Psychotherapy and Psychosomatics最新文献

{"title":"Beyond Self-Reports: Integrating Cortisol Measurement in Psychotherapy Process Research among Adolescents with Borderline Personality Pathology.","authors":"Yasmine Blaha, Marialuisa Cavelti, Silvano Sele, Julian Koenig, Ronan Zimmermann, Klaus Schmeck, Michael Kaess","doi":"10.1159/000547941","DOIUrl":"10.1159/000547941","url":null,"abstract":"<p><strong>Introduction: </strong>Psychotherapy is the primary treatment for adolescent borderline personality pathology (BPP), yet its mechanisms remain unclear. Given potential self-report biases due to alexithymia and impaired interoception, this study examined cortisol responses as a physiological stress marker alongside session ratings from adolescent BPP patients and their therapists to assess its potential as a complementary measure in psychotherapy process research.</p><p><strong>Methods: </strong>N = 56 adolescents (94.6% female) with BPP (≥3 DSM-IV BPD criteria) receiving Adolescent Identity Treatment or Dialectical Behavioral Therapy and their therapists provided pre- and post-session salivary cortisol samples and completed the Session Evaluation Questionnaire. Residual Dynamic Structural Equation Modeling examined associations between cortisol responses and session ratings, with moderation by age, depression, BPP severity, identity diffusion, and trauma.</p><p><strong>Results: </strong>Cortisol responses did not correlate with session ratings in patients. In therapists, higher cortisol responses were associated with lower session smoothness (r = -0.164; p < 0.001) and deepness (r = -0.086; p = 0.004), as well as with lower positivity (r = -0.145; p < 0.001) and higher arousal (r = 0.072; p = 0.012) post-session. Higher depression levels moderated the association between cortisol responses and session deepness in patients (β = -0.009, p = 0.007).</p><p><strong>Conclusion: </strong>While session ratings and cortisol responses correlated in therapists, no such correlation was found in patients. Possible mechanisms include altered interoceptive abilities, dysregulated hypothalamic-pituitary-adrenal (HPA) axis function, or increased variability in self-ratings or cortisol due to BPP. While physiological markers and self-reports offer complementary insights into psychotherapy processes, future studies should include healthy and clinical controls and baseline investigation of HPA axis function (i.e., stress reactivity) in both groups, along with additional hormonal markers.</p>","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":" ","pages":"1-13"},"PeriodicalIF":17.4,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Disease Burden of Major Depressive Disorder and Its Risk Factors in Low- and Middle-Income Countries.","authors":"Qinyao Yu,Fanyu Xue,Sofia Laila Wik,Mingjun Gao,Yusuff Adebayo Adebisi,Don Eliseo Lucero-Prisno Iii,Claire Chenwen Zhong,Martin C S Wong,Junjie Huang, ","doi":"10.1159/000547927","DOIUrl":"https://doi.org/10.1159/000547927","url":null,"abstract":"BACKGROUNDThis study aims to examine the disease burden, risk factors, and temporal trends of Major Depressive Disorder (MDD) in low- and middle-income countries (LMIC) from 1990 to 2021.METHODSDisability-Adjusted Life Years (DALYs) data for 135 LMIC were obtained from the 2021 Global Burden of Disease (GBD) database. To assess trends in the burden of MDD, segmented regression analysis was applied to calculate the Estimated Annual Percentage Change (EAPC). Spearman correlation analysis was conducted to examine the association between Gross National Income (GNI) and gender disparities in age-standardized DALY rates (ASDR) for MDD. We also explored how key risk factors contributed to observed disparities.RESULTSIn 2021, LMICs accounted for 80.19% of the global burden of MDD. Age and gender disparities were significant, with DALY rates increasing markedly from adolescence and peaking around age 75. Gender disparities showed a higher burden among females, particularly in countries with higher GNI per capita. Analysis of risk factors revealed that intimate partner violence, bullying victimization, and childhood sexual assault were major contributors to the MDD burden, with notable variations across income levels and age groups. Temporal trends showed a marked increase in MDD burden across all income groups after 2019.CONCLUSIONMDD continues to impose a significant health burden in LMIC, disproportionately affecting females, youth, and elderly populations. The significant increase in MDD burden across all income groups after 2019 likely reflects the intensifying effects of global disruptions, with the COVID-19 pandemic being a key contributing factor. Populations with the highest burden also showed greater exposure to key risk factors.