Journal of Clinical Psychology最新文献

Applying Dialectical Behavior Therapy as a Transdiagnostic Treatment in a Case of Borderline Personality Disorder and Eating Disorder. 在一例边缘型人格障碍和进食障碍病例中应用辩证行为疗法作为跨诊断治疗。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-02-01 Epub Date: 2024-11-26 DOI: 10.1002/jclp.23754

María Vicenta Navarro-Haro, Alba Abanades Morillo, Azucena García-Palacios

{"title":"Applying Dialectical Behavior Therapy as a Transdiagnostic Treatment in a Case of Borderline Personality Disorder and Eating Disorder.","authors":"María Vicenta Navarro-Haro, Alba Abanades Morillo, Azucena García-Palacios","doi":"10.1002/jclp.23754","DOIUrl":"10.1002/jclp.23754","url":null,"abstract":"This article presents a case study of a 31-year-old woman with a dual diagnosis of Borderline Personality Disorder (BPD) and Eating Disorder Not Otherwise Specified (EDNOS). Paula received a 12-month Dialectical Behavior Therapy (DBT) outpatient treatment. DBT is considered a transdiagnostic treatment approach to address emotion dysregulation, which shifts the therapy focus traditionally placed only on behavioral change toward including also validation and acceptance and dialectical strategies. DBT addresses eating symptomatology as a dysfunctional form of emotional regulation and has shown promising results regarding its efficacy for the treatment of BPD and EDNOS comorbidity. Given the growing evidence, a standard DBT treatment plan was developed for this case. Specifically, pretreatment and phase 1 of the DBT program are described. During pretreatment and phase 1, individual therapy aims to improve and maintain client's motivation to change and engage in treatment, as well as to establish and prioritize treatment goals. As for group therapy, the main goal of the skills training in DBT is to enhance individual's capability by increasing skillful behavior (mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness skills). Paula received 24 weekly skills training sessions over a year. The results after a 12-month standard DBT treatment showed that Paula no longer met criteria for BPD, she had a significant decrease in difficulties in emotional regulation and impulsiveness and in EDNOS symptomatology. This case study may enhance learning about how to apply a transdiagnostic treatment to address BPD and EDNOS together in clinical practice.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":"102-112"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ACT for OCD: An Example of ACT and Values-Based Exposures. 强迫症的ACT: ACT和基于价值观的暴露的一个例子。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-02-01 Epub Date: 2024-12-19 DOI: 10.1002/jclp.23759

Leila K Capel, Michael P Twohig

引用次数: 0

Virtual Reality Exposure for Treating PTSD Due to Military Sexual Trauma. 利用虚拟现实技术治疗军队性创伤导致的创伤后应激障碍。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-02-01 Epub Date: 2024-11-11 DOI: 10.1002/jclp.23750

Laura Loucks, Albert Rizzo, Barbara O Rothbaum

引用次数: 0

How Metacognitions Contribute to Compulsive Online Shopping: An Exploratory Study. 元认知如何导致强迫性网购？一项探索性研究。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-02-01 Epub Date: 2024-11-11 DOI: 10.1002/jclp.23752

Giulia Fioravanti, Marcantonio M Spada, Sara Bocci Benucci, Silvia Casale, Alessio Gori

{"title":"How Metacognitions Contribute to Compulsive Online Shopping: An Exploratory Study.","authors":"Giulia Fioravanti, Marcantonio M Spada, Sara Bocci Benucci, Silvia Casale, Alessio Gori","doi":"10.1002/jclp.23752","DOIUrl":"10.1002/jclp.23752","url":null,"abstract":"Objectives: Compulsive Online Shopping (COS) is considered a technological addiction, characterized by excessive engagement in online shopping behaviors that can cause economic, social, and emotional impairments in an individual's life. Among the theoretical models aimed at conceptualizing addictive behaviors, the metacognitive model has gained increased attention. However, no previous study has investigated the role of metacognitions in COS. The current study was aimed at clarifying the contribution of metacognitions about online shopping as potential mediating variables in the relationship between some well-established psychological correlates (i.e., boredom proneness, impulsivity, materialism, negative affect) and COS.Methods: A sample of 254 participants (mean age = 34.79 ± 11.45; Females = 84.3%) was recruited using convenience sampling.Results: The hypothesized model produced a good fit to the data and accounted for 48% of COS variance. All the correlates (i.e., boredom proneness, impulsivity, materialism, and negative affect) were significantly and positively associated with Positive Metacognitions About Emotional And Cognitive Regulation, which in turn predicted COS. Boredom proneness and impulsivity were also positively associated with Negative Metacognitions About Uncontrollability And Cognitive Harm of online shopping, which in turn predicted COS. All the indirect effects were significant.Conclusions: The present findings add to the argument that the metacognitive model of addictive behaviors may applied to the understanding of COS and open the possibility of applying metacognitive techniques to the treatment of COS.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":"71-80"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Depression, Drinking to Cope, and Alcohol Use Severity Among Latinos Who Drink: The Moderating Role of Sex. 拉丁美洲人饮酒中的抑郁、饮酒应对和酒精使用严重程度：性别的调节作用。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI: 10.1002/jclp.23755

