Journal of Clinical Psychology最新文献

{"title":"A Brief Online Program Integrating Mindfulness and Stretching Exercises: Effects on Well-Being in Health Sciences Students.","authors":"Zeynep Ayça Terzioğlu, S Gülfem Çakır-Çelebi","doi":"10.1002/jclp.70034","DOIUrl":"https://doi.org/10.1002/jclp.70034","url":null,"abstract":"<p><strong>Objective: </strong>Students enrolled in health sciences programs, similar to practicing healthcare professionals, are at high risk for burnout. Despite the numerous challenges these students face, it is crucial to support their well-being. This study examined the impact of a brief online intervention that combined mindfulness and stretching exercises on mindfulness, self-compassion, and mental well-being among health sciences students.</p><p><strong>Method: </strong>The study employed a randomized control group design with pre-test, post-test, and follow-up assessments. The study group consisted of 38 undergraduate students in the health sciences. The participants in the experimental group attended a six-session online program that integrated mindfulness and stretching exercises. In contrast, the participants in the control group did not receive any treatment. Data were collected using the Five Facet Mindfulness Questionnaire-Short Form, Self-Compassion Scale-Short Form, and Warwick-Edinburgh Mental Well-Being Scale.</p><p><strong>Results: </strong>The findings revealed that following a six-session online program combining mindfulness and stretching exercises, there were significant differences in mindfulness, self-compassion, and mental well-being scores between experimental and control groups over time. The experimental group showed statistically significant improvements in mindfulness, self-compassion, and mental well-being compared with the control group.</p><p><strong>Conclusions: </strong>These results indicate that a brief mindfulness-based stretching exercises program delivered online can effectively enhance mindfulness, self-compassion, and mental well-being among undergraduate students pursuing health sciences. The results support the potential of such interventions to promote psychological well-being among health sciences students.</p><p><strong>Clinical trial registration: </strong>This study was not pre-registered.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144846658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Psychometric Analysis of the Duke Misophonia Questionnaire.","authors":"Catherine M Bain, Jordan E Norris, Alex Conley, Patrick D Manapat, Lauren E Ethridge","doi":"10.1002/jclp.70028","DOIUrl":"https://doi.org/10.1002/jclp.70028","url":null,"abstract":"<p><strong>Background: </strong>The Duke Misophonia Questionnaire (DMQ) is one of few psychometrically constructed scales designed to measure misophonia, a condition characterized by heightened sensitivity to specific auditory stimuli, resulting in strong emotional, physiological, and behavioral responses. While prior research has evaluated the dimensionality of individual subscales, a comprehensive psychometric analysis of the entire DMQ has not been conducted.</p><p><strong>Objectives: </strong>This study aimed to extend the psychometric evaluation of the DMQ using contemporary psychometric methodologies to enhance its consistency, stability, and applicability in future research.</p><p><strong>Methods: </strong>Two samples of university students were recruited online via a research participation pool (Sample 1: N = 318; Sample 2: N = 424; both predominantly female and White, aged 18-30). A novel, empirically derived five-factor model (beliefs, coping, impairment, aversion, and anxiety) and the theoretically defined eight-factor model, developed from clinical and theoretical foundations, were assessed. The five-factor model was further examined using multidimensional item response theory (MIRT) to gain insights into item- and test-level functioning.</p><p><strong>Results: </strong>Both models demonstrated adequate fit, though the five-factor model was more parsimonious and fit slightly better. Neither model contained cross-loadings. The five-factor model was further evaluated through MIRT which found that the DMQ provides the most information at moderate to high levels of misophonia severity. This analysis provided valuable information regarding the functioning and efficiency of the DMQ at both item and test levels.</p><p><strong>Conclusion: </strong>The results contribute to the refinement of the DMQ by identifying a more parsimonious psychometric structure, promoting greater consistency and stability in its use for future misophonia research.