Clinical Psychology in Europe最新文献

{"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":"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":2.8,"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":"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":2.8,"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":"10.32872/cpe.18657","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e18657"},"PeriodicalIF":2.8,"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":"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":2.8,"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":"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":2.8,"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}

{"title":"IBD-Specific Cognitive Behavioral Therapy: Sustainability of Effect After Three Years.","authors":"Floor Bennebroek Evertsz', Florentine L S Goes, Pieter C F Stokkers, Robbert Sanderman, Mathilde G E Verdam, Mirjam Sprangers, Claudi L Bockting","doi":"10.32872/cpe.14717","DOIUrl":"10.32872/cpe.14717","url":null,"abstract":"<p><strong>Background and aims: </strong>'Inflammatory Bowel Disease (IBD)-specific-Cognitive-Behavioral Therapy' (CBT) is effective in improving Quality of Life (QoL) and in decreasing anxiety and depression in IBD-patients with poor mental QoL, one month after completing CBT. Main aim was to examine the sustainability of treatment effects up to three years after treatment with CBT.</p><p><strong>Method: </strong>Participants (<i>n</i> = 118) of a previously conducted randomized-control-study on the effects of 'IBD-specific-CBT' for IBD-patients were contacted for a long-term follow-up assessment on main outcomes: generic and IBD-specific-QoL (SF-36, IBDQ), anxiety and depression (HADS, CES-D) and DSM-IV disorders (SCID-I). Change over time was examined with multilevel-regression-analyses.</p><p><strong>Results: </strong>Three years after finishing 'IBD-specific-CBT', 61 IBD-patients (response rate 52%) completed the follow-up SCID-I assessment and 52 patients (response rate 44%) completed the assessments for symptomatology. There were no differences between dropouts and participants at three year follow-up, except for a longer disease duration in dropouts. At three-year follow-up the chance of patients having a DSM-disorder significantly decreased with an estimated 48% (from 87% at baseline to 38% at follow-up). Multilevel analyses showed a significant improvement between baseline (<i>n</i> = 118) and follow-up measurements (<i>n</i> = 52) on outcomes: IBDQ-Total (Cohen's <i>d</i> effect-size <i>=</i> .89), SF-36 Physical (<i>d</i> = .54), and SF-36 Mental (<i>d =</i> .69), HADS-A (<i>d = -.</i>77), HADS-D (<i>d = -</i>.65) and CES-D (<i>d = -.</i>55); all <i>p</i> < .01. QoL outcomes showed further improvement between completion (<i>n</i> = 90 for IBD-specific QoL and <i>n</i> = 91 for generic QoL) and follow-up measurements, with significant improvements for IBDQ-Total (<i>d</i> = 0.31) and SF-36 Physical (<i>d</i> = 0.32).</p><p><strong>Conclusions: </strong>Sustainable positive effects of 'IBD-specific-CBT' for IBD-patients with poor mental QoL were found and the prevalence of mental conditions substantially decreased over three year follow-up.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e14717"},"PeriodicalIF":2.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271999","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 Towards Digital Health Interventions in Germany: Findings From a Population-Based Representative Survey.","authors":"Lena Sophia Steubl, Rebekka Büscher, Lasse Bosse Sander, Amit Baumel, Katja Barck, Cedric Sachser, Jörg Michael Fegert, Elmar Brähler, Harald Baumeister, Matthias Domhardt","doi":"10.32872/cpe.15233","DOIUrl":"10.32872/cpe.15233","url":null,"abstract":"<p><strong>Background: </strong>Digital (mental) health interventions have the potential to address barriers in mental health care. However, attitudes towards these interventions are a crucial factor to their successful implementation. Therefore, this study aims to assess those in a representative sample of the German adult population.</p><p><strong>Method: </strong>A total of <i>N</i> = 2,519 participants took part in the survey as part of a larger study. Following a structured face-to-face interview, participants completed a self-administered questionnaire under the supervision of the interviewer. The questionnaire was based on the E-Therapy Attitudes Measure (ETAM) and the Attitudes towards Psychological Interventions Questionnaire (APOI). Results were analyzed by means of Pearson's product moment correlation coefficients and Spearman's ρ statistics. Supplementary open-ended questions explored participants' utilization of digital health interventions for specific conditions, the conditions they perceived as suitable for those, and the perceived barriers to their adoption. Replies on open-ended questions are summarized descriptively.</p><p><strong>Results: </strong>While a majority of participants (34.0%-41.5%) indicated partial agreement with the potential usefulness and advantages of digital health interventions (Items 1-3), a substantial proportion (45.8%, 95% CI [43.8%, 47.7%]) expressed an entire refusal to use them for future psychological problems (Item 4). Older individuals and those with lower educational status expressed particular critical views. Key barriers identified by participants comprised the absence of personal contact, technical issues, and concerns related to data privacy and security.