British Journal of Clinical Psychology最新文献

{"title":"Improving access to help with poor sleep across youth mental health services: Interim implementation and clinical outcomes","authors":"Rebecca Rollinson,&nbsp;Ben Ewing,&nbsp;Sarah Reeve,&nbsp;Adam Graham,&nbsp;Jonathan Lyons,&nbsp;Brioney Gee,&nbsp;Jonathon Wilson,&nbsp;Ioana Tofan,&nbsp;Kelly Semper,&nbsp;Tim Clarke","doi":"10.1111/bjc.12531","DOIUrl":"10.1111/bjc.12531","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>n</i> = 83, <i>p</i> ≤ 0.001 to <i>p</i> ≤ 0.05) with moderate to large effect sizes observed across measures of sleep (<i>d</i> = 0.61–1.35), mental health (<i>d</i> = 0.57–1.26) and personal goals (<i>d</i> = 1.77).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 3","pages":"844-861"},"PeriodicalIF":2.3,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12531","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What works best? A meta-analysis exploring the efficacy of different types of cognitive behaviour therapy for generalized anxiety disorder.","authors":"Casandra Borthwick, Alice Norton, Vesna Trenoska Basile, Bethany Wootton","doi":"10.1111/bjc.70089","DOIUrl":"https://doi.org/10.1111/bjc.70089","url":null,"abstract":"<p><strong>Objectives: </strong>Generalized anxiety disorder (GAD) is a common and debilitating anxiety disorder. Currently, several cognitive and/or behavioural models propose mechanisms that perpetuate GAD symptoms, but little is known about which model (and associated treatment) results in the best treatment outcomes. The aim of this study was to examine this research question using a meta-analytic approach.</p><p><strong>Methods: </strong>Twenty-six studies (with 34 comparisons) were included in the meta-analysis covering six theoretical models. Within-group effect sizes were calculated using random effects models. Planned moderator analyses were conducted to determine whether there were any significant differences between models.</p><p><strong>Results: </strong>The pooled within-group effect size was large across all treatment groups from pre-treatment to post-treatment (g = 1.591; 95% CI: 1.408-1.774); however, the treatment model used did moderate outcome (p = 0.002). A significant difference was found between the avoidance model of worry (AMW) and the meta-cognitive model (MCM) (p = 0.009), as well as the AMW and the intolerance of uncertainty model (IUM) (p < 0.001). There was no significant difference between the MCM and IUM. The within-group effect size from pre-treatment to follow-up remained large across all studies (g = 1.478; 95% CI: 1.307-1.649), and the treatment model used did not moderate outcomes at follow-up (p = 0.147).</p><p><strong>Conclusions: </strong>These findings demonstrate that while the short-term treatments used in the MCM and IUM may be more effective than the AMW, there are no significant differences in long-term outcomes. Therefore, any of the treatment approaches associated with the common GAD models are suitable for treating patients with GAD.</p><p><strong>Registration: </strong>The study was registered with the Prospero International prospective register of systematic reviews (PROSPERO) registration no. CRD42024595891.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622031","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":"Theory of mind, empathy and alexithymia in children of mothers with bipolar I disorder: A family-contextual perspective.","authors":"Hande Kırışman Keleş, Yasin Çalışkan, Abas Haşimoğlu, Hülya Binokay","doi":"10.1111/bjc.70088","DOIUrl":"https://doi.org/10.1111/bjc.70088","url":null,"abstract":"<p><strong>Background: </strong>Bipolar I disorder (BD-I) is associated with persistent social-cognitive and emotional impairments; however, little is known about affective theory of mind (ToM), empathy, alexithymia and perceived family functioning in the children of mothers with BD-I.</p><p><strong>Methods: </strong>In this case-control study, 80 mothers (40 BD-I, 40 healthy controls; HC) and their children (12-18 years; 40 children of BD-I mothers and 40 children of HC mothers) were assessed. Maternal diagnoses and euthymic status were confirmed using DSM-5-based clinical interviews and standardized mood rating scales. Children completed self-report and performance-based measures assessing affective ToM, empathy, alexithymia, psychiatric symptoms and perceived family functioning, while mothers were assessed for affective ToM. Sensitivity analyses adjusted for child symptoms, alongside exploratory moderation and mediation analyses.</p><p><strong>Results: </strong>Mothers with BD-I and their children showed lower affective ToM than HC. In unadjusted analyses, children of mothers with BD-I also showed lower emotional empathy, greater difficulty identifying feelings and poorer perceived family functioning. After adjustment for child symptom burden, affective ToM and emotional empathy remained significant, whereas alexithymia-related differences were attenuated and family-functioning differences persisted only in selected domains. Secondary exploratory analyses indicated that family integrity was related to variation in selected outcomes, while mediation findings were limited.