Clinical Psychology Review最新文献

{"title":"The association between subjective and objective cognitive functioning from a transdiagnostic perspective: An umbrella review and meta-analysis","authors":"Ryan Van Patten ,&nbsp;Kyler Mulhauser ,&nbsp;Tara A. Austin ,&nbsp;John A. Bellone ,&nbsp;Erica Cotton ,&nbsp;Lawrence Chan ,&nbsp;Elizabeth W. Twamley ,&nbsp;Kelsey Sawyer ,&nbsp;W. Curt LaFrance Jr.","doi":"10.1016/j.cpr.2025.102648","DOIUrl":"10.1016/j.cpr.2025.102648","url":null,"abstract":"<div><div>The relationship between subjective (self-reported) and objective (performance-based) cognitive functioning has significant clinical implications across neuropsychiatric syndromes. We performed an umbrella review examining literature on the association between subjective and objective cognition from a transdiagnostic perspective. Eligible studies were full reports of review papers examining the relationship between subjective and objective cognition in humans across the lifespan. Risk of bias was evaluated using a modified version of the AMSTAR rating scale. Of 7329 initial reports screened, 50 reviews of mostly cross-sectional data were included. Review size ranged from 4 to 488 studies and demographic factors aside from age were rarely reported. Risk of bias was mixed. A narrative synthesis across more than 20 neuropsychiatric and neuromedical conditions found an inconsistent relationship between subjective and objective cognition, with effect sizes ranging from null to weak. Mental health factors such as depression and anxiety were more reliably and strongly related to subjective cognition than were objective cognitive test scores. In a second-order meta-analysis (10 reviews; <em>N</em> = 92,606), the pooled correlation between overall objective and subjective cognition was 0.14 (95 % CI [0.08, 0.21]; <em>p</em> = 0.001, Q(9) = 179.50, τ = 0.09, I² = 95.00, &lt;2 % variance shared). Subjective and objective cognition are largely non-overlapping constructs, reflecting unique and complementary aspects of overall cognitive functioning regardless of the specific population investigated or assessment method used. Researchers and clinicians should not expect to find concordance between concurrent self-reported cognition and neuropsychological testing, and simple discrepancies between subjective and objective cognition are so common as to be diagnostically unhelpful.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102648"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145043851","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":"Does meta-analytic evidence support inter-identity amnesia in dissociative identity disorder? A commentary and corrected analysis for Beker et al. (2024)","authors":"Wencke Donath ,&nbsp;Robin Van der Linde ,&nbsp;Bruno Verschuere ,&nbsp;John J.B. Allen ,&nbsp;Richard J. McNally ,&nbsp;Rafaele J.C. Huntjens","doi":"10.1016/j.cpr.2025.102638","DOIUrl":"10.1016/j.cpr.2025.102638","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102638"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856794","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":"Multidimensional perspective of dissociation and suicide-related outcomes: A Meta-analysis and systematic review","authors":"Serena Bruno,&nbsp;Gaia Cichetti,&nbsp;Patrizia Velotti PhD","doi":"10.1016/j.cpr.2025.102647","DOIUrl":"10.1016/j.cpr.2025.102647","url":null,"abstract":"<div><h3>Background</h3><div>The relationship between suicide-related outcomes and dissociation is a critical issue. In recent years, research has focused on understanding dissociation as an acquired capacity factor for suicide attempts. Moreover, meta-analysis findings demonstrate the relationship between dissociation and suicidal ideation. To unravel the role of dissociation in the development of suicidal ideation and attempt, this study adopts a multidimensional perspective, that conceptualizes a complex construct comprising distinct but related domains which reflects disruptions in perception, cognition, emotion, and somatic experience.</div></div><div><h3>Methods</h3><div>We conducted systematic research on the main databases (PubMed, Medline, APA PsycInfo, Scopus, Web of Science, APA PsycArticles), collecting the literature of the last 30 years. A total of 84 studies (N_totalsample = 129.582) studies were included in the systematic review. Of these, 68 studies were included in the meta-analysis. The analyses are based on the Pearson correlation coefficient as the effect size for the relationship between suicide-related outcomes and dissociation domains. The outcome variables included suicidal ideation, suicide attempts, and suicide risk - a composite or dimensional construct reflecting the likelihood of suicidal thoughts or behaviors, as well as specific psychological factors associated with the emergence of suicidal outcomes, as reported in the selected studies.