British Journal of Clinical Psychology最新文献

{"title":"Acceptance and commitment therapy combined with behavioural strategies and self-compassion versus cognitive behavioural therapy for insomnia: Feasibility, acceptability, and randomized pilot.","authors":"Mariana Miller-Mendes, Paula Castilho, Maria Inês Clara, Vanda Clemente, Ana Allen Gomes","doi":"10.1111/bjc.70077","DOIUrl":"https://doi.org/10.1111/bjc.70077","url":null,"abstract":"<p><strong>Objectives: </strong>This pilot randomized controlled trial (RCT) evaluated feasibility, acceptability, and preliminary clinical benefits of ACTCOM-I, a novel intervention combining Acceptance and Commitment Therapy with behavioural strategies and self-compassion, compared with CBT-I.</p><p><strong>Methods: </strong>An analytic sample of 19 participants (63% women; M = 43.26 years, SD = 12.77) with chronic insomnia was randomized to ACTCOM-I (n = 10) or CBT-I (n = 9). Assessments occurred at baseline (T0), post-treatment (T1), 3-months (T2) and 6-months (T3) follow-ups. Measures included insomnia severity, beliefs, pre-sleep arousal, sleep effort, sleep diary, anxiety/depression, affect, quality of life, mindfulness, psychological flexibility, cognitive fusion, progress/obstructions to valued living, and self-compassion.</p><p><strong>Results: </strong>Linear mixed models showed significant Time effects for insomnia severity (p < .001), with large within-group effect sizes maintained at follow-up. No significant between-group differences were found (p = .88), indicating similar improvement trajectories over time. Reliable change analysis (RCI) confirmed that 90% of ACTCOM-I and 89% of CBT-I participants achieved clinically significant improvements at post-treatment, with high response and remission rates. No participants deteriorated. Both interventions also led to comparable improvements in secondary sleep-related outcomes, anxiety/depression, and positive affect, while negative affect remained stable. Most process-related measures showed significant Time effects but no TimeXGroup interactions, further supporting similar patterns of change. Within-group analyses suggested greater improvements in psychological flexibility, cognitive fusion, obstructions to valued living and self-compassion in ACTCOM-I, particularly at follow-up. Despite high attrition, ACTCOM-I was feasible, well-accepted, and thematic analysis identified six overarching themes.</p><p><strong>Conclusions: </strong>Results suggest that ACTCOM-I is feasible, well-accepted, and preliminary findings support further studies on its potential as a complementary treatment to chronic insomnia.</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":"148303534","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":"Imagery rescripting for generalized anxiety disorder: A case series.","authors":"L Stavropoulos, A B Phipps, I Sabel, D D J Cooper, N Briggs, J M Newby, J R Grisham","doi":"10.1111/bjc.70073","DOIUrl":"10.1111/bjc.70073","url":null,"abstract":"<p><strong>Introduction: </strong>This is the first clinical pilot to explore the feasibility, acceptability and preliminary efficacy of imagery rescripting in individuals with a diagnosis of generalized anxiety disorder (GAD).</p><p><strong>Methods: </strong>Participants with GAD (N = 18) attended assessment and 10 weekly sessions of imagery rescripting with a psychologist in person or via Telehealth. The protocol was based on Arntz's phased protocol and common rescripting procedures with adaptations to target the future orientation of worry. Measures of trait worry and GAD symptoms were administered pre-baseline (before a two-week baseline monitoring period), pre-, mid- and post-treatment, and at 3-month follow-up.</p><p><strong>Results: </strong>As hypothesized, linear mixed models revealed large change over time between baseline and post-treatment on all measures (PSWQ: d = -1.18; GAD-7: d = -1.04; PHQ-9: d = -.79), and no significant change in these measures between baseline and pre-treatment. Results were maintained at follow-up. Change in PSWQ and GAD-7 scores were clinically and reliably significant for over half the sample (59% and 53%, respectively). On a measure of credibility of the intervention completed after the first session, participants reported a mean score of 36.34 (SD = 6.38) out of 45. On a measure of patient satisfaction post-treatment, participants reported a mean score of 8.94 (SD = 1.35) out of 12, indicating high credibility and satisfaction. No adverse experiences were reported.</p><p><strong>Conclusions: </strong>This pilot provides evidence that imagery rescripting is feasible and acceptable and improves symptoms of anxiety and worry in individuals with GAD. Future studies should evaluate the intervention in a randomized controlled trial.