Cory L Cobb

{"title":"Depression, Drinking to Cope, and Alcohol Use Severity Among Latinos Who Drink: The Moderating Role of Sex.","authors":"Cory L Cobb","doi":"10.1002/jclp.23755","DOIUrl":"10.1002/jclp.23755","url":null,"abstract":"Objectives: The present study evaluated sex differences in the direct and indirect links between depressive symptoms, coping motives to drink, and alcohol use severity among Latinos who drink.Methods: A large and diverse panel sample of Latinos, who were strategically sampled to be reflective of the Latino demographics of the state of Texas, completed questionnaires assessing their depressive symptomatology, coping motives to drink, and alcohol use behaviors.Results: Direct effects were significant in hypothesized directions such that depressive symptoms was positively associated with both coping motives to drink and alcohol use severity, and drinking motives to cope were positively associated with alcohol use severity. Moderator analysis showed that, compared to Latina women, the association of depressive symptoms with both drinking to cope and alcohol use severity was significantly higher among Latino men. Regarding indirect effects, a moderated mediation analysis showed that the indirect effect of depressive symptoms on alcohol use severity through coping motives to drink was statistically significant for both Latino/a men and women; however, the index of moderated mediation showed that this indirect effect was significantly greater among Latino men.Conclusion: Although both Latino/a men and women may consume alcohol and turn to alcohol to drink with negative affect associated with depressive symptoms, this process may be stronger among Latino men. Findings are discussed considering prior work and implications for practitioners.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":"62-70"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Momentary Fluctuations in Impulsivity Predicts Suicidal Ideation Among Those With Problematic Alcohol Use. 冲动性的瞬间波动可预测有饮酒问题者的自杀意念。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-02-01 Epub Date: 2024-11-21 DOI: 10.1002/jclp.23747

Brooke A Ammerman, Anne C Knorr, Kenneth McClure, Connor O'Brien, Irene Xu

{"title":"Momentary Fluctuations in Impulsivity Predicts Suicidal Ideation Among Those With Problematic Alcohol Use.","authors":"Brooke A Ammerman, Anne C Knorr, Kenneth McClure, Connor O'Brien, Irene Xu","doi":"10.1002/jclp.23747","DOIUrl":"10.1002/jclp.23747","url":null,"abstract":"Background: Problematic alcohol use is a recognized risk factor for suicidal thoughts and behaviors. Individuals who misuse alcohol and those experiencing suicidal ideation (SI) often exhibit elevated impulsivity, suggesting that impulsivity may be an underlying mechanism. Impulsivity fluctuates considerably within individuals over short periods, particularly among those engaged in episodic heavy drinking, college students, and those with SI. While impulsivity is associated with suicidal thinking at a trait level, its relationship with SI on a momentary level remains relatively unexplored. This study aimed to (a) replicate cross-sectional findings linking impulsivity and SI in those with problematic alcohol use, and (b) extend these findings to examine the momentary associations between impulsivity and SI within this population.Method: Two independent undergraduate samples were utilized: the first cross-sectional (n = 653) and the second employing ecological momentary assessment (n = 56). All participants screened for problematic alcohol or substance use.Results: Our results show a unique association between the impulsivity facet of negative urgency and SI. Results also demonstrate an interactive effect of negative affect and \"spur of the moment decisions\" in predicting concurrent SI, as well as an interaction between negative affect and \"saying things without thinking\" in prospectively predicting SI.Conclusions: Findings highlight the saliency of negative urgency, both at the trait and state level in the prediction of SI. Although in need of replication, results indicate that specific aspects of momentary impulsivity may be uniquely linked with SI, and that this relationship may be context dependent.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":"51-61"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationships Between Body-Related Emotion Intolerance and Restrictive Eating as a Function of Multidimensional Perfectionism. 多维完美主义对身体相关情绪不耐受与限制性饮食的影响。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-01-22 DOI: 10.1002/jclp.23770

