Clinical psychology & psychotherapy最新文献

{"title":"Acceptance of Using Artificial Intelligence and Digital Technology for Mental Health Interventions: The Development and Initial Validation of the UTAUT-AI-DMHI","authors":"Vera Békés,&nbsp;Beata Bőthe,&nbsp;Katie Aafjes-van Doorn","doi":"10.1002/cpp.70085","DOIUrl":"https://doi.org/10.1002/cpp.70085","url":null,"abstract":"<div>\u0000 \u0000 <p>Digital health technologies are being increasingly integrated into mental healthcare. This means that patients have different treatment options, and clinicians need to consider different ways of supporting their patients too. The adoption of Digital Mental Health Intervention (DMHI) technologies will be influenced by patients' and clinicians' attitudes towards these technologies. The Unified Theory of Acceptance and Use of Technology (UTAUT) is the most commonly used model to examine acceptance of technologies in professional settings, which identifies determinants of behavioural intention to use technologies, such as artificial intelligence (AI). We aimed to develop and validate the UTAUT-AI-DMHI measure to assess acceptance various types of digital and AI-based mental health interventions. We assessed the UTAUT-AI-DMHI's psychometric properties in three interventions: teletherapy via videoconferencing, AI chatbot and AI virtual therapist interventions in two samples. Sample 1 included <i>n</i> = 528 patients, <i>n</i> = 155 clinicians and <i>n</i> = 432 participants belonging to both groups; Sample 2 was used to corroborate the results and included a representative US community sample of <i>n</i> = 536. Our results demonstrated adequate construct validity and reliability of the UTAUT factors. In line with previous UTAUT literature, confirmatory factor analysis revealed that the final 17-item (plus one item assessing Behavioural Intention) scale consisted of seven factors: ease of use, social influence, convenience, human connection, perceived privacy risk, hedonic motivation and therapy quality expectations. All factors were positively associated with general attitudes towards AI and intention to use the intervention in the future in each of the three DMHI formats. This implies that the UTAUT-AI-DMHI self-report scale can be applied to assess acceptance of various kinds of digital and AI-based mental health interventions. Further, the UTAUT-AI-DMHI can be administered as a self-report scale for patients, clinicians and the general public and thus allows for a direct comparison of acceptance of different intervention formats.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179294","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":"Social Functioning Interventions in Psychosis: A Systematic Review","authors":"M. Vinu,&nbsp;A. Georgiades","doi":"10.1002/cpp.70090","DOIUrl":"https://doi.org/10.1002/cpp.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>A decline in social functioning is a hallmark of psychosis and is evident across the psychosis continuum. However, no study to date has summarised the existing evidence base regarding social functioning interventions in psychosis, nor have they synthesised the factors associated with high or low social functioning in psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic review was conducted to summarise the extant literature regarding social functioning interventions in psychosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty-five studies were eligible for inclusion. Physical exercise, art therapy, social recovery therapy, social skills training, virtual reality, online programmes and psychosocial interventions improved social functioning and reduced both positive and negative symptoms of psychosis. Factors associated with low social functioning in psychosis included <i>self-perception</i> (self-esteem, self-efficacy, internalised stigma), <i>symptoms</i> (social anxiety, depression, positive and negative symptoms), <i>emotion</i> (reduced emotional awareness/regulation, emotional suppression, negative affect), <i>cognition</i> (appraisals, negative self-beliefs, dependency and enmeshment schema, negative self-statements, defeatist performance beliefs, metacognitive beliefs), <i>social cognition</i> (ToM, neurocognition) and <i>behaviours</i> (motivation, social relatedness, avoidance). Factors associated with high social functioning in psychosis included <i>emotional awareness</i>, <i>acceptance of emotions</i>, <i>positive affect</i>, <i>cognitive reappraisal</i>, <i>positive performance beliefs</i> and <i>adaptive