British Journal of Clinical Psychology最新文献

{"title":"Investigating the events that predispose vulnerable and feared self-concepts in obsessive-compulsive disorder: A qualitative analysis.","authors":"I Gomez, M Nedeljkovic, J Skues, N Acevedo, S F Wong","doi":"10.1111/bjc.70085","DOIUrl":"10.1111/bjc.70085","url":null,"abstract":"<p><strong>Objectives: </strong>The feared self-concept, the self that a person fears they may be or could become, has been increasingly shown to drive the development and maintenance of obsessive-compulsive disorder (OCD). It is proposed that the feared self develops from a vulnerable self-concept, which itself is a result of normative self-concept development being disrupted by negative early life experiences. However, it is currently unclear which experiences lead to the development of vulnerable self-concept in people with OCD. This study aimed to describe the events and life experiences that people with OCD report as influential in the development of their vulnerable and feared self-concepts.</p><p><strong>Methods: </strong>Sixteen participants with OCD participated in semi-structured interviews. Reflexive thematic analysis was used to analyse interview transcripts.</p><p><strong>Results: </strong>Traumatic experiences and rejection shaping self-concept were generated as major themes. Subthemes of traumatic experiences included early abuse informs the corrupted feared self, harassment fosters a feared self, and parental neglect informs the manifestation of the culpable feared self. Subthemes of rejection included interpersonal betrayal instigates self-doubt, not living up to parental expectations instigates self-doubt and parental neglect fosters vulnerable self-concept. These findings suggest that, for individuals with OCD, traumatic and rejection experiences were integrated into their self-concept resulting in its vulnerability and taking on feared aspects.</p><p><strong>Conclusions: </strong>These findings may be able to inform future research investigating prevention and treatment strategies that focus on the identification and treatment value of traumatic and rejection experiences.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726811","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,&nbsp;Vanessa V. Volpe,&nbsp;Traci N. Bethea,&nbsp;Lynn Rosenberg,&nbsp;Lee M. Ritterband,&nbsp;Eric S. Zhou","doi":"10.1111/bjc.12556","DOIUrl":"10.1111/bjc.12556","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Secondary analysis of a randomized clinical trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>p</i>s &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"878-890"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12556","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal role of sleep disturbance in mental health and functioning among adults with suicidal ideation","authors":"Aliza Werner-Seidler,&nbsp;Brittany Corkish,&nbsp;Monica Gendi,&nbsp;Louise M. Farrer,&nbsp;Alison L. Calear,&nbsp;Rohan Borschmann,&nbsp;Gaby Illingworth,&nbsp;Bridianne O'Dea,&nbsp;Philip J. Batterham","doi":"10.1111/bjc.70021","DOIUrl":"10.1111/bjc.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Treating sleep disturbance may lead to treatment or prevention effects for a range of mental health problems. However, limited research has examined the role of poor sleep in mental health among people experiencing suicidal distress. This study tested whether symptoms of sleep disturbance were prospectively associated with increased severity of depression symptoms, psychological distress, suicidal ideation (SI) and functional impairment in a large population-based sample of adults with suicidal ideation SI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The LifeTrack longitudinal study involves a cohort of Australian adults experiencing recent SI recruited from the general population. Symptoms of sleep disturbance (PROMIS-sleep disturbance) were reported at baseline. Complete baseline and 6-month follow-up data were provided by 776 (84%) participants, including symptoms of depression, psychological distress, SI severity and functional impairment, while 668 (72%) also completed 12-month assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In regression analyses, baseline sleep disturbance symptoms were significantly associated with depression, distress, and functioning at 6- and 12-months, accounting for baseline symptom severity, age, and gender. However, associations between baseline sleep disturbance and subsequent SI were observed only at 12 months. Gender and health-related variables significantly moderated the effects of sleep disturbance on functional impairment at 12 months but not 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sleep disturbance may play an important role in the maintenance of mental ill health among people experiencing suicidal distress, although effects on SI may be delayed. Most associations were not moderated by demographic or health factors. Findings suggest that treating sleep disturbance may lead to improved mental health among people with SI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"811-823"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490749","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":"Using sleep to enhance exposure treatment for anxious children: A pilot study","authors":"Ella L. Oar,&nbsp;Ronald M. Rapee,&nbsp;Cassie H. Lavell,&nbsp;Allison G. Harvey,&nbsp;Thomas H. Ollendick","doi":"10.1111/bjc.12550","DOIUrl":"10.1111/bjc.12550","url":null,"abstract":"<p><b>Objectives:</b> Exposure