Journal of Clinical Psychology最新文献_第2页

Age Disparities in the Association Between Leisure-Time Physical Activity and Depression Among American Adults. 美国成年人休闲时间体育活动与抑郁之间关系的年龄差异

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-20 DOI: 10.1002/jclp.23804

Juxiang Yang, Xi Zheng, Yi Wang, Hongchu Wang, Gang Song

{"title":"Age Disparities in the Association Between Leisure-Time Physical Activity and Depression Among American Adults.","authors":"Juxiang Yang, Xi Zheng, Yi Wang, Hongchu Wang, Gang Song","doi":"10.1002/jclp.23804","DOIUrl":"https://doi.org/10.1002/jclp.23804","url":null,"abstract":"Background: This study aims to investigate the association between leisure-time physical activity (LTPA), age, and depressive symptoms.Methods: We included and analyzed data from 18,052 participants (age ≥ 20 years) from the cross-sectional National Health and Nutrition Examination Survey (NHANES) (2007-2014). Multivariable logistic regression was employed to assess the independent associations between physical activity and household income with depressive symptoms. Restricted cubic spline plots were utilized to analyze the non-linear relationship between LTPA and depression.Results: Among the 18,052 participants, 1,676 (9.28%) were defined as having depressive symptoms. We found: 1. Age exhibits a non-linear relationship with depression, with a turning point around 40 years. 2. Compared to those with no LTPA, individuals with higher levels of LTPA (Q3) in both younger and older age groups experienced the lowest risk of depression, with risk reductions of 53% (odds ratio [OR] 0.47, 95% confidence interval [CI] 0.33-0.67) and 74% (OR 0.26, 95% CI 0.14-0.50), respectively. Conversely, in the middle-aged group, those with the highest level of LTPA (Q4) experienced the greatest reduction in depression risk, by 67% (OR 0.33, 95% CI 0.21-0.53). 3. A U-shaped relationship between LTPA and depression risk was observed in younger and older age groups.Conclusion: The risk of depression peaks around the age of 40 in adults. For middle-aged individuals, greater engagement in LTPA is associated with reduced depression risk. Conversely, higher levels of LTPA in younger and older adults may not confer additional protective effects.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003793","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

Metacognitive Interpersonal Therapy-Eating Disorder (MIT-ED) in the Case of a Woman With Binge Eating Disorder and Avoidant and Obsessive-Compulsive Personality Disorders. 元认知人际治疗-进食障碍（MIT-ED）在暴食症和回避型和强迫性人格障碍的女性病例中。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-20 DOI: 10.1002/jclp.23800

Gloria Fioravanti, Raffaele Popolo, Giancarlo Dimaggio

{"title":"Metacognitive Interpersonal Therapy-Eating Disorder (MIT-ED) in the Case of a Woman With Binge Eating Disorder and Avoidant and Obsessive-Compulsive Personality Disorders.","authors":"Gloria Fioravanti, Raffaele Popolo, Giancarlo Dimaggio","doi":"10.1002/jclp.23800","DOIUrl":"https://doi.org/10.1002/jclp.23800","url":null,"abstract":"Binge Eating Disorder (BED) needs more effective empirically supported treatments, given problems with attrition from and response to available options. One avenue to improve adherence and response is considering comorbid personality disorders, given their impact on the therapy relationship and on patients' capacities to comply with homework, for example, regularizing eating habits or abstaining from bingeing. We describe here the case of a woman in her thirties suffering from BED, and avoidant and obsessive-compulsive personality disorders, treated with Metacognitive Interpersonal Therapy for Eating Disorders (MIT-ED), a psychotherapy that has begun to gather empirical support. Silvia is a 34 year old married woman with two children. She begins psychotherapy to lose weight but she oscillates between restriction and daily binges, in the last 2 years she has gained 30 kg. During 20 sessions of MIT-ED Silvia realized that she tended to binge because she thought she was unworthy and unable to put boundaries to her mother's criticism and intrusions. The therapist helped her realize that following psychoeducation about eating made her feeling controlled, and that was the reason for initial noncompliance with behavioral tasks. During the therapy she formed more adaptive ideas of herself as worthy and autonomous and become able to put boundaries to her mother. At the end of the therapy, Silvia no longer suffered from BED as evident from Eating Disorder Examination Questionnaire (Fairburn and Beglin 2008) and from the Binge Eating Scale (Gormally et al. 1982). Implications for further application of MIT-ED across ED are discussed.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013073","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

