British Journal of Clinical Psychology最新文献

{"title":"Understanding excessive sleep in people with psychotic disorders.","authors":"Kate Robbins, Joanne Hodgekins, Sarah Reeve","doi":"10.1111/bjc.12538","DOIUrl":"https://doi.org/10.1111/bjc.12538","url":null,"abstract":"<p><strong>Background: </strong>There has been increasing attention to sleep disturbances such as insomnia in psychosis, due to its impact on symptoms, well-being, and recovery. However, excessive sleep and extended sleep duration are common in psychosis (partly linked to sedating antipsychotic medication) and have been relatively neglected, despite plausible interactions with symptoms, functioning, and broader well-being.</p><p><strong>Aim: </strong>This study aimed to explore the experience of extended sleep duration and excessive sleepiness, or their combination (hypersomnia) in people with psychotic disorders through a qualitative interview around the experience, impacts, contributors, and role of treatment.</p><p><strong>Method: </strong>Ten patients experiencing excessive sleep (defined as excessive daytime sleepiness >3 days a week; extended sleep duration of > 11 h in 24 h or >9 h at night; or a combination of these) alongside a diagnosed psychotic disorder were recruited. They met with the researcher online to participate in a semi-structured interview, which was analysed using thematic analysis.</p><p><strong>Results: </strong>Five major themes were developed: (1) The Exhausting Everyday, (2) Medication is the story? (3) Indescribable Tiredness, (4) Overruled by Sleep and (5) An Unfair Fight. Excessive sleep impacts multiple domains of individual well-being and recovery - for example, limiting patients in everyday tasks and socializing. Cycles of emotional avoidance and inactivity were identified as potential maintainers or exacerbators of excessive sleep, in addition to medication side effects. Patients reported difficulty conveying the impact of their sleepiness symptoms to clinicians or others.</p><p><strong>Conclusion: </strong>The results support that excessive sleep requires further attention as a problematic and impactful sleep presentation in this group. Further research is needed to improve recognition and assessment of problematic excessive sleep, and how existing practices or novel treatments may be applied to reduce its impact on recovery.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765375","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":"Self-compassion promotes social safeness in patients with eating disorders: A 12-week longitudinal study","authors":"Aleece Katan,&nbsp;Jacqueline C. Carter,&nbsp;Allison C. Kelly","doi":"10.1111/bjc.12542","DOIUrl":"10.1111/bjc.12542","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Social safeness, the affective experience of being comforted and soothed by others, promotes positive mental health and when compromised, contributes to mental illness. Although there is some knowledge about the factors that give rise to social safeness, research has focused on developmental predictors such as parental warmth, leaving it unclear how adults who lacked these early experiences can feel socially safe. Self-compassion is a skill that can be cultivated; it involves directing warmth inward and may thereby facilitate emotional states akin to social safeness. We tested this theory in a population known for low social safeness, adults with eating disorders, by examining whether increases in self-compassion facilitated subsequent increases in social safeness during a cognitive-behavioural group-based treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A longitudinal design was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eighty-six patients with eating disorders completed the Eating Disorder Examination Questionnaire, Self-Compassion Scale, and Social Safeness and Pleasure Scale approximately every three weeks over a 12-week intensive eating disorder treatment program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Multilevel modelling revealed that following periods of increased self-compassion, individuals reported higher levels of social safeness (<i>B</i>_t1 = .16, <i>p</i> &lt; .01; <i>B</i>_t2 = .18, <i>p</i> &lt; .05). Additionally, individuals with higher average levels of self-compassion over the course of treatment experienced higher social safeness (<i>B</i> = .53, <i>p</i> &lt; .01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest that the cultivation of self-compassion may facilitate the feelings of social safeness that individuals with eating disorders generally lack. Results therefore highlight the role that the development of self-compassion can play in fostering social safeness in people with psychological disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 4","pages":"829-843"},"PeriodicalIF":3.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://bpspsychub.onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755109","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":"Sleep dysfunction in social anxiety disorder.","authors":"Roni Oren-Yagoda, Adi Tene, Idan M Aderka","doi":"10.1111/bjc.12541","DOIUrl":"https://doi.org/10.1111/bjc.12541","url":null,"abstract":"<p><strong>Background: </strong>Anxiety disorders frequently co-occur with sleep disturbances, and social anxiety disorder (SAD) is no exception (Journal of affective disorders, 2020, 260, 200).</p><p><strong>Aims: </strong>The present study examined differences in sleep dysfunction between individuals with and without SAD as well as the temporal relationship between reported sleep quality and anxiety in individuals' daily lives.</p><p><strong>Materials & methods: </strong>Eighty-seven participants took part in the study: 44 met diagnostic criteria for SAD and 43 did not. Both groups completed a daily diary measurement to assess the levels of experienced anxiety and sleep quality every day for 21 consecutive days.</p><p><strong>Results: </strong>Individuals with SAD reported significantly poorer sleep across all measured variables compared with those without SAD. Hierarchical linear modelling (HLM) analyses showed reciprocal effects between sleep duration and anxiety, with both variables predicting each other on subsequent days. In addition, sleep quality and time to fall asleep predicted subsequent anxiety but not vice versa.</p><p><strong>Discussion: </strong>The findings suggest that sleep could play an important role in the maintenance of social anxiety.</p><p><strong>Conclusion: </strong>Sleep interventions targeting duration, quality, and time to fall asleep may be beneficial for improving SAD symptoms.