Clinical psychology & psychotherapy最新文献

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Predictors and Patterns of Dropout From Psychiatric Treatment Among Trauma-Affected Refugees: A Large Data Pool Analysis 受创伤影响的难民中精神病治疗辍学的预测因素和模式:大型数据池分析。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-10-08 DOI: 10.1002/cpp.3060
Erik Vindbjerg, Hinuga Sandahl, Laura Glahder Lindberg, Henriette Laugesen Attardo, Erik Lykke Mortensen, Jessica Carlsson
{"title":"Predictors and Patterns of Dropout From Psychiatric Treatment Among Trauma-Affected Refugees: A Large Data Pool Analysis","authors":"Erik Vindbjerg,&nbsp;Hinuga Sandahl,&nbsp;Laura Glahder Lindberg,&nbsp;Henriette Laugesen Attardo,&nbsp;Erik Lykke Mortensen,&nbsp;Jessica Carlsson","doi":"10.1002/cpp.3060","DOIUrl":"10.1002/cpp.3060","url":null,"abstract":"<div>\u0000 \u0000 <p>Dropout from mental health treatment is a substantial hindrance to relevant and effective treatment. Despite the high prevalence of PTSD among refugees, research into their treatment dropout has received limited attention. This study aimed to identify patterns and predictors of treatment dropout versus completion through different treatment stages. The sample included 940 patients with a refugee background undergoing outpatient treatment for PTSD in Denmark. All patients were offered 10 medical doctor sessions and 16–20 psychotherapy sessions. Dropout was analysed in three stages: (1) during the first six MD sessions, (2) during the first eight psychotherapy sessions upon completion of Stage 1, and (3) during psychotherapy sessions 9 to 16. A stepwise multiple regression analysis was conducted for each stage to identify predictors of stage-specific dropout. Counter to expectations, both early dropout and full completion were associated with better symptom outcomes, relative to late-treatment dropout. Key predictors varied by stage, with younger age predicting early dropout, whereas chronic pain and poor Danish proficiency predicted late dropout. Female gender and a clearly articulated motivation for active participation were predictors for full treatment completion. Practical advice is suggested to accommodate at-risk patients and to re-evaluate patient engagement after familiarisation with treatment.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388618","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}
引用次数: 0
Assessing Patient Satisfaction With Metacognitive Training (MCT) for Psychosis: A Systematic Review of Randomized Clinical Trials 评估患者对治疗精神病的元认知训练(MCT)的满意度:随机临床试验系统回顾》。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-10-08 DOI: 10.1002/cpp.3065
Vanessa Acuña, Álvaro Cavieres, Marcelo Arancibia, Camila Escobar, Steffen Moritz, Lukasz Gaweda, María Lamarca, Fabrice Berna, Caroline König, Susana Ochoa
{"title":"Assessing Patient Satisfaction With Metacognitive Training (MCT) for Psychosis: A Systematic Review of Randomized Clinical Trials","authors":"Vanessa Acuña,&nbsp;Álvaro Cavieres,&nbsp;Marcelo Arancibia,&nbsp;Camila Escobar,&nbsp;Steffen Moritz,&nbsp;Lukasz Gaweda,&nbsp;María Lamarca,&nbsp;Fabrice Berna,&nbsp;Caroline König,&nbsp;Susana Ochoa","doi":"10.1002/cpp.3065","DOIUrl":"10.1002/cpp.3065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Metacognitive training (MCT) for psychosis is a group intervention that combines cognitive-behavioural therapy and psychoeducation. It has proven efficacy in reducing psychotic symptoms and correcting cognitive biases implicated in the development and maintenance of psychotic symptoms. However, other outcomes, such as patient satisfaction with the intervention, have not been well studied despite their importance for adherence and overall success. A systematic review of randomized clinical trials was conducted to assess satisfaction with MCT among adults with psychotic spectrum disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The search was conducted in Ovid Embase, Ovid MEDLINE, PsycINFO and Cochrane Central Register of Controlled Trials (CENTRAL). PRISMA guidelines and the Cochrane Risk of Bias Tool were followed, and certainty of evidence was ascertained using the Grading of Recommendations Assessment, Development and Evaluation framework. The study is registered with PROSPERO (CRD42023418097).