Journal of Clinical Psychology最新文献_第2页

Characterizing Moment-to-Moment Variability in Readiness to Live: An Ecological Momentary Assessment Investigation of Readiness to Live, Wish to Live, and Suicidal Desire. 表征生活准备中的瞬间变化：对生活准备、生活愿望和自杀欲望的生态瞬间评估调查。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-07-10 DOI: 10.1002/jclp.70010

Jessica L Gerner, Evan A Albury, Max Stivers, Emma H Moscardini, Peter C Britton, Raymond P Tucker

{"title":"Characterizing Moment-to-Moment Variability in Readiness to Live: An Ecological Momentary Assessment Investigation of Readiness to Live, Wish to Live, and Suicidal Desire.","authors":"Jessica L Gerner, Evan A Albury, Max Stivers, Emma H Moscardini, Peter C Britton, Raymond P Tucker","doi":"10.1002/jclp.70010","DOIUrl":"https://doi.org/10.1002/jclp.70010","url":null,"abstract":"Introduction: Readiness to live (RTL) is a protective factor against suicidal thoughts and behaviors. It encompasses one's motivation to live and take steps towards staying alive. It is relatively stable, predicting lower odds of suicidal ideation at one- to 6-month follow-ups. However, little is known about its short-term stability. Research is needed to describe the construct and compare it to similar protective factors, like wish to live (WTL).Methods: College undergraduates (N = 51), selectively recruited for endorsing past 2-week suicidal desire, completed surveys (5/day for 10 days) on their smart phones. Descriptive and variability statistics of RTL, WTL, and suicidal desire were conducted. Multi-level models were used to determine if RTL is associated with suicidal desire concurrently and prospectively.Results: 78.4% (n = 40) of participants indicated a change in RTL over the study period and RTL demonstrated greater stability than WTL and suicidal desire. RTL was associated with suicidal desire concurrently, but not prospectively, while WTL remained associated both concurrently and prospectively.Limitations: The sample included only undergraduate college students, limiting generalizability to more diverse samples.Conclusions: Results demonstrate that RTL remains relatively stable over short time scales. While RTL and WTL are similar, the constructs are not redundant, with each providing unique information that may aid in treatment planning. Future research should replicate these findings in samples with more severe suicidal desire and extend them to suicidal behavior.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608474","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

Practicing Clinical Telesupervision During COVID-19: Chaos Into Competency. 在COVID-19期间实施临床远程监护：从混乱到能力。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-07-10 DOI: 10.1002/jclp.70009

Sepideh S Soheilian, Tiffany O'Shaughnessy, Jenna S Lehmann, Melissa Rivero

{"title":"Practicing Clinical Telesupervision During COVID-19: Chaos Into Competency.","authors":"Sepideh S Soheilian, Tiffany O'Shaughnessy, Jenna S Lehmann, Melissa Rivero","doi":"10.1002/jclp.70009","DOIUrl":"https://doi.org/10.1002/jclp.70009","url":null,"abstract":"The global pandemic, COVID-19, changed how clinical supervisors conducted supervision with their supervisees. Clinical supervisors, most with limited to no training in telesupervision, shifted from providing primarily in person clinical supervision, to telesupervision. The purpose of our study was to better understand supervisor experiences of telesupervision, as well as provide a historical record of the influence of the pandemic on clinical training in mental health focused professions. We used qualitative and quantitative research methods to evaluate clinical supervisors' experiences with telesupervision precipitated by the global pandemic. We also evaluated the relationship between the working alliance and attitudes towards telesupervision. Overall, supervisors reported both benefits and challenges of engaging in telesupervision. Data revealed categories of technology, organization & productivity, and communication & connection, as the top three challenges experienced by clinical supervisors. Supervisors reported flexibility & organization, and productivity & growth, as the top two benefits of engaging in telesupervision during the pandemic. Quantitative data suggested a small to moderate, positive, relationship between supervisor perception of the working alliance and attitudes towards telesupervision. Data suggested that supervisors with more positive attitudes about telesupervision also had more positive perceptions of the working alliance. Implications for research, practice, and theory are discussed.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600563","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

