Journal of consulting and clinical psychology最新文献

{"title":"Randomized controlled trial of job crafting as a digital health intervention for occupational burnout in psychological therapists.","authors":"Jaime Delgadillo, Victoria Laker, Melanie Simmonds-Buckley, Ben Davis, Jessica Furlong-Silva, Sarah Keeble, Oliver Davis, Amy Southgate, Poppy Royal, Mike Lucock, Gemma Booth, Jo Ludbrook, Marc McDonagh, Carla Webb, Hayley Tyson-Adams, Jen Moon, Richard Thwaites","doi":"10.1037/ccp0000992","DOIUrl":"10.1037/ccp0000992","url":null,"abstract":"<p><strong>Objective: </strong>Occupational burnout is common in the mental health care workforce, with negative consequences for professionals and patients. This study aimed to evaluate the efficacy of a digital health intervention to alleviate burnout in psychological therapists.</p><p><strong>Method: </strong>This randomized controlled trial recruited 135 therapists working across 17 psychological services in England. The intervention involved six online group webinars based on principles of job crafting. Half of the participants accessed the intervention immediately (Group 1), and half were assigned to a waitlist control group (Group 2). After 6 weeks, Group 2 started the intervention. Participants completed measures of burnout (primary outcome), well-being, and job satisfaction at four time points (baseline, 6, 12, 36 weeks). Outcomes were compared between groups using mixed-effects models controlling for baseline severity and clustering by service.</p><p><strong>Results: </strong>Differences between groups were statistically significant after 6 weeks, favoring job crafting versus waitlist control in burnout (d = 0.43, p < .001), well-being (d = -0.39, p = .023), and job satisfaction (d = -0.28, p = .006) measures. However, the magnitude of improvements relative to baseline levels declined over a 36-week period.</p><p><strong>Conclusion: </strong>A brief job crafting intervention led to short-term improvements in occupational health indicators. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"245-251"},"PeriodicalIF":6.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating maternal mental health problems with an app-based program: A randomized control trial of the Building Emotional Awareness and Mental Health (BEAM) program, for mothers of young children.","authors":"Leslie E Roos, Anna L Mackinnon, E Bailin Xie, Kaeley M Simpson, Charlie Rioux, Kristin A Reynolds, Ryan J Giuliano, Jennifer Harrington, Jennifer L P Protudjer, Shannon Sauer-Zavala, Gerald F Giesbrecht, Catherine Lebel, Dana Watts, Madeline Belows, Lara Penner-Goeke, Makayla Freeman, Lianne Tomfohr-Madsen","doi":"10.1037/ccp0001000","DOIUrl":"10.1037/ccp0001000","url":null,"abstract":"<p><strong>Objectives: </strong>Exposure to maternal mental illness in the first 3 years of life is associated with poor child outcomes. Many mothers experience mental health problems and few have access to evidence-based treatments. Mobile health treatments show promise for mood and anxiety disorders but rarely include parenting strategies. This study evaluated the efficacy of Building Emotional Awareness and Mental Health (BEAM), a 10-week app-based therapist-guided program, which responds to maternal mental health and parenting needs.</p><p><strong>Method: </strong>A two-arm, Phase III randomized controlled trial was conducted to evaluate the BEAM intervention compared to unrestricted services-as-usual. Participants completed self-report measures at eligibility, prior to randomization, and immediately following the intervention. The sample included 140 mothers with children aged 18-36 months, who self-reported moderate-to-severe symptoms of depression and/or anxiety.</p><p><strong>Results: </strong>Participants in both groups experienced significant decreases in depression over time with no significant difference between groups. However, BEAM outperformed the unrestricted services-as-usual condition in reducing anxiety symptoms. Among participants with higher levels of anxiety and depression symptoms at screening, those assigned to BEAM experienced greater reductions in anxiety, anger, and dysfunctional parenting interactions as well as lower harsh parenting composite scores compared to unrestricted services-as-usual.</p><p><strong>Conclusion: </strong>BEAM is a highly scalable intervention that has the potential to rapidly reach underserved groups in need of mental health and parenting support. Next steps include improving the user interface and exploring engagement and implementation of the program within existing health and social service systems for long-term improvements in family health and well-being. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"228-244"},"PeriodicalIF":6.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alliance in internet-based interventions: A systematic review and correlation multilevel meta-analysis.","authors":"Christoph Flückiger, Anna-Marie Schweizer, Madita-Sophie Boehme, Juan Martín Goméz Penedo, Thomas Berger, Bruce E Wampold","doi":"10.1037/ccp0001005","DOIUrl":"10.1037/ccp0001005","url":null,"abstract":"<p><strong>Objective: </strong>Internet-based interventions (IBIs) offer scalable, low-threshold treatment options for mental health care. The therapeutic alliance is a key collaborative quality in psychological therapy, yet its role and structure in IBIs remain debated.