coping</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A number of factors were associated with high or low social functioning in psychosis, which highlights important clinical intervention targets for devising novel social functioning interventions. The <i>cognitive model of social functioning in psychosis</i> could facilitate the development of personalised and idiosyncratic formulations and targeted interventions in CBTp to enhance social functioning in psychosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171815","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":"Evaluating the UE-ATR Checklist: Nuanced Attribution in Unsuccessful Therapeutic Outcomes","authors":"Sanne T. L. Houben,&nbsp;Anna C. P. Backus,&nbsp;Suzanne Hermans,&nbsp;Harald Merckelbach,&nbsp;Brechje Dandachi-FitzGerald","doi":"10.1002/cpp.70091","DOIUrl":"https://doi.org/10.1002/cpp.70091","url":null,"abstract":"<p>Unwanted events in psychotherapy can hinder treatment, yet clinicians overlook them and tend to attribute treatment stagnation mainly to patient-related factors. The unwanted events–adverse treatment reaction (UE-ATR) checklist was developed to encourage a more balanced reflection on treatment difficulties, but its effectiveness remains unclear. This study investigated whether the UE-ATR checklist enables clinicians to allocate treatment difficulties in a more nuanced way across various contributing factors. Clinicians and psychology students (<i>N</i> = 104) were randomly assigned to either use the UE-ATR (<i>n</i> = 59) or not (<i>n</i> = 45) while reviewing a case vignette of a patient who experienced unwanted events during therapy and treatment stagnation. They allocated responsibility for suboptimal treatment outcome across five factors: the patient, the therapist, the treatment method, the patient's pathology or other circumstances. Attribution was analysed using the Herfindahl–Hirschman index (HHI), where higher scores indicate a monocausal and lower scores reflect a multicausal view. No significant differences were found between the conditions. Although most users found the checklist clinically useful, this positive perception did not lead to a more balanced perspective on the causes of unwanted events. Although the UE-ATR checklist can support clinical reflection, additional training is necessary to maximize its effectiveness.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171328","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":"Dropout From Trauma-Focused Treatment for Intimate Partner Violence Against Women","authors":"María Crespo,&nbsp;Ana A. Antón,&nbsp;Carlos Hornillos","doi":"10.1002/cpp.70092","DOIUrl":"https://doi.org/10.1002/cpp.70092","url":null,"abstract":"<p>The current study aimed to analyze the characteristics, and the factors associated with dropout from a trauma-focused (TF) cognitive-behavioural therapy (CBT) tailored for intimate partner violence against women (IPVAW) that has been shown to be effective. Ninety-one female survivors of IPVAW entered a randomized controlled trial comparing two versions of the TF-CBT, both delivered in eight weekly sessions and group format. A total of 37.4% of women who entered treatment dropped out during treatment; an additional 7.1% dropped out after randomization and before starting treatment. There were no significant differences in dropout rate between conditions. Most of the dropouts occurred before session 4 (68.3%) and were related to practical/external difficulties (63.4%). Regarding sociodemographic features, dropping out significantly related to younger age, being migrant and being unemployed or active working. For characteristics of violence, dropouts significantly differed from completers in time elapsed since the last violence episode (lower in dropouts). Finally, regarding their clinical state, women that dropped out scored significantly higher in posttraumatic cognitions and anxiety. Comparisons between dropouts due to practical/external difficulties and due to treatment-related issues showed significant differences in origin (more dropouts related to practical difficulties in migrant women) and time since last episode of violence (lower in dropouts due to treatment-related issues). Data highlight the need for personalized retention strategies for younger and migrant women and measures to facilitate the attendance to sessions prior to entering a TF-therapy. This is an analysis of data collected as part of a clinical trial preregistered as ISRCTN73702156.