Cognitive Therapy and Research最新文献

{"title":"Intergenerational Transmission of Social Anxiety: The Role of Parents’ Fear of Negative Child Evaluation and Their Self-Referent and Child-Referent Interpretation Biases","authors":"Melis Dülger, Bram Van Bockstaele, Mirjana Majdandžić, Wieke de Vente","doi":"10.1007/s10608-024-10490-0","DOIUrl":"https://doi.org/10.1007/s10608-024-10490-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Parents’ fear of negative evaluation (FNE), fear of negative child evaluation (FNCE; parents’ fear that their child is evaluated negatively by others), and self- and child-referent negative interpretation biases have been proposed to play a role in the intergenerational transmission of social anxiety. In this cross-sectional study, we tested whether parents’ self-reported FNE and self-referent interpretation bias, as well as their FNCE and child-referent interpretation bias, statistically mediated the relationship between parent social anxiety and parent-reported child social anxiety.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A total of 179 parents of 13–16-year-old adolescents completed questionnaires concerning own social anxiety, their FNE, and FNCE and their child’s social anxiety. Parents’ self- and child-referent interpretation biases were measured using scenario completion and memory recognition tasks.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Parents’ FNCE partially statistically mediated the relationship between parent and child social anxiety. Parents’ FNE and their self- and child-referent interpretation biases did, however, not statistically mediate this relationship.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Parents’ FNCE does, but their FNE and self- and child-referent interpretation biases do not seem to play a role in the intergenerational transmission of social anxiety. Hence, parents’ FNCE might be a promising target for clinical practice while designing therapies and interventions concerning child social anxiety.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"59 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140936358","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":"How Are You Feeling Today? Dynamic and Static Indices of Daily Affect Predict Psychological Adjustment One Year Later in a Multi-cohort, Longitudinal Investigation","authors":"Benjamin J. Mitchell, Brittany Baugher, Emily Gawlik, Julia Richmond, Pooja G. Sidney, Jennifer M. Taber, Clarissa A. Thompson, Karin G. Coifman","doi":"10.1007/s10608-024-10484-y","DOIUrl":"https://doi.org/10.1007/s10608-024-10484-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Dominant psychotherapies target how individuals experience and understand their daily emotion. Therefore, research examining how daily emotions influence long-term mental health outcomes may help inform treatment development.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This investigation applied a multi-cohort (<i>n</i> = 378; <i>n</i> = 460), longitudinal design to test how reports of daily emotion predict psychological symptoms, loneliness, and wellbeing one-year later. Dynamic indices (polarity, inertia) reflecting “how” emotional experiences are conceptualized moment-to-moment and static indices (person-mean, standard deviation) of emotion were extracted from 10 daily reports. Each index was modelled individually, in concert with others, and in relation to a key dispositional factor in symptom development: trait anxiety.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Dynamic indices predicted outcomes one-year later, but only the effect of positive emotional inertia remained significant after accounting for mean intensity of affect. Daily reports of emotion also predicted small but significant variance in outcomes beyond trait anxiety.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Results highlight the role of daily subjective experiences of emotion in long-term mental health outcomes and reinforce their importance as targets for treatment.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"159 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140838496","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":"Cognitive Behavioral Therapy Factors Related to Outcomes in Depression Among Youth with HIV","authors":"Betsy D. Kennard, Larry K. Brown, Kristin Baltrusaitis, Miriam Chernoff, Graham J. Emslie, Jessica Jones, Sarah Buisson, Jaime Deville, Megan Wilkins, Amber Bunch, Chivon McMullen Jackson, Christy Beneri, David E. Shapiro","doi":"10.1007/s10608-024-10474-0","DOIUrl":"https://doi.org/10.1007/s10608-024-10474-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>This is a secondary analysis of a multi-site, cluster (site) randomized trial of the efficacy of a combined Health and Wellness Cognitive Behavior Therapy (H&amp;W CBT) and medication management approach for depression in youth with HIV (YWH) compared to standard care. In this study, we explored the association between H&amp;W CBT factors and depression outcomes after 24 weeks of treatment to discover treatment elements associated with symptom reduction.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Participants (12–24 years of age) were YWH in the United States (US) diagnosed with moderate to severe depression [Quick Inventory of Depressive Symptomatology (QIDS), Clinician-Rated score ≥ 11]. Thirteen US sites were randomly assigned to either the combination treatment approach or standard care. For site-level analyses, site-specific summary scores were used to account for the within site correlation.