Journal of Clinical Psychology最新文献

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Arts and psychomotor therapies in the treatment of personality disorders 治疗人格障碍的艺术和心理运动疗法。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-25 DOI: 10.1002/jclp.23693
Suzanne Haeyen, Giancarlo Dimaggio
{"title":"Arts and psychomotor therapies in the treatment of personality disorders","authors":"Suzanne Haeyen, Giancarlo Dimaggio","doi":"10.1002/jclp.23693","DOIUrl":"10.1002/jclp.23693","url":null,"abstract":"<p>Personality disorders (PDs) are enduring and inflexible patterns of cognitions, emotions, interpersonal functioning or impulse control that lead to significant distress or impairments with an impact on a broad range of personal and social situations (American Psychiatric Association, <span>2013</span>; National Center for Health Statistics, <span>2015</span>).</p><p>Even though PDs are difficult to treat, both outcome studies and meta-analyses have shown that verbal psychotherapy is effective for reducing PD pathology, though its effectiveness is often incomplete (Budge et al., <span>2013</span>; Cristea et al., <span>2017</span>; Stoffers-Winterling et al., <span>2012</span>, <span>2022</span>). For example, their symptoms and psychosocial functioning remain impaired even after treatment (Chakhssi et al., <span>2021</span>; Keuroghlian et al., <span>2013</span>; Smits et al., <span>2020</span>), and act as a risk factor for relapse, occurrence or recurrence of symptoms and interpersonal problems. Moreover, state of the art results say that both cognitive and psychodynamic therapies for PD are effective to a similar degree, even if they approach the problems from different angles. Treatments of psychodynamic orientation are mostly focused on changing patterns via conversation only, e.g., Mentalization Based Therapy (Bateman & Fonagy, <span>2004</span>) and Transference Focused Therapy (Yeomans et al., <span>2015</span>), though they ask patients to try with and adopt healthy behaviors in between sessions.</p><p>Other therapies, mostly from the third wave orientation, such as Dialectical Behavior Therapy (Linehan, <span>1993</span>), Schema Therapy (Young, <span>1994</span>) and Metacognitive Interpersonal Therapy (Dimaggio et al., <span>2020</span>) add an experiential component, which includes mindfulness, skills training and behavioral emotion-regulation strategies, guided imagery and rescripting, role-play and chair work.</p><p>As described, PDs feature dysfunctions in multiple domains, e.g., identity problems, problems at work and in romantic relationships, risky behaviors and so on (American Psychiatric Association, <span>2013</span>). Moreover, core pathology includes multiple elements, such as poor awareness of mental states, poor capacity to regulate emotions, problematic ideas about self and others and resort to maladaptive strategies to cope with psychological pain. Finally, PDs are comorbid with heightened levels of symptom disorders and behavioral problems (e.g., alcohol and substance abuse). We are then facing a complex form of psychopathology for which psychotherapy is only partially effective. It seems therefore necessary to adopt a wide array of strategies to tackle the different problems they present. As a consequence, current psychotherapeutic approaches may benefit from differently oriented therapies than only verbal approaches that may improve upon general treatment efficacy.</p><p>In this issue we will suggest that exp","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1717-1725"},"PeriodicalIF":2.5,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23693","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140655850","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}
引用次数: 0
Examining trauma, anxiety, and depression as predictors of dropout from residential treatment for substance use disorders 研究创伤、焦虑和抑郁作为药物使用障碍住院治疗辍学的预测因素。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-25 DOI: 10.1002/jclp.23692
Alyssa M. Medenblik, Alisa R. Garner, Evan J. Basting, Jacqueline A. Sullivan, Mary C. Jensen, Ryan C. Shorey, Gregory L. Stuart
