Clinical Psychology Review最新文献

{"title":"Burnout as experienced by autistic people: A systematic review","authors":"Dorota Ali ,&nbsp;Mackenzie Bougoure ,&nbsp;Brodie Cooper ,&nbsp;Alice M.G. Quinton ,&nbsp;Diana Tan ,&nbsp;Jack Brett ,&nbsp;William Mandy ,&nbsp;Murray Maybery ,&nbsp;Iliana Magiati ,&nbsp;Francesca Happé","doi":"10.1016/j.cpr.2025.102669","DOIUrl":"10.1016/j.cpr.2025.102669","url":null,"abstract":"<div><div>‘Autistic burnout’ is described as a debilitating state of exhaustion experienced by autistic people due to living in a world that often lacks accommodations and understanding of their needs. This systematic review thematically synthesised research on how autistic people understand and experience burnout. We reviewed 48 studies (30 qualitative, seven quantitative, and 11 mixed methods), which included approximately 4000 autistic people, predominantly featuring White, female, late-diagnosed autistic adults with at least average intellectual and/or verbal abilities. Our findings suggest that burnout, as experienced by these autistic people, consisted of debilitating exhaustion and increased disability, which could be chronic with intermittent crises. Sensory and social overwhelm, camouflaging, ignorance and stigma, everyday life challenges, and alexithymia contributed to burnout. Burnout held negative consequences for health and well-being, community involvement, and maintaining hope for the future. Having a more accurate framework for self-understanding, meeting the needs for rest, solitude, and sensory relief, and having individual and community support helped with recovery. Addressing burnout effectively will require individual coping strategies, clinical recognition, and broader societal awareness and acceptance of supporting diverse needs and ways of being. Future research should investigate burnout and its associated factors in more representative autistic samples.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102669"},"PeriodicalIF":12.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145434588","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 bidirectional association between peer relationships and internet addiction: A meta-analytic structural equation model based on longitudinal studies","authors":"Xianxin Meng ,&nbsp;Lujia Xu ,&nbsp;Shuling Gao ,&nbsp;Elisa Delvecchio ,&nbsp;Claudia Mazzeschi ,&nbsp;Carlo Garofalo","doi":"10.1016/j.cpr.2025.102650","DOIUrl":"10.1016/j.cpr.2025.102650","url":null,"abstract":"<div><div>Decades of research implicates peer relationships in internet addiction. Yet, inconsistent findings, underpowered studies, and the tendency for researchers to assume one direction of influence have clouded understanding of whether peer relationships is a vulnerability factor for internet addiction, a consequence of internet addiction, or both. Our primary aim was to address this by using meta-analytic structural equation modeling to test cross-lagged reciprocal relations between peer relationships and internet addiction. Our secondary aim was to examine possible moderators that might explain heterogeneity across studies by conducting a multivariate random-effects meta-analysis. A total of 37 articles were identified for inclusion, including 45,212 subjects. The results show that peer relationships significantly negatively predict internet addiction over time and vice versa. Moderating analyses showed that cultural background had moderating effects on the prediction of peer relationships on internet addiction. Time lag and cultural background had moderating effects on the prediction of internet addiction on peer relationships. The results reveal a complex bidirectional dynamic relationship between peer relationships and internet addiction, providing empirical basis and practical guidance for formulating targeted prevention and intervention strategies.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102650"},"PeriodicalIF":12.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145216183","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":"Measurement of mentalizing: A systematic review and development of a construct validity framework","authors":"Hannah Hawksdale ,&nbsp;Beichen Meng ,&nbsp;Janet Feigenbaum ,&nbsp;Peter Fonagy ,&nbsp;Tobias Nolte","doi":"10.1016/j.cpr.2025.102657","DOIUrl":"10.1016/j.cpr.2025.102657","url":null,"abstract":"<div><div>Mentalizing—holding in mind, appraising and reappraising mental states—is evidenced across research disciplines as a key psychological capacity of developmental and clinical importance. Due to this interdisciplinary context, there are a broad range of mentalizing measures available. The primary aim of this review was to systematically review existing mentalizing measures. MEDLINE, PSYCHINFO, HAPI and PSYCHTESTS were searched to identify English-language, text-based, general adult population mentalizing measures.