Clinical Psychological Science最新文献_第3页

Revisiting 'environmental effects': Directions for multidisciplinary investigations of air quality and psychopathology. 重新审视“环境效应”：空气质量和精神病理学的多学科研究方向。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-06-25 DOI: 10.1177/21677026251401181

Erika M Manczak, Andrew Hoisington, Forrest Lacey, Megan Waxman, Katherine Czech, Summer Millwood, Sydney Yi, Megan Proctor, Rebecca Buchholz, Rajesh Kumar, Olga Wilhelmi

{"title":"Revisiting 'environmental effects': Directions for multidisciplinary investigations of air quality and psychopathology.","authors":"Erika M Manczak, Andrew Hoisington, Forrest Lacey, Megan Waxman, Katherine Czech, Summer Millwood, Sydney Yi, Megan Proctor, Rebecca Buchholz, Rajesh Kumar, Olga Wilhelmi","doi":"10.1177/21677026251401181","DOIUrl":"10.1177/21677026251401181","url":null,"abstract":"Air pollution is a leading threat to human health (WHO, 2021) but has been largely overlooked in the study of psychopathology. As the burden of poor mental health grows, a consideration of new contributors to psychopathology is needed to identify novel prevention and intervention approaches. Consequently, collaboration between clinical psychological scientists and experts in atmospheric research, pollution, and built environments holds great potential for advancing knowledge and addressing these threats. The current project brings together a cross-disciplinary team to summarize the state of existing research linking air quality to the development and maintenance of psychopathology. We then identify some traditional challenges to collaboration across our disciplines before identifying promising areas for future research and providing concrete advice to psychological scientists interested in similar collaborations, including recommendations for the measurement and application of outdoor and indoor air quality, ways to strengthen causal inference, and considerations for environmental justice.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347346","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

Do Internalizing Syndromes have Incremental Validity for External Criteria Above and Beyond Each Other? 内化证候对外部标准是否有递增效度？

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-06-15 DOI: 10.1177/21677026261443518

Kerry L Kinney, Matthew C Morris, Katja Beesdo-Baum, Ashley L Watts

{"title":"Do Internalizing Syndromes have Incremental Validity for External Criteria Above and Beyond Each Other?","authors":"Kerry L Kinney, Matthew C Morris, Katja Beesdo-Baum, Ashley L Watts","doi":"10.1177/21677026261443518","DOIUrl":"10.1177/21677026261443518","url":null,"abstract":"Given robust support for internalizing psychopathology as a broad construct, the field has shifted focus from its specific subcomponents to studying internalizing overall, leaving it unclear whether its components provide additional information. We investigated whether internalizing syndromes have incremental validity beyond each other in their associations with 22 external criteria (e.g., health, functioning) using the National Epidemiological Survey on Alcohol and Related Conditions data, a representative adult sample (Wave 1, N=43,093). We extracted a five-factor model for 5 lower-order internalizing syndromes (generalized anxiety, major depression, social anxiety, specific phobia, panic). All were moderately correlated with each other and associated with external criteria. Adjusting for other internalizing syndromes, generalized anxiety, major depression, and panic syndromes demonstrated incremental validity, or unique associations with external criteria. Our findings suggest internalizing syndromes exhibit shared and unique features. Investigating both the internalizing spectrum and its more specific syndromes can offer deeper insights into psychopathology.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13271574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273399","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

Motor Abnormalities and the Hierarchical Taxonomy of Psychopathology: Incorporating a Psychomotor Perspective Into a Hierarchical Dimensional Symptom Framework. 运动异常和精神病理学的层次分类：将精神运动观点纳入层次维度症状框架。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-06-15 DOI: 10.1177/21677026261450607

Jessica Fattal, Lauren M Ellman, Jason Schiffman, Dusan Hirjak, Sophia Parmacek, Henry R Cowan, Vijay A Mittal