Shauna Solomon-Krakus, Danika A Quesnel, Amanda Uliaszek, Catherine M Sabiston

{"title":"The Relationships Between Body-Related Emotion Intolerance and Restrictive Eating as a Function of Multidimensional Perfectionism.","authors":"Shauna Solomon-Krakus, Danika A Quesnel, Amanda Uliaszek, Catherine M Sabiston","doi":"10.1002/jclp.23770","DOIUrl":"https://doi.org/10.1002/jclp.23770","url":null,"abstract":"Objective: Emotion intolerance and perfectionism are two maintaining mechanisms to eating disorder symptomology. However, it is unclear how these mechanisms relate to one another. This study explored whether perfectionism is a vulnerability factor for facets of restrictive eating in the context of body-related emotions.Methods: Female undergraduate students (N = 148) completed questionnaires assessing baseline levels of self-critical perfectionism and personal standards perfectionism. Participants then engaged in an ecological momentary assessment protocol where body-related emotion intolerance and restrictive eating facets (cognitive restraint and behavioral restriction) were assessed over 10 consecutive days. Multilevel modeling and simple slopes analysis were used to explore these moderated relationships. Within-person (Level 1 body-related emotion intolerance) and between-person (Level 2 perfectionism dimensions) relationships were examined.Results: Based on the analyses, both self-critical and personal standards perfectionism dimensions interacted with body-related emotion intolerance to predict increases in restrictive eating facets.Conclusion: These findings indicate that personal standards perfectionism, though conceptualized as the less maladaptive dimension of perfectionism, should not be ignored when conceptualizing and intervening with restrictive eating. Recommendations are provided on how to refine treatment targets to be more attuned with situations that elicit body-related emotion intolerance.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Insight in Patients With Obsessive Compulsive Disorder: A Case Study on Avatar Therapy Using Virtual Reality.

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-01-22 DOI: 10.1002/jclp.23772

Lara Wille, Luzie Lohse, Lena Jelinek, Steffen Moritz, Josephine Schultz, Swantje Borsutzky, Amir H Yassari, Lise Mariegaard, Ditte Lammers Vernal, Sanne Helene Bekker, Louise Birkedal Glenthøj, Franziska Miegel

{"title":"Enhancing Insight in Patients With Obsessive Compulsive Disorder: A Case Study on Avatar Therapy Using Virtual Reality.","authors":"Lara Wille, Luzie Lohse, Lena Jelinek, Steffen Moritz, Josephine Schultz, Swantje Borsutzky, Amir H Yassari, Lise Mariegaard, Ditte Lammers Vernal, Sanne Helene Bekker, Louise Birkedal Glenthøj, Franziska Miegel","doi":"10.1002/jclp.23772","DOIUrl":"https://doi.org/10.1002/jclp.23772","url":null,"abstract":"Treatment efficacy for patients with obsessive-compulsive disorder (OCD) with poor insight is low. Insight refers to a patient's ability to recognize that their obsessions are irrational and that their compulsions are futile attempts to reduce anxiety. This case study presents the first application of virtual reality-assisted avatar therapy for OCD (VRT-OCD) in a patient with contamination OCD and ambivalent insight. Before treatment, the patient was not distanced from the content of his obsessions, which obstructed treatment progress. VRT-OCD aims to enhance insight by creating distance between the patient's functional self and their OCD by means of a virtual avatar, an individually designed visual representation of their OCD. The three-session therapy involved engaging with the avatar, practicing resistance to the OCD, and reinforcing self-esteem based on the patient's values. By learning that his obsessions hindered him from living life according to his values, the patient was motivated to engage in dialog with his avatar and learned to stand up for himself. After treatment, the patient had improved insight (BABS score reduced by 71%) and reduced symptoms (Y-BOCS score reduced by 51%). First results suggest that VRT-OCD may increase insight and empower patients to confront their obsessions, leading to increased motivation to resist their compulsions. This study highlights the feasibility, acceptance, and potential effectiveness of VRT-OCD as a novel therapeutic approach for individuals with OCD.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Virtual Reality to Promote Self-Identity Reconstruction as the Main Focus of Therapy. 利用虚拟现实促进自我同一性重建是治疗的重点。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-01-18 DOI: 10.1002/jclp.23771

