Clinical psychology & psychotherapy最新文献

{"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}

{"title":"Use of Solution-Focused Brief Therapy Within Adult Community Mental Health: A Scoping Review","authors":"Michele Orr,&nbsp;Sharlette Ryder,&nbsp;Julie Considine","doi":"10.1002/cpp.70255","DOIUrl":"10.1002/cpp.70255","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Solution-focused brief therapy is a growing practice within adult community mental health that focuses on enhancing the person's sense of hope in achieving their desired outcome. The aim of this scoping review was to better understand the breadth of empirical literature related to the use of solution-focused brief therapy in community adult mental health practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>We conducted a scoping review according to PRISMA-ScR guidelines. PsychINFO, MEDLINE and CINAHL were searched on 3rd February 2025. Original research papers focusing on adults receiving solution-focused brief therapy in a community mental health context that were published in English were included. Studies in emergency departments, general practice, or inpatient mental health units were excluded. The following characteristics of each study were extracted: author(s), year, design, country, aims, population, intervention tested, outcomes measured and major findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After removal of duplicates, the search returned 1468 citations. Of these, 20 studies were identified. Study designs included randomised trials, quasi-experimental studies, observational studies and qualitative narrative analysis. All studies demonstrated the effectiveness of the use of solution-focused brief therapy within adult community mental health settings, achieving positive health outcomes. In some randomised trials, a more rapid or more effective response was found when compared with other interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This scoping review mapped the empirical evidence available for the use of solution-focused brief therapy in adult community mental health settings. A small number of empirical investigations were identified overall. Solution-focused brief therapy was associated with positive outcomes across various domains including psychiatric symptoms and improving psychosocial functioning. More empirical research focusing on process, comparative studies and broader populations within adult community mental health would strengthen the evidence base and generalisability of solution-focused brief therapy.</p>\u0000 </section>\u0000 </div>","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/PMC12996440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472378","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":"Attachment Concepts and Suicidal Thoughts and Behaviours in Adolescents: A Systematic Review and Meta-Analysis","authors":"Xingyu Wang,&nbsp;Daniel Pratt,&nbsp;Qinyi Zhong,&nbsp;Katherine Berry","doi":"10.1002/cpp.70251","DOIUrl":"10.1002/cpp.70251","url":null,"abstract":"<p>This review provided a meta-analysis, narrative synthesis and quality appraisal of quantitative studies examining associations between adolescent attachment concepts and suicidal ideation and suicide attempts among adolescents. A systematic search of PsycINFO, PubMed, EMBASE, Web of Science and CINAHL was undertaken. Studies on attachment and suicidal ideation or attempts in adolescents aged 10–24 years were included. Fifty-four studies met inclusion criteria. Subgroup meta-analyses showed small associations with suicidal ideation for attachment security (<i>r</i> = −0.161) and attachment anxiety (<i>r</i> = 0.198). Avoidance was not significantly associated with ideation (<i>r</i> = 0.061). Narrative synthesis suggested a weak link between attachment anxiety and suicide attempts, while the association with avoidance remained uncertain. Lower attachment quality, lower parental care and higher parental overprotection were associated with both ideation and attempts. Heterogeneity was high across most subgroups, and potential publication bias was detected for the parental overprotection group, warranting caution in interpretation. Findings also suggested mediating roles for interpersonal and emotional difficulties and moderating roles for social support and environmental sensitivity. These findings align with adult models of suicidal thoughts and behaviour, suggesting they can be extended to adolescents. Based on these findings, clinical implications could include enhancing attachment security, improving emotional management, addressing difficulties in developing relationships with others, providing support for adolescents experiencing low social support and fostering positive family and school environments. Future research should evaluate these interventions using randomised controlled trials with sufficient samples to examine mediators and moderators of change.