British Journal of Clinical Psychology最新文献

"When my mind hurts, my body hurts": Complex PTSD and chronic physical health conditions-A qualitative study exploring the factors contributing to their relationship. “当我的心灵受伤时，我的身体也会受伤”：复杂的创伤后应激障碍和慢性身体健康状况——一项探讨影响他们关系的因素的定性研究。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-27 DOI: 10.1111/bjc.12551

Laura Blackett, Polly Radcliffe, Teuta Rexhepi-Johansson, Nicola Reynolds

{"title":"\"When my mind hurts, my body hurts\": Complex PTSD and chronic physical health conditions-A qualitative study exploring the factors contributing to their relationship.","authors":"Laura Blackett, Polly Radcliffe, Teuta Rexhepi-Johansson, Nicola Reynolds","doi":"10.1111/bjc.12551","DOIUrl":"https://doi.org/10.1111/bjc.12551","url":null,"abstract":"Objectives: Complex PTSD (cPTSD) has a high comorbidity rate with chronic physical health conditions. This is the first qualitative study to investigate what factors might be contributing to this relationship.Methods: Twelve participants with cPTSD and chronic physical health conditions were recruited from mental health services across London. Semi-structured interviews were completed. A reflexive thematic analysis was conducted.Results: Four themes were identified: Negative Health Behaviours; Mind-Body Link; Negative Core Beliefs about Self, Others and Health; and Negative Impact of Conditions on Wellbeing. The reciprocal relationship between cPTSD and chronic physical health conditions was highlighted: one condition was found to perpetuate or trigger the other, either directly (e.g., pain triggering flashbacks) or indirectly (interfering with treatment). Various factors were found to contribute to the relationship, including cognitive difficulties, sleep difficulties, and reduced social support.Conclusions: The importance of recognizing mind-body links and targeting factors maintaining both cPTSD and physical health conditions is highlighted.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of trauma, attachment, dissociation, and alexithymia in pathways to negative symptoms in psychosis. 创伤、依恋、分离和述情障碍在精神病阴性症状通路中的作用

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-24 DOI: 10.1111/bjc.12554

Shelley Grady, Niall Crowley, Seamus Scott, Charles Ifegwu Ndukwe, Rebecca Donohoe, Keith Gaynor

{"title":"The role of trauma, attachment, dissociation, and alexithymia in pathways to negative symptoms in psychosis.","authors":"Shelley Grady, Niall Crowley, Seamus Scott, Charles Ifegwu Ndukwe, Rebecca Donohoe, Keith Gaynor","doi":"10.1111/bjc.12554","DOIUrl":"https://doi.org/10.1111/bjc.12554","url":null,"abstract":"Objectives: Emerging models of trauma and psychosis highlight the role of attachment, dissociation, and emotion regulation processes in pathways to positive symptoms, yet little is known about the relevance of these processes to negative symptoms. The primary aim of this study was to examine trauma, attachment, dissociation, and alexithymia as predictors of negative symptoms in psychosis. A secondary, exploratory aim was to delineate pathways by which trauma may lead to negative symptoms (via attachment, dissociative or alexithymic processes).Method: This was a cross-sectional study of people attending mental health services for a psychosis-related diagnosis (N = 71). Measures of trauma, negative symptoms, attachment, alexithymia, dissociation, and depression were completed.Results: Regression analyses indicated that recurrent trauma, disorganized attachment, difficulty identifying feelings (DIF), and depression accounted for a significant portion of the variance in negative symptoms, though only DIF and depression were significant independent predictors. Subsequent serial mediation analyses indicated that recurrent trauma exerted its influence on negative symptoms through a sequence of disorganized attachment and DIF, while controlling for depression. As avoidant attachment was not associated with trauma and dissociation was not associated with total negative symptoms, hypothesized models related to these variables were not examined.Conclusions: These exploratory findings highlight the relevance of trauma-related variables in our formulation and treatment of negative symptoms. Future research should focus on replication studies with larger clinical samples and longitudinal designs to establish causality.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An intervention to build social identities improves mental health and wellbeing in people with elevated social anxiety: Evidence from a single-arm clinical trial. 建立社会身份的干预措施可以改善社交焦虑加剧者的心理健康和福祉：来自单臂临床试验的证据。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-21 DOI: 10.1111/bjc.12539

