British Journal of Clinical Psychology最新文献

{"title":"Did the COVID-19 pandemic impact on time trends in self-poisoning in youth? A sex-specific national register-based interrupted time-series analysis in Sweden","authors":"Katelyn Battista,&nbsp;Cecilia Magnusson,&nbsp;Nicola Orsini,&nbsp;Michael Lundberg,&nbsp;Anna Ohlis,&nbsp;Gergö Hadlaczky,&nbsp;Lucie Laflamme","doi":"10.1111/bjc.70064","DOIUrl":"10.1111/bjc.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To assess the extent to which the COVID-19 pandemic impacted trends of self-poisoning in young boys and girls in Sweden, and whether impacts differed by sociodemographic and psychiatric health factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used an interrupted time series analysis of a register-based national cohort to assess the sex-specific associations between the COVID-19 pandemic and monthly rate of hospitalization for intentional self-poisoning. Individual-level data were collected from a rolling cohort of Swedish young people ages 10–19 between 2005 and 2021 (approximately 1.13 million individuals per year). Separate models were run to examine differential associations among girls by age group, socioeconomic position, and prior anxiety or depression diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 17,151 cases of self-poisoning were observed across the study period, 78.4% among girls. The association between the pandemic and self-poisoning was sex-specific. An annualized increase of 19% per year (95% CI: 5%–35%) between March 2020 and December 2021 occurred among girls, corresponding to a reversal of a declining pre-pandemic trend (<i>p</i> = .0002). No significant change in level or trend occurred for boys. Increases among girls were higher among ages 10–14 and were observed regardless of socioeconomic position or prior psychiatric diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In Sweden, despite a less restrictive public health response, the COVID-19 pandemic was accompanied by a substantial increase in rates of self-poisoning and a reversal of previously declining trends among young girls, exacerbating long-standing gender gaps. This underscores the need for enhanced preparedness to deal with indirect effects of future health crises on this dangerous expression of mental distress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1200-1215"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844525","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":"Real-world effectiveness of integrating clinical psychologists into primary care: First-year outcomes from a regional programme for common mental disorders in Spain","authors":"César González-Blanch,&nbsp;Noelia Rodríguez-Pérez,&nbsp;María Camino-Sánchez,&nbsp;Rosario Bengochea-Seco,&nbsp;Cintia Montes-Novoa,&nbsp;David Gil-Sanz,&nbsp;Silvia Pérez-Monzón,&nbsp;Blanca Uriz-Zafra,&nbsp;Mikel Muñiz-Videchea,&nbsp;Paula Díaz-Gómez,&nbsp;Amador Priede","doi":"10.1111/bjc.70068","DOIUrl":"10.1111/bjc.70068","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Common mental disorders (CMDs), including depression and anxiety, are highly prevalent in primary care, yet access to psychological therapies, which are the first-line treatment for these conditions, remains limited. This study evaluated the effectiveness of the Clinical Psychology in Primary Care Programme in Cantabria during its first year of implementation, which integrated clinical psychologists into primary care teams to deliver brief, evidence-based interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Naturalistic observational pre–post study in primary care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 1149 patients (66% women; <i>M</i> = 44 years) were assessed with the PHQ-9 and GAD-7 before and after a brief psychological intervention of up to eight sessions per patient delivered individually or in groups. Linear mixed-effects models examined pre–post changes and moderators (intervention format, age, sex). Reliable change, deterioration and recovery were calculated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant and clinically meaningful reductions were observed in depressive (ΔPHQ-9 = −7.8) and anxiety symptoms (ΔGAD-7 = −7.1; <i>p</i> &lt; .001). Individual therapy produced greater improvements than group interventions, and younger participants showed slightly larger gains; sex showed no effect. Moderate variability in outcomes was observed across therapists. Among completers, large effect sizes were found (<i>d</i>_RM ≈ 1.3); 73% achieved reliable improvement and 51% met reliable recovery criteria, while deterioration rates were below 1%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings support the consolidation and expansion of the integration of clinical psychologists into primary care, providing evidence that the psychological interventions delivered in this context are a feasible, equitable and effective approach to treating CMDs in the Spanish public health system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1216-1231"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876040","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":"Beliefs related to diagnosing borderline personality disorder and complex post-traumatic stress disorder","authors":"Bailey Pascuzzi,&nbsp;Jared Keeley","doi":"10.1111/bjc.70063","DOIUrl":"10.1111/bjc.