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Annual Review of Clinical Psychology最新文献

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The Mentalizing Approach to Psychopathology: State of the Art and Future Directions. 精神病理学的心理化方法:技术现状和未来方向。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-05 DOI: 10.1146/annurev-clinpsy-071919-015355
Patrick Luyten, Chloe Campbell, Elizabeth Allison, Peter Fonagy
{"title":"The Mentalizing Approach to Psychopathology: State of the Art and Future Directions.","authors":"Patrick Luyten,&nbsp;Chloe Campbell,&nbsp;Elizabeth Allison,&nbsp;Peter Fonagy","doi":"10.1146/annurev-clinpsy-071919-015355","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-071919-015355","url":null,"abstract":"<p><p>Mentalizing is the capacity to understand others and oneself in terms of internal mental states. It is assumed to be underpinned by four dimensions: automatic-controlled, internally-externally focused, self-other, and cognitive-affective. Research suggests that mental disorders are associated with different imbalances in these dimensions. Addressing the quality of mentalizing as part of psychosocial treatments may benefit individuals with various mental disorders. We suggest that mentalizing is a helpful transtheoretical and transdiagnostic concept to explain vulnerability to psychopathology and its treatment. This review summarizes the mentalizing approach to psychopathology from a developmental socioecological evolutionary perspective. We then focus on the application of the mentalizing approach to personality disorders, and we review studies that have extended this approach to other types of psychopathology, including depression, anxiety, and eating disorders. We summarize core principles of mentalization-based treatments and preventive interventions and the evidence for their effectiveness. We conclude with recommendations for future research.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-071919-015355","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37612375","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: 255
Bottom-Up and Top-Down Paradigms for Psychopathology: A Half-Century Odyssey. 精神病理学的自下而上和自上而下的范式:半个世纪的奥德赛。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 DOI: 10.1146/annurev-clinpsy-071119-115831
Thomas M Achenbach
{"title":"Bottom-Up and Top-Down Paradigms for Psychopathology: A Half-Century Odyssey.","authors":"Thomas M Achenbach","doi":"10.1146/annurev-clinpsy-071119-115831","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-071119-115831","url":null,"abstract":"<p><p>Bottom-up paradigms prioritize empirical data from which to derive conceptualizations of psychopathology. These paradigms use multivariate statistics to identify syndromes of problems that tend to co-occur plus higher-order groupings such as those designated as internalizing and externalizing. Bottom-up assessment instruments obtain self-ratings and collateral ratings of behavioral, emotional, social, and thought problems and strengths for ages 1½-90+. Ratings of population samples provide norms for syndrome and higher-order scales for each gender, at different ages, rated by different informants, in relation to multicultural norms. The normed assessment instruments operationalize the empirically derived syndromes and higher-order groupings for applications to clinical services, research, and training. Because cross-informant agreement is modest and no single informant provides comprehensive assessment data, software compares ratings by different informants. Top-down paradigms prioritize conceptual representations of the nature and structure of psychopathology, as exemplified by psychodynamic, DSM/ICD, and HiTOP paradigms. Although these paradigms originated with observations, they tend to prioritize conceptual representations over empirical data.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-071119-115831","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37913879","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: 30
Behavioral Conceptualization and Treatment of Chronic Pain. 慢性疼痛的行为概念和治疗。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2019-12-10 DOI: 10.1146/annurev-clinpsy-050718-095744
Johan W S Vlaeyen, Geert Crombez
{"title":"Behavioral Conceptualization and Treatment of Chronic Pain.","authors":"Johan W S Vlaeyen,&nbsp;Geert Crombez","doi":"10.1146/annurev-clinpsy-050718-095744","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-050718-095744","url":null,"abstract":"<p><p>Pain is considered a hardwired signal of bodily disturbance belonging to a basic motivational system that urges the individual to act and to restore the body's integrity, rather than just a sensory and emotional experience. Given its eminent survival value, pain is a strong motivator for learning. Response to repeated pain increases when harm risks are high (sensitization) and decreases in the absence of such risks (habituation). Discovering relations between pain and other events provides the possibility to predict (Pavlovian conditioning) and control (operant conditioning) harmful events. Avoidance is adaptive in the short term but paradoxically may have detrimental long-term effects. Pain and pain-related responses compete with other demands in the environment. Exposure-based treatments share the aim of facilitating or restoring the pursuit of individual valued life goals in the face of persistent pain, and further improvements in pain treatment may require a paradigm shift toward more personalized approaches.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-050718-095744","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37443388","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: 52
Stress Allostasis in Substance Use Disorders: Promise, Progress, and Emerging Priorities in Clinical Research. 物质使用障碍中的应激平衡：临床研究的前景、进展和新的优先事项。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-10 DOI: 10.1146/annurev-clinpsy-102419-125016
Gaylen E Fronk, Sarah J Sant'Ana, Jesse T Kaye, John J Curtin