Jessica L Donaldson, Alysia M Robertson, Tegan Cruwys, Joanne A Rathbone, Catherine Haslam, Junwen Chen, Amy Dawel

{"title":"An intervention to build social identities improves mental health and wellbeing in people with elevated social anxiety: Evidence from a single-arm clinical trial.","authors":"Jessica L Donaldson, Alysia M Robertson, Tegan Cruwys, Joanne A Rathbone, Catherine Haslam, Junwen Chen, Amy Dawel","doi":"10.1111/bjc.12539","DOIUrl":"https://doi.org/10.1111/bjc.12539","url":null,"abstract":"Objectives: Current best-practice treatments for social anxiety disorder do not directly address loneliness, despite its role in the maintenance of the condition. The current study targets this issue directly, using mixed methods to provide an initial test of the efficacy of an established loneliness intervention, Groups 4 Health (G4H), among 33 people with clinically elevated social anxiety symptoms.Design: A single-arm design was used and outcomes were assessed at baseline, programme completion and 5-month follow-up (3 months after programme completion).Methods: Loneliness, social anxiety symptoms, depression symptoms and well-being were assessed at each time point. Semi-structured follow-up interviews were also conducted to explore the feasibility and acceptability of G4H in this population.Results: Results from intention-to-treat analyses provide initial evidence of the programme's efficacy: participants' loneliness (d = -1.08), social anxiety symptoms (d = -.45), and depression symptoms (d = -.60) reduced significantly from baseline to 5-month follow-up while their well-being (d = 1.00) increased. Four themes emerged from reflexive thematic analysis: (1) the importance of challenging initial anxiety about attending group therapy, (2) the value of being vulnerable with fellow group members, (3) the role of G4H in increasing participants' social confidence, and (4) processes which both helped and hindered participants' ability to engage with their group.Conclusions: Together, results suggest that G4H is a promising and innovative treatment option for people with social anxiety, and further controlled evaluation is warranted.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hoarding and aggression: Using the voodoo doll task to tease apart associations with direct and displaced aggression. 囤积和攻击：使用巫毒娃娃任务来区分直接攻击和替代攻击之间的联系。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-14 DOI: 10.1111/bjc.12552

Wenting Chen, Phaedra Fuller, Jessica R Grisham, Thomas F Denson, Kiara R Timpano

{"title":"Hoarding and aggression: Using the voodoo doll task to tease apart associations with direct and displaced aggression.","authors":"Wenting Chen, Phaedra Fuller, Jessica R Grisham, Thomas F Denson, Kiara R Timpano","doi":"10.1111/bjc.12552","DOIUrl":"https://doi.org/10.1111/bjc.12552","url":null,"abstract":"Objectives: Hoarding disorder is a debilitating and severe psychiatric condition. Research has implicated interpersonal factors as contributing to the development and maintenance of the disorder. Emerging evidence has suggested that aggression and anger-related concepts may contribute to these interpersonal difficulties, but aggression has only been measured thus far through self-report, which is limited by responding biases.Methods: In the present study, we examined the associations between self-reported hoarding symptoms and two forms of aggression using both questionnaire measures and a novel behavioural task of aggression. Participants included 466 participants from the community recruited through an online crowdsourcing platform, who completed an anger-induction task followed by a voodoo doll task as a measure of direct and displaced aggression.Results: Results revealed that hoarding symptoms were associated with greater aggression in both self-report and in the behavioural task. Self-report results also indicated that the relationship with displaced aggression may be modestly stronger than that of direct aggression, accounting for covariation.Conclusions: These findings suggest that aggression may be relevant in understanding interpersonal difficulties in hoarding and may have clinical and theoretical relevance for the disorder.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the relationships between parenting, attachment, schemas and psychosis: A serial mediation analysis. 了解父母教养、依恋、图式与精神病之间的关系：一项系列中介分析。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-10 DOI: 10.1111/bjc.12545

