Clinical Psychology in Europe最新文献

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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":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
{"title":"Can a 1-Item Scale for Psychotherapy Outcomes Be Psychometrically Robust?","authors":"Scott T Meier","doi":"10.32872/cpe.15207","DOIUrl":"10.32872/cpe.15207","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 1","pages":"e15207"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774216","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
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":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Background: </strong>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.</p><p><strong>Aims: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Background: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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
All I Want for Christmas Is a Loo: Visualizations of Sex and Gender on Toilet Doors. 圣诞节我想要的只是一个厕所:厕所门上的性和性别可视化。
Clinical Psychology in Europe Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.32872/cpe.16159
Judith Rosmalen, Ilona Plug, Aranka Ballering
{"title":"All I Want for Christmas Is a Loo: Visualizations of Sex and Gender on Toilet Doors.","authors":"Judith Rosmalen, Ilona Plug, Aranka Ballering","doi":"10.32872/cpe.16159","DOIUrl":"10.32872/cpe.16159","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e16159"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773647","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
Examination of Gender Differences: Causal Attributions of Treatment-Seeking Individuals With Overweight and Obesity. 性别差异的检验:超重和肥胖寻求治疗个体的因果归因。
Clinical Psychology in Europe Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.32872/cpe.12089
Carmen Henning, Caroline Seiferth, Tanja Färber, Magdalena Pape, Stephan Herpertz, Sabine Steins-Loeber, Jörg Wolstein
{"title":"Examination of Gender Differences: Causal Attributions of Treatment-Seeking Individuals With Overweight and Obesity.","authors":"Carmen Henning, Caroline Seiferth, Tanja Färber, Magdalena Pape, Stephan Herpertz, Sabine Steins-Loeber, Jörg Wolstein","doi":"10.32872/cpe.12089","DOIUrl":"10.32872/cpe.12089","url":null,"abstract":"<p><strong>Background: </strong>Addressing patients' perceptions of the causes of their overweight and obesity may be a promising approach to enhance treatment motivation and success. Previous research suggests that there are gender differences in these aspects. The objective of this study was to investigate gender differences in causal attributions among individuals with overweight and obesity who participated in a cognitive-behavioral mobile health (mHealth) intervention.</p><p><strong>Method: </strong>Causal attributions were assessed using the revised Illness Perceptions Questionnaire, which included a rated and open answering section. An ANCOVA was conducted for each causal factor (behavioral, psychological, risk, external) as a dependent variable to determine gender differences, which were analysed with chi-squared tests for open-ended responses.</p><p><strong>Results: </strong>The most frequently mentioned and highly rated cause was behavior for both genders (59.8% of 639 responses). The results indicated that women rated psychological causes, particularly stress-related causes, significantly higher, <i>F</i>(1,211) = 14.88, <i>p</i> < .001, η<sup>2</sup> = .07, and were more likely to cite emotional eating than men, χ<sup>2</sup>(1, <i>N</i> = 639) = 15.06, <i>p</i> < .001. Men rated alcohol stronger as cause than women, <i>t</i>(125.05) = 3.79, <i>p</i> < .001.</p><p><strong>Conclusion: </strong>The findings of this study contribute to the understanding of the gender differences in causal attributions among individuals with overweight or obesity. Implementing stress management interventions with a focus on emotion regulation is pivotal, especially for females. Interventions should focus on sensitizing males to the association between emotions and eating behavior. The causal attributions should be assessed with different survey methods in order to match the patient's view of their condition.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e12089"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773966","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 Relation Between Social Anxiety and Perceptions of Likeability and Friendship in Adolescents. 青少年社交焦虑与友善感、友谊感的关系。
Clinical Psychology in Europe Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.32872/cpe.10705
Jeanine M D Baartmans, Bonny F J A van Steensel, J Loes Pouwels, Tessa A M Lansu, Reinout W H J Wiers, Susan M Bögels, Anke M Klein
