Annual Review of Clinical Psychology最新文献

Detecting Suicide Risk Among Pediatric Patients: Screening, Clinical Pathways, and Care

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-02-03 DOI: 10.1146/annurev-clinpsy-081423-021101

Lisa M. Horowitz, Nathan J. Lowry, Tesia Shi, Ritika Merai, Maryland Pao, Jeffrey A. Bridge

{"title":"Detecting Suicide Risk Among Pediatric Patients: Screening, Clinical Pathways, and Care","authors":"Lisa M. Horowitz, Nathan J. Lowry, Tesia Shi, Ritika Merai, Maryland Pao, Jeffrey A. Bridge","doi":"10.1146/annurev-clinpsy-081423-021101","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-081423-021101","url":null,"abstract":"Youth suicide remains a leading cause of death in the United States and is especially pronounced in populations that have been historically underserved. Multipronged public health strategies aimed at addressing suicide may be particularly effective in pediatric medical settings, as most youth who die by suicide have visited a health care provider prior to their death. The finding that most youth suicide decedents have no mental illness diagnosis further underscores the importance of screening. This review highlights universal screening as a strategy to improve detection and management of at-risk youth. We present current research on evidence-based screening tools, clinical pathways to support the feasibility and fidelity of screening, brief interventions for managing positive screens, issues regarding screening and health equity, considerations for diverse populations, current innovations, and future directions for research and clinical practice. Evidence supports universal suicide risk screening through feasible clinical pathways that leverage pediatric health care providers as partners in suicide prevention.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"38 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143083771","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}

引用次数: 0

Treating Opioid Use Disorder and Opioid Withdrawal in the Context of Fentanyl

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-29 DOI: 10.1146/annurev-clinpsy-081423-023518

Suky Martinez, Jennifer D. Ellis, Cecilia L. Bergeria, Andrew S. Huhn, Kelly E. Dunn

{"title":"Treating Opioid Use Disorder and Opioid Withdrawal in the Context of Fentanyl","authors":"Suky Martinez, Jennifer D. Ellis, Cecilia L. Bergeria, Andrew S. Huhn, Kelly E. Dunn","doi":"10.1146/annurev-clinpsy-081423-023518","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-081423-023518","url":null,"abstract":"The opioid crisis, driven by illicitly manufactured fentanyl, presents significant challenges in treating opioid use disorder (OUD) and opioid withdrawal syndrome. Fentanyl is uniquely lethal due to its rapid onset and respiratory depressant effects, driving the surge in overdose deaths. This review examines the limitations of traditional diagnostic criteria like those of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) and explores the potential of dimensional models such as the Hierarchical Taxonomy of Psychopathology (HiTOP) for a more nuanced understanding of OUD. Current treatments, including medications for OUD, are evaluated for efficacy in managing fentanyl-related OUD. Innovations in drug formulations and alternative induction methods are discussed to address the unique challenges posed by fentanyl. Psychotherapeutic and behavioral interventions, such as cognitive behavioral therapy and contingency management, are highlighted as crucial complements to pharmacotherapy. The review underscores the need for increased precision, comprehensive phenotyping, and advanced diagnostics to develop personalized treatment plans, all with the aim of improving patient outcomes and mitigating the societal impact of the opioid crisis.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"20 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143056211","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}

引用次数: 0

Moral Injury: An Overview of Conceptual, Definitional, Assessment, and Treatment Issues

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-29 DOI: 10.1146/annurev-clinpsy-081423-022604

Brett T. Litz, Hannah E. Walker

引用次数: 0

Single-Session Interventions for Mental Health Problems and Service Engagement: Umbrella Review of Systematic Reviews and Meta-Analyses

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-28 DOI: 10.1146/annurev-clinpsy-081423-025033

Jessica L. Schleider, Juan Pablo Zapata, Andy Rapoport, Annie Wescott, Arka Ghosh, Benji Kaveladze, Erica Szkody, Isaac L. Ahuvia

{"title":"Single-Session Interventions for Mental Health Problems and Service Engagement: Umbrella Review of Systematic Reviews and Meta-Analyses","authors":"Jessica L. Schleider, Juan Pablo Zapata, Andy Rapoport, Annie Wescott, Arka Ghosh, Benji Kaveladze, Erica Szkody, Isaac L. Ahuvia","doi":"10.1146/annurev-clinpsy-081423-025033","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-081423-025033","url":null,"abstract":"Most people with mental health needs cannot access treatment; among those who do, many access services only once. Accordingly, single-session interventions (SSIs) may help bridge the treatment gap. We conducted the first umbrella review synthesizing research on SSIs for mental health problems and service engagement in youth and adults. Our search yielded 24 systematic reviews of SSIs, which included 415 unique trials. Twenty reviews (83.33%) reported significant, positive effects of SSIs for one or more outcomes (anxiety, depression, externalizing problems, eating problems, substance use, treatment engagement or uptake). Across 12 reviews that meta-analytically examined SSIs’ effectiveness relative to controls, SSIs showed a positive effect across outcomes and age groups (standardized mean difference = −0.25, I 2 = 43.17%). Per AMSTAR 2 (A Measurement Tool to Assess Systematic Reviews), some methodological concerns emerged across reviews, such as low rates of preregistration. Overall, findings support the clinical utility of SSIs for certain psychological problems and populations. Implementation research is needed to integrate effective SSIs into systems of care.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"118 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054859","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}

引用次数: 0

Personality Disorders: Current Conceptualizations and Challenges 人格障碍：当前的概念和挑战

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-21 DOI: 10.1146/annurev-clinpsy-081423-030513