{"title":"Stress Allostasis in Substance Use Disorders: Promise, Progress, and Emerging Priorities in Clinical Research.","authors":"Gaylen E Fronk, Sarah J Sant'Ana, Jesse T Kaye, John J Curtin","doi":"10.1146/annurev-clinpsy-102419-125016","DOIUrl":"10.1146/annurev-clinpsy-102419-125016","url":null,"abstract":"<p><p>Clinicians and researchers alike have long believed that stressors play a pivotal etiologic role in risk, maintenance, and/or relapse of alcohol and other substance use disorders (SUDs). Numerous seminal and contemporary theories on SUD etiology posit that stressors may motivate drug use and that individuals who use drugs chronically may display altered responses to stressors. We use foundational basic stress biology research as a lens through which to evaluate critically the available evidence to support these key stress-SUD theses in humans. Additionally, we examine the field's success to date in targeting stressors and stress allostasis in treatments for SUDs. We conclude with our recommendations for how best to advance our understanding of the relationship between stressors and drug use, and we discuss clinical implications for treatment development.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259491/pdf/nihms-1573181.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37628815","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}
引用次数: 0
Research on Improving Outcomes and Reducing Costs of Psychological Interventions: Toward Delivering the Best to the Most for the Least. 改善结果和降低心理干预成本的研究:以最少的人提供最好的服务。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-10 DOI: 10.1146/annurev-clinpsy-071519-110415
Brian T Yates
{"title":"Research on Improving Outcomes and Reducing Costs of Psychological Interventions: Toward Delivering the Best to the Most for the Least.","authors":"Brian T Yates","doi":"10.1146/annurev-clinpsy-071519-110415","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-071519-110415","url":null,"abstract":"<p><p>Treatment and prevention efforts guided by psychological theory, research, and practice can have outcomes of greater value than the resources consumed by those efforts-and outcomes superior to those attainable by other means, often at lower costs. How can we make this hope true more often, for more of the clients who need our services, despite severe resource constraints? Routinely reporting the costs, effectiveness, and benefits of psychological interventions from client, practitioner, and societal perspectives is only a beginning. We also need to use descriptive and inferential statistics to measure, report, and analyze the cost-effectiveness and cost-benefit of our interventions to discover the strongest determinants of intervention costs and outcomes. The emerging literature on cost-inclusive research in psychology suggests that delivery systems are one primary determinant of costs and outcomes of most interventions, as are the psychological techniques applied.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-071519-110415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37628814","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: 6
The General Factor of Psychopathology. 精神病理学的一般因素。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-04 DOI: 10.1146/annurev-clinpsy-071119-115848
Gregory T Smith, Emily A Atkinson, Heather A Davis, Elizabeth N Riley, Joshua R Oltmanns
{"title":"The General Factor of Psychopathology.","authors":"Gregory T Smith,&nbsp;Emily A Atkinson,&nbsp;Heather A Davis,&nbsp;Elizabeth N Riley,&nbsp;Joshua R Oltmanns","doi":"10.1146/annurev-clinpsy-071119-115848","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-071119-115848","url":null,"abstract":"<p><p>An important advance in understanding and defining mental disorders has been the development of empirical approaches to mapping dimensions of dysfunction and their interrelatedness. Such empirical approaches have consistently observed intercorrelations among the many forms of psychopathology, leading to the identification of a general factor of psychopathology (the p factor). In this article, we review empirical support for p, including evidence for the stability and criterion validity of p. Further, we discuss the strong relationship between p and both the general factor of personality and the general factor of personality disorder, substantive interpretations of p, and the potential clinical utility of p. We posit that proposed substantive interpretations of p do not explain the full range of symptomatology typically included in p. The most plausible explanation is that p represents an index of impairment that has the potential to inform the duration and intensity of a client's mental health treatment.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-071119-115848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37629216","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: 93
Executive Function and Psychopathology: A Neurodevelopmental Perspective. 执行功能和精神病理学:一个神经发育的视角。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-19 DOI: 10.1146/annurev-clinpsy-072319-024242
Philip David Zelazo
{"title":"Executive Function and Psychopathology: A Neurodevelopmental Perspective.","authors":"Philip David Zelazo","doi":"10.1146/annurev-clinpsy-072319-024242","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-072319-024242","url":null,"abstract":"<p><p>Executive function (EF) skills are neurocognitive skills that support the reflective, top-down coordination and control of other brain functions, and there is neural and behavioral evidence for a continuum from more \"cool\" EF skills activated in emotionally neutral contexts to more \"hot\" EF skills needed for the reversal of motivationally significant tendencies. Difficulties in EF are transdiagnostic indicators of atypical development. A neurodevelopmental model traces the pathway from adverse childhood experiences and stress to disruption of the development of neural systems supporting reflection and EF skills to an increased risk for general features of psychopathology. Research indicates that EF skills can be cultivated through scaffolded training and are a promising target for therapeutic and preventive intervention. Intervention efficacy can be enhanced by mitigating disruptive bottom-up influences such as stress, training both hot and cool EF skills, and adding a reflective, metacognitive component to promote far transfer of trained skills.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-072319-024242","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37659047","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: 129