</div><div>Mentalizing is established as a multidimensional concept that varies across relational contexts. However, explicit dimensional definition and systematic contextualisation of mentalizing measures is rare. The secondary aim of the review was to develop and pilot a novel framework for classifying the mentalizing dimensions and relational context operationalised by each measure. Following reference to the literature and expert discussion, a dimensional construct framework of mentalizing with 18 components was proposed and applied to existing instruments.</div><div>57 text-based measures were identified by the review. Inter-rater agreement using the novel framework was 75%. No measures completely overlapped on dimensions and relational context. Relational contexts of measures were largely mentalizing the self (52) and/or hypothetical unspecified others (33). The review demonstrates that measures of mentalizing can be compared on the basis of dimensions operationalised and relational context, increasing utility in measure selection. Divergent construct validity highlights a need for careful selection of appropriate measures on the basis of mentalizing components of interest. Increased clarity of construct validity could be used to illuminate conflicting findings in the mentalizing literature and to advance the development of new assessment instruments.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102657"},"PeriodicalIF":12.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145311767","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 motivational anatomy of fear: A closer look at core threats","authors":"Elad Zlotnick,&nbsp;Jonathan D. Huppert","doi":"10.1016/j.cpr.2025.102655","DOIUrl":"10.1016/j.cpr.2025.102655","url":null,"abstract":"<div><div>“Core threats” are the ultimate feared consequences motivating avoidance behaviors and underpinning surface-level fears. For example, the surface fear of contamination may stem from core threats such as death, suffering, or harming loved ones. Whereas traditional models of anxiety recognize the role of motivation, they have not emphasized how global motivations shape threat appraisal and avoidance. We distinguish core threats from core beliefs: while core beliefs describe how individuals view themselves, others, and the world (which typically influence the likelihood of core threats), core threats specify why outcomes matter emotionally—what makes them motivating (i.e., why are they individually costly). Core threats provide the motivational structure that organizes diverse fears across anxiety disorders and beyond. They help explain generalization, persistence, and relapse. Phenomenologically, core threats are highly individualized, reflecting personal values over diagnostic categories. Contemporary models of treatment of anxiety often emphasize metacognitive regulation processes while treating fear content as interchangeable or secondary. We propose a complementary perspective: motivationally guided appraisals determine what becomes threatening and why. We formalize this perspective in a computational framework that distinguishes motivational drivers of avoidance, including core threats, distress intolerance, and exaggerated duration. Just as categories are organized around central exemplars, fear structures are organized around motivationally central threats. Conditioning research mirrors this principle: fear generalizes more strongly from central exemplars and remains sensitive to the value of the underlying outcome. Targeting core threats—the motivational focus of fear—offers a pathway to engage broader fear networks, improve generalization, reduce relapse, and guide personalized interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102655"},"PeriodicalIF":12.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259401","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":"Together and beyond: A systematic review on characteristics and efficacy of transdiagnostic psychotherapeutic group-based interventions for children and adolescents","authors":"Celia Bähr ,&nbsp;David Phan ,&nbsp;Natalia Murawska ,&nbsp;Julia Gerber ,&nbsp;Annie Jordan ,&nbsp;Kyra Hoffmann ,&nbsp;Claudia Calvano","doi":"10.1016/j.cpr.2025.102642","DOIUrl":"10.1016/j.cpr.2025.102642","url":null,"abstract":"<div><div>Transdiagnostic group interventions address the limitations of youth mental health care services, including the disorder-specific nature of existing treatments and the limited capacity of individual psychotherapies. This review synthesizes the 1) characteristics, applications, parental involvement, patient and public involvement (PPI), and 2) data on efficacy, adherence, safety and treatment satisfaction evidence of transdiagnostic group interventions for children and adolescents. Following PRISMA guidelines, a preregistered systematic literature search identified 6845 publications on transdiagnostic in-person group-based interventions for children and adolescents (mean age ≤ 18 years). Two reviewers independently screened for inclusion, extracted data, and assessed risk of bias using the RoB-2 and ROBINS-I tool. The review examined 80 studies encompassing 4152 participants (<em>M</em>_{age =} 12.81 years), mostly conducted in high-income countries. Cognitive behavioural therapy was the most commonly used approach (<em>κ</em> = 59), with the core components mindfulness, emotion regulation, and cognitive restructuring. Interventions averaged 11 sessions and 52 % involved parents. 