therapy is a well-established treatment for anxiety disorders in children; however, many young people do not fully respond to treatment. Advances in strategies to enhance extinction learning from exposure therapy are urgently needed. Emerging adult research suggests that sleep could be used to augment exposure therapy outcomes. To the best of our knowledge, the current study is the first published pilot evaluation of the potential benefits of sleep to enhance extinction learning in anxious children. <b>Methods:</b> Eighteen children aged 7–12 years (<i>M</i> = 9.11; 38.9% Male) with a primary diagnosis of an anxiety disorder were randomized to either a period of sleep immediately following a single session of exposure (SLEEP group), or a day of wakefulness following exposure (WAKE group). <b>Results:</b> Both groups improved on clinician-rated anxiety severity and children's danger severity expectancies from pre-treatment to post-treatment and 1-week follow-up. Child- and parent-rated target symptom fear ratings also improved from pre-treatment to 1-week follow-up. However, there was no evidence that children in the SLEEP group improved significantly more than the WAKE group. <b>Conclusions:</b> The current pilot study failed to demonstrate an augmentation effect of post-exposure sleep in children. Practical and methodological challenges are reported for consideration in future investigations.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"862-877"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12550","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041546","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":"Negative interpretation bias and repetitive negative thinking as mechanisms in the association between insomnia and depression in young adults","authors":"Isabel Clegg,&nbsp;Lies Notebaert,&nbsp;Amy Whittle-Herbert,&nbsp;Cele Richardson","doi":"10.1111/bjc.12529","DOIUrl":"10.1111/bjc.12529","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed questionnaire measures of insomnia symptoms, depression symptoms and RNT, an ambiguous scenarios task and a 1-week sleep diary.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"777-796"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","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":"Understanding excessive sleep in people with psychotic disorders","authors":"Kate Robbins,&nbsp;Joanne Hodgekins,&nbsp;Sarah Reeve","doi":"10.1111/bjc.12538","DOIUrl":"10.1111/bjc.12538","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Ten patients experiencing excessive sleep (defined as excessive daytime sleepiness &gt;3 days a week; extended sleep duration of &gt; 11 h in 24 h or &gt;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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"762-776"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12538","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":"OA","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,&nbsp;Lara J. Farrell,&nbsp;Caroline L. Donovan","doi":"10.1111/bjc.70001","DOIUrl":"10.1111/bjc.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with the CAU condition (<i>n</i> = 16), children whose parents participated in the LOV condition (<i>n</i> = 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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 \u0000 <p><b>Universal Trial Number</b> (UTN): U1111-1264-8191.</p>\u0000 \u0000 <p><b>Australian and New Zealand Clinical Trial Registry</b> (ANZCTR): 12621000466842 <i>retrospective</i>.</p>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"824-843"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70001","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":"OA","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,&nbsp;Steven Evans,&nbsp;Abreen Rebello,&nbsp;Tom Sharpe,&nbsp;Jummy Otaiku,&nbsp;Ellen Iredale,&nbsp;Thomas Kabir,&nbsp;Emma Černis,&nbsp;Daniel Freeman","doi":"10.1111/bjc.70002","DOIUrl":"10.1111/bjc.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A peer-methods qualitative study employing reflexive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"746-761"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.70002","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep dysfunction in social anxiety disorder","authors":"Roni Oren-Yagoda,&nbsp;Adi Tene,&nbsp;Idan M. Aderka","doi":"10.1111/bjc.12541","DOIUrl":"10.1111/bjc.12541","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Anxiety disorders frequently co-occur with sleep disturbances, and social anxiety disorder (SAD) is no exception (Journal of affective disorders, 2020, 260, 200).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings suggest that sleep could play an important role in the maintenance of social anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Sleep interventions targeting duration, quality, and time to fall asleep may be beneficial for improving SAD symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"797-810"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","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":"The importance of targeting sleep in the prevention and treatment of psychological disorders","authors":"Aliza Werner-Seidler,&nbsp;Faith Orchard","doi":"10.1111/bjc.70062","DOIUrl":"10.1111/bjc.70062","url":null,"abstract":"","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"741-745"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844498","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}