Clinical psychology & psychotherapy最新文献

{"title":"Effects of an Emotion Regulation Training Programme Combined With Medication Therapy on Mania Severity, Depression and Emotion Regulation Strategies of Adults With Bipolar Disorder Type 1: A Randomized Clinical Trial","authors":"Batoul Tayebi,&nbsp;Abolfazl Ghoreishi,&nbsp;Morteza Kazemi,&nbsp;Parinaz Sadat Amiri Sararoodi,&nbsp;Parnaz Mardani,&nbsp;Seyedeh Elnaz Mousavi","doi":"10.1002/cpp.70078","DOIUrl":"https://doi.org/10.1002/cpp.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to investigate the effectiveness of emotion regulation training (ERT) based on Gross's process model combined with medication therapy on mania severity, depression, and emotion regulation of adults with bipolar disorder (BD) type 1.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a randomized, controlled clinical trial on 37 adults (26 females and 11 males) with BD type 1 (depressive phase) assigned to two parallel groups of medication + ERT (<i>n</i> = 19) and medication (<i>n</i> = 18). Their mania, depression, and emotion regulation were measured by the Young mania rating scale (YMRS), the Hamilton depression rating scale (HDRS), and the emotion regulation questionnaire (ERQ) before, immediately after and 3 months after the intervention. The medication therapy included the uptake of mood stabilizers (2–5 tablets of lithium 300 mg, sodium valproate 200 mg and carbamazepine 200 mg) two times per day. The ERT was provided 2 months after receiving mood stabilizers at 8 sessions for 4 weeks, according to Gross's model. After collecting data, they were analysed in SPSS v.26 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The difference between the two groups was statistically significant over time in the YMRS (<i>p</i> &lt; 0.001, <i>η</i>² = 0.42) and HDRS (<i>p</i> = 0.007, <i>η</i>² = 0.19) scores, where more significant reductions were reported in the medication + ERT group and maintained for 3 months. Regarding the ERQ score, a significant difference between groups was observed only in the cognitive reappraisal domain (<i>p</i> &lt; 0.001, <i>η</i>² = 0.302) and in the total score (<i>p</i> = 0.001, <i>η</i>² = 0.227) over time, where significant improvements were reported in the medication + ERT group and maintained for 3 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The augmentation of medication therapy with the Gross model-based ERT can lead to a higher decrease in mania and depression and an increase in emotion regulation (cognitive reappraisal) of depressed adults with BD type 1.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938872","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":"A Systematic Review Comparing Four Transdiagnostic Programmes for School-Age Children","authors":"Giorgio Ghizzoni,&nbsp;Maria Mirandi,&nbsp;Carlo Garofalo,&nbsp;Claudia Mazzeschi,&nbsp;Elisa Delvecchio","doi":"10.1002/cpp.70072","DOIUrl":"https://doi.org/10.1002/cpp.70072","url":null,"abstract":"<p>Transdiagnostic programmes are useful for helping people with internalizing symptoms and comorbid psychopathology. These programmes have as their basic idea that disorders are not separate entities but share common aetiological and maintenance processes. Their use is important with children, who tend to present less differentiated psychopathological manifestations than adults. This systematic review aimed to examine the effectiveness of four evidence-based transdiagnostic programmes: FRIENDS, Pyramid Club, Unified Protocol for Children (UP-C) and Super Skills for Life (SSL). Studies from 2018 to 2023 including children between 4 and 14 years of age were examined. Following PRISMA guidelines, 48 studies that met the inclusion criteria were considered. Most of the studies referred to treatment, only a few used the selected transdiagnostic programmes for prevention, most notably FRIENDS and SSL. Very few of the studies reviewed have been randomized controlled trials, limiting the possibility to examine incremental benefits of these programmes over alternative approaches. The findings show that all programmes showed evidence of effectiveness, but UP-C and SSL appear to be the most promising transdiagnostic programmes for the prevention and treatment of anxiety and depression in children as supported by more numerous studies in recent years. Moreover, UP-C and SSL specifically appeared effective in reducing externalizing problems and improving social skills and prosocial behaviour. Although the results presented are promising, they should be regarded as provisional and in need of further support in randomized controlled trials to test the effectiveness of these evidence-based programmes to ensure the psychological well-being of children and thus reduce healthcare costs.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914012","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 in Psychotherapy for Personality Disorders: A Systematic Review of Predictors","authors":"Francesca De Salve,&nbsp;Chiara Rossi,&nbsp;Elena Gioacchini,&nbsp;Irene Messina,&nbsp;Osmano Oasi","doi":"10.1002/cpp.70080","DOIUrl":"https://doi.org/10.1002/cpp.