Burden of Disease of Borderline Personality Disorder: A Comprehensive Evaluation of Quality of Life and Societal Cost of Illness. 边缘型人格障碍的疾病负担：生活质量和疾病社会成本的综合评估。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-07-10 DOI: 10.1002/jclp.70000

Carlijn J M Wibbelink, Arnoud Arntz, Jan H Kamphuis, Iuno Z Groot, Roland Sinnaeve, Silvia M A A Evers

{"title":"Burden of Disease of Borderline Personality Disorder: A Comprehensive Evaluation of Quality of Life and Societal Cost of Illness.","authors":"Carlijn J M Wibbelink, Arnoud Arntz, Jan H Kamphuis, Iuno Z Groot, Roland Sinnaeve, Silvia M A A Evers","doi":"10.1002/jclp.70000","DOIUrl":"https://doi.org/10.1002/jclp.70000","url":null,"abstract":"Information on the burden of disease, including quality of life (QoL) and societal costs, of borderline personality disorder (BPD) is crucial, as healthcare policymakers consider the burden of disease when setting priorities for treatment reimbursement. We conducted a comprehensive evaluation of the burden of disease of BPD by estimating annual costs from a societal perspective using a bottom-up approach and distinguishing between costs primarily related to psychological and somatic problems. QoL was determined using a generic QoL measure (EQ-5D five-level version [EQ-5D-5L]) as well as a measure specifically designed for individuals with psychological problems (Mental Health Quality of Life seven-dimensional questionnaire [MHQoL-7D]). Additionally, societal costs and QoL were compared with a comparison group. Data from 204 Dutch treatment-seeking outpatients diagnosed with BPD and 86 individuals without severe psychological problems were analyzed. The results indicated a severely impaired QoL (EQ-5D-5L: 0.51, MHQoL-7D: 0.24) combined with substantial societal costs (average total €35,038 per year) for BPD outpatients, markedly different from the comparison group. Societal costs of BPD were primarily attributable to psychological problems, with costs in other sectors as the main cost driver. The BPD group incurred higher costs for most patient and family cost items and cost items in other sectors, whereas differences in healthcare costs were limited to outpatient psychiatric treatment, consultations with general practitioners, emergency care, and social work. The high economic burden, along with the low QoL, suggests that increased treatment reimbursement for BPD would benefit both patients and society at large. Trial Registration: The BOOTS study was registered in the Overview of Medical Research in the Netherlands (NL-OMON21337), formerly known as the Netherlands Trial Register.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600562","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

Evaluation of a 20-Item Version of the Trauma-Related Drinking to Cope Questionnaire. 20项创伤性饮酒应对问卷的评估。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-26 DOI: 10.1002/jclp.70008

Sage E Hawn, Lauren Smith, Kaytlin Armitage, Selah Ball, Cathy Lau-Barraco, Abigail Powers, Ananda B Amstadter

{"title":"Evaluation of a 20-Item Version of the Trauma-Related Drinking to Cope Questionnaire.","authors":"Sage E Hawn, Lauren Smith, Kaytlin Armitage, Selah Ball, Cathy Lau-Barraco, Abigail Powers, Ananda B Amstadter","doi":"10.1002/jclp.70008","DOIUrl":"https://doi.org/10.1002/jclp.70008","url":null,"abstract":"Objectives: This study sought to develop and psychometrically evaluate an expanded version of the Trauma-Related Drinking to Cope (TRD) scale, a four-item self-report tool, which was developed to address a crucial gap in self-medication research. Before the development of the TRD, no measures existed which assessed alcohol use for coping with symptoms of posttraumatic stress disorder (PTSD) specifically. Previous work showed that the TRD has strong psychometric properties and clinical utility in its ability to identify individuals with PTSD who may be at risk for developing comorbid alcohol use disorder (AUD). The aim of the present study was to develop and test a comprehensive, 20-item version of the TRD (\"TRD-20\"), which assesses drinking to cope with each of the 20 DSM-5 symptoms of PTSD.Methods: We piloted the 20-item TRD measure among a diverse sample of 555 trauma-exposed undergraduates who use alcohol (Mage = 23.29, SD = 7.29; 49.5% white; 79.3% woman-identifying).Results: A four factor model indexing drinking to cope with symptoms aligning with the four PTSD symptom clusters fit the data well (χ2(164) = 355.67, p < 0.001; CFI = 0.950; TLI = 0.942; RMSEA = 0.046), with all standardized factor loadings exceeding 0.8. We also found strong evidence supporting the construct and criterion validity of the TRD-20, specifically in relation to existing measures of drinking coping motives, PTSD symptoms, alcohol consumption, and alcohol-related problems.Conclusion: These findings highlight the TRD-20 as a useful measure for determining an individual's PTSD-specific drinking motives, which carries implications for improving understanding and treatment of PTSD-AUD comorbidity.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144496808","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