</p><p><strong>Method: </strong>This correlational meta-analysis synthesizes the overall alliance-outcome association (k = 82 effect sizes nested in s = 40 independent samples; n = 2,864 participants) and its variability across the Working Alliance Inventory subscales using meta-analytic multilevel models.</p><p><strong>Results: </strong>The overall association was small to moderate (r = .21) confirming the relevance of alliance in digital contexts. Subscale-specific analyses showed that task (r = .25) and goal (r = .19) were more predictive of treatment outcomes than bond (r = .12), highlighting a shift toward cognitive-collaborative components in IBIs. Even exploratory in nature, none of the examined moderators (diagnosis, alliance rater, face-to-face contact, therapeutic approach, publication year, and country) systematically influenced the effect size.</p><p><strong>Conclusions: </strong>The results confirm the robustness of the prediction of the alliance on outcomes observed in the general literature and at the same time point to the particular qualities of using IBIs. Future work is needed to adapt the conceptualization and assessment of alliance in IBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"187-196"},"PeriodicalIF":6.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening self-continuity to reduce depressive symptoms and derailment: A multiphasic mixed-methods randomized controlled trial.","authors":"Christopher J Davis, Emma J Levinbook, Sydnie R Spearman, Cassondra Lyman, Anthony L Burrow","doi":"10.1037/ccp0001006","DOIUrl":"10.1037/ccp0001006","url":null,"abstract":"<p><strong>Objective: </strong>Emerging adulthood is a critical period for identity formation and heightened vulnerability to depression. Given that disruptions in identity continuity and coherence-captured by the construct derailment-are linked to elevated depressive symptoms, strengthening temporal-identity processes may offer a path for symptom relief. We tested a narrative journaling intervention targeting self-continuity to reduce depressive symptoms among emerging adults.</p><p><strong>Method: </strong>In Phase 1, we examined baseline associations among derailment, self-continuity, and depressive symptoms in a community sample (N = 242). In Phase 2, eligible participants (N = 112) were randomized to a derailment-focused intervention or neutral reflective journaling control condition, with outcomes assessed during the intervention and at 2 week and 2 month postintervention. In Phase 3, we conducted an exploratory thematic analysis of responses within the experimental condition.</p><p><strong>Results: </strong>Relative to controls, participants in the experimental condition reported lower derailment, higher self-continuity, and lower depressive symptoms, with group differences maintained at 2 month postintervention. An autoregressive cross-lagged path analysis yielded a pattern consistent with an indirect association between intervention assignment and both downstream depressive symptoms and derailment through early gains in self-continuity. Exploratory thematic analyses indicated that participants reporting larger symptom decreases described narratives characterized by reflective self-evaluation, whereas those reporting minimal changes more often described fragmented narratives and ruminative brooding.</p><p><strong>Conclusion: </strong>Findings provide evidence that a derailment-focused journaling intervention may reduce depressive symptoms and derailment. Early gains in self-continuity represent a plausible candidate process and a target for future mechanistic tests. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"94 4","pages":"197-215"},"PeriodicalIF":6.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legal outcomes of task-shifting contingency management for youth substance use to rural probation officers: Secondary results from a randomized clinical trial.","authors":"Ashli J Sheidow,Tess K Drazdowski,Jason E Chapman,Michael R McCart","doi":"10.1037/ccp0001002","DOIUrl":"https://doi.org/10.1037/ccp0001002","url":null,"abstract":"OBJECTIVEYouth substance use disorder is a significant problem in rural communities, yet treatment access is negligible. Task-shifting evidence-based treatments to juvenile probation officers (JPOs) may help, but could increase surveillance and thus be iatrogenic for legal outcomes. Task-shifting contingency management (CM) to JPOs was examined for increased youth legal system consequences.METHODData were from a randomized clinical trial that randomized 32 JPOs in Idaho to probation as usual (PAU) or family-based CM integrated into probation. Then, 160 youth with substance use disorder on probation were randomized to JPOs delivering PAU or JPO-delivered CM. Legal system records (charges and detentions) spanning 18 months before and after randomization were obtained for each youth from the state database.RESULTSFor CM and PAU groups, respectively, 32.6% versus 51.4% had at least one charge postrandomization, 22.1% versus 20.3% had at least one detention, and median charge