{"title":"An Impact of Metacognitive Training and Cognitive-Behavioural Therapy on Quality of Life in Psychosis: A Systematic Review","authors":"Adrianna Aleksandrowicz, Łukasz Gawęda, Justyna Piwińska, Martyna Krężołek, Hanna Gelner, Maria Lamarca, Fabrice Berna, Vanessa Acuña, Caroline König, Steffen Moritz, PERMEPSY Group, Susana Ochoa","doi":"10.1002/cpp.70241","DOIUrl":"10.1002/cpp.70241","url":null,"abstract":"<div>\u0000 \u0000 <p>Although metacognitive training (MCT) and cognitive-behavioural therapy (CBT) have been proven to be effective interventions for the treatment of symptoms of schizophrenia, still little is known about the effects on quality of life (QoL). This systematic review compares the effectiveness of MCT and CBT-based interventions for QoL in individuals with schizophrenia spectrum disorders (SSD). Three electronic databases were screened up to October 2025 for MCT and CBT studies reporting QoL outcomes for patients diagnosed with SSD. Data from 38 randomized controlled trials (RCTs) met the inclusion criteria, of which eight MCT and 30 studies included CBT-based interventions. When comparing MCT against control interventions, none of the eight MCT studies found significant differences in the overall score of QoL scales at posttest and at 1- or 6-month follow-up. Only one study has assessed the effects of MCT after 3 years, yet it demonstrated significant improvements in QoL. For CBT-based interventions, nine of 26 available between-group comparisons in overall QoL showed a significant improvement in QoL after CBT at the posttest, and five of 19 effects were observed at follow-up. This review provides modest evidence for improvements in QoL from CBT-based interventions and a small number of studies concerning QoL in MCT, emphasizing the need for further research that prioritizes QoL as a primary outcome as well as the need for research with longer follow-ups to capture the delayed effects of MCT and CBT on QoL. It awaits to be tested whether the recent extension of MCT (app, 2 modules on self-esteem and stigma) augments QoL.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354161","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":"Effectiveness of a Parent-Child Interaction Therapy-Based Trauma-Focused Interaction Module for Trauma-Exposed Children: A Pilot Randomized Controlled Trial.","authors":"Fatmanur Çimen, İsmail Seçer","doi":"10.1002/cpp.70263","DOIUrl":"10.1002/cpp.70263","url":null,"abstract":"<p><strong>Background: </strong>Despite the high prevalence of posttraumatic symptoms in early childhood, there remain significant gaps in clearly defined or widely accepted treatments specifically adapted for young children. This shortcoming highlights the urgent need for developmentally sensitive, evidence-based psychological interventions targeting children who have experienced trauma during early childhood.</p><p><strong>Objective: </strong>This study aimed to develop a Trauma-Focused Interaction module integrated into Parent-Child Interaction Therapy (TFI-PCIT) and to preliminarily evaluate its effectiveness in reducing trauma-related symptoms and behavioural difficulties in traumatized children aged 2-8 years, as well as its impact on parental stress and burnout.</p><p><strong>Method: </strong>A fully integrated mixed-methods randomized controlled design was employed. A total of 19 parent-child dyads were assigned through stratified block randomization to an intervention group (n = 9) or control group (n = 10). The intervention group received the TFI-PCIT module, while the control group received no intervention during the study period. Between-group differences were analysed using linear mixed models, and within-group changes were examined with independent samples t-tests. Postintervention qualitative interviews were conducted to deepen interpretation of outcomes.</p><p><strong>Results: </strong>Compared to controls, children who received TFI-PCIT demonstrated statistically significant reductions in trauma symptoms and behavioural problems. Parents in the intervention group showed significant decreases in parenting stress and burnout. Qualitative findings reinforced quantitative results, indicating improved emotional regulation and strengthened parent-child interactions.</p><p><strong>Conclusion: </strong>These findings provide preliminary evidence that TFI-PCIT may be a promising, developmentally sensitive intervention for young traumatized children and their caregivers.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70263"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653816","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":"Emotion Regulation and Neurocognitive Profiles in Adolescents With Selective Mutism.","authors":"Celal Yesilkaya, Serkan Turan","doi":"10.1002/cpp.70261","DOIUrl":"10.1002/cpp.70261","url":null,"abstract":"<p><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 (p = 0.010), with no differences in total DERS scores. SDQ scores indicated higher inattention/hyperactivity (p < 0.001), alongside significantly higher prosocial behaviour (p < 0.001). Neurocognitive findings revealed intact verbal learning but impaired immediate and delayed recall (p < 0.001), better delayed visual memory (p = 0.001). Children with SM made fewer total errors on Wisconsin Card Sorting Test (p = 0.021) and showed higher foil accuracy on CPT (p = 0.007), but demonstrated significantly poorer Stroop colour-word (p = 0.001) and interference scores (p = 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":"e70261"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","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}
