Clinical Psychological Science最新文献_第2页

Open Science at Clinical Psychological Science: Reflections on Progress, Lessons Learned, and Suggestions for Continued Improvement 临床心理科学的开放科学：对进展、经验教训和持续改进建议的思考

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-08-08 DOI: 10.1177/21677026241255882

Andrea L. Howard, Tess M.S. Neal, Olivia J. Kirtley, Heather L. Urry, Jennifer L. Tackett

引用次数: 0

Obsessive-Compulsive Visual Search: A Reexamination of Presence–Absence Asymmetries 强迫性视觉搜索：重新审视存在与不存在的不对称性

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-06-25 DOI: 10.1177/21677026241258380

Noam Sarna, Matan Mazor, Reuven Dar

引用次数: 0

“General Addiction Liability” Revisited "重新审视 "一般成瘾责任

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-05-25 DOI: 10.1177/21677026241245070

Ashley L. Watts, Kenneth J. Sher, Andrew C. Heath, Douglas Steinley, Michael Brusco

引用次数: 0

Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda 焦虑症及相关障碍暴露疗法的改变机制：研究议程

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-05-25 DOI: 10.1177/21677026241240727

Kristen Benito, Andre Pittig, Jonathan Abramowitz, Joanna J. Arch, Denise Chavira, Rianne de Kleine, Alessandro S. De Nadai, Dirk Hermans, Stefan G. Hofmann, Jürgen Hoyer, Jonathan D. Huppert, Katharina Kircanski, Peter M. McEvoy, Heidi Meyer, Marie-H. Monfils, Santiago Papini, Winfried Rief, David Rosenfield, Eric A. Storch, Michael J. Telch, Michael W. Otto, Jasper A. J. Smits

{"title":"Mechanisms of Change in Exposure Therapy for Anxiety and Related Disorders: A Research Agenda","authors":"Kristen Benito, Andre Pittig, Jonathan Abramowitz, Joanna J. Arch, Denise Chavira, Rianne de Kleine, Alessandro S. De Nadai, Dirk Hermans, Stefan G. Hofmann, Jürgen Hoyer, Jonathan D. Huppert, Katharina Kircanski, Peter M. McEvoy, Heidi Meyer, Marie-H. Monfils, Santiago Papini, Winfried Rief, David Rosenfield, Eric A. Storch, Michael J. Telch, Michael W. Otto, Jasper A. J. Smits","doi":"10.1177/21677026241240727","DOIUrl":"https://doi.org/10.1177/21677026241240727","url":null,"abstract":"Anxiety and related disorders are a significant public-health burden with rising prevalence in the wake of the COVID-19 pandemic. As demand for effective anxiety treatment increases, so too does the need for strategies to bolster treatment outcomes. Research on the mechanisms of exposure therapy, the frontline behavioral treatment, will be critically important for optimizing clinical outcomes. We outline an initial agenda for future research on the mechanisms of change of exposure therapy, developed in collaboration with a large international team of researchers through the Exposure Therapy Consortium. Key questions and recommendations for future research focus on four priority areas: conceptualization, measurement, study design/analysis, and individual/contextual differences. Rising to the challenge of addressing these questions will require coordinated action and availability of centralized tools that can be used across trials, settings, and research groups.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"96 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141147602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trait Social Anxiety Moderates the Relationship Between Emotion-Regulation Strategy Switching and State Anxiety in Daily Life 特质社交焦虑调节日常生活中情绪调节策略转换与状态焦虑之间的关系

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-05-11 DOI: 10.1177/21677026241249192

Katharine E. Daniel, Robert G. Moulder, Steven M. Boker, Bethany A. Teachman

{"title":"Trait Social Anxiety Moderates the Relationship Between Emotion-Regulation Strategy Switching and State Anxiety in Daily Life","authors":"Katharine E. Daniel, Robert G. Moulder, Steven M. Boker, Bethany A. Teachman","doi":"10.1177/21677026241249192","DOIUrl":"https://doi.org/10.1177/21677026241249192","url":null,"abstract":"Difficulty knowing when to switch emotion-regulation (ER) strategies is theorized to be a key pathway to emotion dysregulation, but relatively few studies have empirically examined this. We applied a new order-based metric to quantify how 109 socially anxious people switched between 19 different ER strategies (or chose not to regulate at all) throughout a 5-week ecological-momentary-assessment (EMA) study that yielded 12,616 observations. We tested whether state- and trait-anxiety reports and their interaction predicted differences in ER strategy switching. Results indicated that people with relatively higher social-anxiety symptoms switch more often between ER strategies during periods of high average state anxiety but less often during periods of high variability in state anxiety than less socially anxious people. Interventions focused on helping socially anxious people learn how ER strategies are connected to variations in state anxiety might hold promise to increase adaptive ER-switching decisions. More broadly, expanding ER-switching interventions to consider the role of changing situations is an important next step.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"36 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140930719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Idiographic Methodologies Can Move the Clinical-Science Field Forward to Integrate Personalized Treatment Into Everyday Clinical Care and Improve Treatment Outcomes 影像学方法如何推动临床科学领域的发展，将个性化治疗融入日常临床护理并提高治疗效果