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148360","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":"Forgiveness Therapy to Build Hope and Reduce Anxiety and Depression in Battered Women in Pakistan","authors":"Sana Nisar,&nbsp;Lifan Yu,&nbsp;Rabia Iftikhar,&nbsp;Robert D. Enright","doi":"10.1002/cpp.70089","DOIUrl":"https://doi.org/10.1002/cpp.70089","url":null,"abstract":"<p>This study examined the impact of forgiveness therapy on battered women in Pakistan. The aim was to evaluate the effectiveness of a forgiveness-focused intervention in reducing depression, anxiety and anger while increasing forgiveness and hope among the battered women within shelter homes. Thirty participants, aged 25–40, were randomly assigned to either the experimental or control group. Participants were recruited from various cities across Punjab, including Hafizabad, Lahore, Gujrat, Khushab, Sargodha and Gujranwala. The Enright Forgiveness Inventory short form (to assess individual levels of forgiveness), the Center for Epidemiological Studies–Depression Scale (CES-D), Generalized Anxiety Disorder Scale, Herth Hope Index, and the Clinical Anger Scale were used as instruments to measure the outcomes of the intervention. The Domestic Violence Scale for Intimate Partners was employed for participant screening. The experimental group underwent 15 therapy sessions, while the control group participants were free to approach the experimental group intervener if they needed help. Results indicated that the experimental group experienced significant improvements in depression, anxiety, anger, hope and forgiveness compared to the control group. The study discusses the implications for treatment and acknowledges its limitations as well.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148357","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 Efficacy of Experiential Dynamic Therapies: A 10-Year Systematic Review and Meta-Analysis Update","authors":"Peter Lilliengren,&nbsp;Jakob Mechler,&nbsp;Karin Lindqvist,&nbsp;Daniel Maroti,&nbsp;Robert Johansson","doi":"10.1002/cpp.70086","DOIUrl":"https://doi.org/10.1002/cpp.70086","url":null,"abstract":"<p>There is a growing interest in clinical interventions targeting emotion regulation difficulties across mental health conditions. Experiential dynamic therapies (EDTs) are transdiagnostic, affect-focused, short-term psychodynamic therapy models that emphasize in-session emotional processing. This review provides a 10-year update on the efficacy of EDTs for mood, anxiety, personality and somatic symptom disorders in adults and children/adolescents. A comprehensive search identified 57 randomized controlled trials (<i>n</i> = 4330) conducted in Western (<i>k</i> = 38; <i>n</i> = 3178) and non-Western countries (<i>k</i> = 19; <i>n</i> = 1152) between 1978 and 2024. Random-effects meta-analyses on primary outcomes indicated large, significant effects for EDTs compared to inactive controls at post-treatment (Hedge's <i>g</i> = −0.96; <i>k</i> = 41) and follow-up (<i>g</i> = −1.11; <i>k</i> = 20). Compared to active controls, effects were small and non-significant post-treatment (<i>g</i> = −0.17; <i>k</i> = 27) but became significant at follow-up (<i>g</i> = −0.40; <i>k</i> = 19), suggesting a potential modest long-term advantage of EDTs. Despite substantial heterogeneity (<i>I</i>^<i>2</i> &gt; 75%), results remained robust in sensitivity analyses. Moderator analyses revealed few significant findings, indicating relative consistency across diagnostic groups, treatment formats and active comparators. Non-Western and lower quality studies reported larger effects compared to inactive, but not active, controls. While cautious interpretation is warranted due to unexplained heterogeneity, findings support EDTs as efficacious transdiagnostic interventions for emotional disorders, with sustained benefits over time. Future research should prioritize large-scale, methodologically rigorous trials that explore mechanisms of change, optimize treatment delivery and identify moderators of long-term outcomes.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126050","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":"Heterogeneity of Treatment Outcomes Across Therapists and Sites in a Randomized Multicentre Psychotherapy Trial","authors":"Jonas Petter,&nbsp;Lea Schumacher,&nbsp;Jette Echterhoff,&nbsp;Jan Philipp Klein,&nbsp;Elisabeth Schramm,&nbsp;Martin Härter,&nbsp;Martin Hautzinger,&nbsp;Levente Kriston","doi":"10.1002/cpp.70087","DOIUrl":"https://doi.org/10.1002/cpp.