British Journal of Clinical Psychology最新文献

{"title":"Credibility and expectancy associated with ultra-brief and standard-length digital treatments: A preliminary examination of impact on treatment outcome.","authors":"Melanie Seshadri, Blake F Dear, Madelyne A Bisby","doi":"10.1111/bjc.70069","DOIUrl":"10.1111/bjc.70069","url":null,"abstract":"<p><strong>Objective: </strong>Ultra-brief treatments (i.e., three or fewer sessions/modules) are associated with reductions in depression and anxiety symptoms, though the mechanisms underlying their effects are unclear. Research has yet to compare how perceptions of treatment credibility and outcome expectancy (i.e., how suitable and effective the treatment will be) may differ between ultra-brief and standard-length digital treatments.</p><p><strong>Methods: </strong>In a secondary analysis of a randomized controlled trial (N = 152), the current study examined the distribution of credibility and expectancy prior to receiving either an ultra-brief or standard-length digital transdiagnostic treatment based on cognitive behaviour therapy and explored whether these variables predicted improvement in anxiety or depression symptoms.</p><p><strong>Results: </strong>There were no differences in how credible and effective participants perceived the two treatment options. In binary logistic regressions, higher credibility and expectancy were associated with greater odds of experiencing a clinically meaningful improvement (≥ 30% reduction) in anxiety (credibility OR = 1.68 [95% CI 1.15, 2.44]; expectancy OR = 1.50 [95% CI 1.11, 2.02]) and depression symptoms (credibility OR = 1.45 [95% CI 1.02, 2.05]; expectancy OR = 1.34 [95% CI 1.03, 1.76]) for the standard-length treatment only. The predictive value of these two variables diminished when they were entered into the models together, highlighting their conceptual overlap. Findings also indicated a potential moderating role for treatment preference.</p><p><strong>Conclusion: </strong>Credibility and expectancy predict treatment outcomes for standard-length digital treatment. Their influence on outcomes in ultra-brief digital treatment is unclear and further research with larger samples is warranted.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"1276-1292"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A borderline personality disorder diagnosis may improve clinical psychology trainees' treatment beliefs.","authors":"Katie E Hastings, Adam Hahn","doi":"10.1111/bjc.70076","DOIUrl":"10.1111/bjc.70076","url":null,"abstract":"<p><strong>Background: </strong>Contentious debate persists over whether the stigma of borderline personality disorder (BPD) stems from the diagnostic label itself or the behaviours commonly associated with it. At the same time, it remains unclear whether old age identities exacerbate such stigma, raising concerns surrounding the quality of care experienced by the burgeoning population of older adults-both diagnosed and undiagnosed-presenting to mental health services with BPD symptoms.</p><p><strong>Method: </strong>Using a 2 × 2 between-subjects experimental design, participants were randomized equally to one of four conditions varying by age (27 vs. 70 years) and diagnostic label (BPD vs. no diagnosis). The study used two-way independent-measures ANOVAs to examine 242 clinical psychology trainees' treatment beliefs, as well as their cognitive, emotional and behavioural reactions to a vignette character presenting with BPD symptoms.</p><p><strong>Results: </strong>Contrary to expectations, participants reported more favourable treatment beliefs about patients with a BPD diagnosis relative to undiagnosed patients with identical BPD symptoms, as indicated by more positive beliefs about their therapeutic relationships, and more conviction in their treatability. Additionally, participants anticipated that they would exhibit more infantilising behaviours (i.e., child-like speech patterns) toward older adult patients than toward younger patients, independent of diagnostic label.</p><p><strong>Conclusions: </strong>A BPD diagnostic label can improve clinical psychology trainees' expectations about the treatability of affected individuals and may have a positive influence on beliefs about the therapeutic relationship with younger adult patients in particular. Thus, the label may now be less stigmatising among current clinical psychology trainees compared to previous generations.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"1308-1325"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining suicide in 'pro-choice suicide' forums: A cyclical model.","authors":"Marc Palma, Laura E Jimenez-Arista","doi":"10.1111/bjc.70074","DOIUrl":"10.1111/bjc.70074","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined real-time, unobtrusive accounts of suicidal distress shared by online forum users and developed a process framework to advance understanding and inform prevention efforts.</p><p><strong>Design: </strong>A large pro-choice suicide discussion forum (150,000+ users) was selected to capture and analyse contemporaneous accounts of the suicide process, offering real-time, anonymous and minimally filtered disclosures less influenced by recall bias than retrospective interviews.</p><p><strong>Methods: </strong>A directed qualitative content analysis was conducted on publicly available posts (N = 526) describing suicidal distress or behaviour, categorizing content into current states (e.g. ideation, action), associated emotions and motivations.