22 studies targeted anxiety and depression jointly with positive pre-post effects. Significant reductions in symptom severity were also reported for other disorders, though outcome measures highly varied and group comparisons with active control conditions or treatment-as-usual were often non-significant. Few studies examined disorder-unspecific outcomes like psychosocial functioning, quality of life, or reported remission rates, treatment satisfaction or applied a PPI framework. While a large number of different transdiagnostic group interventions for youth have been developed and evaluated, the lack of rigorous reporting and high risk of bias highlight the need for better-quality research to strengthen evidence and improve clinical implementation.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102642"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018547","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":"Towards a transdiagnostic approach to psychopathology in the postpartum period","authors":"Jessilyn M. Froelich,&nbsp;Emily D. Gerstein","doi":"10.1016/j.cpr.2025.102646","DOIUrl":"10.1016/j.cpr.2025.102646","url":null,"abstract":"<div><div>Psychopathology research and clinical practice have historically relied on traditional diagnostic approaches, though there is a growing body of evidence suggesting these methods are likely outdated and are not suited for capturing the nuance and complexity of mental health symptomatology. Transdiagnostic approaches to psychopathology have been proposed as an alternative to traditional nosology, such as the Diagnostic and Statistical Manual of Mental Disorders or the International Classification of Diseases and their corresponding versions. The postpartum period may be a time when transdiagnostic approaches could be useful, as it has both normative and maladaptive psychological challenges with clear overlapping risk, protective, and maintenance factors related to its psychopathology. The benefits of taking a transdiagnostic approach in the postpartum period are vast – examining postpartum psychopathology transdiagnostically can help identify common thematic elements experienced by new mothers, thus leading to improved screening, further assessment, and targeted treatment. This paper reviews the current diagnostic approaches to postpartum psychopathology, the benefits of a transdiagnostic approach in the postpartum period, relevant biopsychosocial factors, and proposes ways to incorporate this transdiagnostic approach in a way that works to benefit new mothers. Additionally, potential challenges and barriers to implementation are explored.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102646"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145026911","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":"Angry without Borders: Global prevalence and factors of intermittent explosive disorder: A systematic review and meta-analysis","authors":"Fangqing Liu ,&nbsp;Xiaoshan Yin","doi":"10.1016/j.cpr.2025.102643","DOIUrl":"10.1016/j.cpr.2025.102643","url":null,"abstract":"<div><div>This systematic review and meta-analysis aimed to synthesise global data on the prevalence, determinants, and moderators of Intermittent Explosive Disorder (IED). Analysing 29 studies (<em>N</em> = 182,112 participants across 17 countries), pooled lifetime and 12-month prevalence estimates were 5.1 % (95 % CI: 3.4–7.5 %) and 4.4 % (95 % CI: 2.9–6.7 %), respectively. Prevalence varied significantly across subgroups, with higher rates in clinical (10.5 %), refugee (8.5 %), and adolescent populations. Male gender (OR = 3.39), younger age, trauma exposure, and psychiatric comorbidities (mood, anxiety, and substance use disorders) emerged as robust risk factors. Studies using DSM-5 criteria reported lower prevalence than DSM-IV. Regional disparities were notable, with elevated rates in conflict-affected and Global South regions. Heterogeneity was partially explained by population type, diagnostic criteria, and sociocultural context. Findings underscore the multifactorial etiology of IED, shaped by biological vulnerabilities, trauma, and structural adversities. A tiered intervention framework integrating universal prevention, targeted therapies, and policy advocacy is therefore proposed to address its global burden.