Journal of Clinical Psychology最新文献

{"title":"“It's OK for Me to Cry”: Client and Therapist Perspectives on Change Processes in SPEAKS Therapy for Anorexia Nervosa","authors":"Cat Papastavrou Brooks,&nbsp;Abigail Rennick,&nbsp;Randeep Singh Basra,&nbsp;Tony Lavender,&nbsp;Helen Startup,&nbsp;Anna Oldershaw","doi":"10.1002/jclp.23769","DOIUrl":"10.1002/jclp.23769","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction and Aims</h3>\u0000 \u0000 <p>Existing therapies for Anorexia Nervosa (AN) have limited effectiveness, necessitating the development of novel therapies and interventions. Hypothesizing and targeting clear mechanisms of change within treatment offer potential opportunities to improve them. The SPEAKS program aimed to develop, trial, and evaluate a therapy which targets key emotional and social factors known to be relevant in the development and maintenance of AN. The aim of the present study is to explore therapist and client experiences of change processes during the SPEAKS intervention, and what supported or inhibited these.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with sixteen female clients (in age range of 18–49) and six therapists; topic guides explored perceptions of client change processes. Thematic analysis was conducted on the data by two researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two themes and six sub-themes were developed from the data. These were: “the impact on the eating disorder,” “change processes” (“emotional change” and “changing the self”), and “facilitators of and barriers to change processes” (“therapeutic relationship,” “clients’ emotional engagement,” “online delivery,” and “therapist lacking flexibility”). “Emotional change” involved an enhanced capacity for clients to tune-in more, acknowledge, listen to, and express how they felt, and “Changing the self” represented a shift in how clients related to themselves, particularly the more vulnerable parts of themselves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings of the present study provide support for the hypothesized mechanisms of change inherent within the SPEAKS therapy approach. This supports the robustness and validity of the intervention and lends support for further investigation of its effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Trial Registration</h3>\u0000 \u0000 <p>The study was registered according to the guidelines of the International Standard Randomized Controlled Trial Number Register (ISRCTN No. 11778891).</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 5","pages":"298-310"},"PeriodicalIF":2.5,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978531","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":"Symptom Attributions in Illness Anxiety Disorder","authors":"Monique L. Holden,&nbsp;Chien H. Gooi,&nbsp;Sophie Antognelli,&nbsp;Amy Joubert,&nbsp;Isaac Sabel,&nbsp;Lauren Stavropoulos,&nbsp;Jill M. Newby","doi":"10.1002/jclp.23765","DOIUrl":"10.1002/jclp.23765","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>A major characteristic of health anxiety is the tendency to attribute benign bodily sensations to serious illnesses. This has been supported by empirical research in non-clinical samples, and samples of individuals diagnosed with Hypochondriasis. However, no study to date has explored symptom attribution styles of individuals with the DSM-5 diagnosis of Illness Anxiety Disorder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty-one participants, including a clinical Illness Anxiety Disorder (<i>n</i> = 35) and healthy control (<i>n</i> = 26) sample, completed self-report measures of health anxiety and an Attribution Task, whereby they were presented with eight common bodily sensations and asked to generate possible explanations for them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results showed that relative to healthy controls, participants with Illness Anxiety Disorder overall were more likely to make more serious, ‘catastrophic’ somatic attributions to symptoms, and less likely to generate non-threatening normalising explanations. These results also extended to their initial attributions, conceptualised as the ‘jumping to conclusions’ bias, and as an exploratory index of flexibility, they were also found to make less attributions overall compared to healthy controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings provide support for the cognitive behavioural theory of health anxiety, and highlight the importance of assessing and addressing symptom attributions with clients with illness anxiety disorder.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 4","pages":"237-248"},"PeriodicalIF":2.