Clinical Psychology in Europe最新文献

Youth, the New Adolescence: A Challenge and a Window of Opportunity for Early Mental Health Interventions. 青年，新的青春期：早期心理健康干预的挑战和机会之窗。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.16951

Simone Munsch, Tina In-Albon, Nadine Messerli-Bürgy

引用次数: 0

Response to the Commentary "Can a 1-Item Scale for Psychotherapy Outcomes Be Psychometrically Robust?" 对评论“心理治疗结果的1项量表在心理测量学上是否可靠？”的回应。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.16921

Brian Schwartz, Miguel M Gonçalves, Wolfgang Lutz, João Tiago Oliveira, Suoma E Saarni, Orya Tishby, Michael Barkham

引用次数: 0

Dropout From Trauma-Focused Treatment for PTSD in a Naturalistic Setting. 以创伤为中心的创伤后应激障碍治疗在自然环境中的退出。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.14491

Verena Semmlinger, Keisuke Takano, Larissa Wolkenstein, Antje Krüger-Gottschalk, Sascha Kuck, Anne Dyer, Andre Pittig, Georg W Alpers, Thomas Ehring

{"title":"Dropout From Trauma-Focused Treatment for PTSD in a Naturalistic Setting.","authors":"Verena Semmlinger, Keisuke Takano, Larissa Wolkenstein, Antje Krüger-Gottschalk, Sascha Kuck, Anne Dyer, Andre Pittig, Georg W Alpers, Thomas Ehring","doi":"10.32872/cpe.14491","DOIUrl":"10.32872/cpe.14491","url":null,"abstract":"Background: Although evidence-based interventions for posttraumatic stress disorder (PTSD) are highly effective, on average about 20% of patients drop out of treatment. Despite considerable research investigating PTSD treatment dropout in randomized controlled trials (RCTs), findings in naturalistic settings remain sparse.Objective: Therefore, the present study investigated the frequency and predictors of dropout in trauma-focused interventions for PTSD in routine clinical care.Method: The sample included n = 195 adults with diagnosed PTSD, receiving trauma-focused, cognitive behavioral therapy in routine clinical care in three outpatient centers. We conducted a multiple logistic regression analysis with the following candidate predictors of dropout: patient variables (e.g., basic sociodemographic status and specific clinical variables) as well as therapist's experience level and gender match between therapist and patient.Results: Results showed a dropout rate of 15.38%. Age (higher dropout probability in younger patients) and living situation (living with parents predicted lower dropout probability compared to living alone) were significant predictors of dropout. Dropout was not significantly associated with the therapist's experience level and gender match.Conclusions: In conclusion, routinely assessed baseline patient variables are associated with dropout. Ultimately, this may help to identify patients who need additional attention to keep them in therapy.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 1","pages":"e14491"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of Empower-Grief for Relatives of Palliative Care Patients: Protocol for an Exploratory Randomized Controlled Trial. 授权悲伤对姑息治疗患者亲属的有效性：一项探索性随机对照试验方案。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.14307

