Clinical psychology & psychotherapy最新文献

{"title":"Beyond Core ADHD Symptoms: Clinical Evaluation of Antisocial Behaviours Within a Unified Externalizing Framework in Youth With ADHD.","authors":"Norah Alkhateeb","doi":"10.1002/cpp.70280","DOIUrl":"10.1002/cpp.70280","url":null,"abstract":"<p><p>Attention-deficit/hyperactivity disorder (ADHD) frequently co-occurs with oppositional and conduct-related behavioural difficulties, raising questions about how these symptoms are structurally related within clinically diagnosed youth. Dimensional models of psychopathology, such as the Hierarchical Taxonomy of Psychopathology (HiTOP), conceptualize these behaviours as part of a broader externalizing spectrum characterized by shared patterns of behavioural dysregulation. However, empirical evidence examining the coherence of antisocial externalizing dimensions within paediatric ADHD clinical samples remains limited. The present study investigated patterns of externalizing symptom covariation in a clinical sample of children and adolescents aged 6-18 years with ADHD diagnoses established through structured clinical interviews conducted by trained clinicians. Parent-reported DSM-oriented scales from the Child Behaviour Checklist (CBCL) were analyzed using confirmatory factor analytic models to compare alternative structural representations of internalizing and externalizing symptoms, including unified and differentiated externalizing configurations. Results indicated substantial covariation among ADHD, oppositional defiant and conduct-related symptom dimensions. Models specifying a unified externalizing structure demonstrated greater parsimony and comparable or superior fit relative to more differentiated models. These findings suggest that, in this clinically diagnosed paediatric ADHD sample, ADHD, oppositional defiant and conduct-related symptom dimensions were more economically represented by a unified externalizing configuration than by a more differentiated alternative. Importantly, these results should be interpreted as reflecting covariance among six parent-reported CBCL DSM-oriented scales within a restricted clinical and measurement context, rather than as broader validation of the hierarchical placement of ADHD within HiTOP or other dimensional taxonomies. From a clinical perspective, the findings highlight the value of integrated assessment of disinhibited and antisocial behavioural features when evaluating youth with ADHD. Future research incorporating multi-informant assessments and broader neurodevelopmental indicators may further clarify how ADHD symptom dimensions relate to overlapping developmental and behavioural domains.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70280"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812002","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 Comparative Analysis of the Acceptability of the MATER Positive Psychology Intervention Versus Cognitive Behavioural Therapy in Women With Postpartum Depression.","authors":"Elisa Nombela, Almudena Duque, Gloria Salgado, Covadonga Chaves","doi":"10.1002/cpp.70281","DOIUrl":"10.1002/cpp.70281","url":null,"abstract":"<p><p>Postpartum depression (PPD) is a prevalent condition with important consequences for both mothers and infants. Although Cognitive Behavioural Therapy (CBT) is considered the first-line psychological treatment, Positive Psychology Interventions (PPIs) have recently emerged as promising approaches by promoting well-being alongside symptom reduction. This randomized clinical trial compared the acceptability of an online Positive Psychology programme (Maternal insights for Awareness, Thriving, Emotions and Resilience [MATER]) with a CBT programme for women with PPD. A total of 136 women were randomly assigned to one of the two conditions, both consisting of 10 weekly online group sessions. Acceptability was assessed through indicators of satisfaction and adherence. Results showed no significant differences between groups in overall satisfaction, perceived skill acquisition, perceived therapists' empathy and understanding, quality of treatment or willingness to recommend the programme. However, a significant interaction between intervention type and symptom severity emerged for perceived therapist competence: Among participants with more severe depressive symptoms, therapists in the PPI condition were rated as more competent than those in the CBT condition. Dropout rates were similar across groups, and session attendance declined over time in both interventions. Employment predicted greater retention, whereas having two or more children increased the likelihood of dropout. These findings support the feasibility and acceptability of both interventions and suggest that Positive Psychology-based programmes may be particularly well perceived by women experiencing more severe postpartum depressive symptoms. Trial Registration: ClinicalTrials.gov: Identifier: NCT05676918.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70281"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Psychometric Evaluation of the Homework Rating Scale - Mobile Application: Reliability and Predictive Validity for Assessing Engagement in Smartphone-Delivered Cognitive Behavioral Therapy\".","authors":"","doi":"10.1002/cpp.70302","DOIUrl":"10.1002/cpp.70302","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70302"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13484047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293665","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":"Childhood Maltreatment and Drug Craving in Patients With Methamphetamine Use Disorder: The Independent and Serial Mediating Roles of Emotional Dysregulation and Impulsivity.","authors":"Saad Ullah, Yang Tian, Yinxue Mao, Arsalan Haider, Linjun Jiang, Rongrong Zhu, Dong-Mei Wang, Xiang-Yang Zhang","doi":"10.1002/cpp.70277","DOIUrl":"10.1002/cpp.70277","url":null,"abstract":"<p><p>Growing evidence suggests that childhood maltreatment (CM) is associated with adverse emotional and behavioural outcomes in individuals with methamphetamine use disorder (MUD). However, the psychological mechanisms underlying the association between CM and drug craving remain insufficiently understood. This study examined whether emotional dysregulation (ED) and impulsivity independently and serially mediated the association between CM and drug craving in patients with MUD. A total of 407 male inpatients with MUD were recruited from a drug rehabilitation centre in China. CM, ED, impulsivity and drug craving were assessed using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Difficulties in Emotion Regulation Scale (DERS), the Barratt Impulsiveness Scale (BIS-11) and the Obsessive-Compulsive Drug Use Scale (OCDUS), respectively. Of the total sample, 229 (56.2%) patients had experienced at least one form of CM. Patients with a history of CM exhibited significantly higher levels of ED, impulsivity and drug craving than those without CM (all p < 0.01). Significant associations were observed among CM, ED, impulsivity and drug craving (all p < 0.05). Furthermore, ED and impulsivity independently (β = 0.041, 95% CI [0.023, 0.062]; β = 0.024, 95% CI [0.009, 0.042]) and serially (β = 0.011, 95% CI [0.003, 0.021]) mediated the association between CM and drug craving. These findings suggest that the association between CM and drug craving may be partly explained by emotion regulation difficulties and impulsivity, highlighting the potential value of interventions targeting emotion regulation skills and impulse control in patients with MUD.