British Journal of Clinical Psychology最新文献

{"title":"Using a short-term risk assessment and compassion focused staff support groups to reduce restrictive intervention use in a secure mental health service.","authors":"Daniel Lawrence, Daniel Stubbings, Andrew Watt","doi":"10.1111/bjc.70004","DOIUrl":"https://doi.org/10.1111/bjc.70004","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of the current study was to introduce two interventions to reduce restrictive practice use in a UK-based secure mental health service. The interventions were a short-term risk assessment called the Dynamic Appraisal of Situational Aggression (DASA), and staff support groups based on the Compassion Focused Therapy model (CFSS groups). Intervention selection was guided by a recently published, trauma-informed model of restrictive practice use, the Maintenance Model of Restrictive Practices.</p><p><strong>Methods: </strong>Five secure mental health wards were included in the study and restrictive practices were compared pre and post intervention for each ward. Owing to limitations in the available data, we were limited in the research design and analyses that could be used. Descriptive statistics were used to compare restraint frequency and short-, medium- and long-duration seclusion episodes pre and post intervention, per ward.</p><p><strong>Results: </strong>DASA was associated with some reductions in restrictive intervention use on some wards, but this was inconsistent. Similarly, CFSS groups were associated with some limited reductions in restrictive intervention use, but this was again inconsistent. When the DASA was introduced in addition to CFSS groups, reductions in physical restraints and medium and long-duration seclusion episodes were observed.</p><p><strong>Conclusions: </strong>Short-term risk assessment and compassion focused staff groups were associated with reductions in restrictive practice use across some secure mental health wards, but this was inconsistent. To our knowledge, this is the first study that has addressed staff emotional wellbeing in an attempt to reduce restrictive practice use. The findings provide some tentative support for the Maintenance Model of Restrictive Practices.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576699","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 disruption and its psychological treatment in young people at risk of psychosis: A peer methods qualitative evaluation.","authors":"Felicity Waite, Steven Evans, Abreen Rebello, Tom Sharpe, Jummy Otaiku, Ellen Iredale, Thomas Kabir, Emma Černis, Daniel Freeman","doi":"10.1111/bjc.70002","DOIUrl":"https://doi.org/10.1111/bjc.70002","url":null,"abstract":"<p><strong>Objectives: </strong>A recent randomized controlled feasibility trial showed that sleep problems in young people at risk of psychosis can be successfully treated with psychological therapy and that this may bring additional benefits such as reducing depression, anxiety and paranoia. Here we report participants' qualitative experience of sleep problems and therapy.</p><p><strong>Design: </strong>A peer-methods qualitative study employing reflexive thematic analysis.</p><p><strong>Methods: </strong>Semi-structured interviews, co-facilitated by peer researchers, were conducted with 16 young patients at risk of psychosis and having sleep problems who participated in the SleepWell Trial (ISRCTN85601537). Ten interviewees had received the 12-week sleep therapy.</p><p><strong>Results: </strong>Four themes were generated: (1) the challenge to access mental health treatment ('bouncing between services'), (2) sleep problems and mental health difficulties are intertwined ('an obvious link'), (3) flexibility in therapy provision matters ('tailored to me as a person') and (4) improving sleep leads to wider benefits ('fixing the sleep helped everything else'). Participants described a frustrating journey to access mental health treatment, marked by rejection and invalidation, which resulted in hopelessness and often resignation. The interaction between sleep disruption and other mental health difficulties was seen as obvious. Treatment for sleep problems was highly valued. The clear focus, therapeutic style and flexible delivery of the treatment was seen to create patient ownership, active engagement and hope. Participants described transformative changes: better sleep, fewer voices and fears and improved mood and confidence. Improving sleep made a difference to everyday life.</p><p><strong>Conclusions: </strong>Treating sleep problems in people at risk of psychosis is highly valued and often brings rapid and widespread improvements across a range of domains.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576698","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":"https://doi.org/10.1111/bjc.70003","url":null,"abstract":"<p><strong>Objective: </strong>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><p><strong>Design: </strong>Cross-sectional data were collected online from an emerging adult sample.