{"title":"Examining trauma, anxiety, and depression as predictors of dropout from residential treatment for substance use disorders","authors":"Alyssa M. Medenblik,&nbsp;Alisa R. Garner,&nbsp;Evan J. Basting,&nbsp;Jacqueline A. Sullivan,&nbsp;Mary C. Jensen,&nbsp;Ryan C. Shorey,&nbsp;Gregory L. Stuart","doi":"10.1002/jclp.23692","DOIUrl":"10.1002/jclp.23692","url":null,"abstract":"<p>Substance use disorders (SUDs) are highly prevalent and have deleterious effects on one's health and well-being. Inpatient treatment for SUDs reduces patient relapse, which subsequently ameliorates these negative effects on the individual and society. Additionally, those who complete treatment are less likely to relapse compared to those who do not complete treatment. Thus, maintaining patient engagement in treatment and reducing the rates of those leaving against medical advice (AMA) is particularly important. Examining the factors and comorbidities that may contribute to treatment dropout has the potential to identify at-risk patients in need of additional individualized intervention. The current study aimed to examine comorbid anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms as predictors of dropout AMA in a residential substance use treatment population. Results showed that patients with social anxiety were more likely to leave treatment AMA, while those with PTSD were more likely to complete treatment. Findings suggest that PTSD-specific treatment, as offered in this facility, may help with patient retention, while group focused therapy may be distressing to those with social anxiety. Clinical implications of this research may include incorporating evidence-based practice for social anxiety early during inpatient treatment to reduce anxiety such that patients may better engage with SUDs treatment.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1767-1779"},"PeriodicalIF":2.5,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140656162","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
Perfectionism, self-esteem, and affective symptoms in anorexia nervosa subtypes: A network analysis of French inpatients 神经性厌食症亚型中的完美主义、自尊和情感症状:对法国住院患者的网络分析。
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-22 DOI: 10.1002/jclp.23698
Chantal P. Delaquis, Nathalie Godart, Caroline Barry, Damien Ringuenet, Anne-Solène Maria, Isabelle Nicolas, Sylvie Berthoz
{"title":"Perfectionism, self-esteem, and affective symptoms in anorexia nervosa subtypes: A network analysis of French inpatients","authors":"Chantal P. Delaquis,&nbsp;Nathalie Godart,&nbsp;Caroline Barry,&nbsp;Damien Ringuenet,&nbsp;Anne-Solène Maria,&nbsp;Isabelle Nicolas,&nbsp;Sylvie Berthoz","doi":"10.1002/jclp.23698","DOIUrl":"10.1002/jclp.23698","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Previous studies have highlighted the relevance of perfectionism, self-esteem, and anxio-depressive symptoms in anorexia nervosa (AN). However, the relationships between these factors and cardinal eating disorders (ED) symptoms remain unclear, particularly in AN subtypes. This study aimed to examine their interconnections using network analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The sample included <i>n</i> = 338 inpatients with AN who completed the Eating Disorder Examination Questionnaire, Frost Multidimensional Perfectionism Scale, Rosenberg Self-Esteem Scale, and Hospital Anxiety and Depression Scale. Using network analysis, we estimated three networks: full sample, AN-restrictive (AN-R) and AN-binge/purging (AN-BP) subtypes. We estimated central and bridge symptoms using expected influence and conducted an exploratory network comparison test to compare AN subtypes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overvaluation of Weight and Shape, Concern over Mistakes, and Personal Standards were consistently central in all networks. The most central bridge symptoms across all networks were Concern over Mistakes and Self-Esteem. Concern over Mistakes bridged perfectionism and ED symptoms, while Self-Esteem was highly connected to all symptom clusters. Anxiety was significantly more central in the AN-R network compared to the AN-BP network.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The present study contributes to a growing body of network studies suggesting that nodes related to perfectionism are just as central as cardinal ED symptoms, indicating the relevance of perfectionism in ED pathology. The high bridge centrality of self-esteem suggests that it may be an important link between perfectionism, mood, and ED symptoms. Future research should investigate the efficacy of targeting multiple psychological factors in the treatment of AN, as well as their potential transdiagnostic relevance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1852-1875"},"PeriodicalIF":2.5,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676764","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
Profiles of psychological flexibility and caregiving experience in dementia family caregivers: A latent profile analysis 痴呆症家庭照护者的心理灵活性和照护经验概况:潜在特征分析
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-19 DOI: 10.1002/jclp.23696
Hiroshi Morimoto