</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/PMC12995856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147472372","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 Interventions for Substance Use Disorder: A Systematic Review of Therapeutic Approaches and Their Clinical Effectiveness","authors":"Joaquín Mateu-Mollá,&nbsp;Javier Mesas-Fernández,&nbsp;Víctor José Villanueva-Blasco","doi":"10.1002/cpp.70253","DOIUrl":"10.1002/cpp.70253","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychosocial interventions are a core component of substance use disorder (SUD) treatment, yet recent evidence remains fragmented across substances, delivery formats and clinical contexts. The objective was to identify the most effective psychosocial intervention strategies for the treatment of SUD, considering different substances and delivery formats (face-to-face/digital/hybrid).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A PRISMA-guided systematic review was conducted and registered in PROSPERO (CRD42024600203). Searches were performed in Web of Science, PubMed/MEDLINE and Scopus (19 November–18 December 2025), including peer-reviewed RCTs published in English or Spanish (2021–2025) and excluding samples &lt; 18 years. Methodological quality was assessed using the PEDro scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 843,112 articles, 64 randomized controlled trials were included. Cognitive behavioural therapy (CBT) and multicomponent approaches showed the most consistent support, particularly for alcohol and tobacco, while contingency management emerged as especially effective for engagement/retention and short-term abstinence, notably in cannabis and stimulants. Third-wave approaches (e.g., mindfulness) showed benefits for specific outcomes (e.g., craving, emotion regulation, stress tolerance), but with heterogeneous effects that depend on clinical and implementation factors. Accordingly, their use requires screening, monitoring and tailoring, and may not be advisable or potentially contraindicated for certain clinical profiles or in high-complexity contexts. Technology-assisted interventions appeared promising for expanding access and continuity, though impact depended on adherence and clinical integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Evidence supports psychosocial interventions as essential for SUD care, with effectiveness varying by substance, format and context. When indicated, combined psychosocial and pharmacological care improves stabilization and maintenance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147462757","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":"Cognitive Therapy vs. Short-Term Dynamic Psychotherapy in a Community Mental Health Setting: A Preliminary Analysis of Effects in Several Severity Domains","authors":"Mary Beth Connolly Gibbons,&nbsp;Nic Kodkany,&nbsp;Yaz Liow,&nbsp;Paul Crits-Christoph","doi":"10.1002/cpp.70254","DOIUrl":"10.1002/cpp.70254","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate the effectiveness of cognitive therapy (CT) and short-term dynamic psychotherapy (STDP) among patients with greater severity, defined in several ways, in a community mental health setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using data from a randomized noninferiority trial, we examined five baseline severity variables as potential moderators of treatment effects: depressive symptoms, interpersonal problems, mental functioning, physical functioning and quality of life. The outcome was a change in depressive symptoms over the course of up to 5 months of treatment. Linear mixed-effects models were implemented to compare slopes of change over time. We hypothesized that CT would be superior to STDP for those with severe depressive symptoms, severe mental and physical functioning and severely impaired quality of life, but STDP would be superior to CT for those with severe interpersonal problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was no evidence of superiority within any of the five severity domains.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings inform the comparative effectiveness of CT and STDP among patients with greater severity and extend prior work by incorporating interpersonal, functioning and quality of life severity indicators.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147462745","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":"Clinical Correlates of Compliance, Appeasement and Resistance in Command Hallucinations: A Systematic Review","authors":"M. Medas,&nbsp;A. Georgiades","doi":"10.1002/cpp.70246","DOIUrl":"10.1002/cpp.70246","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Command hallucinations (CHs) are a subtype of auditory hallucination commonly observed in psychosis and are strongly associated with harmful behaviours towards the self and others. Despite their clinical relevance, no review has synthesised the clinical variables associated with compliance, appeasement and resistance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic review was conducted to synthesise the existing evidence regarding the clinical correlates of compliance, appeasement and resistance to CHs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-six studies were eligible for inclusion. Compliance was associated with <i>cognitive factors</i> (benevolence, omnipotence