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Establishing robust evidence for psychotherapeutic treatment efficacy is crucial in evidence-based medicine for mental disorders. Randomized controlled trials (RCTs) are key to minimizing biases such as selection effects and baseline imbalances between study groups. However, another challenge to robust evidence in psychotherapy research is heterogeneity in treatment outcomes due to therapists and clinical sites. While this has been frequently observed in naturalistic settings, therapist- and site-related heterogeneity in treatment outcomes has been understudied in RCTs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The present study addresses this gap in a secondary data analysis, examining how therapists and clinical sites differ in treatment outcomes and differential/average treatment effect (i.e., outcome differences between treatment groups) within a large, multicentre RCT. We analysed data from 255 patients with chronic depression treated by 79 therapists in nine study sites, that received two different active psychotherapeutic interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Therapist- and site-related variances in treatment outcomes appeared relatively small, accounting for 1.1% [0.0%, 8.1%] and 1.7% [0.0%, 9.9%] of the total variance, respectively. Notably, site-related variance in differential treatment effects appeared relatively larger at 12.5% [0.1%, 44.4%]. These variances were only partially explained by patient or therapist characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While the sample size only allowed to estimate the variance contributions of therapists and sites with high uncertainty, the relative size comparison points to the importance of considering site heterogeneity in evaluating RCTs' differential treatment effects. Further research on site characteristics' impact could enhance understanding of psychotherapeutic treatment efficacy across diverse contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144108780","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":"Secondary Traumatization Among Mental Health Officers Who Treat Patients With Non-Suicidal Self-Injury and Suicidal Behaviour","authors":"Shir-ly Moryosef,&nbsp;Orit Taubman – Ben-Ari","doi":"10.1002/cpp.70084","DOIUrl":"https://doi.org/10.1002/cpp.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Military mental health officers (MHOs) often encounter soldiers who express distress through threats or attempts of self-injury or suicide. Research shows that working with such cases is highly stressful and can be traumatic for therapists, potentially leading to secondary traumatization (ST)—a condition that affects both personal well-being and professional performance. This study explores how event centrality, rumination, and self-compassion influence the development of ST in MHOs exposed to self-injurious behaviour in their patients. We hypothesized that higher exposure to self-harm would be associated with greater ST, especially when MHOs perceive these experiences as highly central to their lives. Additionally, we hypothesized that self-compassion would have a protective effect, reducing ST.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study involved 130 MHOs (social workers, psychologists, and psychiatrists) serving in the Israeli army, representing roughly half of all such professionals. Participants completed self-report questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No significant association was found between exposure to self-harm and ST. However, a curvilinear relationship (where the effect rises at moderate levels but decreases at higher levels) also emerged, with moderate exposure linked to the highest levels of ST. Notably, this curvilinear effect was observed only among MHOs with high self-compassion, whereas those with lower self-compassion did not show the same pattern.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study enhances our understanding of how therapists respond to the challenges of self-injury and suicide in their patients. It highlights the complex role of exposure and self-compassion in ST, suggesting that fostering self-compassion in MHOs could be key to developing effective stress-reduction programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Suicidal Ideation Among Youths With Autism Spectrum Disorder: An Advanced Machine Learning Study","authors":"Hussein Al-Srehan,&nbsp;Mohammad Nayef Ayasrah,&nbsp;Ayoub Hamdan Al-Rousan,&nbsp;Mohamad Ahmad Saleem Khasawneh,&nbsp;Mahmoud Gharaibeh","doi":"10.1002/cpp.70082","DOIUrl":"https://doi.org/10.1002/cpp.70082","url":null,"abstract":"<div>\u0000 \u0000 <p>This study aimed to predict suicidal ideation among youth with autism spectrum disorder (ASD) by applying machine learning techniques. A cross-sectional sample of 368 ASD-diagnosed young people (aged 18–24 years) was recruited, and 34 candidate predictors—including sociodemographic characteristics, psychiatric symptoms (e.g., anxiety problems and depressive symptoms), behavioural measures (e.g., bullying victimization and insomnia severity) and adverse childhood experiences—were assessed using standardized instruments and parent-report checklists. After listwise deletion of missing data, recursive feature elimination (RFE) with a random forest wrapper was performed to identify the five most influential predictors. Four classification algorithms (logistic regression, random forest, eXtreme Gradient Boosting [XGBoost] and support vector machine [SVM]) were then trained on a 70/30 stratified split and evaluated on the hold-out test set using area under the curve (AUC), sensitivity, specificity, positive predictive value, negative predictive value and accuracy. RFE identified anxiety problems, insomnia, bullying victimization, age and depression (PHQ-9) as the top predictors. Logistic regression achieved an AUC of 0.943 (sensitivity = 0.773, specificity = 0.957 and accuracy = 0.922), random forest an AUC of 0.948 (sensitivity = 0.727, specificity = 0.989 and accuracy = 0.939), XGBoost an AUC of 0.930 (sensitivity = 0.772, specificity = 0.989 and accuracy = 0.947) and SVM an AUC of 0.942 (sensitivity = 0.772, specificity = 0.978 and accuracy = 0.939). Across models, anxiety and insomnia emerged as the two most important risk factors, and XGBoost demonstrated the best overall balance of performance metrics, yielding the highest accuracy. Gradient-boosted tree models were thus shown to effectively integrate multidimensional data to predict suicidality in autistic youth, highlighting anxiety and sleep disturbances as critical targets for personalized risk assessment and prevention efforts.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950185","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":"Emotion Regulation, Coping, and Alexithymia in Adolescents With Obsessive–Compulsive Disorder: A Mediational Analysis","authors":"Ipek Suzer Gamli,&nbsp;Aysu Kacar,&nbsp;Nergis Eyupoglu,&nbsp;Oguz Bilal Karakus,&nbsp;Ibrahim Adak","doi":"10.1002/cpp.70083","DOIUrl":"https://doi.org/10.1002/cpp.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Obsessive–compulsive disorder (OCD) is a debilitating mental health condition that impacts daily functioning. In addition to classical symptoms, emotion regulation (ER), alexithymia and maladaptive coping are thought to be involved in the symptomology and maintenance of the disorder. This study aims to investigate the relationship between ER, alexithymia and coping in adolescents with a sole diagnosis of OCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study comprised of 93 participants with OCD and 92 healthy controls. Patients with any psychiatric disorder other than OCD were set as exclusion criteria. A sociodemographic form, Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children, Children's Yale–Brown Obsessive–Compulsive Scale (CY-BOCS), Difficulties in Emotion Regulation Scale (DERS), Toronto Alexithymia Scale (TAS) and KidCOPE were applied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The TAS and DERS scores of participants with every subscale, except awareness in DERS, and the KIDCOPE-Avoidant Coping scores were significantly higher in the OCD group (<i>p</i> &lt; 0.05). A positive and moderately significant relationship was identified between the CY-BOCS-Obsession, CY-BOCS-Compulsion and CY-BOCS-Total scores and the DERS-Total (<i>p</i> &lt; 0.05). Linear regression analysis revealed that CY-BOCS-Total scores significantly predicted DERS-Total scores in a positive direction even when TAS-Total and KidCOPE scores were controlled (<i>p</i> = 0.001). Difficulties in ER mediated the relationship between OCD and the severity of negative coping (b = 0.064, 95% CI (0.036–0.097)).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is limited evidence regarding the specific contribution of OCD with emotion dysregulation, alexithymia and avoidant coping. Our study suggests a possible relationship with OCD and these parameters, highlighting the need to develop effective intervention techniques tailored to this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950184","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}