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-04-13 DOI: 10.1177/21677026231217316

Cheri A. Levinson, Caroline Christian, Carolyn B. Becker

{"title":"How Idiographic Methodologies Can Move the Clinical-Science Field Forward to Integrate Personalized Treatment Into Everyday Clinical Care and Improve Treatment Outcomes","authors":"Cheri A. Levinson, Caroline Christian, Carolyn B. Becker","doi":"10.1177/21677026231217316","DOIUrl":"https://doi.org/10.1177/21677026231217316","url":null,"abstract":"The research–practice gap refers to the fact that most evidence-based treatments created by researchers are not used in routine clinical care, which affects real-world treatment outcomes negatively. One key reason that evidence-based care is not used more frequently is its nonpersonalized format. For example, most evidence-based treatments are based on averages and are limited in addressing comorbidity, heterogeneity, and the needs of clients with minoritized identities. These limitations reduce therapist uptake of evidence-based treatment at large. As a result, most patients seeking treatment in community settings do not receive evidence-based care, which could more quickly and effectively reduce mental-health suffering. Furthermore, even clinicians who want to engage in evidence-based practice must still rely on their clinical judgment in decision-making when treatments fail to address client-specific needs. This reliance on decision-making can influence outcomes negatively. We propose that idiographic (i.e., one-person; N = 1) methodologies (data analysis of one person’s data) combined with digital mental-health technology could help reduce the research–practice gap and improve treatment outcomes. In this article, we outline the many issues contributing to these problems and how idiographic methods of personalization can address these issues. We provide an overview of idiographic methodologies and examples of how to use these methods to personalize existing evidence-based treatments with patients. Finally, we conclude with recommendations for future research and movement within the field that is needed to propel this type of personalization into routine clinical care to reduce the research–practice gap and improve treatment outcomes broadly.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"48 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Formal Model of Affiliative Interpersonality 关联人际关系的形式模型

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-04-03 DOI: 10.1177/21677026241229663

Stefan Westermann, Sven Banisch

{"title":"A Formal Model of Affiliative Interpersonality","authors":"Stefan Westermann, Sven Banisch","doi":"10.1177/21677026241229663","DOIUrl":"https://doi.org/10.1177/21677026241229663","url":null,"abstract":"Capturing the complexity of interpersonal dynamics—emerging from approach and avoidance motives of two individuals in dyadic interplay—remains challenging. In line with calls for embracing complexity in psychological research using formal modeling, we employed evolutionary game theory to investigate the underlying mechanisms of affiliative interpersonality. We constructed a relational state space that represents the ways of relating available in the momentary state of an interpersonal relationship. Next, we modeled relationships as trajectories in that relational space. Qualitatively different interpersonal dynamics emerged: (a) global stability with only one relational attractor (e.g., pure reciprocal friendliness), (b) bistability with two mutually exclusive attractors (e.g., either pure friendliness or pure distance), and (c) cycles between friendliness and distance in the relational space. The bistable dynamics appear to resemble the phenomenon of interpersonal complementarity (e.g., friendliness invites friendliness). Furthermore, the model generates psychopathologically relevant dynamics (e.g., oscillating, unstable interpersonal relationships in borderline personality disorder).","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"42 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychological Mediators of Reduced Distress: Preregistered Analyses From a Randomized Controlled Trial of a Smartphone-Based Well-Being Training 减轻压力的心理中介：基于智能手机的幸福感培训随机对照试验的预先登记分析

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-03-13 DOI: 10.1177/21677026241233262

Matthew J. Hirshberg, Cortland J. Dahl, Daniel Bolt, Richard J. Davidson, Simon B. Goldberg