and omniscience beliefs, perceived consequences of disobedience, perceptions of future compliance and greater attentive awareness), <i>relational factors</i> (social rank, voice identity and voice familiarity), <i>emotional drivers</i> (anger and obligation), <i>behaviours</i> (impulsivity and social isolation), <i>childhood trauma</i>, <i>substance use</i> and <i>overall symptom severity</i>. Appeasement was associated with <i>cognitive factors</i> (perceived dangerousness) and <i>behaviours</i> (avoiding provocation, obeying milder commands or self-harm to protect others). Resistance was associated with <i>cognitive factors</i> (malevolence and omnipotence beliefs, perceived control over the voice and concurrent suicidal ideation) and <i>voice topography factors</i> (high intrusiveness/frequency/volume and low authoritativeness), alongside <i>childhood trauma factors</i> (interpersonal adversities and fearful attachment).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlight the need for clinical formulations of CHs to attend closely to the factors driving compliance and appeasement, given their strong association with risk. Targeting the cognitive, relational, emotional, behavioural and developmental influences that sustain these responses—and strengthening resistance-promoting factors—may enhance cognitive behavioural therapy for psychosis (CBTp). To support clinical practice, this review also provides Socratic questions to guide the assessment, formulation and intervention of CHs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456174","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 the Relationship Between Post-Traumatic Stress and Post-Traumatic Growth and the Mediating Role of Resilience","authors":"Eirini Orovou,&nbsp;Maria Tzitiridou-Chatzopoulou,&nbsp;Nikolaos Rigas,&nbsp;Antigoni Sarantaki","doi":"10.1002/cpp.70249","DOIUrl":"10.1002/cpp.70249","url":null,"abstract":"<p>Post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG) are recognized psychological outcomes of trauma, yet their relationship and role of resilience remain incompletely understood. Resilience, shaped by social and cultural factors, may reduce distress and facilitate growth, making it critical for public mental health strategies. The objective is to systematically map and synthesize evidence on the mediating and moderating role of resilience in the relationship between PTSD and PTG, with attention to social, cultural and contextual determinants relevant to population mental health. A scoping review followed PRISMA-ScR guidelines. PubMed, Scopus, PsycINFO and Google Scholar were searched for English-language studies from 2015 to May 2025. Eligible studies examined PTSD and PTG outcomes related to resilience in trauma-exposed populations. Data were charted on study design, population, measures used, main findings and social and cultural factors. The review identified 14 relevant studies that demonstrated varying relationships between PTSD and PTG. Some studies found a positive linear relationship, where higher PTSD symptoms were linked to increased PTG, provided cognitive processing and resources were available. Other studies revealed a non-linear relationship, with moderate PTSD levels corresponding to the highest PTG, while very low or high symptoms were associated with lower PTG. Resilience consistently showed a positive association with PTG, acting either as a mediator that transforms distress into growth or as a moderator that mitigates the impact of PTSD. Additionally, social support, self-compassion, cognitive reappraisal and hope were found to enhance PTG. Resilience is a key factor shaping trauma outcomes, but its interaction with social determinants warrants further exploration. Strengthening individual and community resilience through social support, equitable access to care and culturally sensitive interventions may enhance recovery and foster growth at the population level. These findings have direct implications for clinical assessment and trauma-focused psychotherapy, highlighting resilience as a modifiable therapeutic target.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442656","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 Mediating Role of Emotion Dysregulation in the Association Between Impulsivity and Severity of Substance Dependence","authors":"Giovanni Mansueto,&nbsp;Sara Palmieri,&nbsp;Ana V. Nikčević,&nbsp;Gabriele Caselli,&nbsp;Marcantonio M. Spada","doi":"10.1002/cpp.70250","DOIUrl":"10.1002/cpp.70250","url":null,"abstract":"<p>Substance use disorders (SUDs) are among the leading causes of morbidity and mortality globally. Identification of aetiological factors related to the severity of substance use can offer targets for therapeutic interventions. Role of impulsivity and emotion dysregulation in SUDs is well established. Based on the evidence that the adverse effects of impulsivity on behavioural and mental health outcomes can be mediated by emotion dysregulation, this study explored the possible mediating role of emotion dysregulation in the association between impulsivity and the severity of substance dependence. One