Dan Chen, Yifan Zhang, Luowei Bu, Haoxian Ye, Dongfang Wang, Fang Fan
{"title":"A bidirectional association between psychotic-like experiences and problematic Internet use: A large-sample longitudinal study among Chinese adolescents","authors":"Dan Chen, Yifan Zhang, Luowei Bu, Haoxian Ye, Dongfang Wang, Fang Fan","doi":"10.1111/bjc.70009","DOIUrl":"10.1111/bjc.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Psychotic-like experiences (PLEs) are associated with problematic Internet use (PIU), but empirical studies on the causal relationships between both are lacking. This study aimed to investigate the bidirectional associations between PLEs and PIU through a large prospective study involving Chinese adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 27,260 adolescents (M<sub>age</sub> = 14.3 ± 1.5 years; 47.8% of females) were assessed at baseline from December 17 to 12, 2021 (Time 1, T1) and 6 months later from May 17 to June 5, 2022 (Time 2, T2). The 8-item Positive Subscale of the Community Assessment of Psychic Experiences and the Revised Chinese Internet Addiction Scale were used to assess PLEs and PIU, respectively. Socio-demographics at T1 and negative life events at T2 were also evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Binary logistic regression indicated that PLEs at baseline significantly increased the risk of incident PIU at the 6-month follow-up (OR = 1.44, 95% CI = 1.25–1.66), even after adjusting for covariates. PIU at baseline was significantly associated with increased odds of incident PLEs at the 6-month follow-up (OR = 1.44, 95% CI = 1.14–1.82). Moreover, similar associations were also observed in the PIU and subdimensions of PLEs, that is, hallucinatory experience and delusional experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrated that the relationship between PLEs and PIU among adolescents was bidirectional. These findings have significant implications for educational and clinical strategies aimed at managing PIU and preventing PLEs among adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"119-131"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734010","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":"Attitudes to possessions in emerging adults: Predictors of hoarding behaviours and beliefs","authors":"Enes Kartal, Jane Scott, Sharon Morein-Zamir","doi":"10.1111/bjc.70003","DOIUrl":"10.1111/bjc.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Although hoarding symptoms are chronic and the average onset is late adolescence, younger cohorts have received little attention in research. Given the insidious symptom trajectory of hoarding and the unsatisfactory treatment outcomes in clinical groups, comprehensive research focusing on younger participants may reveal insights and suggest early intervention opportunities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional data were collected online from an emerging adult sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 316 participants (aged 18–25) reported on hoarding symptoms, executive functioning, attention deficit/hyperactivity disorder (ADHD) symptoms, autism traits, obsessive-compulsive disorder symptoms, social anxiety, psychological distress, emotion regulation, interpersonal attachment, and traumatic life events. Principal component analysis was used to cluster the data into underlying components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regression analysis showed that self-reported executive control problems and negative emotional response are the key predictors of hoarding behaviours, with compulsivity and decisional impulsivity also being significant contributors. Importantly, the interaction between the two key predictors was not significant (<i>β</i> = .05, <i>p</i> = .273), implying independent contributions. Additionally, compulsivity, executive control and traumatic life events contributed to hoarding-related beliefs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Difficulties in executive control, as noted in ADHD, would be an important target in the detection and intervention of hoarding symptoms among younger cohorts. Caution in the assessment of clutter in young people is needed as their control over common residential areas might be limited.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"33-53"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530470","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}
Katarina Kikas, Aliza Werner-Seidler, Brittany Corkish, Emily Upton, Monique Holden, Jill M. Newby
{"title":"Illness anxiety disorder: A qualitative study of people with health anxiety and their experiences seeking and avoiding medical care","authors":"Katarina Kikas, Aliza Werner-Seidler, Brittany Corkish, Emily Upton, Monique Holden, Jill M. Newby","doi":"10.1111/bjc.70005","DOIUrl":"10.1111/bjc.