{"title":"Profiles of psychological flexibility and caregiving experience in dementia family caregivers: A latent profile analysis","authors":"Hiroshi Morimoto","doi":"10.1002/jclp.23696","DOIUrl":"10.1002/jclp.23696","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore the profiles of psychological flexibility among dementia family caregivers and examine their associations with psychological well-being and caregiving factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were 521 dementia family caregivers in Japan. Latent profile analysis was conducted to explore the profiles of psychological flexibility. The analyses examined differences in depression, anxiety, life satisfaction, and work-family conflict/enrichment between the profiles, and whether sociodemographic variables and caregiving stressors predict the profile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four distinct profiles were identified: high psychological flexibility (14.2%), moderate psychological flexibility with high commitment (24.7%), moderate psychological flexibility with low commitment (48.0%), and low psychological flexibility (13.1%). The low psychological flexibility profile exhibited the highest scores of depression, anxiety and work–family conflict, followed by the moderate psychological flexibility with low/high commitment profiles, and the high psychological flexibility profile. The high psychological flexibility and moderate psychological flexibility with high commitment profiles exhibited higher life satisfaction than the moderate psychological flexibility with low commitment profile. Caregiving stressors, marital status, and caregiver status predicted the profile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Enhancing defusion and acceptance, rather than increasing commitment to personal values, may be beneficial in supporting distressed caregivers. Having more caregiving stressors, being single/divorced/bereaved, and being a primary caregiver may be useful indicators of decreased psychological flexibility among dementia family caregivers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1821-1837"},"PeriodicalIF":2.5,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628439","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
Longitudinal changes in depression and anxiety during the COVID-19 pandemic and the impact of COVID-related factors COVID-19 大流行期间抑郁和焦虑的纵向变化以及 COVID 相关因素的影响
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-18 DOI: 10.1002/jclp.23697
CJ Eubanks Fleming, Abbey L. Rose, Alexis T. Franzese, Mark Weaver
{"title":"Longitudinal changes in depression and anxiety during the COVID-19 pandemic and the impact of COVID-related factors","authors":"CJ Eubanks Fleming,&nbsp;Abbey L. Rose,&nbsp;Alexis T. Franzese,&nbsp;Mark Weaver","doi":"10.1002/jclp.23697","DOIUrl":"10.1002/jclp.23697","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study is an investigation of five specific COVID-related stressors and their longitudinal impact on adult depression and anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 592 adults comprised the initial sample at Time 1 in April/May 2020. Follow-ups were conducted about a month later, again in March 2021 and then in March 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Applied linear mixed effect models showed a significant decrease in mean depression scores and anxiety scores from Time 1 to both Times 3 and 4. Neither change over time in anxiety or depression were found to be related to COVID diagnosis, COVID hospitalization, or COVID death. Self-quarantine was related to changes over time in both depression and anxiety, and household quarantine was related to changes over time in depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While the fallout of the pandemic continues, it is important to understand how these factors may be affecting mental health to better understand where intervention is necessary.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1838-1851"},"PeriodicalIF":2.5,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23697","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140627986","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}
引用次数: 0
Meta-analysis of the Difficulties in Emotion Regulation Scale and its short forms: A two-part study 情绪调节困难量表及其简表的元分析:由两部分组成的研究
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-17 DOI: 10.1002/jclp.23695
Giulia Raimondi, Michela Balsamo, Leonardo Carlucci, Fabio Alivernini, Fabio Lucidi, Tonia Samela, Marco Innamorati