hundred treatment-seeking substance users (monosubstance users and polysubstance users) were enrolled. Impulsivity, emotion dysregulation and severity of substance dependence were assessed using the Barratt Impulsiveness Scale-11, the Difficulties Emotion Regulation Scale and the Severity Dependence Scale, respectively. Correlation, mediation and 95% bias-corrected and accelerated (BCa CI) bootstrapped analyses were run. Emotion dysregulation was found to mediate the association between attention impulsivity (indirect effect [BCa CI]: 0.22 [0.11–0.36]), motor impulsivity (indirect effect [BCa CI]: 0.15 [0.08–0.24]), non-planning impulsivity (indirect effect [BCa CI]: 0.11 [0.04–0.18]) and severity of substance dependence. The direct effect of different facets of impulsivity on dependence severity was not significant after accounting for emotion dysregulation. Impulsivity was found to have a significant indirect effect on the severity of substance use through emotion dysregulation. Among substance users, emotion dysregulation may be involved in the association between impulsivity and severity of substance dependence. Emotion dysregulation could be considered a possible therapeutic target to reduce the severity of substance dependence among substance users with impulsive tendencies.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389456","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":"Mother–Child Relationship Quality in the Presence of Maternal Mental Disorders: Do Self-Report and Behavioural Observation Differ?","authors":"Anne Jung,&nbsp;Robert Kumsta,&nbsp;Babette Renneberg,&nbsp;Silvia Schneider,&nbsp;Nina Heinrichs","doi":"10.1002/cpp.70227","DOIUrl":"10.1002/cpp.70227","url":null,"abstract":"<p>Mental disorders affect not only mothers themselves but also their children and partners. Borderline personality disorder (BPD) in particular is thought to impact the mother–child relationship, but comparisons with mothers with other mental disorders are scarce. Many studies use questionnaires without examining if self-report corresponds to observable behaviour. We assessed the perceived mother–child relationship using the Parenting Relationship Questionnaire and the Child Relationship Behaviour Inventory in three groups: (1) mothers with BPD, (2) mothers with anxiety and/or depression and (3) mothers without mental disorders with preschool children. Additionally, mother–child interactions during free-play and structured tasks were video-recorded and coded using the Coding Interactive Behaviour system. Compared with mothers without mental disorders, both clinical groups perceived their relationship with the child, their own parenting skills and their children's behaviour as less positive. Mothers with BPD felt less confident and more frustrated than those with anxiety and/or depression. No significant group differences emerged in observed behaviour (e.g., sensitivity, intrusiveness), and correlations between self-report and observation were low. Overall, mothers with BPD face similar challenges as mothers with anxiety or depressive disorders, but they experience particular distress when it comes to relating to and controlling their child's affect. While mothers in both clinical groups are able to foster positive relationships with their children in a controlled laboratory setting, they find it difficult to maintain these skills permanently (e.g., during negative child affect).</p><p><b>Trial Registration:</b> DRKS-ID: DRKS00020460</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12966951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369419","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":"A Randomized Controlled Trial Comparing Two Treatments for Vulnerable and Grandiose Narcissism: Unified Protocol vs. Schema-Focused Therapy","authors":"Banafsheh Mohajerin,&nbsp;Richard Howard,&nbsp;Aaron L. Pincus","doi":"10.1002/cpp.70247","DOIUrl":"10.1002/cpp.70247","url":null,"abstract":"<div>\u0000 \u0000 <p>In this study, we compared the efficacy of schema-focused therapy (SFT) versus the unified protocol (UP) in reducing symptom severity of narcissistic personality disorder (NPD) and its common features. We also compared their ability to reduce grandiose and vulnerable symptoms of NPD. One hundred and fourteen individuals were randomly assigned to these groups. Severity of NPD was significantly reduced to an equivalent degree in both treatment groups across a 12-month follow-up period. SFT group showed significantly greater reduction in measures of narcissistic grandiosity, while UP group showed a significantly greater reduction in narcissistic vulnerability, anger, shame and emotion dysregulation. Patients with a vulnerable presentation showed significantly greater reduction in fear of intimacy and shame severity, while patients with a grandiose presentation showed significantly greater reduction in identity disturbance, anger control and neuroticism. Results suggest that both SFT and UP can play a useful role in mitigating symptoms of NPD.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369324","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}