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721971","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":"Training emotion recognition in depression—An experimental study","authors":"Mira A. Preis,&nbsp;Katja Schlegel,&nbsp;Sophie Rehbein,&nbsp;Katja Lorenz,&nbsp;Timo Brockmeyer","doi":"10.1111/bjc.12540","DOIUrl":"10.1111/bjc.12540","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patients with depression often show a reduced emotion recognition ability (ERA), which is considered to contribute to interpersonal difficulties and thereby to the development and maintenance of the disorder. In light of the lack of experimental studies testing this hypothesis, the present study investigated whether a single session of computerized training can enhance ERA in patients with depression and whether this affects interpersonal problems and symptoms of depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty outpatients with major depressive disorder or persistent depressive disorder were randomly assigned to a single session of either computerized training of ERA (TERA) or a sham training. One day prior to and 14 days after training, ERA, interpersonal problems and symptoms of depression were recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both groups showed significant improvements in ERA and in symptoms of depression. Participants who received TERA showed greater improvements in ERA than participants who received sham training. However, the groups did not differ regarding changes in symptoms of depression, and none of the groups showed significant changes in interpersonal problems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A single session of computerized training can effectively improve ERA in patients with depression. In the short term, however, TERA neither affected interpersonal problems nor symptoms of depression.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"817-828"},"PeriodicalIF":3.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650344","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":"Improving access to help with poor sleep across youth mental health services: Interim implementation and clinical outcomes.","authors":"Rebecca Rollinson, Ben Ewing, Sarah Reeve, Adam Graham, Jonathan Lyons, Brioney Gee, Jonathon Wilson, Ioana Tofan, Kelly Semper, Tim Clarke","doi":"10.1111/bjc.12531","DOIUrl":"https://doi.org/10.1111/bjc.12531","url":null,"abstract":"<p><strong>Objectives: </strong>There is a high, unmet sleep need in young people with mental health difficulties. We took a whole-system approach to improving access to sleep support across a youth mental health system (14-25 years).</p><p><strong>Methods: </strong>We used the Exploration, Preparation, Implementation and Sustainment (EPIS) framework to develop an implementation programme (The Better Sleep Programme) incorporating two levels of training: (i) therapeutic practitioners received training and supervision in CBT for insomnia (CBTi) adapted for young people with mental health difficulties, (ii) non-therapeutic practitioners received knowledge and skills workshops. Implementation and clinical outcome measures were collected.</p><p><strong>Design: </strong>Implementation outcomes of acceptability, adoption, appropriateness, accessibility and fidelity were considered for the programme and CBTi intervention within it. Clinical outcomes for the CBTi intervention covered sleep, wellbeing and personal goals and were evaluated using a pre-post comparison within-subject design.</p><p><strong>Results: </strong>High levels of attendance and uptake were seen for CBTi training (210 therapeutic practitioners from 18 services) and workshops (270 attendees from 29 services). Five of the six core service areas trained were routinely offering the CBTi intervention. Significant improvements were seen across all clinical outcome measures (n = 83, p ≤ 0.001 to p ≤ 0.05) with moderate to large effect sizes observed across measures of sleep (d = 0.61-1.35), mental health (d = 0.57-1.26) and personal goals (d = 1.77).</p><p><strong>Conclusions: </strong>This centrally-funded, system-wide implementation programme shows significant promise as a means of improving sleep in young people with mental health difficulties. High uptake with encouraging clinical outcomes was seen across services. Further evaluation is required to establish sustainability and generalizability.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626581","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":"Intolerance of uncertainty causally affects indecisiveness","authors":"Helmut Appel,&nbsp;Alexander L. Gerlach","doi":"10.1111/bjc.12534","DOIUrl":"10.1111/bjc.12534","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Intolerance of uncertainty (IU) is characterized by a pervasive negative reaction to uncertainty. It is a transdiagnostic risk factor for various mental disorders. Since decisions often need to be made in the face of uncertainty, IU is associated with indecisiveness, a dispositional difficulty in making decisions. Indecisiveness is also linked to a range of mental disorders. While IU is seen as a causal factor in indecisiveness, experimental studies on this assumption are lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this pre-registered, adequately powered study (<i>N</i> = 301), IU was experimentally increased or decreased compared to a control group, and the effect on indecisiveness was observed. Indecisiveness was assessed in a situational context, focusing on two decisions that were personally relevant to participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The manipulation successfully affected IU. As predicted, increased IU led to more indecisiveness across both decisions compared to decreased IU. Exploratory analyses found that situational IU mediated the effect of the experimental manipulation on indecisiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results are the first to demonstrate a causal effect of IU on indecisiveness, thus contributing to the explanation of indecisiveness and the role that uncertainty management plays in it. Moreover, they have implications for treating various mental disorders by highlighting the role of IU in the transdiagnostic phenomenon of indecisiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"806-816"},"PeriodicalIF":3.