Federica Toppino, Matteo Panero, Matteo Martini, Paola Longo, Laura Amodeo, Lisa Vennettillo, Giovanni Abbate-Daga
{"title":"Exploring the Interplay Between Intolerance of Uncertainty, Resilience and Psychopathological Correlates in Anorexia Nervosa","authors":"Federica Toppino, Matteo Panero, Matteo Martini, Paola Longo, Laura Amodeo, Lisa Vennettillo, Giovanni Abbate-Daga","doi":"10.1002/cpp.70248","DOIUrl":"10.1002/cpp.70248","url":null,"abstract":"<div>\u0000 \u0000 <p>Intolerance of uncertainty (IU) and resilience are two psychological constructs that can influence the onset, maintenance and prognosis of individuals with anorexia nervosa (AN). Existing literature in various contexts suggests that resilience is inversely associated with IU and may mediate the relationship between IU and affective symptoms. This study aimed to explore the interplay between these variables in AN by comparing a group of affected individuals with healthy controls (HCs). The cross-sectional study included 108 patients with AN accessing a specialized eating disorders centre and 121 HCs. Participants completed questionnaires measuring IU, resilience, eating and body-related psychopathology and anxious and depressive symptoms. The groups were compared with non-parametric tests, although correlation and bootstrapped mediation analyses were used to analyse the relationships among variables. Individuals with AN showed higher IU and lower resilience compared to HCs. IU scores positively correlated with all psychopathology measures across both groups and were negatively associated with resilience; resilience negatively correlated with anxiety and depression in both groups and with eating psychopathology only in the control group. Resilience partially mediated the relationship between IU and anxiety/depression in both groups. This study paves the way for a line of research focused on these psychological constructs in AN: Enhancing resilience resources in therapeutic settings may help address the emotional burden associated with high levels of IU, particularly regarding non-ED symptoms.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Co-Dependency Revisited: An Integrative Review of Conceptualisations and Mental Health Outcomes.","authors":"Elena Molina, Abigail Taiwo, Ben Grey","doi":"10.1002/cpp.70265","DOIUrl":"10.1002/cpp.70265","url":null,"abstract":"<p><p>Co-dependency is a contested construct, applied to a broad range of relational difficulties. Despite its relevance, the term remains conceptually fragmented. This limits research development and clinical recognition, hindering the creation of effective interventions. An integrative systematic review is therefore needed to consolidate recent evidence and clarify its clinical significance, aiming to synthesise conceptualisations and mental health outcomes. Following PRISMA 2020 guidelines and PROSPERO registration (CRD42024575573), Scopus, PubMed, ProQuest Central, ProQuest Dissertations & Theses Global, EBSCO, PsycINFO and PsycARTICLES were searched in September 2024 for peer-reviewed studies published between 2013 and 2024. Eligible studies addressed co-dependency's conceptualisation and/or mental health outcomes in adults. Risk of bias was assessed using MMAT and JBI for textual evidence. Thirty studies met inclusion criteria (14 quantitative, 9 qualitative and 7 theoretical). Narrative synthesis identified six conceptual perspectives: sociocultural, relational, addiction/pathology-based, developmental, psychoanalytic and cognitive-personality. Co-dependency was consistently associated with emotional distress, disrupted identity and impaired relational functioning. Two integrative frameworks are proposed: one mapping intrapersonal and interpersonal contributors to co-dependency, and one illustrating a perpetuating model of mental health outcomes. Limitations include limited cultural generalisability and the exclusion of studies addressing adjacent constructs. Strengths include methodological diversity, transparent quality appraisal and the generation of clinically relevant models. Findings support a shift towards relationally and developmentally informed understandings of co-dependency.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70265"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to 'Psychotherapists' Perspectives and Support Needs in Treating Patients With Disabilities: Results From an Online Survey'.","authors":"","doi":"10.1002/cpp.70272","DOIUrl":"10.1002/cpp.70272","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70272"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariarca Ascione, Marta Carulla-Roig, Franck-Alexandre Meschberger-Annweiler, Eduardo Serrano-Troncoso, Anna Blasco-Martínez, Fernando Guerrero-Álvarez, Helena Miquel-Nabau, María Teresa Mendoza-Medialdea, Bruno Porras-Garcia, Marta Ferrer-Garcia, Manuel Moreno-Sánchez, José Gutierrez-Maldonado
