Clinical psychology & psychotherapy最新文献

{"title":"Trauma-Related Symptom Improvement in Multimodal Triphasic Trauma Therapy: Findings From a Community-Based Study","authors":"George A. Langdon,&nbsp;Cassandra R. W. Harmsen,&nbsp;Kristina Cordeiro,&nbsp;Anna Baranowsky,&nbsp;Robert T. Muller","doi":"10.1002/cpp.70055","DOIUrl":"https://doi.org/10.1002/cpp.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This single-arm effectiveness study explored changes in trauma-related symptoms—including dissociation, depression, anxiety, sexual issues and sleep disturbances—throughout a multimodal, phased trauma intervention, to explore treatment response in real-world settings with varied populations and complex clinical presentations, as well as varied degrees of clinician experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Symptom change was assessed among participants undergoing a triphasic trauma therapy called trauma practice. Data were collected at five time points: pretreatment (<i>n</i> = 41), Phase 1 (<i>n</i> = 37), Phase 2 (<i>n</i> = 25), Phase 3 (<i>n</i> = 20) and follow-up (<i>n</i> = 16). Participants completed self-report measures at the start of therapy, after each therapy phase and 6 months post treatment. The average age of participants was 37.6 years (SD = 12.5). Approximately 63.8% identified as female, 55% were born in Canada and 47.5% identified as Caucasian.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings revealed statistically and clinically significant reductions in symptoms across all measured domains. On average, participants transitioned from clinically elevated levels of dissociation, anxiety, depression, sexual difficulties and sleep disturbances at baseline to non-clinical levels by the end of therapy. Moderate to large effect sizes, clinically significant reliable change indices and sustained treatment gains were demonstrated at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These results suggest that trauma practice holds promise as an effective intervention for trauma in community clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582040","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":"Mindfulness in U.S. Military Veterans: Prevalence, Correlates, and Functional Significance","authors":"Hun Kang,&nbsp;Ian C. Fischer,&nbsp;Peter J. Na,&nbsp;Robert H. Pietrzak","doi":"10.1002/cpp.70059","DOIUrl":"https://doi.org/10.1002/cpp.70059","url":null,"abstract":"<div>\u0000 \u0000 <p>While there is a growing body of literature on mindfulness and mindfulness-based interventions in veteran population, less is known about who might benefit from these interventions. In this study, we analysed data from a nationally representative sample of 4069 U.S. military veterans to examine levels and prevalence of mindfulness; identify and quantify key correlates of mindfulness; explore interactions of positive and negative correlates of mindfulness; and evaluate associations between mindfulness and functioning measures. Overall, veterans reported average mindfulness scores—measured with an abbreviated 3-item version of the Mindful Attention Awareness Scale—of 5.02 out of 6, with 68.6% reporting a high level of mindfulness (i.e., scores of 5 and above). Results of multiple linear regression and relative importance analyses revealed that lower dysphoric arousal was the strongest correlate of mindfulness, followed by fewer somatic symptoms, higher levels of grit, and lower levels of current major depressive disorder and generalised anxiety disorder symptoms. Additionally, interaction analyses of negative and positive correlates showed that secure attachment and received social support moderated the associations between somatic symptoms and mindfulness. Lastly, mindfulness scores were independently and positively associated with mental, cognitive and psychosocial functioning, adjusting for covariates. This study provides a comprehensive and up-to-date examination of mindfulness in a nationally representative sample of U.S. military veterans and highlights key characteristics and functioning outcomes linked to mindfulness. Further research may develop and evaluate MBIs that specifically target individuals with dysphoric arousal and somatic symptoms or leverage protective psychosocial characteristics such as grit.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581658","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 ‘A Brief Cognitive Analytic Therapy-Informed Approach for Young People That Have Self-Injured (CATCH-Y): A Case Series’","authors":"","doi":"10.1002/cpp.70054","DOIUrl":"https://doi.org/10.1002/cpp.70054","url":null,"abstract":"<p>\u0000 <span>Haw, R.</span>, <span>Marsden, M.</span>, <span>Hartley, S.</span>, <span>Turpin, C.</span> and <span>Taylor, P.</span> <span>2024</span>. “ <span>A Brief Cognitive Analytic Therapy–Informed Approach for Young People That Have Self-Injured (CATCH-Y): A Case Series</span>.” <i>Clinical Psychology and Psychotherapy</i> <span>31</span>: e2976. https://doi.org/10.1002/cpp.2976.\u0000 </p><p>In the abstract under the ‘Results’ section it reads as follows:</p><p>‘Measures showed preliminary support for positive change in rates of NSSI, urges to self-harm, low mood and personal recovery, although results were mixed.’</p><p>This is an error and this sentence should read as follows:</p><p>‘Measures showed preliminary support for positive change in rates of low mood and personal recovery, although results were mixed.’</p><p>We apologise for this error.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565052","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":"Assessing Parent–Infant Bonding in a Community Perinatal Mental Health Service","authors":"Grace Baptie,&nbsp;Karen Yirmiya,&nbsp;Camilla Rosan,&nbsp;Cathy Coombs,&nbsp;Kim Alyousefi-van Dijk","doi":"10.1002/cpp.70036","DOIUrl":"https://doi.org/10.1002/cpp.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Perinatal mental health (PMH) services support the mental health needs of women and birthing people in pregnancy and postnatal, alongside the developing relationship between parent and infant. Mental health symptoms in PMH services are routinely screened for, yet there are inconsistencies in whether parent–infant bond is assessed and how. The aim of this study is to assess the predictive validity of screening for parent–infant bonding difficulties (Postpartum Bonding Questionnaire (PBQ)) and psychopathology (CORE-10) to predict patient outcomes at discharge from a PMH service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Secondary analysis of clinical data from a PMH service in Birmingham, United Kingdom, encompassed 948 patient records. A structural equation model was constructed on patient data containing PBQ and CORE-10 scores recorded at initial assessment and discharge from the service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis revealed a significant decrease in bonding difficulties and psychopathology scores from initial assessment to discharge from the service. The predictive model showed CORE-10 scores at discharge were predicted by both initial CORE-10 and PBQ scores, whereas PBQ scores at discharge were predicted solely by initial PBQ scores. Demographic factors including age, parity and ethnicity did not present any direct association with psychopathology or bonding difficulties at either timepoint.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This analysis provides evidence of a pathway between early parent–infant bond and later psychopathology symptoms, which exists independently from the pathway between psychopathology symptoms at intake and discharge alone. These findings support embedding self-report assessments of parent–infant bond, in addition to measures of psychopathology, to better predict patient outcomes at discharge from a PMH service.</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.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554468","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":"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}