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70277"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764678","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":"The Effect of Hybrid Cognitive Behavioural Therapy-Based and Peer Support Programme on Depression Among Transgender Women.","authors":"Patcharin Krongtham, Ratsiri Thato, Edmond Pui Hang Choi, Penpaktr Uthis","doi":"10.1002/cpp.70298","DOIUrl":"10.1002/cpp.70298","url":null,"abstract":"<p><p>Transgender women (TGWs) experience high rates of depression due to stigma, discrimination and limited access to inclusive healthcare. This study aimed to examine the effect of a hybrid Cognitive Behavioural Therapy (CBT)-based and peer support programme on depression among TGWs and to examine whether intervention effects differed by transitional process (gender-affirming surgery [GAS] vs. gender-affirming hormone therapy [GAHT]). A randomized controlled trial with repeated measures ANCOVA was conducted. Participants were assigned to either an experimental group receiving the hybrid programme or a control group receiving usual care. Depression was assessed at posttest and 1-month follow-up, with baseline depression included as a covariate. Subgroup analyses were performed based on transitional process. After adjusting for baseline scores, the experimental group demonstrated significantly lower depression compared to the control group. A significant time-by-group interaction suggested divergent trajectories, with depression remaining stable in the experimental group but worsening in the control group. Exploratory subgroup analyses suggested potentially stronger effects among participants undergoing GAS. However, formal moderation analyses were not statistically significant. Additionally, participants in the experimental group exhibited reduced internalized sexual stigma and increased self-esteem and self-efficacy. Overall, the findings suggest that integrating peer support into CBT-based approaches may be associated with improved outcomes. Future research is needed to examine long-term effects and to further investigate mechanisms underlying differential responses across transitional pathways.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70298"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276512","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":"Metacognitive Beliefs and Symptom Dimensions in OCD: A Network Analysis Identifying Central Nodes and a Severity Predictor.","authors":"Saeed Anwar, Romana Younas, Mujahid Iqbal, Jiang Yingjie","doi":"10.1002/cpp.70287","DOIUrl":"10.1002/cpp.70287","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is a heterogeneous condition characterized by a wide range of symptoms and maladaptive beliefs. However, previous research has often studied these symptoms and metacognitive beliefs in isolation, creating a critical gap in our understanding. To address this, our study used network analysis to uncover the interconnected relationships between these factors in 167 adults with primary OCD. By identifying the most central cognitive nodes, our findings suggest new targets for targeted interventions that could significantly enhance treatment effectiveness. Data were collected from two outpatient clinics in Pakistan. Participants completed measures of OCD symptoms (Yale-Brown Obsessive-Compulsive Scale; Padua Inventory-Revised) and metacognitive beliefs (Obsessive Beliefs Questionnaire-44; Metacognitions Questionnaire-30). Network analysis revealed two clusters, one for symptoms and one for metacognitive beliefs, indicating distinct yet interconnected domains of OCD pathology. Centrality analyses identified cognitive confidence (CC) and negative beliefs about worry (NBW) as the most central nodes, with strong connections to other nodes. Regression analyses indicated that, contrary to expectations, only positive beliefs about worry (PBW) uniquely predicted OCD severity, whereas CC and NBW did not show unique predictive effects. These findings support targeting central cognitive processes, such as memory confidence and beliefs about the uncontrollability of worry, in the treatment of OCD. Mapping the interplay between symptoms and beliefs within the OCD network may inform the development of targeted interventions and enhance treatment efficacy.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70287"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004776","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":"Is the Group Traumatic Episode Protocol (G-TEP) Effective for Post-Traumatic Stress Disorder? A Meta-Analysis.","authors":"Gökçen Dalkılınç, Begüm Satıcı","doi":"10.1002/cpp.70283","DOIUrl":"10.1002/cpp.70283","url":null,"abstract":"<p><p>Following collective traumas, the need for mental health services to become accessible to a large number of people in a short time not only requires the effectiveness of psychological interventions but also their accessibility. Collective experiences such as natural disasters, wars, forced migration, epidemics and incidents of social violence pose a significant risk to public mental health because they affect multiple individuals simultaneously. Therefore, along with individual therapy, group therapy is becoming increasingly important in making mental health services accessible to more people at the same time. In this sense, it has been seen that applications have been carried out with different therapy schools such as cognitive behavioural therapy, exposure therapy and acceptance and commitment therapy. One such approach is G-TEP (Group Traumatic Episode), a group protocol developed based on Eye Movement Desensitization and Reprocessing (EMDR) that focuses directly on traumatic experiences. In this context, the aim of the present study is to examine the effectiveness of the G-TEP protocol applied to date in reducing PTSD symptoms using meta-analysis methods. According to this aim, a total of 12 studies that met the inclusion criteria were included in the meta-analysis. Considering the methodological and sample differences between the studies, a random effects model was used, and effect sizes were calculated using Hedges' g. The findings revealed that the G-TEP intervention was associated with a large effect size (g = 1.28) in reducing PTSD symptoms. These results support the G-TEP as a feasible and effective intervention option, particularly following collective traumas.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":"e70283"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147927141","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148098037","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148092957","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"33 3","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148092956","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}