</p><p><strong>Conclusions: </strong>Children of mothers with BD-I appear to show a selective affective-social vulnerability profile, particularly lower affective ToM and reduced emotional empathy; assessment of selected affective-social domains may therefore help guide early preventive support for high-risk youth. Exploratory mediation findings should be interpreted cautiously and require replication in longitudinal, multi-informant studies.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622005","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":"Change to the recognition and revision of target problems and target problem procedures during eight-session cognitive analytic therapy for self-harm.","authors":"Chris Gaskell, Peter Taylor, Zerena Airnes, Stephen Kellett","doi":"10.1111/bjc.70083","DOIUrl":"https://doi.org/10.1111/bjc.70083","url":null,"abstract":"<p><strong>Objectives: </strong>Defining target problems (TPs) and associated target problem procedures (TPPs) is a key competency of cognitive analytic therapy (CAT). This study sought to categorize types of TPPs identified, assess the acceptability of TP/TPP sessional tracking, assess whether changes in TP/TPP recognition and revision occurred and also whether change in TP/TPPs predicted severity of self-injury urges and psychological distress.</p><p><strong>Methods: </strong>As part of the RELATE clinical trial, N = 31 participants were allocated to eight-session CAT. TPs/TPPs were rated for recognition and revision at every session in a nested ABC plus follow-up single case design. The competency of therapists was assessed. TPPs were coded as to whether they were a snag, trap of a dilemma. Linear mixed-effects models tested whether TP/TPPs changed over time and according to phase of CAT. Change in TPs/TPPs were used to predict self-injury urges and psychological distress (i.e., research follow-up measures taken by blinded researchers).</p><p><strong>Results: </strong>There was strong interrater agreement on whether the TPP was a snag, trap or dilemma. The sessional rating of TPs/TPPs appeared acceptable, as during 97.68% of treatment sessions and 82.60% of follow-up sessions, tracking occurred. Compared to the reformulation phase, awareness and then therapeutic change of TPs/TPPs significantly increased during the recognition and revision phases. Recognition and revision of TPs/TPPs during CAT in the revision phase did not predict self-injury urges and psychological distress at research follow-up.</p><p><strong>Conclusion: </strong>Early definition and sessional tracking of TPs/TPPs appear acceptable and changes to awareness and ability to change TPs/TPPs appears linear. CAT therapists should routinely integrate sessional tracking of TP/TPPs into their work.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585783","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":"Beyond symptom reduction: The longitudinal relationship between eating disorder symptoms and mental wellbeing in young women.","authors":"Katharine Scutt, Elizabeth Rieger, Kathina Ali, Conal Monaghan","doi":"10.1111/bjc.70082","DOIUrl":"https://doi.org/10.1111/bjc.70082","url":null,"abstract":"<p><strong>Background: </strong>Eating disorder (ED) symptoms and mental wellbeing are related but distinct dimensions of mental health. However, little is known about their longitudinal relationship, which is essential for understanding prevention and intervention targets. This study examined temporal relationships between ED symptoms and mental wellbeing over 12 months in young women, including which wellbeing dimensions (psychological, emotional, social) most strongly predicted ED symptoms.</p><p><strong>Design and methods: </strong>Young women (n = 552) completed measures of ED symptoms and mental wellbeing at three timepoints over 12 months. Latent growth curve and cross-lagged panel models examined change trajectories and temporal dynamics.</p><p><strong>Results: </strong>ED symptoms and mental wellbeing showed moderate baseline correlation (16% shared variance) with 86% of change trajectories operating independently. Cross-lagged analyses revealed asymmetric bidirectional relationships: ED symptoms predicted wellbeing (T1 → T2: β = -.10, p = .039), then wellbeing predicted ED symptoms (T2 → T3: β = -.14, p = .001). Only psychological wellbeing showed bidirectional relationships with ED symptoms.</p><p><strong>Conclusions: </strong>In young women, ED symptoms predicted subsequent reductions in mental wellbeing, which in turn predicted later symptom worsening. Mental wellbeing, particularly psychological wellbeing, may therefore contribute to symptom persistence if depleted. The findings suggest that mental wellbeing and its relationship to ED symptoms may warrant consideration alongside symptom reduction in research and intervention contexts.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537165","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":"Predictors of treatment outcome for internet-delivered cognitive-behavioural therapy for individuals with obsessive-compulsive disorder: A systematic review.","authors":"Jun Hong Lee, Bethany M Wootton","doi":"10.1111/bjc.70080","DOIUrl":"https://doi.org/10.1111/bjc.70080","url":null,"abstract":"<p><strong>Objectives: </strong>Internet-delivered cognitive-behavioural therapy (ICBT) is demonstrated to be an effective treatment for obsessive-compulsive disorder (OCD). However, not all individuals who commence ICBT respond well to treatment and thus understanding predictors of outcome is crucial for informing best-practice treatment planning. The aim of this study was to provide a preliminary synthesis of predictors of treatment outcomes of ICBT for OCD.