{"title":"Motor Abnormalities and the Hierarchical Taxonomy of Psychopathology: Incorporating a Psychomotor Perspective Into a Hierarchical Dimensional Symptom Framework.","authors":"Jessica Fattal, Lauren M Ellman, Jason Schiffman, Dusan Hirjak, Sophia Parmacek, Henry R Cowan, Vijay A Mittal","doi":"10.1177/21677026261450607","DOIUrl":"10.1177/21677026261450607","url":null,"abstract":"Motor symptoms have emerged as a promising target for understanding mechanisms, prognosis, and treatment in psychology. Although motor abnormalities are observed across mental health conditions, transdiagnostic research has been limited. It is not well understood whether motor symptoms are a broad endophenotypic marker or a predictor of specific symptoms. We leverage a hierarchical dimensional symptom structure to examine transdiagnostic relationships between psychological and self-reported motor symptoms in 3,460 participants in the Multi-Site Assessment of Psychosis-Risk study. Overall motor problems (β=0.07-0.25), dyskinesia (β=0.07-0.31), and coordination (β=0.05-0.23) were related positively at different strengths to all symptom domains. Amount of physical activity was positively related to mania and substance use (β=0.08-0.09) and negatively related to detachment, fear, and distress (β=0.05-0.27). These results suggest that motor domains may provide utility as both a general endophenotypic marker and more specific predictor of serious mental illness, with implications for research and clinical settings.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13580688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992494","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

Multimodal assessments of therapist characteristics are largely unrelated to patient outcomes: A preregistered analysis. 治疗师特征的多模式评估在很大程度上与患者结果无关：一项预注册分析。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-06-02 DOI: 10.1177/21677026261424222

Simon B Goldberg, Scott A Baldwin, Anthony W P Flynn, Robbie Babins-Wagner, Derek D Caperton, Camille Y Williams, Emily H Hamm, Sin U Lam, Jessica K Cozart, Geetanjali Deole, Nili Solomonov, S Mark Kopta, Timothy Anderson, Bruce E Wampold, Jesse Owen

{"title":"Multimodal assessments of therapist characteristics are largely unrelated to patient outcomes: A preregistered analysis.","authors":"Simon B Goldberg, Scott A Baldwin, Anthony W P Flynn, Robbie Babins-Wagner, Derek D Caperton, Camille Y Williams, Emily H Hamm, Sin U Lam, Jessica K Cozart, Geetanjali Deole, Nili Solomonov, S Mark Kopta, Timothy Anderson, Bruce E Wampold, Jesse Owen","doi":"10.1177/21677026261424222","DOIUrl":"10.1177/21677026261424222","url":null,"abstract":"While it is known that therapists vary in effectiveness, it is unclear what therapist-level characteristics predict this variation. We conducted a large-scale, preregistered study (n = 97 therapists from the United States and Canada, n = 6,152 patients) examining a multimodal set of 38 therapist-level predictors that have been empirically or theoretically linked with patient outcomes. We examined associations with pre-post change and rate of change in psychological distress, and likelihood of attending >1 treatment session. We largely did not find associations between therapist-level characteristics and patient outcomes. Most predictors failed to replicate across sensitivity analyses and/or were non-significant following p-value correction. The most robust evidence suggested that interpersonal capacities assessed via a performance task are associated with likelihood of attending >1 treatment session. A key limitation of the study is small therapist effects which may have reduced statistical power. Empirically, it remains uncertain what qualities characterize highly effective therapists.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165527","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

Emotion-Processing Biases and Neural Connectivity in Remitted Major Depressive Disorder among Adolescents. 情绪加工偏倚与青少年重度抑郁障碍的神经连通性。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-06-02 DOI: 10.1177/21677026261447830

Nayoung Kim, Carter J Funkhouser, Esha Trivedi, Allison M Letkiewicz, Lilian Y Li, Aishwarya Sritharan, Sarah E Sarkas, Madeline M McGregor, Katherine Durham, David Pagliaccio, Nicholas B Allen, Stewart A Shankman, Randy P Auerbach

