Clinical psychology & psychotherapy最新文献

{"title":"Reciprocal Temporal Associations Between Grief Rumination and Daily Affect in Bereavement","authors":"Jiaqi Liu,&nbsp;Shiren Zhou,&nbsp;Suqin Tang","doi":"10.1002/cpp.70316","DOIUrl":"10.1002/cpp.70316","url":null,"abstract":"<div>\u0000 \u0000 <p>Rumination and daily affect play important roles in the development of transdiagnostic mental disorders. However, little is known about the dynamic associations between grief rumination and daily affect in bereaved individuals' everyday lives. This study used ecological momentary assessment (EMA) to examine reciprocal temporal associations between grief rumination and daily negative and positive affect (NA and PA). Sixty-one bereaved individuals completed EMA surveys four times daily for 14 days, yielding 3227 valid observations. Results from residual dynamic structural equation modelling (RDSEM) revealed reciprocal temporal associations between overall grief rumination and NA. Initial analyses further suggested higher-than-expected levels of NA predicted subsequent higher brooding, whereas higher-than-expected levels of reflection predicted subsequent higher NA. Sensitivity analysis controlling for baseline trait rumination or time since loss revealed significant bidirectional lagged associations between NA and overall grief rumination, brooding and reflection. No significant lagged associations were found between grief rumination and PA, but the contemporaneous associations were significant and negative. The results advance understanding of the emotional dynamics of grief rumination and suggest that bereavement interventions may benefit from targeting both rumination and negative affect.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705760","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":"Correction to “Cognitive Triad and Depression: A Meta-Analysis of Cross-Sectional and Longitudinal Studies”","authors":"","doi":"10.1002/cpp.70318","DOIUrl":"10.1002/cpp.70318","url":null,"abstract":"<p>\u0000 <span>Huang, Z.</span>, <span>Zhu, Y.</span>, <span>Feng, L.</span>, <span>Cui, L.</span>, <span>Wang, Z.</span>, <span>Fu, Z.</span>, &amp; <span>Tang, X.</span> (<span>2026</span>). <span>Cognitive Triad and Depression: A Meta-Analysis of Cross-Sectional and Longitudinal Studies</span>. <i>Clinical Psychology &amp; Psychotherapy</i>, <span>33</span>, e70282.\u0000 </p><p>In the Abstract, numerical values from an earlier version of the analysis were inadvertently retained. The following text was incorrect:</p><p>1. “Fifty-nine cross-sectional studies (132 effect sizes) were included, demonstrating a strong overall association between the cognitive triad and depressive symptoms (<i>r</i> = 0.596, 95% confidence interval, CI [0.546, 0.622]).”</p><p>This should have read: “Fifty-nine cross-sectional studies (131 effect sizes) were included, demonstrating a strong overall association between the cognitive triad and depressive symptoms (<i>r</i> = 0.586, 95% confidence interval, CI [0.546, 0.622]).”</p><p>2. “Preliminary results suggested that depressive symptoms at Time 1 predicted more negative cognitive triad scores at Time 2 (<i>β</i> = 0.160, 95% CI [0.100, 0.220]).”</p><p>This should have read: “Preliminary results suggested that depressive symptoms at Time 1 predicted more negative cognitive triad scores at Time 2 (<i>β</i> = 0.160, 95% CI [0.101, 0.220]).”</p><p>We apologize for this error.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677264","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":"Predicting Dropouts of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Joint Modelling of Survival and Longitudinal Data","authors":"Ângela Ferreira,&nbsp;Inês Sousa,&nbsp;Eugénia Ribeiro","doi":"10.1002/cpp.70313","DOIUrl":"10.1002/cpp.70313","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;p&gt;Understanding when and who is at greater risk of dropping out can help therapists and mental health professionals develop strategies to keep clients engaged, thereby improving the overall effectiveness of therapy. In the present study, we aimed to explore the hazard of dropout, both early and late in treatment, and evaluate the predictive power of both static (i.e., baseline client characteristics) and dynamic predictors (i.e., treatment process variables), in a sample of 97 clients treated with the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Thirty-one clients (31.96%) discontinued treatment, with the highest dropout rate observed at the end of Session 4. Stratified Cox modelling showed a significant effect of younger age &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mfenced&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;mn&gt;1&lt;/mn&gt;\u0000 &lt;/msub&gt;\u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 &lt;mo&gt;−&lt;/mo&gt;\u0000 &lt;mn&gt;1.706&lt;/mn&gt;\u0000 &lt;mo&gt;,&lt;/mo&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 &lt;mn&gt;0.031&lt;/mn&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/mfenced&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ left({beta}_1=-1.706,p=0.031right) $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt;, non-student status &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mfenced&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msub&gt;\u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 &lt;mo&gt;−&lt;/mo&gt;\u0000 &lt;mn&gt;1.715&lt;/mn&gt;\u0000 &lt;mo&gt;,&lt;/mo&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 &lt;mn&gt;0.031&lt;/mn&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/mfenced&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ left({beta}_2=-1.715,p=0.031right) $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; and higher baseline anxiety severity &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mfenced&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;mn&gt;3&lt;/mn&gt;\u0000 &lt;/msub&gt;\u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 &lt;mn&gt;1.806&lt;/mn&gt;\u0000 &lt;mo&gt;,&lt;/mo&gt;\u0000 &lt;mi&gt;p&lt;/mi&gt;\u0000 &lt;mo&gt;=&lt;/mo&gt;\u0000 &lt;mn&gt;0.022&lt;/mn&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/mfenced&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ left({beta}_3=1.806,p=0.022right) $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt;, on the risk of dropping out until Session 4 (i.e., the early phase","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673178","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":"Dialectical Behaviour Therapy for Eating Disorders With Comorbid Borderline Personality Disorder: A Systematic Review and Clinical Implications","authors":"Semina Z. Ozdemir,&nbsp;Ceren Turkan,&nbsp;Leyla S. Dikmen,&nbsp;Oya Mortan Sevi","doi":"10.1002/cpp.70315","DOIUrl":"10.1002/cpp.70315","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Borderline personality disorder (BPD) and eating disorders (EDs) frequently co-occur and are associated with heightened clinical severity and emotion dysregulation. This systematic review aimed to synthesize empirical evidence on the effectiveness of dialectical behaviour therapy (DBT) in improving eating disorder outcomes among individuals with comorbid BPD and EDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic literature search was conducted across Wiley, Web of Science, SpringerLink and Scopus databases in accordance with PRISMA 2020 guidelines. Studies were included if they examined DBT-based interventions in samples with comorbid BPD and EDs and reported quantitative outcomes. Eight studies met inclusion criteria. Risk of bias was assessed using Joanna Briggs Institute (JBI) checklists, and a structured narrative synthesis was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Across studies, DBT-based interventions were associated with reductions in eating disorder symptom severity, maladaptive eating behaviours (e.g., binge eating and purging) and self-harm. Baseline BPD symptom severity did not consistently predict poorer outcomes and, in some cases, was associated with greater early improvements. However, substantial heterogeneity in study design, sample characteristics and outcome measures was observed, and methodological quality varied across studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>DBT appears to be a clinically relevant and promising transdiagnostic intervention for individuals with comorbid BPD and EDs. Nevertheless, the current evidence base is limited by methodological constraints, highlighting the need for well-designed randomized controlled trials and mechanism-focused research. These findings have important implications for clinical practice, supporting the use of DBT as a transdiagnostic intervention in complex comorbid populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13437252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148677308","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":"Psychotherapy Research During the COVID-19 Pandemic: Trends in Treatment Modalities and Digital Therapy Uptake (2019–2023)","authors":"Ian Sivel,&nbsp;Winfried Rief,&nbsp;Cornelia Weise","doi":"10.1002/cpp.70311","DOIUrl":"10.1002/cpp.70311","url":null,"abstract":"<p>The COVID-19 pandemic necessitated rapid transitions to digital psychotherapy delivery formats, yet systematic quantification of these developments within psychotherapy research remains limited. This study presents an updated trend analysis of psychotherapy randomized controlled trials (RCTs) from 2019 to 2023. Systematic searches in PubMed, Web of Science and PsycINFO identified RCTs across predefined psychotherapeutic intervention categories. Trials were categorized by treatment approach, region and age group. A total of 1223 psychotherapy RCTs were identified. Despite a temporary decline in 2022 (−13%), the overall number of trials increased by 26.3% across the study period. eHealth interventions constituted the largest psychotherapeutic intervention category (43%), surpassing cognitive behavioural therapy (CBT; 37%). Among eHealth trials, 71% evaluated internet-delivered CBT. Only eHealth and telehealth showed statistically significant increases in proportional representation over time. Other therapeutic approaches each represented &lt; 7% of treatment arms and showed no significant proportional change. Trial activity remained concentrated in high-income countries (73.4%) and predominantly targeted adult populations, with children and adolescents comprising 17.3% of trials. The findings illustrate a dynamic field that remained active during the COVID-19 crisis, with eHealth emerging as the most frequently investigated therapeutic approach accompanied by substantial growth in telehealth interventions. Despite the overall growth in trial activity, research efforts remained heavily concentrated around CBT-derived interventions, adult populations and high-income country settings.