Psychopathology最新文献

{"title":"Latent profiles of parental psychological control, harsh parenting, and adolescent psychological resilience: Associations with adolescent depressive symptoms.","authors":"Zhenli You, Yifan Zhang, Haoxian Ye, Fang Fan","doi":"10.1159/000546656","DOIUrl":"https://doi.org/10.1159/000546656","url":null,"abstract":"<p><strong>Introduction: </strong>In terms of the risk of developing depressive symptoms, adolescents are a heterogeneous group according to their characteristics and environment. However, the effect of the heterogeneity on depressive symptoms remains unclear. Although the effects of parental psychological control, harsh parenting and adolescent psychological resilience (as a trait in this article) have been well-documented, these factors are generally examined separately, while little is known about their interactive effects on adolescent mental health. The goal of this study is to explore latent profiles of parenting and adolescent psychological resilience and to compare the corresponding levels of depressive symptoms in adolescents.</p><p><strong>Methods: </strong>Self-reported data from 1,049 adolescents (Mage = 14.2 ± 1.7, Nboy = 432) were used in latent profile analysis to categorize participants based on parental psychological control, harsh parenting, and adolescent psychological resilience. Multinomial logistic regression was employed to examine the associations between latent profiles and adolescent depressive symptoms.</p><p><strong>Results: </strong>Three distinct profiles emerged, each associated with different levels of adolescent depressive symptoms after adjusting for covariates: Supportive and resilient profile (n = 308, 29.4%; reference), Struggling and vulnerable profile (n = 463, 44.1%; odds ratio [OR], 2.31; 95% CI, 1.96-2.71), and Pressured but adaptive profile (n = 278, 26.5%; OR, 4.44; 95% CI, 3.75-5.25).</p><p><strong>Conclusion: </strong>Individuals with highest level of depressive symptoms were more likely to be classified into Pressured but adaptive profile. Parents should avoid psychological control and harsh parenting in the process of raising children.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-22"},"PeriodicalIF":1.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and associations of anxiety symptoms among young overweight or obese patients with major depressive disorder.","authors":"Ting Wang, Yu Tang, Sanrong Xiao, Xiangyang Zhang","doi":"10.1159/000546692","DOIUrl":"https://doi.org/10.1159/000546692","url":null,"abstract":"<p><strong>Introduction: </strong>Overweight or obesity often co-occurs with depression among young adults. Major depressive disorder (MDD) frequently occurs alongside anxiety; nevertheless, research exploring the interaction between anxiety symptoms and MDD in young adults with overweight or obesity is limited. This study aims to investigate the prevalence and clinical characteristics of comorbid anxiety among young adults with overweight/obesity concomitant with MDD. Additionally, it aims to identify predictors of anxiety within this demographic.</p><p><strong>Methods: </strong>This cross-sectional study involved 523 young adults with overweight/obesity concomitant with MDD (age 18-35 years). Their demographic characteristics, clinical variables, and fasting biochemical parameters were collected utilizing the Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), and Positive and Negative Syndrome Scale (PANSS).</p><p><strong>Results: </strong>The prevalence of anxiety symptoms was 50.8%. Correlation analysis suggested strong associations between total HAMD scores and various factors, including total HAMA scores, body mass index, suicidal tendencies, and psychotic symptoms. Binary regression identified four clinical variables, namely HAMD scores, thyroid-stimulating hormone levels, excitement levels, and fasting blood glucose, as significant risk factors for anxiety within this demographic.</p><p><strong>Conclusion: </strong>In summary, this research highlights a substantial prevalence of anxiety symptoms among young adults with overweight/obesity concomitant with MDD. Furthermore, it elucidates four risk factors associated with concurrent anxiety symptoms among this demographic. These findings have significant clinical implications.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Change in Emotional Arousal Variance in Clients with Borderline Personality Disorder during a Brief Psychiatric Treatment.","authors":"Loris Grandjean, Tobias Rohrbach, Aline Garbani, Fabienne Läderach, Ines Culina, José Blanco Machinea, Hélène Beuchat, Livia Alerci, Stéphane Kolly, Ueli Kramer","doi":"10.1159/000546284","DOIUrl":"10.1159/000546284","url":null,"abstract":"<p><strong>Background: </strong>Research in the field of psychotherapy suggests that emotional arousal (EA) might be a key element to therapeutic success. However, its relevance depends on a situation-bound complex process, requiring its assessment at the right time and in relation to significant personal themes.