</p><h3 data-test=\"abstract-sub-heading\">Results (all scores are site-level)</h3><p>The number of depressive symptoms [QIDS-Self Reported (QIDS-SR) score] after 24 weeks of H&amp;W CBT was significantly negatively correlated with the mean total session duration (ρ = − 0.94), the total homework assigned (ρ = − 0.83), the total number of practice modules used (ρ = − 0.83), and the mean total booster sessions given (ρ = − 0.82).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Specific elements of the H&amp;W CBT (e.g., dose, assignment of homework, greater skills practice, and use of booster sessions) were associated with improvement of depression outcomes in YWH. A focus on these elements in treatment may improve symptom reduction for YWH with depression.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"1 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140314692","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":"Attention and Interpretation Bias Modification Transfers to Memory Bias: Testing the Combined Cognitive Bias Hypothesis","authors":"","doi":"10.1007/s10608-024-10478-w","DOIUrl":"https://doi.org/10.1007/s10608-024-10478-w","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Purpose</h3> <p>This study delves into the combined cognitive bias hypothesis in depression, exploring the interaction between negative attention, interpretation and memory biases. We aimed to assess whether modifying attention and interpretation bias would lead to congruent changes in memory bias, and to what extend and depth this causal effect can be.</p> </span> <span> <h3>Method</h3> <p>Ninety-nine undergraduates underwent either a positive (PT) or negative (NT) four-day attention and interpretation bias training. A set of well-established post-training assessments including free recall, recognition, autobiographic memory, and self-reference encoding tasks were used to evaluate memory bias. Affective states were measured pre- and post-training.</p> </span> <span> <h3>Results</h3> <p>Compared to PT, participants in NT correctly retrieved more negative trained stimuli, and falsely recognized more negative synonyms of trained terms. NT also exhibited an enhanced retrieval of negative autobiographical memory. No significant differences were found between NT and PT in self-referential encoding and retrieval bias, or affective states.</p> </span> <span> <h3>Discussion</h3> <p>The results suggested an extensive and strong transfer effect from attention and interpretation bias modification to different facets of memory bias, being found in retrieving trained emotional stimuli, in memory intrusion of negative synonyms, and in autobiographic memory recall. The findings underscored the causality between three biases, supporting the combined cognitive bias hypothesis. It might also suggest an effective new approach to modify memory bias via attention and interpretation bias training.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"37 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140299911","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":"Therapeutic Potential of Embodied Cognition for Clinical Psychotherapies: From Theory to Practice","authors":"","doi":"10.1007/s10608-024-10468-y","DOIUrl":"https://doi.org/10.1007/s10608-024-10468-y","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background</h3> <p>This paper examines cognitive and body-based therapies through the lens of embodiment, framing treatments as constructed experiences shaped by individuals' subjective and intersubjective lived experiences. Embodiment is considered to have restorative qualities that have the potential to improve psychotherapy’s success. We address some of the limitations associated with traditional brain-based reductionist approaches and treatments in clinical psychotherapy. An argument is made for the integration of an embodied approach, empowering clinicians and researchers to evaluate and integrate embodied therapeutic processes leading to successful treatment outcomes.</p> </span> <span> <h3>Methods</h3> <p>This integrative review provides evidence-based practice initiatives and findings from a range of embodied research as it applies to body-based techniques in psychotherapy. It gathers and synthesizes both empirical and theoretical evidence relevant to impact the overall success of psychotherapeutic interventions. Data collection involved keyword searches of electronic databases, including PsycINFO, NCBI, PubMED, Frontiers, MEDLINE, EBM Reviews, and Google Scholar.</p> </span> <span> <h3>Results</h3> <p>We present an array of cognitive and body-based methodologies that can be employed to enhance embodied and enactive therapeutic practices, offering a fresh and promising perspective on psychotherapy. Analyses provide insights into current body-based therapeutic applications, highlighting how a deeper understanding of recent advances in neuroscience can enrich both therapists’ and clients’ meta-awareness of mind–body-environment connections on mental health.</p> </span> <span> <h3>Conclusions</h3> <p>We conclude that psychotherapy can benefit from the transformative process that occurs when individuals gain insights, skills, and self-awareness through embodied therapeutic experiences. In the context of embodied psychotherapy, learning to self-heal extends beyond the acquisition of information; it involves a deeper understanding of the connection between one’s body, thoughts, emotions, behaviors, and the interconnectedness of these elements within the environment/context. Through this process, along with the therapist, clients acquire valuable insights into the root causes of challenges, develop coping strategies, and enhance emotional regulation. The learning extends to practical skills for managing stress, improving communication, and fostering healthier relationships. Embodiment in psychotherapy encourages a form of experiential learning, where individuals actively engage with and reflect upon their internal and external world.