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949552","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":"The Reliability and Construct Validity of a Single-Item Assessment of Suicidal Ideation Among Patients With Mood and Anxiety Disorders","authors":"Thomas E. Joiner,&nbsp;Morgan Robison,&nbsp;Jamie Manwaring,&nbsp;Renee D. Rienecke,&nbsp;Daniel Le Grange,&nbsp;Alan Duffy,&nbsp;Philip S. Mehler,&nbsp;Dan V. Blalock","doi":"10.1002/jclp.23768","DOIUrl":"10.1002/jclp.23768","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Single-item questionnaire assessments may be summarily dismissed by some, but it is unclear if this is warranted. We suggest here that the answer to that question depends on their reliability and construct validity. Reliability of a single-item index cannot be assessed via indices like coefficient alpha, but it can be addressed otherwise; construct validity can be assessed as it would be with any other quantitative index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In 489 patients with mood and anxiety disorders, we examined the Beck Depression Inventory Item 9's (BDI-Item 9) test-retest coefficient, and its validity, in part via invariance analyses. More specifically regarding invariance analyses, we determined whether a covariance structure including a multi-item assessment of suicidal ideation was invariant with a similar structure using a single-item assessment of suicidal ideation instead.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Reasonably supportive evidence emerged for the reliability and construct validity of this specific one-item index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The BDI-Item 9 can reliably assess suicidal ideation when data lack multi-item assessments.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 5","pages":"290-297"},"PeriodicalIF":2.5,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949466","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 Longitudinal Prediction of Suicide Attempts in Borderline Personality Disorder: A Machine Learning Study","authors":"Lidia Fortaner-Uyà,&nbsp;Camilla Monopoli,&nbsp;Marco Cavicchioli,&nbsp;Federico Calesella,&nbsp;Federica Colombo,&nbsp;Ilaria Carretta,&nbsp;Chiara Talè,&nbsp;Francesco Benedetti,&nbsp;Raffaele Visintini,&nbsp;Cesare Maffei,&nbsp;Benedetta Vai","doi":"10.1002/jclp.23763","DOIUrl":"10.1002/jclp.23763","url":null,"abstract":"<div>\u0000 \u0000 <p>Borderline personality disorder (BPD) is associated with a high risk of suicide. Despite several risk factors being known, identifying vulnerable patients in clinical practice remains a challenge so far. The current study aimed at predicting suicide attempts among BPD patients during disorder-specific psychotherapeutic interventions exploiting machine learning techniques. The study took into account several potential predictors relevant to BPD psychopathology: emotion dysregulation, temperamental and character factors, attachment style, impulsivity, and aggression. The sample included 69 patients with BPD who completed the Temperament and Character Inventory, Attachment Style Questionnaire, Difficulties in Emotion Regulation Scale, Barratt Impulsiveness Scale, and Aggression Questionnaire at baseline and after 6 months of psychotherapy. To detect future suicide attempts, baseline questionnaires were entered as predictors into an elastic net penalized regression, whose predictive performance was assessed through nested fivefold cross-validation. At the same time, 5000 iterations of a non-parametric bootstrap were used to determine predictors’ robustness. The elastic net model discriminating BPD suicide attempters from non-attempters reached a balanced accuracy of 64.09% and an area under the receiver operating curve of 70.44%. High preoccupation with relationships, harm avoidance, and reward dependence, along with low motor impulsiveness, verbal aggression, cooperativeness, and self-transcendence were the most contributing predictors. Our findings suggest that interpersonal vulnerability and internalizing factors are the strongest predictors of future suicide attempts in BPD. Machine learning on self-report psychological scales may be helpful to identify individuals at suicidal risk, potentially helping clinical settings to develop individualized preventive strategies.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 4","pages":"222-236"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921824","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":"The Roles of Interpersonal and Intrapersonal Emotion Regulation on Psychological Distress: A Longitudinal Panel Study","authors":"Koray Akkuş,&nbsp;Mehmet Peker,&nbsp; Ceren Gökdağ","doi":"10.1002/jclp.23762","DOIUrl":"10.1002/jclp.23762","url":null,"abstract":"<div>\u0000 \u0000 <p>The present study was designed to test the hypothesis that interpersonal emotion regulation leads to increased difficulties in intrapersonal emotion regulation, which in turn, leads to general psychological distress utilizing a three-wave cross-lagged panel design. Undergraduate students rated self-report measurements of interpersonal emotion regulation, difficulties in intrapersonal emotion regulation, and psychological distress at baseline (T1, <i>N</i> = 369) and two follow-up waves (T2 and T3), each separated by 3 months. The results indicated that although some lagged correlations between interpersonal emotion regulation strategies and difficulties in intrapersonal emotion regulation were significant, interpersonal emotion regulation strategies did not prospectively predict difficulties in intrapersonal emotion regulation. Notably, difficulties in intrapersonal emotion regulation significantly predicted psychological distress in subsequent waves. Additionally, psychological distress at T1 predicted distress at T3 through difficulties in intrapersonal emotion regulation at T2. This study is significant as it is the first to test the interpersonal emotion regulation model in a longitudinal design. However, the hypothesized pathway where interpersonal emotion regulation contributes to psychological distress through difficulties in intrapersonal emotion regulation, was not supported.