Journal of Clinical Psychology最新文献

{"title":"Memory Reconstruction in Complex PTSD: A Case Illustration of Guided Imagery in Metacognitive Interpersonal Therapy.","authors":"Felix Inchausti, Nancy V García-Poveda, Marta Pérez-Jiménez, Roberto Maluenda-Gatica","doi":"10.1002/jclp.70236","DOIUrl":"https://doi.org/10.1002/jclp.70236","url":null,"abstract":"<p><p>This article describes the use of guided imagery within Metacognitive Interpersonal Therapy (MIT) in the treatment of a woman with a history of relational trauma and severe emotional dysregulation. The case of Alicia, a 49-year-old patient with disorganized attachment and longstanding interpersonal difficulties, is presented to illustrate how imagery-based interventions can facilitate emotional processing and change. Treatment focused on helping Alicia understand and manage intense emotional reactions that were often experienced as overwhelming and confusing. In one key session, a panic episode occurring in a supermarket-whose origins were traced to earlier experiences of humiliation and threat-was explored using guided imagery. The intervention aimed to help her remain present, access a sense of safety, and develop a more adaptive response to the situation. A session transcript shows how grounding, therapist attunement, and imagery work supported Alicia in moving from a state of helplessness to a sense of stability and control. Over the course of treatment, she showed improvements in emotional awareness, interpersonal functioning, and overall distress. This case highlights how guided imagery can be used within MIT to help patients access emotionally meaningful experiences and develop new ways of understanding and responding to them.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193846","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":"Disproportionality of Depressive Reactions and the Process of Change in Cognitive Behavioral Therapy for Depression.","authors":"Samuel T Murphy, Iony D Ezawa, Benjamin J Pfeifer, Daniel R Strunk","doi":"10.1002/jclp.70231","DOIUrl":"https://doi.org/10.1002/jclp.70231","url":null,"abstract":"<p><strong>Background: </strong>The proportionality of depressive reactions to stress was long considered an essential feature of clinical depression. Although judgments of the proportionality of depressive reactions have been effectively removed in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.), important empirical questions remain about the information that such judgments might convey.</p><p><strong>Methods: </strong>In Study One, we tested the factor structure of a brief self-report measure of disproportionality, the Proportionality of Depressive Reactions-Self-Report (PDR-S) and evaluated its relationship with measures of adaptive and maladaptive coping in a sample of 616 undergraduate students. In Study Two, we evaluated the role of disproportionality in understanding the impact of cognitive change procedures on client's experience of cognitive change. We evaluated this in a sample of 126 clients participating in CBT for depression.</p><p><strong>Results: </strong>In Study One, evaluation of the PDR-S revealed good model fit for a single factor solution. The PDR-S was positively related to cognitive reactivity and maladaptive coping responses; it was negatively related to adaptive coping. Most relations were still significant when neuroticism and depressive symptoms were included as covariates. In Study Two, disproportionality moderated the relation between cognitive change procedures and cognitive change, with a stronger positive relationship when participants self-reported a more disproportionate depressive reaction.</p><p><strong>Conclusions: </strong>Our findings support the use of the PDR-S as a brief measure of disproportionality. Initial evidence shows that the effect of cognitive change procedures on cognitive change is stronger among those self-reporting a more disproportionate depressive reaction.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182131","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":"Reward Deficits in Co-Occurring Social Anxiety and Depression: The Roles of Anhedonia, Boredom, Loneliness, and COVID-19 Social Restriction","authors":"Nathan M. Hager,&nbsp;Alicia L. Milam,&nbsp;Hannah C. Hamrick,&nbsp;Benjamin Swanson,&nbsp;Matt R. Judah","doi":"10.1002/jclp.70204","DOIUrl":"10.1002/jclp.70204","url":null,"abstract":"<p>Prior research points toward reward deficits as crucial to the link between social anxiety disorder and major depressive disorder. However, studies have not explored specific types of reward deficits or how social-environmental factors may impact them. The current study examined whether the indirect effects of three reward deficits (anhedonia, boredom, and loneliness) accounted for the connection between social anxiety and depression. Questionnaires were collected in a sample of college students (<i>N</i> = 523) during the first year of the COVID-19 pandemic, allowing examination of environmental stressors (i.e., remote learning and current friend network size) on reward deficits. Indirect effect models showed that anhedonia, boredom, and loneliness each uniquely partly accounted for the association between social anxiety and depression (accounting for 20%, 38%, and 14% of the association, respectively), with boredom accounting for the largest proportion. Further, analyses suggested that anhedonia was associated with the social anxiety-depression link only among remote learners, while loneliness appeared to be only associated among students who had smaller friend networks. Findings highlight the importance of reward deficits in co-occurring social anxiety-depression symptoms. We present novel findings showing the strong role of boredom in the connection between social anxiety and depression symptoms, suggesting a new transdiagnostic treatment target. Social-environmental stressors, such as remote learning and contact with fewer friends, may exacerbate the connection between reward deficits and social anxiety-depression co-occurrence and serve as areas for intervention.