Clinical Psychology Review最新文献

{"title":"Ketamine-assisted psychotherapies for mental disorders: A historical overview and systematic review","authors":"J.K.E. Veraart ,&nbsp;N. Schimmers ,&nbsp;J.J. Breeksema ,&nbsp;C. Seybert ,&nbsp;J. Kamphuis ,&nbsp;L.F.T. Huber ,&nbsp;A. Rota ,&nbsp;D.T. Coerts ,&nbsp;A.J. Oliveira-Maia ,&nbsp;R.A. Schoevers","doi":"10.1016/j.cpr.2026.102706","DOIUrl":"10.1016/j.cpr.2026.102706","url":null,"abstract":"<div><h3>Introduction</h3><div>Ketamine-assisted psychotherapy (KAP) is considered a promising treatment strategy in psychiatric disorders, combining psychotherapeutic interventions with the rapid-acting pharmacological effects of ketamine towards enhancing outcomes. Although KAP has been practiced for many years across different diagnoses, evidence regarding optimal treatment methods and working mechanisms remains limited and has only partly been synthesized.</div></div><div><h3>Methods</h3><div>This systematic review provides a historical overview of studies published up to 2025, that combined ketamine and psychotherapy for the treatment of mental disorders. Psychotherapeutic approaches were categorized into their overarching psychological paradigms: psychoanalytic and psychodynamic, behavioral, humanistic, cognitive-behavioral, integrative/holistic, and other therapeutic frameworks.</div></div><div><h3>Results</h3><div>64 articles, reporting on 72 studies, were included in this review, of which only 11 were randomized controlled trials (RCTs), highlighting the limited representation of RCTs in the overall body of evidence. Diverse therapeutic approaches were found, most were classified into the ‘other’ category (<em>n</em> = 24). Results suggest transdiagnostic effectiveness for indications including major depressive disorder, posttraumatic stress disorder, obsessive-compulsive disorder, substance use disorders and eating disorders. KAP, compared to only psychotherapy, was observed to enhance treatment engagement, symptom reduction, and duration of treatment response. Only two studies randomized psychotherapy in the context of ketamine treatment, neither of which reported added effects for psychotherapy. One of those studies also randomized ketamine and did not find a significant interaction effect. This limited evidence does not support added benefit from psychotherapy nor evidence of synergy. Methodological heterogeneity and the limited number of trials that used a psychotherapy control group, restrict definitive conclusions.</div></div><div><h3>Discussion</h3><div>Clinical effects are generally reported to be quite positive across psychiatric indications, however, there is a clear need for well-controlled trials to test for potential additive or synergistic effects of the combined use of ketamine and psychotherapy and to identify optimal therapeutic protocols.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102706"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146110122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of cultivating human strengths and virtues on well-being: A one-stage meta-analytic structural equation modeling approach","authors":"Ausiàs Cebolla ,&nbsp;Belén Fernández-Castilla ,&nbsp;Oscar Lecuona ,&nbsp;Jéssica Navarro-Siurana ,&nbsp;Julieta Galante ,&nbsp;Pedro Sarrión ,&nbsp;Joana Vidal ,&nbsp;Rosa M. Baños ,&nbsp;Carmelo Vázquez","doi":"10.1016/j.cpr.2026.102692","DOIUrl":"10.1016/j.cpr.2026.102692","url":null,"abstract":"<div><div>Mental health research emphasizes the importance of fostering character strengths to promote well-being. However, whether the strengths supposedly developed by these interventions actually mediate their effects on well-being is still unknown. The included studies were RCTs of strength-based interventions on well-being. Among 83,908 reviewed abstracts, five strengths met the strict inclusion criteria to be meta-analyzed. We included 114 RCTs with a total of 20,853 participants. A One-Stage Meta-Analytic Structural Equation Modeling approach was used to combine studies and analyze the mediation models. Perspective-based interventions showed improvements in perspective. Kindness-based interventions and gratitude-based interventions demonstrated moderate associations with their respective strengths. Humor and hope-based interventions did not significantly enhance their respective trained strengths. Significant mediation effects on well-being were found for all strengths, except hope. The robust pattern of mediations aligns with eudaemonic theories, emphasizing the importance of virtue-driven actions in fostering psychological well-being.