{"title":"Emotion-Processing Biases and Neural Connectivity in Remitted Major Depressive Disorder among Adolescents.","authors":"Nayoung Kim, Carter J Funkhouser, Esha Trivedi, Allison M Letkiewicz, Lilian Y Li, Aishwarya Sritharan, Sarah E Sarkas, Madeline M McGregor, Katherine Durham, David Pagliaccio, Nicholas B Allen, Stewart A Shankman, Randy P Auerbach","doi":"10.1177/21677026261447830","DOIUrl":"10.1177/21677026261447830","url":null,"abstract":"Major depressive disorder (MDD) among adolescents is recurrent and characterized by persistent emotion-processing biases. Adolescents (N=161; ages 13-18-years-old; remitted MDD=90, healthy controls=71) completed baseline and 6-month clinical assessments. Additionally, at baseline, participants completed the Facial Recognition Task while EEG data were recorded. The late positive potential (LPP) and effective connectivity during negative emotion processing were examined in relation to 6-month depressive symptoms and behavioral withdrawal (homestay from passive GPS). No group differences in LPP emerged. However, remitted MDD showed stronger right precuneus-superior frontal gyrus (theta-alpha) to sad faces and weaker left precuneus-SFG (alpha-beta) to angry faces relative to controls. Greater right precuneus-SFG connectivity during sad faces predicted depressive symptom severity (b=0.221, p=.025) and increased homestay (b=242.78, p=.048). Thus, altered precuneus-SFG connectivity during sad face processing may serve as a neural marker of depression risk, which could support early identification approaches and personalized interventions.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13233026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165494","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

Gene-Environment Interplay Beyond Interactions: Psychosocial Environments Mediate Genetic Effects Underlying Externalizing-Behavior Trajectories. 超越相互作用的基因-环境相互作用：社会心理环境介导外化-行为轨迹背后的遗传效应。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-05-27 DOI: 10.1177/21677026261447280

LiChen Dong, A Brooke Sasia, James J Li

{"title":"Gene-Environment Interplay Beyond Interactions: Psychosocial Environments Mediate Genetic Effects Underlying Externalizing-Behavior Trajectories.","authors":"LiChen Dong, A Brooke Sasia, James J Li","doi":"10.1177/21677026261447280","DOIUrl":"10.1177/21677026261447280","url":null,"abstract":"We investigate gene-environment interplay for the development of externalizing (EXT) behaviors in Add Health. Latent trajectories of substance use (SUB) and antisocial behaviors (ASB) spanning ages 13 to 41 were extracted in a prior study (Sasia et al., 2025). Adolescent psychosocial environments (i.e., supportive parenting, delinquent peer affiliation, school connectedness, and neighborhood connectedness) were modeled to moderate and mediate the effects of EXT polygenic scores (PGS) in predicting SUB and ASB trajectories in European (n = 5,025; main analyses), African (n = 1,728), Asian (n = 382), and Hispanic (n = 773) genetic similarity groups. There was no evidence of moderation effects. However, PGS effects operated indirectly through psychosocial environments, notably via delinquent peer affiliation. Despite the prominence of genetic effects underlying EXT, peer influences may play an especially important role in the ways in which genetic effects influence EXT trajectories. Clinical and theoretical implications are discussed.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058382","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

Longer residence in disadvantaged neighborhoods predicts both a syndrome of despair and deaths of despair: Complementary evidence from nationwide register and birth-cohort studies. 长期居住在弱势社区预示着绝望综合症和绝望死亡：来自全国登记和出生队列研究的补充证据。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-05-26 DOI: 10.1177/21677026261425570

Aaron Reuben, Barry Milne, Devesh Shah, Grace Brennan, Amber L Pearson, Leah Richmond-Rakerd, Hayley Guiney, Honalee Harrington, Matthew Hobbs, Renate Houts, Ramakrishnan Mani, Sandhya Ramrakha, Moana Theodore, Avshalom Caspi, Terrie E Moffitt

