British Journal of Clinical Psychology最新文献

{"title":"Validation of a transdiagnostic measure of fears of recurrence and progression about mental health conditions.","authors":"Daelin Coutts-Bain, Louise Sharpe, Caroline Hunt","doi":"10.1111/bjc.12536","DOIUrl":"https://doi.org/10.1111/bjc.12536","url":null,"abstract":"<p><strong>Objectives: </strong>Fears of recurrence and progression (FORP) in people with mental health conditions are understudied despite predicting poorer psychological outcomes and increased rates of relapse. However, there are no well-validated questionnaires that assess FORP in people with non-psychotic conditions. Moreover, it is not known whether FORP is empirically distinct from mental health anxiety.</p><p><strong>Design: </strong>Online survey collected data at two time points.</p><p><strong>Method: </strong>A 40-item FORP About Mental Health Questionnaire (FORP-MHQ) was derived from lived experience interviews. Analyses were conducted with a sample of 865 people with different mental health conditions. Exploratory factor analysis in a randomly split sub-sample (N = 432) yielded a 10-item, single-factor structure that measures FORP severity. Confirmatory factor analysis on these items was conducted in the remaining sample (N = 433). Discriminant and convergent validity, and reliability, analyses were conducted in the complete sample. Measurement invariance was assessed between men and women, those with and without a history of psychosis or mania, and those with and without diagnoses across different diagnostic categories.</p><p><strong>Results: </strong>The 10-item FORP-MHQ demonstrated good structural, convergent and concurrent validity, internal consistency, and test-retest reliability. It was also empirically distinct from mental health anxiety with good discriminant validity. The FORP-MHQ was invariant between men and women, those with and without a history of psychosis or mania, and those with and without diagnoses across diagnostic categories.</p><p><strong>Conclusion: </strong>The FORP-MHQ is a valid and reliable tool to assess FORP in people with a range of different mental health conditions, both psychotic and non-psychotic.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517102","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":"Characteristics of young people referred for treatment of depression and anxiety in a school-based mental health service.","authors":"Emilia Robinson, Chloe Chapman, Faith Orchard, Clare Dixon, Mary John","doi":"10.1111/bjc.12526","DOIUrl":"https://doi.org/10.1111/bjc.12526","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the paper was to describe referrals to a UK school-based mental health service for children and adolescents.</p><p><strong>Methods: </strong>Children and young people (CYP) (N = 485, aged 4-18) were referred to two Mental Health Support Team sites in the South of England in 2021, for CBT-informed interventions for mild-to-moderate anxiety and depression. Child and parent reported outcome measures were completed pre-intervention, including measures of symptom severity and impact.</p><p><strong>Results: </strong>Referrals consisted of 61% female, 57% secondary school age (12-18 years old) and 81% White British. Children of secondary school age self-reported significantly higher levels of anxiety (p = .003) and depression (p < .001) than children of primary age. Females self-reported significantly higher levels of anxiety (p < .001) and depression (p < .001) than males. The majority of CYP self-reported below or borderline threshold anxiety, depression and overall internalizing symptoms. The majority of caregiver-reported CYP difficulties met the clinical threshold for anxiety and overall internalizing symptoms, but not depression.</p><p><strong>Conclusions: </strong>The findings have direct relevance to the transformation and delivery of school-based public mental health services for children and adolescents. There is a need to collect routine data from other services to assess the broader needs of CYP referred for low intensity early interventions across regions.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504522","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":"A preliminary investigation of the relationships between attachment insecurity, fear of compassion, and OCD severity.","authors":"Aliya McNeil, Christine Purdon","doi":"10.1111/bjc.12533","DOIUrl":"https://doi.org/10.1111/bjc.12533","url":null,"abstract":"<p><strong>Objectives: </strong>The most successful psychological treatment for obsessive-compulsive disorder (OCD) is cognitive behavioural therapy (CBT). However, treatment success remains around 50% when refusal and dropout are considered. Purdon (Journal of Behavior Therapy and Experimental, Psychiatry, 2023, 78, 101773) argued that the CBT model is under-specified, suggesting that there may be important treatment targets that are not directly addressed. Based on emerging research, she identified insecure attachment and fear of compassion (FOC) as potentially important targets. Insecure attachment and FOC are associated with OCD symptoms, and past research suggests that FOC may explain the relationship between attachment insecurity and emotional distress. We reasoned that FOC may also be an important predictor of OCD symptom severity.