</p><p><strong>Methods: </strong>This article is a secondary analysis of a 4-month treatment RCT with two arms (General Psychiatric Management and Treatment As Usual) for borderline personality disorder (BPD). Fifty-five clients with BPD (GPM group: n = 28; TAU group: n = 27) as well as healthy controls (n = 29) participated in the study. We assessed them (intake, 2 months and discharge for the BPD group and intake and at consistent intervals for the healthy controls) using an experiential two-chair dialogue focused on the client's self-criticism, ensuring the idiosyncratic relevance of the aroused state. We evaluated EA during the two-chair dialogue at three time points (two for the controls) over the course of treatment via self-reported (Self-Assessment Manikin) and observer-rated (Client Emotional Arousal Scale-III) scales as well as borderline symptomatology (ZAN-BPD) and general psychological distress (Outcome Questionnaire 45).</p><p><strong>Results: </strong>In line with our expectations, we find that participants with diagnosed BPD show higher EA variance compared to controls. This heightened EA variance changes range over the course of the 4-month psychiatric treatment, with participants in the control and BPD groups showing levels of EA variance that are not significantly different at T3. There is no evidence that lower EA variance is associated with reduced symptoms.</p><p><strong>Discussion: </strong>In the treatment of BPD, change in EA variance may be a key element as it normalizes throughout the brief intervention. However, more research is needed to clarify the relationship between this normalization and symptom reduction.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association between Self-Reported Self-Disturbance Phenomena and Personal Recovery in Patients with a Schizophrenia Spectrum Disorder, Siblings and Controls.","authors":"Auke Jelsma, Stéphanie Dijkstra, Sietske Wiemer, Astrid Vellinga, Mariken de Koning, Wiepke Cahn, Claudia Simons, Marieke van der Pluijm, Lieuwe de Haan","doi":"10.1159/000546557","DOIUrl":"https://doi.org/10.1159/000546557","url":null,"abstract":"<p><strong>Introduction: </strong>Self-disturbance phenomena are increasingly recognized as fundamental and debilitating features for patients with a schizophrenia spectrum disorder (SSD). The concept of personal recovery describes the process of building a meaningful and satisfying life despite persistent symptoms or challenges related to mental illness. No previous study has investigated the association between self-disturbance phenomena and personal recovery in patients with SSD. Understanding the impact of self-disturbance could strengthen the therapeutic alliance with patients and contribute to the development of treatment strategies supporting their recovery.</p><p><strong>Aim: </strong>To investigate whether severity of self-reported self-disturbance phenomena is associated with the level of self-reported personal recovery in patients with SSD, their unaffected siblings and healthy controls.</p><p><strong>Methods: </strong>In a cross-sectional design with 522 patients with SSD, 608 unaffected siblings and 369 healthy controls, the frequency and distress of self-disturbance phenomena was measured with the Self-Experience Lifetime Frequency Scale (SELF). Personal recovery was assessed with the Recovery Assessment Scale (RAS-24). Spearman's rank correlation coefficients between both scales were examined. Subsequent multiple hierarchical regression analyses were conducted to assess additional explained variance in personal recovery by severity of self-disturbance phenomena, adjusting for positive, negative and general symptomatology.</p><p><strong>Results: </strong>Significant correlations were reported between higher SELF and lower RAS-24 scores for patients (ρ = -0.20, p < 0.001), siblings (ρ = -0.24, p < 0.001) and controls (ρ = -0.16, p < 0.005). The severity of self-disturbance phenomena significantly albeit modestly predicted total personal recovery score after adjusting for positive, negative and general symptoms for patients (R2 Change = 0.035, β = -0.19, p < 0.001).</p><p><strong>Conclusion: </strong>Current findings suggest that self-reported self-disturbance phenomena are relevant for the personal recovery of patients with SSD. Healthcare practitioners are urged for attention to patients' first-person perspectives, including experiences of self-disturbance.