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>There has been speculation that Borderline personality disorder (BPD) and Complex post-traumatic stress disorder (cPTSD) are the same disorder or represent separate disorders on a broader trauma spectrum. BPD and cPTSD share several symptoms but differ in their presentation. Because the two disorders present so similarly, it could be that clinicians have difficulty differentiating them, leading to misdiagnosis. BPD is a commonly stigmatized condition, and stigma can be a source of diagnostic error, contributing to misdiagnosis. This study examined clinicians' diagnostic decision-making and stigma towards BPD and Complex PTSD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 426) completed an online survey where they diagnosed a written case vignette and completed measures of their familiarity with each disorder, stigma and symptom importance for their diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicated that clinicians were significantly less familiar with BPD than with cPTSD; however, only familiarity with cPTSD predicted diagnostic decisions. Higher familiarity with BPD was associated with lower stigma towards BPD, whereas familiarity with cPTSD predicted lower stigma for both disorders. Stigma levels were significantly higher for BPD than for cPTSD, but only stigma towards cPTSD predicted diagnosis. Symptom ranking strongly influenced diagnosis, with clinicians more likely to assign a diagnosis based on symptoms they associated with BPD or cPTSD. BPD stigma influenced rankings of BPD symptoms, whereas cPTSD stigma affected rankings across all symptom categories.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that familiarity and stigma play crucial roles in shaping diagnostic decisions and highlight the need for improved clinician training to mitigate biases and enhance diagnostic accuracy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1180-1199"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844292","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":"Changes in obsessive-compulsive symptom profiles in response to exposure and response prevention","authors":"Seung Yun Baek,&nbsp;Hyunsik Kim,&nbsp;Michael G. Wheaton,&nbsp;Jeremy Tyler,&nbsp;Edna Foa,&nbsp;Helen Blair Simpson","doi":"10.1111/bjc.70059","DOIUrl":"10.1111/bjc.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Exposure and response prevention (EX/RP) is a first-line psychological treatment for obsessive-compulsive disorder (OCD), yet treatment response varies across individuals. Given the substantial heterogeneity in OCD symptom presentations, examining changes in obsessive-compulsive (O-C) symptom profiles, rather than overall symptom severity, may clarify why patients respond differently to treatment. Accordingly, this study aimed to identify O-C symptom profile classes across treatment and to characterize transitions between classes during EX/RP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The sample included 152 patients with OCD from two clinical trials that delivered 17 twice-weekly EX/RP sessions over 8 weeks, with assessments conducted at baseline, midpoint and post-treatment. Latent profile analysis was used to identify O-C symptom profiles at each time point, followed by latent transition analysis to examine how individuals transitioned between profile classes over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Distinct O-C profiles were identified at each time point, reflecting varying severity across Obsessive-Compulsive Inventory-Revised dimensions. Most patients maintained stable profiles with reduced overall symptom severity across treatment, supporting EX/RP's effectiveness. However, some profiles—particularly those characterized by elevated neutralizing symptoms—showed more variable transitions. A novel profile emerged at midpoint, with lower baseline avoidance predicting the membership.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest that meaningful clinical information is gained by monitoring changes in O-C symptom profiles alongside overall severity during EX/RP. In particular, elevated neutralizing symptoms may signal a more variable response, whereas hoarding elevations may warrant early identification and proactive planning for targeted strategies beyond standard EX/RP. Incorporating profile-based monitoring into clinical practice may help clinicians more precisely tailor EX/RP to maximize therapeutic benefit.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1163-1179"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844470","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":"Feared self and responsibility in obsessive compulsive phenomena","authors":"Yoon-Hee Yang,&nbsp;Tess Jaeger,&nbsp;Richard Moulding","doi":"10.1111/bjc.70055","DOIUrl":"10.1111/bjc.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study investigated the roles of feared self and inflated responsibility in obsessive–compulsive tendencies through an online experiment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A total of 185 participants (<i>M</i>_age = 28.11, <i>SD</i> = 9.12) were randomly assigned to either a heightened responsibility or control condition, then primed with feared self scenarios (morality or culpability) or neutral control scenarios presented through vignettes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed a neutral baseline vignette. They were then randomly assigned to responsibility conditions (heightened vs. low) and priming conditions (morality feared-self, culpable feared-self or neutral control) involving vignette tasks with embedded spelling and grammatical errors for participants to identify. Responsibility was manipulated via instructional framing emphasizing the clinical importance of responses, and participants were allowed to review their responses, providing a behavioural measure of checking. Discomfort ratings (0–100 scale) and response times were recorded as outcome measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The responsibility manipulation did not lead to significant variance in outcome variables, while participants' existing level of feared self and the feared-self manipulation were linked to a significant increase in average levels of discomfort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings provide experimental evidence that feared-self plays a fundamental cognitive–affective role in obsessive-compulsive tendencies. This underscores the importance of integrating feared-self processes into cognitive models to better understand discomfort-related responses in obsessive-compulsive phenomena.