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Illness anxiety disorder (IAD) has two subtypes in the DSM-5: ‘care-seeking’ and ‘care-avoidant’, with a third subtype, ‘care fluctuating’ identified in previous research. This study explores the experiences of individuals with IAD when seeking and avoiding medical care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>We recruited self-identified health-anxious individuals via online social media advertisements. Participants completed a demographic questionnaire and a diagnostic interview assessing IAD and comorbidities. Participants meeting IAD criteria (<i>N</i> = 37, mean age = 39, 76% female) completed a qualitative interview about their experiences seeking and avoiding medical care, analyzed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported that internal and external factors influenced help-seeking behaviours. Internal factors were physical symptoms, worry, fear, reassurance-seeking, and the motivation to stay healthy for their children. External factors included past experiences with health professionals, cost of care, and a busy lifestyle. Worry about missing a serious disease, symptom severity, and emotional fatigue from repeated care-seeking contributed to fluctuations in help-seeking. Negative past experiences with health professionals also impacted willingness to seek medical care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Reasons behind different help-seeking behaviours in IAD are complex. This study provides insight into the help-seeking experiences of individuals with IAD and the factors influencing these behaviours, which can inform targeted treatment approaches for IAD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"68-85"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592629","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":"Anhedonia and its sub-component processes predict clinically significant symptoms of Major Depressive Disorder (MDD) and loneliness in young people","authors":"Katie Prizeman, Ciara McCabe","doi":"10.1111/bjc.70008","DOIUrl":"10.1111/bjc.70008","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Anhedonia, a core symptom of Major Depressive Disorder (MDD), is a risk factor for future depressive episodes and is associated with social withdrawal, which may contribute to loneliness—another risk factor for depression. Understanding how anhedonia and its sub-component processes relate to depression and loneliness could reveal key targets for intervention development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We recruited 275 young people (<i>M</i><sub>age</sub>: 20.50) with clinically significant symptoms of depression, indicated by scores ≥27 on the Mood and Feelings Questionnaire (MFQ). Participants completed the Anhedonia Scale for Adolescents (ASA) and its three subscales: ASA-S1 (Enjoyment, Excitement, and Emotional Flattening); ASA-S2 (Enthusiasm, Connection, and Purpose); ASA-S3 (Effort, Motivation, and Drive); and the UCLA Loneliness Scale (UCLA) at baseline and at four-month follow-up (N = 173). Multiple regression analyses examined the relationships between anhedonia, MDD, and loneliness, both cross-sectionally and longitudinally.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Cross-sectionally, the ASA total scores (β = .655, <i>p</i> < .001), ASA-S1 (β = .586, <i>p</i> < .001), and ASA-S3 (β = .153, <i>p</i> = .034) were associated with MDD. ASA total scores (β = .651, <i>p</i> < .001), ASA-S1 (β = .397, <i>p</i> < .001), ASA-S2 (β = .196, <i>p</i> < .001), and ASA-S3 (β = .176, <i>p</i> = .018) were associated with loneliness. Longitudinally, ASA total scores (β = .485, <i>p</i> < .001) and ASA-S1 (β = .298, <i>p</i> = .008) predicted MDD, while ASA-S2 showed a trend toward predicting loneliness (β = .099, <i>p</i> = .058).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights how specific anhedonia sub-component processes predict increases in clinically significant symptoms of MDD and loneliness among young people, informing the development of more targeted treatments for anhedonia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"143-159"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856778","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}
Jessica A. Riley, Emily J. Wilson, Alice R. Norton, Maree J. Abbott
{"title":"Exploring the role of early maladaptive schemas and intolerance of uncertainty in generalized anxiety disorder","authors":"Jessica A. Riley, Emily J. Wilson, Alice R. Norton, Maree J. Abbott","doi":"10.1111/bjc.70012","DOIUrl":"10.1111/bjc.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The impact of developmental factors has not been addressed in cognitive models and gold standard treatment of generalized anxiety disorder (GAD). The present study examined the relationship between adverse childhood experiences (ACEs), dysfunctional parental styles, intolerance of uncertainty (IoU) and early maladaptive schemas (EMS) with GAD symptomatology and diagnostic status. The relationship between these variables was compared between a low anxiety and clinical GAD group. We hypothesized that the low anxiety group would score significantly lower on these variables compared to the clinical GAD group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants in the clinical GAD group (<i>n</i> = 38) were recruited via a clinical trial and screened for a primary diagnosis of GAD using the Diagnostic Interview for Anxiety, Mood and OCD and Related Neuropsychiatric Disorders (DIAMOND; Tolin <i>et al</i>., <i>Assessment</i>, <i>25</i>, 2018, 3). Participants in the low anxiety group (<i>n</i> = 148) were undergraduate students scoring in the normal to mild range on the Depression Anxiety Stress Scales (DASS-21; Lovibond & Lovibond, <i>Behav. Res. Ther.</i>, <i>33</i>, 1995, 335) and within the normal range on the Generalized Anxiety Disorder-7 (GAD-7; Spitzer et al., Generalized Anxiety Disorder 7 (GAD-7). <i>APA PsycTests</i>, 2006).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Hierarchical regression analysis indicated that IoU and two EMS (vulnerability to harm; self-sacrifice) were significant predictors of GAD-7 scores. Logistic regression analysis similarly found IoU and the EMS of vulnerability to harm as the only significant predictor of GAD group membership. ACEs and dysfunctional parental styles were not significant predictors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings support further investigation of IoU and EMSs in models of GAD and the utility of targeting these cognitive vulnerabilities in enhancing treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"199-217"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087825","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}