Treating Patients With Comorbid Eating Disorders and Personality Disorders: A Rationale. 治疗伴有进食障碍和人格障碍的患者：一个基本原理。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-20 DOI: 10.1002/jclp.23803

Gloria Fioravanti, Giancarlo Dimaggio, Liv Sand

引用次数: 0

Self-Ambivalence Is Indirectly Associated With Obsessive-Compulsive and Eating Disorder Symptoms Through Different Feared Self-Themes. 自我矛盾心理通过不同的恐惧自我主题与强迫症和饮食失调症状间接相关。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-14 DOI: 10.1002/jclp.23798

Samantha Wilson, Nesrine Mesli, Adrienne Mehak, Sarah E Racine

{"title":"Self-Ambivalence Is Indirectly Associated With Obsessive-Compulsive and Eating Disorder Symptoms Through Different Feared Self-Themes.","authors":"Samantha Wilson, Nesrine Mesli, Adrienne Mehak, Sarah E Racine","doi":"10.1002/jclp.23798","DOIUrl":"https://doi.org/10.1002/jclp.23798","url":null,"abstract":"Objectives: Uncertainty regarding the self and fear of self have been independently identified as relevant to both obsessive-compulsive disorder (OCD) and eating disorders (EDs). The present study aimed to examine self-ambivalence (an indicator of uncertainty regarding the self often characterized by conflicting self-beliefs) as a potential transdiagnostic factor associated with both OCD and EDs and to determine whether differences in the thematic content of the feared self may be linked to the experience of symptoms of one disorder over another despite common co-occurrence and shared processes.Methods: Undergraduate and community women (N = 138) completed a battery of questionnaires, which included measures of self-ambivalence, fear of self (assessing three feared self-themes: feared corrupted self, feared culpable self, and feared unattractive self), and OCD and ED symptoms.Results: A path analysis revealed that self-ambivalence was directly associated with OCD and ED symptoms. Self-ambivalence was also indirectly associated with OCD symptoms via the feared corrupted self and with ED symptoms via the feared unattractive self. There was no indirect path through the feared culpable self.Conclusion: Self-ambivalence warrants additional investigation as a factor associated with multiple forms of psychopathology, representing a potentially valuable target for both intervention and prevention efforts. Differences in the content of the feared self may contribute to our understanding of divergent trajectories (why one individual may develop an ED while another develops OCD). Overall, research of this kind contributes to the development and improvement of transdiagnostic models of psychopathology integrating the self.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005771","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 Therapeutic Community Integrated With a DBT Skills Training Program for Substance Use Disorders: The Initial Efficacy for the Treatment of Impulsivity and Related Dimensions. 结合DBT技能训练计划的物质使用障碍治疗社区：冲动性和相关维度治疗的初步效果。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-11 DOI: 10.1002/jclp.23799

Marco Cavicchioli, Jessica Mambreani, Giorgia Conti, Serena Mazoli, Federica Galli, Marco Begarani

