Clinical Psychology Review最新文献

{"title":"Spreading the reduction of fear: A narrative review of generalization of extinction learning in human fear conditioning","authors":"Alex H.K. Wong","doi":"10.1016/j.cpr.2025.102580","DOIUrl":"10.1016/j.cpr.2025.102580","url":null,"abstract":"<div><div>Extinction learning refers to a reduction in fear to a conditioned stimulus (CS) that previously signaled a threat, but now occurs without the expected threat. This mechanism is core to exposure-based treatments for anxiety-related disorders. Enhancing the generalization of extinction learning is crucial for improving treatment outcomes, as it helps reduce fear across a range of generalization stimuli (GSs) resembling the original fear-evoking CS. This narrative review identifies and covers three generalization of extinction learning models: 1) generalization of CS extinction learning, examining how extinction learning to the CS generalizes to novel GSs, 2) generalization of GS extinction learning, assessing how extinction learning to a GS generalizes to other novel GSs or the original CS, and 3) generalization of multiple stimuli extinction learning, where extinction learning involves multiple GSs (and sometimes the CS) and its effect on other novel stimuli. While extinction learning to the CS effectively generalizes to other stimuli, extinction learning to a GS or multiple GSs showed limited generalization to other novel GSs or the original CS. Since real-life exposure-based treatment rarely reproduces the CS, extinction learning involving only the GS(s) may better reflect clinical practice; poor generalization of GS(s) extinction learning may constitute another pathway of return of fear. This review also highlights various factors that influence generalization of extinction learning and call for future research to develop strategies for improving these processes, which can help inform exposure-based treatments.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102580"},"PeriodicalIF":13.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 use of biomarkers as measures of PTSD treatment efficacy and predictors of treatment outcomes: A systematic review","authors":"Jorge A. Cao-Noya,&nbsp;Cossette Canovas,&nbsp;Lorraine T. Benuto","doi":"10.1016/j.cpr.2025.102579","DOIUrl":"10.1016/j.cpr.2025.102579","url":null,"abstract":"<div><div>The efficacy of posttraumatic stress disorder (PTSD) treatments might be hampered by individual differences. In order to maximize treatment efficacy in existing and newly developed interventions, controlling for individual variables is essential in treatment research. Given the marked physiological correlates of PTSD, biomarkers represent a promising solution. Throughout the PTSD literature, biomarkers have been used to assess treatment effects and predict treatment outcomes. However, the wide variety of biomarkers studied, along with several conflicting results, hinder researchers' abilities to comprehensively interpret the results reported. This systematic review of the literature aimed to identify and classify all biomarkers used to assess the efficacy of PTSD interventions and identify pre-treatment biomarkers able to predict treatment outcomes. Following PRISMA guidelines, we identified 70 studies that assessed biomarkers sensitivity to treatment effects and 25 that used biomarkers to predict treatment outcomes. Well-established treatments and newly developed protocols were included. The results were classified and interpreted by biomarker type. Indicators of neuroanatomical structures and functions were the most commonly studied biomarkers, followed by markers of cardiac activation and glucocorticoid analytes. Cardiac activation markers, and concretely heart rate reactivity to trauma cues, showed the most consistent findings, serving as a valuable method to assess treatment effects across different populations and treatment modalities. Other biomarkers showed promising trends both as predictors of treatment outcomes and measures of treatment efficacy, although essential methodological differences significantly impacted the comparison across studies.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102579"},"PeriodicalIF":13.7,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761008","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 differential effects of medicinal cannabis on mental health: A systematic review","authors":"Nora de Bode ,&nbsp;Emese Kroon ,&nbsp;Sharon R. Sznitman ,&nbsp;Janna Cousijn","doi":"10.1016/j.cpr.2025.102581","DOIUrl":"10.1016/j.cpr.2025.102581","url":null,"abstract":"<div><div>The use of medicinal cannabis to improve mental health is increasing globally, both in clinical settings and through self-medication. This involves a variety of products containing ∆9-tetrahydrocannabinol (THC), cannabidiol (CBD), THC + CBD combinations, or derivatives. This review provides an up-to-date overview of the positive and negative effects of medicinal cannabis on mental health diagnoses and related symptoms of the Diagnostic and Statistical Manual of Mental Disorders 5th Edition. Searches in PubMed, PsycInfo, Embase, and the Cochrane Library (October 2023 and July 2024) identified 18,341 studies, of which 49 controlled studies from 15 different countries were included. All studies focused on treatment-seeking participants using medicinal cannabis