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dropout in psychotherapy for personality disorders is a major challenge, affecting treatment efficacy and mental health care delivery. Influenced by patient characteristics, therapist factors and treatment dynamics, dropout remains prevalent. This systematic review identifies predictors of psychotherapy dropout in individuals with personality disorders to inform strategies that enhance treatment engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic search in PsycINFO, PubMed and Scopus identified 22 studies from 1976 articles. Inclusion criteria required DSM/ICD-based personality disorder assessments and dropout predictors in psychotherapy. Non-English or non–peer-reviewed studies were excluded. Screening followed PRISMA guidelines using Rayyan, and study quality was assessed with the Newcastle–Ottawa Scale (NOS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Dropout rates ranged from 10.4% to 58%, depending on treatment modality and patient characteristics. Younger age, comorbid substance use disorders, emotional dysregulation, distress tolerance difficulties, childhood emotional abuse, therapist turnover and low motivation were significant predictors of dropout. Conversely, strong therapeutic alliances, mindfulness-based skills and engagement in phone coaching were associated with improved retention. Other relevant factors included low reflective functioning, lower education levels and socio-economic adversity, such as receiving disability benefits. Only one study identified low reflective functioning as a dropout predictor. Systemic factors, including treatment organization and care coordination, also played a crucial role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Addressing dropout requires early engagement strategies, therapist continuity and treatment flexibility. Enhancing therapeutic alliance and reflective functioning may be particularly effective in reducing dropout. Systemic improvements, such as better care coordination and accessibility, are crucial for sustaining engagement and improving psychotherapy outcomes for individuals with personality disorders.</p>\u0000 \u0000 <p><b>Registration:</b> PROSPERO number: CRD42024509283</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143909170","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":"An Examination of Intolerance of Uncertainty in Schizophrenia","authors":"Y. H. Yang,&nbsp;D. J. Hallford,&nbsp;C. M. Villanueva-Romero,&nbsp;J. V. Hernández-Viadel,&nbsp;J. J. Ricarte","doi":"10.1002/cpp.70074","DOIUrl":"https://doi.org/10.1002/cpp.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Schizophrenia is associated with multiple comorbidities and symptoms, suggestive of common transdiagnostic processes. Elevated intolerance of uncertainty (IU) is one such transdiagnostic process, but little research has been conducted on IU in schizophrenia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study assessed the associations between IU, schizophrenia diagnosis and schizophrenia symptoms using a between-group cross-sectional design. The sample comprised 113 participants, 72 people with a schizophrenia diagnosis and 41 control participants without (73 male, 40 female, age range 19–69 [<i>M</i> = 42.1, <i>SD</i> = 13.0]). Measures of schizophrenia symptoms, IU, depression and anxiety symptoms, rumination, executive functioning and rumination were taken.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Schizophrenia diagnosis was predicted by lower prospective IU and higher levels of inhibitory IU. Specifically, the prospective subscale was uniquely associated with general schizophrenia symptoms. Higher levels of positive symptoms were associated with higher prospective IU and lower inhibitory IU, however, not when anxiety and depressive symptoms, rumination and verbal fluency were controlled for. No unique associations were found with negative symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Different directions of association between the subtypes of IU and schizophrenia diagnosis as well as distinct relationships between IU and symptom subtypes suggest that prospective and inhibitory IU have distinct associations with the disorder.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143896846","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":"Strengths and Limits of Psychodynamic Intervention Rating Scale (PIRS) in Capturing Psychotherapeutic Micro-Process: A Systematic Review","authors":"Arianna Palmieri,&nbsp;Valentina Cimmino Picone,&nbsp;Alessandro Gennaro,&nbsp;Davide Ruffin,&nbsp;Valeria Capuani,&nbsp;Johann Roland Kleinbub","doi":"10.1002/cpp.70073","DOIUrl":"https://doi.org/10.1002/cpp.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Psychodynamic Intervention Rating Scale (PIRS) stands out as one of the most widely utilised coding systems aimed at categorising micro-process from psychotherapeutic dialogue due to its feasibility and adherence to the expressive–supportive continuum. Despite this, no comprehensive analysis of its application in the literature has been published. This systematic review aims to examine the state of the art, strengths, limitations and future perspectives of such a coding tool for verbatim transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search in databases (PsycINFO, Scopus, PubMed and Web of Science) covering publications from the PIRS's first occurrence in the scientific literature in 1992 to 2024 yielded 22 publications eligible for review. Three independent reviewers screened the studies and extracted data regarding PIRS applications and key findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The studies examined revealed that PIRS can reliably classify interventions across various therapeutic approaches, surpassing its psychodynamic origins. It demonstrated peculiar efficacy in understanding therapeutic alliance mechanisms and patients' responses according to their typical defensive patterns. However, the findings also indicated some limitations concerning the breadth of PIRS categories, which may overlook the essential nuances of micro-processes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the PIRS has proven its value for understanding clinical micro-process, its categories may be slightly refined. A proposal for a more granular classification of PIRS categories has finally been provided via a literature analysis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892878","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":"Exploring and Identifying Key Factors in Predicting Dyslexia in Children: Advanced Machine Learning Algorithms From Screening to Diagnosis","authors":"Abdullah Alrubaian","doi":"10.1002/cpp.70077","DOIUrl":"https://doi.org/10.1002/cpp.