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"16 1","pages":"1-26"},"PeriodicalIF":22.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144960077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Trauma and OCD: Evidence from October 7th, 2023.","authors":"Eyal Kalanthroff, Shir Berebbi, Mor David, Helen Blair Simpson","doi":"10.1159/000548026","DOIUrl":"https://doi.org/10.1159/000548026","url":null,"abstract":"<p><p>Exposure to trauma has been theorized to contribute to the onset and exacerbation of obsessive-compulsive disorder (OCD), yet direct empirical evidence remains limited. This study examined whether individuals directly affected by the trauma of October 7th, 2023, in Israel exhibited higher rates of new-onset or worsening OCD symptoms compared to controls who were not directly affected. A total of 132 adults participated, including 66 survivors from the Gaza envelope who experienced direct exposure to the attacks and 66 matched controls from other areas of Israel who were not directly affected. Data on OCD and PTSD symptoms were collected approximately 4-6 months after the events. Results revealed significantly higher OCD symptoms in the directly affected group and PTSD symptom severity partially mediated the relationship between trauma exposure and increased OCD symptoms. Notably, 39% of individuals in the directly affected group met a priori criteria for probable OCD, 24% reported new-onset symptoms after October 7th, and most others reported worsening of existing symptoms. These findings provide the first direct evidence that acute trauma can trigger new-onset and worsening OCD symptoms. Consistent with the diathesis-stress model, the results underscore the role of environmental stressors in OCD etiology and highlight the need for screening for OCD in trauma-exposed populations.</p>","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":" ","pages":"1-22"},"PeriodicalIF":17.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Trauma and OCD: Evidence from October 7th, 2023.","authors":"Eyal Kalanthroff,Shir Berebbi,Mor David,Helen Blair Simpson","doi":"10.1159/000548026","DOIUrl":"https://doi.org/10.1159/000548026","url":null,"abstract":"Exposure to trauma has been theorized to contribute to the onset and exacerbation of obsessive-compulsive disorder (OCD), yet direct empirical evidence remains limited. This study examined whether individuals directly affected by the trauma of October 7th, 2023, in Israel exhibited higher rates of new-onset or worsening OCD symptoms compared to controls who were not directly affected. A total of 132 adults participated, including 66 survivors from the Gaza envelope who experienced direct exposure to the attacks and 66 matched controls from other areas of Israel who were not directly affected. Data on OCD and PTSD symptoms were collected approximately 4-6 months after the events. Results revealed significantly higher OCD symptoms in the directly affected group and PTSD symptom severity partially mediated the relationship between trauma exposure and increased OCD symptoms. Notably, 39% of individuals in the directly affected group met a priori criteria for probable OCD, 24% reported new-onset symptoms after October 7th, and most others reported worsening of existing symptoms. These findings provide the first direct evidence that acute trauma can trigger new-onset and worsening OCD symptoms. Consistent with the diathesis-stress model, the results underscore the role of environmental stressors in OCD etiology and highlight the need for screening for OCD in trauma-exposed populations.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"21 1","pages":"1-22"},"PeriodicalIF":22.8,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Disease Burden of Major Depressive Disorder and Its Risk Factors in Low- and Middle-Income Countries.","authors":"Qinyao Yu, Fanyu Xue, Sofia Laila Wik, Mingjun Gao, Yusuff Adebayo Adebisi, Don Eliseo Lucero-Prisno Iii, Claire Chenwen Zhong, Martin C S Wong, Junjie Huang","doi":"10.1159/000547927","DOIUrl":"https://doi.org/10.1159/000547927","url":null,"abstract":"<p><strong>Background: </strong>This study aims to examine the disease burden, risk factors, and temporal trends of Major Depressive Disorder (MDD) in low- and middle-income countries (LMIC) from 1990 to 2021.