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patient satisfaction was considered the primary outcome in 3 of the 10 studies reviewed. Four studies compared MCT with other psychosocial interventions (a newspaper discussion group, cognitive remediation and supportive therapy), two of which found significantly higher satisfaction with MCT. A high percentage of all patients found MCT comprehensible and considered it an important part of their treatment; they would recommend the training to others and found the group setting advantageous. Most participants expressed high subjective satisfaction or acceptance of MCT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The authors found evidence that MCT may be associated with high levels of satisfaction in clinical trials whose main objective is to assess patient satisfaction, but more research is needed to consolidate the findings, especially for the extended version of MCT.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388616","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}
引用次数: 0
Negative Flashforward Imagery in Adolescent Social Anxiety Disorder: A Pilot Study of Imagery Reports and a Short EMDR Intervention 青少年社交焦虑症中的消极闪回意象:意象报告和短期 EMDR 干预的试点研究。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-10-03 DOI: 10.1002/cpp.3063
Marjolein R. Thunnissen, Peter J. de Jong, Jiska Weijermans, Leonieke J. J. Vet, Marleen M. Rijkeboer, Maaike H. Nauta
{"title":"Negative Flashforward Imagery in Adolescent Social Anxiety Disorder: A Pilot Study of Imagery Reports and a Short EMDR Intervention","authors":"Marjolein R. Thunnissen,&nbsp;Peter J. de Jong,&nbsp;Jiska Weijermans,&nbsp;Leonieke J. J. Vet,&nbsp;Marleen M. Rijkeboer,&nbsp;Maaike H. Nauta","doi":"10.1002/cpp.3063","DOIUrl":"10.1002/cpp.3063","url":null,"abstract":"<p>Psychological treatments for social anxiety disorder (SAD) in adolescents have shown poorer outcomes than for other anxiety disorders. A relevant factor to consider for improving outcomes may be negative imagery. In this pilot study, we examined negative ‘flashforward’ imagery of feared catastrophic outcomes in adolescents with SAD and evaluated the feasibility and preliminary outcomes of a short eye movement desensitization and reprocessing (EMDR) intervention targeting this imagery. We used a case series design with a 1-week baseline period. Outcomes included symptoms of social anxiety and avoidance related to selected social situations and features of associated flashforward imagery as the proposed mechanism of change during the intervention. We found that six out of seven assessed adolescents reported to experience flashforwards and rated image distress, vividness and threat appraisal as high. In these six participants (aged 14–17 years old), the short EMDR flashforward intervention appeared feasible and was followed by a decrease in social anxiety and avoidance in five participants, while no notable changes were observed during the baseline period. Furthermore, we observed a decrease in flashforward imagery features in at least five participants. Nonparametric tests of the overall (group-based) changes during the intervention period partially supported these findings. Limitations include the small sample size and the lack of a control group. Results suggest that vivid and distressing flashforward imagery is a common experience and that targeting flashforwards with EMDR may be beneficial in treating social anxiety in youth. Further experimental research on effects and added value to current treatments is necessary.</p><p><b>Trial Registration:</b> Dutch Clinical Trial Register (National Trial Register [NTR]): NL8974</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371153","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}
引用次数: 0
Dropout From Psychological Interventions for Pathological Health Anxiety: A Three-Level Meta-Analysis of Randomized Controlled Trials 病理性健康焦虑心理干预的辍学率:随机对照试验的三级元分析》。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-10-03 DOI: 10.1002/cpp.3064
Congrong Shi, Ying Wu, Hongrui Wei, Yang Xiao, Xiaohui Lv, Zhihong Ren
{"title":"Dropout From Psychological Interventions for Pathological Health Anxiety: A Three-Level Meta-Analysis of Randomized Controlled Trials","authors":"Congrong Shi,&nbsp;Ying Wu,&nbsp;Hongrui Wei,&nbsp;Yang Xiao,&nbsp;Xiaohui Lv,&nbsp;Zhihong Ren","doi":"10.1002/cpp.3064","DOIUrl":"10.1002/cpp.3064","url":null,"abstract":"<div>\u0000 \u0000 <p>This study aimed to provide the first comprehensive evidence on the prevalence and predictors of dropout in psychological interventions for pathological health anxiety. A database search in Web of Science, EMBASE, PubMed, Scopus, PsycINFO and the Cochrane Central Register of Controlled Trials identified 28 eligible randomized controlled trials (40 intervention conditions; 1783 participants in the intervention condition), published up to 18 June 2024. Three-level meta-analytic results showed a weighted average dropout rate