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102692"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145929272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The conceptualization and assessment of dissociation: An umbrella review of synthesis studies","authors":"Carlo Garofalo ,&nbsp;Irene Severi ,&nbsp;Gianluca Bruno ,&nbsp;Elisa Delvecchio ,&nbsp;Adriano Schimmenti ,&nbsp;Claudia Mazzeschi","doi":"10.1016/j.cpr.2026.102702","DOIUrl":"10.1016/j.cpr.2026.102702","url":null,"abstract":"<div><div>Dissociation is a central yet controversial topic in psychopathology, eliciting interest from diverse areas of mental health research and clinical practice. Fundamental debates persist regarding its conceptualization and measurement. The present umbrella review synthesizes findings from all existing systematic reviews (<em>n</em> = 44), meta-analyses (<em>n</em> = 27), and mixed works (i.e., both systematic reviews and meta-analyses; <em>n</em> = 4) on dissociation, published between 1996 and 2025, encompassing 3864 primary studies and over 1,596,432 participants. We addressed three foundational questions: (1) Is dissociation conceptualized and measured as a categorical or dimensional construct? (2) Is it conceptualized and measured as unidimensional or multidimensional? (3) Do synthesis studies account for sample-specific factors such as culture, language, or environment? Regarding (1), findings revealed an almost equal split in the conceptualization of dissociation as categorical versus dimensional. However, measurement predominantly employs continuous scales, revealing inconsistencies between theoretical framing and empirical methods. Regarding (2), most studies endorse a multidimensional understanding of dissociation. Yet, most studies rely on total scores rather than subscale-level analyses. This suggests divergence in how multidimensionality is operationalized. Regarding (3), despite frequent use of group comparisons, few reviews systematically address cross-cultural or contextual comparability. This raises concerns about measurement validity across diverse populations. Overall, this review highlights a hybrid and sometimes inconsistent approach to dissociation in the literature. Advancing the field requires greater alignment between conceptual models and methods of operationalization, as well as systematic attention to cultural and contextual influences on dissociation assessment. Establishing consensus in these areas will strengthen theoretical clarity and improve the rigor and relevance of future research on dissociation.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102702"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146033030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment modifiers of interpersonal functioning in psychotherapy for people with borderline personality disorder: Systematic review with meta-analyses of individual participant data","authors":"Johanne Pereira Ribeiro ,&nbsp;Jutta Stoffers-Winterling ,&nbsp;Mie Sedoc Jørgensen ,&nbsp;Sophie Juul ,&nbsp;Minoo Matbouriahi ,&nbsp;David Fisher ,&nbsp;Wouter van Ballegooijen ,&nbsp;Mickey Kongerslev ,&nbsp;Erik Simonsen ,&nbsp;Eirini Karyotaki ,&nbsp;Pim Cuijpers ,&nbsp;Anthony Bateman ,&nbsp;Jan Philipp Klein ,&nbsp;Federico Amianto ,&nbsp;Peter Fonagy ,&nbsp;Katherine Dixon-Gordon ,&nbsp;Alexander L. Chapman ,&nbsp;Kathleen Thomaes ,&nbsp;Gitta A. Jacob ,&nbsp;Ueli Kramer ,&nbsp;Ole Jakob Storebø","doi":"10.1016/j.cpr.2026.102707","DOIUrl":"10.1016/j.cpr.2026.102707","url":null,"abstract":"<div><h3>Background</h3><div>Borderline personality disorder (BPD) is often accompanied by interpersonal dysfunction. Psychotherapy can improve interpersonal functioning, but individual characteristics may moderate outcomes. This systematic review used individual participant data meta-analysis (IPD-MA) to examine such moderators.</div></div><div><h3>Method</h3><div>A literature search up to 26 November 2025 across 10 databases (including PubMed, Medline, Embase, PsychINFO, CINAHL, Web of Science, and Cochrane CENTRAL) identified randomised clinical trials (RCTs) investigating the effects of psychotherapy on interpersonal functioning in individuals with BPD compared to treatment as usual (TAU) or clinical management control interventions (CM). Authors of included trials were contacted to retrieve IPD. IPD-MAs employed a one-stage random-effects approach to estimate treatment effects on interpersonal functioning and potential moderators in bivariate linear mixed-effects models. The study was registered with PROSPERO (CRD42021210688).</div></div><div><h3>Results</h3><div>Out of 23,735 identified records, 32 RCTs (2762 participants) met inclusion criteria. Individual participant data (IPD) were available for 17 trials (1431 participants). All trials were rated as having either high risk of bias or some concerns. Missing data were common, with 321 out of 1431 participants (23%) lost to follow-up. Meta-analyses of both aggregate data and IPD yielded comparable effect estimates, though statistical significance differed (IPD-MA: β = −0.21, CI: −0.45 to −0.02, SE = 0.12, <em>p</em> = 0.0778; 17 trials, 1071 participants). In unadjusted analyses, the presence of co-occurring anxiety disorder(s) (β = −0.40, 95% CI: −0.73 to −0.08) and a higher number of co-occurring disorders (β = −0.08, 95% CI: −0.15 to −0.01) were associated with larger treatment effects (not significant after alpha correction).