British Journal of Clinical Psychology最新文献

{"title":"Safety planning interventions to address suicidality in adults: A systematic review of the methodological characteristics of safety planning effectiveness research.","authors":"Emma Rainbow, Amy Russell, Ruth Melia","doi":"10.1111/bjc.70030","DOIUrl":"10.1111/bjc.70030","url":null,"abstract":"<p><strong>Objective: </strong>This review aimed to synthesize and critically examine the methodological characteristics of research on Safety Planning Intervention (SPI) effectiveness for adults experiencing suicidality.</p><p><strong>Method: </strong>Six databases were systematically searched for studies examining the efficacy/effectiveness of SPIs in adults, following PRISMA guidelines (Cochrane Trials, PubMed, Embase, PsycINFO, Web of Science, Medline). Search terms included terms related to suicidality and self-harm, and safety planning and crisis interventions. Screening was completed independently by two researchers. Study Design, Participants, Study Settings, Types of Safety Planning Interventions, Modalities of Intervention Delivery, Recruitment Methods, Monitoring Periods, Outcomes and Measures used, Results Reported and Guiding Theories were extracted.</p><p><strong>Results: </strong>Twenty articles were eligible for inclusion. Participants were predominantly veterans (n = 7) and emergency department patients (n = 4). Ten studies used a randomized controlled design, and seven were quasi-experimental. Studies took place in hospital settings (n = 8), mental health crisis care facilities (n = 2), refugee camps (n = 1) and online (n = 4). Interventions included SPI alone, SPI with structured follow-up, or SPI combined with other interventions. Suicide-specific outcomes included suicidal ideation, suicidal behaviour, suicide-related coping and hospitalization/service use. Three studies referenced guiding theories. There was heterogeneity in outcomes studied and measures used. Results reported generally supported the effectiveness of SPI in reducing suicidal ideation and behaviours, reducing hospitalization and increasing outpatient treatment engagement.</p><p><strong>Conclusions: </strong>Studies varied in intervention setting, intervention procedures and modalities, outcomes assessed and measures used. There was a lack of theory-driven research and research targeting at-risk groups.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"401-419"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805665","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":"Inter-rater reliability of the Team Formulation Quality Rating Scale (TFQS) in inpatient mental health teams.","authors":"Joshua Eli Thompson, Gillian Haddock, Georgia Penn, Katherine Berry","doi":"10.1111/bjc.70028","DOIUrl":"10.1111/bjc.70028","url":null,"abstract":"<p><strong>Objectives: </strong>Team formulation is associated with better working relationships between staff and service users. However, there is a need for greater standardization of practice. We aimed to investigate the inter-rater reliability of the Team Formulation Quality Rating Scale (TFQS) and explore what aspects of team formulation practices were most frequently adhered to.</p><p><strong>Method: </strong>Staff at nine acute mental health wards participated in team formulation sessions facilitated by Health Care Professions Council registered psychologists. Formulation sessions were audio recorded, and raters used recordings to complete the TFQS. At least two raters rated 19 team formulation sessions.</p><p><strong>Results: </strong>The TFQS demonstrated excellent inter-reliability for the total scale (ICC = .926, 95% CI = .820 to .971) and moderate inter-rater reliability for subsection A (ICC = .660; 95% CI = .278 to .862) and subsection B (ICC = .733; 95% CI = .361 to .898). Overall, the items for 'collaboration' and 'consideration of life events' were rated better in terms of quality, compared with items relating to 'close of meeting' and 'consideration of goals and values' which tended to receive lower quality ratings.</p><p><strong>Conclusion: </strong>The TFQS is a reliable tool for measuring quality of team formulation within inpatient settings and should be used in future research and clinical practice. Psychometric properties should be assessed across different clinical settings. Training and supervision should ensure that psychologists' formulations incorporate a focus on the individual's goals and values impacting problem development and resolution.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"439-450"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892694","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":"Changes to core beliefs, shame and self-compassion in cognitive behavioural therapy and imagery rescripting for social anxiety disorder.","authors":"Halaina R Winter, Alice R Norton, Bethany M Wootton","doi":"10.1111/bjc.70029","DOIUrl":"10.1111/bjc.70029","url":null,"abstract":"<p><strong>Objectives: </strong>Maladaptive core beliefs, shame and low self-compassion are found to be highly correlated with social anxiety disorder (SAD).