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-22"},"PeriodicalIF":1.9,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pornographic culture and erotic culture: logics of desire and psychopathological forms.","authors":"Riccardo Poggioli, Giovanni Stanghellini","doi":"10.1159/000546332","DOIUrl":"https://doi.org/10.1159/000546332","url":null,"abstract":"<p><strong>Background: </strong>In times of rapid and profound socio-cultural changes and the related metamorphosis of psychopathological forms, there is a need for greater commitment on the part of clinical phenomenology in analysing these changes and reciprocal influences between culture and psychopathology.</p><p><strong>Summary: </strong>Questioning one-dimensional definitions of society, this work probes the dialectic of cultures inherent in every society, addressing the complex interpolation of different sets of beliefs, behaviors and values. The aim is to introduce and discuss a couple of them, which are here named pornographic culture and erotic culture, and the forms that enjoyment and desire take in each of them. The phenomenological method, typically used to investigate individual experience, is thus extended to the analysis of the existential structures of such cultures, exploring the idea that pornographic culture and erotic culture dispose a precise symbolic framework that affects the experience of time, space, body, Self and Otherness of individuals.</p><p><strong>Key message: </strong>Pornographic culture is characterized by enjoyment imperative, whereas erotic culture by unattainable fulfilment of one's desire. The \"cultural existentials\" structured by these cultures are conceived as the inclined plane on which human presence moves and unfolds, and are examined in order to try to grasp their resonances with the various forms of suffering characteristic of contemporary age, establishing a dialogue between some distinctive anthropological forms of late modernity - namely homo nevroticus, œconomicus and dissipans - and the forms of psychopathological existence in which they can result and crystallise.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EAIE-Scale-The Examination of Autistic Intersubjective Experiences. A qualitative tool to the exploration of sociality.","authors":"Valeria Bizzari, Tim Schnitzler, Thomas Fuchs","doi":"10.1159/000545919","DOIUrl":"https://doi.org/10.1159/000545919","url":null,"abstract":"<p><strong>Introduction: </strong>The Examination of Autistic Intersubjective Experiences is a semi-structured interview aimed at a phenomenological exploration of experiential and subjective ways of dealing with sociality.</p><p><strong>Methods: </strong>As a qualitative study, this work can be understood in continuity with EASE (Examination of Anomalous Self Experience [1] and EAWE (Examination of Anomalous World Experience, [2]. While these models focus on anomalies of selfhood and experience of the external world respectively, this semi-structured interview focuses instead on the divergent ways dealing with intersubjective experience and on the difficulties that people with a diagnosis of autism experience in the social domain.</p><p><strong>Conclusion: </strong>The advantages are both theoretic and practical: from a philosophical perspective, it will be interesting to observe how intersubjectivity works. From a clinical perspective, the collected data will be useful both for clinicians and caregivers, allowing them to better understand and cope with the autistic subject, and favor the communication between different social styles.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antagonistic Narcissism in Women with Borderline Personality Disorder: A Case-Control Study.","authors":"Philipp Wülfing, Nikolaus Krämer, Claas-Hinrich Lammers, Carsten Spitzer","doi":"10.1159/000545761","DOIUrl":"10.1159/000545761","url":null,"abstract":"<p><strong>Objective: </strong>Borderline personality disorder (BPD) is characterized by instability in self-image, emotions, and relationships. Features such as (auto)aggression, devaluation, and impulsivity indicate proximity to narcissistic traits, especially antagonistic aspects. While its links to grandiose and vulnerable narcissism are established, the role of antagonistic narcissism (AN) remains unclear. This study investigates AN in BPD by comparing female BPD patients with a diagnostically heterogeneous clinical control group without personality disorders and by examining its associations with symptom severity, self-harm, aggression, interpersonal problems, and empathy.</p><p><strong>Methods: </strong>51 female BPD patients and 51 clinical control patients completed the Narcissistic Admiration and Rivalry Questionnaire and measures of borderline symptomatology, aggression, interpersonal problems, and empathy. Group comparisons were conducted using analyses of covariance, and Spearman correlations examined relationships between clinical characteristics. Interpersonal tendencies of AN were analyzed via the Structural Summary Method (SSM).