{"title":"Virtual Reality Body Exposure and Attentional Bias Modification in the Treatment of Adolescents With Anorexia Nervosa.","authors":"Mariarca Ascione, Marta Carulla-Roig, Franck-Alexandre Meschberger-Annweiler, Eduardo Serrano-Troncoso, Anna Blasco-Martínez, Fernando Guerrero-Álvarez, Helena Miquel-Nabau, María Teresa Mendoza-Medialdea, Bruno Porras-Garcia, Marta Ferrer-Garcia, Manuel Moreno-Sánchez, José Gutierrez-Maldonado","doi":"10.1002/cpp.70273","DOIUrl":"10.1002/cpp.70273","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is a severe psychiatric disorder characterized by intense fear of gaining weight and persistent body image disturbance. Virtual reality-based mirror exposure therapy (VR-MET) may reduce body-related fear through embodied exposure, while attentional bias modification training (ABMT) may enhance exposure learning by promoting balanced attentional allocation. This controlled clinical study tested the hypothesis that adjunctive VR-MET would improve clinical outcomes beyond treatment as usual (TAU) alone, and that preceding VR-MET with ABMT would produce additional benefits in adolescent females with AN. Seventy-five female adolescents with AN were allocated to TAU, TAU+VR-MET or TAU+ABMT+VR-MET. Assessments were conducted pre- and post-intervention. Outcomes included eye-tracking indices of attentional bias (number of fixations, complete fixation time), state anxiety and fear of gaining weight, BMI and eating disorder-related measures. Compared with TAU alone, both VR-based conditions showed greater reductions in state anxiety and fear of gaining weight. State body dissatisfaction decreased significantly only in the TAU+VR-MET group. No significant changes were observed for BMI or most trait-level eating disorder measures. ABMT did not enhance clinical outcomes beyond VR-MET. Within the short-term assessment window, adjunctive VR-MET was associated with reductions in state-dependent emotional responses in adolescents with AN. Effects on trait-level symptoms were limited, and ABMT did not confer additional benefit in this unselected sample. Fully randomized studies with larger samples, extended exposure protocols, and follow-up assessments are needed to determine durability and broader clinical impact.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70273"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alícia Colomer-Salvans, Clara Serra-Arumí, Regina Vila-Badia, Ariadna Corbella-Sotil, Manuel Abella, Elena Rubio-Abadal, Raquel Leal-Pujol, Montserrat Dolz, Tatiana Bustos-Cardona, Júlia Rolduà-Ros, Núria Del Cacho, Anna Butjosa, Judith Usall
{"title":"Stressful Life Events and Suicidality in First-Episode Psychosis.","authors":"Alícia Colomer-Salvans, Clara Serra-Arumí, Regina Vila-Badia, Ariadna Corbella-Sotil, Manuel Abella, Elena Rubio-Abadal, Raquel Leal-Pujol, Montserrat Dolz, Tatiana Bustos-Cardona, Júlia Rolduà-Ros, Núria Del Cacho, Anna Butjosa, Judith Usall","doi":"10.1002/cpp.70278","DOIUrl":"https://doi.org/10.1002/cpp.70278","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the association between lifetime cumulative and domain-specific stressful life events (SLEs) and suicidality in individuals with first-episode psychosis (FEP), while accounting for sociodemographic, clinical and psychosocial characteristics.</p><p><strong>Methods: </strong>A descriptive, cross-sectional study was conducted with 97 individuals with FEP (34 females, 63 males) aged 13-51 years from the PROFEP study in Barcelona, Spain. SLEs were assessed with the Questionnaire of Stressful Life Events (QSLE) and suicidality with the Plutchik Scale of Suicide Risk (RS). Multivariate regression models examined associations between SLEs and suicidality, adjusting for sociodemographic, clinical and psychosocial characteristics.</p><p><strong>Results: </strong>Higher cumulative SLEs were associated with increased suicide risk and with suicide attempts (p = 0.020; p = 0.029, OR = 1.125). Partner- and legal-related SLEs were linked to greater suicide risk (p = 0.022; p = 0.035), whereas educational and family SLEs were linked to suicide attempts (p = 0.034, OR = 2.350; p = 0.004, OR = 2.065). SLEs were not associated with suicidal ideation. Suicide risk was associated with depression and increased perceived stress (both p = < 0.001), suicidal ideation with higher perceived stress and younger age (p = 0.005, OR = 1.107; p = 0.043, OR = 0.935) and suicide attempts with depression and male sex (p = 0.002, OR = 12.493; p = 0.029, OR = 0.075).</p><p><strong>Conclusion: </strong>Cumulative and domain-specific SLEs, particularly interpersonal, educational and legal events, play a significant role in suicide risk and suicide attempts in FEP. Perceived stress, depression and sociodemographic factors are also associated with suicidality in this population. These findings highlight the importance of screening for SLEs and suicidality and implementing stress-management interventions.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70278"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M S Panasiti, A Mancini, I Parisi, I Gualtieri, S M Aglioti, F Mancini