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The current study aimed to develop and validate a machine learning (ML)–based predictive models for early dyslexia detection in children by integrating neurocognitive, linguistic and behavioural predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A cross-sectional study was conducted with 300 Saudi Arabian children (150 children with dyslexia, 150 controls) aged 6–12 years and their parents. Participants underwent assessments for attention, phonological awareness, rapid automatised naming (RAN), cognitive flexibility and other predictors. Four ML models—logistic regression, random forest, XGBoost and an ensemble—were trained and evaluated using performance metrics (AUC, sensitivity, specificity). Recursive feature elimination (RFE) identified key predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The RFE (15-fold cross-validation) identified attention, RAN, early language delay, phonological awareness and cognitive flexibility as the top five predictors of dyslexia. The ML models demonstrated high diagnostic accuracy for dyslexia detection. Logistic regression achieved superior performance with an area under the curve (AUC) of 0.95 (95% CI: 0.92–0.98), sensitivity of 97%, specificity of 91% and overall accuracy of 94%. Random forest and XGBoost yielded slightly lower but robust AUCs (0.91 and 0.93, respectively), with balanced sensitivity (95%) and specificity (91%). The ensemble model harmonised algorithmic strengths, retaining an AUC of 0.93 while prioritising interpretability through weighted contributions from XGBoost (40%), random forest (30%) and logistic regression (30%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrated the transformative potential of ML in dyslexia diagnostics. By systematically prioritising phonological awareness, RAN and attention deficits, ML models offer a scalable, objective framework for early identification. These tools could alleviate reliance on subjective assessments, enabling timely interventions to mitigate dyslexia's long-term impacts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889127","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":"Psychotherapists' Readiness to Treat Refugee Patients and the Influence of Professional Quality of Life: A Cross-Sectional Vignette Study","authors":"Pia Maria Schwegler,&nbsp;Theresa Neumann,&nbsp;Rita Rosner,&nbsp;Katharina Gossmann","doi":"10.1002/cpp.70076","DOIUrl":"https://doi.org/10.1002/cpp.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous research has shown that psychotherapists' characteristics influence their readiness to treat refugee patients. The impact of therapists' professional quality of life (ProQOL) regarding their treatment readiness for refugee patients is unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to evaluate the ProQOL among psychotherapists in Germany. It examines how these factors and previous experience working with refugees affect psychotherapists' treatment readiness for refugee patients with symptoms of post-traumatic stress disorder (PTSD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In our study, we assessed the treatment readiness of licensed psychotherapists (LPTs) and psychotherapists in training (PiTs) using randomized refugee verus nonrefugee vignettes. Participants (<i>N</i> = 821) rated their treatment readiness for the presented case, reported their professional quality of life on the ProQOL questionnaire as well as prior experience with psychotherapy for refugees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The ProQOL differed significantly between therapists with and without experience treating refugees: Compassion satisfaction was higher, and burnout lowers for those who had already treated refugees. Overall, treatment readiness was lower for refugee than for nonrefugee patients. Therapists with prior experience of working with refugees reported a significantly higher treatment readiness for the refugee vignette. Treatment readiness was not affected by the reported ProQOL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Treatment experience with refugees did not negatively impact therapists' ProQOL but fostered their further treatment readiness for this specific patient group. Psychotherapists should be encouraged to gain initial treatment experience with refugees to improve long-term health care for refugees. Encouragement could be achieved by providing supervision or specialist training.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889164","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":"Predictors of Treatment Success of Psychotherapy in Functional Disorders: A Systematic Review of the Literature","authors":"Caroline Rometsch,&nbsp;Alexandra Martin,&nbsp;Fiammetta Cosci","doi":"10.1002/cpp.70075","DOIUrl":"https://doi.org/10.1002/cpp.