Jenna Alley, Dimitris I. Tsomokos, Summer Mengelkoch, George M. Slavich
{"title":"The role of social safety schemas in the persistence of mental health difficulties during adolescence","authors":"Jenna Alley, Dimitris I. Tsomokos, Summer Mengelkoch, George M. Slavich","doi":"10.1111/bjc.12555","DOIUrl":"10.1111/bjc.12555","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emotional and behavioural problems (i.e., mental health difficulties and their decomposition into internalizing and externalizing symptoms) often emerge in adolescence and can persist into adulthood if not addressed. Identifying modifiable social-cognitive processes that influence the persistence of psychopathology across the lifespan is thus essential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using data from the Millennium Cohort Study, a nationally representative birth cohort of UK youths born in 2000–2002, we examined whether social safety at age 14 mediated the association between mental health difficulties at age 11 and mental health difficulties at age 17. The sample included 10,782 participants (50% female, 20% non-White, 21% in poverty).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mental health difficulties (total symptoms) at age 11 predicted both mental health difficulties at age 17 (<i>b</i> = .41, <i>p</i> < .001) and negative social safety schemas at age 14 (<i>b</i> = .02, <i>p</i> < .001). Negative social safety schemas in mid-adolescence partially mediated the persistence of difficulties from early to late adolescence (<i>ab</i> = .01, <i>p</i> < .001). In sex-stratified analyses, we found that negative social safety mediated the persistence of internalizing problems only for females and the persistence of externalizing problems only for males.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Relevance</h3>\u0000 \u0000 <p>These findings highlight the important role of social safety schemas in the persistence of adolescent emotional and behavioural problems over time. Based on these results, investments in improving early adolescent mental health by bolstering social safety perceptions may be effective for reducing mental health risks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"1-14"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250338","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}
Jessica L. Gerner, Abby A. Mandel, Raymond P. Tucker, David A. Jobes
{"title":"Predicting self-perceived risk of suicide: A Bayesian multilevel analysis of suicide status form constructs using ambulatory assessment","authors":"Jessica L. Gerner, Abby A. Mandel, Raymond P. Tucker, David A. Jobes","doi":"10.1111/bjc.70006","DOIUrl":"10.1111/bjc.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Collaborative Assessment of Suicidality (CAMS) is an effective clinical framework to treat suicidal thoughts and behaviours. CAMS employs the Suicide Status Form (SSF) to monitor suicide risk factors across sessions. The first six items (termed the SSF Core Assessment) include psychological pain, stress, agitation, hopelessness, self-hate and self-reported overall behavioural risk for suicide. The first five are theoretically derived risk factors. While CAMS employs session-by-session tracking, no research has investigated how the five risk factors vary together and concurrently and prospectively predict self-perceived suicide risk when assessed via ambulatory assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Undergraduates (<i>n</i> = 52) with past-2-week suicidal ideation completed 5 ambulatory assessment surveys of the SSF Core Assessment variables daily over 10 days. Descriptive and variability statistics were used to describe the core assessment constructs. Multilevel models were used to examine how the first five items predicted overall behavioural risk of suicide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each of the SSF Core Assessment variables demonstrated variability over the study period, with stress exhibiting the greatest and overall risk the lowest variability. Self-hate and hopelessness concurrently predicted self-reported overall risk for suicide within the same model. Only self-hate and agitation were significantly prospectively predictive of overall behavioural risk, even after controlling for suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This is the first study to provide insight into the short-term variability and predictive capabilities of the SSF Core Assessment constructs. Each construct varies considerably over short time scales, suggesting that more frequent monitoring of these constructs may be an important consideration within future CAMS treatment research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 1","pages":"86-103"},"PeriodicalIF":3.1,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627474","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}