for (symptoms of) their mental health diagnosis. Included diagnoses were anxiety disorders, tic disorders, autism spectrum disorder, attention-deficit hyperactivity disorder, obsessive-compulsive disorders, anorexia nervosa, schizophrenia, psychosis, substance use disorders, insomnia, and bipolar disorders. Varying product compositions showed different effects. Most consistently, high doses of CBD were followed by some acute relief in anxiety, while CBD + THC combinations alleviated withdrawal in cannabis use disorder and improved sleep. In clinical trials, THC was associated most with dose-dependent adverse events and, in some cases, deterioration of primary study outcomes, e.g., in psychosis. In naturalistic studies, participants who used THC reported symptom improvement following usage. Risks of bias across studies were prevalent, and no study found long-lasting medicinal effects or improvement. Overall, medicinal cannabis may provide short-term relief for certain symptoms but is not a cure or without mental health risks.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102581"},"PeriodicalIF":13.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of psychosocial interventions for young offspring of parents with a serious physical or mental illness: Systematic review and meta-analysis","authors":"Giulia Landi ,&nbsp;Kenneth I. Pakenham ,&nbsp;Zhangxuan Bao ,&nbsp;Roberto Cattivelli ,&nbsp;Elisabetta Crocetti ,&nbsp;Eliana Tossani ,&nbsp;Silvana Grandi","doi":"10.1016/j.cpr.2025.102569","DOIUrl":"10.1016/j.cpr.2025.102569","url":null,"abstract":"<div><div>Serious parental physical or mental illness significantly increases the risk of adverse adjustment outcomes in adolescents and young adults. This systematic review and meta-analysis evaluates the efficacy of psychosocial interventions targeting this vulnerable group. Eligible randomized control trials (RCTs) were searched through the Medline, Web of Science, PsycINFO, PsycArticles, Cinahl, and ProQuest Dissertation and Theses databases. Young offspring outcomes included: psychological (including internalizing and externalizing problems), positive, and interpersonal adjustment. Thirty-one manuscripts reporting on twenty-seven independent RCTs, including 3590 adolescent and young adult offspring, met eligibility criteria. Most of the studies targeted adolescents with a mean age within ±1 SD of 12.17–16.33 years, with only one study directly targeting young adults. Three-quarters of studies included parental mental illness, and the remaining parental physical illness. Results highlighted a small post-intervention effect for psychological adjustment (<em>d</em> = 0.17,[0.05,0.29], <em>p</em> = .006), maintained at short-term (3–12 months) follow-up (<em>d</em> = 0.33 [0.12,0.54], <em>p</em> = .002), but not at long-term (15 months or longer) follow-up (<em>d</em> = −0.00 [−0.19,0.19], <em>p</em> = .98). A similar pattern emerged for internalizing problems, while for externalizing problems, no significant post-intervention effect was detected. Results also showed a small post-intervention effect for positive adjustment (<em>d</em> = 0.36,[0.10,0.61], <em>p</em> = .006), which increased to a medium effect at short-term follow-up (<em>d</em> = 0.62,[0.15,1.09], <em>p</em> = .010). Post-intervention effects were not present for interpersonal adjustment. Intervention duration moderated effects on post-intervention outcomes, while intervention setting and gender balance moderated outcomes at follow-ups. Psychosocial interventions for young offspring of parents with serious illnesses appear effective in improving psychological and positive outcomes with small-to-moderate effects at post-intervention and short-term follow-up.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102569"},"PeriodicalIF":13.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal problems as a predictor of treatment outcome in adult depression: An individual participant data meta-analysis","authors":"Juan Martín Gómez Penedo ,&nbsp;Manuel Meglio ,&nbsp;Christoph Flückiger ,&nbsp;Frederik J. Wienicke ,&nbsp;Jasmijn Breunese ,&nbsp;Marco Menchetti ,&nbsp;Paola Rucci ,&nbsp;Robert Johansson ,&nbsp;Joel M. Town ,&nbsp;Allan A. Abbass ,&nbsp;Peter Lilliengren ,&nbsp;R. Michael Bagby ,&nbsp;Lena C. Quilty ,&nbsp;Lotte H.J.M. Lemmens ,&nbsp;Suzanne C. van Bronswijk ,&nbsp;Michael Barkham ,&nbsp;William B. Stiles ,&nbsp;Gillian E. Hardy ,&nbsp;Peter Fonagy ,&nbsp;Patrick Luyten ,&nbsp;Ellen Driessen","doi":"10.1016/j.cpr.2025.102570","DOIUrl":"10.1016/j.cpr.2025.102570","url":null,"abstract":"<div><h3>Objectives</h3><div>Interpersonal problems are a fundamental feature of depression, but study-level meta-analyses of their association with treatment outcome have been limited by heterogeneity in primary studies' analyses and reported results. We conducted a pre-registered individual participant data meta-analysis (IPD-MA) to examine this relationship for adult depression. This meta-analytic strategy can reduce variability by standardizing data analysis across primary studies.</div></div><div><h3>Methods</h3><div>We included studies examining the efficacy of five treatments for adult depression and assessing interpersonal problems at baseline. One-stage IPD-MA was conducted with three-level mixed models to determine whether baseline overall interpersonal distress, agency, and communion predicted depressive symptom level at post-treatment, 12-month, and 24-month follow-up. The moderating effect of treatment type was also investigated.