Clinical psychology & psychotherapy最新文献

{"title":"Integrating Virtual Reality Into OCD Treatment: Comparing Virtual Reality and Traditional Exposure Techniques in a Clinical Sample for Contamination-Related OCD","authors":"Mujgan Inozu,&nbsp;Bikem Kargı,&nbsp;Elif Uzumcu,&nbsp;Elçin Özçelik Eroğlu,&nbsp;Elif Usta,&nbsp;Dolunay Cemre Durmuş,&nbsp;Guzide Tulek,&nbsp;Caner Tulek,&nbsp;Yusuf Topcu,&nbsp;Mahmut Esat Yıldız","doi":"10.1002/cpp.70128","DOIUrl":"https://doi.org/10.1002/cpp.70128","url":null,"abstract":"<div>\u0000 \u0000 <p>Virtual reality exposure (VRE) is a useful and effective alternative that can overcome important limitations of traditional exposure methods. A limited number of recent studies have found promising results when examining the use of VRE in the treatment of contamination-related obsessive–compulsive disorder (OCD). The aim of the present study was to compare the efficacy of VRE with in vivo and imaginal exposure in reducing contamination-related OCD symptoms. Forty-four participants diagnosed with DSM-5 OCD and whose primary symptoms were contamination obsessions and cleaning compulsions were included in the study. Participants were matched based on their Y-BOCS scores and assigned to VRE (<i>n</i> = 7), in vivo exposure (<i>n</i> = 8), imaginal exposure (<i>n</i> = 8) and wait-list control (<i>n</i> = 10) groups. Participants in the exposure groups completed an average of 10 exposure sessions with two sessions per week. The results indicated that VRE reduced the severity of OCD symptoms and contamination-related cognitions, as well as improving psychological well-being. Additionally, the findings suggest that VRE may be as effective as in vivo and imaginal exposure in reducing OCD symptoms, particularly in diminishing contamination-related anxiety and compulsive behaviours. The findings of the study indicate that VRE may offer a viable alternative to other exposure techniques.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740298","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":"Frustrated and Concerned: Understanding Antipathy Towards Clients Who Engage in Nonsuicidal Self-Injury in Australian Mental Health Practitioners","authors":"M. Wishart,&nbsp;J. Gates,&nbsp;A. Fisher,&nbsp;K. T. Hallam","doi":"10.1002/cpp.70132","DOIUrl":"https://doi.org/10.1002/cpp.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nonsuicidal self-injury (NSSI) involves harm towards one's own body tissue without suicidal intent. Mental health workers' attitudes towards consumer NSSI may impact clinical care. This study aimed to explore factors associated with worker attitudes and antipathy towards NSSI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A quantitative survey including demographics, professional background, confidence regarding NSSI, Inventory of Statements about Self-Injury and Self-Harm Antipathy Scale was distributed to mental health workers in Australia. Two hundred and forty-five participants completed the survey, including 174 psychologists, 34 social workers, 23 counsellors and 14 youth workers, with 216 women and 29 men aged 24–70 years old, working in a range of health care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher age was negatively correlated with exposure to and confidence working with NSSI. Participants in private and community services had the highest exposure, with exposure and training associated with higher confidence working with NSSI.</p>\u0000 \u0000 <p>Psychologists rated highest regarding antipathy to NSSI, followed by counsellors and social workers. Significant predictors of antipathy included professional background, level of experience, confidence in ability to manage the situation if a client needed immediate medical attention, the intrapersonal functions of affect regulation and self-punishment and the interpersonal function of toughness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest exposure to NSSI is prevalent across treatment settings. Differences exist between professions and people of different ages on exposure to, and confidence in working with NSSI. The results show predictors of antipathy are misconceptions about the functions of NSSI, professional background and confidence in working with NSSI. Further research is required to explore factors associated with professional orientation and antipathy to NSSI, alongside components of effective training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751356","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":"Reasons for Living, Spirituality and Suicidal Ideation Among Adults in a Spiritually Integrated Inpatient Programme","authors":"Joseph M. Currier,&nbsp;Joshua D. Foster,&nbsp;Charlotte vanOyen Witvliet,&nbsp;Alexis D. Abernethy,&nbsp;Lindsey M. Root Luna,&nbsp;Karl VanHarn,&nbsp;Sarah A. Schnitker","doi":"10.1002/cpp.70127","DOIUrl":"https://doi.org/10.1002/cpp.70127","url":null,"abstract":"<div>\u0000 \u0000 <p>Parallel lines of research suggest reasons for living (RFL) and spirituality often reduce risk for suicide in psychiatric patients. However, research has not examined the links and probable interplay between RFL and core aspects of patients' spirituality that might buffer suicidal ideation in times of severe psychological suffering. In total, 242 adults entering an inpatient treatment programme in a spiritually integrated behavioural health centre (40% cisgender male; 57% cisgender female; 3.0% non-binary) completed validated measures