appeared to display similar trait profiles with some exceptions. Results suggest that the SWAP-II, DSM-5 and PDM prototype models tend to assess similar constructs overall, even though the methods are theoretically distinct. Implications of these findings for PD diagnosis are discussed.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380840","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":"Influence of Therapist Attachment Style on the Working Alliance in Individual Psychotherapy: A Systematic Review and Meta-Analysis","authors":"María Marín-Cavestany,&nbsp;María Ángeles De la Cruz,&nbsp;Juan I. Durán,&nbsp;Bryan J. Stiles,&nbsp;Guillermo Lahera,&nbsp;Nelson Andrade-González","doi":"10.1002/cpp.70025","DOIUrl":"https://doi.org/10.1002/cpp.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Attachment style and working alliance are two fundamental variables in psychotherapy. This systematic review aims to provide data on the relationship between therapist attachment and alliance in psychotherapy, updating a previous review and providing a quantitative synthesis (meta-analysis).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement recommendations were followed. The databases PsycINFO, PubMed and Web of Science were searched from June 1, 2016, to May 30, 2024, supplemented by a manual search. A regulated study selection process was performed, followed by data extraction and risk of bias assessment. A qualitative and quantitative analysis of the included studies was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine studies were selected for the systematic review that included 354 patients and 741 mental health professionals. In five studies, different types of attachment (secure, anxious and avoidant) were related to the alliance. In addition, this relationship was partially mediated by therapeutic optimism, role security, therapeutic commitment or emotional regulation strategy. Of the 23 articles selected from both systematic reviews, 12 studies were included in the meta-analysis. A systematic correlation between anxious attachment style and the alliance was found only when the assessment of the alliance was performed by therapists (<i>r</i> = −0.31).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is evidence that therapist attachment may influence the formation and maintenance of a higher-quality working alliance. However, further studies with more precise measures of both constructs are needed to better understand this relationship and its clinical implications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380505","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":"Associations Between Transdiagnostic Psychological Processes and Global Symptom Severity Among Outpatients With Various Mental Disorders: A Cross-Sectional Study","authors":"Anna Katharina Frei,&nbsp;Thomas Studnitz,&nbsp;Britta Seiffer,&nbsp;Jana Welkerling,&nbsp;Johanna-Marie Zeibig,&nbsp;Eva Herzog,&nbsp;Mia Maria Günak,&nbsp;Thomas Ehring,&nbsp;Keisuke Takano,&nbsp;Tristan Nakagawa,&nbsp;Leonie Sundmacher,&nbsp;Sebastian Himmler,&nbsp;Stefan Peters,&nbsp;Anna Lena Flagmeier,&nbsp;Lena Zwanzleitner,&nbsp;Ander Ramos-Murguialday,&nbsp;Sebastian Wolf","doi":"10.1002/cpp.70046","DOIUrl":"https://doi.org/10.1002/cpp.70046","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Knowledge about transdiagnostic factors associated with global symptom severity among patients diagnosed with various mental disorders remains limited. This study examined the cross-sectional associations between transdiagnostic processes including global emotion regulation and specific emotion regulation strategies (i.e., amount of physical activity and sedentary behaviour, repetitive negative thinking and sleep routines) with global symptom severity, while controlling for sociodemographic data (age, gender, employment status, relationship status, and educational level) and fear of the coronavirus.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Data from 401 outpatients, aged 42.08 years on average (&lt;i&gt;SD&lt;/i&gt; = 13.26; 71.3% female), diagnosed with depressive disorders, non-organic primary insomnia, agoraphobia, panic disorder and/or post-traumatic stress disorder were examined. This study is a secondary analysis of a randomized controlled trial. Data were collected from 10 different study sites between March 2021 and May 2022 for cross-sectional analysis. The influence of predictors of global symptom severity was determined using three-step hierarchical multiple regression: (1) control variables, (2) global emotion regulation and (3) specific emotion regulation strategies. Global symptom severity was measured using the Global Severity Index, derived from the Brief Symptom Inventory-18. Predictors were measured using validated scales, and physical activity was additionally assessed via accelerometer-based sensors.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In the first step, control variables accounted for 4% of variance in global symptom severity. The inclusion of global emotion regulation in the second step explained 26% of the outcome variance, and the incorporation of specific emotion regulation strategies in the third step increased the explained variance to 37%. Significant predictors included global emotion regulation (&lt;i&gt;β&lt;/i&gt; = 0.28), repetitive negative thinking (&lt;i&gt;β&lt;/i&gt; = 0.26) and sleep routines (&lt;i&gt;β&lt;/i&gt; = 0.25).