</div></div><div><h3>Results</h3><div>Ten studies (including <em>n</em> = 1282 participants) met inclusion criteria. Only overall interpersonal distress was negatively related with outcomes at post-treatment (<em>γ</em> = 0.11, CI₉₅[0.06, 0.16], <em>r</em> = 0.11), 12-month follow-up (<em>γ</em> = 0.17, CI₉₅[0.08, 0.25], <em>r</em> = 0.17), and 24-month follow-up (<em>γ</em> = 0.16, CI₉₅[0.05, 0.26], <em>r</em> = 0.16), indicative of smaller effect sizes. The agency and communion dimensions were not significantly related to outcome. Treatment type did not significantly moderate interpersonal distress-outcome associations.</div></div><div><h3>Discussion</h3><div>Results show a small association between patient baseline overall interpersonal distress and subsequent depression treatment outcome in brief treatments for depression. Further studies might require to account for therapist effects.</div><div>Registration number osf.io/u46t7</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102570"},"PeriodicalIF":13.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric comorbidity in children and adolescents with ADHD: A systematic review and meta-analysis","authors":"Urdur Njardvik ,&nbsp;Gro Janne Wergeland ,&nbsp;Eili N. Riise ,&nbsp;Dagmar Kr. Hannesdottir ,&nbsp;Lars-Göran Öst","doi":"10.1016/j.cpr.2025.102571","DOIUrl":"10.1016/j.cpr.2025.102571","url":null,"abstract":"<div><div>Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder with estimated worldwide prevalence of 7.2 % in children and adolescents. Comorbidity of psychiatric disorders is considered common in ADHD and has been found to contribute to poorer prognosis. Despite decades of research, the actual prevalence of comorbid psychiatric disorders in children and adolescents with ADHD is unclear. The purpose of this systematic review and meta-analysis was to investigate the prevalence of comorbid disorders in children and adolescents with ADHD. Embase OVID, Ovid MEDLINE and PsycINFO were systematically searched for eligible studies published up to February 2025. In total 121 studies involving 39,894 children and adolescents with ADHD diagnosis were included. The most common comorbid disorders were Oppositional Defiant Disorder (34.7 %), Behavior Disorders (30.7 %), Anxiety Disorders (18.4 %), Specific phobias (11.0 %), Enuresis (10.8 %), and Conduct Disorder (CD) (10.7 %). All individual disorders studied had a higher prevalence among children and adolescents with ADHD than in the general population. Few gender differences were found; higher prevalence of CD among boys and higher of OCD in girls. The findings indicate that comorbid psychiatric disorders are highly prevalent in children and adolescents with ADHD and must be considered in both assessment and treatment of ADHD.</div><div>PROSPERO registration: ID CRD42022359965.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"118 ","pages":"Article 102571"},"PeriodicalIF":13.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838518","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":"When and how do parent-child acculturation gaps matter? A systematic review and recommendations for research and practice","authors":"Serena Shukla ,&nbsp;Ryan J. Smith ,&nbsp;Anastasiia Burik ,&nbsp;Dillon T. Browne ,&nbsp;Hali Kil","doi":"10.1016/j.cpr.2025.102568","DOIUrl":"10.1016/j.cpr.2025.102568","url":null,"abstract":"<div><div>Parents and youth often adjust to new cultures at differing rates, resulting in parent-child acculturation gaps. The acculturation-gap distress hypothesis theorizes that these differences may negatively impact the child, parent, and family; however, findings remain inconsistent. In this systematic review, we provide an up-to-date synthesis of existing research on the parent-child acculturation gap among immigrant families and whether and when children's social and psychological outcomes, parenting, and family functioning are impacted. Further, we build upon the differential nuances of the culture of the gap—receiving or heritage—that relate to these outcomes. A systematic search in five databases for relevant studies up to January 15, 2025 resulted in a total of 98 included records. Contrary to the acculturation gap-distress hypothesis, more than half of the included studies indicated no association between the receiving and heritage culture parent-child gap and child, parenting, or family outcomes. We discuss notable exceptions to this pattern, indicating when and how family and child outcomes may be implicated. We conclude with clinical and research recommendations to guide future approaches for understanding the relevance of parent-child acculturation gaps for family and child outcomes.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"117 ","pages":"Article 102568"},"PeriodicalIF":13.