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1851-1864"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653674","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":"Adverse Childhood Experiences and Suicidal Acts in Adolescents: A Systematic Literature Review","authors":"Bárbara F. Zibaia,&nbsp;Rui C. Campos,&nbsp;Ronald R. Holden","doi":"10.1002/jclp.70206","DOIUrl":"10.1002/jclp.70206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Objective</h3>\u0000 \u0000 <p>This study maps existing empirical evidence on the impact of Adverse Childhood Experiences (ACEs; including, in addition to experiences of violence or acts of omission and neglect directed at the child, dysfunctionality in the family environment), on suicidal acts in adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The PRISMA methodology was followed, and three databases were accessed: Medline/PubMed, Embase, and PsycInfo. The data selection process took place in stages. In the first stage, titles and abstracts of the articles resulting from the search were reviewed and, in the second stage, potentially eligible articles were analyzed in full, using the following set of eligibility criteria: scientific papers with peer review; research written in English; studies that empirically and specifically examined suicidal acts (excluding suicidal ideation and non-suicidal self- injurious behaviors); papers that specifically tested the association between ACEs and suicidal acts; research that specifically reported on adolescent populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final pool of analyzed articles numbered 26. Based on this review, included studies provided consistent evidence of an association between ACEs and suicide attempts. Only one study tested the association between ACEs and completed suicide. Further, sexual abuse, physical abuse, parental separation or divorce, and peer bullying were among the types of ACEs most consistently associated with suicide attempts across the reviewed studies. Several studies suggested that non-suicidal self-injurious behavior and exposure to suicidal behavior in friends or family may play a role in explaining the association between ACEs and suicide attempts. Studies examining potential buffering factors also suggested that parental support, family communication, social support, and school connectedness may attenuate this association.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The available evidence indicates a consistent association between ACEs and suicidal acts, particularly suicide attempts. Evidence for specific ACE subtypes, specific populations, mediators, and moderators should be interpreted more cautiously, given it is based on a fewer number of studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1769-1791"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678325","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":"Eye Movement Desensitization and Reprocessing (EMDR) for Shame Related Offense Trauma in a Justice Involved Individual Presenting With Active Suicidality and Self-Harm","authors":"Lauren Clark,&nbsp;Hollie Moon,&nbsp;Maeve Crowley","doi":"10.1002/jclp.70197","DOIUrl":"10.1002/jclp.70197","url":null,"abstract":"<div>\u0000 \u0000 <p>A single-case study is presented, which describes the application of EMDR for a justice involved health care worker, presenting with active suicidality and self-harm, within the context of high levels of offense-related shame. “Alex” was a 42-year-old female, serving a prison sentence for Theft. Prior to her offense, Alex was a nurse with an unblemished career. Her offending occurred as a result of her addiction to pain medication. Alex attended 20 treatment sessions, which followed the eight phases of EMDR therapy: (i) history taking; (ii) preparation; (iii) assessment; (iv) desensitization; (v) installation; (vi) body scan; (vii) closure; and (viii) evaluation. Eye Movement Desensitization and Reprocessing (EMDR) has a growing body of evidence for its effectiveness with offense-related trauma; shame-based disorders; and with those presenting with self-harm and suicidality. Given the postulated link between shame and recidivism, it is perplexing that to-date there has been no published research pertaining to the psychological treatment of offense-related shame, specifically. The importance of EMDR case formulation in regard to treatment planning is described. Therapeutic processes and clinical outcome will be discussed. Overall this case-study builds on the existing research base and highlights the utility of EMDR for the treatment of offense-related shame, self-harm and active suicidality.