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"1325 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199994","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":"Relationship Between Interpersonal Emotion Regulation and Social Support and Their Effects on Depressive Symptoms in Korean Emerging Adults","authors":"Hyunmo Seong, Hajin Lim, Gi-Eun Jang, Gippeum Park, Jieun Kang, Sang Min Lee","doi":"10.1007/s10608-024-10470-4","DOIUrl":"https://doi.org/10.1007/s10608-024-10470-4","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Interpersonal emotion regulation (IER) involves the use of strategies by individuals to regulate their emotions through interactions with others. Research has shown that the IER is correlated with psychological symptoms and well-being. However, few studies have investigated the longitudinal relationships between IER and its related constructs.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A cross-lagged panel design was used to examine the reciprocal relationship between IER strategies and perceived social support and their impact on depressive symptoms. Data were collected from 213 emerging Korean adults (136 females; <i>M</i>_age = 25.4), categorized as students, job-seekers, or workers, on three occasions with six-month intervals.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Enhancing positive affect, an upregulation strategy for positive emotions, predicted an increased perception of social support and, consequently, a reduction in depressive symptoms. Soothing strategies were directly associated with increased depressive symptoms. Other IER strategies aimed at downregulating negative emotions did not have any significant effect on the perception of social support or depressive symptoms. Furthermore, perceived social support did not predict longitudinal changes in the tendency to use IER strategies.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>These findings suggest that IER strategies, especially those that focus on upregulating positive emotions, may enhance the perception of social support. This offers a promising avenue for designing interventions to support emerging adults facing difficulties in a variety of social and relational transitions.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"101 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156614","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":"Task Control in the Affordance Task as the Underlying Mechanism for the Imbalance Between the Goal-Directed and Habit Formation Systems in Obsessive–Compulsive Disorder","authors":"","doi":"10.1007/s10608-024-10469-x","DOIUrl":"https://doi.org/10.1007/s10608-024-10469-x","url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Background and Objectives</h3> <p>The habit formation model of obsessive–compulsive disorder (OCD) suggests that overreliance on stimulus-driven behaviors leads to repetitive compulsive rituals. Failure in task control, which leads to the stimulus-driven behaviors overriding the goal-driven system, could explain the mechanisms involved in this process.</p> </span> <span> <h3>Methods</h3> <p>Patients with OCD and non-psychiatric controls completed the affordance task to understand the role of task control in maintaining compulsive behaviors. In the affordance task, participants are required to respond to a stimulus with one hand, while the stimulus on screen triggers a motor activation in either the congruent (same) or incongruent (other) hand. The affordance effect (accuracy for incongruent minus congruent trials) measures task control—the ability to suppress irrelevant, stimulus-driven, behaviors.</p> </span> <span> <h3>Results</h3> <p>The affordance effect was larger in the OCD group, indicating a deficit in task control in those patients. Furthermore, a binary logistic regression analysis, using the affordances effect as a predictor and group as the outcome variable, revealed that the affordance effect correctly classified about 65% of the individuals with OCD compared to the non-psychiatric controls. The correlation between the affordance effect and OCD symptom-severity was not significant.</p> </span> <span> <h3>Limitations</h3> <p>Handedness was assessed through self-report and OCD symptoms were mild–moderate.</p> </span> <span> <h3>Conclusions</h3> <p>These findings strengthen the notion that task control deficits might account for the imbalance between the goal-directed and habit formation systems and that this deficit might be a risk factor for OCD but does not account for symptom-severity.</p> </span>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"57 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140152651","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":"Altered Neural Activity during Negative Reinforcement in People with Obsessive-Compulsive Disorder","authors":"Benjamin Panny, Rebecca B. Price, Anna Wears, Susanne E. Ahmari","doi":"10.1007/s10608-024-10475-z","DOIUrl":"https://doi.org/10.1007/s10608-024-10475-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Compulsive behaviors in Obsessive-Compulsive Disorder (OCD) are posited to be negatively reinforced via short-term negation of distress-inducing triggers, but neural activity during negative reinforcement in the context of OCD remains poorly understood.