</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":"148303524","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 worry-related safety behaviours and avoidance.","authors":"Taylor Crawford, Christine Purdon","doi":"10.1111/bjc.70075","DOIUrl":"https://doi.org/10.1111/bjc.70075","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to examine the extent to which the primary mechanisms implicated in leading models of Generalized Anxiety Disorder (GAD) (i.e. cognitive avoidance, metacognitive beliefs and intolerance of uncertainty) uniquely predict reassurance seeking and other behaviours associated with worry (e.g. checking and avoidance). We hypothesized that each of these mechanisms would uniquely contribute to higher levels of reassurance seeking and other worry behaviours. We also hypothesized that all three mechanisms would interact to predict the highest levels of these behaviours.</p><p><strong>Methods: </strong>Undergraduate students (N = 204) who self-reported high levels of worry on the Penn State Worry Questionnaire were administered measures of cognitive mechanisms implicated in GAD (Cognitive Avoidance Questionnaire, Metacognitions Questionnaire, Intolerance of Uncertainty Scale), reassurance seeking (Covert and Overt Reassurance Seeking Inventory) and worry-related safety behaviours and avoidance (Worry Behaviours Inventory). Hypotheses were tested via multiple regression.</p><p><strong>Results: </strong>Consistent with the first hypothesis, cognitive avoidance and intolerance of uncertainty uniquely predicted reassurance seeking and worry behaviours; however, metacognitions significantly contributed to reassurance seeking only. Exploratory analyses using the Worry Behaviours Inventory subscales (avoidance vs. safety behaviours) as outcomes demonstrated that the effects of some mechanisms depended on the type of behavioural strategy. Contrary to the second hypothesis, there was no evidence of interactions among the predictors.</p><p><strong>Conclusions: </strong>All three of the main theorized mechanisms of GAD were sufficient to predict reassurance and at least one type of worry behaviour. Future directions and clinical implications that follow from the results are highlighted.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266645","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":"Physical long-term conditions and psychological treatment outcomes in NHS Talking Therapies: Prevalence, impact, and moderators.","authors":"Irini Laura Verbist, Ben Lorimer","doi":"10.1111/bjc.70040","DOIUrl":"10.1111/bjc.70040","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the impact of having one or multiple physical long-term conditions (LTCs) on treatment outcomes and engagement with NHS Talking Therapies (NHS-TT), focusing on clinical and treatment-related moderators.</p><p><strong>Methods: </strong>A retrospective cohort design was applied to routine data from 44,957 patients discharged from seven NHS-TT services in Northwest England between September 2021 and September 2024. Logistic regression analyses assessed the impact of LTC status (none, one or multiple LTCs) on reliable recovery-defined as clinically significant improvement in both depression and anxiety scores-and treatment engagement, operationalised as planned discharge versus dropout. Moderation analyses explored the influence of provisional diagnosis, baseline functional impairment, treatment intensity and mode of therapy delivery.</p><p><strong>Results: </strong>LTCs were reported by 47.5% of patients, with 9.4% reporting multiple LTCs. Patients with LTCs had lower odds of reliable recovery (OR = 0.83), with further reductions among those with multimorbidity (OR = 0.71). Conversely, LTC status was associated with higher odds of planned discharge (OR = 1.28). The negative association with reliable recovery was attenuated among patients with depression (OR = 1.21) but exacerbated for those with mixed anxiety and depression (OR = 0.71), who also had lower odds of planned discharge (OR = 0.66).</p><p><strong>Conclusion: </strong>Multimorbidity is associated with poorer clinical outcomes despite higher treatment engagement. Tailored care pathways are needed to better support patients with LTCs.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"606-624"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167401","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 hoarding behaviours in the context of homelessness.","authors":"Tiago C Zortea, Fiona Symington, Alasdair Churchard, Paul M Salkovskis","doi":"10.1111/bjc.70045","DOIUrl":"10.1111/bjc.70045","url":null,"abstract":"<p><strong>Objectives: </strong>To examine cognitive beliefs associated with hoarding in the context of homelessness, focusing on fear of future material deprivation, and to compare housing-related adversities across groups with hoarding difficulties, homelessness or both.