</p><p><strong>Results: </strong>BPD patients showed higher levels of AN compared to the control group (η2 = 0.04), though this difference was only marginally significant (p = 0.050). AN correlated positively with overall aggression (r = 0.34, p < 0.05), particularly verbal aggression (r = 0.43, p < 0.01). SSM analysis positioned AN within the domineering-vindictive quadrant of the interpersonal circumplex, characterized by high dominance and low affiliation. No significant correlation was found with empathy.</p><p><strong>Conclusion: </strong>Findings suggest a potential elevation of AN in females with BPD and its associations with aggression and interpersonal dysfunction, highlighting the complexity of narcissistic traits in BPD and the need for further research.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12112893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of Self-Rating Questionnaires Used for Assessing Self-Disorders? A Systematic Review.","authors":"Helena Cobanovic, Julie Nordgaard, Jonas Berge, Mads Gram Henriksen","doi":"10.1159/000545364","DOIUrl":"10.1159/000545364","url":null,"abstract":"<p><strong>Introduction: </strong>Self-disorders designate a group of nonpsychotic, trait-like, anomalous self-experiences. The \"gold standard\" for assessing self-disorders is largely considered to be the Examination of Anomalous Self-Experience (EASE). The EASE must be conducted as a semistructured interview, and it requires substantial knowledge of psychopathology and excellent interviewing skills. To bypass these demands, self-rating questionnaires are regularly used to assess self-disorders in research. However, it is not clear if these self-rating questionnaires are valid measures of self-disorders. The purpose of this systematic review was to assess the validity of self-rating questionnaires used for assessing self-disorders.</p><p><strong>Methods: </strong>Following the PRISMA guidelines, we searched PubMed, Embase, and PsycInfo for studies that had used or developed self-rating questionnaires for assessing self-disorders.</p><p><strong>Results: </strong>Twenty-nine studies had used or developed self-rating questionnaires to assess self-disorders, involving a total of 8 different self-rating questionnaires. None of these self-rating questionnaires have been properly validated to measure self-disorders in relation to EASE.</p><p><strong>Conclusion: </strong>Despite being frequently used in research, only 1 (IPASE: The Inventory of Psychotic-Like Anomalous Self-Experiences) of the 8 self-rating questionnaires has been attempted validated in relation to the EASE. Though a strong correlation was found between IPASE and EASE, the result cannot be considered valid because of profound methodological issues. We recommend that efforts to validate self-rating questionnaires are prioritized if they are to be used in research, and that results from studies using self-rating questionnaires are separated from those of EASE-based research as long as the self-rating questionnaires have not been properly validated in relation to the EASE.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Do We Risk to SQuEASE by Making Psychiatric Phenomenology Too Efficient?","authors":"Florestan Delcourt, Jérôme Englebert","doi":"10.1159/000545169","DOIUrl":"10.1159/000545169","url":null,"abstract":"","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-4"},"PeriodicalIF":1.9,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bibliotherapy and Schizophrenia: A Stanghellinian Perspective.","authors":"Florestan Delcourt, Jérôme Englebert, Bernard Pachoud","doi":"10.1159/000545471","DOIUrl":"10.1159/000545471","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a psychiatric disorder that has long been regarded as irreversibly degenerative. However, the recent improvements in treatment and prognosis and the trend towards person-centred care have reversed this fatalistic tendency, and encouraged the development of theoretical and clinical tools to support these people as closely as possible to their concerns.</p><p><strong>Summary: </strong>In this article, we look at how bibliotherapy, namely care assisted by the reading of literary fictions, might be conceived in relation to the classic psychotherapeutic framework. To circumscribe the definition of this approach for people with schizophrenia, we will refer to the work of Giovanni Stanghellini, and in particular to two of his works: the Phenomenology, Hermeneutics and Psychodynamics model, and his epistemological theory of Images. Thus, we shall see that the clinical particularities of bibliotherapy could assist a person-centred psychotherapy by promoting the unfolding of people's phenomenological experiences, opening them up to other ways of interpreting them, and re-establishing the dialogue between the self and its existence.</p><p><strong>Key messages: </strong>Bibliotherapy could hence participate in the contemporary movements of clinical hermeneutic phenomenology, medical humanities, and personal recovery.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}