{"title":"The Therapeutic Community Integrated With a DBT Skills Training Program for Substance Use Disorders: The Initial Efficacy for the Treatment of Impulsivity and Related Dimensions.","authors":"Marco Cavicchioli, Jessica Mambreani, Giorgia Conti, Serena Mazoli, Federica Galli, Marco Begarani","doi":"10.1002/jclp.23799","DOIUrl":"https://doi.org/10.1002/jclp.23799","url":null,"abstract":"Objectives: This study aims at investigating the initial efficacy of a 6-month therapeutic community (TC) intervention integrated with a standard Dialectical Behavior Therapy Skills Training (DBT-ST) program (DBT-ST-TC) for treating impulsivity among patients with SUDs.Methods: Impulsivity was assessed through self-report (UPPS-P) and neuropsychological (Attentional Network Test [ANT]-conflict monitoring, Go/No-Go, Iowa Gambling Task) measures. Furthermore, mindfulness (FFMQ, MAAS) emotion dysregulation (DERS) and distress tolerance (DTS) were evaluated. Intention-to-treat analysis was performed to evaluate pre- post-treatment changes controlling for baseline levels. Pre- and post-treatment results of the DBT-ST-TC group were also compared to baseline levels of variables of interest measured in two control groups (i.e., untreated outpatient with SUDs; healthy controls [HCs]).Results: Sixty-eight patients with SUDs were screened and admitted to the DBT-ST-TC. Thirty-eight (55.9%) patients completed the first cycle of DBT-ST-TC. The clinical control group included 41 untreated individuals with SUDs. The HC group was composed of 53 participants. DBT-ST-TC patients reported pre- post-treatment improvements of emotion dysregulation (t (67) = -2.10; p = 0.04), positive urgency (t (67) = -3.27; p = 0.002) and sensation seeking (t (67) = -2.08; p = 0.04). The improvement of ANT-conflict monitoring performances was the most relevant pre- posttreatment change (t (67) = -2.98; p = 0.005): no significant differences between posttreatment performances of the DBT-ST-TC group and HCs were detected.Conclusion: The DBT-ST-TC might be a promising intervention for treating patients with SUDs. Future long-term outcomes are needed to corroborate and extend these provisional results.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003795","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

Exposure and Response Prevention in OCD: A Framework to Capitalize Change. 强迫症的暴露和反应预防：资本化变化的框架。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-11 DOI: 10.1002/jclp.23797

Divo Faustino, Miguel M Gonçalves, Rui Braga, Maria João Faria, João Tiago Oliveira

{"title":"Exposure and Response Prevention in OCD: A Framework to Capitalize Change.","authors":"Divo Faustino, Miguel M Gonçalves, Rui Braga, Maria João Faria, João Tiago Oliveira","doi":"10.1002/jclp.23797","DOIUrl":"https://doi.org/10.1002/jclp.23797","url":null,"abstract":"Exposure and response prevention (ERP) constitutes the first-line treatment for obsessive-compulsive disorder (OCD). Despite robust empirical evidence supporting its efficacy, ERP has challenges, including high attrition rates and difficulty sustaining engagement. Research suggests that focusing on clients' strengths while addressing their difficulties can enhance therapy effectiveness. The present article details the case of a young adult with OCD characterized by sexual obsessions and mental compulsions, who initially underwent 12 sessions of cognitive-behavioral therapy (CBT) with limited progress. A subsequent transition to ERP throughout nine sessions resulted in positive treatment outcomes. The article illustrates how ERP may be coupled with a framework that capitalizes change using Innovative Moments (IMs)-changes in clients' discourse that reflect progress in therapy as manifested by new and adaptive ways of acting, feeling, or thinking. Therapists can be attentive, detect, and explore these moments to expand and promote further change. By attuning to and reinforcing IMs during ERP, the therapist assisted the client in disengaging from compulsions, increasing exposure tolerance, and consolidating therapeutic gains. This case underscores a practical strategy for clinicians: therapists can leverage naturally occurring change markers to enhance motivation and deepen learning in ERP rather than solely correcting dysfunctional patterns. The recognition and expansion of IMs have the potential to assist clients in maintaining engagement, tolerating distress, and cultivating more flexible responses to intrusive thoughts, which are all pivotal factors in the effective treatment of OCD.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026664","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