of 9.67% (95% confidence interval [CI] [6.49%, 14.17%]), with dropout equally likely from treatment and control conditions (odds ratio = 1.07, 95% CI [0.80, 1.44]). Moderator analyses indicated no statistically significant effects of study, participant, treatment or therapist characteristics, except for the country of study. These findings suggest that the average dropout rate is relatively low compared with those reported for other mental health conditions and highlight the importance of considering cultural and societal factors when evaluating treatment adherence. Future research should continue to explore the complex and multifaceted factors influencing dropout to improve the design and implementation of psychological interventions for pathological health anxiety.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142374003","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}
引用次数: 0
A Latent Class Analysis on Indicators of Early Prolonged Grief Disorder and Well-Being Among Dutch Adults Bereaved During the First Year of the COVID-19 Pandemic 对 COVID-19 大流行第一年期间失去亲人的荷兰成年人的早期长期悲伤障碍指标和幸福感进行潜类分析》(A Latent Class Analysis on Indicators of Early Prolonged Grief Disorder and Well-Being Among Dutch Adults Bereaved during the First Year of the COVID-19 Pandemic)。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-10-01 DOI: 10.1002/cpp.3054
Lyanne Reitsma, Trudy M. Mooren, Joanne Mouthaan, Marie-José Van Hoof, Simon P. N. Groen, Iris Van Dijk, Annett Lotzin, Paul A. Boelen, Lonneke I. M. Lenferink
{"title":"A Latent Class Analysis on Indicators of Early Prolonged Grief Disorder and Well-Being Among Dutch Adults Bereaved During the First Year of the COVID-19 Pandemic","authors":"Lyanne Reitsma,&nbsp;Trudy M. Mooren,&nbsp;Joanne Mouthaan,&nbsp;Marie-José Van Hoof,&nbsp;Simon P. N. Groen,&nbsp;Iris Van Dijk,&nbsp;Annett Lotzin,&nbsp;Paul A. Boelen,&nbsp;Lonneke I. M. Lenferink","doi":"10.1002/cpp.3054","DOIUrl":"10.1002/cpp.3054","url":null,"abstract":"<p>Most studies examining prolonged grief disorder (PGD) in people bereaved during the COVID-19 pandemic are focused on psychopathology. However, mental health encompasses both absence of psychopathology and presence of well-being. This is the first study examining symptom profiles of early PGD and subjective mental well-being in 266 Dutch adults recently bereaved during the pandemic. Early PGD and well-being indicators were assessed with the Traumatic Grief Inventory–Self Report Plus and the World Health Organization–Five Well-Being Index, respectively. Latent class analysis identified four classes: low PGD/high well-being (32%), low PGD/moderate well-being (24%), moderate PGD/high well-being (23%) and high PGD/low well-being class (21%). People in the poorer mental health classes were more likely to be female, lower educated, suffering from a mental disorder, have a poor health status, closer kinship to the deceased, and higher risk of severe COVID-19. Classifying adults according to symptom profiles of negative and positive outcomes provides a more complete picture of mental health in bereaved people and offers potential intervention targets.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342961","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}
引用次数: 0
Intelligence and Treatment Outcome of Mentalization-Based Treatment in Borderline Personality Disorder 边缘型人格障碍患者的智力和基于心智化治疗的治疗效果。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-10-01 DOI: 10.1002/cpp.3061
Lieke Muskens, Samantha Bouwmeester, Miranda Nooijen, Nathan Bachrach
{"title":"Intelligence and Treatment Outcome of Mentalization-Based Treatment in Borderline Personality Disorder","authors":"Lieke Muskens,&nbsp;Samantha Bouwmeester,&nbsp;Miranda Nooijen,&nbsp;Nathan Bachrach","doi":"10.1002/cpp.3061","DOIUrl":"10.1002/cpp.3061","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Mentalization-based treatment (MBT) is an evidence based treatment for patients diagnosed with borderline personality disorder (BPD). Although MBT is effective, on average, for individuals with BPD, there are large individual differences in treatment outcomes. Research on predictors of the treatment effect of MBT, such as intelligence, is needed to determine which treatment is most effective for which ‘category’ of BPD patients, providing more knowledge about optimal indications.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study aimed to investigate whether intelligence is associated with MBT outcomes in patients with BPD and exploratively studying the difference between two variants of MBT.