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812088","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":"Validation of the German Relationship-Obsessive Compulsive Inventory: Testing the Factorial Structure, Measurement Invariance, and External Validity","authors":"Kay Brauer,&nbsp;Lara Borchardt","doi":"10.1002/jclp.70024","DOIUrl":"10.1002/jclp.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Relationship obsessive compulsive disorder (ROCD) describes intrusive thoughts and compulsive behaviors (e.g., reassurance seeking, monitoring feelings) regarding one's romantic relationship. The Relationship Obsessive Compulsive Inventory (ROCI) is the standard instrument to assess ROCD expressions. In our study, we tested the reliability and validity of the German ROCI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analyzed data from two independent nonclinical samples comprising 409 and 248 partnered individuals to expand the knowledge of the psychometric properties, factorial structure, and external validity of the German-language ROCI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factor analyses supported the 3-factor model, but we did not find evidence for models assuming a total score (unidimensional, bifactor-, and second-order models). Further, we found scalar measurement invariance between men and women. The reliabilities are satisfying (0.77–0.88). Finally, we localized the ROCI into systems of romantic attachment, personality pathology, and relationship satisfaction and found that ROCD is characterized by insecure attachment, low satisfaction, and inclinations to negative affectivity. The ROCI showed incremental validity when predicting relationship satisfaction beyond attachment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The German ROCI is psychometrically sound, and we recommend its application to assess expressions of ROCD in German-speaking samples, and, thus, to study the prevalence and consequences of ROCD in German-speaking countries and regarding cross-cultural comparisons. We discuss limitations (e.g., lack of longitudinal data) and future directions (e.g., dyadic studies).</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1143-1154"},"PeriodicalIF":2.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799248","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":"Faculty Reports About Training in Evidence-Based Practice and Empirically-Supported Treatments Across Mental Health Graduate Programs in the United States","authors":"C. J. Eubanks Fleming,&nbsp;Stephanie M. Ernestus,&nbsp;Susan J. Wenze,&nbsp;Kerstin K. Blomquist","doi":"10.1002/jclp.70026","DOIUrl":"10.1002/jclp.70026","url":null,"abstract":"<div>\u0000 \u0000 <p>Evidence-based practice (EBP) and empirically-supported treatments (EST) are considered by many to be gold standards of care in the mental health field, and yet understanding of and use of the concepts lag behind their popularity. The current study sought to clarify the current state of training in EBP and EST across graduate mental health programs in the United States. Participants in the study were graduate instructors who taught first-year graduate students in mental health programs, (<i>N</i> = 540 teaching faculty; 320 masters, 220 doctoral). Three specific questions were analyzed, asking participants if they teach EBP, if they teach students how to read and evaluate randomized controlled trials, and asking what ESTs they teach. The majority of both masters- and doctoral-level faculty (masters= 90.2%; doctoral = 90.4%) reported teaching evidence-based practice. Doctoral-level faculty (74.6%) were significantly more likely to report teaching students how to read and evaluate randomized controlled trials than masters-level faculty (52.7%, <i>n</i> = 126; <i>X</i>^<i>2</i> = 20.6, <i>p</i> &lt; 0.001). Cognitive Behavioral Therapy and its counterparts were the most commonly reported, but even those were only reported by 60% of faculty. Many faculty reported techniques and concepts that were not ESTs. Graduate and undergraduate faculty should intentionally consider how to best prepare students to engage in EBP and EST.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1178-1186"},"PeriodicalIF":2.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955813","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":"Perfectionism as Possible Predictor for Treatment Success: Preliminary Data From Metacognitive Training for Depression and Suicidal Ideation in an Inpatient Sample","authors":"Nathalie Claus,&nbsp;Jakob Scheunemann,&nbsp;Sönke Arlt,&nbsp;Judith Peth,&nbsp;Jürgen Gallinat,&nbsp;Barbara Cludius,&nbsp;Lena Jelinek","doi":"10.1002/jclp.70027","DOIUrl":"10.1002/jclp.