Client Attraction to Therapists - A Mixed Methods Study of Therapist Experiences. 来访者对治疗师的吸引力——治疗师经验的混合方法研究。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-04 DOI: 10.1002/jclp.23795

Ana Rabasco, Sarah C Jessup, Amy Mariaskin, Dean McKay

{"title":"Client Attraction to Therapists - A Mixed Methods Study of Therapist Experiences.","authors":"Ana Rabasco, Sarah C Jessup, Amy Mariaskin, Dean McKay","doi":"10.1002/jclp.23795","DOIUrl":"https://doi.org/10.1002/jclp.23795","url":null,"abstract":"Objectives: There is a paucity of qualitative and quantitative work exploring characteristics of client attraction towards therapists (CATT) and strategies for handling those situations. The present study aimed to explore CATT using mixed methods, including providing updated rates of client attraction in the therapeutic relationship and examining characteristics of CATT.Methods: A sample of 204 therapists (74% female; Mage = 36.74) completed an online survey with multiple-choice and open-ended questions on therapist demographics and experiences with clients endorsing attraction (including client disclosure, therapist emotional reaction, strategies for addressing, conceptualization, and supervision). 77% of respondents reported a cognitive-behavioral (CBT) theoretical orientation.Results: 54% (n = 111) of respondents had a client express CATT, and anxiety was the most commonly reported emotional reaction. Qualitative results suggested that CATT was complex and multifaceted, that therapist and client identities played a key role in CATT, and that therapists often feel uncomfortable and/or unequipped to manage the situation. Therapist respondents reported using a variety of strategies to address the disclosure (e.g., normalization, setting boundaries). Supervision was reported to be useful, but at times insufficient.Conclusion: The present research showed that CATT was a common clinical experience; yet therapists often feel anxious or unequipped to manage the situation. This study highlights the importance of clinical training on managing client attraction, especially from a CBT perspective. Directions for future research include further exploration of the intersection of client and therapist cultural and identity factors in the development and characteristics of CATT.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779729","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

Mechanisms of Action of Combination Motivational Interviewing-Cognitive Behavior Therapy for Reversing Medication Non-Adherence in Patients With Multiple Sclerosis. 动机访谈-认知行为联合疗法逆转多发性硬化症患者药物依从性的作用机制。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-03 DOI: 10.1002/jclp.23796

Rachel Schoor, Jared M Bruce, Vincent S Staggs, Andrew T Fox, Amanda Bruce, Sharon Lynch, Delwyn Catley

{"title":"Mechanisms of Action of Combination Motivational Interviewing-Cognitive Behavior Therapy for Reversing Medication Non-Adherence in Patients With Multiple Sclerosis.","authors":"Rachel Schoor, Jared M Bruce, Vincent S Staggs, Andrew T Fox, Amanda Bruce, Sharon Lynch, Delwyn Catley","doi":"10.1002/jclp.23796","DOIUrl":"https://doi.org/10.1002/jclp.23796","url":null,"abstract":"Objective: Despite disease modifying therapies' (DMT) demonstrated efficacy for treating relapsing MS, around 40% of patients discontinue use. This study aimed to understand the mechanism of action of Motivational Interviewing plus cognitive behavioral therapy (MI-CBT) in a previously conducted randomized controlled trial in which the MI-CBT intervention successfully promoted DMT re-initiation of participants compared to a treatment as usual (TAU) condition.Methods: This secondary analysis (N = 91) explored changes in motivation (a single item motivation \"ruler\" [Mot∆], and the Brief Motivation Scale [BMS∆]), autonomous motivation (AR∆), personal control (PC∆), treatment control (TC∆), and confidence to reinitiate (Con∆) as potential mediators of the treatment effect, using logistic regression.Results: Logistic regression analysis including all potential mediators as predictors of initiation indicated the BMS∆ was the only statistically significant predictor (OR = 1.61, p = 0.010). When BMS∆ was removed Mot∆ (OR = 1.22, p = 0.002) and PC∆ (OR = 1.67, p = 0.002) were statistically significant predictors of initiation.Conclusion: The MI-CBT intervention appeared to work primarily by increasing motivation to initiate DMT.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772433","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