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606748","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":"Fighting against self-stigma in adults with self-reported diagnosis of OCD: A single-arm pilot study using a mobile app-based intervention","authors":"S. Arnáez,&nbsp;M. Roncero,&nbsp;J. López-Santiago,&nbsp;G. del Valle,&nbsp;E. Cabedo,&nbsp;G. Bottesi,&nbsp;G. García-Soriano","doi":"10.1111/bjc.12537","DOIUrl":"10.1111/bjc.12537","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Obsessive-compulsive disorder (OCD) is a disabling disorder, and self-stigma negatively impacts quality of life, symptom severity and self-esteem. esTOCma is a smartphone-based serious game developed to increase knowledge about OCD and reduce stigma. It features 10 missions using psychoeducation, indirect contact and cognitive restructuring. Players help 10 characters escape the OCD stigma monster. Aims: To explore, in individuals with a self-reported diagnosis of OCD, the feasibility, acceptability and preliminary effectiveness of esTOCma to change self-stigma and knowledge about OCD, OC severity, guilt, quality of life and self-esteem.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A single-arm pilot study with 130 participants who completed esTOCma and pre-, post- and 3-month follow-up assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Half of participants spent 9–10-days playing with the app and most of them found it useful/very useful and easy to use. Self-stigma was associated with higher OC symptoms, guilt and lower quality of life, self-esteem and knowledge about OCD. After using the app, participants showed lower levels of self-stigma, OC symptoms and guilt, and higher levels of quality of life, self-esteem and knowledge about OCD. Changes were maintained or increased at a 3-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>esTOCma is a feasible and acceptable app that could help people with OCD to increase their knowledge and understanding of the disorder, dismiss self-stigma and OC symptoms, and at the same time increase self-esteem and quality of life. A replication of the study with a control sample is needed to validate our findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Tools like the esTOCma app, accessible 24/7, offer a means to tackle self-stigma detrimental effects.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"788-805"},"PeriodicalIF":3.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597853","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":"Emotion-related impulsivity factors and intolerance of uncertainty are uniquely associated with interpersonal-psychological risk factors for suicide","authors":"Amelia S. Dev,&nbsp;Theresa Davison,&nbsp;Hannah C. Broos,&nbsp;Sheri L. Johnson,&nbsp;Kiara R. Timpano","doi":"10.1111/bjc.12535","DOIUrl":"10.1111/bjc.12535","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The interpersonal-psychological theory of suicide identifies three risk factors for suicidal behaviours: perceived burdensomeness, thwarted belongingness, and acquired capability. We sought to clarify relationships between the interpersonal-psychological risk factors and two individual difference factors, emotion-related impulsivity (ERI) and intolerance of uncertainty (IU).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the current study, we analysed self-report scales from a large community sample (<i>N</i> = 169) that was oversampled for individuals with elevated suicidality. We considered two separate factors of ERI: Pervasive Influence of Feelings, which measures how much a person's emotions shape their worldview, and Feelings Trigger Action, which measures impulsive behavioural reactivity to emotions. We tested unique effects of ERI and IU and the interactions of ERI × IU on the three interpersonal-psychological risk factors using linear regression models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pervasive Influence of Feelings correlated with higher perceived burdensomeness and thwarted belongingness, whereas Feelings Trigger Action correlated with higher perceived burdensomeness and acquired capability. Within the regression models, IU correlated significantly with lower acquired capability but not perceived burdensomeness or thwarted belongingness. Interactions of ERI × IU were not significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These results demonstrate the importance of considering both factors of ERI in understanding the risk for suicide. Our results also provide novel evidence that while IU may not impact risk factors such as perceived burdensomeness and thwarted belongingness, higher levels of IU may serve as some protection against individuals' acquired capability for suicidal action. Limitations and implications of findings are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"773-787"},"PeriodicalIF":3.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524922","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":"Validation of a transdiagnostic measure of fears of recurrence and progression about mental health conditions","authors":"Daelin Coutts-Bain,&nbsp;Louise Sharpe,&nbsp;Caroline Hunt","doi":"10.1111/bjc.12536","DOIUrl":"10.1111/bjc.12536","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Online survey collected data at two time points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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 (<i>N</i> = 432) yielded a 10-item, single-factor structure that measures FORP severity. Confirmatory factor analysis on these items was conducted in the remaining sample (<i>N</i> = 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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"757-772"},"PeriodicalIF":3.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334983/pdf/","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":"OA","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,&nbsp;Chloe Chapman,&nbsp;Faith Orchard,&nbsp;Clare Dixon,&nbsp;Mary John","doi":"10.1111/bjc.12526","DOIUrl":"10.1111/bjc.12526","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of the paper was to describe referrals to a UK school-based mental health service for children and adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Children and young people (CYP) (<i>N</i> = 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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>p</i> = .003) and depression (<i>p</i> &lt; .001) than children of primary age. Females self-reported significantly higher levels of anxiety (<i>p</i> &lt; .001) and depression (<i>p</i> &lt; .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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"744-756"},"PeriodicalIF":3.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334979/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}