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 4","pages":"199-208"},"PeriodicalIF":2.5,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921828","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":"Examining Longitudinal Relations Between Eating Disorder Symptoms and Negative Emotion Variability in Military Members","authors":"Olivia M. Clancy,&nbsp;Lauren Forrest,&nbsp;April R. Smith","doi":"10.1002/jclp.23760","DOIUrl":"10.1002/jclp.23760","url":null,"abstract":"<div>\u0000 \u0000 <p>Up to a third of service members and Veterans experience disordered eating. Disordered eating can be maintained through negative reinforcement of painful and unpleasant emotions such as guilt, shame, sadness, and hostility. Hostility is a negative emotion that may be particularly relevant for service members and Veterans, yet hostility's relation to disordered eating remains understudied. Further, variability in emotions may be particularly relevant, given that variability in emotions is often a stronger predictor of psychopathology than mean levels. Thus, the goal of the present study was to assess a potential bidirectional relationship between disordered eating symptoms and individuals' variability of hostility, stress, anxiety, sadness, and shame. Participants (<i>N</i> = 94, <i>M</i>_age = 32.2, 75.8% men; 81.8% White) completed 30 days of ecological momentary assessment (EMA) with four assessments per day along with baseline and follow-up measures including the Eating Pathology Symptom Interview (EPSI), which assessed eight disordered eating symptom domains. Hierarchical regressions revealed that higher baseline levels of Binge Eating and Excessive Exercise predicted greater intraindividual hostility variability. Further, more hostility variability predicted higher Cognitive Restraint at 1-month follow-up. Baseline disordered eating symptoms were not associated with intraindividual variability in stress, anxiety, sadness, or shame. However, greater intraindividual variability in shame predicted higher Muscle Building at 1-month follow-up. Hostility variability was the only emotion that was predicted by, and predictive of, disordered eating symptoms. These findings suggest that hostility may be a relevant treatment target for service members with disordered eating.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 4","pages":"209-221"},"PeriodicalIF":2.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894861","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":"Expressive Suppression of Emotions in Bulimia Nervosa: An Electroencephalography Study","authors":"Lorena Desdentado,&nbsp;Olga Pollatos","doi":"10.1002/jclp.23761","DOIUrl":"10.1002/jclp.23761","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Previous research has found dysfunctional emotion regulation in bulimia nervosa (BN), including self-reported greater habitual use of maladaptive strategies such as suppression than in healthy individuals. However, there is no evidence on the performance in the implementation of expressive suppression in BN. The aim of this study was to investigate brain activity (in terms of ERP) and self-reported ratings associated with expressive suppression of emotions elicited by positive and negative stimuli in women with BN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Event-related potentials (ERP) were recorded from 23 female individuals with BN and 26 matched healthy controls. Participants were shown emotional pictures under two conditions: using facial suppression or attentively viewing. High-density EEG was used to characterize the time course of emotion regulation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>ERP amplitudes varied significantly with valence, with positive (vs. neutral and negative) pictures eliciting larger ERP amplitudes. However, no significant differences in ERP were observed between the groups or conditions. The BN group reported lower self-efficacy in implementing suppression compared to the control group, the latter with a positive correlation between the perceived self-efficacy and the change in emotional arousal between conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Our findings suggest that individuals with BN might have difficulties in monitoring the emotion regulation process compared to healthy individuals. This suggests that other processes (e.g., metacognitive difficulties, self-esteem) rather than a failure to implement suppression, might underlie these results. However, further research is needed to validate this interpretation. Implications and directions for future research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 3","pages":"158-170"},"PeriodicalIF":2.5,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864387","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":"ACT