</p><p><strong>Conclusion: </strong>The results of this study indicate that while participants acknowledge the potential benefits of digital health interventions, the observed limited acceptance rates and identified barriers are to be addressed, in order to fully harness their potential.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e15233"},"PeriodicalIF":2.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272010","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":"A Remote Adapted Physical Activity Intervention for Women With Breast Cancer and Severe Depressive or Anxiety Symptoms: Series of N-of-1 Trials With Ecological Momentary Assessment.","authors":"Johan Caudroit, Samuel St-Amour, Josyanne Lapointe, Ahmed Jerôme Romain, Alain Steve Comtois, Guillaume Chevance, Paquito Bernard","doi":"10.32872/cpe.14851","DOIUrl":"10.32872/cpe.14851","url":null,"abstract":"<p><strong>Background: </strong>Women with breast cancer live with the burden of the disease, its treatment, and the psychosocial consequences of illness, often contributing to the experience of psychological distress. At this end, physical activity (PA) is an evidence-based strategy to decrease depressive and anxiety symptoms. However, no study has yet investigated how those psychological symptoms fluctuate and vary during a PA intervention at the individual level, especially for individuals with severe psychological distress. Thus, the aim of the present study was to examine the short-term effects of a 12-week remote PA intervention on daily level of depressive and anxiety symptoms among women with breast cancer and severe depressive or anxiety symptoms.</p><p><strong>Method: </strong>A N-of-1 study followed an ABA' design was conducted. Each A phase (2-week) represents pre- and post-intervention phase and B phase (12-week) represents the intervention phase. For the whole 16 weeks, participants received a daily prompt to report their depressive and anxiety levels. The intervention combined two to three (un)supervised remote PA sessions per week coupled with weekly text messages.</p><p><strong>Results: </strong>Sixteen participants completed the intervention. A significant decrease of depressive and anxiety symptoms was found for nine and seven participants, respectively. Different temporal patterns of depressive and anxiety were observed during and after the intervention. Interestingly, the impact of PA intervention was generally not immediate and gradual.</p><p><strong>Conclusion: </strong>This study supports the utility of remote PA intervention to improve depressive and anxiety symptoms in women with breast cancer and poor mental health.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 3","pages":"e14851"},"PeriodicalIF":2.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12923186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271679","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":"EACLIPT Statement on the Importance of Science and Evidence-Based Treatment for Mental Health.","authors":"Chantal Martin-Soelch, Claudi Bockting, Josefien Breedvelt, Lisbeth Frostholm, Nina Heinrichs, Colette Hirsch, Agnieszka Popiel, Winfried Rief","doi":"10.32872/cpe.18031","DOIUrl":"https://doi.org/10.32872/cpe.18031","url":null,"abstract":"","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 2","pages":"e18031"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286651","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":"Associations and Interactions Between Neuroticism, Adverse Life Events and Health Anxiety: Results From a Large Representative Cohort.","authors":"Thomas Tandrup Lamm, Mimi Yung Mehlsen, Tina Birgitte Wisbech Carstensen, Kaare Bro Wellnitz, Eva Ørnbøl, Thomas Meinertz Dantoft, Per Fink, Marie Weinreich Petersen, Lisbeth Frostholm","doi":"10.32872/cpe.14441","DOIUrl":"10.32872/cpe.14441","url":null,"abstract":"<p><strong>Purpose: </strong>Adverse life events and neuroticism have been shown to be associated with health anxiety (HA), but their interaction has not been studied. This study aimed to examine the separate associations as well as the possible interaction effect of neuroticism and adverse life events with HA.</p><p><strong>Method: </strong>Cross-sectional self-report data originated from a representative Danish population cohort (DanFunD) (<i>N</i> = 7,493, 18-72 years, 53% females). Primary measures were HA (Whiteley Index 6 revised), neuroticism (NEO personality Inventory Revised short form), and adverse life events (Cumulative Lifetime Adversity Measure, CLAM). The CLAM was split into illness/death related life events (IDE) and other adverse life events (OAE) to test the specificity of IDEs.</p><p><strong>Results: </strong>Adjusted ordinal logistic regression models showed positive associations with HA for IDEs (<i>OR</i> = 1.05, CI [1.03, 1.08]), OAEs (<i>OR</i> = 1.05, CI [1.03, 1.07]) and neuroticism (<i>OR</i> = 1.08, CI [1.07, 1.09]). A Wald's test revealed no difference in association with HA for IDEs and OAEs (<i>p</i> = .82). Adjusted models showed an interaction effect for neuroticism*IDEs (<i>OR</i> = 1.002, CI [1.000, 1.004]), but not for neuroticism*OAEs (<i>OR</i> = 0.999, CI [0.996, 1.002]).</p><p><strong>Conclusion: </strong>Associations with HA were found for both adverse life events and neuroticism. Size of association did not differ for IDEs and OAEs. Only IDEs interacted with neuroticism.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"7 2","pages":"e14441"},"PeriodicalIF":2.8,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286649","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}