</p><p><strong>Design: </strong>The present study is a post-hoc exploratory study examining the efficacy of cognitive behaviour therapy (CBT) and imagery rescripting (ImR) on reducing these constructs following treatment.</p><p><strong>Methods: </strong>Seventy-two participants participated in the study (Mage = 39.26; 62.5% female); 37 participants completed CBT and 35 participants completed ImR.</p><p><strong>Results: </strong>Strength of maladaptive core beliefs reduced from pre-treatment to post-treatment (CBT: d = .65; 95% CI: .17-1.11; ImR: d = .52; 95% CI: .04-.99) and pre-treatment to 3-month follow-up (CBT: d = .63; 95% CI: .16-1.09; ImR: d = .51; 95% CI: .03-.98) in both treatments groups. Levels of shame reduced significantly from pre-treatment to post-treatment (CBT: d = .86; 95% CI: .38-1.33; ImR: d = .93; 95% CI: .43-1.41), and pre-treatment to 3-month follow up in both groups (CBT: d = .80; 95% CI: .32-1.26; ImR: d = .58; 95% CI: .09-1.05). Self-compassion increased from pre-treatment to post-treatment (CBT: d = .78; 95% CI: .30-1.25; ImR: d = .67; 95% CI: .18-1.14) and pre-treatment to 3-month follow-up in the CBT condition (d = .71; 95% CI: .24-1.18), but not the ImR condition.</p><p><strong>Conclusion: </strong>These results suggested that both CBT and ImR improve outcomes on a number of non-fear-related constructs. This has important implications for the treatment of SAD.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"355-373"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758088","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":"Differential effects of the circle of security-parenting programme on infant-mother attachment: The role of infant temperament.","authors":"Johanne Smith-Nielsen, Laura Lærkegaard Støve, Anne Christine Stuart, Julia Jäkel, Ida Egmose, Katrine Røhder, Katrine Isabella Wendelboe, Mette Skovgaard Væver","doi":"10.1111/bjc.70031","DOIUrl":"10.1111/bjc.70031","url":null,"abstract":"<p><strong>Background: </strong>Infant negative emotionality (NE) may increase the risk of insecure-resistant attachment, particularly amid postpartum depression, but may also heighten receptivity to intervention. This secondary study tested whether infant NE moderates the effect of Circle of Security Parenting™ (COSP™) on infant-mother attachment.</p><p><strong>Method: </strong>In a randomized trial (N = 297) involving dyads with maternal depression and/or infant social withdrawal, infant-mother attachment was assessed at 12-16 months; Infant NE was measured at 2-4 months.</p><p><strong>Results: </strong>Higher infant NE increased the risk of insecure-resistant attachment. NE moderated intervention effects: COSP™ reduced insecure-resistant attachment among high-NE infants.</p><p><strong>Discussion: </strong>Findings support a diathesis-stress framework: High-NE infants may be more vulnerable to caregiver strain but also more responsive to COSP™.</p><p><strong>Trial registration: </strong>ClinicalTrials.govID: NCT02497677.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"289-297"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783453","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":"Therapy after therapy: Entry rates into subsequent psychological treatment among patients receiving therapist-guided internet-delivered or face-to-face psychotherapy.","authors":"A Plattonen, S Mylläri, S E Saarni, T Rosenström","doi":"10.1111/bjc.70036","DOIUrl":"10.1111/bjc.70036","url":null,"abstract":"<p><strong>Objectives: </strong>Despite numerous psychotherapy trials, knowledge on service-system efficiency in terms of return to treatment is limited, especially regarding internet-delivered cognitive behavioural therapy (iCBT). We estimated the hazard ratio (HR) of subsequent psychological treatment over several years following the initial psychological intervention.</p><p><strong>Methods: </strong>This naturalistic register follow-up study in Finland included patients receiving therapist-guided iCBT (2013-2021, n = 30,934) or ≤20-session psychotherapy (2018-2021, n = 3348), and matched population controls (n = 92,846). Their long-term psychotherapy data (≤200 sessions/3 years, requiring prior treatment) were obtained from the Social Insurance Institution. We used Cox proportional hazard regression, adjusting for age, sex, first purchase of psychotropic drugs and onset of the first psychiatric diagnosis.</p><p><strong>Results: </strong>Given the adjustments, the hazard of subsequent long-term psychotherapy was fourfold after iCBT (HR = 4.08; 95% CI 3.81-4.37) and nearly ninefold after ≤20-session psychotherapy (HR = 8.94; CI 7.79-10.26), compared to those without these prior treatments. Prior ≤20-session psychotherapy was associated with reduced hazard of entering subsequent iCBT (HR .12, CI .09-.16), while prior long-term psychotherapy was not (p = .087). Prior iCBT was associated with a lower hazard of subsequent ≤20-session psychotherapy (HR = .41, CI = .35-.47), while prior long-term psychotherapy was not (p = .332).