</p><p><strong>Methods: </strong>We conducted two preliminary, pre-registered online survey studies with undergraduate samples to explore potential theoretical relationships between attachment, FOC, and OCD.</p><p><strong>Results: </strong>Study one (N = 329) revealed that the indirect effect of attachment anxiety on OCD symptom severity through fear of self-compassion was significant, even when controlling for trait self-compassion. A significant indirect effect of attachment avoidance predicting OCD severity, through fear of receiving compassion, also emerged. Study two (N = 340) replicated these findings and extended this research by controlling for depression.</p><p><strong>Conclusions: </strong>Taken together, these findings suggest that FOC could be an important variable to consider when conceptualizing OCD. Further exploration is warranted to understand the directionality of these relationships and whether attachment and FOC could be valuable targets in OCD treatment.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484550","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":"Imagining Futures: Evaluation of a blended programme of dialectical behaviour therapy and the creative arts for young women with a history of self-harm.","authors":"L M Smith, B Barrett, S Barnes, B Oltean, L Ige, C Day, T Tranah","doi":"10.1111/bjc.12528","DOIUrl":"https://doi.org/10.1111/bjc.12528","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate an arts-enhanced dialectical behavioural therapy skills group for managing emotions and self-harm, implemented via an innovative public sector/third sector partnership to increase access to care.</p><p><strong>Design: </strong>This is a pilot mixed-methods study.</p><p><strong>Methods: </strong>To assess participant experience in the 'Imagining Futures' programme, we examined self-report questionnaires and qualitative focus group interviews using framework analysis. We collected recruitment, session attendance and programme completion rates. To explore impact, we also report on quantitative psychological outcome measures, including self-harm frequency and overall well-being.</p><p><strong>Results: </strong>We recruited 45 young women (mean age: 15.9, s.d. = 1.24, range 13.9-18.0 years) with a history of emotional dysregulation, self-harm and other contextual risks who were not receiving support from statutory child and adolescent mental health services in the United Kingdom. Participants were 22% not in education, employment or training and 77% were from United Kingdom racially minoritized backgrounds. The overall completion rate was 62% (n = 28/45). Qualitative data analysed from respondents (n = 25/28 young people and n = 12 parents) suggested high levels of satisfaction with the project. Thirteen themes were identified which described service elements perceived to support engagement and observed impact. There was an important role for relationships and the creative components. Quantitative clinical data indicated reductions in the frequency of self-harming, significant reductions in the perceived impact of difficulties and increased perceived social support.</p><p><strong>Conclusions: </strong>This novel delivery of a DBT skills group, incorporating blended psychology arts activities, has the potential to support engagement with psychological supports that improve mental well-being.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460203","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":"Relevance of ecological momentary assessment for medication adherence in clinical settings: A precision psychiatry approach.","authors":"Valentine Chirokoff, Arnaud Tessier, Fuschia Serre, Maud Dupuy, Marc Auriacombe, Sandra Chanraud, Sylvie Berthoz, Melina Fatseas, David Misdrahi","doi":"10.1111/bjc.12532","DOIUrl":"https://doi.org/10.1111/bjc.12532","url":null,"abstract":"<p><strong>Background: </strong>Medication non-adherence is a leading cause of treatment failure in psychiatric populations. However, current studies highlight the lack of methodological guidance on medication assessments. Ecological Momentary Assessment (EMA), using smartphone-based evaluations, shows promise for real-time monitoring in everyday settings.</p><p><strong>Aims: </strong>This study evaluated EMA's effectiveness in assessing medication adherence in patients with schizophrenia, depression, and substance use disorders (SUD), covering various treatment regimens.</p><p><strong>Materials & methods: </strong>A total of 133 participants (27 with schizophrenia, 20 with depression, 44 with SUDs, and 42 healthy controls) completed EMA via study-provided smartphones five times daily over 1 week. Treatment regimens, categorized by mono vs. polytherapy and single vs. multiple daily doses, were documented. EMA adherence was calculated from the completion rate of the assessments, while medication adherence was assessed daily for patients. Both mean medication adherence and adherence variation over time were analysed by diagnosis and treatment regimen.