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Functional disorders (FDs) benefit from psychotherapy. However, the determinants predicting their efficacy remain largely unexplored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic literature review was conducted. PubMed, Web of Science, Embase, Cochrane collaboration and grey literature were screened from inception to November 2024. Randomized controlled trials on predictors of success of psychotherapy for FDs (e.g., somatoform disorders, irritable bowel syndrome [IBS], chronic fatigue syndrome/myalgic encephalomyelitis [CFS/ME], fibromyalgia [FM]) in adults (i.e., ≥ 18 years of age) were included. The review yielded 24 eligible studies and included 3382 participants. A standardized quality assessment via ROB-2 Tool was performed. PRISMA guidelines were followed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Most studies applied CBT-based interventions (<i>n</i> = 19), mainly face-to-face, with some internet-based (<i>n</i> = 5), while fewer used emotional-based (<i>n</i> = 4), mindfulness-based (<i>n</i> = 3), psychodynamic (<i>n</i> = 1) or operant behavioural therapy (<i>n</i> = 1). The primary factors identified as predictive of treatment success in FM and somatization were the intensity of experienced pain. Moreover, the presence of mental disorders, i.e., depression and anxiety disorders, emerged as predictors for a range of disorders including FM, IBS, somatization disorder, hypochondriasis, medically unexplained symptoms and dissociative seizures. Symptom severity was recognized as a predictor across various FDs with findings indicated that severe severity could predict treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The body of research concerning predictors of treatment success in the context of FDs can help clinicians identifying appropriate psychotherapy trajectories.</p>\u0000 \u0000 <p><b>Trial Registration:</b> Not applicable. PROSPERO no. CRD42022379791; OSF (https://osf.io/8q7z9).</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865723","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 Relationship Between Therapist Perceptions and Engagement in Measurement-Based Care","authors":"Matteo Bugatti,&nbsp;Jesse Owen,&nbsp;Annika Helgadóttir Davidsen,&nbsp;Zach Richardson,&nbsp;Wendy Rasmussen,&nbsp;Douglas Newton","doi":"10.1002/cpp.70060","DOIUrl":"https://doi.org/10.1002/cpp.70060","url":null,"abstract":"<div>\u0000 \u0000 <p>Measurement-based care (MBC) is an evidence-based practice that has been supported by the American Psychological Association for almost two decades (APA 2006; Boswell et al. 2023). However, the widespread dissemination of technology-enabled platforms supporting the implementation of MBC in routine clinical settings has failed to significantly increase therapist rates of engagement in MBC. The present study was designed to examine the relationship between therapist perceptions of and their engagement in MBC, an area of inquiry that has yet to be pursued. A sample of 196 therapists and their respective clients (<i>N</i> = 12,166) was extracted from the therapist pool of a technology-enabled, digital mental health platform offering an automated MBC system. The sample of therapists was administered a previously validated measure assessing their perceptions of different aspects of MBC. Additionally, their frequency of viewing client outcome scores was assessed as an indicator of engagement in MBC. Analyses failed to detect a direct relationship between therapist perceptions of each aspect of MBC and their frequency of viewing client scores. Nonetheless, a subsequent cluster analysis identified a three-cluster solution. The cluster displaying the most positive perceptions of all aspects of MBC was associated with higher frequency of viewing client score. These findings suggest that therapist perceptions of MBC's clinical usefulness could have a unique impact on therapist engagement in MBC.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856764","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":"Dual Frameworks for Understanding OCD: Cognitive Misappraisals and Psychological Inflexibility in Clinical and Non-Clinical Populations","authors":"Zahra Nejad-Ebrahim Soumee,&nbsp;Amirhossein Rasouli,&nbsp;Jennifer Krafft,&nbsp;Seyedeh Elnaz Mousavi","doi":"10.1002/cpp.70065","DOIUrl":"https://doi.org/10.1002/cpp.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>OCD is a prevalent and debilitating mental disorder characterized by intrusive thoughts and repetitive behaviours. While cognitive models attribute OCD to dysfunctional beliefs and misinterpretations of intrusive thoughts, the inflexibility model emphasizes the role of experiential avoidance and cognitive fusion. This study investigates the relative predictive power of the cognitive and inflexibility frameworks in individuals with OCD compared to non-clinical controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 315 participants were recruited: 125 individuals with OCD and 190 non-clinical controls. Participants completed self-report measures of OCI-R, AAQ-II, CFQ and interpretation of intrusions (III). ANOVA and Pearson correlation analyses were conducted to examine group differences and relationships between variables. Finally, multiple stepwise regression analyses were performed to investigate the predictive power of these variables on OCD symptoms in both groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicated that individuals with OCD exhibited significantly higher levels of cognitive fusion, experiential avoidance, and misinterpretation of intrusions compared to non-clinical controls. Regression analyses revealed that cognitive fusion and interpretation of intrusions were significant predictors of OCD symptoms in the non-clinical group (<i>R</i>² = 0.265***), while experiential avoidance and cognitive fusion were significant predictors in the clinical group (<i>R</i>² = 0.254***).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides evidence for a multifaceted understanding of OCD. While the interpretation of intrusions may be more relevant in subclinical experiences of OCD, experiential avoidance and cognitive fusion may be more important as severity increases. This shift in emphasis suggests that the inflexibility model may be a better predictor of OCD symptoms than the cognitive model in individuals with a long history of the disorder.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778379","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}