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>In the treatment of depression and suicidal ideation, perfectionism has emerged as a possible predictor of treatment outcome. Some data suggest that cognitive-behavioral therapy outcomes are poorer for more perfectionistic patients. However, findings so far neglect the multidimensionality of perfectionism, and research has yet to be extended to newer treatment approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study comprised secondary analysis of data from inpatients in treatment for depression. We administered measures of perfectionistic concerns and perfectionistic strivings as well as depression and suicidal ideation severity. Patients received 4 weeks of metacognitive training for depression and suicidal ideation (D-MCT/S) in a group setting, alongside a comprehensive inpatient treatment. Hierarchical data over time was submitted to multi-level analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Perfectionistic concerns at baseline negatively predicted depressive symptoms but not suicidal ideation across time points. In exploratory analysis including perfectionistic strivings as an additional predictor, perfectionism dimensions no longer predicted depressive symptoms. A reduction of perfectionistic concerns during treatment did not predict symptoms at follow-up. However, sensitivity analyses revealed significant differences in results based on the choice of symptom control variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results suggest that initial perfectionistic concerns may not prevent patients with depression and suicidal ideation from benefitting from metacognitive treatment. However, the contrast to previous findings may also be explained by differing results when separating the effects of perfectionistic concerns and perfectionistic strivings, as well as the choice of symptom control measure, or limited statistical power. Limitations and avenues for future research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1166-1177"},"PeriodicalIF":2.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794602","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":"Therapist's Assessment of Their Patient's Session-Level Emotional Processes: Validation of the In-Session Patient Affective Reactions Questionnaire–Clinician Form","authors":"Alberto Stefana,&nbsp;Buket Ünver,&nbsp;Eduard Vieta,&nbsp;Paolo Fusar-Poli,&nbsp;Eric A. Youngstrom","doi":"10.1002/jclp.70023","DOIUrl":"10.1002/jclp.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The current study aimed to evaluate a therapist version of the <i>in-Session Patient Affective Reactions Questionnaire</i> (SPARQ). The SPARQ was developed to assess a pattern of emotions, thoughts, and behaviors experienced by a patient toward their therapist during a session. The SPARQ has existed only as a patient self-report measure and has demonstrated promise as a psychotherapy process measure. This study intended to validate a complementary clinician-report version of the questionnaire: the SPARQ-C.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of licensed mental health clinicians (<i>N</i> = 151) completed the SPARQ-C along with other measures. Data analysis involved exploratory and confirmatory factor analyses (CFA). Reliability and convergent and criterion-related validity of the SPARQ-C were also evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SPARQ-C preserved the two-factor structure: positive affect (<i>k</i> = 4, <i>ω</i> total = 0.84) and negative affect (<i>k</i> = 4, <i>ω</i> total = 0.70), which correlated <i>r</i> = 0.26. CFA using the a priori model two-factor model based on the patient-report version provided the following fit indices: χ²_[19] = 26.01, CFI = 0.98; TLI = 0.97, RMSEA = 0.05 (90% CI [0.00, 0.09]), and SRMR = 0.05. The SPARQ-C scales demonstrated convergent and criterion-related validity with measures of other elements of the therapeutic relationship, session outcome, and demographic-clinical variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The SPARQ-C is a reliable measure suitable for both clinical and research purposes. It allows for a nuanced assessment of patients' session-level affective responses towards their therapist from the clinician's perspective.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1129-1142"},"PeriodicalIF":2.