{"title":"Longer residence in disadvantaged neighborhoods predicts both a syndrome of despair and deaths of despair: Complementary evidence from nationwide register and birth-cohort studies.","authors":"Aaron Reuben, Barry Milne, Devesh Shah, Grace Brennan, Amber L Pearson, Leah Richmond-Rakerd, Hayley Guiney, Honalee Harrington, Matthew Hobbs, Renate Houts, Ramakrishnan Mani, Sandhya Ramrakha, Moana Theodore, Avshalom Caspi, Terrie E Moffitt","doi":"10.1177/21677026261425570","DOIUrl":"10.1177/21677026261425570","url":null,"abstract":"Deaths-of-despair have been difficult to predict while focusing solely on individual-level factors. In 2 complementary studies we tested whether individuals living in disadvantaged neighborhoods in a country with robust social-safety nets (New Zealand) were at greater risk for a despair-related death (suicides, drug overdoses, alcohol poisonings and liver-disease, Study 1) or a \"premorbid\" midlife syndrome of despair-related maladies (suicidality, substance misuse, sleep problems, and chronic pain, Study 2). In 2-decades of observation, New Zealanders residing in disadvantaged neighborhoods across adulthood were at greater risk for a despair-related death (N=2.4million analytic-sample using nationwide administrative data, population-RR per-quintile increase in cumulative disadvantage=1.27, 95%CI:1.23-1.30) and a more severe premorbid syndrome of despair-related maladies (N=907 analytic-sample using a population-representative birth-cohort, β=0.24, 95%CI:0.17-0.31). Findings held after adjustment for individual-level socioeconomic status and, in Study 2, adjustment for childhood antecedents and adult difficulties that could provoke despair. Neighborhoods could be intervention targets to reduce despair-related deaths.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058338","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

Replicability and Validity of a New Artificial-Intelligence Assessment of Posttraumatic Stress Disorder From Patient Language: A Sequential Evaluation With Model Preregistration. 基于患者语言的创伤后应激障碍新人工智能评估的可复制性和有效性：模型预登记的顺序评估。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-05-04 DOI: 10.1177/21677026261439026

Oscar Kjell, Adithya V Ganesan, Ryan L Boyd, Joshua Oltmanns, Alfredo Rivero, Scott Feltman, Melissa A Carr, Jorge Alves, Benjamin Luft, Roman Kotov, H Andrew Schwartz

{"title":"Replicability and Validity of a New Artificial-Intelligence Assessment of Posttraumatic Stress Disorder From Patient Language: A Sequential Evaluation With Model Preregistration.","authors":"Oscar Kjell, Adithya V Ganesan, Ryan L Boyd, Joshua Oltmanns, Alfredo Rivero, Scott Feltman, Melissa A Carr, Jorge Alves, Benjamin Luft, Roman Kotov, H Andrew Schwartz","doi":"10.1177/21677026261439026","DOIUrl":"https://doi.org/10.1177/21677026261439026","url":null,"abstract":"Artificial intelligence (AI) shows promise in identifying psychopathology through language, but replicability in AI models remains challenging. We develop an AI-based language assessment of posttraumatic-stress-disorder (PTSD) severity and introduce the sequential evaluation with model preregistration to rigorously evaluate its validity and replicability. This design includes two phases: development with preregistration and evaluation. Data included development (N = 1,437) and prospective (N = 346) samples, in which participants described their lives during automated interviews. In the prospective sample, preregistered models correlated with PTSD CheckList scores (r = .38, p < .001) and converged with PTSD diagnosis (area under the curve [AUC] = .76; outperforming demographics and trauma exposures: AUC = .61, p < .01). We found that for each standard-deviation increase, mental-health-care expenditure rose by $696.50 (p < .001). Our preregistered PTSD model assessments are replicable in prospectively collected clinical data and showed external validity against expense criteria. With further development, such models can be used to screen for PTSD or monitor treatment response, especially in telehealth or automated interviews, in which deployment can be seamless.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240331","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

