Clinical Psychological Science最新文献_第2页

Social Influence and Problematic Drinking: Insights from the COVID-19 Pandemic. 社会影响与饮酒问题：来自COVID-19大流行的见解。

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-06-07 DOI: 10.1177/21677026251340032

Jiaxu Han, Catharine E Fairbairn, Kasey G Creswell, Walter James Venerable

{"title":"Social Influence and Problematic Drinking: Insights from the COVID-19 Pandemic.","authors":"Jiaxu Han, Catharine E Fairbairn, Kasey G Creswell, Walter James Venerable","doi":"10.1177/21677026251340032","DOIUrl":"10.1177/21677026251340032","url":null,"abstract":"Patterns of alcohol consumption can spread from one person to the next in social networks. Yet the necessary conditions required for this social influence to occur are not clearly defined. Here we leverage the sudden and seismic shift in social life following COVID-19, a natural phenomenon that divorced social relationships from the contexts those relationships typically inhabit. Using a social network-based clustered longitudinal design, we examined alcohol use patterns among cohorts of heavy drinking friendship dyads and triads (N=314) traced longitudinally pre- and post-pandemic. In line with hypotheses, results indicated a disruptive effect of COVID-era on social influence effects-while friendships endured, longitudinal links between friends' and participants' problem drinking diminished significantly with COVID-19. In contrast to these inter-individual effects, intra-individual (i.e., autoregressive) links between participants' past and present drinking remained intact. Results inform the understanding of mechanisms undergirding social influence effects, pointing to a potential role for context.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trajectories of Rumination and Negative Cognitive Style from Late Childhood Through Adolescence: Modeling Normative Growth Patterns and Predicting Cognitive Vulnerabilities. 童年晚期至青春期反刍与负性认知风格轨迹：规范成长模式建模与认知脆弱性预测

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-06-07 DOI: 10.1177/21677026251335346

Benjamin L Hankin, Tina H Schweizer, Jami F Young

{"title":"Trajectories of Rumination and Negative Cognitive Style from Late Childhood Through Adolescence: Modeling Normative Growth Patterns and Predicting Cognitive Vulnerabilities.","authors":"Benjamin L Hankin, Tina H Schweizer, Jami F Young","doi":"10.1177/21677026251335346","DOIUrl":"10.1177/21677026251335346","url":null,"abstract":"Negative cognitive style and rumination are prominent cognitive vulnerabilities (CVs) that contribute to development of psychopathology, especially internalizing problems. Yet, little is known about trajectories of CVs across development (age) and gender and what predicts CVs. This study characterized CV trajectories from ages 9-18 and investigated predictors of CV trajectories. Community youth (N=607; M age=12.37; 55% girls) completed repeated assessments of CVs across three years; youth and parents were assessed for many CV predictors at baseline. Measurement invariance supported partial scalar for CVs across age and scalar invariance by gender. Quadratic age characterized rumination trajectories (decrease ages 9-12; increase ages 13-18); girls ruminated more than boys. Negative cognitive style showed no significant gender or age effects. Most baseline predictors (observed parental positive affect; youth temperament, personality disorder traits, coping, emotion regulation, internalizing symptoms, MDD history, and negative environmental contexts) predicted CV trajectories. Implications for theory and clinical application are discussed.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effects of Alcohol in Groups of Heavy Drinking Young Adults: A Multi-Modal Investigation of Alcohol Responses in a Laboratory Social Setting. 酒精对重度饮酒青年群体的影响：实验室社会环境下酒精反应的多模式调查

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-06-07 DOI: 10.1177/21677026251333784

Kasey G Creswell, Aidan G C Wright, Michael A Sayette, Jeffrey M Girard, Greta Lyons, Joshua M Smyth

{"title":"The Effects of Alcohol in Groups of Heavy Drinking Young Adults: A Multi-Modal Investigation of Alcohol Responses in a Laboratory Social Setting.","authors":"Kasey G Creswell, Aidan G C Wright, Michael A Sayette, Jeffrey M Girard, Greta Lyons, Joshua M Smyth","doi":"10.1177/21677026251333784","DOIUrl":"10.1177/21677026251333784","url":null,"abstract":"Young adults typically drink socially, yet most lab studies testing alcohol responses have administered alcohol in isolation. This is the first study to examine alcohol responses and social reward in a group setting among a young adult at-risk sample. Heavy drinking young adults (N=393; 50% female) were grouped in threes and drank a moderate dose of alcohol or a placebo. These social interactions were recorded, and the duration and sequence of facial expressions, speech, and laughter were coded. Results revealed a comprehensive, multimodal, positive effect of alcohol on socioemotional experiences across self-report (e.g., increased positive affect and social bonding, greater relief of unpleasant feelings) and behavioral outcomes at both the individual- (e.g., more rapid increases in Duchenne smiling) and group-levels (e.g., more three-way conversations). Findings underscore the potential for group-formation paradigms to yield valuable data regarding etiological mechanisms underlying alcohol use disorder. All data and code are available (https://osf.io/3q42z/).","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":4.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12393805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Machine Learning for Predicting Youth Suicidal Behavior Up to 1 Year After Contact With Mental-Health Specialty Care. 评估机器学习预测青少年自杀行为长达1年后接触心理健康专业护理。