</p><p><strong>Methods: </strong>Eight studies (n = 1010; mean age range 30.05-37.08 years; 54.0%-78.3% female) were included in this review. Predictors of 1) post-treatment severity, 2) post-treatment change score and 3) post-treatment remission were examined.</p><p><strong>Results: </strong>Based on the available data, significant predictors of post-treatment severity included age, baseline OCD severity, baseline responsibility/checking symptoms, baseline ordering/symmetry symptoms, baseline avoidance, working alliance, past psychological treatment, disgust severity and change in depressive symptoms. For post-treatment change score, significant predictors were baseline OCD severity, motivation to reduce avoidance, baseline incompleteness, working alliance, engagement with a clinician, baseline depression severity, pharmacotherapy use and disgust severity. Finally, for responder status, significant predictors included age, motivation to reduce compulsions, engagement with a clinician and past psychological treatment.</p><p><strong>Conclusions: </strong>While preliminary, these findings contribute to the emerging literature on predictors of ICBT treatment outcomes for individuals with OCD. However, given the limited literature, future research is necessary to replicate and build on these findings.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537115","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":"Associations between parental bonding and subjective and objective cognition in community-dwelling older adults.","authors":"Elodie Pongan, Caroline Vandeleur, Marie-Pierre F Strippoli, Jean-Michel Dorey, Adrien Lorette, Leonardo Zullo, Bernard Laurent, Setareh Ranjbar, Martin Preisig, Armin von Gunten, Isabelle Rouch","doi":"10.1111/bjc.70084","DOIUrl":"https://doi.org/10.1111/bjc.70084","url":null,"abstract":"<p><strong>Background: </strong>Although vulnerability factors for cognitive impairment in older adults are well established, the influence of early psychological factors, such as the quality of parental bonds in early childhood, on later-life cognitive performance has been little studied. This study assessed the associations of the quality of perceived maternal and paternal bonding elicited at baseline with subsequent cognitive complaints and objective cognitive performance in older adults after adjustment for sociodemographic characteristics, anxiety or major depressive disorders, and personality traits.</p><p><strong>Methods: </strong>For this prospective analysis we used data from 943 participants of the population-based CoLaus|PsyCoLaus cohort who had completed the Parental Bonding Instrument (PBI) at baseline, and who participated in the first psychiatric evaluation after the age of 65 years involving the completion of a cognitive complaint questionnaire and an objective cognitive exam. Linear regression models were applied to assess the associations of parental bonding quality categories according to the combination of the three dichotomized PBI dimensions with the presence of reported cognitive complaints and measured cognitive performance.</p><p><strong>Results: </strong>Individuals who rated their maternal bonding as least appropriate, characterized by low care, high denial of autonomy and low encouragement of behavioural freedom, reported cognitive complaints more frequently than those who had rated their maternal bonding as most adequate after multiple adjustments. Such an association was not found with respect to paternal bonding. Moreover, parental bonding was not associated with objective cognitive performance.</p><p><strong>Conclusion: </strong>Perceived maternal bonding may influence perceived cognitive abilities later in life, but not objective cognitive performance.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473361","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 parental health literacy in paediatric ADHD treatment: An observational study from Türkiye.","authors":"Hande Sirin, Mehmet Erdem Uzun, Hakan Demirci, Yekta Kosan","doi":"10.1111/bjc.70081","DOIUrl":"https://doi.org/10.1111/bjc.70081","url":null,"abstract":"<p><strong>Objectives: </strong>Parental health literacy is an important issue in paediatric chronic disease, but its role in attention deficit hyperactivity disorder (ADHD) treatment remains underexplored. This study aimed to investigate health literacy levels among parents of children diagnosed with ADHD and to evaluate the relationships between these levels, parents' decisions to accept or refuse pharmacotherapy for their children's ADHD treatment, and their children's ADHD symptoms.</p><p><strong>Design: </strong>A total of 133 children with ADHD and their parents (mothers and fathers) participated in this single-centre observational study. Participants were divided into two groups: Group 1 (n = 68): parents who accepted pharmacotherapy and their children who started treatment; Group 2 (n = 65): parents who refused pharmacotherapy and their children who did not start treatment.