David D Neto, Alexandra Coelho, Sara Albuquerque, Ana Nunes da Silva

{"title":"Effectiveness of Empower-Grief for Relatives of Palliative Care Patients: Protocol for an Exploratory Randomized Controlled Trial.","authors":"David D Neto, Alexandra Coelho, Sara Albuquerque, Ana Nunes da Silva","doi":"10.32872/cpe.14307","DOIUrl":"10.32872/cpe.14307","url":null,"abstract":"Background: Grief reactions of relatives of palliative care patients are seldom addressed. Most interventions focus on Prolonged Grief Disorder (PGD) and not on its prevention. This is particularly relevant in palliative care, in which death is the result of a difficult period of a terminal illness, making caregivers particularly vulnerable to psychological distress. The purpose of the present exploratory trial is to test the efficacy of a selective intervention (Empower-Grief) for the initial problematic grief reactions and to study potential predictors of adherence and efficacy.Method: This is an exploratory Randomized Controlled Trial (RCT) studying Empower-Grief compared with Treatment as Usual (TAU). Participants will be relatives or caregivers of palliative and oncological patients with initial indicators of risk of developing PGD and will be randomly allocated to Empower-Grief and TAU. Participants will be assessed prior, at the end and six months after the intervention. The primary outcome considered will be symptoms of PGD. The assessment includes measures of anxiety and depression, coping, attachment, psychological flexibility, posttraumatic growth, social support and therapeutic alliance.Results: The trial is ongoing. Forty-four participants will be invited to participate.Conclusion: This study addresses the need for the development of empirically grounded and feasible interventions aimed at dealing with initial problematic reactions in grief, exploring potential predictors and possible venues for personalizing intervention and understanding the mechanism through which these interventions operate.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 1","pages":"e14307"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

International Prolonged Grief Disorder Scale Addendum for Refugees and Displaced People (IPGDS-ARD): A Study of Arabic-Speaking Bereaved Refugees. 国际难民和流离失所者长期悲伤障碍量表（IPGDS-ARD）：对阿拉伯语丧亲难民的研究。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.11435

Clare Killikelly, Alexandra Reymond, Anaïs Aeschlimann, Andreas Maercker, Eva Heim

{"title":"International Prolonged Grief Disorder Scale Addendum for Refugees and Displaced People (IPGDS-ARD): A Study of Arabic-Speaking Bereaved Refugees.","authors":"Clare Killikelly, Alexandra Reymond, Anaïs Aeschlimann, Andreas Maercker, Eva Heim","doi":"10.32872/cpe.11435","DOIUrl":"10.32872/cpe.11435","url":null,"abstract":"Background: Prolonged grief disorder (PGD) is a new and significant addition to the ICD-11 WHO disease classification system and the DSM 5-TR. As a new disorder, it stands to improve diagnostic precision, enhance communication among health professionals and patients, provide better access to care and lead to effective treatments and intervention. However, it remains to be determined if the new diagnostic criteria for PGD are applicable to different cultural groups.Method: Here we sought to adapt the International Prolonged Grief Disorder Scale for refugees and displaced people. We conducted two focus groups with clinicians and health care workers and six cognitive interviews with bereaved Arabic-speaking refugees.Results: This formative research resulted in an addendum (comprised of three new scales) to the IPGDS aimed to aid with treatment planning: the 42 item Addendum for Refugees and Displaced people (IPGDS-ARD). Here we present the steps for scale augmentation based on cultural considerations, a detailed description of clinical utility, feasibility and content validity established at each step, and an analysis of the percent of change in content at each step.Conclusion: We conclude that the presented method of scale augmentation is a feasible and efficient approach that led to a culturally relevant, clinically useful addendum to an existing PGD questionnaire.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 1","pages":"e11435"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ICD-11 Prolonged Grief Disorder, Physical Health, and Somatic Problems: A Systematic Review. ICD-11延长悲伤障碍，身体健康和躯体问题：系统回顾。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.14351