</p><p><strong>Design: </strong>Cross-sectional, three-group comparative study.</p><p><strong>Methods: </strong>Adults in the UK/Ireland were recruited between July 2023 and April 2024 through third-sector and clinical partners via online, postal and in-person routes. Participants were grouped as hoarding difficulties with homelessness in the past 10 years (H&H; n = 47), hoarding difficulties without homelessness (HD; n = 43) and homelessness without hoarding difficulties (HM; n = 39). Hoarding difficulties were identified by professional referral and eligibility screening, mapping onto DSM-5 criteria (self-report endorsement of all criteria). Primary outcomes were Beliefs About Hoarding Questionnaire-Revised (BAH) subscales (fear of material deprivation, harm avoidance, attachment disturbance). Secondary outcomes included negative housing experiences, hoarding severity (SI-R), depression (PHQ-8), anxiety (GAD-7), functioning (WSAS) and early material deprivation (EEMD). Mixed-model ANOVA tested group differences in BAH subscales, and Kruskal-Wallis tested housing experiences.</p><p><strong>Results: </strong>A significant group-by-belief interaction emerged. Fear of material deprivation and attachment disturbance were higher in H&H and HD than in HM. Harm avoidance was highest in H&H. H&H reported more negative housing experiences than HD and did not differ from HM (H&H ≈ HM > HD). Exploratory analyses showed higher depression, anxiety and impairment in H&H. HD showed the greatest hoarding severity (SI-R total, clutter, discarding), whereas excessive acquisition was similar in H&H and HD.</p><p><strong>Conclusions: </strong>Hoarding difficulties in homelessness contexts appear embedded in cumulative psychosocial vulnerability rather than explained by deprivation alone. Harm avoidance may be particularly salient when hoarding co-occurs with homelessness, suggesting potential targets for formulation and intervention in homelessness services.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"720-739"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147474851","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":"Was that really me? Relationships between memory and sense of self in people with maladaptive daydreaming.","authors":"Ori Meidan, Nirit Soffer-Dudek","doi":"10.1111/bjc.70044","DOIUrl":"10.1111/bjc.70044","url":null,"abstract":"<p><strong>Objectives: </strong>A cohesive sense of self depends on intact autobiographical memory, both of which are impaired in dissociative disorders. Maladaptive daydreaming (MD), a recently proposed dissociative condition, involves excessive immersion in fantastical inner worlds, often at the expense of real-life engagement, leading to distress and functional impairment. The present study aimed to examine whether maladaptive daydreamers' persistent focus on imagined events and an idealized self, alongside reduced attention to real experiences, may create confusion, impair memory, and ultimately disrupt self-coherence.</p><p><strong>Method: </strong>N = 191 adults (88 with MD, 74% female, M_age = 28.92, SD_age = 10.86; 103 controls, 75% female, M_age = 30.06, SD_age = 10.90) completed objective memory tasks (Autobiographical memory test; Reality monitoring test), and questionnaires (Dissociative experiences scale, childhood trauma questionnaire, maladaptive daydreaming scale, self-concept clarity, and a newly developed confabulation experiences questionnaire).</p><p><strong>Results: </strong>As predicted, autobiographical memory in MD was impaired (MD = 6.48 [2.93], Control = 7.46[2.65], t (189) = -2.41, p < .05, d = -.35), more confabulation experiences were reported (MD = 16.63[12.69], Control = 11.94[10.23], t (189) = 2.78, p < .01, d = .40) and self-concept was less coherent (MD = 29.14[8.60], Control = 35.89[10.18], t (189) = -4.87, p < .001, d = -.71). Memory deficits mediated the MD-self-concept relationship, but only through commission, rather than omission, errors.</p><p><strong>Conclusion: </strong>In sum, compulsive-immersive daydreaming is related to forgetting and confabulation, which may disrupt one's sense of identity. These findings support the view of MD as a dissociative condition marked by a fragmented self-concept.