</p><p><strong>Method: </strong>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><p><strong>Results: </strong>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 (β = .05, p = .273), implying independent contributions. Additionally, compulsivity, executive control and traumatic life events contributed to hoarding-related beliefs.</p><p><strong>Conclusions: </strong>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>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating preschooler behavioural sleep problems via parent-mediated telehealth: A randomized controlled trial.","authors":"Amy Shiels, Lara J Farrell, Caroline L Donovan","doi":"10.1111/bjc.70001","DOIUrl":"10.1111/bjc.70001","url":null,"abstract":"<p><strong>Objectives: </strong>Behavioural sleep problems in the preschool developmental period (ages 3-5 years) are highly prevalent and associated with a myriad of deleterious consequences including anxiety, in the short- and long-term. This study examined a parent-focused behavioural sleep intervention for children aged from 3 to 5 years, delivered individually via three × fortnightly 90-min telehealth (synchronous videoconference) sessions, in terms of its ability to improve child sleep, nighttime fears and anxiety.</p><p><strong>Methods: </strong>Parents of children aged 3 to 5 years (M = 3.57; SD = .56) were randomly allocated to either the Lights Out Videoconference (LOV) or care-as-usual (CAU) conditions and completed measures of child sleep problems, anxiety and nighttime fears at pre-treatment (T1), two weeks post-treatment (T2) and at 3-month follow-up (T3). Parents also completed a measure of treatment satisfaction.</p><p><strong>Results: </strong>Compared with the CAU condition (n = 16), children whose parents participated in the LOV condition (n = 19) reported a significantly greater reduction in sleep problems, anxiety and nighttime fears from T1 to T2, with treatment effects being maintained at T3. Treatment satisfaction of both the programme, resources and mode of delivery was very high.</p><p><strong>Conclusions: </strong>A brief, behavioural sleep intervention delivered via videoconferencing for young children is acceptable to parents and represents an efficacious and convenient alternative to face-to-face treatment for sleep that has secondary effects on nighttime fears and broader anxiety issues. Universal Trial Number (UTN): U1111-1264-8191. Australian and New Zealand Clinical Trial Registry (ANZCTR): 12621000466842 retrospective. The trial was registered retrospectively as the application for registration was submitted after the first participant was registered for the programme. This was a clerical oversite of the authors as to the timing of registration submission. The sleep diaries included in the registration of the trial were not analysed due to significant missing data in the CAU condition. Additionally, some of the secondary outcomes in the trial registry will be published in a separate, paper, which focuses on parents' impressions of the programme and parenting factors.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334218","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 feasibility study of two variants of a blended functional remediation programme for euthymic patients with bipolar I disorder.","authors":"Susan Zyto, Ralph W Kupka, Annet Nugter, Peter F J Schulte, Marieke van Eijkelen, Eline Regeer, Sigfried Schouws","doi":"10.1111/bjc.70000","DOIUrl":"https://doi.org/10.1111/bjc.70000","url":null,"abstract":"<p><strong>Background: </strong>Bipolar disorder (BD) is associated with reduced psychosocial functioning, partly due to cognitive impairments. Functional remediation (FR), aimed at ameliorating daily functioning, is based on psychoeducation and strategies to cope with cognitive problems. Given the limited number of studies in patients with BD, more studies are needed to evaluate different FR programmes.</p><p><strong>Methods: </strong>A total of 29 euthymic patients with BD-I followed a 12-session FR programme consisting of both group and individual sessions, offered in two variants: one in-person and one online (video conferencing). Both variants were supported by E-health modules. Feasibility was the primary outcome, as measured with dropout rates and attendance, as well as questionnaires about patients' experiences with the programme. The secondary aim was to explore effects on psychosocial functioning.</p><p><strong>Results: </strong>Results show an acceptable dropout rate. Attendance was good as 83% visited at least 10 sessions. Analyses of participants' experiences revealed gain of insight and implementation of learned strategies in daily life. Independently working with the E-health modules did not appear feasible. Exploratory analyses showed a significant improvement in psychosocial functioning for both variants.</p><p><strong>Limitations: </strong>The results of the effect analysis are preliminary, due to a small sample and lack of a control group.