Katherina Arteaga, Ty S Schepis, Ashley B Cole, Alessandro S De Nadai
{"title":"National treatment utilization among racially and ethnically diverse patients with PTSD.","authors":"Katherina Arteaga, Ty S Schepis, Ashley B Cole, Alessandro S De Nadai","doi":"10.1521/bumc.2025.89.1.1","DOIUrl":"10.1521/bumc.2025.89.1.1","url":null,"abstract":"<p><p>Research suggests that racial/ethnic minoritized individuals have elevated risk for experiencing trauma and developing posttraumatic stress disorder (PTSD) but are less likely to utilize mental health treatment compared to their non-Hispanic White counterparts. However, possessing health insurance may mitigate these disparities. We investigated this issue using a subsample of data obtained from the National Epidemiologic Survey on Alcohol and Related Conditions-III (N = 2,339), to estimate the likelihood of utilizing PTSD-specific and general mental health treatment among a racially/ethnically diverse sample of individuals diagnosed with PTSD. Insurance status was included as a moderating factor. Across racial/ethnic groups, insured individuals had more than twice the odds of utilizing PTSD-specific and general treatment than those without insurance. Black, Hispanic, and Asian/Native Hawaiian/Pacific Islander participants were significantly less likely to utilize PTSD-specific and general mental health treatment regardless of insurance status. These findings can inform targeted public health interventions to address mental health care disparities.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"1-26"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Heads I win, tails you lose: Interpersonal aspects of borderline personality disorder.","authors":"Mark L Ruffalo","doi":"10.1521/bumc.2025.89.1.52","DOIUrl":"10.1521/bumc.2025.89.1.52","url":null,"abstract":"<p><p>Since borderline personality disorder was identified as a distinct psychiatric syndrome in the 1970s, it has been recognized as a disorder marked by disturbance in interpersonal functioning. Understanding the borderline patient's characteristic modes of relating to self and others is therefore of significant theoretical and clinical importance. This article seeks to examine multiple facets of borderline personality disorder believed to contribute to interpersonal dysfunction, including: common communication patterns observed in borderline patients, such as double-bind communication; the primitive or paleologic thinking that results in misperception of benign interpersonal phenomena; and the destabilizing effect of a persistent pattern of stimulation and frustration (idealization and devaluation) on human relationships. This discussion of communication dilemmas and paradoxes is believed to represent a novel contribution to the literature on borderline psychopathology. It is argued that a broader recognition of these psychodynamic processes will yield improvement in psychotherapeutic models and treatment of this severe and disabling disorder.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"52-69"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Turkish adaptation and psychometric characteristics of the Intolerance of Uncertainty Index-A for Children.","authors":"Fulya Türk, Zeynep Hamamcı","doi":"10.1521/bumc.2025.89.2.134","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.134","url":null,"abstract":"<p><p>Intolerance of uncertainty (IU) is a cognitive factor linked to various mental health disorders, especially anxiety, in children and adolescents. This study aimed to adapt and validate the Intolerance of Uncertainty Index-A for Children (IUI-A-C) into Turkish. A sample of 552 participants aged 10 to 19 years (M = 13.84, SD = 2.29) completed the Turkish version of the IUI-A-C and measures of anxiety. The study assessed confirmatory factor analysis, internal consistency reliability, criterion validity, item discrimination, and test-retest reliability. The adapted scale showed good psychometric properties, with confirmatory factor analysis indicating a good fit to the data. Internal consistency reliability was adequate (Cronbach's α = .73), and criterion validity was supported by a moderate positive correlation with anxiety measures. Item discrimination analysis demonstrated the scale's ability to differentiate between high and low levels of IU, and test-retest reliability was excellent (intraclass correlation coefficient = .92). Thus, the Turkish IUI-A-C is a valid and reliable tool for assessing IU in children and adolescents.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"134-153"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Kerim Şimşek, Amitai Abramovitch, Dean McKay, Samuel Armen, Jonathan S Abramowitz