Nadia Akers, Christopher D J Taylor, Katherine Berry

{"title":"Understanding the relationships between parenting, attachment, schemas and psychosis: A serial mediation analysis.","authors":"Nadia Akers, Christopher D J Taylor, Katherine Berry","doi":"10.1111/bjc.12545","DOIUrl":"https://doi.org/10.1111/bjc.12545","url":null,"abstract":"Background: Parenting experiences during childhood have been suggested to inform the development of an individual's attachment style and core schemas. Additionally, parenting, attachment and schemas have all individually been linked to symptoms of psychosis in adulthood. However, there is limited research drawing together these concepts to understand the process by which parenting influences psychosis in adulthood. The current study, therefore, aimed to test a serial mediation model in which attachment and schemas mediate the relationship between parenting experiences and adult experiences of psychosis.Method: A cross-sectional study collected data from 132 adult participants regarding their childhood caregivers' parenting style, their attachment style, core schemas, and adult symptoms of psychosis.Results: A serial mediation analysis revealed that the relationship between abusive or overcontrolling parenting and psychosis in adulthood was fully mediated by anxious or disorganized attachment styles and negative schema. The relationship between indifferent parenting and psychosis was fully mediated by avoidant attachment and negative schemas.Conclusions: The findings support the tested hypotheses suggesting that attachment and schemas act as serial mediators in the relationship between parenting style and psychosis. The results highlight the importance of considering attachment and schemas when working therapeutically with people with psychosis. Further research is needed to elaborate on this understanding, develop early parenting interventions to support parents to foster secure attachment in their children and place a focus on schema change within CBT for psychosis.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using sleep to enhance exposure treatment for anxious children: A pilot study. 利用睡眠加强对焦虑儿童的暴露治疗：一项初步研究。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-02 DOI: 10.1111/bjc.12550

Ella L Oar, Ronald M Rapee, Cassie H Lavell, Allison G Harvey, Thomas H Ollendick

{"title":"Using sleep to enhance exposure treatment for anxious children: A pilot study.","authors":"Ella L Oar, Ronald M Rapee, Cassie H Lavell, Allison G Harvey, Thomas H Ollendick","doi":"10.1111/bjc.12550","DOIUrl":"https://doi.org/10.1111/bjc.12550","url":null,"abstract":"Objectives: Exposure therapy is a well-established treatment for anxiety disorders in children; however, many young people do not fully respond to treatment. Advances in strategies to enhance extinction learning from exposure therapy are urgently needed. Emerging adult research suggests that sleep could be used to augment exposure therapy outcomes. To the best of our knowledge, the current study is the first published pilot evaluation of the potential benefits of sleep to enhance extinction learning in anxious children.Methods: Eighteen children aged 7-12 years (M = 9.11; 38.9% Male) with a primary diagnosis of an anxiety disorder were randomized to either a period of sleep immediately following a single session of exposure (SLEEP group), or a day of wakefulness following exposure (WAKE group).Results: Both groups improved on clinician-rated anxiety severity and children's danger severity expectancies from pre-treatment to post-treatment and 1-week follow-up. Child- and parent-rated target symptom fear ratings also improved from pre-treatment to 1-week follow-up. However, there was no evidence that children in the SLEEP group improved significantly more than the WAKE group.Conclusions: The current pilot study failed to demonstrate an augmentation effect of post-exposure sleep in children. Practical and methodological challenges are reported for consideration in future investigations.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Time-varying associations between daily skills practice and affect in a mindfulness and positive psychology-based intervention for early psychosis. 早期精神病的正念和积极心理学干预中日常技能练习与影响之间的时变关联。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-05-01 DOI: 10.1111/bjc.12548

Bryan J Stiles, Aslıhan İmamoğlu, Tate F Halverson, Julia Browne, Piper S Meyer-Kalos, Diana Perkins, David L Penn