</p><p><strong>Conclusions: </strong>This FR programme showed good feasibility for both the in-person and online variant. Online treatment has advantages as it can reach out to a larger group of participants. Effect analyses indicated reduction in psychosocial impairments in both variants. Larger controlled studies are needed to investigate the treatment effects of the current FR programme.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276342","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 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":"https://doi.org/10.1111/bjc.12555","url":null,"abstract":"<p><strong>Background: </strong>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><p><strong>Method: </strong>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><p><strong>Results: </strong>Mental health difficulties (total symptoms) at age 11 predicted both mental health difficulties at age 17 (b = .41, p < .001) and negative social safety schemas at age 14 (b = .02, p < .001). Negative social safety schemas in mid-adolescence partially mediated the persistence of difficulties from early to late adolescence (ab = .01, p < .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><p><strong>Conclusions and relevance: </strong>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>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of racial discrimination in medical care: A secondary analysis of the effect of culturally tailored, internet-delivered CBT for insomnia in Black women.","authors":"Katharine E Daniel, Vanessa V Volpe, Traci N Bethea, Lynn Rosenberg, Lee M Ritterband, Eric S Zhou","doi":"10.1111/bjc.12556","DOIUrl":"https://doi.org/10.1111/bjc.12556","url":null,"abstract":"<p><strong>Objectives: </strong>Prior experiences of medical racism harm health outcomes through reduced trust in medical recommendations and ultimately reduced treatment uptake. Unfortunately, experiencing medical racism is common among Black women. Culturally tailoring interventions can increase patient trust and treatment engagement. This secondary analysis examines the role of medical racism as a moderator of intervention use and sleep outcomes among Black women randomized to a tailored or standard internet insomnia treatment.</p><p><strong>Design: </strong>Secondary analysis of a randomized clinical trial.</p><p><strong>Methods: </strong>In total, 218 Black women with insomnia were randomized to tailored or standard internet insomnia treatment. Univariate linear mixed-effects models tested whether prior medical racism moderated the effect of intervention condition on changes in sleep outcomes (ISI, PSQI, WASO, SOL) across baseline, post-intervention and 6-month follow-up assessments. Binary logistic regression assessed moderation effects on remitter, responder and treatment completer status at post-intervention. Quasi-Poisson regression examined moderation effects on the number of program logins and sleep diaries completed.</p><p><strong>Results: </strong>Thirty-eight per cent of participants reported prior medical racism. Medical racism did not explain differences in rates of intervention use or sleep outcomes. Insomnia symptoms comparably improved in both conditions (ps < .001).</p><p><strong>Conclusions: </strong>Over one third of the sample reported medical racism, suggesting it is not a rare occurrence for Black women; however, medical racism was not associated with intervention engagement and sleep health outcomes. Confronting racism within health care systems and providers remains necessary to promote physical and mental health equity.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192343","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":"Earthquake exposure, cognitive integration, and psychiatric symptoms in bereavement: A moderated mediation with fulfilling daily activities","authors":"Tiffany Junchen Tao,&nbsp;Aysuhan Tuba Saral,&nbsp;Crystal Jingru Li,&nbsp;Huinan Liu,&nbsp;Wai Kai Hou","doi":"10.1111/bjc.12553","DOIUrl":"10.1111/bjc.12553","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Bereaved individuals experiencing losses tend to experience better psychological well-being if they experience higher levels of cognitive integration. This study aims to investigate the everyday life context where this process could take place, given that bereaved individuals also experience disruptions to fulfilling daily activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Among a nationally representative sample of 1588 bereaved Turkish people 7 months after the 2023 Turkey–Syria Earthquake (September–October 2023), we conducted moderated mediation analyses to investigate whether (1) cognitive integration mediated the links between the levels of earthquake exposure and psychiatric (grief, PTSD, anxiety, depressive) symptoms, and (2) disruptions to fulfilling daily activities moderated the mediation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The two components of integration, namely comprehensibility and footing in the world, fully mediated the positive links between earthquake exposure and all four psychiatric symptoms (<i>β</i>s = .02–.03; <i>β</i>s = .06–.08). Direct and indirect paths were stronger under higher levels of disruptions