Thomas A. Widiger, Michelle Smith

{"title":"Personality Disorders: Current Conceptualizations and Challenges","authors":"Thomas A. Widiger, Michelle Smith","doi":"10.1146/annurev-clinpsy-081423-030513","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-081423-030513","url":null,"abstract":"The personality disorders are said to be at the vanguard in the shift to a dimensional model of classification, as exemplified in the Alternative Model of Personality (AMPD) presented in Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for emerging models and in the 11th edition of the International Classification of Diseases (ICD-11). Considered herein are some limitations and challenges. For the DSM-5 AMPD trait model, these include problematic placements, inadequate coverage, perceived complexity, and lack of cutoff points. For the DSM-5 AMPD Level of Personality Functioning (LPF), they include the complexity, the questionable presumption that the LPF defines the core of personality disorder, the presumption that the LPF identifies what is unique to the personality disorders, and the premise that the LPF is distinct from the maladaptive traits. Limitations and challenges of the ICD-11 model are the absence of lower-order facet scales and the fact that only the level of severity is required. This review suggests that the trait of depressivity belongs with negative affectivity and suspicion belongs within antagonism, that maladaptive traits from all 10 poles of the five domains should be provided, and that cutoff points based on social-occupational impairment and/or distress should be provided. The review summarizes research that questions whether the LPF represents the core of personality disorder, identifies what is unique to the personality disorders, and is distinct from maladaptive traits. Finally, the review suggests that the ICD-11 should require the assessment of the traits and include facet scales.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"11 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142992771","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}

引用次数: 0

Autism Spectrum Disorder Across the Lifespan 自闭症谱系障碍贯穿整个生命周期

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-21 DOI: 10.1146/annurev-clinpsy-081423-031110

Maira Tafolla, Hannah Singer, Catherine Lord

引用次数: 0

Stress and Cardiovascular Disease: The Role of Affective Traits and Mental Disorders 压力与心血管疾病：情感特征和精神障碍的作用

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-13 DOI: 10.1146/annurev-clinpsy-081423-023833

Richard J. Contrada

{"title":"Stress and Cardiovascular Disease: The Role of Affective Traits and Mental Disorders","authors":"Richard J. Contrada","doi":"10.1146/annurev-clinpsy-081423-023833","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-081423-023833","url":null,"abstract":"Personality traits involving negative affect, as well as mental disorders including depression, anxiety, and posttraumatic stress disorder, are cardiovascular risk factors. However, which of these confer risk independently is uncertain, and the implications of their overlap, combinations, and interactions are poorly understood. Potential explanatory mechanisms are being characterized with increasing detail and sophistication. Of particular interest are psychobiological processes initiated by stress. Other mechanisms involve stress-related health behaviors and illness behaviors that delay or reduce the effectiveness of medical treatment. With some promising exceptions, findings of intervention trials are uncertain regarding the effectiveness of psychological treatments for modifying affective traits and mental disorders to reduce their impact on cardiovascular disease. Recent developments include novel conceptualizations of mental disorders; examination of the interplay between cognitive factors and emotion; and theoretical frameworks that integrate psychological stress processes with neuroscience, health behavior, and social cognition. Also promising is increased attention to gender identity and minority group membership.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"7 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974541","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}

引用次数: 0

Mental Illness and Substance Use Disorder Stigma: Mapping Pathways Between Structures and Individuals to Accelerate Research and Intervention 精神疾病和物质使用障碍的污名化：结构和个体之间的路径映射以加速研究和干预

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-13 DOI: 10.1146/annurev-clinpsy-081423-023228

Valerie A. Earnshaw, Mohammad Mousavi, Xueli Qiu, Annie B. Fox

{"title":"Mental Illness and Substance Use Disorder Stigma: Mapping Pathways Between Structures and Individuals to Accelerate Research and Intervention","authors":"Valerie A. Earnshaw, Mohammad Mousavi, Xueli Qiu, Annie B. Fox","doi":"10.1146/annurev-clinpsy-081423-023228","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-081423-023228","url":null,"abstract":"Researchers, interventionists, and clinicians are increasingly recognizing the importance of structural stigma in elevating the risk of mental illnesses (MIs) and substance use disorders (SUDs) and in undermining MI/SUD treatment and recovery. Yet, the pathways through which structural stigma influences MI/SUD-related outcomes remain unclear. In this review, we aim to address this gap by summarizing scholarship on structural MI/SUD stigma and identifying pathways whereby structural stigma affects MI/SUD-related outcomes. We introduce a conceptual framework that describes how structural-level stigma mechanisms influence the MI/SUD treatment cascade via (a) interpersonal- and individual-level stigma mechanisms and (b) mediating processes among people with MI/SUD (i.e., access to resources, psychological responses, behavioral responses, social isolation). We consider intersections between MI/SUD stigma and stigma based on race/ethnicity, gender identity, and sexual orientation. Finally, we discuss the implications of this review for future research, interventions, and clinical practice.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":"12 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142975135","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}

引用次数: 0

Pathways to Racial/Ethnic Inequalities in Dementia 痴呆症中种族/民族不平等的途径

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2025-01-13 DOI: 10.1146/annurev-clinpsy-081423-032631

Jordan D. Palms, Ketlyne Sol, Laura B. Zahodne

引用次数: 0

Climate Change and Mental Health 气候变化与心理健康

IF 18.4 1区心理学

Annual Review of Clinical Psychology Pub Date : 2024-12-11 DOI: 10.1146/annurev-clinpsy-081423-025932

Susan Clayton, Tara Crandon

引用次数: 0