Social Support and Suicide Ideation in Clinical and Community Adolescents. 临床及社区青少年的社会支持与自杀意念。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-24 DOI: 10.1002/jclp.70001

Taylor Kalgren, Amy M Brausch

{"title":"Social Support and Suicide Ideation in Clinical and Community Adolescents.","authors":"Taylor Kalgren, Amy M Brausch","doi":"10.1002/jclp.70001","DOIUrl":"https://doi.org/10.1002/jclp.70001","url":null,"abstract":"Background: In the United States, over 3 million adolescents report suicide ideation, and ~800,000 attempt suicide each year (CDC 2021). Social support has repeatedly been identified as a protective factor for suicide ideation in adolescent community samples. However, findings are mixed for adolescents in clinical samples. The current study examined associations between social support and suicide ideation in clinical and community adolescents with the intent to gain a comprehensive understanding of the potential buffering effects of social support.Method: Sample 1 included 456 students from public middle and high schools, and Sample 2 included 100 adolescents from a children's crisis stabilization unit. A total of 47 (11%) participants in Sample 1 and 76 (78%) participants in Sample 2 reported lifetime suicide ideation.Results: Both peer and parent support were significantly associated with lower lifetime suicide ideation severity in the community sample. However, no significant associations were found in the clinical sample.Conclusions: Our findings highlight the importance of social support as a buffer for suicide ideation in adolescents in community settings. Results highlighted the need for additional interventions for adolescents in clinical settings.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475433","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

Non-Randomized Clinical Trial of a Short-Term Therapy Group for Adults Diagnosed With Borderline Personality Disorder: An Intermediate Step in Care. 边缘型人格障碍成人短期治疗组的非随机临床试验：护理的中间步骤。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-18 DOI: 10.1002/jclp.70002

Dianna R Bartsch, Laura Cooke-O'connor, Tracy Connerty, Sophie C Dahlenburg, Paul Cammell

{"title":"Non-Randomized Clinical Trial of a Short-Term Therapy Group for Adults Diagnosed With Borderline Personality Disorder: An Intermediate Step in Care.","authors":"Dianna R Bartsch, Laura Cooke-O'connor, Tracy Connerty, Sophie C Dahlenburg, Paul Cammell","doi":"10.1002/jclp.70002","DOIUrl":"https://doi.org/10.1002/jclp.70002","url":null,"abstract":"Objective: The aim of this study was to evaluate the effectiveness of Road Maps, a short-term therapy group program (i.e., 12 weeks) as part of an intermediate step in care for adults with a diagnosis of borderline personality disorder (BPD).Method: A pragmatic non-randomized clinical trial study design was utilized to examine the effectiveness of Road Maps in a publicly funded community mental health care setting. First, we examined whether participation in the short-term group intervention (n = 80) resulted in significantly greater reductions in psychopathology and improved psychosocial functioning compared to waiting for the intervention (n = 41). The waitlist condition was naturalistic (> 28 days) in that there was no specific allocation to conditions and all people on the waitlist had the opportunity to participate in the next available group. Second, we examined whether therapeutic gains were maintained at 6-month follow-up across the entire sample (N = 121). Finally, we analysed the proportion of respondents who demonstrated clinically significant change.Results: Relative to people on the waitlist for the intervention, those who participated in the group demonstrated a significantly greater reduction in the primary outcomes of borderline symptom severity and personality dysfunction (e.g., both self and interpersonal functioning) and secondary outcomes (e.g., emotion regulation, reflective functioning, and psychosocial functioning). Therapeutic gains were maintained at 6-month follow-up.Conclusion: Short-term therapy groups such as Road Maps may be a useful intermediate step in a broader model of stepped care aimed at increasing treatment accessibility in resource-constrained environments.Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12622000849796/retrospectively registered 16th June 2022.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317044","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