</div><div>We used a random effects model, conducted moderation analyses to explain the heterogeneity of study variance, controlled for publication bias, and assessed the methodological quality of the included studies.</div></div><div><h3>Results</h3><div>General dissociation was significantly correlated with suicidal risk (<em>r</em> = 0.29; <em>p &lt; .001</em>), suicidal ideation (<em>r</em> = 0.25; <em>p &lt; .001</em>), and suicide attempts (<em>r</em> = 0.27; <em>p &lt; .001</em>). A positive and significant relationship was found between suicidal ideation and detachment (<em>r</em> = 0.31; <em>p &lt; .001</em>), as well as with maladaptive daydreaming (<em>r</em> = 0.27; <em>p &lt; .001</em>). A statistically significant but small association was also observed between suicide attempts and somatoform dissociation (<em>r</em> = 0.02; <em>p &lt; .001</em>), whereas a stronger connection was found with suicidal ideation (<em>r</em> = 0.31; <em>p &lt; .001</em>). Moderator effects related to sample characteristics, sociocultural factors, and methodological quality of studies were identified with no evidence of publication bias.</div></div><div><h3>Conclusions</h3><div>These findings support the importance of a multidimensional approach to examining dissociation and suicide-related outcomes, revealing differential relationships based on the specific domains assessed. The resulting clinical implications and future directions are discussed.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102647"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145089177","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":"Meta-analysis on the effects of client preferences on treatment satisfaction, completion, and clinical outcome: A 10-year update","authors":"Charles B. Bennett ,&nbsp;Emma K. Toevs ,&nbsp;Abby Angus ,&nbsp;Rebecca Krawczak ,&nbsp;Christopher J. Trentacosta ,&nbsp;Divya Jagadeesh ,&nbsp;Claire S. Tomlinson ,&nbsp;Oliver Lindhiem","doi":"10.1016/j.cpr.2025.102644","DOIUrl":"10.1016/j.cpr.2025.102644","url":null,"abstract":"<div><div>The current meta-analysis sought to provide a 10-year update to a previously published meta-analysis (<span><span>Lindhiem et al., 2014</span></span>) focusing on the effects of patient preference or active choice on treatment satisfaction (<em>k</em> = 25), treatment completion (<em>k</em> = 27), and clinical outcome (<em>k</em> = 46) in the treatment of psychological and medical conditions. A literature search identified 26 new randomized controlled trials that were published over the past 10 years. These new studies, when combined with the studies from the original meta-analysis, yielded a total of 59 articles describing 60 studies. The overall effect sizes were similar to the original meta-analysis, with small effects being observed for treatment satisfaction (ES_d = 0.26; <em>p</em> &lt; .001), completion (ES_OR = 1.30; ES_d = 0.14; <em>p</em> &lt; .001), and outcome (ES_d = 0.14; <em>p</em> &lt; .001). Also similar to the original meta-analysis, these effects were generally consistent across moderators, with the exception of the condition being treated. Individuals with depression who made an active choice or otherwise received their preferred treatment were more likely to complete treatment compared to treatments for other presenting problems. Over the past 10 years, research on patient preference has expanded to new psychological and medical conditions, and new studies frequently included a psychoeducation component (i.e., informed choice). Study findings highlight the potential benefit of assessing patient preference and shared decision making.