</p><p><strong>Results: </strong>The Cyclical Model of Suicide (CMS) emerged as a non-linear, bidirectional framework characterized by non-sequential state transitions and recurrent movement. The model includes six states (non-suicidal distress, suicidal ideation, ambivalence, resolution, suicide in progress and recovery), a Reversal mechanism (regression to prior states) and 'incident drivers' (triggering shifts to higher-distress states and contributing to recurrence and state-bypassing).</p><p><strong>Conclusions: </strong>This study offers four insights. First, it uses in-the-moment accounts to propose a process-oriented framework rather than relying on retrospective reports. Second, it highlights recurrence language, with users describing experiences as cyclical. Third, it captures Reversal as a short-term shift away from action. Finally, it emphasizes the use of anonymous pro-choice suicide online spaces for venting and support before suicidal desire crystallizes into intent, highlighting that many users may be turning to these platforms instead of traditional therapeutic settings.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"1293-1307"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200681","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}

{"title":"Sleep hygiene and sleep control mediate the relationship between cognitive fusion and insomnia severity.","authors":"Amanda L Richdale, Francesco R De Maria, Eric M J Morris","doi":"10.1111/bjc.70072","DOIUrl":"10.1111/bjc.70072","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia is associated with mental ill health, worry and rumination-the two latter contribute to pre-sleep cognitive arousal. These variables also associate with psychological inflexibility, including cognitive fusion (CF), a literal attachment to unhelpful thoughts, patterns and rules. Good sleepers generally have low CF, good sleep hygiene and a belief in sleep control, but individuals high in CF may have unhelpful beliefs about sleep hygiene and sleep control.</p><p><strong>Methods: </strong>We investigated associations between CF, sleep hygiene and sleep control, hypothesizing that each would contribute significant variance to insomnia and mediate the relationship between CF and insomnia.</p><p><strong>Results: </strong>Participants were 411 adults (M_age = 45.9 years, SD = 15.6) completing an online survey including demographics, and questionnaires about insomnia (ISI), CF (CFQ), sleep hygiene (SHS) and sleep control (BRISC). Hierarchical regression accounted for 34% of variance in insomnia (p < .001), showing that after controlling for demographic variables, CF, sleep hygiene and sleep control each accounted for significant variance in insomnia, with sleep control the strongest predictor (β = -.304). Parallel mediation modelling accounting for 22.2% of variance in insomnia (p < .001) showed both sleep hygiene and sleep control partially mediated the CF and insomnia relationship.</p><p><strong>Conclusions: </strong>Our study shows for the first time that CF, sleep hygiene and sleep control beliefs are inter-related in their impact on insomnia. As CF is a core component of psychological inflexibility, ACT plus behaviour therapy (ACT-I) may be a more suitable insomnia intervention than CBT plus behaviour therapy (CBT-I) for some people.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"1262-1275"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive behavioural therapy compared to control conditions in treating bulimia nervosa and binge-eating disorder: A systematic review and meta-analysis.","authors":"Angeliki L Sioziou, Anastasios Stefanou, Felicia Dimitrakopoulou, Menelaos Skarlatos, Andreas S Lappas, Christina Mesiari, Aikaterini Argyrou, Evangelos Ntouros, Nikolaos Christodoulou, Vasilios-Panteleimon Bozikas, Myrto Samara","doi":"10.1111/bjc.70070","DOIUrl":"10.1111/bjc.70070","url":null,"abstract":"<p><strong>Objective: </strong>Our systematic review and meta-analysis aimed to investigate how Cognitive-Behavioural Therapy (CBT) performs against control conditions, such as waiting-list, self-help interventions, psychological and pill placebos and treatment as usual (TAU) in Bulimia Nervosa (BN) and Binge Eating Disorder (BED).</p><p><strong>Methods: </strong>We systematically searched MEDLINE, Embase, PsycINFO, Cochrane CENTRAL, WHO ICTRP, ClinicalTrials.gov for randomized controlled trials (RCTs) comparing CBT to any control condition, in patients with BED and BN. Analyses employed random-effects models, calculating risk ratios (RR) for dichotomous outcomes, weighted mean differences (MD) for continuous outcomes and standardized mean differences (SMD) when scales varied. The primary outcomes were remission and binge eating frequency. Subgroup and sensitivity analyses assessed robustness.</p><p><strong>Results: </strong>42 RCTs (2807 participants randomized) were included. CBT demonstrated superiority over waitlists in achieving remission (RR = 3.21, 95% CI: 2.15; 4.81) and in reducing binge-eating frequency (SMD = -.88, 95% CI: -1.08; -.69). However, compared to self-help, effects were attenuated for remission (RR = 1.53, 95% CI 1.19; 1.95) and were not significant for binge frequency (SMD = -.14, 95% CI: -.32; .04). Data were scarce for other inactive comparators.</p><p><strong>Discussion: </strong>The superiority of CBT is contingent on the comparator used, highlighting the necessity for rigorous controls such as a psychological placebo or other therapy modalities.