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789286","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":"Interpersonal Problems and Their Mental Health Correlates: A Meta-Analytic Review","authors":"Flavio Iovoli,&nbsp;Julian A. Rubel,&nbsp;Tobias Steinbrenner,&nbsp;Ruben Lauterbach","doi":"10.1002/jclp.70022","DOIUrl":"10.1002/jclp.70022","url":null,"abstract":"<p>Interpersonal relationships have long been considered fundamental to understanding mental health and psychological functioning. Among various aspects of these relationships, interpersonal problems seem particularly significant in relation to mental health. This meta-analytic review aims to summarize the associations between interpersonal problems and multiple domains of mental health based on naturalistic, observational data from both clinical and nonclinical populations. Focusing on studies using the Inventory of Interpersonal Problems (IIP), we examined the cross-sectional associations between interpersonal problems and general psychological distress, depressive symptoms, symptoms of anxiety, positive and negative emotions, well-being, and perceived stress. A three-level meta-analytic model was employed to account for the nested data structure, and moderator analyses examined differences between clinical and nonclinical samples. Across all domains, 120 effect sizes from 66 studies were included. Significant positive correlations emerged between interpersonal problems and general psychological distress (<i>r</i> = 0.565, <i>p</i> &lt; 0.001), depression (<i>r</i> = 0.473, <i>p</i> &lt; 0.001), anxiety (<i>r</i> = 0.454, <i>p</i> &lt; 0.001), and negative emotions (<i>r</i> = 0.486, <i>p</i> &lt; 0.001). In contrast, significant negative correlations were found with positive emotions (<i>r</i> = −0.224, <i>p</i> = 0.010) and well-being (<i>r</i> = −0.372, <i>p</i> = 0.004). There were too few studies available to meta-analyze perceived stress. Clinical status did not significantly moderate these associations, suggesting that the observed associations are relatively consistent across populations. These findings underscore the relevance of interpersonal problems, as measured by the IIP, for understanding mental health and provide evidence-based estimates of these associations.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1046-1056"},"PeriodicalIF":2.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784368","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":"Treatment Barriers and Modality Preferences Among Individuals With Obsessive-Compulsive and Related Disorders","authors":"Lauren Milgram,&nbsp;Teresa Toranzo,&nbsp;Rachel E. Mathews,&nbsp;Adam B. Lewin","doi":"10.1002/jclp.70025","DOIUrl":"10.1002/jclp.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Facing numerous barriers to care, most individuals experiencing symptoms of obsessive-compulsive and related disorders do not receive evidence-based treatment. While much existing literature has identified barriers to mental health treatment broadly, little empirical work has assessed barriers specifically within a sample of individuals with obsessive-compulsive and related disorders, whose identified barriers and treatment preferences may differ from other clinical samples. In particular, this information is lacking for pediatric samples.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study examined treatment barriers and modality preferences among individuals (<i>N</i> = 216; 48 adults and 168 parents of youth) receiving telehealth-based treatment for obsessive-compulsive and related disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants endorsed an array of barriers to treatment, including barriers to both in-person and telehealth treatment modalities. Time and distance to in-person treatment were the most influential barriers associated with a preference for telehealth treatment, while difficulty building rapport with the clinician via telehealth and telehealth feeling impersonal were the most influential barriers associated with a preference for in-person treatment. Participants who indicated that clinician expertise was important in their decision-making were more likely to prefer in-person treatment, while participants who indicated that cost of treatment was important in their decision-making were more likely to prefer telehealth treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings can inform future efforts to increase the accessibility and uptake of evidence-based interventions for obsessive-compulsive and related disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1155-1165"},"PeriodicalIF":2.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784369","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":"Acceptance and Commitment Therapy for Body Dissatisfaction: A Systematic Review and Meta-Analysis","authors":"Sarah Boyle,&nbsp;Nicole Dorfan,&nbsp;Amir A. Sepehry","doi":"10.1002/jclp.70021","DOIUrl":"10.1002/jclp.