</p><p><strong>Results: </strong>All groups demonstrated high mean EMA and medication adherence, with minor variations across treatment types. Importantly, patients showed improved adherence over time, independently of diagnosis or regimen.</p><p><strong>Discussion: </strong>These findings indicate EMA's potential as an effective method for capturing medication adherence in psychiatric populations.</p><p><strong>Conclusion: </strong>The approach's capacity for real-time, context-sensitive data collection could reveal adherence patterns and changes not detectable by conventional methods, offering valuable insights for clinical practice.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442329","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":"Editorial acknowledgement","authors":"","doi":"10.1111/bjc.12521","DOIUrl":"https://doi.org/10.1111/bjc.12521","url":null,"abstract":"","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 1","pages":"137-138"},"PeriodicalIF":3.8,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248583","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":"The role of impulsivity in the association between rumination and cannabis-related problems among trauma-exposed cannabis users.","authors":"Jennifer U Le, Regine M Deguzman, Norman B Schmidt, Nicole A Short","doi":"10.1111/bjc.12530","DOIUrl":"https://doi.org/10.1111/bjc.12530","url":null,"abstract":"<p><strong>Objectives: </strong>The Emotional Cascade Model posits that rumination is associated with impulsivity and risky behaviours such as substance use. Although trauma-exposed individuals often engage in rumination and problematic cannabis use, this model has not been tested on trauma-exposed cannabis users. Therefore, our study examines the direct and indirect effects between rumination and its subtypes with problematic cannabis use among trauma-exposed cannabis users. We also examine how these associations occur through impulsivity.</p><p><strong>Methods: </strong>A cross-sectional sample of 56 trauma-exposed young adult cannabis users (M_age = 21 years, 59% female, 73% white) self-reported rumination, impulsivity, and cannabis-related problems. All participants provided written informed consent, and procedures were approved by the university's Institutional Review Board and pre-registered.</p><p><strong>Results: </strong>Regression analyses indicated total and brooding rumination were related to greater cannabis-related problems, after covarying for number of traumas and cannabis use frequency. Rumination, specifically brooding, was incrementally associated with greater cannabis-related problems and had an indirect effect on cannabis-related problems through impulsivity. Consistent with hypothesis, rumination and impulsivity were incrementally associated with greater problematic cannabis use among trauma-exposed cannabis users.</p><p><strong>Conclusion: </strong>The current study expands work on the Emotional Cascade Model by supporting the indirect effect of impulsivity in the association between rumination and problematic cannabis use.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190570","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":"Negative interpretation bias and repetitive negative thinking as mechanisms in the association between insomnia and depression in young adults.","authors":"Isabel Clegg, Lies Notebaert, Amy Whittle-Herbert, Cele Richardson","doi":"10.1111/bjc.12529","DOIUrl":"https://doi.org/10.1111/bjc.12529","url":null,"abstract":"<p><strong>Objectives: </strong>Despite evidence supporting sleep's role in the development and maintenance of depression, mechanisms underlying this association in young people are less established. Negative interpretation bias (the tendency to interpret ambiguous situations negatively) and repetitive negative thinking (RNT) are important candidate mechanisms. Whilst negative interpretation bias is implicated in depression development, it is a transdiagnostic process and may result from insomnia. Yet, research relating to these constructs is lacking. RNT is another transdiagnostic process implicated in association between negative interpretation bias, depression and insomnia. However, an elaborated model that includes both mechanisms is yet to be tested. It was hypothesised that negative interpretation bias and RNT would sequentially mediate the relationship between sleep/insomnia and depressive symptoms in young people.</p><p><strong>Design: </strong>The associations predicted by this hypothesis were tested via cross-sectional mediation in a sample of 214 participants (M_age = 19.19 years, SD = 1.67, Range_age = 17-24 years, 20% male).</p><p><strong>Methods: </strong>Participants completed questionnaire measures of insomnia symptoms, depression symptoms and RNT, an ambiguous scenarios task and a 1-week sleep diary.</p><p><strong>Results: </strong>Results were consistent with negative interpretation bias and RNT as sequential mechanisms which partially account for the relationship between sleep (i.e., insomnia severity and sleep parameters) and depression.