{"title":"Time-varying associations between daily skills practice and affect in a mindfulness and positive psychology-based intervention for early psychosis.","authors":"Bryan J Stiles, Aslıhan İmamoğlu, Tate F Halverson, Julia Browne, Piper S Meyer-Kalos, Diana Perkins, David L Penn","doi":"10.1111/bjc.12548","DOIUrl":"https://doi.org/10.1111/bjc.12548","url":null,"abstract":"Objective: Using daily life methods, the present study investigated the impact of Integrated Coping Awareness Therapy (I-CAT), which includes mindfulness and positive psychological interventions, versus treatment-as-usual (TAU) on improving daily affective well-being. Among I-CAT participants only, we also examined the time-varying effect of daily I-CAT skill practice on daily affective well-being.Methods: Data are drawn from a randomized controlled treatment trial involving 38 young adults with a schizophrenia spectrum disorder. Participants completed daily reports of positive (happiness, relaxation) and negative (stress, sadness) affect across 9 months of treatment. I-CAT recipients completed daily practice of mindfulness and positive coping skills.Results: I-CAT and TAU did not differentially impact daily affect across treatment. However, daily skill practice was associated with better daily affective outcomes in certain phases of I-CAT. We also found that increased daily practice of positive coping skills was associated with better daily affective outcomes, whereas mindfulness practice was associated with poorer affective outcomes during certain periods of the I-CAT intervention.Conclusions: In general, I-CAT did not improve daily affective outcomes compared with TAU. However, components of I-CAT, specifically the daily practice of positive coping skills, were associated with improved daily emotional well-being in young adults with psychosis. Implications of these findings are discussed.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Generality or specificity? Examining the mechanism of the transdiagnostic associations between different aspects of emotion dysregulation and various anxiety-related disorders. 普遍性还是特殊性？探讨情绪失调不同方面与各种焦虑相关障碍的跨诊断关联机制。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-04-28 DOI: 10.1111/bjc.12546

Yanling Yue, Jeremy Tyler, Yiqin Zhu, Keith Bredemeier, Nisha Yao, Wenting Mu

{"title":"Generality or specificity? Examining the mechanism of the transdiagnostic associations between different aspects of emotion dysregulation and various anxiety-related disorders.","authors":"Yanling Yue, Jeremy Tyler, Yiqin Zhu, Keith Bredemeier, Nisha Yao, Wenting Mu","doi":"10.1111/bjc.12546","DOIUrl":"https://doi.org/10.1111/bjc.12546","url":null,"abstract":"Objectives: Different aspects of emotion dysregulation (ED) have been found to be broadly associated with various anxiety-related disorders (ADs), but the mechanism underlying these transdiagnostic associations is largely unknown. There are at least two possible hypotheses. The generality hypothesis suggests that the associations are better explained by the link between a general ED factor and the general vulnerability factor derived from various ADs. The specificity hypothesis posits that specific ED facets make a unique contribution beyond the general ED factor.Methods: In a treatment-seeking sample of 351 patients with a primary diagnosis of an AD, we simultaneously examined both the general and facet-specific effects of ED, as assessed by the Difficulties in Emotion Regulation Scale (DERS), on the general vulnerability factor underlying ADs over the course of treatment using a bifactor latent change modelling approach.Results: Supporting the generality hypothesis, we found decreases in the general DERS factor were associated with symptoms reduction and improvement in life functioning. Except for emotional clarity, specific DERS factors had limited effects beyond the general factor.Conclusions: Our findings suggested that the well-documented broad associations between ED and various ADs are best explained by the relationship between the general ED factor, rather than specific facets, and the general vulnerability factor to ADs. Thus, assessing overall ED, rather than focusing on specific facets, may be more effective for screening individuals at risk for ADs and monitoring therapeutic progress in the treatment of ADs.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding adolescent suicide risk through alexithymia and hikikomori behaviours: A three-wave study. 通过述情障碍和隐蔽青年行为了解青少年自杀风险：一项三波研究。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-04-24 DOI: 10.1111/bjc.12549