to fulfilling daily activities: the indirect exposure-comprehensibility-symptoms were only significant under high (<i>β</i>s = .03–.04, 95% CI [.01–.02, .05–.06]) and medium (<i>β</i>s = .02–.03, 95% CI [.01–.02, .03–.04]) levels, and the direct exposure-grief links were only significant under high levels of disruptions (<i>β</i> = .09, 95% CI [.03, .16]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The current findings were in line with classic psychological theories on coping with stress, trauma, and loss and highlighted the importance of considering the behavioural context for engagement in fulfilling daily activities in the aftermath of natural disasters among bereaved individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 4","pages":"1043-1059"},"PeriodicalIF":3.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12553","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192342","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":"“When my mind hurts, my body hurts”: Complex PTSD and chronic physical health conditions—A qualitative study exploring the factors contributing to their relationship","authors":"Laura Blackett,&nbsp;Polly Radcliffe,&nbsp;Teuta Rexhepi-Johansson,&nbsp;Nicola Reynolds","doi":"10.1111/bjc.12551","DOIUrl":"10.1111/bjc.12551","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Complex PTSD (cPTSD) has a high comorbidity rate with chronic physical health conditions. This is the first qualitative study to investigate what factors might be contributing to this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twelve participants with cPTSD and chronic physical health conditions were recruited from mental health services across London. Semi-structured interviews were completed. A reflexive thematic analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were identified: Negative Health Behaviours; Mind–Body Link; Negative Core Beliefs about Self, Others and Health; and Negative Impact of Conditions on Wellbeing. The reciprocal relationship between cPTSD and chronic physical health conditions was highlighted: one condition was found to perpetuate or trigger the other, either directly (e.g., pain triggering flashbacks) or indirectly (interfering with treatment). Various factors were found to contribute to the relationship, including cognitive difficulties, sleep difficulties, and reduced social support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The importance of recognizing mind–body links and targeting factors maintaining both cPTSD and physical health conditions is highlighted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 4","pages":"1020-1042"},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12551","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of trauma, attachment, dissociation, and alexithymia in pathways to negative symptoms in psychosis","authors":"Shelley Grady,&nbsp;Niall Crowley,&nbsp;Seamus Scott,&nbsp;Charles Ifegwu Ndukwe,&nbsp;Rebecca Donohoe,&nbsp;Keith Gaynor","doi":"10.1111/bjc.12554","DOIUrl":"10.1111/bjc.12554","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Emerging models of trauma and psychosis highlight the role of attachment, dissociation, and emotion regulation processes in pathways to positive symptoms, yet little is known about the relevance of these processes to negative symptoms. The primary aim of this study was to examine trauma, attachment, dissociation, and alexithymia as predictors of negative symptoms in psychosis. A secondary, exploratory aim was to delineate pathways by which trauma may lead to negative symptoms (via attachment, dissociative or alexithymic processes).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This was a cross-sectional study of people attending mental health services for a psychosis-related diagnosis (<i>N</i> = 71). Measures of trauma, negative symptoms, attachment, alexithymia, dissociation, and depression were completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regression analyses indicated that recurrent trauma, disorganized attachment, difficulty identifying feelings (DIF), and depression accounted for a significant portion of the variance in negative symptoms, though only DIF and depression were significant independent predictors. Subsequent serial mediation analyses indicated that recurrent trauma exerted its influence on negative symptoms through a sequence of disorganized attachment and DIF, while controlling for depression. As avoidant attachment was not associated with trauma and dissociation was not associated with total negative symptoms, hypothesized models related to these variables were not examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These exploratory findings highlight the relevance of trauma-related variables in our formulation and treatment of negative symptoms. Future research should focus on replication studies with larger clinical samples and longitudinal designs to establish causality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 4","pages":"1002-1019"},"PeriodicalIF":3.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}