for OCD: An Example of ACT and Values-Based Exposures","authors":"Leila K. Capel,&nbsp;Michael P. Twohig","doi":"10.1002/jclp.23759","DOIUrl":"10.1002/jclp.23759","url":null,"abstract":"<div>\u0000 \u0000 <p>Exposure exercises as seen in cognitive behavioral therapy (CBT) and exposure and response prevention (ERP) are standard in the treatment of obsessive-compulsive disorder (OCD). In the last two decades, additional research has been conducted on acceptance and commitment therapy (ACT) and the ways that exposure exercises are conducted from an ACT model. Empirical support for conducting exposures from an ACT model exists. Group level statistics suggest that ACT with ACT-based exposures is as effective as traditional ERP or CBT. A key component of ACT and values-based exposures is the focus on teaching psychological flexibility to allow for engagement with values-based exposures. In this case study, we present an adult woman with OCD who completed 24 sessions of ACT+ values-based exposures. Client scores on the Y-BOCS decreased from severe levels to mild-moderate levels through treatment. Additionally, the client was more actively engaged in her life and reported greater quality of life at the conclusion of treatment. The goal of this case study is to demonstrate how values-based exposures can be used in the treatment of OCD.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 2","pages":"93-101"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853954","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":"Strategies for Optimizing Traditional Exposure and Response Prevention: A Case Study Example in an Adolescent With Contamination-Based OCD","authors":"Sarah C. Jessup,&nbsp;Amy Mariaskin,&nbsp;Bunmi O. Olatunji","doi":"10.1002/jclp.23758","DOIUrl":"10.1002/jclp.23758","url":null,"abstract":"<div>\u0000 \u0000 <p>Cognitive Behavioral Therapy (CBT) with an emphasis on Exposure and Response Prevention (ERP) has consistently been observed to be an efficacious treatment for obsessive-compulsive disorder (OCD). Although ERP is currently considered the gold-standard, first-line psychological treatment, individuals with chronic fluctuations in symptom presentations or especially severe cases may require additional supplements to exposure that maximize learning and facilitate greater generalization of learning experiences. The present case study serves as an example of how traditional aspects of exposure-based CBT (e.g., psychoeducation, hierarchy building, functional analysis, homework) can be successfully used in addition to leveraging more contemporary stylistic modifications (e.g., explicit expectancy violation, context variability) that may optimize treatment in complex or difficult cases. In the present case study of a patient with contamination-based OCD, functional impairment and disorder symptoms responded to treatment and remained improved at a 3-month follow-up. Implications of the case study are discussed and recommendations are offered for clinicians treating complex or challenging OCD cases.</p>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 3","pages":"182-192"},"PeriodicalIF":2.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142818119","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":"Forgiveness in Poland: Rye Forgiveness Scale Adaptation and Its Longitudinal Impact on Mental Health in HIV-Positive Individuals","authors":"Sebastian Binyamin Skalski-Bednarz,&nbsp;Loren L. Toussaint,&nbsp;Paweł Dobrakowski","doi":"10.1002/jclp.23757","DOIUrl":"10.1002/jclp.23757","url":null,"abstract":"<p>Within psychological research, the concept of forgiveness has gained recognition for its potential impact on health, underlining the need for culturally adapted assessment tools and longitudinal studies to substantiate its effects. In this two-phase research project, we initially adapted the Rye Forgiveness Scale (RFS) to measure state forgiveness in the Polish context with 740 participants. Reliability analysis and confirmatory factor analysis confirmed the RFS's structure and internal consistency (absence of negative <i>α</i> = 0.87, presence of positive <i>α</i> = 0.86, full scale <i>α</i> = 0.84). Positive associations with other measures of forgiveness, religiosity, connection to nature, and mental well-being validated the scale's efficacy. The second phase evaluated the impact of state forgiveness on the mental health of 214 HIV-positive Polish individuals across three 6-month intervals. Utilizing the stress-and-coping model, this phase investigated forgiveness as a protective factor against negative mental health outcomes. The findings indicated that forgiveness could positively influence mental health, underscoring its importance in promoting well-being among vulnerable groups. This research provides a culturally validated tool for measuring forgiveness and illuminates its health benefits, emphasizing its significance for diverse populations.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 3","pages":"145-157"},"PeriodicalIF":2.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23757","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813372","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}