{"title":"Deontological Guilt Differentially Affects Moral Behaviour in Participants With and Without Obsessive-Compulsive Disorder (OCD).","authors":"M S Panasiti, A Mancini, I Parisi, I Gualtieri, S M Aglioti, F Mancini","doi":"10.1002/cpp.70252","DOIUrl":"10.1002/cpp.70252","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is characterised by a dysfunctional sensitivity to a sense of guilt that significantly interferes with everyday functioning and is believed to be a key mechanism in symptom maintenance. Mounting evidence indicates that individuals with OCD are particularly sensitive to deontological guilt, which stems from the perception of violating an internalised rule, as opposed to altruistic guilt, which arises from the feeling of having harmed others. Here, we assess the impact of deontological vs. altruistic guilt on moral behaviour in participants with OCD. Twenty participants with OCD and 20 gender- and age-matched comparison participants took part in a social game in which they could choose to lie for a personal reward (self-gain lie) or to benefit the other player (other-gain lie). During the game, they were exposed to stimuli designed to evoke one of three emotional states: deontological guilt (DG), altruistic guilt (AG) or a neutral state. Self-report ratings of DG and AG evoked by the stimuli were also recorded. Exposure to stimuli that evoke the anticipation of AG was associated with a decrease in self-gain lies and an increase in altruistic lies in all participants. When individual emotional ratings were taken into account, we found that stronger AG elicited by the stimuli was associated with fewer lies. In contrast, higher DG ratings were associated with a decrease in self-gain lies in controls but with an increase in self-gain lies in OCD participants. Our results support the notion that DG is particularly crucial for OCD participants and reveal that it can be particularly disruptive for them, suggesting that this emotion should be a primary target of psychotherapeutic intervention.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70252"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13032057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Larissa Shiying Qiu, Marcus Lai, Asami Koike, Martin Sellbom, Belinda J Liddell, Laura Jobson
{"title":"Exploring Cultural Influences in the Associations Between Emotion Regulation and Mental Health: A Systematic Review Comparing East Asian and Western Cultural Contexts.","authors":"Larissa Shiying Qiu, Marcus Lai, Asami Koike, Martin Sellbom, Belinda J Liddell, Laura Jobson","doi":"10.1002/cpp.70276","DOIUrl":"10.1002/cpp.70276","url":null,"abstract":"<p><p>Culture shapes how individuals perceive, experience and regulate emotions. Emotion regulation literature, which informs current understandings of emotional disorders, is largely guided by Western frameworks. This review aimed to systematically examine cultural influences on emotion regulation use, and associated mental health outcomes, among individuals from East Asian and Western cultural contexts. The literature search was conducted across five databases in June 2024; the final review included 54 articles. First, findings revealed that East Asian individuals tended to engage more frequently in rumination and avoidance, endorse higher levels of secondary control appraisals (i.e., adjusting oneself to accommodate situational needs) and evaluate the self less favourably than those with Western cultural backgrounds. Second, evidence regarding cultural differences in suppression and reappraisal use was inconclusive. Third, associations between putatively maladaptive regulation strategies (e.g., suppression, avoidance and rumination) and mental health difficulties were less pronounced, absent or at times beneficial among East Asians. Fourth, perceived lack of secondary control was found to have more negative impacts on the mental health of East Asians. Finally, emerging research suggests that the use and effectiveness of emotion regulation strategies need to be considered in relation to individuals' endorsement of specific cultural values. In sum, this review highlights the importance of considering cultural influences on emotional processes, with key implications for clinical practices that target emotion regulation. Future research needs to explore within-strategy nuances (e.g., regulation for specific emotional valence) and strategies that are informed by East Asian cultural values (e.g., acceptance) to advance cross-cultural understanding of emotion regulation.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 2","pages":"e70276"},"PeriodicalIF":2.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13097086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}