Clinical Psychology in Europe最新文献

{"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}

{"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}

{"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}

{"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":2.8,"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}

{"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":2.8,"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}

{"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}

{"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, η² = .07, and were more likely to cite emotional eating than men, χ²(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":2.8,"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}

{"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^th, 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> _pooled = 15.2 years and the majority identified as female (~80%). Overall, ABFT was not significantly more effective in reducing youth suicidal ideation, <i>g_pooled</i> = 0.40, 95% CI [-0.12, 0.93], nor depressive symptoms, <i>g_pooled</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":2.8,"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}

{"title":"Does Practice Make Perfect? The Effects of an Eight-Week Manualized Deliberate Practice Course With Peer Feedback on Patient-Rated Working Alliance in Adults: A Pilot Randomized Controlled Trial.","authors":"Håkan Lagerberg, James F Boswell, Michael J Constantino, Gerhard Andersson, Per Carlbring","doi":"10.32872/cpe.12353","DOIUrl":"10.32872/cpe.12353","url":null,"abstract":"<p><strong>Background: </strong>Deliberate Practice (DP), which underscores the importance of expert mentorship, personalized learning objectives, feedback, and repetition, has been suggested as a method to enhance the effectiveness of therapists.</p><p><strong>Method: </strong>The study tested the efficacy of an eight-week, structured, group-based online course, enriched with peer feedback, for 37 Cognitive Behavioral Therapists. The goal was to assess whether this intervention could boost the quality of therapist-patient alliances, as compared to a control group. To measure this, therapists had their patients anonymously fill out the Session Alliance Inventory both before and after the course. The trial encompassed 120 patient alliance ratings at baseline and 64 at the post-course measurement. The DP course was comprised of a 75-minute remote video workshop each week for eight weeks, supplemented by related study materials. Each workshop focused on a specific skill, such as responding to client resistance, and included 55 minutes of concentrated role-play activities, providing ample opportunities for repetition and feedback.</p><p><strong>Results: </strong>Using a linear mixed model we did not find an effect on patient alliance ratings. However, we observed a trend (<i>p</i> = .054) indicating that the DP group decreased their alliance ratings (Cohen's <i>d</i> = -0.40), while the control group demonstrated an increase in their scores (<i>d</i> = 0.49).</p><p><strong>Conclusion: </strong>This pilot study did not find support for DP leading to better patient-rated alliance compared to a waitlist control. However, the study had several methodological limitations. Further and more rigorous investigation of the effects of DP on patient outcomes is recommended.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e12353"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830101","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":"Impulsive Buying and Deferment of Gratification Among Adults With ADHD.","authors":"Sverrir Björn Einarsson, Baldur Heiðar Sigurðsson, Sigurlín Hrund Kjartansdóttir, Páll Magnússon, Jón Friðrik Sigurðsson","doi":"10.32872/cpe.9339","DOIUrl":"10.32872/cpe.9339","url":null,"abstract":"<p><strong>Background: </strong>Impulsivity symptoms have been studied thoroughly in adults with ADHD, including hasty actions and decisions without considering possible consequences. The objective of our study was to investigate impulsive buying and deferment of gratification among adults with ADHD and a comparison group.</p><p><strong>Method: </strong>The participants were 225 adults with ADHD and 121 university students who completed the Buying Impulsiveness Scale (BIS), the Deferment of Gratification Questionnaire (DOGQ), the Adult ADHD Rating Scale-IV (ADHD-RS), as well as background questions.</p><p><strong>Results: </strong>Significant differences were found between the two groups on the three scales, the ADHD group showing more ADHD symptoms, more frequent impulsive buying behaviour and less ability to defer gratification. Mediation analyses yielded significant indirect effects in both samples, which suggests that the relationship between ADHD symptoms and impulsive buying is mediated by the ability to defer gratification.</p><p><strong>Conclusion: </strong>The results suggest that placing emphasis on improving the capacity of adults with ADHD to defer gratification might be beneficial in treatment.</p>","PeriodicalId":34029,"journal":{"name":"Clinical Psychology in Europe","volume":"6 3","pages":"e9339"},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11636743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830102","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}