James Cunningham, Mark Shevlin, Catalina Cerda, Eoin McElroy

{"title":"ICD-11 Prolonged Grief Disorder, Physical Health, and Somatic Problems: A Systematic Review.","authors":"James Cunningham, Mark Shevlin, Catalina Cerda, Eoin McElroy","doi":"10.32872/cpe.14351","DOIUrl":"10.32872/cpe.14351","url":null,"abstract":"Background: Since Prolonged Grief Disorder's (PGD) inclusion as a mental health disorder in the ICD-11 in 2018, much of the peer-reviewed research has focused on its prevalence, assessment, and co-occurrence with other mental health disorders. There is also emerging research literature on the association between PGD and physical and somatic health outcomes. In light of this, the objective of this review was to identify and summarise the extant research on the association between PGD, and outcomes related to physical health and somatic complaints among bereaved individuals.Method: A systematic review utilized electronic databases (Web of Science, MEDLINE, Cochrane Library, PsycINFO) up to October 10, 2023. Included were cohort and cross-sectional studies since 2018 exploring links between ICD-11 PGD and physical/somatic health outcomes. Two researchers independently identified eligible studies meeting inclusion/exclusion criteria, employing quality assessment instruments to evaluate methodological rigor.Results: From the 418 articles that were initially screened, 18 met the inclusion criteria. The studies reported significant associations between PGD and physical health, somatic symptom distress, insomnia severity, blood pressure, bodily distress syndrome, chronic physical diseases, and poor- caregiver health profiles.Conclusion: Out of the 18 studies eligible for analysis, 13 (72%) established a significantly strong or moderate association between PGD and physical or somatic illness, highlighting the intricate nature of this connection. Further research is required to assess the breadth of physical and somatic health problems associated with PGD and to understand the psychological and biological mechanisms that underpin these observed relationships.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 1","pages":"e14351"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can a 1-Item Scale for Psychotherapy Outcomes Be Psychometrically Robust? 一项心理治疗结果量表在心理测量学上是否可靠？

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.15207

Scott T Meier

引用次数: 0

Allegiance and Treatment Quality as Moderators of the Comparative Effectiveness of Psychotherapy? A Systematic Review and Meta-Analysis of Studies Comparing Humanistic Psychotherapy to Other Psychotherapy Approaches. 忠诚和治疗质量是心理治疗比较有效性的调节因子？比较人文主义心理治疗与其他心理治疗方法研究的系统回顾与元分析。

Clinical Psychology in Europe Pub Date : 2025-02-28 eCollection Date: 2025-02-01 DOI: 10.32872/cpe.9709

Olivia Schünemann, Alessa Jansen, Ulrike Willutzki, Nina Heinrichs

{"title":"Allegiance and Treatment Quality as Moderators of the Comparative Effectiveness of Psychotherapy? A Systematic Review and Meta-Analysis of Studies Comparing Humanistic Psychotherapy to Other Psychotherapy Approaches.","authors":"Olivia Schünemann, Alessa Jansen, Ulrike Willutzki, Nina Heinrichs","doi":"10.32872/cpe.9709","DOIUrl":"10.32872/cpe.9709","url":null,"abstract":"Background: Achieving positive outcomes in comparative RCTs examining psychotherapy interventions may be moderated by other factors than treatments alone, namely allegiance and treatment quality (bona fide, adherence). Using the study sample of a recent comprehensive review on humanistic interventions by the German Scientific Board of Psychotherapy, we assumed that higher allegiance towards non-humanistic approaches and lower treatment quality in the humanistic intervention arm would result in worse outcomes for the humanistic groups.Method: We included studies in which a humanistic psychotherapy (sub-)approach was compared to another type of psychotherapy. Data was extracted independently by the authors. A priori defined meta-regression analyses were performed with allegiance and treatment quality as main moderators and study quality (risk of bias), type of active control, humanistic psychotherapy and target population (children/adolescents; adults) as exploratory.Results: The majority of studies showed non-allegiance towards humanistic intervention arms; only about half of the humanistic interventions were bona fide treatments demonstrating high percentages of potential biases in these comparative intervention studies. However, allegiance and bona fide were significant moderators only for two (allegiance) resp. one (bona fide) of five outcome comparison. Type of active control (cognitive behavioural therapy) and disorder group (anxiety disorders) emerged as further moderators.Conclusion: We found no clear evidence for allegiance or treatment quality impacting upon treatment outcome in this re-examination. Allegiance and treatment quality were not as relevant for outcomes in this meta-analysis of RCTs as expected.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 1","pages":"e9709"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The History of Clinical Psychology in Greece: A Brief Review - Legal Deficiencies, Practical Dimensions and Challenges for the Future. 希腊临床心理学的历史：简要回顾-法律缺陷，实践维度和未来的挑战。