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1114-1127"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786101","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":"Developing a core outcome set for generalized anxiety disorder during the perinatal period: Identifying core treatment outcomes in perinatal anxiety","authors":"Emma M. Stallwood,&nbsp;Annaba Tasnia,&nbsp;Daniela Giansante,&nbsp;Briar E. Inness,&nbsp;Benicio N. Frey,&nbsp;Randi E. McCabe,&nbsp;Sheryl M. Green","doi":"10.1111/bjc.70058","DOIUrl":"10.1111/bjc.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Generalized anxiety disorder during the perinatal period (pGAD) is highly prevalent and associated with adverse outcomes for both mother/birthing person (BP) and child. Yet, most treatment studies rely on researcher-selected outcomes that may not reflect patient priorities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to identify patient-oriented treatment outcomes for pGAD to inform the development of a core outcome set (COS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative study using focus groups was conducted in line with COMET and COREQ guidelines to capture patient perspectives on treatment outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Six semi-structured focus groups were conducted with participants who had a primary diagnosis of and participated in a cognitive behavioural therapy group for pGAD at the Women's Health Concerns Clinic, St. Joseph's Healthcare Hamilton. Discussions explored participants' experiences with perinatal anxiety, specifically which treatment outcomes were most important to them when seeking treatment for pGAD. Focus groups were audio-recorded, transcribed verbatim and analysed using thematic analysis with independent coding and consensus validation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 21 participants (10 pregnant, 11 postpartum) were recruited. Three overarching themes were identified: (1) emotional well-being, (2) interpersonal and relational well-being and (3) daily functioning. Within these themes, the treatment outcomes most important to people with lived experience with pGAD were reported: increased self-awareness, management of distressing thoughts, partner relationship satisfaction, validation through support, improved sleep quality and overall quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patient-identified outcomes extend beyond symptom reduction and highlight the importance of psychological resilience, partner relationship satisfaction and functional recovery. Incorporating these outcomes into future treatment will enhance the relevance, comparability and clinical utility of interventions for pGAD, supporting the development of a patient-informed COS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1094-1113"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724530","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 therapeutic relationship in in-person, video call, and telephone psychotherapy sessions","authors":"Alberto Stefana,&nbsp;Teresa Fazia,&nbsp;Andrea Nova","doi":"10.1111/bjc.70050","DOIUrl":"10.1111/bjc.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine whether and how patients' perceptions of working alliance, alliance ruptures, real relationship and affective reactions towards the therapist differ across in-person, videoconferencing and telephone psychotherapy sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 1175 adult patients undergoing various individual psychotherapies completed self-report measures following sessions conducted in-person (746 sessions), via video call (1037 sessions), or by telephone (149 sessions). Linear mixed models with marginal structural model (MSM) were employed. Interaction effects with age group, time-in-treatment and session frequency were also examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients reported similar levels of alliance, real relationship, positive and negative affective reactions and occurrences of alliance ruptures and repairs in both in-person and video call sessions. However, levels of alliance dimensions—agreement on therapy goals, therapy tasks and affective bond—were significantly lower in telephone sessions compared to in-person (β = −.21 to −.25) and video call (β = −.34 to −.37) sessions. Positive affective reactions were also lower in telephone sessions compared to video call sessions (β = −.22). Age, time in treatment and session frequency significantly moderated some associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The therapeutic relationship is comparable between in-person and video call sessions. Telephone sessions, however, are associated with lower working alliance and in-session positive affective reactions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"944-966"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609143","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":"Effective factors in the psychotherapy of religious obsessive-compulsive disorder: A qualitative study","authors":"Taha Burak Toprak","doi":"10.1111/bjc.70060","DOIUrl":"10.1111/bjc.