Clinical Psychological Science最新文献_第2页

Characterizing Midlife-Onset Alcohol Dependence: Implications for Etiology, Prevention, and Healthy Aging 中年酒精依赖症的特征：对病因学、预防和健康老龄化的影响

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-08-24 DOI: 10.1177/21677026241260249

Lara Khalifeh, Avshalom Caspi, Kallisse R. Dent, HonaLee Harrington, Madeline H. Meier, Richie Poulton, Sandhya Ramrakha, Terrie E. Moffitt, Leah S. Richmond-Rakerd

{"title":"Characterizing Midlife-Onset Alcohol Dependence: Implications for Etiology, Prevention, and Healthy Aging","authors":"Lara Khalifeh, Avshalom Caspi, Kallisse R. Dent, HonaLee Harrington, Madeline H. Meier, Richie Poulton, Sandhya Ramrakha, Terrie E. Moffitt, Leah S. Richmond-Rakerd","doi":"10.1177/21677026241260249","DOIUrl":"https://doi.org/10.1177/21677026241260249","url":null,"abstract":"We evaluated the developmental epidemiology of midlife-onset alcohol dependence (AD) in the Dunedin Study ( N = 1,037), a population-representative cohort followed across 5 decades. At ages 18, 21, 26, 32, 38, and 45, past-year AD prevalence was 11.0%, 18.4%, 13.6%, 8.1%, 9.6%, and 11.3%, respectively. As expected, relative to never-diagnosed individuals, individuals with early onset AD (first diagnosis at age 18 or age 21, prevalence = 22.9%) were distinguished by a range of early life and adult correlates. Individuals with midlife-onset AD (first diagnosis at age 38 or age 45, prevalence = 5.6%) were distinguished by fewer early life correlates, but exhibited a family history of AD and adolescent dysregulation and marijuana use. They were characterized by an array of adult correlates, including internalizing disorders, mental-health-treatment contact, criminal behavior, perceived stress, coping by drinking, lower likelihood of marriage and parenthood, and reduced preparedness for old age. They also experienced more adult alcohol-related impairment than the early onset group. Results can guide efforts to reduce midlife alcohol-related problems and support healthy aging.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"72 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142216079","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 Hierarchical Model of the Symptom-Level Structure of Psychopathology in Youth 青少年精神病理学症状层次结构的层次模型

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2024-08-08 DOI: 10.1177/21677026241257852

Miriam K. Forbes, Ashley L. Watts, Maddison Twose, Angelique Barrett, Jennifer L. Hudson, Heidi J. Lyneham, Lauren McLellan, Nicola C. Newton, Gemma Sicouri, Cath Chapman, Anna McKinnon, Ronald M. Rapee, Tim Slade, Maree Teesson, Kristian Markon, Matthew Sunderland

{"title":"A Hierarchical Model of the Symptom-Level Structure of Psychopathology in Youth","authors":"Miriam K. Forbes, Ashley L. Watts, Maddison Twose, Angelique Barrett, Jennifer L. Hudson, Heidi J. Lyneham, Lauren McLellan, Nicola C. Newton, Gemma Sicouri, Cath Chapman, Anna McKinnon, Ronald M. Rapee, Tim Slade, Maree Teesson, Kristian Markon, Matthew Sunderland","doi":"10.1177/21677026241257852","DOIUrl":"https://doi.org/10.1177/21677026241257852","url":null,"abstract":"More comprehensive modeling of psychopathology in youth is needed to facilitate a developmentally informed expansion of the Hierarchical Taxonomy of Psychopathology (HiTOP) model. In this study, we examined a symptom-level model of the structure of psychopathology in children and adolescents—most aged 11 to 17 years—bringing together data from large clinical, community, and representative samples ( N = 18,290) covering nearly all major forms of mental disorders and related content domains (e.g., aggression). The resulting hierarchical and dimensional model was based on the points of convergence among three statistical approaches and included 15 narrow dimensions nested under four broad dimensions of (a) internalizing, (b) externalizing, (c) eating pathology, and (d) uncontrollable worry, obsessions, and compulsions. We position these findings within the context of the existing literature and articulate implications for future research. Ultimately, these findings add to the rapidly growing literature on the structure of psychopathology in youth and move a step closer toward quantifying (dis)continuities in psychopathology’s structure across the life span.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"5 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968959","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

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