Test Anxiety and Trait Anxiety in Adolescence: Same or Different Structures? 青春期考试焦虑和特质焦虑：结构相同还是不同？

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-04-02 DOI: 10.1002/jclp.23794

Peibing Liu, Shuliang Bai, Ming Li, Renlai Zhou

{"title":"Test Anxiety and Trait Anxiety in Adolescence: Same or Different Structures?","authors":"Peibing Liu, Shuliang Bai, Ming Li, Renlai Zhou","doi":"10.1002/jclp.23794","DOIUrl":"https://doi.org/10.1002/jclp.23794","url":null,"abstract":"Objectives: Test anxiety is positively correlated with trait anxiety. However, the precise relationship between the two is not clear. Are they two independent constructs that share a high degree of comorbidity, or the same construct manifesting in different situations (e.g., test anxiety as a special type of trait anxiety)?Methods: The present study employed two advanced analysis tools (latent profile analysis and network analysis) to evaluate the connectivity pattern between test anxiety and trait anxiety in a sample of adolescent students (N = 475, Mean age = 13.49).Results: The latent profile analysis revealed that all participants could be classified into three groups (low-risk, moderate-risk, and high-risk) based on their scores on two scales measuring test anxiety and trait anxiety, indicating a high degree of comorbidity between test and trait anxiety. The network analysis found that test anxiety and trait anxiety formed two relatively distinct communities, suggesting that they are two independent structures.Conclusions: Together, this study provides a novel insight into the structural relationship between test anxiety and trait anxiety, indicating that while they are distinct constructs, they frequently coexist. The clinical implications for our understanding of the etiology, diagnosis and treatment of test and trait anxiety are discussed.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772488","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

Internalized Stigma Is a Predictor of Mental Health Secrecy and Loneliness in Young People With Clinical Depression Symptoms: A Longitudinal Study. 内化耻辱是有临床抑郁症状的年轻人心理健康保密和孤独的预测因子：一项纵向研究

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-03-26 DOI: 10.1002/jclp.23789

Katie Prizeman, Ciara McCabe, Netta Weinstein

{"title":"Internalized Stigma Is a Predictor of Mental Health Secrecy and Loneliness in Young People With Clinical Depression Symptoms: A Longitudinal Study.","authors":"Katie Prizeman, Ciara McCabe, Netta Weinstein","doi":"10.1002/jclp.23789","DOIUrl":"https://doi.org/10.1002/jclp.23789","url":null,"abstract":"Young people with depression experience loneliness and internalized stigma. Stigma might make disclosing depression to others difficult, thus increasing loneliness and reducing the opportunity for treatment. Knowing whether internalized stigma predicts loneliness and secrecy reinforces the need for stigma reduction efforts. The aim of this research was to examine the independent effects of internalized stigma and clinical depression on loneliness and mental health secrecy in young people with a range of depressive symptoms (Mood and Feelings Questionnaire score ≥ 27). A total of 275 young people (Mage = 20.53, SD = 2.17) were recruited and completed the Internalized Stigma of Mental Illness Inventory, the 5-Item Link's Secrecy Scale, and the UCLA Loneliness Scale at baseline and again at 1-month follow-up (N = 172, Mage = 20.40, SD = 2.00). Results showed that internalized stigma was associated with baseline loneliness (β = 0.57, 95% CI: 7.87-11.75, p < 0.001), baseline secrecy (β = 0.40, 95% CI: 0.23-0.45, p < 0.001), and secrecy over time (β = 0.20, 95% CI: 0.04-0.30, p = 0.009). This work highlights the need to develop targeted interventions to reduce stigma and encourage mental health disclosure and help-seeking behaviors among young people with depression.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730174","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