</p><p><strong>Methods: </strong>Disability-Adjusted Life Years (DALYs) data for 135 LMIC were obtained from the 2021 Global Burden of Disease (GBD) database. To assess trends in the burden of MDD, segmented regression analysis was applied to calculate the Estimated Annual Percentage Change (EAPC). Spearman correlation analysis was conducted to examine the association between Gross National Income (GNI) and gender disparities in age-standardized DALY rates (ASDR) for MDD. We also explored how key risk factors contributed to observed disparities.</p><p><strong>Results: </strong>In 2021, LMICs accounted for 80.19% of the global burden of MDD. Age and gender disparities were significant, with DALY rates increasing markedly from adolescence and peaking around age 75. Gender disparities showed a higher burden among females, particularly in countries with higher GNI per capita. Analysis of risk factors revealed that intimate partner violence, bullying victimization, and childhood sexual assault were major contributors to the MDD burden, with notable variations across income levels and age groups. Temporal trends showed a marked increase in MDD burden across all income groups after 2019.</p><p><strong>Conclusion: </strong>MDD continues to impose a significant health burden in LMIC, disproportionately affecting females, youth, and elderly populations. The significant increase in MDD burden across all income groups after 2019 likely reflects the intensifying effects of global disruptions, with the COVID-19 pandemic being a key contributing factor. Populations with the highest burden also showed greater exposure to key risk factors.</p>","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":" ","pages":"1-26"},"PeriodicalIF":17.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ConquerFear-HK: A Randomized Controlled Trial of a Metacognition-Based, Manualized Intervention for Fear of Cancer Recurrence among Chinese Cancer Survivors.","authors":"Danielle Wing Lam Ng, Rachel Ng, Ceci Guo, Julia Chan, Richard Fielding, Julia Wei Chun Tang, Wylie Wai Yee Li, Chi Chung Foo, Ava Kwong, Simon Siu-Man Ng, Dacita Suen, Sara Fung, Oi Kwan Chun, Karen Kar Loen Chan, Amy Tien Yee Chang, Phyllis Butow, Wendy Wing Tak Lam","doi":"10.1159/000547888","DOIUrl":"10.1159/000547888","url":null,"abstract":"<p><strong>Introduction: </strong>Fear of cancer recurrence (FCR) is a prominent clinical issue among cancer survivors. This study evaluated the effectiveness of the culturally adapted ConquerFear-HK intervention in reducing FCR among Chinese cancer survivors, compared to standard survivorship care.</p><p><strong>Methods: </strong>This assessor-masked, two-arm parallel randomized controlled trial, was conducted from June 2021 to February 2024. Cantonese- or Mandarin-speaking Chinese cancer survivors scoring ≥13 on the Fear of Cancer Recurrence Inventory Short Form (FCRI-SF) were randomized to either ConquerFear-HK, focusing on attention training, metacognition modification, acceptance, appropriate monitoring behaviour, and goal setting or active control providing standardized, multidisciplinary survivorship care. Primary outcome was changes in FCR assessed by FCRI at prior randomization, immediately post-intervention (T1), 3 months (T2), and 6 months (T3) post-intervention. Intention-to-treat analyses using linear mixed modelling compared outcome changes across time points. This trial was registered at <ext-link ext-link-type=\"uri\" xlink:href=\"http://ClinicalTrials.gov\" xmlns:xlink=\"http://www.w3.org/1999/xlink\">ClinicalTrials.gov</ext-link> (NCT04568226).</p><p><strong>Results: </strong>Of the 175/220 (79.5%) participants recruited, 89 were randomized to ConquerFear-HK and 86 to control. Significant greater FCRI reductions were observed in ConquerFear-HK at T1 (mean difference = -10.66; 95% CI:-20.15, -1.16) and T2 (mean difference = -12.00; 95% CI:-21.90, -2.11) vs. the control (g = 0.33-0.36). No significant between-group differences were found at T3.</p><p><strong>Conclusion: </strong>ConquerFear-HK demonstrates promising short-term (3-month) improvements in FCR among Chinese cancer survivors; however, no sustained benefits were found at 6 months. Possible explanations include the high attrition at 6-month follow-up, a potential early ceiling effect, unconscious therapist bias, or an accelerated adaptation effect in the intervention arm that was achieved later by the control group.</p>","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":" ","pages":"1-17"},"PeriodicalIF":17.