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 synthesis of meta-analyses of immersive virtual reality interventions in pain","authors":"Tessa Rooney ,&nbsp;Louise Sharpe ,&nbsp;Natalie Winiarski ,&nbsp;Jemma Todd ,&nbsp;Ben Colagiuri ,&nbsp;Dimitri Van Ryckeghem ,&nbsp;Geert Crombez ,&nbsp;Stefan C. Michalski","doi":"10.1016/j.cpr.2025.102566","DOIUrl":"10.1016/j.cpr.2025.102566","url":null,"abstract":"<div><div>The severity and impact of pain can vary greatly, even in individuals with the same physical injury. This variation underscores the need for a variety of treatment strategies in effective pain management. Virtual reality (VR) is an emerging technology that has been used as a treatment in diverse pain populations and for diverse indications. In recent decades, many trials, systematic reviews, and meta-analyses have examined the impact of VR for pain management. While there is some evidence for efficacy in terms of distraction, pre-exposure, and physical therapy; populations, comparators and interventions differ significantly between existing meta-analyses. Thus, the present umbrella review was conducted to determine the overall strength of evidence for all identified populations, comparators, and interventions by synthesising available meta-analyses. Fifty-four meta-analyses reporting on the effect of immersive VR interventions in pain management were identified. Overall, VR interventions appeared efficacious for procedural pain conditions, where used for distraction, and when compared to standard care. While there was some evidence for efficacy in chronic pain populations, this only indicated short-term improvement in pain intensity. We also identified numerous areas for future research wherein the available results were inconclusive, such as examining long term interventions and outcomes for chronic pain populations, reporting of adverse events, and examining the efficacy of VR interventions designed for physical therapy, augmented cognitive therapies, or pre-exposure.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"117 ","pages":"Article 102566"},"PeriodicalIF":13.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Puberty and ADHD: A scoping review and framework for future research","authors":"Emily Friedel ,&nbsp;Nandi Vijayakumar ,&nbsp;Lexy Staniland ,&nbsp;Timothy J. Silk","doi":"10.1016/j.cpr.2025.102567","DOIUrl":"10.1016/j.cpr.2025.102567","url":null,"abstract":"<div><div>Individuals with ADHD may experience puberty differently from their peers, which has implications for their health and wellbeing. This scoping review characterised and summarised literature reporting quantitative analyses of puberty and ADHD. To identify studies, nine databases (MEDLINE Complete, Web of Science, Embase, PsycInfo, ERIC, CENTRAL, PsycExtra, WHO ICTRP, and ProQuest Dissertations &amp; Theses) were searched using key terms related to puberty/pubertal hormones and ADHD/ADHD traits. From 2795 initial records, 89 studies were eligible. Relevant analyses in included studies were categorised under five topics: 1) pubertal group comparisons between participants with ADHD and control participants; 2) associations between puberty and ADHD; 3) prevalence of ADHD in atypical puberty conditions; 4) ADHD medication effects on puberty; and 5) puberty and co-occurring psychological conditions. With some exceptions, summarised findings for each topic were generally inconsistent, indicating further well-planned primary studies are needed. A framework for future research is provided, recommending methodological improvements, including use of approaches that capture the complexities of puberty and ADHD, more inclusive sampling, and employing theories/models that recognise dynamics between puberty, psychological, social, and other biological factors. Additionally, it is recommended that research priorities in this area are identified in collaboration with key stakeholders, especially the ADHD community.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"117 ","pages":"Article 102567"},"PeriodicalIF":13.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ecological Momentary Assessment in psychotherapy research: A systematic review","authors":"Fabienne Mink ,&nbsp;Wolfgang Lutz ,&nbsp;Miriam I. Hehlmann","doi":"10.1016/j.cpr.2025.102565","DOIUrl":"10.1016/j.cpr.2025.102565","url":null,"abstract":"<div><div>Ecological Momentary Assessment (EMA) stands as a valuable method to capture real-time data on individuals' daily experiences and behaviors. In recent years, the utilization of EMA as a measurement method has substantially increased with the majority of studies emphasizing its clinical utility. However, a comprehensive overview of its use in psychotherapy research is lacking. This study addresses that gap by systematically reviewing EMA's application in psychotherapy research. In total, 168 studies met the inclusion criteria and were classified according to clinical utilization. Six areas of clinical EMA application were identified: prediction of therapy outcome (<em>n</em> = 8), prediction of psychopathology (<em>n</em> = 40), prediction of biopsychosocial states (<em>n</em> = 44), evaluation of therapy outcome (<em>n</em> = 21), acquisition of further clinical insights into specific disorders (<em>n</em> = 68) and adaptation of treatment processes (<em>n</em> = 18). Despite studies consistently highlighting EMA's potential in tailoring psychotherapeutic treatments, its limited use in this area warrants further research. Drawing from our findings, we discuss future research directions for the direct application of EMA in psychotherapeutic settings.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"117 ","pages":"Article 102565"},"PeriodicalIF":13.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}