of RFL (fear of social disapproval, moral objections of suicide, survival/coping beliefs, responsibility to the family, fear of suicide), spirituality (spirituality transcendence, transcendent accountability), suicidal ideation and other mental health symptoms (anxiety, depression). Moral objections to suicide and survival and coping beliefs were moderately to strongly linked with deriving a sense of transcendence and accountability from their spirituality and better mental health (lower depression symptoms and suicide ideation). Of the RFL factors, multivariate findings suggested survival and coping beliefs mitigate suicidal ideation independently from spirituality factors whereas moral objections to suicide might serve as a vital mechanism for the protective role of spirituality in reducing suicide risk in high-risk groups. In combination, these findings highlight the need for longitudinal research to ascertain the temporal sequence of these apparent pathways to suicidal ideation along with the value of inquiring about patients' spirituality and RFL in routine assessment and intervention procedures in psychiatric settings.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725512","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":"Interoception, Self-Injury and Suicidal Ideation in Female Adolescents With Restrictive Eating Disorders and Co-Morbid Borderline Personality Disorder","authors":"Anna Riva,&nbsp;Carlo Panarella,&nbsp;Gabriele Arienti,&nbsp;Simona Di Guardo,&nbsp;Eleonora Brasola,&nbsp;Renata Nacinovich,&nbsp;Andrea Eugenio Cavanna","doi":"10.1002/cpp.70134","DOIUrl":"https://doi.org/10.1002/cpp.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Both restrictive eating disorders (REDs) and borderline personality disorder (BPD) are characterised by a higher risk of self-injury and suicidal ideation; however, the possible role of altered interoception in modulating such risk is poorly understood. We set out to conduct a clinical study to explore the relationship between interoception, self-injury and suicidal ideation in patients with REDs and BPD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We recruited a sample of 75 female adolescents affected by REDs, of whom 21 had co-morbid BPD. In addition to collecting comprehensive demographic and clinical data, we administered the Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2) to all patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The risk of nonsuicidal self-injury was predicted by co-morbid BPD (<i>p</i> &lt; 0.001), lower scores on the MAIA-2 ‘trusting’ subscale (<i>p</i> = 0.033) and higher scores on the ‘not-distracting’ subscale (<i>p</i> = 0.027). The risk of suicidal ideation was predicted by co-morbid BPD (<i>p</i> &lt; 0.001), lower scores on the MAIA-2 ‘trusting’ subscale (<i>p</i> = 0.039), and higher scores on the ‘not-distracting’ (<i>p</i> = 0.005) and ‘self-regulation’ (<i>p</i> = 0.011) subscales.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The presence of co-morbid BPD, together with mistrust in body sensations and heightened emotional reaction and attentional response to interoceptive sensations, can increase the risk for both self-injury and suicidal ideation in female adolescents with REDs. Higher awareness of mind–body integration appears to further increase the risk for suicidal ideation only.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725511","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":"Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults","authors":"Osmano Oasi,&nbsp;Mark Shevlin,&nbsp;Antonio Lasalvia,&nbsp;Chiara Bonetto,&nbsp;Doriana Cristofalo,&nbsp;Giulia Marzocco,&nbsp;Camilla Somma,&nbsp;Marco Toscano,&nbsp;Thanos Karatzias,&nbsp;Cesare Cavalera","doi":"10.1002/cpp.70131","DOIUrl":"https://doi.org/10.1002/cpp.70131","url":null,"abstract":"<p>The aim of this study was to investigate the relationships between trauma exposure, shame and guilt proneness and the development of PTSD and Disturbances in Self-Organisation (DSO) symptoms in young adults. Specifically, we hypothesised that trauma exposure would be positively correlated with PTSD and DSO symptoms and that shame and guilt would mediate this relationship. A total of 160 young adults participated in this study. Three models were tested: (1) a model with direct effects from trauma exposure to PTSD and DSO, (2) an indirect effects model where the direct paths were constrained and (3) a full model with both direct and indirect effects. Shame and guilt proneness showed a strong correlation with PTSD and DSO. Direct effects revealed that trauma exposure predicted PTSD, DSO, guilt and shame proneness. Guilt had a strong effect on PTSD, while shame had the strongest effect on DSO. Indirect effects showed that trauma exposure significantly predicted both PTSD and DSO through heightened guilt and shame. The strongest indirect relationships were trauma exposure to PTSD via guilt and trauma exposure to DSO via shame. This study demonstrates that trauma exposure is associated with heightened levels of shame and guilt proneness, which, in turn, predict greater severity of PTSD and DSO symptoms. These findings suggest that emotional regulation, particularly in relation to shame and guilt proneness, should be targeted in interventions for trauma-related disorders. Future research should further explore the role of these emotions in the development of complex PTSD.