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"671-688"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277527","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":"Predictors of depressive symptoms and depression in women with previous pregnancy loss.","authors":"Sarah M Quaatz, Roland Mergl, Franziska Bichlmayer, Helena Hoffmann, Kathryn Eichhorn, Antje-Kathrin Allgaier, Svenja Hoffmann","doi":"10.1111/bjc.70032","DOIUrl":"10.1111/bjc.70032","url":null,"abstract":"<p><strong>Objectives: </strong>Depressive symptoms are common in females after pregnancy loss. However, research on risk factors for developing a clinical depressive episode remains limited and with inconsistent findings. This study examined the association of demographic variables (like age), pregnancy-related factors (like number of miscarriages or stillbirths), clinical factors (like medical explanation for the pregnancy loss) and neuroticism (as a well-known risk factor for internalizing disorders) with a current major depressive episode and depression severity in 172 women with miscarriage or stillbirth within the previous year.</p><p><strong>Design: </strong>Case-control study.</p><p><strong>Methods: </strong>Measures included the semi-structured diagnostic interview DIPS, the State-Trait Anxiety-Depression Inventory (STADI), the Short Version of the Big-Five Inventory (BFI-K). To identify predictors of depression, linear and logistic regression analyses were conducted.</p><p><strong>Results: </strong>Lower medical support (p = .041), higher stress immediately after the pregnancy loss (p = .027) and higher neuroticism scores (p = .008) were significant predictors of a current major depressive episode in woman with pregnancy loss. Incoherent farewell (p = .043), a history of psychotherapy or psychiatric treatment in the last year (p = .016) and higher neuroticism scores (p < .001) were significantly associated with higher severity of depressive symptoms.</p><p><strong>Conclusions: </strong>Methodological strengths of our study include a well-validated clinical interview and the investigation of the whole spectrum of gestation age at the time of pregnancy loss. Longitudinal studies should be used to replicate our findings. The knowledge of significant predictors is relevant for the identification of high-risk groups for depression among women with pregnancy loss.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"420-438"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851165","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":"Implementing the Accessible Depression and Anxiety Psychological Therapies for Long Term Conditions (ADAPT-LTC) programme in Scotland: An open pilot trial.","authors":"Vilas Sawrikar, Leeanne Nicklas","doi":"10.1111/bjc.70024","DOIUrl":"10.1111/bjc.70024","url":null,"abstract":"<p><strong>Background: </strong>While the National Health Service (NHS) in the United Kingdom (UK) is increasing provisions for psychological interventions in primary care for patients with long-term conditions (LTCs), there is limited knowledge of effective implementation. This study reports on outcomes of an open pilot trial implementing the Accessible Depression and Anxiety Psychological Therapies for Long Term Conditions (ADAPT-LTC) programme in Scottish primary care services.</p><p><strong>Methods: </strong>This study entails a pragmatic, real-world implementation evaluation of ADAPT-LTC in primary care using data collected from routine outcome monitoring. Analysis focused on implementation (feasibility, suitability), service (clinical outcomes) and client (care experiences and satisfaction) outcomes. Rates of recovery, reliable improvement, reliable recovery and reliable deterioration were used as indicators of clinical outcomes.</p><p><strong>Results: </strong>Approximately half of referred patients progressed to treatment. Patient engagement in treatment was split into groups of patients who attended few treatment sessions (approximately <4 sessions) or patients who accessed 6-8 sessions or more. Among patients who participated in treatment, CBT was associated with large pre- to post-treatment effects in reducing depression, anxiety, and functional impairment, with 35%-40% of patients no longer meeting criteria for psychiatric diagnosis and 60% reporting clinically reliable improvements. Patients reported positive care experiences and satisfaction.</p><p><strong>Conclusion: </strong>Delivering brief psychological intervention in primary care was effective for most patients with LTCs. However, a subgroup of patients did not start treatment or struggled to attend treatment suggesting the programme may not be suitable for all patients. Methods for enhancing engagement and implementation of ADAPT-LTC are discussed.