Understanding Adolescents' Perceived Barriers to Engagement in Online Cognitive Behaviour Therapy Programs for Anxiety and Their Ideas for Enhancing User Experience. 了解青少年参与在线焦虑认知行为治疗项目的感知障碍及其增强用户体验的想法。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-18 DOI: 10.1002/jclp.70007

Emma-Leigh Senyard, Arlen Rowe, Govind Krishnamoorthy, Sonja March

{"title":"Understanding Adolescents' Perceived Barriers to Engagement in Online Cognitive Behaviour Therapy Programs for Anxiety and Their Ideas for Enhancing User Experience.","authors":"Emma-Leigh Senyard, Arlen Rowe, Govind Krishnamoorthy, Sonja March","doi":"10.1002/jclp.70007","DOIUrl":"https://doi.org/10.1002/jclp.70007","url":null,"abstract":"Background: Self-Help Internet Cognitive Behavioural Therapy (iCBT) interventions are highly efficacious and overcome numerous barriers adolescents experience when accessing face-to-face interventions, including stigma, privacy, lengthy wait lists and cost. Despite this, adolescents struggle to engage in Self-Help iCBT, which is problematic given that there is a relationship between higher engagement and better treatment outcomes. The reasons for poor engagement among adolescents are unclear. Using the iCBT program, BRAVE Self-Help as an example, this study explored (1) the barriers to engagement directly from the adolescent's perspective and, (2) their viewpoints on enhancing engagement in iCBT.Methods: Semi-structured interviews were conducted with 14 adolescents aged 12-17 years (M = 14.36, SD = 2.12) who had participated in BRAVE Self-Help in the previous 12 months. Reflexive thematic analysis was utilised to analyse data.Results: Stigma, program factors (program design, content and length) and environmental factors (competing priorities and distractions), were identified as adolescent barriers to engagement. With respect to strategies to enhance engagement, adolescents identified (1) specific program factors (positive reinforcement and personalisation), and (2) support factors (reminders and optional support).Conclusions: Codesign methods with adolescents at both the design and implementation stages of iCBT programs is imperative for engagement.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325894","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

A Scoping Review of Eating Disorder Clinicians' Experiences, Needs, Views and Wellbeing. 进食障碍临床医生的经验，需求，观点和健康的范围审查。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-16 DOI: 10.1002/jclp.70005

Kat Novogrudsky, Janet Treasure, Øyvind Rø, Ulrike Schmidt

{"title":"A Scoping Review of Eating Disorder Clinicians' Experiences, Needs, Views and Wellbeing.","authors":"Kat Novogrudsky, Janet Treasure, Øyvind Rø, Ulrike Schmidt","doi":"10.1002/jclp.70005","DOIUrl":"https://doi.org/10.1002/jclp.70005","url":null,"abstract":"Background: Eating disorders (ED) are pervasive and severe mental illnesses affecting up to 15% of females and 5% of males internationally with rates sharply rising in recent decades, especially since the COVID-19 pandemic. As a result, workload pressures on ED services have surged. The impact of this on ED clinicians and their wellbeing has not recently been investigated. This scoping review examines recent literature on ED clinicians' experiences, needs, and wellbeing to identify areas for future research and intervention. The goal is to improve clinician support, quality of life, and patient outcomes.Methods: Following PRISMA guidelines, eight databases and gray literature sources were searched for studies published from 2014 to 2024. Papers were assessed for quality and risk of bias, and mixed-methods data were analyzed using narrative synthesis.Results: Sixty-three studies, encompassing 3,152 multidisciplinary ED clinicians, were included. Clinicians worked across diverse settings with patients of varied presentations. Analyzes suggest that whilst job satisfaction amongst ED clinicians is high and attitudes are generally positive, workplace demands and stressors have a negative impact on clinician wellbeing. Several areas require clearer guidance and further clinician training. Clinicians' affect is mixed, and an 'emotional rollercoaster' is experienced at work. Many clinicians mention a lack of resources as a frustrating obstacle to an optimally operating service.Conclusions: Clinicians experience working with ED patients as emotionally challenging and occasionally fatiguing, but attitudes are generally positive. However, clinicians are hindered by organizational factors and a lack of resources, including those pertaining to staffing and training.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302204","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