Danilo Calaresi, Valeria Saladino, Fiorenza Giordano, Valeria Verrastro

{"title":"Understanding adolescent suicide risk through alexithymia and hikikomori behaviours: A three-wave study.","authors":"Danilo Calaresi, Valeria Saladino, Fiorenza Giordano, Valeria Verrastro","doi":"10.1111/bjc.12549","DOIUrl":"https://doi.org/10.1111/bjc.12549","url":null,"abstract":"Objective: Suicide risk (SR) has emerged as a critical issue among adolescents, with various factors potentially contributing to this complex problem. Among these, alexithymia and hikikomori behaviours (HB) are two key elements that warrant further investigation. This study examines their longitudinal relationships through the lens of a unified model of SR.Method: A total of 1814 adolescents from Italy (M = 15.43, SD = 1.09) participated in a three-wave longitudinal study, with surveys administered at baseline (T1), 6 months later (T2), and 12 months later (T3). Structural equation modelling (SEM) was utilized to analyse the bidirectional relationships and mediation effects between the variables.Results: The results revealed that alexithymia consistently predicted HB and SR, while HB also predicted SR. However, HB did not predict alexithymia, nor did SR predict either alexithymia or HB. Significant mediation effects were observed from alexithymia at T1 to SR at T3 through alexithymia at T2, HB at T2, and SR at T2, as well as from HB at T1 to SR at T3 through HB at T2 and SR at T2. No significant indirect effect was found from HB at T2 to SR at T3 through alexithymia at T2.Conclusions: These findings suggest that adolescents with higher levels of alexithymia are at greater risk for suicidal behaviours, with HB intensifying this risk. Effective interventions may include programmes aimed at enhancing emotional awareness and promoting social reintegration, which could ultimately improve mental health outcomes and reduce SR among adolescents.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-sectional and longitudinal associations of screen time with adolescent depression and anxiety. 屏幕时间与青少年抑郁和焦虑的横断面和纵向关联。

IF 3.8 3区心理学

British Journal of Clinical Psychology Pub Date : 2025-04-22 DOI: 10.1111/bjc.12547

Sophie H Li, Philip J Batterham, Alexis E Whitton, Kate Maston, Asaduzzaman Khan, Helen Christensen, Aliza Werner-Seidler

{"title":"Cross-sectional and longitudinal associations of screen time with adolescent depression and anxiety.","authors":"Sophie H Li, Philip J Batterham, Alexis E Whitton, Kate Maston, Asaduzzaman Khan, Helen Christensen, Aliza Werner-Seidler","doi":"10.1111/bjc.12547","DOIUrl":"https://doi.org/10.1111/bjc.12547","url":null,"abstract":"Objective: The relationship between screen time and mental health in adolescents is debated in the scientific literature, with longitudinal studies lacking. This study examined the cross-sectional and longitudinal associations between screen time and depression and anxiety and the influence of maladaptive social media use and gender on these associations.Methods: We analysed a sample of 4058 adolescents (mean age = 13.9) recruited from 134 Australian schools as part of the Future Proofing Study, a 5-year prospective cohort study of adolescent mental health. Linear mixed models used Time 1 and Time 2 (12-month follow-up) data to examine cross-sectional and longitudinal associations of screen time with depression and anxiety and the influence of maladaptive social media use and gender.Results: Screen time was associated with mental health symptoms cross-sectionally, with each additional hour of screen time corresponding with a 1.25 and .79 increase in measures of depression and anxiety, respectively. Longitudinally, these associations were markedly weaker. Each additional hour of screen time corresponded with only a .15 increase in depression at 12 months and showed no association with anxiety at 12 months. Neither gender nor maladaptive social media use substantially influenced screen time-symptom associations.Conclusions: Compared to cross-sectional associations, longitudinal associations were weak, indicating that high screen time is unlikely to cause depression and anxiety; instead, observed relationships may be bidirectional. Experimental studies to understand the nuances underlying the relationship between screen time and mental health are needed to support the development of targeted strategies that promote healthy screen time habits among adolescents.","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0