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"1248-1261"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Let's Co! The how-to of working within a co-production framework to devise, design and execute collaborative multisite clinical trials.","authors":"Sarah Maguire, Genevieve Pepin, Shannon Calvert, Stephanie Boulet, Sanna Barrand, Emma Bryant, Leah Brennan, Antonio Verdejo-Garcia, Leilani Darwin, Claire Foldi, Elizabeth Rieger, Stephen Touyz, Bronwyn Carroll, Sam Ikin, Fiona Mitchell, Julian Robinson, Anna Rose, Sarah Barakat, Kristi Griffiths, Ian Hickie, Robyn Kruk, Melissa Pehlivan, Anita Raspovic, Peta Marks","doi":"10.1111/bjc.70017","DOIUrl":"10.1111/bjc.70017","url":null,"abstract":"<p><strong>Objectives: </strong>To document the steps undertaken in a full collaborative co-production design process undertaken between a group of lived experience, clinical and research collaborators to determine the selection and design of three large-scale, multisite, clinically focused studies (including two clinical trials) targeting eating disorders. This work formed part of a grant supporting the development of a National Centre for Research and Translation in Eating Disorders (AEDRTC) funded by the Australian Government. We highlight the phases and activities, principles and values that informed practice - as has been called for recently within the scientific community, in addition to emerging themes and lessons learnt. The paper aimed to contribute to the limited body of published literature on practical approaches to co-production in large-scale research studies and teams.</p><p><strong>Methods: </strong>We undertook a 1-year full co-production process to collaboratively ideate, choose and design the research studies to be funded and conducted by a nationally-funded centre for research in eating disorders.</p><p><strong>Results and conclusion: </strong>This manuscript documents all the key stages of the co-production process for the shared agenda setting, choice and design of the three complex research studies, including the establishment of governance and structure, novel IP clauses, processes and principles of shared ideation and collaborative design. We also discuss natural push and pull factors creating tension in a co-production process, reflecting on themes and learnings.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"1326-1340"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13655990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No added cost: Emotion recognition in co-occurring ADHD and ASD","authors":"Irene Sophia Plank,&nbsp;Kaltrina Krasniqi,&nbsp;Alexandra Pior,&nbsp;Julia Nowak,&nbsp;Christine M. Falter-Wagner","doi":"10.1111/bjc.70056","DOIUrl":"10.1111/bjc.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Facial emotion recognition (FER) is fundamental for social interaction, yet this ability is often impaired in attention-deficit/hyperactivity disorder (ADHD) or autism spectrum disorder (ASD). While research has documented these difficulties, two key questions remain: Are these deficits specific to recognising emotions or do they reflect broader challenges in face processing? Does the increasingly documented co-occurrence of ADHD and ASD exacerbate these difficulties?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We compared emotion discrimination thresholds (EDT) in <i>N</i> = 92 participants aged 17–45 years (mean = 28.5, SD = 7.2), including 22 autistic-only, 24 ADHD-only, 22 co-occurring ADHD+ASD and 24 typically-developing individuals. We measured EDT with faces gradually changing from a neutral to an emotional expression (angry, fearful, happy or sad) and designed a non-emotional control task. Using eye tracking, we ruled out potential differences in visual attention to facial features between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We showed a specific disadvantage in emotion in the clinical groups, with increased EDT in all three clinical groups, with effect sizes ranging from .43 for co-occurring ADHD+ASD to .77 for autistic-only. Crucially, emotion recognition deficits were not amplified by the co-occurrence of ADHD and ASD, when considering performance in the control task.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study possibly suggests equal mechanisms underlying reduced FER in ASD and ADHD. This mechanism should be identified to develop targeted interventions addressing social cognitive challenges in ASD and ADHD, improving social integration and well-being. Clinicians should recognise that FER difficulties are shared across both conditions, since a primary association with ASD may lead to unwarranted assumptions of ASD co-occurrence in ADHD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"981-999"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The real experience of older people with schizophrenia: A qualitative meta-synthesis","authors":"Yuying Sun,&nbsp;Liwen Liao,&nbsp;Xiaochao Jin,&nbsp;Ping Li,&nbsp;Weili Zhao,&nbsp;Li Li","doi":"10.1111/bjc.70053","DOIUrl":"10.1111/bjc.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Schizophrenia is a severe, chronic mental disorder. Global ageing and improved survival rates have increased the proportion of older people living with schizophrenia, a population whose complex subjective experiences and needs require deeper understanding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study systematically synthesizes qualitative evidence to elucidate the lived experiences and needs of older people with schizophrenia, thereby providing a theoretical foundation for developing targeted interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search was conducted across PubMed, Web of Science, Cochrane Library, CINAHL, MEDLINE, Embase and PsycINFO for qualitative studies on the illness experiences, perceptions and needs of older schizophrenia patients. The search spanned from database inception to November 2024. The methodological quality of included studies was assessed using the 2016 Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Findings were synthesized via meta-aggregation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve studies were