{"title":"The Revised Obsessive-Compulsive Inventory-Child Version: Adaptation, psychometric properties, and norms in Turkish culture.","authors":"Mustafa Kerim Şimşek, Amitai Abramovitch, Dean McKay, Samuel Armen, Jonathan S Abramowitz","doi":"10.1521/bumc.2025.89.1.70","DOIUrl":"10.1521/bumc.2025.89.1.70","url":null,"abstract":"<p><p>The Obsessive-Compulsive Inventory-Child Version (OCI-CV), which was developed to assess OCD symptoms in children and adolescents, was recently revised (OCI-CV-R) after hoarding was removed as an OCD symptom dimension in the DSM-5. The study aimed to examine the validity of the OCI-CV-R for assessing OCD symptoms in Turkish culture. A total of 1,062 youths, aged 9 to 18 years, participated in this study to assess the OCI-CV-R's psychometric properties in the Turkish culture. Analysis included factor analyses and assessments of validity and reliability. Results demonstrated that the Turkish version of the OCI-CV-R had good model fit values for the five-factor structure of the scale. The revised scale also revealed measurement invariance between two age groups: children (ages 9-11) and adolescents (ages 12-18). The findings indicate that the OCI-CV-R is a valid and reliable instrument for assessing OCD symptoms among Turkish-speaking populations and thus can replace the previous version.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"70-90"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luana Dumans Laurito, Carla Pereira Loureiro, Maria Eduarda Moreira-de-Oliveira, Rafaela Venancio Dias, Bianca Torres, Livi Faro, Michael P Twohig, Gabriela B de Menezes, Leonardo F Fontenelle
{"title":"Acceptance and commitment therapy associated with exposure and response prevention for obsessive-compulsive disorder: An online group protocol adapted for the Brazilian context.","authors":"Luana Dumans Laurito, Carla Pereira Loureiro, Maria Eduarda Moreira-de-Oliveira, Rafaela Venancio Dias, Bianca Torres, Livi Faro, Michael P Twohig, Gabriela B de Menezes, Leonardo F Fontenelle","doi":"10.1521/bumc.2025.89.2.111","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.111","url":null,"abstract":"<p><p>Acceptance and commitment therapy (ACT) combined with exposure and response prevention (ERP) is an effective treatment for obsessive-compulsive disorder (OCD). Due to the influence of sociocultural factors on OCD symptomatology, it is crucial to customize and assess ACT within diverse cultural settings. We present an online group protocol for ACT-ERP, tailored for Brazilian adults with OCD, based on a prior pilot study and the work of Twohig and colleagues. The protocol adaptations for online use in a group format included technical arrangements, adjusted session frequency, and cultural adaptations with appropriate translations. These modifications addressed cultural analogies and socioeconomic challenges, enhancing accessibility and relevance for Brazilians. Adapting this intervention to the Brazilian context aims to optimize OCD treatment, offering a culturally sensitive approach for Brazilian patients.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"111-133"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Szu-Chi Cheng, Gianna M Colombo, Megan M Dailey, Caitlin M Pinciotti, Haoran C Peng, Andrew D Wiese, Erika S Trent, Allie N Townsend, Ogechi Cynthia Onyeka, Wayne K Goodman, Eric A Storch
{"title":"Accuracy, reach, and content quality of information about obsessive-compulsive disorder on TikTok.","authors":"Jessica Szu-Chi Cheng, Gianna M Colombo, Megan M Dailey, Caitlin M Pinciotti, Haoran C Peng, Andrew D Wiese, Erika S Trent, Allie N Townsend, Ogechi Cynthia Onyeka, Wayne K Goodman, Eric A Storch","doi":"10.1521/bumc.2025.89.2.154","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.154","url":null,"abstract":"<p><p>Obsessive-compulsive disorder (OCD) is one of the most popular health-related topics on TikTok but is often misrepresented. This study analyzed the accuracy (i.e., accurate, overgeneralizing, or inaccurate), reach (i.e., views, likes, comments, and shares), and content quality (i.e., understandability and actionability) of 117 informational TikTok videos about OCD. Content creator type (health care professionals [HCPs], individuals with lived experiences, and others) was determined. Of the 117 analyzed videos, 64 (54.7%) were accurate, 31 (26.5%) overgeneralizing, and 22 (18.8%) inaccurate. HCP-created videos were significantly more accurate (82.1% accurate) than non-HCP-created ones (individuals with lived experiences: 63.6% accurate; others: 35.7%). Reach metrics did not vary significantly across accuracy levels and creator types. Videos analyzed were moderately understandable, and accurate videos were significantly more understandable. However, actionability was low overall. Results suggest that misinformation about OCD on TikTok is common and is being disseminated almost as widely as accurate information. Clinical implications are discussed.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"154-174"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gencay Koc, Gulser Senses Dinc, Atilla Halil Elhan
{"title":"A validity and reliability study of the Work and Social Adjustment Scale (WSAS) Youth and Parent Forms in the Turkish population.","authors":"Gencay Koc, Gulser Senses Dinc, Atilla Halil Elhan","doi":"10.1521/bumc.2025.89.1.27","DOIUrl":"10.1521/bumc.2025.89.1.27","url":null,"abstract":"<p><p>This study assessed the validity and reliability of the Youth and Parent Forms of the Work and Social Adjustment Scale (WSAS) in the Turkish population. The patient group comprised 298 young patients aged 8 to 18 with any anxiety disorder, while 107 healthy young people formed the control group. Participants completed assessments, including the Screen for Child Anxiety-Related Disorders and the Pediatric Quality of Life Inventory (PedsQL), alongside the WSAS, while parents also completed the PedsQL and the WSAS. After 2 weeks, 100 individuals from the patient group were reevaluated for test-retest reliability. Results showed satisfactory validity and reliability, supported by statistical analyses, including Rasch analysis and Cronbach's alpha coefficient. The WSAS demonstrated validity across all evaluations and reliable internal consistency (Cronbach's alpha: parent form = .755, youth form = .750), test-retest reliability (correlation coefficients: parent form = 0.934, youth form = 0.937). Overall, the WSAS proved valid and reliable in the Turkish language.