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"588-605"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100796","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":"Occurrence, nature, impact and possible causal mechanisms of hallucinations across sensory modalities in people with an ultra-high risk of psychosis.","authors":"Robert Dudley, Lucy Patterson, Charles Fernyhough, Jahnese Hamilton, Christopher Gibbs, Nicola A Barclay, Jennifer Simpson, Guy Dodgson","doi":"10.1111/bjc.70025","DOIUrl":"10.1111/bjc.70025","url":null,"abstract":"<p><strong>Objectives: </strong>Studies of unusual sensory experiences, like hallucinations, in people at risk of psychosis usually focus on auditory experiences. This study explored how common experiences across a range of sensory modalities were in people at an ultra-high risk of developing psychosis. Particular attention was paid to the number of modalities reported and their impact. It was hypothesised that people reporting a greater number of modalities of hallucinations would report greater levels of general distress, more delusional ideation, lower emotional well-being and poorer functioning. In addition, the contribution of sleep problems and post traumatic stress disorder (PTSD) symptoms in the reporting of hallucinations in different modalities was explored.</p><p><strong>Design: </strong>A single-group cross-sectional design was used.</p><p><strong>Methods: </strong>People at an ultra-high risk of developing psychosis completed measures of hallucinations, delusions, general distress, functioning, emotional well-being, trauma and sleep.</p><p><strong>Results: </strong>Nearly all participants reported hallucinations in the auditory domain. They also reported a range of other unusual sensory experiences, with visual and somatic/tactile hallucinations being reported by over half. Single sensory experiences or unimodal hallucinations were less common than hallucinations in two or more modalities, which were reported by 88% of the participants. The number of modalities of hallucinations was significantly associated with greater general distress, delusional ideation, reduced emotional well-being and to some extent functioning. PTSD and sleep were identified as potential causal factors for hallucinations across modalities.</p><p><strong>Conclusions: </strong>Psychological therapies need to account for these experiences and could feasibly target them with treatments that focus on sleep or trauma.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"551-567"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031350","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":"Relationships between attachment insecurity, beliefs about the self and others, paranoia, and social functioning across the psychosis continuum.","authors":"Pilar de-la-Higuera-Gonzalez, Carsten Allefeld, Alejandro de-la-Torre-Luque, Ana Isabel Guillén, Marina Díaz-Marsá, Anne-Kathrin Fett","doi":"10.1111/bjc.70027","DOIUrl":"10.1111/bjc.70027","url":null,"abstract":"<p><strong>Objectives: </strong>Self-beliefs and other-regarding beliefs are related to attachment experiences and may contribute to paranoid beliefs and social functioning difficulties in psychosis. However, their relationships have not been examined jointly from an ecological perspective, while considering different degrees of psychosis risk.</p><p><strong>Design: </strong>Relationships between avoidant and anxious attachment, self-beliefs and other-regarding beliefs, paranoia, and social functioning in daily-life were examined across the psychosis continuum of familial risk.</p><p><strong>Methods: </strong>The sample comprised 29 patients with non-affective psychotic disorders (M_age = 39.07, SD = 9.91, 20.68% female), 17 first-degree relatives (M_age = 37.36, SD = 13.86, 64.71% female) and 26 controls (M_age = 36.15, SD = 8.1, 34.6% female). Avoidant and anxious attachment were assessed with the Psychosis Attachment Measure. Self-beliefs, beliefs about others, paranoia, and time spent alone were assessed for one week in participants' daily lives using the Experience Sampling Method. Multilevel models were used to investigate cross-sectional and temporal relationships between the variables.</p><p><strong>Results: </strong>Less positive self-beliefs and beliefs about others were related to paranoia, but only self-beliefs mediated the association between attachment insecurity and paranoia. People who were alone more frequently held less positive self-beliefs and beliefs about others, and being alone at a specific point in time was related to less positive self-beliefs. Attachment insecurity was unrelated to the amount of time spent alone.</p><p><strong>Conclusions: </strong>Less positive self-beliefs and beliefs about others were related to higher paranoia levels and fewer social interactions in daily-life. These associations were present in all groups, supporting their utility as cognitive treatment targets in diverse therapeutic contexts.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"530-550"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020207","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}