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods and Procedures&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A pre-post intervention design was used to examine the effects of MBT on BPD severity. Personal and social recovery were measured as secondary outcome measures. The association between intelligence and the degree of recovery was examined.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;No significant correlation was found between intelligence level and treatment efficacy. In addition, a negative correlation between IQ and personal and social recovery was found, indicating that, as IQ increased, the level of recovery decreased. Secondary subanalyses showed the treatment effect of MBT was large and significant in reducing BPD symptoms (Cohen's &lt;i&gt;d&lt;/i&gt; = 1.5) and that there was no significant difference between the 2-day MBT and 3-day MBT programmes in terms of a decrease in BPD severity. However, a significant medium positive correlational relationship was found between intelligence and a decrease in BPD severity level for the 3-day MBT, which was not found for the 2-day MBT programme. This indicates that in the 3-day MBT programme, the higher the IQ, the higher the decrease in BPD severity level.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions and Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study is the first to examine the association between intelligence and the outcome of MBT in BPD patients. It shows that patients with a wide range of intelligence (72–124) can equally benefit from MBT and that effectiveness of MBT was not influenced negatively by lower intelligence. Secondary subanalyses showed that this was particularly evident when the intervention was delivered within the context of a 2-day MBT programme. Nevertheless, further randomized studies are required to ascertain t","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342962","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}
引用次数: 0
Posttraumatic Stress Disorder Symptom Clusters, Exposure to Potentially Morally Injurious Events, and Aggression Among Army Veterans 退伍军人中的创伤后应激障碍症状群、暴露于潜在道德伤害事件和攻击行为。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-09-23 DOI: 10.1002/cpp.3056
David Potik, Tomer Einat, Yael Idisis
{"title":"Posttraumatic Stress Disorder Symptom Clusters, Exposure to Potentially Morally Injurious Events, and Aggression Among Army Veterans","authors":"David Potik,&nbsp;Tomer Einat,&nbsp;Yael Idisis","doi":"10.1002/cpp.3056","DOIUrl":"10.1002/cpp.3056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Very few studies have examined the association between posttraumatic stress disorder (PTSD) symptom clusters and aggression since the change in PTSD diagnosis criteria a decade ago. Furthermore, these studies have used measures based on PTSD criteria of the DSM-IV. The current study therefore examines the association between PTSD symptom clusters, exposure to potentially morally injurious events (PMIEs), and various types of aggression following the change in PTSD criteria and in accordance with the criteria of the DSM-5-TR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A sample of 167 Israeli combat veterans completed validated self-report questionnaires tapping PTSD symptoms, exposure to PMIEs, and aggression levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our analysis revealed a significant positive relationship between the number of court-martials, betrayal-based PMIEs, all PTSD symptom clusters, and aggression. We also found that the arousal cluster, as well as the number of court-martials and age, predicted aggression, whereas the re-experiencing cluster predicted lower aggression levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Besides an updated understanding of the association between all PTSD symptom clusters and various forms of aggression, these findings emphasize the importance of targeting arousal symptoms and especially anger in treatment of veterans with PTSD symptoms and those who report experiences of betrayal. The findings also suggest clinicians to consider arousal symptoms, age, and history of court-martials when conducting either clinical or actuarial risk assessments of veterans.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307264","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}
引用次数: 0
Suicide in China: The Trends and Differentials From 2002 to 2021 中国的自杀现象:2002 至 2021 年中国自杀率的趋势与差异》。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-09-22 DOI: 10.1002/cpp.3053
Fei-Hong Hu, Peng Liu, Yi-Jie Jia, Meng-Wei Ge, Lu-Ting Shen, Xiao-Peng Xia, Hong-Lin Chen