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2024-12-20 DOI: 10.1177/21677026241301298

Lauren M O'Reilly, Seena Fazel, Martin E Rickert, Ralf Kuja-Halkola, Martin Cederlof, Clara Hellner, Henrik Larsson, Paul Lichtenstein, Brian M D'Onofrio

{"title":"Evaluating Machine Learning for Predicting Youth Suicidal Behavior Up to 1 Year After Contact With Mental-Health Specialty Care.","authors":"Lauren M O'Reilly, Seena Fazel, Martin E Rickert, Ralf Kuja-Halkola, Martin Cederlof, Clara Hellner, Henrik Larsson, Paul Lichtenstein, Brian M D'Onofrio","doi":"10.1177/21677026241301298","DOIUrl":"10.1177/21677026241301298","url":null,"abstract":"In this article, we assessed the performance of several predictive modeling algorithms of suicide attempt resulting in inpatient hospitalization or suicide among youths ages 9 to 18 (N = 34,528) after contact (6-12 months) with a mental-health specialist in Stockholm, Sweden, from 2006 to 2012. Using 209 predictors across domains (e.g., clinical, demographic, family, neighborhood, social) identified from national registers, we applied standard logistic regression, regularized logistic regression, and machine-learning algorithms (i.e., random forests, gradient boosting, support vector machines). Standard logistic regression (area under the receiver operating characteristic curve [AUC] = 0.77, 95% confidence interval [CI] = [0.72, 0.82]) and random-forest models (AUC = 0.80, 95% CI = [0.74, 0.86]) demonstrated the highest AUCs. Sensitivities ranged from 0.33 (support vector machines) to 0.91 (standard logistic regression). Although the study was underpowered to detect a difference between logistic regression and machinelearning algorithms (outcome prevalence = 0.7%), performance metrics were similar across models. Logistic regression is not clearly worse than machine-learning approaches. Ongoing research is needed to examine how prediction models can augment clinical decision-making.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"614-631"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship Between Intensive Passive Data Signals and Patterns of Binge-Eating Behaviors: From a Dynamical-System Approach. 密集的被动数据信号与暴饮暴食行为模式之间的关系：来自一个动态系统的方法。

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2024-12-09 DOI: 10.1177/21677026241280728

Qinxin Shi, Laura M Thornton, Robyn Kilshaw, Rachael E Flatt, Jonathan E Butner, Colin Adamo, Pascal R Deboeck, Brian R W Baucom, Jenna Tregarthen, Stuart Argue, Cynthia M Bulik

{"title":"Relationship Between Intensive Passive Data Signals and Patterns of Binge-Eating Behaviors: From a Dynamical-System Approach.","authors":"Qinxin Shi, Laura M Thornton, Robyn Kilshaw, Rachael E Flatt, Jonathan E Butner, Colin Adamo, Pascal R Deboeck, Brian R W Baucom, Jenna Tregarthen, Stuart Argue, Cynthia M Bulik","doi":"10.1177/21677026241280728","DOIUrl":"10.1177/21677026241280728","url":null,"abstract":"In this study, we investigate using passive data, specifically, heart rate and actigraphy, for individuals with binge-type eating disorders such as bulimia nervosa (BN) and binge-eating disorder (BED). By applying dynamical-system theory and incorporating advancements in technology-based health care, we explored the relationship between passive data patterns as potential indicators of binge-eating episodes. Over 30 days, 1,019 participants with BN or BED symptoms used the Recovery Record app on iPhone and Apple Watches for real-time eating-behavior logging. Apple Watches simultaneously recorded heart rate and actigraphy. Results show no marked difference in heart and step averages 2 hr before a binge versus a control period. However, significant momentum and stability differences emerged when examining the changing dynamics leading up to a binge event. These findings suggest that the stability of step, rather than their average value, may serve as a detectable indicator of approaching binge events.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"558-581"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Delay Discounting and Risk Tolerance in Obsessive Compulsive Disorder: Results From the Global OCD Study. 强迫症的延迟贴现和风险容忍：来自全球强迫症研究的结果。