Interventions for Couples. 夫妇干预。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-07 DOI: 10.1146/annurev-clinpsy-071519-020546
Thomas N Bradbury, Guy Bodenmann
{"title":"Interventions for Couples.","authors":"Thomas N Bradbury,&nbsp;Guy Bodenmann","doi":"10.1146/annurev-clinpsy-071519-020546","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-071519-020546","url":null,"abstract":"Because relationship discord and dissolution are common and costly, interventions are needed to treat distressed couples and to prevent distress among vulnerable couples. We review meta-analytic evidence showing that 60-80% of distressed couples benefit from behavioral and emotion-focused approaches to couple therapy, but we also note that treatment effects are weaker in actual clinical practice than in controlled studies, dissipate following treatment for about half of all couples, and may be explained by factors that are common across models. Meta-analyses of prevention programs reveal reliable but smaller effects, reflecting a need to know more about whether and how communication mediates effects, about how risk and diversity moderate effects, and about how technology-enabled interventions can reduce attrition in vulnerable populations. Interventions for couples are improving and expanding, but critical questions remain about how and for whom they work. Expected final online publication date for the Annual Review of Clinical Psychology, Volume 16 is May 7, 2020. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-071519-020546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37621544","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: 26
Creativity and Bipolar Disorder: A Shared Genetic Vulnerability. 创造力和双相情感障碍:共同的遗传脆弱性。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 Epub Date: 2020-02-10 DOI: 10.1146/annurev-clinpsy-050718-095449
Tiffany A Greenwood
{"title":"Creativity and Bipolar Disorder: A Shared Genetic Vulnerability.","authors":"Tiffany A Greenwood","doi":"10.1146/annurev-clinpsy-050718-095449","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-050718-095449","url":null,"abstract":"<p><p>Bipolar disorder is a lifelong mood disorder characterized by extreme mood swings between mania and depression. Despite fitness costs associated with increased mortality and significant impairment, bipolar disorder has persisted in the population with a high heritability and a stable prevalence. Creativity and other positive traits have repeatedly been associated with the bipolar spectrum, particularly among unaffected first-degree relatives and those with milder expressions of bipolar traits. This suggests a model in which large doses of risk variants cause illness, but mild to moderate doses confer advantages, which serve to maintain bipolar disorder in the population. Bipolar disorder may thus be better conceptualized as a dimensional trait existing at the extreme of normal population variation in positive temperament, personality, and cognitive traits, aspects of which may reflect a shared vulnerability with creativity. Investigations of this shared vulnerability may provide insight into the genetic mechanisms underlying illness and suggest novel treatments.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-050718-095449","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37628813","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: 25
Accounting for Confounding in Observational Studies. 观察性研究中混淆的解释。
IF 18.4 1区 心理学
Annual Review of Clinical Psychology Pub Date : 2020-05-07 DOI: 10.1146/annurev-clinpsy-032816-045030
Brian M D'Onofrio, Arvid Sjölander, Benjamin B Lahey, Paul Lichtenstein, A Sara Öberg
{"title":"Accounting for Confounding in Observational Studies.","authors":"Brian M D'Onofrio,&nbsp;Arvid Sjölander,&nbsp;Benjamin B Lahey,&nbsp;Paul Lichtenstein,&nbsp;A Sara Öberg","doi":"10.1146/annurev-clinpsy-032816-045030","DOIUrl":"https://doi.org/10.1146/annurev-clinpsy-032816-045030","url":null,"abstract":"<p><p>The goal of this review is to enable clinical psychology researchers to more rigorously test competing hypotheses when studying risk factors in observational studies. We argue that there is a critical need for researchers to leverage recent advances in epidemiology/biostatistics related to causal inference and to use innovative approaches to address a key limitation of observational research: the need to account for confounding. We first review theoretical issues related to the study of causation, how causal diagrams can facilitate the identification and testing of competing hypotheses, and the current limitations of observational research in the field. We then describe two broad approaches that help account for confounding: analytic approaches that account for measured traits and designs that account for unmeasured factors. We provide descriptions of several such approaches and highlight their strengths and limitations, particularly as they relate to the etiology and treatment of behavioral health problems.</p>","PeriodicalId":50755,"journal":{"name":"Annual Review of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":18.4,"publicationDate":"2020-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1146/annurev-clinpsy-032816-045030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37913880","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: 29
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