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102644"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899961","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":"Binge eating as emotion regulation? A meta-analysis of ecological momentary assessment studies","authors":"Insa M. Borm,&nbsp;Steffen Hartmann,&nbsp;Sven Barnow,&nbsp;Luise Pruessner","doi":"10.1016/j.cpr.2025.102625","DOIUrl":"10.1016/j.cpr.2025.102625","url":null,"abstract":"<div><div>Over the past decade, app-based studies have increasingly explored whether binge eating may serve as a form of emotion regulation. While theoretical models consistently propose that binge eating is triggered by aversive states, they diverge on whether the behavior is reinforced by subsequent temporary emotional improvements. This meta-analysis synthesized findings from 59 reports (42 unique studies, 1745 participants, 478 effect sizes) using ecological momentary assessment (EMA) to examine the role of negative and positive emotions in binge eating. Our analysis focused on two aspects: the emotion levels before and after binge eating, quantified using standardized mean change effect sizes, and the temporal emotion trajectories before and after binge eating, analyzed using Fisher's <em>r</em>-to-<em>z</em> transformed correlations. Using robust variance estimation (RVE) to account for dependent effect sizes, random-effects models revealed consistent emotion deterioration before binge eating across analyses, supporting the premise that emotional distress triggers binge eating. However, post-binge emotions yielded mixed results: while emotion levels indicated a continued deterioration, temporal trajectories suggested slight improvements after binge eating. Meta-regressions revealed no significant moderating effects, suggesting unexplained heterogeneity between studies. These findings partially support the emotion regulation function by affirming emotional distress as a trigger for binge eating but challenging the reinforcement premise. Treatments may benefit from incorporating strategies to regulate both negative and positive emotions. Substantial between-study heterogeneity highlights the need for future research to address methodological inconsistencies and refine our understanding of how emotions contribute to binge eating maintenance, which is essential for improving therapeutic outcomes for individuals with eating disorders.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102625"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771878","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":"Wiping the slate clean: A meta-analysis of post-detention aftercare programs for young offenders","authors":"Rita Selimi ,&nbsp;Jesse Roest ,&nbsp;Geert Jan Stams ,&nbsp;Tarah Hoebrechts ,&nbsp;Esmee van de Graaf ,&nbsp;Sanne Janssen ,&nbsp;Marjolein Snijder ,&nbsp;Njomza Llullaku ,&nbsp;Peer van der Helm ,&nbsp;Janneke Staaks ,&nbsp;Naomi Koning ,&nbsp;Mark Assink","doi":"10.1016/j.cpr.2025.102640","DOIUrl":"10.1016/j.cpr.2025.102640","url":null,"abstract":"<div><div>This three-level meta-analysis examined the effects of post-detention aftercare programs for adolescent and young adult offenders on several types of criminal recidivism (primary outcomes) and dynamic risk and protective factors for criminal behavior (secondary outcomes). A systematic search was conducted in the databases APA PsycInfo, Medline, ERIC, Web of Science Core Collection, SocINDEX, and Google Scholar, resulting in 26 relevant studies that produced 259 effect sizes. The results revealed a small overall effect (<em>g</em> = 0.26). Aftercare was effective for both primary (<em>g</em> = 0.23) and secondary (<em>g</em> = 0.35) outcomes. Smaller effects were found for general offenses (<em>g =</em> 0.23) and violent offenses (<em>g =</em> 0.26), a somewhat larger effect for minor offenses (<em>g =</em> 0.39), and no effect for substance abuse offenses (<em>g =</em> −0.04). Larger effects were found for arrests (<em>g =</em> 0.25) compared to convicted offenses (<em>g =</em> 0.12). Moderator analyses showed that mentoring and multi-modal interventions were effective, whereas family interventions as well as service and surveillance interventions were not effective. Positive changes in skills, substance abuse, family functioning, externalizing problems, internalizing problems, and general health were associated with larger intervention effects on recidivism, and thus may be considered important levers of change in post-detention aftercare programs. It was concluded that aftercare programs can fulfill a crucial role in deterring youth from re-offending. Future research should focus on refining aftercare programs and identifying program components that contribute to the success of aftercare for young offenders.