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of EMDR Therapy on PTSD symptoms and diagnostic status in patients with a personality disorder: a Randomized Controlled Trial.","authors":"Laurian Hafkemeijer,Simon Hofman,Ad de Jongh,Dorien de Roos,Maaike van Velzen,Annemieke Starrenburg,Karin Slotema","doi":"10.1159/000547622","DOIUrl":"https://doi.org/10.1159/000547622","url":null,"abstract":"Background Individuals with a personality disorder (PD) often report high exposure to adverse events. Given the strong link between negative life events and PD pathology, it is essential to evaluate trauma-focused treatments in this population. Objective This study evaluated the effectiveness of EMDR versus waitlist in reducing PTSD symptoms and diagnostic status, distinguishing between patients with and without PTSD. Secondarily, it examined the impact of EMDR on adverse event memories, both meeting and not meeting Criterion A for PTSD. Method Participants (n=159) were randomly assigned to EMDR therapy or waitlist. PDs were assessed using the Structured Clinical Interview for DSM-5. PTSD symptoms and diagnoses were evaluated using the Clinician-Administered PTSD Scale for DSM-5. Secondary analyses examined the effectiveness of EMDR on various types of memories. Results Significant group-by-time interactions showed a greater reduction in PTSD symptoms in the EMDR group, regardless of baseline PTSD diagnosis. In patients with PTSD, large effects were found post-treatment (d = 1.26; control: d = .28) and at follow-up (d = 1.5; control: d = .69). In patients without PTSD, moderate to large effects emerged post-treatment (d = .77; control: d = .18) and at follow-up (d = 1.09; control: d = .46). EMDR reduced symptoms associated with Criterion A trauma and other adverse events. Post-treatment, 65.5% of EMDR patients lost their PTSD diagnosis, increasing to 73.1% at follow-up. Conclusions EMDR effectively reduced PTSD symptoms in individuals with a PD, regardless of PTSD diagnosis, and proved effective for memories not meeting Criterion A.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"37 1","pages":"1-21"},"PeriodicalIF":22.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interoceptive Neural Circuits Mediating the Progression from Somatic Diseases to Comorbid Depression.","authors":"Hongliang Zhou,Chenguang Jiang,Wenhao Jiang,Zhenhe Zhou,Yonggui Yuan","doi":"10.1159/000547584","DOIUrl":"https://doi.org/10.1159/000547584","url":null,"abstract":"INTRODUCTIONSomatic diseases comorbid with depression exacerbate the health burden. The interoceptive neural circuit (INC) might mediate brain-body connections. We aimed to assess the causal relationship between somatic diseases, the INC, and depression.METHODSWe conducted Mendelian randomization (MR) analysis to determine the following: 1) the causal effect of four categories of systemic somatic diseases (ulcerative colitis, essential hypertension, chronic pain, and type 2 diabetes) on the INC's morphology; 2) the causal effect of INC morphology on depression; and 3) the INC's mediating role between somatic diseases and depression. A replication analysis confirmed the results above in other GWAS datasets. An extended analysis further validated the predictive role of the INC for depression in another systemic disease (asthma).RESULTSWe found all four systemic somatic diseases resulted in morphological changes in the INC, with shared reduced left ventral diencephalon (L-VDC). The morphological alterations of the INC increased depression risk, with the bilateral ventral thalamus most impacted. The L-VDC volume mediated the relationship between somatic diseases and depression, a finding validated across different datasets. The mediating role of the L-VDC in the relationship between somatic diseases and depression remains present in asthma.CONCLUSIONThe INC, particularly the L-VDC, plays a crucial role in the pathogenesis of depression and the intersection of somatic diseases. The INC mediates the progression from somatic diseases to comorbid depression, suggesting that interventions targeting the INC may prevent and alleviate the burden of comorbid somatic diseases and depression.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"13 1","pages":"1-20"},"PeriodicalIF":22.