Psychotherapists' and Trainees' Experiences With Co-Therapy in a Training Setting: Roles, Benefits, Challenges, and Teamwork Strategies. 心理治疗师和受训者在培训环境中接受联合治疗的经历：角色、利益、挑战和团队合作策略。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-14 DOI: 10.1002/jclp.70006

Jorge Valdiviezo-Oña, Martín Moreno-Oliva, Jenmaya Trujillo, Alejandro Unda-López, Nicole Ortiz-Mancheno, Clara Paz

{"title":"Psychotherapists' and Trainees' Experiences With Co-Therapy in a Training Setting: Roles, Benefits, Challenges, and Teamwork Strategies.","authors":"Jorge Valdiviezo-Oña, Martín Moreno-Oliva, Jenmaya Trujillo, Alejandro Unda-López, Nicole Ortiz-Mancheno, Clara Paz","doi":"10.1002/jclp.70006","DOIUrl":"https://doi.org/10.1002/jclp.70006","url":null,"abstract":"Objective: To explore therapists' and trainees' experiences using co-therapy in a university psychotherapy training service.Methods: Therapists (n = 18) and trainees (n = 19) aged 21-36 from an outpatient psychotherapy service located in Ecuador participated in the study. All participants took part in semi-structured interviews. Data were analyzed using the framework analysis approach.Results: Most therapists and trainees had not prior experience with co-therapy. Therapists' roles at this service often involved guiding trainees and fostering mutual learning and support. Trainees also highlighted the learning opportunities that co-therapy provided; however, they expressed discomfort with administrative burdens. Co-therapy was seen as beneficial for offering diverse perspectives, for collaborative discussion and for guided intervention. Challenges included communication issues and clients feeling intimidated. Both groups emphasized the need for open communication and collaborative planning.Conclusion: From therapists' and trainees' perspectives, co-therapy is a feasible approach for both training and conducting psychotherapy. It can enhance therapeutic outcomes by integrating multiple perspectives on case formulation, progress assessment, and therapeutic direction. For trainees, co-therapy provides real-world exposure to diverse therapeutic approaches, helps understand relational dynamics, and offers continuous support from a therapy partner and network. Other training services may implement structured co-therapy programs for training, prioritizing effective communication and collaboration, and providing clear guidelines to manage challenges. Co-therapy teams should consider clients' preferences and comfort levels.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293780","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

Theory of Mind and Neurocognition in Bipolar Mania Patients and Their Unaffected First-Degree Relatives. 双相躁狂症患者及其未受影响的一级亲属的心理理论和神经认知。

IF 2.5 3区心理学

Journal of Clinical Psychology Pub Date : 2025-06-10 DOI: 10.1002/jclp.70003

Jing Zeng, Tie-Bang Liu, Yang-Hui Liu

{"title":"Theory of Mind and Neurocognition in Bipolar Mania Patients and Their Unaffected First-Degree Relatives.","authors":"Jing Zeng, Tie-Bang Liu, Yang-Hui Liu","doi":"10.1002/jclp.70003","DOIUrl":"https://doi.org/10.1002/jclp.70003","url":null,"abstract":"Background: Cognitive impairment in manic patients involves neurocognitive and theory of mind (ToM) impairments. This study aims to investigate cognitive impairment among manic patients and their first-degree relatives (FDRs).Methods: A total of 31 manic inpatients, 31 unaffected relatives, and 30 healthy controls (HCs) were investigated using the Reading the Mind in Eye Test (RMET) and Hinting Task (HT). The intelligence quotient (IQ), attention, working memory, executive functions, fluency and processing speed were also assessed.Results: Patients and their relatives scored lower than controls on Theory of Mind reasoning and several neurocognitive measures. Regression analysis of the total sample indicated that a mania diagnosis or a FDR was strongly related to lower ToM reasoning performance. The deficits in ToM among patients were related to years of education.Conclusions: Due to the comparable performance of ToM between patients and their relatives, the reasoning aspect of ToM may represent a trait marker for bipolar disorder (BD). The deficits in ToM in patients with BD are partly independent of neurocognition.","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266282","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