</div></div><div><h3>Conclusion</h3><div>Psychotherapy appears to be effective for individuals with BPD. Although moderator effects did not remain statistically significant after alpha correction, unadjusted analyses suggested larger treatment effects in individuals with co-occurring anxiety and greater clinical complexity. Importantly, these findings indicate that such comorbidities may not be a contraindication for psychotherapy for BPD.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102707"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The standalone effect of safety behavior manipulations: A systematic review and meta-analysis","authors":"Jason T. Goodson ,&nbsp;Tapan A. Patel ,&nbsp;James M. Zech ,&nbsp;Matthew C. Sala ,&nbsp;Jesse R. Cougle","doi":"10.1016/j.cpr.2026.102703","DOIUrl":"10.1016/j.cpr.2026.102703","url":null,"abstract":"<div><div>Safety behaviors are maladaptive behavioral and mental strategies individuals may employ to prevent or avoid a negative symptom. While reducing safety behaviors have been a core component of cognitive-behavioral treatments, recent research has begun examining the efficacy of standalone safety behavior manipulations. Some have examined the effect of increasing the behaviors in a non-treatment experimental context while others have examined the effect of reducing these behaviors in both non-treatment and treatment contexts. In this systematic review and meta-analysis we examined the efficacy of these manipulations. A total of 26 studies were included in our review and 19 were eligible for our meta-analyses. We examined the effect of safety behavior manipulations on both safety behavior frequency and the primary symptoms within the studies. We found that relative to control, safety behavior reduction led to significantly greater reductions in safety behaviors (<em>d</em> = 0.52, 95% CI [0.36, 0.68]) and symptoms (<em>d</em> = 0.43, 95% CI [0.27, 0.59]). We also found that relative to control, safety behavior increase conditions led to significantly greater safety behaviors (<em>d</em> = 2.96, 95% CI [2.14, 3.78]) and clinical symptoms (<em>d</em> = 0.65, 95% CI [0.46, 0.83]). Some moderators emerged, and evidence of publication bias was found. Altogether, the present study provides support for the potential role safety behaviors may play in a range of disorders. Further, standalone manipulations targeting safety behaviors may be an efficacious method of reducing symptoms of psychopathology, but further research will be necessary to better understand the efficacy of this approach.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102703"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145995374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive bias modification in alcohol use disorder and problematic drinking: A revised and updated IPD Bayesian meta-analysis","authors":"Ting Pan ,&nbsp;Xiaochang Zhao ,&nbsp;František Bartoš ,&nbsp;Helle Larsen ,&nbsp;Victoria Manning ,&nbsp;Marilisa Boffo ,&nbsp;Reinout W. Wiers","doi":"10.1016/j.cpr.2026.102709","DOIUrl":"10.1016/j.cpr.2026.102709","url":null,"abstract":"<div><h3>Background</h3><div>Recent advances in Cognitive Bias Modification (CBM) for problematic drinking, including Alcohol Use Disorder, alongside methodological refinements, warrant an update of the Individual Participant Data (IPD) Bayesian meta-analysis. This study integrates new datasets, focuses on alcohol CBM, and applies a two-stage IPD framework to examine CBM's effects on cognitive bias, alcohol consumption, and relapse.</div></div><div><h3>Methods</h3><div>A two-stage IPD Bayesian meta-analysis was performed, supplemented by frequentist sensitivity analyses. The first stage estimated study-specific CBM effects, the second stage pooled these to examine within-study moderators (adherence, addiction severity) and between-study moderators (CBM type, control condition, additional therapy, training congruency, and context).</div></div><div><h3>Results</h3><div>23 studies with 8297 participants were included. CBM showed a small unadjusted effect on bias (d = −0.18, 95% CrI [−0.32, 0.00], BF₁₀ = 10.88) and relapse (log OR = −0.26, 95% CrI [−0.38, −0.14], BF₁₀ = 155.07; number needed to treat = 18.7), but not on alcohol consumption (d = 0.003, 95% CrI [0.00, 0.06], BF₁₀ = 0.08). Effects were attenuated after adjusting for moderators. Moderator analyses revealed that face-to-face CBM context (unadjusted and within-study adjusted) and additional psychological therapy (within-study adjusted) were associated with greater bias reduction, and higher training intensity (unadjusted) was related to better relapse prevention. Frequentist sensitivity analyses largely supported these findings.