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2024-11-24 DOI: 10.1177/21677026241289927

Karolina M Lempert, Benjamin Huber, Marcelo C Batistuzzo, Karthik Sheshachala, Dianne M Hezel, Niels T de Joode, Clara Marincowitz, Christine Lochner, Dan J Stein, Janardhanan C Narayanaswamy, Odile A van den Heuvel, Melanie Wall, Helen Blair Simpson

{"title":"Delay Discounting and Risk Tolerance in Obsessive Compulsive Disorder: Results From the Global OCD Study.","authors":"Karolina M Lempert, Benjamin Huber, Marcelo C Batistuzzo, Karthik Sheshachala, Dianne M Hezel, Niels T de Joode, Clara Marincowitz, Christine Lochner, Dan J Stein, Janardhanan C Narayanaswamy, Odile A van den Heuvel, Melanie Wall, Helen Blair Simpson","doi":"10.1177/21677026241289927","DOIUrl":"10.1177/21677026241289927","url":null,"abstract":"Although obsessive-compulsive disorder (OCD) features maladaptive decision making, previous research examining economic decision making in OCD has yielded inconsistent results. Here we examined whether unmedicated adults with OCD (n = 268) differ from healthy controls (HC; n = 256) on two measures of decision making about potential rewards: 1) delay discounting, the tendency to prefer rewards sooner rather than later, even if the delayed reward is larger, and 2) risk tolerance, the willingness to gamble for uncertain rewards when the risk is known. Data were collected in Brazil, India, the Netherlands, South Africa, and the USA as part of the Global OCD study. After controlling for age, sex, education, socioeconomic status, IQ, and site, individuals with OCD did not differ from HC in either delay discounting or risk tolerance. However, patients with OCD who reported more anxiety and depression showed higher delay discounting, or a relative preference for immediate rewards.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"542-557"},"PeriodicalIF":4.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12266681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Personality and presentation of depression symptoms: A preliminary examination of the pathoplasticity model. 抑郁症状的个性和表现：病理可塑性模型的初步检验。

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2024-11-06 DOI: 10.1177/21677026241283401

Thomas M Olino, Pascal Schlechter, Daniel N Klein, Roman Kotov, John R Seeley

{"title":"Personality and presentation of depression symptoms: A preliminary examination of the pathoplasticity model.","authors":"Thomas M Olino, Pascal Schlechter, Daniel N Klein, Roman Kotov, John R Seeley","doi":"10.1177/21677026241283401","DOIUrl":"10.1177/21677026241283401","url":null,"abstract":"The pathoplasty model posits that personality influences the manifestation of psychopathology, but has rarely tested the influence on the symptomatic expression of depression. We tested pathoplastic effects of personality on depressive symptoms in five cross-sectional samples varying in age, specific measures of personality, and specific measures of depression. Tests of pathoplastic effects were conducted using moderated non-linear factor analysis. Across samples, we found little evidence for pathoplastic effects of personality on depressive symptoms. We found minimal evidence that personality is associated with the structure of the depression construct (i.e., loadings to indicators). Lower levels of positive emotionality were associated with greater likelihood of endorsing sleep problems, beyond the influence of overall depression severity, but was inconsistent across sleep items. Although we found minimal influence of personality on depression symptom manifestation, longitudinal work can examine similar issues in younger and older samples, as well as examining more dimensions of personality.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"506-519"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are Suicide-Specific Interventions Required to Reduce Suicidal Ideation? An Empirical Examination in a Clinical Sample of Eating Disorder Participants. 是否需要针对自杀的干预措施来减少自杀意念？进食障碍参与者临床样本的实证检验。

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2024-10-06 DOI: 10.1177/21677026241274746

Morgan Robison, Mina Velimirovic, Tyler Rice, Alan Duffy, Megan Riddle, Jamie Manwaring, Renee D Rienecke, Susan McClanahan, Dan V Blalock, Daniel Le Grange, Philip S Mehler, Thomas E Joiner