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Religious obsessive-compulsive disorder (religious OCD; scrupulosity) presents unique challenges in psychotherapy due to the interaction between religious beliefs and obsessive-compulsive symptoms. Understanding how individuals benefit from psychotherapy in this context can inform more effective and culturally sensitive treatment approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to explore the factors that make psychotherapy effective for individuals experiencing religious obsessions and compulsions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative design based on a phenomenological approach was employed. In-depth semi-structured interviews were conducted with nine participants diagnosed with religious OCD. The collected data were analysed using thematic analysis to identify the core themes that contribute to therapeutic benefit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings revealed several dimensions that enhanced the therapeutic process. The therapist's competence in religious knowledge and ability to apply this knowledge meaningfully contributed to treatment effectiveness. Participants emphasized that the therapist's religiosity fostered trust and a sense of being understood. Additionally, evidence-based psychotherapeutic methods, such as normalization and psychoeducation, added value to the process. A key finding was that an integrative approach combining religious and scientific psychotherapy knowledge substantially improved outcomes. The therapist's non-judgemental, empathetic and sincere attitude further facilitated clients' sense of safety and engagement in therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Effective psychotherapy for religious OCD requires a holistic approach that integrates religious sensitivity with evidence-based therapeutic skills. Such integration plays a crucial role in enhancing client trust, understanding and overall recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1142-1162"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822132","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":"‘We're not going to start lifting stones now…’: Stakeholder perspectives on the role of psychometric methods in outcome measurement","authors":"David Byrne,&nbsp;Fiona Boland,&nbsp;Susan Brannick,&nbsp;Robert M. Carney,&nbsp;Pim Cuijpers,&nbsp;Alexandra L. Dima,&nbsp;Kenneth E. Freedland,&nbsp;Suzanne Guerin,&nbsp;David Hevey,&nbsp;Bishember Kathuria,&nbsp;Emma Wallace,&nbsp;Frank Doyle","doi":"10.1111/bjc.70067","DOIUrl":"10.1111/bjc.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Psychological outcome measures guide research and clinical decision-making, yet many widely used tools were developed with limited psychometric rigour. Although advanced methods (e.g., item response theory, structural equation modelling) are now widely available, their added value in applied research remains uncertain and applied researcher perspective regarding such are unexplored. We aimed to address this gap in knowledge by examining key stakeholder perspective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>To explore how these methods are perceived, we conducted semi-structured interviews with 21 stakeholders spanning psychometrics, clinical practice, applied research, statistics and academia. Data were analysed using reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Analysis identified three overarching themes: (1) growing recognition that heterogeneity in latent traits challenges assumptions underlying many measures, (2) the enduring use of entrenched but psychometrically weak tools and (3) nuanced views on when advanced methods meaningfully influence research findings. Participants acknowledged gaps in psychometric literacy and emphasised the need for more training and collaboration with psychometricians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlighted persistent limitations in measurement practice, clarify contexts where psychometric methods add genuine value, and point to opportunities for strengthening outcome measurement in psychology and psychiatry research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"1232-1247"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943250","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":"An examination of core beliefs in generalized anxiety disorder","authors":"Amy E. Doust,&nbsp;Vesna Trenoska Basile,&nbsp;Sarah McDonald,&nbsp;Toby Newton-John,&nbsp;Bethany M. Wootton","doi":"10.1111/bjc.70047","DOIUrl":"10.1111/bjc.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Generalised anxiety disorder (GAD) is characterised by uncontrollable worries. Cognitive behaviour therapy (CBT) is an effective treatment for GAD; however, manualised treatments rarely include interventions to target core beliefs. This study aimed to (1) explore the core beliefs about the self that are endorsed by individuals with GAD, (2) determine whether these beliefs are related to the severity of GAD symptoms, (3) examine if core beliefs about the self shift in response to CBT for GAD and (4) determine whether changes in core beliefs about the self are related to reductions in symptom severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A secondary data analysis of a randomised controlled trial with a repeated measures design examining the efficacy of videoconferencing-delivered CBT for individuals with GAD. Seventy-seven participants were included in the study (<i>M</i>_{age =} 37.14; 84.4% female).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results indicated that core beliefs about the self were commonly endorsed in GAD; however, there was no significant relationship between core beliefs about the self and baseline GAD symptom severity. There was a significant reduction in the severity of core beliefs about the self from pre-treatment to post-treatment (<i>p</i> &lt; .001; Cohen's <i>d =</i> .50) and pre-treatment to follow-up (<i>p</i> &lt; .001; Cohen's <i>d =</i> .51) despite the treatment not explicitly targeting these beliefs. There was also a significant relationship between changes in core beliefs about the self and GAD symptom severity at post-treatment and follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings provide insight into the role of core beliefs about the self in the treatment of GAD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 4","pages":"893-906"},"PeriodicalIF":2.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515724","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}