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In 18 people with OCD and 16 healthy matched comparison subjects completing functional MRI, we tested the effect of a novel negative reinforcement behavioral paradigm. Three visual stimulus types (Compulsion-Related, Negative, Neutral) were displayed in the scanner and removed by participants pressing a button, yielding two analysis epochs: image presentation and image removal.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>OCD patients showed a larger increase in medial orbitofrontal cortex (mOFC; BA11) activation after image removal that was specific to compulsion-related images. People with OCD also showed altered patterns of deactivation following compulsion-related and negative image removal in the right and left amygdala, respectively. People with OCD also showed larger deactivations in the ventral tegmental area (VTA) after removal of all image types, and increased overall activation to negative images in the right nucleus accumbens (NAcc).</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>We provide initial data demonstrating altered neural activity during negative reinforcement in OCD patients, providing empirical support for dominant behavioral models emphasizing the role of negative reinforcement in etiology and maintenance of pathological compulsive behaviors.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"165 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035947","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":"Social Anxiety, Drinking Game Motives, and Drinking Game Outcomes Among a Large Multisite Sample of University Students","authors":"Katherine Walukevich-Dienst, Byron L. Zamboanga, Amie R. Newins, Makayla L. Dehmer, Lindsay S. Ham, Timothy J. Grigsby, Su Yeong Kim","doi":"10.1007/s10608-024-10471-3","DOIUrl":"https://doi.org/10.1007/s10608-024-10471-3","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Undergraduates with higher levels of social anxiety may be motivated to participate in high-risk drinking events (e.g., playing drinking games [DG]) as a way to “fit in” or facilitate socialization with peers), putting them at an elevated risk of experiencing alcohol-related negative consequences (e.g., blacking out). The present study sought to test associations between social anxiety symptoms, DG behaviors and consequences, and DG-specific motives among a large, multisite sample of undergraduates.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Participants were 7,528 undergraduate students who endorsed current (past month) drinking. Participants completed a cross-sectional, self-report survey that included measures of DG behaviors, DG motives, and DG negative consequences as part of a large, multisite observational study.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Consistent with prior work, social anxiety symptoms were negatively associated with lifetime history of DG participation. Among participants who endorsed playing DG in the past 30 days, social anxiety was not associated with DG frequency or quantity, but it was positively associated with all DG motives and cumulative negative DG consequences.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Although undergraduates with higher social anxiety levels were less likely to participate in DGs than those with lower social anxiety levels, among undergraduates who chose to participate in DGs, social anxiety was positively associated with multiple motivations to play DGs and alcohol-related consequences as a result of playing DGs.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"115 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035971","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":"Hopelessness as a Mechanism of the Relationship between Physical Pain and Thoughts of Suicide: Results from Two Smartphone-Based Real-Time Monitoring Samples","authors":"Hannah R. Krall, Allison K. Ruork, Shireen L. Rizvi, Evan M. Kleiman","doi":"10.1007/s10608-024-10472-2","DOIUrl":"https://doi.org/10.1007/s10608-024-10472-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Although there is research establishing that physical pain is a risk factor for suicidal ideation, there is limited understanding of how physical pain confers risk.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The current study uses ecological momentary assessment to explore hopelessness as a potential mechanism of physical pain’s effect on suicidal ideation in two distinct samples: an undergraduate population reporting elevated levels of suicidal ideation and an outpatient population with borderline personality disorder receiving comprehensive dialectical behavior therapy.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Our results demonstrated that hopelessness significantly mediated the relationship between physical pain and suicidal ideation in both samples. This implies that physical pain might increase hopelessness, which may in turn increase suicidal ideation.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Our study adds to a growing body of research of risk factors for suicide, and future research should explore this relationship between physical pain and hopelessness with suicidal behavior.</p>","PeriodicalId":48316,"journal":{"name":"Cognitive Therapy and Research","volume":"8 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035945","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}