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102640"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841582","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":"A systematic review and integrative framework of psychotherapy microprocess: Linking the science of psychological interventions with the art of moment-to-moment practice","authors":"Xiaochen Luo ,&nbsp;Alytia A. Levendosky","doi":"10.1016/j.cpr.2025.102641","DOIUrl":"10.1016/j.cpr.2025.102641","url":null,"abstract":"<div><div>Despite advancements in psychotherapy research on effectiveness and critical therapy processes, there remains a significant gap between the science and the art of psychotherapy, specifically on how to understand what to do moment-to-moment with each patient. A burgeoning research literature addresses this question by examining psychotherapy microprocesses, which typically referred to within-session changes of therapy processes, aiming to bridge psychotherapy research with clinical practice. In this pre-registered systematic review, we reviewed 86 empirical quantitative studies examining observational psychotherapy microprocesses over 35 years. We extracted 28 microprocess constructs across six categories (affective/emotional, behavioral, cognitive, relational/interpersonal, linguistic, and movement), four key methodological features of operationalizing microprocesses, and three types of research questions that focused on within-session change patterns, dyadic and intra-personal momentary associations, and associations with outcomes/macroprocesses/predictors. The literature demonstrated unique advantages in embracing theoretical plurality, real-world settings, and dyadic influences, while being limited by theoretical and methodological challenges such as the scatteredness in construct operationalizations, limited inclusion of diverse samples/therapy modalities and culture-related constructs, disconnections from theoretically driven hypotheses, and a lack of standard in reporting methodological features. To address these challenges, we propose the Multilevel Integrative Microprocess Model (MIMM), an integrative framework that situates microprocesses within the broader context of psychotherapy research traditionally centered on macro-level processes and outcomes. We conclude by suggesting a future research agenda that provides a checklist for future microprocess studies to enhance theoretical coherence and methodological rigor.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102641"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144894955","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":"Belief Updating Deficits in Depression: A Systematic Review and Meta-Analysis","authors":"Reut Zabag ,&nbsp;Yannick Vander Zwalmen ,&nbsp;Tobias Kube ,&nbsp;Kristof Hoorelbeke ,&nbsp;Ernst H.W. Koster ,&nbsp;Jutta Joormann","doi":"10.1016/j.cpr.2025.102649","DOIUrl":"10.1016/j.cpr.2025.102649","url":null,"abstract":"<div><h3>Background</h3><div>Prior studies have found that depression is linked to altered belief updating, but the strength and conditions of this association, such as its dependence on valence, remain unclear. This preregistered systematic review and meta-analysis examined studies that measured depressive symptoms and alterations in belief updating, in both updating-to-positive and updating-to-negative information directions.</div></div><div><h3>Method</h3><div>The PsycINFO, MEDLINE, Embase, Web of Science and Cochrane Library electronic databases were searched for studies examining belief updating and depressive symptomatology, resulting in retrieval of 29 papers (<em>N</em> = 3,130 individuals). Risk of bias was assessed using an adapted version of the Downs and Black checklist and risk for publication bias was assessed visually with funnel plots, as well as statistically with Egger's test and Duval and Tweedie's trim-and-fill procedure. Random effects models were used for calculating pooled effect sizes.</div></div><div><h3>Results</h3><div>We found evidence for a small, significant association (<em>r</em> = −0.11) between depressive symptoms and deficits in updating-to-positive information, but not for updating-to-negative information. Heterogeneity in both models was low. Exploratory subgroup analyses pointed to significant differences in the updating-to-positive direction based on the paradigm used, but this was not significant in the updating-to-negative direction. There were few concerns regarding the risk of bias and no evidence suggesting publication bias.</div></div><div><h3>Conclusions</h3><div>Depression is linked to a specific deficit in updating beliefs in response to positive disconfirming information, whereas no association was found with updating beliefs in response to negative information.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"121 ","pages":"Article 102649"},"PeriodicalIF":12.