Clinical Psychology in Europe最新文献

{"title":"Dissociative Experiences and Substance Use Disorder in Adulthood After Childhood Trauma: A Systematic Review of the Literature.","authors":"Cory Julien, Laura Bernard, Vincent Brejard","doi":"10.32872/cpe.15877","DOIUrl":"https://doi.org/10.32872/cpe.15877","url":null,"abstract":"<p><strong>Context: </strong>Childhood trauma is more prevalent among individuals with substance use disorders compared to the general population, representing a significant public health concern. The presence of comorbid dissociative symptoms poses a significant challenge for psychological care.</p><p><strong>Objectives: </strong>We conducted a systematic review of the literature, using the PRISMA method, to establish the relationship between dissociative experiences and substance misuse in adults who have experienced traumatic childhood events.</p><p><strong>Method: </strong>We used electronic databases (PubMed, PsycInfo, PsycArticles, Web of Science and ProQuest) up to August 2023. Studies were selected which included adults over 18 years old who had been exposed to one or more traumatic events in childhood, and which jointly assessed Substance Use Disorder (SUD) and dissociation, using quantitative methodology. The review included both cross-sectional and longitudinal studies, with the risk of bias assessed using the AXIS tool and the Qualitative Assessment Tool for Observational Cohort and Cross-Sectional Studies. The results are entered in a table and analyzed using a narrative summary.</p><p><strong>Results: </strong>Among the 18 included studies, encompassing a total of 6,451 participants, the majority (<i>n</i> = 10) showed a significant positive correlation between dissociative experiences and SUD. The studies collectively indicate a general trend: childhood traumatic antecedents can influence the severity of dissociative symptomatology and SUD.</p><p><strong>Discussion: </strong>These results are discussed in greater depth in relation to the two main theories explaining the link between SUD and dissociation, namely <i>self-medication</i> and <i>chemical dissociation theory.</i> This paper clarifies the relationship between dissociation and substance use in a population traumatized in childhood, although the heterogeneity of the studies necessitates a cautious interpretation of this primary finding.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 4","pages":"e15877"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272176","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}

{"title":"Behind the Doors: 24 Insights Into Scientific Publishing.","authors":"Cornelia Weise","doi":"10.32872/cpe.20861","DOIUrl":"https://doi.org/10.32872/cpe.20861","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 4","pages":"e20861"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272170","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}

{"title":"Trajectories of Depressive Symptoms and Associated Risk Factors From Late Adolescence to Emerging Adulthood.","authors":"Simone Pfeiffer, Philipp Alt, Sabine Walper","doi":"10.32872/cpe.15801","DOIUrl":"https://doi.org/10.32872/cpe.15801","url":null,"abstract":"<p><strong>Background: </strong>This study addresses a research gap by identifying depressive symptom trajectories from adolescence to emerging adulthood in a German community sample using a person-centered approach.</p><p><strong>Method: </strong>The sample consisted of 3,682 adolescents and young adults (49.3% self-identified as female; age at T1: 15-19 years, <i>M</i> = 17.03, <i>SD</i> = 0.88) assessed in seven annual waves of the German Family Panel Pairfam. Latent class growth analysis was conducted with sociodemographic variables (gender, family status, parental education, economic deprivation, immigration background) and depressive symptoms, as assessed by the State-Trait Depression Scales.</p><p><strong>Results: </strong>Five depressive symptom trajectories were identified: stable low symptoms (34%), intermediate onset with decreasing symptom trajectory (8%), intermediate onset with slow increasing symptom trajectory (46%), intermediate onset with strong increase symptom trajectory (9%) and stable high symptoms (4%). Female gender and economic deprivation were predictors for all four classes associated with higher depressive symptoms with reference to the class with stable low depressive symptoms. Family status and immigration status lost their predictive impact for membership in depressive symptom trajectories when economic deprivation was included.</p><p><strong>Conclusions: </strong>Interventions should target the underlying etiological factors of female gender and economic deprivation being risk factors for trajectories of depression, taking into consideration the complexity and interaction of biopsychosocial and political variables in the development of depressive disorders.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 4","pages":"e15801"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272199","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}