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1946-1957"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701379","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":"When Therapy Goes Online: How Orientation, Experience, and Perceived Patient Openness Shape Attitudes Toward Online Therapy. A Study Based on the Unified Theory of Acceptance and Use of Technology for Therapists During the COVID-19 Pandemic","authors":"Agnieszka Koch,&nbsp;Agata Graczykowska,&nbsp;Szymon Szumiał,&nbsp;Magdalena Marszał-Wiśniewska","doi":"10.1002/jclp.70208","DOIUrl":"10.1002/jclp.70208","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study examined the key factors associated with psychotherapists' attitudes toward online therapy, with particular focus on therapeutic orientation, age, years of professional experience, prior technological experience, and perceived patient openness. Conducted during the COVID-19 pandemic, the study was based on the Unified Theory of Acceptance and Use of Technology for Therapists (UTAUT-T) framework to better understand therapists' acceptance of online therapeutic modalities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study involved 387 psychotherapists representing various therapeutic approaches, who completed an online self-report questionnaire. The instruments used included the UTAUT-T questionnaire, a custom use behavior questionnaire, and a demographic survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The final sample included 387 psychotherapists. The multivariate test showed significant differences between therapeutic orientations, <i>F</i>(24, 1468) = 3.39, <i>p</i> &lt; 0.001, <i>η</i>² = 0.05 [0.02, 0.06]. Psychodynamic therapists consistently reported a more negative attitude toward therapy than cognitive-behavioral, systemic, humanistic, or therapists representing other therapeutic orientations. These differences were particularly pronounced for Professional Support (e.g., psychodynamic vs. CBT, <i>t</i> = −7.75, <i>p</i> &lt; 0.001, <i>d</i> = 1.20[0.86; 1.52]) and for the total UTAUT-T score (e.g., <i>t</i> = −5.48, <i>p</i> &lt; 0.001, <i>d</i> = 0.87[0.54; 1.18]). Prior technological experience and perceived patient openness were both positively associated with therapists' attitudes toward online therapy (both <i>p</i> &lt; 0.001), whereas age and years of professional experience were not significantly associated with technology acceptance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study highlights the crucial role of therapeutic orientation, prior experience with technology, and perceived patient openness in shaping therapists' acceptance of online therapy. These results underscore the need for targeted training and support to facilitate the successful integration of digital technologies into routine psychotherapeutic practice. Future research should continue to explore these dynamics under non-crisis conditions to ensure the sustainable development of online therapy services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1886-1896"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697898","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":"“It Was Something Outside of Me, Controlling Me”: Young People's Perspectives on the Role of Externalisation in Recovery From Anorexia Nervosa","authors":"Alex Skolnick,&nbsp;Lucinda J. Gledhill,&nbsp;Rosie Satherley","doi":"10.1002/jclp.70196","DOIUrl":"10.1002/jclp.70196","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Externalisation is a therapeutic approach that separates the problem from the person, widely used in treating anorexia nervosa (AN) to help young people understand their illness and to collaborate with their families against the disorder. Whilst adult and clinician perspectives on externalisation are well documented, young people's experiences remain underexplored. This study addresses that gap, examining how young people experience AN in relation to their identity and the therapeutic use of externalisation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Ten older adolescents and young adults (aged: 15–21) who had received treatment for AN or atypical AN as an adolescent, participated in semi-structured interviews. Interviews were transcribed and recorded verbatim, then analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thematic analysis identified three key themes: “Identity fusion” “Empowerment through externalisation” and “Sustaining the battle.”</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that although young people may initially resist externalisation, viewing it as a threat to their identity, the technique helps them and their families better understand the illness, reducing feelings of blame and guilt. Over time, externalisation enables young people to reclaim their identity and redefine themselves beyond AN. The study highlights implications for clinical practice and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1822-1829"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603509","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":"Inconsistent Application of the Reliable Change Index in Clinical Psychology Trials Undermines Comparability of Individual Change Estimates","authors":"Alexander O. Crenshaw,&nbsp;Ameesha MacDonald,&nbsp;Kianan Carr,&nbsp;Alena Shull,&nbsp;Sophia Pope,&nbsp;Madison Blackmon","doi":"10.1002/jclp.70203","DOIUrl":"10.1002/jclp.