{"title":"Are Suicide-Specific Interventions Required to Reduce Suicidal Ideation? An Empirical Examination in a Clinical Sample of Eating Disorder Participants.","authors":"Morgan Robison, Mina Velimirovic, Tyler Rice, Alan Duffy, Megan Riddle, Jamie Manwaring, Renee D Rienecke, Susan McClanahan, Dan V Blalock, Daniel Le Grange, Philip S Mehler, Thomas E Joiner","doi":"10.1177/21677026241274746","DOIUrl":"10.1177/21677026241274746","url":null,"abstract":"This research examined whether non-suicide-specific treatments effectively reduced suicidal ideation (SI) among a clinical sample of eating disorder (ED) patients (N=3,447 of whom 50.9% presented with SI). All participants met criteria for a current DSM-5 ED and were administered a combination of evidence-based treatments in inpatient, residential, partial hospitalization, and intensive outpatient ED treatment facilities. Mediation analyses tested whether SI at discharge decreased specifically through standardized residual change scores in ED symptoms. Both SI and ED symptoms decreased over the course of treatment without clinically meaningful differences by ED diagnosis. ED symptom improvement partially mediated the relationship between SI at admission and discharge, suggesting that treating ED symptoms with evidence-based treatments can be an effective way to reduce SI, at least partially, for many patients. These findings demonstrate the importance of facilitating evidence-based treatment referrals for specific disorders as a component of broad-based suicide outreach and prevention strategies.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"447-461"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identification of Affective- and Social-Reinforcement Functions of Driven Exercise: Evidence From Three Samples. 驱动运动的情感和社会强化功能的识别：来自三个样本的证据。

IF 4.8 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2024-12-14 DOI: 10.1177/21677026241290455

David R Kolar, Ann F Haynos, Shirley B Wang, Theresa Lask, Stuart B Murray, Ulrich Voderholzer, Sasha Gorrell

{"title":"Identification of Affective- and Social-Reinforcement Functions of Driven Exercise: Evidence From Three Samples.","authors":"David R Kolar, Ann F Haynos, Shirley B Wang, Theresa Lask, Stuart B Murray, Ulrich Voderholzer, Sasha Gorrell","doi":"10.1177/21677026241290455","DOIUrl":"10.1177/21677026241290455","url":null,"abstract":"Driven exercise is a transdiagnostic maladaptive behavior, especially common in eating disorders (ED); however, its maintenance mechanisms remain poorly understood. To address this gap, we examined the applicability of previously empirically-derived and validated reinforcement function models in explaining driven exercise maintenance in studies varying across developmental stages and clinical presentations (Study 1: N=279 adolescents/adults oversampled for EDs; Study 2: N=118 adolescent/adult inpatients with severe EDs; Study 3: N=52 adults oversampled for athletes and/or EDs). Results supported the utility of a four-function model (automatic positive/negative reinforcement [APR/ANR; increase/decrease negative affect], social positive/negative reinforcement [SPR/SNR; engage in/avoid interpersonal situations]) in explaining driven exercise. APR was most frequently endorsed, followed by ANR, SNR, and SPR in all studies. APR correlated with last-month driven exercise episodes across studies; associations between other functions and ED psychopathology varied between studies. Further, results suggested a separate control function could be considered in samples with more severe EDs.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"582-597"},"PeriodicalIF":4.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychosocial Stressors Explaining the Monosexual-Bisexual Disparity in Mental Health: A Population-Based Study of Sexual-Minority Young Adults. 解释单性恋和双性恋心理健康差异的社会心理压力源：一项以性少数年轻人为基础的研究。

IF 4.1 2区医学

Clinical Psychological Science Pub Date : 2025-05-01 Epub Date: 2025-05-19 DOI: 10.1177/21677026241286875

Kirsty A Clark, Christina Dyar, Richard Bränström, John E Pachankis

{"title":"Psychosocial Stressors Explaining the Monosexual-Bisexual Disparity in Mental Health: A Population-Based Study of Sexual-Minority Young Adults.","authors":"Kirsty A Clark, Christina Dyar, Richard Bränström, John E Pachankis","doi":"10.1177/21677026241286875","DOIUrl":"10.1177/21677026241286875","url":null,"abstract":"Bisexual people report greater mental-health problems (i.e., depression, anxiety, suicidality) compared with their monosexual (i.e., gay or lesbian) peers. Yet existing studies often use nonprobability samples, analyze few psychosocial stressors, and overlook bisexual people's considerable diversity. We analyzed data from a population-based study of sexual-minority young adults in Sweden (N = 748) that assessed identity-related stressors (e.g., family rejection) and general life stressors (e.g., financial loss). Bisexual respondents reported more mental-health problems and general life stressors, but fewer identity-related stressors, than monosexual respondents. Latent class analysis revealed three distinct bisexual subgroups with varying patterns of gender-based sexual attractions, gender of sexual partners, gender conformity, and sexual-identity centrality that were associated with unique patterns of psychosocial stressors and mental health. Findings show that general life stressors play an important role in bisexual people's mental health. Future research is needed, especially on the role these stressors play during critical developmental periods such as young adulthood.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"13 3","pages":"489-505"},"PeriodicalIF":4.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0