{"title":"Attitudes and Expectations Towards Mental Health Interventions in the General Population: Comparing Face-to-Face Counseling, Blended Counseling, and Digital or On-Paper Self-Help.","authors":"Nele A J De Witte, Fien Buelens, Jennifer Apolinário-Hagen, Tom Van Daele","doi":"10.32872/cpe.16235","DOIUrl":"https://doi.org/10.32872/cpe.16235","url":null,"abstract":"<p><strong>Background: </strong>Digital interventions are supported by a growing evidence base and have the potential to contribute to accessible and personalized mental healthcare services. When individuals seek help for mental health problems, various intervention options are available in a digital, face-to-face or on-paper format. However, it is important to understand what individuals find important for intervention selection and how they perceive different intervention options.</p><p><strong>Method: </strong>The study recruited 232 individuals for a cross-sectional online survey on (1) the relevance of 12 evaluation dimensions for mental health support, (2) whether self-help books, digital interventions, face-to-face counseling, and blended interventions would meet expectations, and (3) self-reported likelihood of use.</p><p><strong>Results: </strong>The most important dimensions for intervention selection were helpfulness, personal support, motivates to get better, and credibility. Face-to-face counseling was evaluated favorably for dimensions linked to intervention content (e.g., helpfulness), while self-help approaches were rated more positively for practical aspects (e.g., waiting time). Blended counseling received fairly similar dimension ratings as face-to-face counseling. Self-reported likelihood of use differed significantly between modalities despite large individual differences. Face-to-face interventions were most likely to be used, followed by blended counseling, with digital and on-paper self-help options sharing third place.</p><p><strong>Conclusion: </strong>The findings suggests that mere self-help (online or on paper) does not sufficiently meet the needs and is not the preferred choice for handling mental health problems for most individuals. If presented with the choice, individuals still prefer face-to-face counseling. Nevertheless, blended interventions can be a promising treatment option for the future.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 4","pages":"e16235"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272157","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}

{"title":"Structured Diagnostic Interviews in Psychotherapy Training: Trainees' Beliefs About Interviews and Their Relationship to Overall Interview Satisfaction.","authors":"Sebastian Palmer, Bertram Walter, Christiane Hermann, Rudolf Stark, Andrea Hermann","doi":"10.32872/cpe.17321","DOIUrl":"https://doi.org/10.32872/cpe.17321","url":null,"abstract":"<p><strong>Background: </strong>Structured diagnostic interviews (SDIs) are frequently used in science and are highly recommended for diagnosing mental disorders in clinical practice. However, the actual SDI familiarity and use among psychotherapy practitioners is limited. To identify opportunities for training improvement and ensure a frequent SDI application by future practitioners, data on SDI experiences and beliefs among current psychotherapy trainees is essential.</p><p><strong>Method: </strong><i>N</i> = 233 psychotherapy trainees completed an online survey that included questions about their SDI experiences, use, beliefs, and their estimation of patient SDI satisfaction and acceptance. In addition, adherence to psychotherapeutic orientation and personality factors were assessed. Correlation between SDI satisfaction and familiarity was computed. Multiple linear regression analysis was performed to predict trainees' SDI satisfaction by beliefs about SDIs. Exploratory correlations between SDI satisfaction, adherence to psychotherapeutic orientations, and personality factors were analyzed.</p><p><strong>Results: </strong>SDI familiarity was significantly related to trainees' overall SDI satisfaction. Both positive (e.g., \"SDIs are efficient\") and negative (e.g., \"SDIs disturb the relationship to patients\") beliefs about SDIs predicted trainees' overall satisfaction. Small relationships were found between SDI satisfaction and adherence to psychotherapeutic orientation, but none to personality factors.</p><p><strong>Conclusion: </strong>Psychotherapy training programs should provide sufficient opportunity for SDI practice to promote trainee satisfaction. Training providers should address trainees' beliefs and concerns, underline advantages of SDIs, and inform about actual SDI acceptance among patients to resolve prejudice. Trainees' personality appears to be less relevant to SDI satisfaction, but further investigations are needed. The findings have important implications for overcoming barriers to the use of structured diagnostic interviews.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 4","pages":"e17321"},"PeriodicalIF":2.4,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272193","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}

{"title":"The Context of COVID-19 at 18 Months in Relation to Depression, Anxiety, Insomnia: The Emerging Role of Post COVID-19 Symptoms.","authors":"Karin C Brocki, Monica Buhrman, Farzaneh Badinlou, Lance M McCracken","doi":"10.32872/cpe.13243","DOIUrl":"https://doi.org/10.32872/cpe.13243","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic naturally raised concerns about mental health and wellbeing around the world. As time passed, persisting physical and mental symptoms of post COVID-19, referred to as Post COVID Condition (PCC), have become an increasing concern. The aim of this study was to investigate the stability of symptoms of mental ill health in Sweden in the late phase of the pandemic and the prevalence of persistent symptoms post COVID-19 and interrelations between them.</p><p><strong>Method: </strong>We measured depression, anxiety, and insomnia, through a one-time online survey in Sweden (<i>n</i> = 1,482, mean age 47.6 years; 89.5% women) and used correlation and regression analysis to study potential predictors and their interrelations with PCC symptoms.</p><p><strong>Results: </strong>Compared to our previous study during the pandemic (May - June 2020), a marginal decrease was found for depression (27% versus 30%), a larger decrease for anxiety (16% vs 24%), and an increase for insomnia (45% vs 38%). Persistent symptoms were frequently reported, with 84.5% reporting at least one symptom, and 49.7% attributing one or more of these to COVID-19 infection. A history of poor mental health and COVID-19 related worry appeared as the strongest risk factors for mental ill health. Persistent symptoms also predicted these outcomes.</p><p><strong>Conclusions: </strong>Based on comparison with pre-pandemic rates, it appears that the pandemic continued to exert a negative impact on mental health in Sweden. Persistent symptoms, associated with COVID-19 exposure, appear common and may represent a vulnerability factor for mental ill health, along with other factors, including history of a mental ill health and specific pandemic worries.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e13243"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272040","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}