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The reliable change index (RCI) is a valuable idiographic tool used by clinicians and researchers to evaluate whether individual clients experienced statistically detectable change on a given measure. However, numerous RCI methods exist, and the popular Jacobson and Truax (1991) method is underspecified, raising the potential for inconsistent operationalization across studies. The present study evaluated how the RCI is operationalized in psychology clinical trials and explored how RCI operationalization can influence numerical thresholds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a methodological scoping review of four clinical psychology journals published from 2020 to 2023 and coded the operationalization of reliable change in psychology clinical trials. We then used descriptive data from a convenience sample of published psychometric studies to illustrate the impact of operationalization on reliable change thresholds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 226 clinical trials, 29 (13%) formally assessed reliable change. We identified at least seven distinct operationalizations of the RCI, including five distinct operationalizations of the same formula from Jacobson and Truax (1991). In illustrative examples, differences in the specific operationalization of this formula produced absolute RCI threshold discrepancies as large as 79%, or 1.02 standard deviation units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Operationalization of reliable change is highly inconsistent in clinical trials, which can harm comparability of results across studies. We recommend improved reporting and that clinical trials compute two RCIs. First, the Jacobson &amp; Truax method—using the baseline standard deviation and internal consistency—supports clinician use and improves between-study comparability, though other sources of non-comparability remain. Second, one of several modern methods provides improved within-study RCI evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1841-1850"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697906","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":"Alliance Ruptures and Psychotherapy Outcomes: A Multilevel Meta-Analysis of Their Association.","authors":"A Babl, J M Gómez Penedo, C Nimphy, M Keßel, C Crainic, N Boendermaker, C F Eubanks","doi":"10.1002/jclp.70192","DOIUrl":"10.1002/jclp.70192","url":null,"abstract":"<p><strong>Objective: </strong>Although two meta-analyses have examined the relationship between rupture repair and treatment outcome, no meta-analysis to date has investigated the association between alliance ruptures and treatment outcome. Numerous primary studies have explored this relationship; however, the methods used to assess ruptures vary considerably. These include direct measures, such as ratings of the occurrence, frequency, or intensity of ruptures by observers, patients, or therapists, and indirect measures, such as fluctuations in alliance ratings. This methodological heterogeneity may contribute to inconsistent findings across studies. The present meta-analysis sought to clarify the association between alliance ruptures and treatment outcomes by including only studies that assessed ruptures using direct measures.</p><p><strong>Methods: </strong>After applying inclusion and exclusion criteria, four publications remained reporting 18 effect sizes of the associations between ruptures and outcomes. Those provided data from N = 301 clients undergoing psychotherapy. Multilevel models with a three-level structure with restricted maximum likelihood to estimate the aggregated effect size of ruptures on outcome were conducted.</p><p><strong>Results: </strong>The results showed a significant aggregated effect size of z = -0.22, SE = 0.04, 95 CI [-0.303, -0.133]; t(17) = -5.40, p < 0.001, r = -0.21, indicating that alliance ruptures were associated with poorer therapy outcomes.</p><p><strong>Conclusions: </strong>A small but consistent negative association between alliance ruptures and treatment outcomes was found. An individual patient data meta-analysis would be an important future endeavor in the field of alliance ruptures, by including more studies and a homogenous analytic approach to estimate rupture-outcome associations and including rupture-repair as a moderator.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":"1683-1691"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470970","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":"Examining Motor Response Inhibition in Comorbid Trichotillomania and Attention-Deficit/Hyperactivity Disorder","authors":"Allison F. Chung-Coyne,&nbsp;David A. F. Haaga","doi":"10.1002/jclp.70211","DOIUrl":"10.1002/jclp.70211","url":null,"abstract":"<div>\u0000 \u0000 <p>Trichotillomania (TTM) has shown high rates of comorbidity with ADHD. While both disorders have been associated with some performance deficits on measures of motor response inhibition, findings on deficits in TTM have been mixed. Deficits previously found in TTM may be in part a reflection of the presence of comorbid ADHD in the TTM subsamples. We compared adults with self-reported TTM alone (<i>n</i> = 59) and those with self-reported TTM and ADHD (<i>n</i> = 61) to a healthy control group (<i>n</i> = 59) on two response inhibition measures, the Go/No-Go task and the Stop Signal Task. We hypothesized that those with comorbid TTM and ADHD would have impaired performance relative to TTM alone and healthy controls, while TTM alone would not differ from controls, but our results showed nonsignificant differences among the three groups. These results did not support the idea that self-reported comorbid ADHD could explain variable TTM performance on motor response inhibition tasks.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"82 11","pages":"1936-1945"},"PeriodicalIF":2.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793780","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}