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725601","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":"Discrimination-Based Continuous Traumatic Stress, PTSD and Chronic Pain in Syrian Refugees: A Moderated Mediation Analysis","authors":"Emre Han Alpay,&nbsp;Ibrahim Aref Kira","doi":"10.1002/cpp.70133","DOIUrl":"https://doi.org/10.1002/cpp.70133","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to examine the relationships among continuous traumatic stressors (CTS), posttraumatic stress disorder (PTSD), somatic symptoms, and chronic pain in a sample of Syrian refugees. Specifically, we hypothesized that PTSD would mediate the association between discrimination-based CTS and chronic pain and that somatic symptoms would moderate the link between PTSD and chronic pain—such that higher somatic symptom levels would amplify this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A total of 669 Syrian refugees residing in Türkiye participated in the study. Data were collected through face-to-face interviews using validated self-report instruments, including the Patient Health Questionnaire-15 (PHQ-15), the PTSD Checklist for DSM-5 (PCL-5), the Short-Form McGill Pain Questionnaire (SF-MPQ) and the Cumulative Trauma Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PTSD symptoms mediated the relationship between discrimination-based CTS and chronic pain. Additionally, somatic symptoms significantly moderated the association between PTSD and chronic pain, such that individuals with higher levels of somatic symptoms exhibited a stronger link between PTSD symptoms and chronic pain severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings emphasize the relationship between discrimination-based CTS, psychological distress, and physical complaints among Syrian refugees in Türkiye. While the results provide important insights into trauma-related health outcomes in this group, caution should be exercised in generalizing the findings to all displaced populations. The results highlight the profound impact of prolonged traumatic stress on both psychological and physical health and emphasize the need for trauma-informed, culturally sensitive clinical interventions for displaced individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688132","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 Impact of Childhood Maltreatment on Emotional Dysregulation in Adults With Attention Deficit Hyperactivity Disorder: A Comprehensive Study","authors":"Gozde Avci Buyukdogan,&nbsp;Sencan Sertcelik,&nbsp;Melike Nebioglu Yildiz","doi":"10.1002/cpp.70129","DOIUrl":"https://doi.org/10.1002/cpp.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction and Aim</h3>\u0000 \u0000 <p>Recent studies emphasize the presence of emotional dysregulation in attention deficit hyperactivity disorder (ADHD), which can lead to significant impairment in both clinical presentation and functional outcomes. The objective of this study was to investigate the presence and severity of emotional dysregulation and childhood maltreatment in adult patients with ADHD and to examine the potential link between these factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study included 80 adult ADHD patients and 80 healthy control participants. For the diagnosis or exclusion of ADHD, the Diagnostic Interview for ADHD (DIVA 2.0) in adults was applied to all participants, based on DSM-5 criteria. The ADHD group was screened with the DSM-IV Structured Clinical Interview (SCID-I) to identify comorbid diagnoses. Then, the Difficulties in Emotion Regulation Scale (DERS), the Childhood Trauma Questionnaire (CTQ), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Adult ADHD Self-Report Scale (ASRS) and the Wender Utah Rating Scale (WURS-25) were applied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the ADHD group, the total and all subscale scores of DERS were found to be higher than those in the healthy control group (<i>p</i> &lt; 0.001). Total and subscale scores of CTQ were higher in the ADHD group (<i>p</i> &lt; 0.001). Significant relationships were found between the subscales and total scores of DERS and the subscales and total scores of CTQ. In the entire sample, CTQ score, ASRS score, BDI score and BAI score were found to be predictors of emotional dysregulation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was found that adult ADHD patients had more pronounced emotional dysregulation and childhood maltreatment. In addition, childhood maltreatment was found to be significantly associated with higher levels of emotional dysregulation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681079","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":"Do Parental Psychopathology and Higher-Order Beliefs Predict Symptom Changes in Young People Following Metacognitive Therapy?","authors":"Anne Thingbak,&nbsp;Jennifer L. Hudson,&nbsp;Adrian Wells,&nbsp;Mia Skytte O'Toole","doi":"10.1002/cpp.70122","DOIUrl":"https://doi.org/10.1002/cpp.70122","url":null,"abstract":"<p>Preliminary evidence indicates that metacognitive therapy (MCT) is a promising treatment in children and adolescents; however, little is known about the influence of parental factors on MCT outcomes. Based on secondary analyses from a recent trial of MCT in young people with anxiety and depressive disorders, the aim of this study was to evaluate cross-sectional associations between child and parental symptoms, metacognitive beliefs and attention control beliefs and whether such parent