count was 0.0 (interquartile range, 0.0-1.0) versus 1.0 (interquartile range, 0.0-2.0). Intent-to-treat generalized linear mixed effects models nested youth within JPOs. Groups did not differ on charge count (event rates = 1.12; 95% CI [0.29, 4.36]) or likelihood of detention (OR = 1.54; 95% CI [0.65, 3.65]). However, CM youth had a significantly lower likelihood of receiving a charge (OR = 0.42; 95% CI [0.21, 0.83]), with a predicted probability of 31% (95% CI [21%, 42%]) versus 52% for PAU (95% CI [40%, 63%]).CONCLUSIONSYouth legal system consequences do not worsen when JPOs deliver CM. The likelihood of a new charge actually decreases when JPOs deliver CM. Task-shifting CM for youth substance use to JPOs could increase treatment access in rural communities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"274 1","pages":"151-158"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a blended counseling intervention (I-PREGNO) on mental well-being of vulnerable mothers postpartum: Findings from a cluster randomized controlled trial.","authors":"Lea Vogel,Lennart Seizer,Eva Boehlke,Tom Deliens,Tanja Färber,Carmen Henning,Christoph Liel,Ulrike Lux,Ansgar Opitz,Natalie Schoemann,Caroline Seiferth,Mireille N Van Poppel,Vicka Versele,Jörg Wolstein,Johanna Löchner","doi":"10.1037/ccp0000998","DOIUrl":"https://doi.org/10.1037/ccp0000998","url":null,"abstract":"OBJECTIVEParents face numerous changes and challenges during the postpartum period, increasing their risk of mental health issues. Parents with psychosocial burdens are particularly vulnerable to develop mental health issues and are in need of targeted intervention programs. This article presents analyses of secondary outcomes of a cluster randomized controlled trial examining the efficacy of the intervention \"I-PREGNO\" in psychosocially burdened mothers during the postpartum period. I-PREGNO represents a 12-week mobile application-based blended counseling aiming to enhance transdiagnostic psychological mechanisms and health behavior during the postpartum period.METHODA two-arm parallel cluster randomized controlled trial was conducted in Germany with N = 108 psychosocially burdened mothers of children aged 0-12 months, recruited via a national early childhood intervention program. Assessments included baseline assessment (T0), postintervention assessment 12 weeks after baseline (T1), and one follow-up assessment 6 months after baseline (T2). Mixed-model repeated measures analyses were used to examine differences in well-being between the intervention group and the control group (treatment as usual), measured by scores on the Parenting Stress Index and the Edinburgh Postnatal Depression Scale.RESULTSNo significant differences between the groups at T1 and T2 were observed on Parenting Stress Index and the Edinburgh Postnatal Depression Scale. Post hoc tests revealed that mothers in the intervention group who started the intervention within the first 5 months postpartum had significantly reduced Parenting Stress Index scores at T1.CONCLUSIONWhile exploratory analyses indicated that I-PREGNO may have potential in reducing parenting stress shortly after childbirth, it may not be sufficient for the prevention of postpartum depressive symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"35 1","pages":"173-186"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing dropout from cognitive processing therapy versus prolonged exposure: Results from a randomized clinical trial.","authors":"Kelly L Harper,Thomas M Crow,Johanna Thompson-Hollands,Jaclyn C Kearns,Alexandra C Mattern,Elizabeth N Collazo,Melanie B Arenson,Brian P Marx,Paula P Schnurr","doi":"10.1037/ccp0000999","DOIUrl":"https://doi.org/10.1037/ccp0000999","url":null,"abstract":"OBJECTIVEDropout from evidence-based psychotherapies for posttraumatic stress disorder (PTSD; e.g., cognitive processing therapy [CPT] and prolonged exposure [PE]) remains a problem, with rates around 38%-51% in routine care settings. Research is needed to characterize predictors and timing of dropout to inform intervention efforts. Using data from the largest randomized controlled trial of CPT and PE to date, we examined the timing and predictors of dropout, including sociodemographic and psychosocial variables.METHODParticipants (N = 916; average age = 45.2; 79.9% male; 64.4% White) were U.S. veterans with PTSD who were randomized to receive PE (n = 455) or CPT (n = 461). Participants completed measures to assess demographic characteristics, PTSD symptoms, depression symptoms, quality of life, substance use, and treatment expectations and preferences. Dropout was defined as completing less than 12 sessions or completing fewer sessions than required based on the study protocol for early responders.RESULTSDropout was significantly higher in PE (52.31%) than in CPT (45.77%). Survival analyses indicated better retention in CPT over time and suggested that this group difference became significant starting after Session 3. Slower reduction in PTSD symptom severity was related to dropout in CPT, but not in PE. Regression models showed that veterans who were younger, Black, and service-connected for PTSD were more likely to drop out.CONCLUSIONSFew pretreatment predictors were associated