</p><p><strong>Conclusions: </strong>This study supports negative interpretation bias and RNT as mechanisms linking insomnia and depression in young people, as the predicted associations between these variables were observed. Future research should investigate the causal/directional associations. However, results support theoretical models, and suggest sleep, interpretation bias and RNT may be important processes to target in preventing and treating depression.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014254","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":"Correlates of suicidal ideation and suicide attempts among bisexual+, gay/lesbian, and heterosexual young adults.","authors":"Erik M Benau, Matthew R Hanna, Felix Yirdong, Lillian Polanco-Roman","doi":"10.1111/bjc.12525","DOIUrl":"https://doi.org/10.1111/bjc.12525","url":null,"abstract":"<p><strong>Introduction: </strong>Compared to their exclusively gay/lesbian or heterosexual identifying peers, young people identifying as bisexual+ (e.g. bisexual, pansexual, asexual, queer or questioning) are at elevated risk for suicidal ideation (SI) and attempts (SA). The present study aimed to establish whether the prevalence of, and psychosocial risk factors for, SI and SA vary as a function of sexual identity.</p><p><strong>Methods: </strong>Young adults (N = 274; 18-29 years old) were recruited via online crowdsourcing. They completed questionnaires assessing adverse childhood experiences (ACEs), emotion dysregulation, impulsivity, depression symptoms and lifetime history of SI and SA. Spearman correlations, Kruskal-Wallis H-tests and binomial logistic regression models were used.</p><p><strong>Results: </strong>No variable was associated with SI. Bisexual+ individuals reported greater SA than the heterosexual group, though statistically similar to the gay/lesbian group. A similar pattern emerged for ACEs. The bisexual+ group reported greater depression symptoms than the gay/lesbian group. Impulsivity and emotion dysregulation did not vary by sexual identity. Controlling for these psychosocial and sociodemographic variables did not alter results: bisexual+ individuals were almost three times more likely to report SA than heterosexual individuals, OR = 2.93 95% CI [1.16, 7.44]; gay/lesbian and heterosexual individuals had a statistically similar likelihood of reporting SA, OR = 1.09, 95% CI [0.27, 4.37].</p><p><strong>Conclusion: </strong>This is the first study to establish that young adults identifying as bisexual+ are at greater risk for SA after controlling for well-established psychosocial correlates; this was not the case for SI. Further work is needed to establish the aetiology of this risk.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972834","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":"A systematic review of predictors and moderators of treatment response in psychological interventions for persisting forms of depression.","authors":"Margaret Lyons, Jaime Delgadillo","doi":"10.1111/bjc.12513","DOIUrl":"https://doi.org/10.1111/bjc.12513","url":null,"abstract":"<p><strong>Background: </strong>Although psychological interventions can be effective for the treatment of major depressive disorder, some patients' symptoms persist or rapidly recur after therapy. This study aimed to synthesize research findings on predictors and moderators of treatment response for persisting forms of depression, such as chronic, recurrent, and treatment-resistant depression.</p><p><strong>Methods: </strong>A systematic review of studies investigating predictors and moderators of response to outpatient psychological treatment for adults with persisting forms of depression was conducted by searching Web of Science, Scopus, and PsycInfo. A total of 23 eligible studies were included, assessed for risk of bias, and summarized using a narrative synthesis.</p><p><strong>Results: </strong>Sixty-five predictor and moderator variables were examined across studies, categorized into sociodemographic, clinical, interpersonal/personality, psychological, and treatment variables. Most variables were only examined in single studies, which were rarely adequately powered for predictor and moderator analyses. Among variables studied more frequently (age, gender, baseline depression severity, childhood trauma), only baseline depression severity was found to be a replicated and consistent predictor of poorer treatment response. Risk of bias was low to medium for the majority of studies.</p><p><strong>Limitations: </strong>Meta-analysis could not be done due to methodological heterogeneity among studies.</p><p><strong>Conclusion: </strong>Our current understanding of significant predictors and moderators for persisting forms of depression is limited. A high level of baseline severity of depressive symptoms is so far the only variable consistently associated with poorer treatment response in this clinical population.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907854","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}