</div></div><div><h3>Conclusions</h3><div>CBM reduced alcohol-related biases and relapse risk. Although overall evidence was no longer supported after adjusting for moderators, moderator analyses suggest CBM can be effective under specific conditions (e.g., face-to-face delivery, alongside therapy, higher training intensity). These findings underscore the need for refined, context-sensitive CBM protocols in alcohol interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102709"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146110123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Waiting for translation: A review of translational research in psychological treatment","authors":"Claudiu Petrule ,&nbsp;André Bittermann ,&nbsp;Viktoria Ritter ,&nbsp;Winfried Rief ,&nbsp;Anke Haberkamp","doi":"10.1016/j.cpr.2026.102708","DOIUrl":"10.1016/j.cpr.2026.102708","url":null,"abstract":"<div><div>Translational psychological treatment aims to translate basic research findings and principles into novel psychological interventions, but recent research indicates unrealized potential. To better understand and overcome barriers in this translational process, we systematically reviewed 647 publications from a recently published bibliographic dataset. We took a mixed-methods approach, drawing on a previously proposed conceptual framework for translational research in clinical psychology. Specifically, we identified the exact translational stage of each publication and specified the object of translation, the targeted disorder, the proposed intervention, and the direction of translation. We further analyzed distribution patterns across translational stages and assessed differences in basic psychological subfields. In addition, we examined discussion sections to identify recurring challenges and strategic recommendations regarding the process of translation.</div><div>Results show that extinction learning, emotion regulation, and inhibitory learning are the most frequently translated basic science constructs, with remarkable bottlenecks between establishing causality and intervention development. Quantitative analyses revealed a non-linear progression through translational stages and the strongest translation pathways from physiological psychology/neuropsychology and experimental psychology. Qualitative analyses identified methodological challenges, including a preference for simpler mechanisms, and conceptual barriers stemming from terminological inconsistencies. We conclude that more systematic approaches to intervention development are needed and propose strategies to accelerate the translation of basic psychological science into effective clinical applications.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102708"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146048518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between childhood trauma and adult neuroticism: A systematic review and meta-analysis","authors":"Norma Rosenek ,&nbsp;Shannon Wake ,&nbsp;Rachel Runton ,&nbsp;Amber Davies ,&nbsp;Nur Albaroudi ,&nbsp;Abigail Pollen ,&nbsp;Lyn Ellett ,&nbsp;Jayne Morriss","doi":"10.1016/j.cpr.2026.102700","DOIUrl":"10.1016/j.cpr.2026.102700","url":null,"abstract":"<div><div>Childhood trauma has been consistently associated with elevated levels of neuroticism in adulthood, a transdiagnostic trait marked by emotional instability, heightened negative affect, and stress sensitivity. This systematic review and meta-analysis aimed to synthesise evidence examining the association between childhood trauma and adult neuroticism, both overall and by specific trauma subtypes. A comprehensive search of four electronic databases identified 136 eligible studies, encompassing a total of 526,371 individuals. Using a random-effects meta-analysis, results revealed a significant positive association between childhood trauma and adult neuroticism (<em>g</em> = 0.46). The strength of the association between neuroticism and the different trauma subtype varied. The strongest association was observed for emotional neglect (<em>g</em> = 0.40), followed by emotional abuse (<em>g</em> = 0.33). In addition, there were associations between neuroticism and physical abuse (<em>g</em> = 0.18), physical neglect (<em>g</em> = 0.15), sexual abuse (<em>g</em> = 0.22), unspecified abuse (<em>g</em> = 0.13), and victimisation (<em>g</em> = 0.21), with the exception of unspecified neglect, which showed no significant association. These findings demonstrate a robust relationship between early adversity and neuroticism. Childhood trauma may lead to adaptions that give rise to neuroticism through several psychological mechanisms such as disruptions in attachment and the formation of negative self-beliefs, and neurobiological alterations in stress regulation systems. These results underscore the importance of systemic preventative measures and early intervention strategies that may alleviate the psychological and neurobiological consequences of trauma, with the potential to increase awareness of adaptions such as neuroticism in trauma-exposed populations.