included, yielding forty - seven themes categorized into nine groups and further synthesized into four key findings: (1) Multifaceted physical and psychological burdens; (2) Social marginalization and relational strain; (3) Strong desire for multidimensional support; (4) Ageing reframed as an adaptive ‘window of opportunity’ for meaning-making and growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The synthesis reveals ageing with schizophrenia as a dynamic narrative of adversity and adaptation. It argues for a paradigm shift in psychological practice—from a deficit-focused model to a strength-based and developmental approach. Effective support must address internalized stigma and psychological trauma while actively fostering resilience, autonomy and a sense of purpose, thereby promoting psychological growth in later life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"967-980"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655264","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}

{"title":"Do schema modes predict outcome of cognitive behavioural therapy in patients with obsessive–compulsive disorder and anxiety disorders?","authors":"Manon Peeters,&nbsp;Boris van Passel,&nbsp;Nancy Peeters,&nbsp;Julie Krans","doi":"10.1111/bjc.70052","DOIUrl":"10.1111/bjc.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Cognitive behavioural therapy (CBT) is the psychological treatment of choice for patients with obsessive–compulsive disorder (OCD) or an anxiety disorder. However, a substantial group (30–40%) does not profit sufficiently. Predictors of outcome inform us about how to adapt interventions for this group. Specifically, schema modes might affect CBT outcome; yet, research into the relation between schema modes and CBT outcome for anxiety disorders and OCD is very limited. In this study, it was investigated whether adaptive and maladaptive schema modes predict CBT outcome controlling for symptom levels at the start of treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Pre-treatment maladaptive and adaptive schema modes and pre- and post-treatment psychological distress were assessed in 100 patients (60 women and 40 men with a mean age of 32.49 years) diagnosed with OCD (<i>n</i> = 56) or an anxiety disorder (<i>n</i> = 44) receiving CBT. Regression analyses were conducted to assess the unique predictive value of adaptive and maladaptive schema modes in addition to pre-treatment levels of psychological distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pre-treatment maladaptive modes (specifically maladaptive child modes) significantly predicted psychological distress after CBT with small effect sizes. Higher pre-treatment adaptive modes were associated with better CBT response, although this effect was not robust.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Given the small effect size, our study does not yield strong evidence that schema modes influence CBT outcome for patients with OCD or anxiety disorders. Given that this is the first study testing this effect, our findings need to be replicated, preferably in disorder-specific samples.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1000-1014"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative investigation of the lived experiences of adults with anxiety and related disorders and ADHD: Interconnectedness of symptoms and implications for improving care","authors":"Arij Alarachi,&nbsp;Heather McNeely,&nbsp;Karen Rowa,&nbsp;Randi E. McCabe","doi":"10.1111/bjc.70048","DOIUrl":"10.1111/bjc.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Attention-deficit/hyperactivity disorder (ADHD) is highly prevalent in adults with anxiety and related disorders (ARDs). Quantitative research on this clinical population is mixed, with some studies suggesting that anxiety is protective against some symptoms of ADHD and others in which co-occurring ARDs and ADHD are linked to poorer clinical and psychosocial outcomes. There are also several under-researched clinical challenges, including missed or misdiagnosis and confusion around best treatment practices. Importantly, yet to be investigated are client perceptions of the relationship between ARD and ADHD symptoms, as well as the unique challenges co-occurrence raises related to assessment and treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The current study utilized a descriptive phenomenological approach to qualitatively investigate the lived experiences of adults with co-occurring ARDs and ADHD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Sixteen (<i>N</i> = 16) treatment-seeking adults at a specialized outpatient ARDs clinic participated in individual semi-structured qualitative interviews and completed a survey consisting of demographic, diagnostic and treatment history questions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative data were transcribed verbatim, and Colaizzi's seven-step approach for descriptive phenomenological thematic analysis was used to extract themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six themes were found, with the most common ones being (1) it's complicated: perceived relationship between ADHD and anxiety symptoms, (2) diagnosis experiences: validation, surprise and integration and (3) system overload and polarizing experiences with symptoms and impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current study provides insights on the shared perceptions individuals have on the interconnectedness of their symptoms of ARDs and ADHD, and implications for improving assessment and treatment practices to better suit the needs of this clinical population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"925-943"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}