</p><p><strong>Conclusions: </strong>Mapping the succession of psychological treatments added knowledge and revealed surprises. For example, patients receiving therapist-guided iCBT were less likely to access subsequent face-to-face psychotherapy than those initially treated face-to-face. While past services are used as a convenience indicator for future services, future research on successive psychological treatments should continue to disentangle clinical need from service systems effects.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"451-469"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between autism and psychosis and the tools used to measure it: An updated systematic review and meta-analysis.","authors":"Michael R Miles, Dennis Golm, Emma Palmer-Cooper","doi":"10.1111/bjc.70020","DOIUrl":"10.1111/bjc.70020","url":null,"abstract":"<p><strong>Objectives: </strong>Autistic individuals are at increased risk of psychotic experiences and being diagnosed with psychotic disorders. This association may result from methodological issues, including the misinterpretation of psychosis questionnaires by autistic individuals and clinicians' difficulty distinguishing between the conditions.</p><p><strong>Design: </strong>This meta-analysis aimed to review this association and examine whether it is moderated by the assessment measures used.</p><p><strong>Methods: </strong>Systematic searches were conducted in PsycINFO, MEDLINE, CINAHL, Embase and Web of Science. Included studies required autism and psychosis-spectrum measurements, co-morbidity data, adult participants and quantitative data. Quality and risk of bias were assessed using the AXIS Critical Appraisal of Cross-Sectional Studies tool. Analyses examined correlations, odds ratios and Cohen's d as effects.</p><p><strong>Results: </strong>Sixty-three papers (N = 6,903,960) were included. Associations were found between autistic and overall (r = .435, p < .0001), positive (r = .274, p < .0001), negative (r = .506, p < .0001) and disorganized (r = .366, p < .0001) psychosis-spectrum traits. Individuals with one condition had an increased risk of being diagnosed with the other (OR = 7.03, p < .001) and scored higher on trait measures of the other (d = 1.187, p < .0001).</p><p><strong>Conclusions: </strong>These meta-analyses evidence a strong association between autism and the psychosis spectrum, at both trait and diagnostic levels. Negative psychosis-spectrum traits were most strongly linked with autistic traits, while measures of positive traits showed weaker correlations, suggesting overlaps in expression and measurement. High heterogeneity and inconsistent reporting, however, hinder the certainty of conclusions, and research is required to better understand this overlap.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"374-400"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769566","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":"A service evaluation of 'IDEAS' - Modular treatment for youth with complex emotional needs.","authors":"Annabel Harding, Franco Orsucci, Joanna Baines","doi":"10.1111/bjc.70034","DOIUrl":"10.1111/bjc.70034","url":null,"abstract":"<p><strong>Objectives: </strong>There is a crucial need for an evidence-based intervention for young people presenting with moderate complex emotional needs (CEN). UK CEN care has been described as variable and poor quality, with its improvement a UK policy priority. Briefer-versions of full-programme therapy packages utilizing stepped-care models offer a clear and contained pathway for this population, though their current availability in services is scarce. This service evaluation aims to evaluate the efficacy of 'IDEAS' as a piloted brief psychological intervention for young people aged 16-25 presenting with moderate CEN.</p><p><strong>Method: </strong>A pre-test/post-test design was used to explore clinical outcomes for participants and services via paired sample t-tests, mixed-model ANOVAS and frequency statistics.</p><p><strong>Results: </strong>Exploratory pre/post-intervention analyses revealed significant reductions in mean scores for the severity of borderline personality disorder symptoms (d = .83), emotion regulation (d = 1.15) and overall wellbeing (reflecting improvement; d = .97) and increases in mean scores for quality of life (d = -.67), including level of satisfaction in one's quality of life and of therapeutic treatment received (d = -.65). These outcomes were maintained at 3-month follow-up, were little influenced by clinician training and supported readiness for discharge post-intervention for more (68.65%) participants.</p><p><strong>Conclusions: </strong>The current evaluation provides preliminary evidence that IDEAS may offer a feasible, lower-cost alternative to full-programme treatment packages, with benefits for young people, services and Trusts. Given this evaluation of IDEAS being from a small, uncontrolled pilot, the findings are exploratory. Further evaluation is therefore warranted upon its larger-scale implementation.