{"title":"Suicide in China: The Trends and Differentials From 2002 to 2021","authors":"Fei-Hong Hu,&nbsp;Peng Liu,&nbsp;Yi-Jie Jia,&nbsp;Meng-Wei Ge,&nbsp;Lu-Ting Shen,&nbsp;Xiao-Peng Xia,&nbsp;Hong-Lin Chen","doi":"10.1002/cpp.3053","DOIUrl":"10.1002/cpp.3053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study was to provide an updated analysis of suicide characteristics in China from 2002 to 2021, with the aim of informing the development of evidence-based suicide prevention strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Ministry of Health-Vital Registration System (MOH-VR) provided the data on suicide mortality, which enabled us to examine the average annual percentage change (AAPC) in suicide rates using a Poisson regression model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Notably, there has been a significant decline in suicide rates observed in both urban and rural areas. In the early years of the study period, higher suicide rates were observed among females compared to males; however, a shift occurred after 2005, with male suicide rates surpassing those of females. Except for 2005, rural areas consistently exhibited higher suicide rates than urban areas. Furthermore, suicide rates exhibited an increasing trend with age, irrespective of gender or region.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlight a decreasing trend in suicide rates in China over the past two decades, although gender and regional disparities persist. Going forward, sustained efforts in suicide prevention, with a specific focus on mental health, are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281441","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}
引用次数: 0
The Factors of the Psychotherapists' Attitude Towards Technology: Combining Attitudes Towards Technology and Technology Readiness Models 心理治疗师对技术的态度因素:结合对技术的态度和技术就绪模型。
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-09-22 DOI: 10.1002/cpp.3055
Agnieszka Koch, Agata Graczykowska, Szymon Szumiał, Patrycja Rudnicka, Magdalena Marszał-Wiśniewska
{"title":"The Factors of the Psychotherapists' Attitude Towards Technology: Combining Attitudes Towards Technology and Technology Readiness Models","authors":"Agnieszka Koch,&nbsp;Agata Graczykowska,&nbsp;Szymon Szumiał,&nbsp;Patrycja Rudnicka,&nbsp;Magdalena Marszał-Wiśniewska","doi":"10.1002/cpp.3055","DOIUrl":"10.1002/cpp.3055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The study aimed to explore psychotherapists' attitudes towards new technologies. Understanding the factors influencing their acceptance of technologies is essential to improving the accessibility, quality, and effectiveness of psychotherapeutic care in the digital age. Based on previous research from different fields (e.g., e-government and mobile applications), we integrated the Unified Theory of Acceptance and Use of Technology (UTAUT-T) with the Technology Readiness Index (TRI). UTAUT-T focuses on one's perception of technology, while TRI emphasizes individual characteristics. Therefore, we regard psychotherapists' attitudes towards digital solutions by analysing factors related to technology and users (psychotherapists).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an online questionnaire study involving 391 psychotherapists aged 25–66 (<i>M</i> = 40.90; SD = 7.79). Participants completed self-report questionnaires: UTAUT-T, TRI 2.0, and a survey measuring technology usage at work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The model explained 30.2% of the variance in actual technology usage and 57.6% in behavioural intention. Both technology-related and therapist-related factors affect technology use. Some factors directly influence use behaviour (optimism, ease of use, convenience), while others are mediated by behavioural intention (pressure from others, professional support, therapy quality expectations).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Technology-related and therapist-related factors influence psychotherapists' use of technology. The study revealed that optimism plays a crucial role in addition to behavioural intention. This insight is vital for implementing new technologies in mental health services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281442","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}
引用次数: 0
Effectiveness of Imagery Rescripting for Trauma-Affected Voice Hearers: An Open Trial 对受创伤影响的听障人士进行意象重写的有效性:公开试验
IF 3.2 3区 心理学
Clinical psychology & psychotherapy Pub Date : 2024-09-18 DOI: 10.1002/cpp.3052
Laura Strachan, Peter McEvoy, Arnoud Arntz, Craig Steel, Georgie Paulik
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