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Global emotion regulation along with repetitive negative thinking and sleep routines as specific emotion regulation strategies are identified as transdiagnostic psychological processes that may serve as treatment targets for evidence-based interventions designed to enhance emotion regulation, particularly in transdiagnostic samples of stress-related disorders. Additional prospective longitudinal studies with transdiagnostic samples are n","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362446","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":"Psychosocial Factors Associated With Posttraumatic Stress Disorder Symptom Clusters in a Sample of Women Survivors of Intimate Partner Violence","authors":"Ana Bellot Valenzuela,&nbsp;Cerrato Ignacio Montorio,&nbsp;Marina Muñoz Rivas","doi":"10.1002/cpp.70044","DOIUrl":"https://doi.org/10.1002/cpp.70044","url":null,"abstract":"<div>\u0000 \u0000 <p>The DSM-5 classifies posttraumatic stress disorder (PTSD) symptomatology into four distinct clusters and numerous studies have examined the psychosocial risk factors predicting these clusters across various types of trauma. However, no research has specifically explored the unique predictors of PTSD clusters in women survivors of intimate partner violence (IPV) This retrospective study analysed the DSM-5-proposed psychosocial predictors of PTSD symptom clusters (severity of violence, previous trauma, social support, emotional regulation, coping strategies and blame) in 333 women who had filed a police report for IPV. Through linear step regression analysis, five models were estimated for the four clusters and the PTSD diagnosis dissociation specifier. The findings showed both common and specific factors associated with the different PTSD clusters. Unsatisfactory emotional processing and negative self-focussing emerged as the predominant factors common to PTSD clusters and, to a lesser extent, emotional impoverishment and emotions of guilt. Childhood trauma was identified as a risk factor in all clusters, although its influence was attenuated when emotional regulation was considered. The severity of violence was a specific predictor for the intrusion cluster, and emotional avoidance predicted the PTSD cluster of avoidance symptoms. Social support acted as a protective factor for the cluster of mood disorders. The adjusted <i>R</i>² for the models ranged from 0.23 to 0.45. Taken together, the results highlight the need to distinguish specific symptom categories within the overall diagnosis of PTSD and offer an empirical perspective for better understanding and more accurate treatment for women survivors of IPV with PTSD.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362445","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":"Walk-and-Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study","authors":"Andrea Dickmeyer,&nbsp;Jordan J. Smith,&nbsp;Sean Halpin,&nbsp;Stacey McMullen,&nbsp;Ryan Drew,&nbsp;Philip Morgan,&nbsp;Sarah Valkenborghs,&nbsp;Frances Kay-Lambkin,&nbsp;Myles D. Young","doi":"10.1002/cpp.70035","DOIUrl":"10.1002/cpp.70035","url":null,"abstract":"<p>While psychotherapy is effective for treating depression, men are less likely than women to attend and more likely to drop out. The value of alternative therapeutic approaches for men needs to be investigated. In this randomised pilot trial, we investigated the feasibility and preliminary efficacy of outdoor ‘walk-and-talk’ therapy compared to conventional indoor therapy for 37 men with low mood (mean [SD] PHQ-9 score = 11.4 [5.0]; mean [SD] age = 44.1 [15.8] years). Over 6 weeks at the University of Newcastle participants received weekly 60-min sessions delivered (i) while walking along a 4-km route on campus or (ii) indoors in a psychology clinic, delivered by provisional psychologists using non-directive supportive counselling. Outcomes included validated measures of depression, anxiety, stress and overall psychological distress, male-type depression, mental well-being, behavioural activation and therapeutic alliance. At post-intervention, all pre-registered feasibility benchmarks were exceeded including recruitment capability, retention (89%), average attendance (walk-and-talk: 91%, indoor: 89%), proportion of sessions delivered in intended setting (walk-and-talk: 100%, indoor: 98%) and overall perceived acceptability of the therapy (walk-and-talk: 4.4/5, indoor: 4.2/5, where 1 = <i>poor</i> and 5 = <i>excellent</i>). Linear mixed model analysis demonstrated both groups achieved similar improvements in depressive symptoms (<i>d</i> = −0.02), but the walk-and-talk group reported greater improvements in overall psychological distress (<i>d</i> = −0.5), anxiety (<i>d</i> = −0.4) and stress (<i>d</i> = −0.7). In contrast, male-type depression improved more in the conventional indoor group (<i>d</i> = 0.6). Other outcomes were comparable between groups. Results indicate that walk-and-talk therapy may be acceptable and effective for men with depression. A powered trial to interrogate these effects and identify moderators of effectiveness is warranted.</p><p><b>Trial Registration:</b> Australian New Zealand Clinical Trials Registry number: ACTRN12622001318774.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188457","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}