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102700"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addictive behaviors among people with intellectual disability: An umbrella review","authors":"Amalia Udeanu ,&nbsp;Gloria Garcia-Fernandez ,&nbsp;M. Lucía Morán ,&nbsp;Juan Antonio García-Aller ,&nbsp;Estrella Fernández ,&nbsp;Laura E. Gómez","doi":"10.1016/j.cpr.2026.102701","DOIUrl":"10.1016/j.cpr.2026.102701","url":null,"abstract":"<div><h3>Introduction</h3><div>Addictive behaviors pose significant challenges for people with intellectual disability (ID), yet research remains limited. This umbrella review aims to synthesize evidence from systematic reviews on substance use (SU), gambling, and gaming among people with ID, focusing on prevalence and patterns, risk factors and motivations, and intervention approaches. Understanding these aspects is essential for developing effective prevention and treatment.</div></div><div><h3>Method</h3><div>Following the Preferred Reporting Items for Overviews of Reviews (PRIOR) guidelines, two independent reviewers searched the Web of Science, PsycINFO, and the Cochrane Database of Systematic Reviews for systematic reviews and meta-analyses focused on people with ID and SU, gambling, or gaming. Quality was assessed using the JBI Checklist for Systematic Reviews.</div></div><div><h3>Results</h3><div>No eligible studies were found for gambling and gaming. Nine reviews addressed SU (alcohol, tobacco, cannabis, solvents, stimulant, and depressant drugs), revealing higher prevalence among men, adults, and those with less complex support needs. Motivational, educational, and behavioral interventions were employed. Cognitive behavioral therapy, motivational enhancement therapy, and mindfulness showed potential efficacy in increasing knowledge, motivation, and reducing SU.</div></div><div><h3>Conclusions</h3><div>The findings underscore the importance of inclusive prevention strategies that address social determinants of health (such as socioeconomic status and living conditions), transdiagnostic protective factors, and evidence-based, person-centered, and rights-based frameworks. While SU interventions for people with ID show promise, further research and more robust designs that incorporate these conceptual perspectives is needed. Moreover, it is essential to investigate polypharmacy and behavioral addictions to address these issues from a phenomenological and contextual perspective.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102701"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of outcome measures for assessing problematic pornography use: A COSMIN systematic review of measurement properties","authors":"Feng Jin ,&nbsp;Wenwen Zhang ,&nbsp;Pengshuo Wang ,&nbsp;Beáta Bőthe ,&nbsp;Ziqi Wang","doi":"10.1016/j.cpr.2026.102710","DOIUrl":"10.1016/j.cpr.2026.102710","url":null,"abstract":"<div><div>Problematic Pornography Use (PPU) is an increasingly recognized public health concern, with increasing evidence of its potential adverse consequences for individuals’ psychological well-being, interpersonal relationships, and daily functioning. Accurate assessment of PPU is therefore essential for effective screening, diagnosis, and intervention. However, the field is characterized by a proliferation of outcome measures (OMs) with diverse theoretical foundations, inconsistent definitions, and limited cross-population validation. This systematic review was pre-registered in the PROSPERO database (CRD420251008765) and followed the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) Version 2.0 guidelines to identify, evaluate, and compare OMs used to assess PPU, as well as to offer recommendations for selecting appropriate OMs in research and clinical settings. A comprehensive search was conducted across four databases (MEDLINE, Web of Science, Embase, and PsycInfo) from database inception to February 28, 2025, with an additional supplementary search conducted on October 19, 2025. A total of 47 studies reporting on 24 OMs were included. While structural validity and internal consistency were frequently assessed, content validity, test-retest reliability, measurement error, and responsiveness were infrequently reported for most OMs. No single OM can be unequivocally recommended as the most appropriate instrument for assessing PPU in either clinical or research settings. Based on measurement property ratings and the overall quality of evidence, 19 OMs received Class-C recommendations, among which four OMs were considered the most promising (including the Problematic Pornography Use Scale, Problematic Pornography Consumption Scale [PPCS], PPCS-6, and Brief Pornography Screen). Overall, these promising Class-C OMs may tentatively serve as valid and reliable tools for assessing PPU in clinical and research contexts, thereby providing a valuable resource for improving PPU assessment and informing evidence-based practice. Nevertheless, further studies are warranted to comprehensively validate the measurement properties of existing OMs. In addition, the findings underscore the importance of theory-driven and methodologically rigorous validation studies, as well as stricter adherence to COSMIN standards, to enhance consistency and comparability across studies.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"124 ","pages":"Article 102710"},"PeriodicalIF":12.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146134579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}