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychopathology in Adults with Co-occurring Avoidant/Restrictive Food Intake Disorder (ARFID) and Higher Weight.","authors":"Anne-Kathrin Merz,Lena Kramer,Alexander Nettlau,Anja Hilbert,Ricarda Schmidt","doi":"10.1159/000547450","DOIUrl":"https://doi.org/10.1159/000547450","url":null,"abstract":"INTRODUCTIONAvoidant/restrictive food intake disorder (ARFID) occurs in individuals across all weight ranges and age groups. While previous studies primarily focused on children and individuals with underweight, research on ARFID in adults with higher weight is virtually non-existent. Therefore, this study aimed to examine whether adults with (1) ARFID symptoms and (2) ARFID diagnosis differ clinically based on weight status (underweight, normal weight, overweight/obesity).METHODSAdults from the population participated in an online survey and optional clinical interview to verify ARFID diagnostic criteria. Data from 369 adults with ARFID symptoms (online survey) and 77 adults with ARFID diagnosis (interview) were analyzed.RESULTSOverweight/obesity was present in 34% of the online (30 ± 9 years, 77% female) and 39% of the interview sample (29 ± 8 years, 62% female). Adults with both ARFID symptoms and ARFID diagnosis and overweight/obesity showed less lack of interest in eating, higher eating disorder psychopathology, and more metabolic comorbidities compared to those with underweight or normal weight. Additionally, adults with ARFID and overweight/obesity exhibited more psychosocial impairment than those with underweight (100% vs. 65%), but no weight loss due to restricted food intake. There were no group differences in terms of food neophobia, smell and texture sensitivities, and depressive symptoms.CONCLUSIONThis study provides a first detailed analysis of ARFID in adults as a function of weight status, emphasizing its relevance for diagnosis and treatment of ARFID. Future longitudinal studies are needed to explore the role of ARFID in the development and management of higher weight.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"52 1","pages":"1-23"},"PeriodicalIF":22.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144684206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing exposure to childhood adversity in adults: A systematic review of validated self-report childhood adversity questionnaires.","authors":"Franziska Mosler,Aikaterini Christogianni,Sam Singleton,Tim G Hales,Janine Rennie,Lesley A Colvin,Line Caes","doi":"10.1159/000547529","DOIUrl":"https://doi.org/10.1159/000547529","url":null,"abstract":"Children exposed to adverse experiences (ACEs) are more likely to experience mental health problems in adulthood. However, ACE assessment is highly heterogeneous, hampering widespread screening and trauma-informed care provision. We aimed to systematically identify and critically evaluate all validated, self-report ACE questionnaires, working with people with lived experience (PWLE). The review followed PRISMA guidelines to systematically search databases for validated self-report measures, completed by adults, assessing at least two ACEs. Articles were excluded if they were not written in English, were not original articles, assessed poor childhood health or adverse experiences happening in adulthood, and/or only assessed one ACE. Psychometric properties were evaluated using Cohen's criteria for evidence-based assessments, the COSMIN checklist, and a content validity form co-designed with PWLE. We identified 112 eligible studies covering 31 ACE questionnaires. Cohen's criteria classified 9 questionnaires as \"well-established\" and 2 as \"approaching well-established\". No questionnaire was rated as \"sufficient\" quality across all the COSMIN measurement properties. The ACE Study-questionnaire, Childhood Experiences Survey (CES) and the ACE-International Questionnaire had the highest number of properties rated as sufficient. The Childhood Trauma Questionnaire-Short Form (CTQ-SF) was most frequently evaluated but received \"insufficient\" ratings across all measurement properties. PWLE scored content validity highest for the CES. Consequently, no ACE questionnaires received good psychometric ratings, with the most widely used questionnaire (CTQ-SF) not performing well, which has implications for selecting an appropriate instrument. With increasing emphasis on trauma-informed health care, there is an urgent need to co-develop ACE questionnaires with PWLE to balance content validity with usability.","PeriodicalId":20744,"journal":{"name":"Psychotherapy and Psychosomatics","volume":"15 1","pages":""},"PeriodicalIF":22.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144684205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}