{"title":"Psychological Mediators of Reduced Distress: Preregistered Analyses From a Randomized Controlled Trial of a Smartphone-Based Well-Being Training","authors":"Matthew J. Hirshberg, Cortland J. Dahl, Daniel Bolt, Richard J. Davidson, Simon B. Goldberg","doi":"10.1177/21677026241233262","DOIUrl":"https://doi.org/10.1177/21677026241233262","url":null,"abstract":"Understanding why interventions work is essential to optimizing them. Although mechanistic theories of meditation-based interventions (MBIs) exist, empirical evidence is limited. We randomly assigned 662 adults (79.9% reported clinical levels of anxiety or depressive symptoms) to a 4-week smartphone-based MBI or wait-list control condition early in the COVID-19 pandemic. Psychological distress and four theory-driven preregistered psychological mediators of well-being (mindful action, loneliness, cognitive defusion, and purpose) were assessed five times during the intervention period and at 3-month follow-up. In preregistered analyses, assignment to the intervention predicted significant gains on all mediators, which, in turn, significantly mediated follow-up distress (21.9%–62.5% of intervention effect on distress). No significant mediation pathway was observed in an exploratory multiple mediator analysis, but reduced loneliness accounted for 61.7% of the combined indirect effect. Multiple psychological pathways may mediate reduced distress in a digital MBI.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"33 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140124719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comorbidity Between Internalizing Symptoms and Disordered Eating Is Primarily Driven by Genetic Influences on Emotion Regulation in Adult Female Twins 成年女性双胞胎的内化症状与饮食失调之间的共病主要是受情绪调节的遗传影响所致

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-03-13 DOI: 10.1177/21677026241230335

Megan E. Mikhail, S. Alexandra Burt, Michael C. Neale, Pamela K. Keel, Debra K. Katzman, Kelly L. Klump

{"title":"Comorbidity Between Internalizing Symptoms and Disordered Eating Is Primarily Driven by Genetic Influences on Emotion Regulation in Adult Female Twins","authors":"Megan E. Mikhail, S. Alexandra Burt, Michael C. Neale, Pamela K. Keel, Debra K. Katzman, Kelly L. Klump","doi":"10.1177/21677026241230335","DOIUrl":"https://doi.org/10.1177/21677026241230335","url":null,"abstract":"Internalizing (e.g., anxiety, depression) and disordered eating (DE; e.g., binge eating, dietary restraint) are highly comorbid, but the mechanisms underlying their comorbidity remain unknown. This was the first twin study to examine whether their co-occurrence may be driven by genetic and/or environmental influences on emotion regulation (ER; ability to modulate duration/intensity of emotions). Analyses included 688 adult female twins from the Michigan State University Twin Registry. Cholesky decomposition twin models showed that comorbidity between dimensionally modeled internalizing and DE was due to overlapping genetic ( r = .55; 69.3% of shared variance) and nonshared environmental influences ( r = .26; 30.7% of shared variance). When ER was added into the model, all genetic influences shared between internalizing and DE were attributable to ER, suggesting genetic influences on ER are the primary driver of comorbidity between internalizing and DE. Shared genes may shape affective processing, interoceptive sensitivity, or other brain-based processes (e.g., cognitive control) implicated in ER.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"68 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140124789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Repetitive Negative Thinking Mediates the Relationship Between Sleep Disturbance and Symptoms of Generalized Anxiety, Social Anxiety, Depression, and Eating Disorders in Adolescence: Findings From a 5-Year Longitudinal Study 重复性消极思维可调节睡眠障碍与青少年广泛焦虑、社交焦虑、抑郁和饮食失调症状之间的关系：一项为期 5 年的纵向研究结果

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-03-13 DOI: 10.1177/21677026241230458

Cele Richardson, Natasha R. Magson, Ella Oar, Jasmine Fardouly, Carly Johnco, Justin Freeman, Ron M. Rapee

{"title":"Repetitive Negative Thinking Mediates the Relationship Between Sleep Disturbance and Symptoms of Generalized Anxiety, Social Anxiety, Depression, and Eating Disorders in Adolescence: Findings From a 5-Year Longitudinal Study","authors":"Cele Richardson, Natasha R. Magson, Ella Oar, Jasmine Fardouly, Carly Johnco, Justin Freeman, Ron M. Rapee","doi":"10.1177/21677026241230458","DOIUrl":"https://doi.org/10.1177/21677026241230458","url":null,"abstract":"Sleep problems commonly co-occur alongside generalized and social anxiety, depression, and eating disorders in young people. Yet it is unclear if sleep disturbance conveys risk for these social-emotional disorders across early to middle adolescence and whether repetitive negative thinking (RNT) mediates this association. In this study, we examined longitudinal relationships between sleep (morning/eveningness, school-night sleep duration, and sleepiness), general and presleep RNT, and symptoms of generalized and social anxiety, depression, and eating disorders across 5 years. As part of the wider Risks to Adolescent Wellbeing Project, these constructs were assessed in a cohort of 528 youths over six annual waves of data collection, spanning ages 11 to 16. Cross-lagged panel models that examined direct, indirect, and bidirectional associations showed that worse adolescent sleep predicted increases in symptoms of generalized anxiety, social anxiety, depression, and eating disorders across each wave directly and indirectly through general and presleep RNT. Symptoms of social-emotional disorders did not predict worsening in sleep. Results suggest that sleep disturbance and RNT should be targeted simultaneously in the prevention and treatment of social-emotional disorders in adolescence, although limitations around the use of self-report and nondiagnostic symptom measures are noted.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"15 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140124798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0