variables predicted symptom scores following MCT. The sample consisted of 97 children and adolescents aged 10–17 years (<i>M</i> = 12.85 ± 1.9, 82.5% females) and their parents (<i>n</i> = 145, 57.9% mothers). The majority of the sample had a primary anxiety disorder (<i>n</i> = 96). Participants received eight sessions of MCT in transdiagnostic groups. The majority of baseline correlations were small and non-significant with some exceptions. Small significant relationships emerged between maternal attention shifting and child attention shifting, total attention control and symptoms. Also, child depressive symptoms were associated with maternal anxiety, maternal cognitive self-consciousness, and paternal attention control beliefs, with small to moderate effects. Parental factors did not predict symptom scores at post-treatment nor at 6-month follow-up. The findings should be considered preliminary and seen in light of the overall good mental health of the parents. If results are replicated in the future with broader samples, it suggests that MCT outcomes in young people may have little association with the symptoms and higher-order beliefs of parents.</p><p><b>Trial Registration:</b> AsPredicted number: 152970</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144657742","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 Association of Posttraumatic Stress Disorder, Complex Posttraumatic Stress Disorder and Depression: A Network Approach","authors":"Yihan Gai,&nbsp;David Berle","doi":"10.1002/cpp.70125","DOIUrl":"https://doi.org/10.1002/cpp.70125","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Complex posttraumatic stress disorder (CPTSD) is a newly recognized condition in the ICD-11, characterized by the core symptoms of PTSD alongside disturbances in self-organization (DSO). Network analysis provides a novel approach to understanding the complex relationships between symptoms. While many studies have identified the comorbidity between PTSD/CPTSD and depression, few have focused on CPTSD using network analysis. This study aims to investigate the bridge symptoms between PTSD, DSO and depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A sample of 385 US participants who reported at least one lifetime trauma completed the ICD-11 International Trauma Questionnaire (ITQ) and the Patient Health Questionnaire-9 (PHQ-9).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The obtained network models were stable. The most central symptoms were ‘Feeling distant or cut off from people’, ‘Feeling down, depressed, or hopeless’ and ‘Feeling like a failure’. The key bridge symptoms in the network were ‘Negative self-concept’, ‘Feeling like a failure’, ‘When I am upset, it takes me a long time to calm down’ and ‘Finding it hard to stay emotionally close to people’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results indicate that certain symptoms are considerably more influential within the network. Affective, identity and interpersonal DSO symptoms may play a key role in linking PTSD and depression. These symptoms may be important targets for interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647308","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":"What Is Known About Maladaptive Daydreaming? A Scoping Review","authors":"Shivani Atul Mansuklal,&nbsp;Patrícia M. Pascoal,&nbsp;Eli Somer,&nbsp;Ivanilda B. Costa,&nbsp;Gerhard Andersson","doi":"10.1002/cpp.70104","DOIUrl":"https://doi.org/10.1002/cpp.70104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Maladaptive daydreaming (MD) is a dysfunctional coping mechanism that involves excessive, uncontrollable daydreaming. MD accounts for severe impairment in life functioning and is comorbid with several psychopathological disorders, sharing common maladaptive features such as compulsion and emotional dysregulation. We conducted a scoping review of the research on MD. We aimed to clarify the definition of MD, its underlying psychological mechanisms, and characteristics of the published research. We searched MEDLINE, PsycINFO, SCOPUS, Web of Science Core Collection, and secondary sources for MD-focused empirical studies published in English until March 2024. Two independent screeners performed abstract and full-text screening and data extraction. This review included 89 studies, of which 87 were published and two were unpublished studies. MD research showed an increasing trend of studies since 2002 with geographical diversity. Most studies presented online cross-sectional data with younger female participants and explored prevalence, associated psychological correlates, and comorbidity with mental disorders. A total of 66 studies were conducted in the general population, MDers, and student samples. Among clinical studies (<i>n</i> = 23), eight focused on specific diagnoses, seven included mixed clinical groups, and eight were case studies. Our review innovately reported the diverse methodologies used in MD research, especially involving clinical populations, and suggests future studies focus on heterogeneous samples, namely, in diverse clinical groups to explore differences in MD levels across these groups, longitudinal study designs, and the effectiveness of treatment strategies that will aid policymaking and the creation of valid resources for mental health professionals to diminish the negative impact of MD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635077","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}