{"title":"The Relation Between Social Anxiety and Perceptions of Likeability and Friendship in Adolescents.","authors":"Jeanine M D Baartmans, Bonny F J A van Steensel, J Loes Pouwels, Tessa A M Lansu, Reinout W H J Wiers, Susan M Bögels, Anke M Klein","doi":"10.32872/cpe.10705","DOIUrl":"10.32872/cpe.10705","url":null,"abstract":"<p><strong>Background: </strong>This study investigated how different social anxiety symptoms (i.e., worrying about negative evaluation versus avoidance tendencies) in adolescents are related to the perception accuracy of likeability by peers and friendships with peers.</p><p><strong>Method: </strong>A community sample of 263 adolescents between 12 and 15 years old reported on their social anxiety symptoms. In addition, they estimated how much their peers liked them, indicated how much they liked their peers, and who their friends were in their classroom.</p><p><strong>Results: </strong>Results showed that socially anxious adolescents who mainly worried about negative evaluations, underestimated their likeability by peers. Adolescents with strong social avoidance tendencies had a more accurate perception of their likeability and friendships; they were less liked by their peers and had fewer friends.</p><p><strong>Conclusion: </strong>The results emphasize the importance of treating avoidance behavior in social anxiety since avoidance tendencies may not only maintain the social anxiety symptoms but are also related to a more negative judgment by others.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e10705"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774207","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 Attachment-Based Family Therapy for Suicidal Adolescents and Young Adults: A Systematic Review and Meta-Analysis. 基于依恋的家庭治疗对自杀青少年和年轻人的有效性:系统回顾和荟萃分析。
Clinical Psychology in Europe Pub Date : 2024-12-20 eCollection Date: 2024-12-01 DOI: 10.32872/cpe.13717
Poul M Schulte-Frankenfeld, Josefien J F Breedvelt, Marlies E Brouwer, Nadia van der Spek, Guy Bosmans, Claudi L Bockting
{"title":"Effectiveness of Attachment-Based Family Therapy for Suicidal Adolescents and Young Adults: A Systematic Review and Meta-Analysis.","authors":"Poul M Schulte-Frankenfeld, Josefien J F Breedvelt, Marlies E Brouwer, Nadia van der Spek, Guy Bosmans, Claudi L Bockting","doi":"10.32872/cpe.13717","DOIUrl":"10.32872/cpe.13717","url":null,"abstract":"<p><strong>Background: </strong>Suicide is a leading cause of death among adolescents and young adults. While only few evidence-based treatments with limited efficacy are available, family processes have recently been posed as a possible alternative target for intervention. Here, we review the evidence for Attachment-Based Family Therapy (ABFT), a guideline-listed treatment targeting intrafamilial ruptures and building protective caregiver-child relationships.</p><p><strong>Method: </strong>PubMed, PsycINFO, Embase, and Scopus were searched for prospective trials on ABFT in youth published up until November 6<sup>th</sup>, 2023, and including measures of suicidality. Results were independently screened by two researchers following PRISMA guidelines. Risk of bias was assessed using the Cochrane RoB-2 framework. A random effects meta-analysis was conducted on suicidal ideation and depressive symptoms post-intervention scores in randomized-controlled trials (RCTs).</p><p><strong>Results: </strong>Seven articles reporting on four RCTs (<i>n</i> = 287) and three open trials (<i>n</i> = 45) were identified. Mean age of participants was <i>M</i> <sub>pooled</sub> = 15.2 years and the majority identified as female (~80%). Overall, ABFT was not significantly more effective in reducing youth suicidal ideation, <i>g<sub>pooled</sub></i> = 0.40, 95% CI [-0.12, 0.93], nor depressive symptoms, <i>g<sub>pooled</sub></i> = 0.33, 95% CI [-0.18, 0.84], compared to investigated controls (Waitlist, (Enhanced) Treatment as Usual, Family-Enhanced Nondirective Supportive Therapy).</p><p><strong>Conclusion: </strong>Evidence is strongly limited, with few available trials, small sample sizes, high sample heterogeneity, attrition rates, and risk of bias. While not generally superior to other treatments, ABFT might still be a clinically valid option in specific cases and should be further investigated. Clinicians are currently recommended to apply caution when considering ABFT as stand-alone intervention for suicidal youth and to decide on a case-by-case basis.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 4","pages":"e13717"},"PeriodicalIF":0.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143773935","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
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