{"title":"Meta-analysis of the Difficulties in Emotion Regulation Scale and its short forms: A two-part study","authors":"Giulia Raimondi,&nbsp;Michela Balsamo,&nbsp;Leonardo Carlucci,&nbsp;Fabio Alivernini,&nbsp;Fabio Lucidi,&nbsp;Tonia Samela,&nbsp;Marco Innamorati","doi":"10.1002/jclp.23695","DOIUrl":"10.1002/jclp.23695","url":null,"abstract":"<p>The Difficulties in Emotion Regulation Scale (DERS) is the most used self-report questionnaire to assess deficits in emotion regulation (ER), composed of 6 dimensions and 36 items. Many studies have evaluated its factor structure, not always confirming the original results, and proposed different factor models. A possible way to try to identify the dimensionality of the DERS could be through a meta-analysis with structural equation models (MASEM) of its factor structure. The MASEM indicated that a six-factor model with 32 items (DERS-32) was the most suitable to represent the dimensionality of the DERS (<i>χ</i><sup>2</sup> = 2095.96, <i>df</i> = 449, <i>p</i> &lt; .001; root mean square error of approximation [RMSEA] = 0.024, 95% confidence interval [CI]: 0.023–0.025; comparative fit index [CFI] = 0.97; Tucker Lewis index [TLI] = 0.96; standardized root mean squared residual [SRMR] = 0.04). This result was also confirmed by a confirmatory factor analysis (<i>χ</i><sup>2</sup> = 3229.67, <i>df</i> = 449, <i>p</i> &lt; 0.001; RMSEA = 0.075, 95% CI: 0.073–0.078; CFI = 0.94; TLI = 0.93; SRMR = 0.05) on a new sample (1092 participants; mean age: 28.28, SD = 5.82 years) recruited from the Italian population. Analyses and results from this sample are reported in the second study of this work. The DERS-32 showed satisfactory internal consistency (i.e., ordinal <i>α</i>, Molenaar Sijtsma statistic, and latent class reliability coefficient) for all its dimensions and correctly categorized individuals with probable borderline symptomatology. In conclusion, the DERS-32 has demonstrated to be the best model for the DERS among all the others considered in this work, as well as a reliable tool to assess deficits in ER.</p>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1797-1820"},"PeriodicalIF":2.5,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140615035","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
Negative religious coping versus spiritual struggles: Moderator or main effect? 消极宗教应对与精神挣扎:调节效应还是主要效应?
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-16 DOI: 10.1002/jclp.23694
Steven Pirutinsky
{"title":"Negative religious coping versus spiritual struggles: Moderator or main effect?","authors":"Steven Pirutinsky","doi":"10.1002/jclp.23694","DOIUrl":"10.1002/jclp.23694","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>While previous research indicates that negative religious coping relates with distress, it is unclear if this represents generalized spiritual struggles or a specific vulnerability activated by negative events. Moreover, past research treats coping as a stable phenomenon, although it likely fluctuates. This research simultaneously tested both models longitudinally and examined the relationship between coping and distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The current study is a secondary analysis of longitudinal data collected online over 3 years from 397 participants. Life events, negative religious coping, and depressive symptoms were assessed on six occasions, and linear mixed-effect models were used to analyze data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Negative religious coping was largely stable with increases at times of stress. Participants with higher mean negative coping reported more depressive symptoms regardless of life circumstances (i.e., main effect), likely reflecting generalized spiritual struggles. In addition, those with higher mean coping or with particularly high levels at a given time reported even higher levels of symptoms when they experienced more negative life events (i.e., moderation effect).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Results suggest that previous research merges two distinct phenomena—spiritual struggles and negative coping. This has important theoretical and research implications and suggests that integrating spirituality and religion into treatment can be warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1780-1796"},"PeriodicalIF":2.5,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140593235","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
Determining differences between therapists using an extended version of the facilitative interpersonal skills performance test 使用扩展版促进性人际交往技能表现测试确定不同治疗师之间的差异
IF 3 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-08 DOI: 10.1002/jclp.23687
Sabine J. van Thiel, Kim de Jong, Kirsten S. Misset, Margot C. W. Joosen, Jac J. L. van der Klink, Jeroen K. Vermunt, Arno van Dam