{"title":"Letter to the Editor: On the Critical Nature of Psychosomatics in Clinical Practice.","authors":"Emanuele Maria Merlo, Liam A M Myles, Gabriella Martino","doi":"10.32872/cpe.16309","DOIUrl":"https://doi.org/10.32872/cpe.16309","url":null,"abstract":"<p><p>Scientific dialogue on current trends referred to psychosomatics results necessary.Fostering dialogue and dissemination represents scientific advancement.Clinical psychology deepening psychosomatics provides multifactorial results.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e16309"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271973","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}

{"title":"Towards a 21st Century Definition of Mental Health - Emerging Trends in Bringing Practice and Research Together.","authors":"Christoph Flückiger, Jan Schürmann-Vengels, Nadine Messerli-Bürgy","doi":"10.32872/cpe.18657","DOIUrl":"https://doi.org/10.32872/cpe.18657","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e18657"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272043","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}

{"title":"I'm Still Standing: Body Sway, Interpersonal Distance, and Social Anxiety - A Proof of Principle.","authors":"Wolf-Gero Lange, Muriel A Hagenaars","doi":"10.32872/cpe.15365","DOIUrl":"https://doi.org/10.32872/cpe.15365","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cognitive models suggest that individuals with high degrees of social anxiety (SAs) tend to incorrectly interpret (ambiguous) social cues as negative evaluations and thus justifying their fears. It is assumed that subtle behaviors of SAs may give rise to factual negative evaluations, but it is unclear which kind of behaviors that may be. We tested whether automatic motivational behavior becomes disrupted when degree of social anxiety increases, expecting higher social anxiety to be associated with more threat-related 'freezing' (reduction of body sway) and backward leaning (avoidance).</p><p><strong>Method: </strong>Of 87 participants with varying degrees of social anxiety, body sway was recorded by means of a stabilometric platform, while a fe-/male experimenter was gradually approaching.</p><p><strong>Results: </strong>Higher levels of social anxiety were related to an <i>increase</i> of body sway at an interpersonal distance of 260 to 120cm. No avoidant backward-leaning occurred.</p><p><strong>Limitations: </strong>Predictability of set-up and knowledge of escape options may have undermined participants' experience of the situation as highly socially threatening. Unease-, rather than fear-related behavior may have been the result.</p><p><strong>Conclusions: </strong>The results indicate that SAs seem to show an increase in uneasy, nervous movement when approached by strangers. Whether that provokes the negative evaluation SAs fear most, still needs to be investigated.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e15365"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271970","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}

{"title":"Assessing Perinatal Psychiatric Morbidity: Implications for Maternal Mental Health Care in Italy.","authors":"Giulia Ciuffo, Marta Landoni, Chiara Ionio","doi":"10.32872/cpe.15117","DOIUrl":"https://doi.org/10.32872/cpe.15117","url":null,"abstract":"<p><strong>Background: </strong>Traumatic births impact women's long-term health, family dynamics, and healthcare systems, underscoring the need for prevention and effective interventions. Despite Italy's universal healthcare, perinatal mental health services and guidelines, especially for childbirth-related PTSD (CB-PTSD), remain underdeveloped. This study aims to investigate the prevalence of CB-PTSD, postpartum depression (PPD), and anxiety in Italian women 6-12 weeks postpartum, and assess the impact of comorbidities on mother-child bonding.</p><p><strong>Method: </strong>The study was part of a broader longitudinal research that involved 175 Italian mothers 6-12 weeks postpartum, recruited from birthing centers. Participants completed measures for childbirth-related PTSD (City BiTS-IT), depression (EPDS), anxiety (PSAS-IT), and mother-child bonding (PBQ).</p><p><strong>Results: </strong>Prevalence rates were 1.1% for CB-PTSD, 18.6% for depression, and 30.2% for anxiety. Depression was significantly associated with anxiety (χ²(1, <i>N</i> = 159) = 9.131, <i>p</i> = .003) and CB-PTSD (χ²(1, <i>N</i> = 171) = 11.689, <i>p</i> < .001). Hierarchical regression showed that depression and general PTSD symptoms significantly impaired mother-child bonding, explaining 36.3% of the variance <i>(R</i> ² = 0.363).</p><p><strong>Conclusion: </strong>The findings highlight the prevalence and complexity of perinatal psychiatric morbidity, emphasizing the critical need for comprehensive assessment tools tailored to the Italian context. These results contribute to a deeper understanding of maternal mental health challenges during the perinatal period.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e15117"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271992","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}