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"492-507"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13159777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967480","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":"Overlapping symptoms of attention deficit hyperactivity disorder (ADHD), autism, and personality disorder in a community sample.","authors":"Rachael C Martin, Aspasia Stacey Rabba, Martin Sellbom","doi":"10.1111/bjc.70037","DOIUrl":"10.1111/bjc.70037","url":null,"abstract":"<p><strong>Objectives: </strong>Attention deficit hyperactivity disorder (ADHD), autism, and personality disorder (PD) often present with overlapping symptom profiles, complicating diagnostic assessment and treatment planning. Yet, few studies have examined the extent and nature of these overlaps, or the mechanisms that may underpin them. The current study aimed to address this gap by investigating overlapping symptom profiles of ADHD, autism, and PD, and the potential transdiagnostic mechanisms contributing to such in a community sample.</p><p><strong>Design and methods: </strong>A total of 512 adults with a history of mental health diagnosis residing in the United States or United Kingdom completed self-report questionnaires assessing ADHD, autism, and PD symptoms, alongside measures of adverse childhood experiences, executive functioning, and mentalization.</p><p><strong>Results: </strong>We found substantial symptom overlap across ADHD, autism, and PD, with executive functioning emerging as the strongest predictor of shared variance.</p><p><strong>Conclusions: </strong>Given symptom overlaps in areas related to interpersonal, behavioural, and emotional control, we propose that self-regulation may underlie the common symptoms of ADHD, autism, and PD. Finally, our results support the integration of neurodevelopmental conditions into broader models of psychopathology structure, such as the Hierarchical Taxonomy of Psychopathology (HiTOP), and highlight specific symptom dimensions that can help differentiate between these conditions.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":"508-529"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967460","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":"Gold-standard evidence and best practice guidance for menstrual cycle-informed clinical care: An overview for clinicians.","authors":"Ellen R Lambert, Louise N Nolan, Katja M Schmalenberger","doi":"10.1111/bjc.70066","DOIUrl":"https://doi.org/10.1111/bjc.70066","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesize current evidence and provide clinically actionable recommendations for integrating menstrual cycle-related processes-particularly hormone sensitivity, Premenstrual Dysphoric Disorder (PMDD) and Premenstrual Exacerbation (PME)-into psychological assessment, formulation and treatment.</p><p><strong>Design: </strong>Narrative, clinically oriented review.</p><p><strong>Methods: </strong>We integrated findings from experimental, longitudinal and clinical studies on menstrual cycle physiology, hormone sensitivity, PMDD and PME, with a focus on evidence relevant to psychological practice. Emphasis was placed on gold-standard methodologies (e.g., prospective symptom assessment, biologically anchored cycle phase determination) and on translational relevance for clinical decision-making.</p><p><strong>Results: </strong>A substantial minority of naturally cycling individuals show sensitivity to normative hormonal fluctuations, resulting in clinically significant distress or impairment. PMDD affects approximately 3-8% of menstruating individuals and is characterissed by severe, luteal-phase-specific symptoms and elevated suicidality risk. PME appears even more prevalent, affecting up to 50-60% of individuals with mood disorders. Despite this, menstrual cycle-related symptom patterns are rarely assessed or incorporated into routine care. The literature supports several key clinical strategies: (1) prospective daily symptom tracking across at least two menstrual cycles; (2) cycle-informed case formulations integrating timing and symptom expression; and (3) adaptation of evidence-based interventions to predictable cyclical patterns. Clinician-ready tools and case-based approaches facilitate implementation.</p><p><strong>Conclusions: </strong>The menstrual cycle represents a clinically meaningful yet underrecognized source of within-person variability in mental health. Integrating cycle-informed approaches into psychological care can enhance diagnostic precision, improve personalized formulations and optimize treatment outcomes for individuals affected by PMDD and PME.</p>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983875","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"65 2","pages":"i-iv"},"PeriodicalIF":3.1,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148074482","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}