{"title":"Determining differences between therapists using an extended version of the facilitative interpersonal skills performance test","authors":"Sabine J. van Thiel,&nbsp;Kim de Jong,&nbsp;Kirsten S. Misset,&nbsp;Margot C. W. Joosen,&nbsp;Jac J. L. van der Klink,&nbsp;Jeroen K. Vermunt,&nbsp;Arno van Dam","doi":"10.1002/jclp.23687","DOIUrl":"10.1002/jclp.23687","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The therapist-facilitative interpersonal skills (FIS) has shown to predict therapy outcomes, demonstrating that high FIS therapists are more effective than low FIS therapists. There is a need for more insight into the variability in strengths and weaknesses in therapist skills. This study investigates whether a revised and extended FIS-scoring leads to more differentiation in measuring therapists' interpersonal skills. Furthermore, we explorative examine whether subgroups of therapists can be distinguished in terms of differences in their interpersonal responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using secondary data analysis, 93 therapists were exposed to seven FIS-clips. Responses of therapists using the original and the extended FIS scoring were rated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three factors were found on the extended FIS scoring distinguishing supportive, expressive, and persuasive interpersonal responses of therapists. A latent profile analysis enlightened the presence of six subgroups of therapists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Using the revised and extended FIS-scoring contributes to our understanding of the role of interpersonal skills in the therapeutic setting by unraveling the question what works for whom.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 7","pages":"1698-1710"},"PeriodicalIF":3.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23687","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140593331","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}
引用次数: 0
A latent profile analysis of moral emotions following moral transgressions 道德越轨后道德情感的潜在特征分析
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-06 DOI: 10.1002/jclp.23691
David P. Cenkner, Philip Held, Alyson K. Zalta
{"title":"A latent profile analysis of moral emotions following moral transgressions","authors":"David P. Cenkner,&nbsp;Philip Held,&nbsp;Alyson K. Zalta","doi":"10.1002/jclp.23691","DOIUrl":"10.1002/jclp.23691","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Moral transgressions (MTs), events that violate one's moral code, are associated with the moral emotions of guilt and shame. However, there may be different patterns by which people experience guilt and shame that affect distress following MTs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Undergraduates (<i>N</i> = 1371) exposed to an MT completed self-report assessments. This study used latent profile analysis (LPA) to examine profiles based on guilt cognitions, internalized shame, and distress in relation to a reported MT. Cognitive flexibility, years since the MT, and deliberate and intrusive rumination were examined as variables to determine how these factors predicted profile membership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results from the LPA revealed a three-profile solution: a <i>low moral distress</i> profile (<i>n</i> = 1002), a <i>moderate moral distress</i> profile (<i>n</i> = 262), and a <i>shame prominent</i> profile (<i>n</i> = 107). Results indicated that higher levels of deliberate and intrusive rumination and lower levels of cognitive flexibility significantly increased the likelihood of belonging to the moderate moral distress or shame prominent profiles compared to the low moral distress profile. Higher levels of intrusive rumination and lower levels of cognitive flexibility also significantly increased the likelihood of belonging to the shame prominent profile over the moderate distress profile.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Three different profiles emerged, with the shame prominent profile being driven primarily by internalized shame. Results suggest that intrusive rumination and cognitive inflexibility are risk factors to experiencing adverse responses to MTs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"80 8","pages":"1754-1766"},"PeriodicalIF":2.5,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140570969","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
Making meaning of one's own life story in words and images: A narrative case report of personal recovery from personality disorder through the interventions “An Empowering Story” and art therapy 用文字和图像诠释自己生命故事的意义:通过干预 "赋权故事 "和艺术疗法从人格障碍中康复的叙事案例报告
IF 2.5 3区 心理学
Journal of Clinical Psychology Pub Date : 2024-04-06 DOI: 10.1002/jclp.23690
Suzanne Haeyen, Hilda Heres, Silvia Pol
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