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599814","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":"Emotional Entitlement as a Moderator of the Association Between War-Related Trauma, Executive Functioning and Anxiety","authors":"Merav Papirovitz,&nbsp;Roni Laslo-Roth","doi":"10.1002/cpp.70312","DOIUrl":"10.1002/cpp.70312","url":null,"abstract":"<p>Direct trauma exposure (DTE) affects both emotional and cognitive functioning, yet the mechanisms linking DTE to anxiety remain insufficiently understood. A community sample of 574 adults completed measures of state anxiety, executive function difficulties (EFD) and emotional entitlement following war-related DTE. Results indicated that DTE participants reported higher anxiety and EFD, lower levels of positive and uncompromised entitlement compared to non-exposed participants. EFD was positively associated with anxiety, and DTE was indirectly associated with anxiety through EFD, reflecting an indirect-only mediation pattern. The indirect effect of DTE on anxiety via EFD was significant only at low and average levels of positive and negative entitlement, as higher positive and negative entitlement attenuated the DTE–EFD association. These findings highlight perceived EFD as a key mechanism linking DTE to anxiety and suggest that fostering adaptive forms of emotional entitlement may serve as an important resilience factor to reduce anxiety in the aftermath of trauma.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590723","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 the Prevalence and Key Predictors of Probable Depression Among Parents and Primary Caregivers of Children and Adolescents With Specific Learning Disorders in the Kingdom of Saudi Arabia: A Cross-Sectional Explainable Machine-Learning Study","authors":"Abdullah Ahmed Almulla,&nbsp;Mohamad Ahmad Saleem Khasawneh","doi":"10.1002/cpp.70310","DOIUrl":"10.1002/cpp.70310","url":null,"abstract":"<div>\u0000 \u0000 <p>This study estimated the prevalence of probable depression among parents and primary caregivers of children and adolescents with specific learning disorders (SLDs) in Saudi Arabia and developed explainable machine-learning models for screening-oriented classification. In this multicentre cross-sectional study, 612 caregivers were recruited through clinical, psychoeducational, educational and community pathways. Children had formally documented SLD diagnoses established through qualified clinical, psychoeducational, school psychology or multidisciplinary services. Probable depression was defined as a Patient Health Questionnaire-9 score of 10 or higher. Forty-seven candidate predictors covered parent, child, family, psychosocial, socio-economic, stigma-related and service-access domains. Elastic-net logistic regression, random forest, XGBoost, LightGBM and a soft-voting ensemble were evaluated using stratified 10-fold cross-validation. Probable depression was identified in 218 participants (35.6%; 95% CI 31.8–39.6). XGBoost and the soft-voting ensemble achieved the highest ROC AUC (0.916); XGBoost yielded an average precision (AP) of 0.867 and a Brier score of 0.115. At a screening-oriented threshold of 0.425, XGBoost achieved sensitivity of 0.858, specificity of 0.830 and negative predictive value of 0.913. SHAP analyses identified parenting stress, parental anxiety symptoms, sleep quality, SLD severity, child emotional and behavioural difficulties, perceived social support and coping capacity as the most influential predictive features. Probable depression was common in this service- and community-recruited sample. Explainable models may support family-centred identification and referral, but external evaluation is required before implementation.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577266","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":"Disturbances in Self-Organization and Dissociation in the Therapeutic Field: Affective Responses and Relational Disconnection","authors":"Andrea Scalabrini,&nbsp;Rosy Esposito,&nbsp;Clara Mucci,&nbsp;Lorenzo Lucherini Angeletti,&nbsp;Sara Masoumi,&nbsp;Marco Cavicchioli","doi":"10.1002/cpp.70309","DOIUrl":"10.1002/cpp.70309","url":null,"abstract":"<p>This study examined therapists' assessments of post-traumatic stress disorder (PTSD) symptoms and disturbances in self-organization (DSO), the additional symptom cluster that distinguishes complex PTSD (CPTSD) from PTSD in ICD-11. We investigated how these dimensions, together with patient dissociation, shape therapists' affective responses and in-session disconnection, considering both patient (CADS; observer rated) and therapist (DES; trait) dissociation. Therapists (<i>N</i> = 60) completed measures referring to one selected patient. Measures included PTSD and DSO symptoms, personality organization, self-concept clarity, adverse childhood experiences, interoceptive awareness, patient dissociation, therapist affective responses, therapist dissociation and therapist in-session disconnection. Correlational analyses, MANOVA and hierarchical regressions were conducted. DSO and PTSD showed distinct profiles of functioning. DSO was associated with broader structural vulnerabilities, including impaired personality organization, adverse childhood experiences, reduced interoceptive awareness and higher dissociation, whereas PTSD was primarily associated with reduced self-concept clarity. DSO predicted therapists' feelings of helplessness, whereas patient dissociation predicted overwhelmed/disorganized responses and reduced positive engagement. Patient dissociation and therapist dissociation independently predicted therapists' experiences of in-session disconnection, while their interaction was not significant. Findings highlight distinct relational correlates of DSO and PTSD and identify dissociation as a central mechanism of therapeutic disconnection. Dissociation operates as a shared field phenomenon, with clinical implications for monitoring and addressing in-session relational ‘drifts’.