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 1","pages":"27-51"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Discrepancies in child and parent reports and their association with parental anxiety in youths with anxiety disorders.","authors":"Fernanda Zétola-Delage, Gustavo Doria, Estela Caballero-Picazo, Marina Iniesta-Sepúlveda","doi":"10.1521/bumc.2025.89.2.91","DOIUrl":"https://doi.org/10.1521/bumc.2025.89.2.91","url":null,"abstract":"<p><p>This study examined discrepancies between child and parent reports of pediatric anxiety, depression, and anger, as well as how parental anxiety differentially influenced these reports across clinical manifestations. Participants were recruited from clinical centers in Brazil specializing in anxiety disorders, comprising 47 children aged 7 to 17 years and their parents. Parent-child agreement was moderate to high for anxiety and depression symptoms but nonsignificant for anger. Parental anxiety was significantly associated with child anxiety and depression in parent-reported measures, while child-reported measures showed significant associations only between parental anxiety and child anxiety. Multivariate analyses identified parental anxiety as a significant predictor for child anxiety but not for child depression. These findings emphasize the influence of parental anxiety on parental perceptions of pediatric anxiety, highlighting the need to account for this potential bias in clinical assessments and treatment planning.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"89 2","pages":"91-110"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha Coyle-Eastwick, Melissa Escobar, Jessica Wimmer, Michael Lindsey, Jarius Thompson, Carrie Masia Warner
{"title":"Social anxiety disorder in Black American adolescents: Cultural considerations in conceptualization, assessment, and treatment.","authors":"Samantha Coyle-Eastwick, Melissa Escobar, Jessica Wimmer, Michael Lindsey, Jarius Thompson, Carrie Masia Warner","doi":"10.1521/bumc.2024.88.2.171","DOIUrl":"10.1521/bumc.2024.88.2.171","url":null,"abstract":"<p><p>Social anxiety disorder (SAD) is characterized by significant distress and avoidance surrounding social and performance situations, with marked interpersonal and academic impairment. This review article highlights cultural considerations relevant to the conceptualization, identification, and treatment of SAD in Black youth. Research evaluating the utility of evidence-based measures to assess SAD suggests they are culturally relevant; however, gaps in knowledge regarding the psychometric properties of even the most widely used instruments are evident. In regard to intervention, cognitive behavioral therapy (CBT) approaches hold promise, yet there is a lack of research on the use of CBT with Black adolescents. Recommendations to incorporate cultural factors into CBT are provided, and future work investigating culturally adapted interventions is needed. Finally, given significant disparities in access and utilization of mental health services among Black youth, strategies to increase treatment engagement, such as school-based services, are important to consider.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 2","pages":"171-195"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer C Ramirez, Valérie La Buissonnière-Ariza, Elizabeth McIngvale, Katrina A Rufino, Lucy J Puryear, Christina Annette Treece, Sophie C Schneider, Sandra L Cepeda, Wayne K Goodman, Eric A Storch
{"title":"Perceived worsening of obsessive-compulsive disorder symptoms after childbirth in women and men: An understudied phenomenon.","authors":"Jennifer C Ramirez, Valérie La Buissonnière-Ariza, Elizabeth McIngvale, Katrina A Rufino, Lucy J Puryear, Christina Annette Treece, Sophie C Schneider, Sandra L Cepeda, Wayne K Goodman, Eric A Storch","doi":"10.1521/bumc.2024.88.1.48","DOIUrl":"10.1521/bumc.2024.88.1.48","url":null,"abstract":"<p><p>The aim of this study was to examine worsening of OCD symptoms after childbirth in individuals seeking assessment or treatment of OCD. The postpartum period may make parents biologically and psychologically vulnerable to OCD symptoms. Participants included 222 parents with OCD who completed surveys through a self-help website. Most women and almost half of men with self-reported OCD reported an increase in OCD symptoms following childbirth. Retrospective report of perceived worsening of OCD symptoms after childbirth was associated with more aggressive obsessions for both men and women, in comparison to individuals whose OCD symptoms did not worsen around childbirth. Women whose OCD symptoms worsened after childbirth reported more impairment in social functioning than individuals whose symptoms did not worsen. These results highlight the need to develop a better understanding of aggressive obsessions in parents, and improve education about prevalence, content, assessment, and intervention for aggression-focused intrusive thoughts.</p>","PeriodicalId":51683,"journal":{"name":"Bulletin of the Menninger Clinic","volume":"88 1","pages":"48-60"},"PeriodicalIF":1.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}