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102643"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864194","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":"Understanding the mechanisms underlying the association between insecure attachment and intimate partner violence (IPV): Meta-analyses using two meta-analytical methods and a systematic review of mediators","authors":"Iana Wong ,&nbsp;Thomas F. Denson","doi":"10.1016/j.cpr.2025.102645","DOIUrl":"10.1016/j.cpr.2025.102645","url":null,"abstract":"<div><div>Little is known about why insecure attachment is related to greater perpetration and victimization of intimate partner violence (IPV). Many studies have examined the underlying mechanisms, but no studies have integrated them. The present article aimed to systematically identify and quantify the magnitude of the mediators between anxious and avoidant attachment and IPV perpetration and victimization. We used two meta-analytic methods (two-stage structural equation modelling and multi-level meta-analyses) to accomplish this goal. After screening 5087 records, 63 eligible studies were identified. The mediators were reviewed using the framework of the I³ model. We meta-analyzed seven categories of mediators, including: 1) jealousy, anger, distrust, and perceived partner's infidelity, 2) dysfunctional beliefs, 3) maladaptive personality traits, 4) relationship dissatisfaction, 5) dominance and need for control, 6) destructive communication, and 7) emotion dysregulation. Results showed that interpersonal instigating (jealousy, anger, distrust, and perceived partner's infidelity), interpersonal impelling (relationship dissatisfaction, dominance and need for control, destructive communication), and personal disinhibiting (emotion dysregulation) factors significantly mediated the attachment-IPV relationships. The indirect effects of most instigating, impelling, and disinhibiting factors had small effect sizes, but interpersonal impelling factors such as dominance/need for control and relationship dissatisfaction had medium effect sizes in the anxiety-IPV and avoidance-IPV links respectively. Moreover, some mediators between avoidance and IPV were significant without having significant direct effects. An additional 26 mediators were presented in the Systematic Review section. The findings suggest IPV interventions should consider addressing attachment insecurity along with the relevant mediators, especially interpersonal impellance for avoidant attachment.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102645"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145059878","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":"To Tigger from Pooh, “There's still work to do”: A response to Donath et al.","authors":"Julia Beker ,&nbsp;Martin J. Dorahy ,&nbsp;Jacinta Cording","doi":"10.1016/j.cpr.2025.102629","DOIUrl":"10.1016/j.cpr.2025.102629","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102629"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838301","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":"Underrepresentation and moderation of parent education levels in ADHD psychosocial treatment trials: A meta-analysis","authors":"Samantha M. Margherio ,&nbsp;Hannah Brockstein ,&nbsp;Azadeh Bakhtiari ,&nbsp;Steven W. Evans","doi":"10.1016/j.cpr.2025.102639","DOIUrl":"10.1016/j.cpr.2025.102639","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to ascertain the representativeness of psychosocial treatment trials for youth with ADHD in terms of parent education (PE) and race and to determine whether these study characteristics moderated treatment outcomes.</div></div><div><h3>Method</h3><div>High-quality randomized controlled trials (RCTs) of psychosocial treatments for children and adolescents with ADHD conducted in the U.S. and published between 2007 and 2025 were included in this study if they reported PE (% of parents with a college degree or higher) and race/ethnicity.</div></div><div><h3>Results</h3><div>A total of 46 studies were included, representing 5837 participants. Between 48 % and 52 % of parents had a college degree or higher, compared to 38 % in the U.S. population. Two-thirds of studies overrepresented highly educated parents. Samples were generally representative of diverse races and ethnicity, although this appeared driven by the 35 % of studies that oversampled racially minoritized youth whereas 26 % underrepresented racially minoritized youth. Subgroup meta-analyses indicated treatment was only superior to control conditions in reducing ADHD symptoms in samples with highly educated parents. For race, treatment was only associated with significant effects on hyperactivity/impulsivity symptoms among racially-representative samples who also had high PE.</div></div><div><h3>Conclusion</h3><div>These findings question the effectiveness of psychosocial interventions for youth with ADHD for families of diverse educational backgrounds. There is a dire need to recruit more diverse samples in terms of PE, and to develop interventions that are effective for families across all educational backgrounds.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102639"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860336","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}