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13381580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520112","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":"Does Cognitive Bias Modification for Appraisals Change Symptom-Cognition Relations in PTSD? Preliminary Evidence from Network Analysis in a Randomized Controlled Trial","authors":"Pascal Schlechter,&nbsp;Thole H. Hoppen,&nbsp;Simon E. Blackwell,&nbsp;Marcella L. Woud","doi":"10.1002/cpp.70308","DOIUrl":"https://doi.org/10.1002/cpp.70308","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Post-traumatic stress disorder (PTSD) is maintained by dysfunctional trauma-related appraisals. Cognitive Bias Modification for Appraisals (CBM-APP) aims to train more functional trauma-related appraisals and has been shown to reduce PTSD symptoms. However, little is known about how this training affects the interrelations among symptoms and cognitive appraisals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this secondary analysis of a randomized controlled trial involving 77 adult patients diagnosed with PTSD (CBM-APP: <i>n</i> = 37; control training: <i>n</i> = 40), we applied repeated cross-sectional network analysis to examine changes in the structure and centrality of associations among PTSD symptom clusters (re-experiencing, avoidance, negative cognition and mood, hyperarousal, assessed with the PTSD Checklist for DSM-5) and trauma-related cognitive measures, all assessed at both pre- and post-training. To capture multiple levels of cognitive processing, we included responses during a scenario task (reflective, idiosyncratic, spontaneous appraisals) and the Implicit Association Test (automatic self-associations). Four cross-sectional Gaussian Graphical Models were estimated for the training and control group and both timepoints (pre-/post-training × CBM-APP vs. control group).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While overall network connectivity did not differ significantly across networks, descriptive patterns indicated that <i>Alterations in Cognition and Mood</i> emerged as the most central node in both groups at post-training assessment. Further, in the CBM-APP group, the centrality of implicit trauma-related associations decreased pre- to post-training, suggesting potential weaker associations of automatic negative self-associations with symptom activation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Given the small sample and moderate network stability, findings are preliminary but suggest that CBM-APP may influence the relational structure of PTSD symptoms and cognitions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467129","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":"Interpersonal Problems as Mediators of the Association Between Personality Disorders and Mental Health","authors":"L. Macía,&nbsp;G. Aonso-Diego,&nbsp;A. Estévez,&nbsp;C. Mirapeix","doi":"10.1002/cpp.70307","DOIUrl":"https://doi.org/10.1002/cpp.70307","url":null,"abstract":"<p>Impairments in interpersonal functioning are a core transdiagnostic feature of personality disorders (PDs). While interpersonal problems are known to worsen clinical outcomes, their mediating role between PDs and mental health requires further empirical examination. The study aims were: (1) to analyse gender differences in PDs, mental health and interpersonal problems; (2) to study the correlations between study variables; and (3) to examine the mediating role of interpersonal problems in the relationship between PDs and global mental health. The final sample comprised 291 participants (<i>M</i>_age = 38.30, SD = 13.80; 66.3% women) from a clinical population who completed the International Personality Disorder Examination (IPDE), the Inventory of Interpersonal Problems (IIP-32) and the Symptom Checklist (SCL-90). Women scored higher on the self-sacrificing dimension (<i>p</i> = 0.023), and a significant gender difference was also found for narcissistic personality disorder, with men scoring slightly higher than women (<i>p</i> = 0.048). Higher scores on PDs and greater interpersonal difficulties were strongly associated with mental health problems (<i>ρ</i>-values between 0.467 and 0.571). Finally, interpersonal problems mediated the association between personality cluster scores and mental health problems. Interpersonal problems, PDs and mental health symptoms form an interlinked pattern of psychological distress. Consequently, therapeutic interventions for PDs must prioritize the modification of maladaptive relational styles with the aim of preventing or mitigating co-occurring mental health problems.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467385","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}