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208202","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":"Integrating maintaining theories for addiction and binge-eating pathology: A review of affective and reward-based theories","authors":"Emily K. Burr ,&nbsp;Lauren M. Schaefer ,&nbsp;Robert D. Dvorak ,&nbsp;Stephen A. Wonderlich","doi":"10.1016/j.cpr.2025.102627","DOIUrl":"10.1016/j.cpr.2025.102627","url":null,"abstract":"<div><div>Binge eating disorder (BED) is characterized by recurrent binge eating episodes. Many factors have been analyzed in the maintenance of binge eating disorder, but current treatments still fall short of optimal success rates, with approximately half of individuals with BED relapsing following intervention. Perhaps partially due to the many shared vulnerabilities and high rates of comorbidity, interventions of BED have increasingly incorporated strategies utilized in substance use disorder treatment and indeed, there are many overlapping components in prevailing theories of BED and addiction. Despite interventions increasingly sharing mechanisms, there is lacking an in-depth review of conceptualization overlaps and differences. Although there are many reviews of models for BED and substance use disorders, none to-date compare and contrast the models of the most analyzed maintenance factors across both disorders: affect-based models and reward-based models. This narrative review, incorporating key and currently influential models that have been included in reviews with empirical support from the last 15 years, explores these models in-depth and provides critical analysis of where they differ and overlap to inform future interventions. Affect-based models largely evolved separably, however, most contemporary reward-based models of BED borrow concepts historically explored in addiction. Clinical implications, including refinement of treatment for individuals with BED or BED and concurrent problematic substance use are discussed.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"Article 102627"},"PeriodicalIF":13.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714133","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":"Prevalence of Post-Traumatic Stress Disorder (PTSD) in autistic children or young people (CYP) and adults: A systematic review and meta-analysis.","authors":"Hassan Mansour, Suman Kurana, Aphrodite Eshetu, Sarah Hoare, Celine El Baou, Isabelle Arnold, Clemence Halys, Gavin R Stewart, Roopal Desai, Amber John, Will Mandy, Elizabeth O'Nions, Joshua Stott","doi":"10.1016/j.cpr.2025.102621","DOIUrl":"10.1016/j.cpr.2025.102621","url":null,"abstract":"<p><p>Autistic individuals are more likely to encounter traumatic events and mental health challenges throughout their lives. While multiple studies have explored the link between autism and post-traumatic stress disorder (PTSD), no meta-analysis has comprehensively synthesised PTSD prevalence rates according to DSM or ICD diagnostic manuals. This is important for ensuring appropriate intervention for this underserved population. Therefore, the current meta-analysis investigated the point and lifetime prevalence of PTSD among diagnosed autistic children or young people (CYP) and adults. A thorough systematic search identified 17 studies involving 53,918 autistic CYP and 13 studies with 142,081 autistic adults. Random-effects meta-analyses indicated a point prevalence of 1.11 % (95 % CI: 0.32; 2.38) among autistic CYP and 2.06 % (95 % CI: 0.00; 11.97) among autistic adults. Lifetime prevalence was 5.74 % (95 % CI: 2.12; 10.99) for autistic CYP and 2.72 % (95 % CI: 2.54; 2.90) for autistic adults. Subgroup analyses identified several factors influencing rates: co-occurring intellectual disability, gender proportion, diagnostic criteria (e.g., DSM vs. ICD), and informant type (self-report vs. combined self and carer/parent). Although PTSD prevalence rates are similar to general population estimates, they contrast with previous studies using screening tools, which reported substantially higher PTSD symptomatology in autistic individuals. This discrepancy may highlight some limitations of current PTSD diagnostic criteria, which may not fully capture how trauma is experienced and expressed by autistic individuals, leading to underdiagnosis and potentially significant adverse outcomes. Future research should focus on developing autism-specific diagnostic guidelines to better identify and address PTSD in this population, ensuring more timely support.</p>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"120 ","pages":"102621"},"PeriodicalIF":11.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812595","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}