Self-Schemata and Suicidal Thoughts and Nonsuicidal Self-Injury: Longitudinal and Bidirectional Associations in Adolescent Inpatients. 青少年住院病人自我图式、自杀念头和非自杀自伤：纵向和双向关联。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-05-04 DOI: 10.1177/21677026261439084

Amanda C Collins, Ethan M Weires, Devika Goel, Richard T Liu

{"title":"Self-Schemata and Suicidal Thoughts and Nonsuicidal Self-Injury: Longitudinal and Bidirectional Associations in Adolescent Inpatients.","authors":"Amanda C Collins, Ethan M Weires, Devika Goel, Richard T Liu","doi":"10.1177/21677026261439084","DOIUrl":"10.1177/21677026261439084","url":null,"abstract":"Self-schemata are cognitive patterns reflecting core beliefs about oneself. Negative self-schemata are established as risk factors for suicidal ideation (SI) and non-suicidal self-injury (NSSI) during adolescence. However, less is known about whether devaluative self-schemata may be a unique risk factor, beyond negative self-schemata, for SI and NSSI. The current study examined the longitudinal and bidirectional associations between self-schemata with SI and NSSI over a one-year period, as well as how depression diagnosis impacted these associations. Adolescents (N = 180) recruited from a psychiatric inpatient hospital completed measures of self-schemata, SI, and NSSI at baseline and 6- and 12-month follow-ups. Multilevel models revealed independent, predictive effects of devaluative and negative self-schema on SI and NSSI (and vice versa) six months later. However, inclusion of depression diagnosis as a moderator in these models revealed nuances in our findings, providing further support that reward devaluation may be a unique mechanism seen in depression.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846013","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

Exploring Transdiagnostic Mechanisms of Youth Externalizing Psychopathology: A Longitudinal Person-Centered Approach. 探索青少年外化精神病理学的跨诊断机制：一个纵向的以人为中心的方法。

IF 5.1 2区医学

Clinical Psychological Science Pub Date : 2026-05-04 DOI: 10.1177/21677026251401554

Jessica N Smith, Stefany Coxe, Morgan L Jusko, Joseph S Raiker, Justin Parent, Elizabeth Nousen, Jessica Tipsord, Leeza Maron, Katherine Schmarder, Erica D Musser

{"title":"Exploring Transdiagnostic Mechanisms of Youth Externalizing Psychopathology: A Longitudinal Person-Centered Approach.","authors":"Jessica N Smith, Stefany Coxe, Morgan L Jusko, Joseph S Raiker, Justin Parent, Elizabeth Nousen, Jessica Tipsord, Leeza Maron, Katherine Schmarder, Erica D Musser","doi":"10.1177/21677026251401554","DOIUrl":"10.1177/21677026251401554","url":null,"abstract":"The present study utilized an exploratory data analysis approach to consider how executive functioning (EF) relates to the developmental course of externalizing psychopathology using the Oregon ADHD-1000 dataset. Multinomial logistic regressions of EF domains (working memory, processing speed, set shifting, reaction time variability, response inhibition, and vigilance) in predicting symptomatic classes and longitudinal pathways from a recent latent transition analysis (Smith et al., in press) were conducted; predicted probability figures were interpreted. Findings suggest that hyperactivity/impulsivity (HI) was most related to EF impairment in many domains. Inattention contributed to set shifting and processing speed impairment specifically. HI and oppositionality were very aligned with one another in childhood and diverged in adolescence. Youth who were HI in childhood and inattentive in adolescence were distinct in EF impairment from youth who were inattentive across development. Findings reiterate the importance of exploratory, person-centered, longitudinal approaches for understanding heterogeneity, comorbidity, and developmental psychopathology.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":" ","pages":""},"PeriodicalIF":5.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846011","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