Alejandro Garcia-Gutierrez, Adrián Montesano, Guillem Feixas

{"title":"Using Virtual Reality to Promote Self-Identity Reconstruction as the Main Focus of Therapy.","authors":"Alejandro Garcia-Gutierrez, Adrián Montesano, Guillem Feixas","doi":"10.1002/jclp.23771","DOIUrl":"https://doi.org/10.1002/jclp.23771","url":null,"abstract":"Based on the repertory grid technique, we developed Explore Your Meanings (EYME), a digital platform that helps patients explore identity values and internal conflicts using virtual reality (VR). EYME was part of a research project treating depression in young adults, including 10 weekly, 1-h sessions aimed at changing personal constructs-cognitive schemas that shape how individuals interpret reality. We present the case of Mary, a 21-year-old woman diagnosed with persistent major depressive disorder and social phobia. Early sessions with EYME revealed key implicit dilemmas in Mary's worldview, such as feeling that she had to be selfish (an undesired personal characteristic) to become smarter and more self-confident (desired pole). As Mary visualized these constructs in VR, she began to recognize her identity conflicts and strengths, ultimately helping her to improve her negative self-image. Interventions focused on reframing these constructs, particularly around \"intelligence\" and introducing \"emotional intelligence,\" which helped Mary adopt a more nuanced view of herself. A key session involved a two-chair dialog between her \"critical\" and \"emotional\" selves, facilitating the integration of polarized aspects of her personality. In subsequent sessions, EYME reinforced these changes, with Mary reinterpreting behaviors like being \"selective\" as protective rather than negative. By the end of therapy, she no longer met the criteria for depression or social phobia, and her psychological distress had normalized.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptions and Use of Extended-Duration Exposure Therapy Amongst Psychologists. 心理学家对长时间暴露疗法的认知和使用。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-01-15 DOI: 10.1002/jclp.23767

Rebecca Caton, Bronwyn M Graham

{"title":"Perceptions and Use of Extended-Duration Exposure Therapy Amongst Psychologists.","authors":"Rebecca Caton, Bronwyn M Graham","doi":"10.1002/jclp.23767","DOIUrl":"https://doi.org/10.1002/jclp.23767","url":null,"abstract":"Background: Extended-duration exposure therapy, in which treatment is delivered over a single prolonged session or cluster of long-duration sessions, is a highly efficacious and efficient treatment for anxiety disorders such as specific phobias. Despite this, little is known about the use of extended-duration exposure therapy in clinical practice.Methods: In the present study we investigated the perceptions and use of extended-duration exposure therapy amongst a sample of Australian psychologists via a survey, and the Therapist Beliefs about Exposure Scale. Additionally, we compared theoretical understanding of exposure therapy, and therapy delivery strategies (using a case study vignette), between psychologists who deliver exposure therapy via an extended-duration mode, versus the more traditional multi-session mode.Results: Extended-duration exposure therapy is widely underutilised, and this is associated with negative beliefs about exposure therapy in general, as well as several practical barriers. There were no differences in the reported theoretical mechanisms of exposure therapy between those who do and do not use extended-duration exposure therapy. However, psychologists who use extended-duration exposure therapy reported greater use of strategies with demonstrated efficacy (e.g., more intense delivery) and less use of therapy-interfering strategies (e.g., distress reduction techniques) relative to those who do not use extended-duration exposure therapy.Conclusion: These findings identify potential mechanisms accounting for extended-duration exposure therapy's efficiency and point to strategies that may increase the uptake of extended-duration exposure therapy in clinical practice.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0