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Body dissatisfaction (BD) is increasing internationally and is associated with a range of physical and psychological negative outcomes, including eating disorders (ED). As a result, there is a great need to identify treatments that reduce BD to intervene and prevent these outcomes. Acceptance and commitment therapy (ACT) has been employed for body image and weight concerns. However, there is limited data on the efficacy of ACT in reducing BD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the efficacy of ACT on measures of BD in those with or without a diagnosable ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and meta-analysis were conducted, including 12 studies that utilized individual, group, or online self-help ACT interventions targeting BD (<i>N</i> = 825; analyzed at the end of interventions <i>N</i> = 741).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ACT was efficacious in decreasing BD compared to control groups with a significant medium effect size in the full sample (<i>k</i> = 12, <i>g</i> = 0.556, 95% CI = [0.35, 0.77], <i>p</i> &lt; 0.001, I² = 45.61). The strongest effect sizes were produced by subgroups of participants who were at high risk for EDs (<i>k</i> = 6, <i>g</i> = 0.631, <i>p</i> &lt; 0.001), and those who received ACT via online self-help forums (<i>k</i> = 3, <i>g</i> = 0.563, <i>p</i> &lt; 0.005). A majority of studies (75%) had low to medium risk of bias. The mean dropout rate across ACT interventions was 23.51%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These results demonstrate that ACT is efficacious in BD reduction, particularly in those with high BD, at risk for developing EDs, and in the form of online self-help. ACT, therefore, shows potential as a prevention program, in addition to augmenting existing multidisciplinary treatments for ED patients. Due to limitations of this meta-analysis, further research should investigate a greater volume of large-scale trials from diverse populations across the globe.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1031-1045"},"PeriodicalIF":2.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760172","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":"Can Interpersonal Trust Predict and Account for Symptom Change During Group Cognitive Processing Therapy for PTSD? An Investigation of the Iterated Trust Game","authors":"M. Wright Williams,&nbsp;Christopher Hunt,&nbsp;David P. Graham,&nbsp;Matt Estey,&nbsp;Lia Smith,&nbsp;Katherine McCurry,&nbsp;Brooks King-Casas,&nbsp;Pearl Chiu","doi":"10.1002/jclp.70020","DOIUrl":"10.1002/jclp.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Group cognitive processing therapy (GCPT) is frequently utilized to treat PTSD within the VA healthcare system, but its mechanisms are not well understood. Interpersonal trust could be an important change process in GCPT given its relevance to group-based therapy and its role in CPT, but self-report measures are inadequate for capturing the dynamic interplay that defines interpersonal trust. Here, we examined the degree to which interpersonal could predict and account for PTSD symptom change in GCPT using the iterated trust game (ITG)—a behavioral task used to approximate real-world trust behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were Veterans with PTSD who participated in an effectiveness trial comparing a 12-week course of GCPT (<i>n</i> = 37) to a treatment-as-usual (TAU) waitlist condition (<i>n</i> = 23) of equivalent length. Both groups completed the ITG and measures of PTSD before and after treatment as well as a pencil-paper measure of interpersonal trust before treatment. Participants in GCPT completed measures of PTSD severity, group relationship quality, and therapist relationship quality at each treatment session.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pre-post changes in ITG-measured trust behavior did not differ between GCPT and TAU (<i>p</i> = 0.075). However, improvements in ITG scores partially accounted for decreased PTSD symptoms in GCPT, as demonstrated by a more modest change in PTSD symptoms when ITG was in, <i>b</i> = −5.95, <i>p</i> = 0.032, versus not in the model, <i>b</i> = −9.05, <i>p</i> = 0.001. Additionally, higher ITG scores, but not self-reported trust, predicted steeper reductions in PTSD symptoms, <i>b</i> = −0.50, <i>p</i> = 0.042, and improvements in group relationship quality, <i>b</i> = 0.28, <i>p</i> = 0.037, across GCPT sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Interpersonal trust improvement may predict and account for symptom change in GCPT. Targeting interpersonal trust during GCPT could render the treatment more effective.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 11","pages":"1118-1128"},"PeriodicalIF":2.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690462","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}