</p><p><strong>Methods: </strong>Parental health literacy was assessed using the European Health Literacy Survey Questionnaire (HLS-EU-Q), and ADHD children's clinical characteristics were evaluated using the Conners' Parent Rating Scale-Revised/Long (CPRS-R/L) and the Clinical Global Impression (CGI) Scale.</p><p><strong>Results: </strong>Both groups had similar sociodemographic characteristics and maternal and paternal health literacy levels. In Group 1, positive correlations were found between maternal and paternal health literacy indices, as well as between CGI-I and many subscales of the CPRS-R/L (change scores = post-treatment-pre-treatment). Additionally, in Group 1, relationships were identified between maternal and paternal health literacy indices and many subscales of the CPRS-R/L (pre-treatment/post-treatment/change scores), but no relationships were found between these indices and CGI-I scores.</p><p><strong>Conclusions: </strong>These findings may suggest that assessing parental health literacy and promoting interventions to improve it could be helpful in the management of paediatric ADHD treatment.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review and thematic synthesis of qualitative literature on the experiences of alliance ruptures within psychotherapy.","authors":"Elin Margetts, Anam Elahi, Jenny Bowe","doi":"10.1111/bjc.70079","DOIUrl":"10.1111/bjc.70079","url":null,"abstract":"<p><strong>Objective: </strong>The therapeutic alliance is an important part of psychotherapy, with a breakdown in the alliance negatively impacting therapy outcomes. This review aimed to synthesize qualitative studies exploring both therapist and client lived experiences of alliance ruptures in therapy.</p><p><strong>Methods: </strong>Four databases (MEDLINE, CINAHL, APA PsycInfo, Web of Science) were systematically searched for relevant studies. Qualitative, peer-reviewed studies written in English were included. Findings of the included studies were synthesized using Thematic Synthesis. GRADE-CERQual was used to assess confidence in the findings.</p><p><strong>Results: </strong>Ten studies were included in the synthesis and assessed using the Critical Appraisal Skills Programme. Thematic Synthesis resulted in three themes: (1) Experiencing ruptures as threats to relational safety, trust and hope; (2) Making sense of ruptures; and (3) Rupture repair as strengthening the alliance and developing a shared understanding.</p><p><strong>Conclusion: </strong>Findings highlighted that ruptures are experienced by both therapists' and clients' as embodied, emotionally charged threats to relational safety, trust and hope for therapy. It was also seen as important for therapists to regulate their own emotions and maintain reflexive capacity. Overall, it was found that rupture and repair can result in therapeutic change.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370261","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":"Resilience as a moderator of the association between emotion regulation difficulties and depressive symptoms in late adolescence and young adulthood.","authors":"Kaitlynn E Ellis, Gabrielle E Reimann, Camille Archer, E Leighton Durham, Hee Jung Jeong, Amar Camara, Antonia N Kaczkurkin","doi":"10.1111/bjc.70078","DOIUrl":"https://doi.org/10.1111/bjc.70078","url":null,"abstract":"<p><strong>Objectives: </strong>Difficulties in emotion regulation are well-established correlates of depressive symptoms, yet the role of resilience in these associations remains unclear. This study examined whether the relationship between emotion regulation and depressive symptoms differs across levels of resilience and whether this pattern varies across specific domains of emotion regulation.</p><p><strong>Design: </strong>Cross-sectional study examining interactions between emotion regulation and resilience in relation to depressive symptoms during late adolescence and young adulthood.</p><p><strong>Methods: </strong>2155 individuals (ages 17-23) completed measures of emotion regulation, resilience and depressive symptoms. The Difficulties in Emotion Regulation Scale (DERS-SF) and the Emotion Regulation Questionnaire (ERQ) were used to assess multiple domains of emotion regulation. Models controlled for age, sex and shared variance across emotion regulation constructs, with correction for multiple comparisons.</p><p><strong>Results: </strong>Resilience was associated with differences in the strength of the relationship between emotion regulation and depressive symptoms. Across all DERS-SF subscales and the total DERS-SF score, the association between emotion regulation difficulties and depressive symptoms was stronger at lower levels of resilience. A similar pattern was observed for cognitive reappraisal, whereas expressive suppression did not show a significant interaction. Interaction effects across DERS-SF domains were similar in magnitude, while cognitive reappraisal showed the strongest association.</p><p><strong>Conclusions: </strong>Findings indicate that the association between emotion regulation and depressive symptoms varies across levels of resilience. These results highlight the importance of considering both general emotion regulation difficulties and broader adaptive capacities when examining variability in depressive symptoms during late adolescence and young adulthood.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303566","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}