with dropout, indicating the need for additional research, such as using more intensive, longitudinal methods with time-varying predictors during treatment, to elucidate reasons for dropout from these first-line trauma psychotherapies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"18 1","pages":"140-150"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized controlled trial of smartphone-based interpretation bias intervention for anxiety and depression.","authors":"Alexandra L Silverman,Gabriela Kovarsky Rotta,Doah Shin,Irelee Ferguson,Courtney Beard","doi":"10.1037/ccp0000996","DOIUrl":"https://doi.org/10.1037/ccp0000996","url":null,"abstract":"OBJECTIVEHabitWorks (HW) is a personalized, transdiagnostic, smartphone-based interpretation bias intervention for depression and anxiety that has demonstrated feasibility and acceptability in prior pilot studies. This preregistered randomized controlled trial (https://doi.org/10.17605/OSF.IO/EJ89T; Silverman, Kovarsky Rotta, et al., 2025) tested the effectiveness of HW compared with a symptom tracking (ST) control condition.METHODA nonclinical community sample of U.S. adults with at least mild anxiety and depression symptoms (N = 340; Mage = 33.04 years, 57.4% women, 60.6% White, 14.7% Black, 11.2% Asian, 10.9% Multiracial, 22.1% Hispanic/Latine) were randomly assigned to complete three weekly interpretation bias exercises and once weekly depression and anxiety symptom surveys (HW) or three weekly depression and anxiety symptom surveys (ST) for 4 weeks.RESULTSA priori benchmarks for retention, adherence, and satisfaction were achieved: 77.8% of HW participants were still using the app in Week 4, 43.7% achieved perfect adherence, and app usability and acceptability were rated positively. As hypothesized, HW was superior to ST at improving negative and benign interpretation biases (Word-Sentence Association Paradigm) and functional impairment (Work and Social Adjustment Scale); and HW (vs. ST) participants reported significantly greater global improvement (Clinical Global Impressions Scale-Improvement Self-Report) and subjective engagement (Twente Engagement with eHealth Technologies Scale) at postintervention. Unexpectedly, while depression and anxiety symptoms (Patient Health Questionnaire-8 and Generalized Anxiety Disorder Scale-7) improved significantly, these changes were not unique to HW.CONCLUSIONSHW is an engaging and scalable intervention that may be effective for improving overall severity and functioning. Further validation of effectiveness for specific symptom domains is needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"84 1","pages":"125-139"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions for autistic adults: A meta-analysis.","authors":"Isaac C Smith,Laura Graham Holmes,Susan W White","doi":"10.1037/ccp0001003","DOIUrl":"https://doi.org/10.1037/ccp0001003","url":null,"abstract":"OBJECTIVEThe vast majority of autistic adults experience challenges related to co-occurring mental health problems, social cognition, postsecondary education or competitive employment, and other concerns. Services to address these challenges have been identified as a priority for research. This review and meta-analysis were undertaken to determine the clinical impact of interventions for a wide range of concerns for autistic adults.METHODWe conducted a preregistered systematic review and meta-analysis of interventions targeting social cognition, mental health, and academic- and transition-related outcomes for autistic adults. Randomized controlled trials and quasi-experimental studies were eligible for inclusion, while single-case and pre-post designs were excluded. We extracted data on participant and intervention characteristics, primary outcome data in 10 domains (e.g., mental health, social cognition), and risk of bias.RESULTSThirty-five studies were included (N = 1,631 total participants). Random-effects meta-analyses using robust variance estimation revealed significant small to moderate pooled effect sizes for mental health (k = 16, g = .35, 95% CI [0.19, 0.51], I2 = 18.13%), social cognition (k = 16, g = .45, 95% CI [0.17, 0.74], I2 = 67.77%), and quality of life (k = 8, g = .64, 95% CI [0.14, 1.15], I2 = 80.48%). Meta-analyses of behavioral, cognitive, adaptive, and employment outcomes were nonsignificant.CONCLUSIONInterventions for autistic adults show promise, often producing small-to-moderate positive outcomes as compared to treatment as usual or waitlist controls. Effects largely align with those seen in the child and adolescent autism literature, despite considerable heterogeneity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"32 1","pages":"159-172"},"PeriodicalIF":5.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplemental Material for A Randomized Controlled Trial of Injunctive Norms Feedback With and Without Motivational Interviewing to Reduce Alcohol Use and Negative Consequences Among College Students","authors":"","doi":"10.1037/ccp0000989.supp","DOIUrl":"https://doi.org/10.1037/ccp0000989.supp","url":null,"abstract":"","PeriodicalId":15447,"journal":{"name":"Journal of consulting and clinical psychology","volume":"9 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}