Clinical Psychology in Europe Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.32872/cpe.12515

Katerina Flora

{"title":"The History of Clinical Psychology in Greece: A Brief Review - Legal Deficiencies, Practical Dimensions and Challenges for the Future.","authors":"Katerina Flora","doi":"10.32872/cpe.12515","DOIUrl":"https://doi.org/10.32872/cpe.12515","url":null,"abstract":"Background: The history of clinical psychology in Greece spans more than 150 years. However, this branch of psychology concerned with the assessment and treatment of mental illness and psychological problems has not yet acquired the institutional and general recognition to which it is entitled.Aims: This article intends to highlight, chronologically, the basic elements of the history of clinical psychology in Greece, beginning with the important contribution of the work of philologist Panagiota Kazolea-Tavoularis.Results: From the first references in the context of medical studies during the 19th century, clinical psychology gradually develops through its application in pedagogical, laboratory, and clinical contexts to become an independent discipline alongside the consolidation of general psychology. Special mention is made of the scientists who pioneered this direction.Conclusion: The present review highlights historical milestones and concludes with the current situation, in which important steps have been taken. However, significant changes are needed at the institutional level.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e12515"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing Diagnostic Precision: Adaptations of the Hopkins Symptom Checklist (HSCL-5/10/25) Among Tertiary-Level Students in Norway. 评估诊断精度：霍普金斯症状检查表（hsl -5/10/25）在挪威高等教育学生中的适应性

Clinical Psychology in Europe Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.32872/cpe.13275

Børge Sivertsen, Jens C Skogen, Anne Reneflot, Marit Knapstad, Otto Robert Frans Smith, Leif Edvard Aarø, Benedicte Kirkøen, Bengt Oscar Lagerstrøm, Ann Kristin Skrindo Knudsen

{"title":"Assessing Diagnostic Precision: Adaptations of the Hopkins Symptom Checklist (HSCL-5/10/25) Among Tertiary-Level Students in Norway.","authors":"Børge Sivertsen, Jens C Skogen, Anne Reneflot, Marit Knapstad, Otto Robert Frans Smith, Leif Edvard Aarø, Benedicte Kirkøen, Bengt Oscar Lagerstrøm, Ann Kristin Skrindo Knudsen","doi":"10.32872/cpe.13275","DOIUrl":"10.32872/cpe.13275","url":null,"abstract":"Background: Universities worldwide are witnessing a surge in mental health problems among students, particularly in anxiety and depression. The Hopkins Symptom Checklist (HSCL) is a popular screening tool, but its reliability in identifying mental disorders remains debated. The aim of this study was to evaluate the criterion validity of the HSCL-25, HSCL-10, and HSCL-5 using 30-day prevalence of major depressive episode (MDE) and generalized anxiety disorder (GAD) from a self-administered electronic version of the Composite International Diagnostic Interview, fifth version (CIDI 5.0), as the benchmark.Method: Data stem from a national survey targeting students in higher education in Norway. In a 2023 follow-up study on mental disorders, 5,568 participants completed both the HSCL-25 and the CIDI. Sex-specific optimal thresholds for all HSCL versions in relation to MDE and GAD (from CIDI) were determined using the Youden Index maximization.Results: The optimal cut-off values for detecting MDE or GAD with the HSCL-25 were 1.96 for males and 2.20 for females, displaying a good balance between sensitivity and specificity. Similar high and balanced sensitivity and specificity patterns were found for both the HSCL-10 and HSCL-5. However, all HSCL versions overestimated prevalence rates compared to the self-administered CIDI.Conclusions: All three HSCL versions showed high criterion validity. The data indicate that HSCL may be better as a screening tool than for precise estimation of MDE and GAD prevalence. For improved diagnostic accuracy, future HSCL versions should incorporate functional impairment assessment. This update would bring the HSCL into closer alignment with clinical diagnostic standards.","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e13275"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0