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}
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}
Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis
{"title":"Rural Suicide: A Systematic Review and Recommendations","authors":"Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis","doi":"10.1177/21677026241234319","DOIUrl":"https://doi.org/10.1177/21677026241234319","url":null,"abstract":"Suicide is a public-health concern that has been linked to multiple biological, psychological, and social risk factors. Rural living is purported to be a unique risk for suicide for myriad reasons. Yet there are some concerns with rural suicidology, notably regarding defining and operationalizing “rural.” Furthermore, the last comprehensive review of rural suicide is approximately 10 years old. With this in mind, in the current review, we offer (a) a comprehensive and updated overview of the operationalization and variability of rural in rural suicidology and (b) a summary of differences in direct and indirect suicide factors between rural and nonrural regions and whether potential differences depend on how rural is operationalized. Results indicate a high degree of heterogeneity in defining rural, rendering conclusions about both direct and indirect rural suicide risks unclear. We therefore present a set of recommendations for rural suicidologists to apply to enhance the understanding of suicide and, ultimately, prevent death by suicide in rural regions.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"113 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140124788","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}
{"title":"Positive and Negative Emotion-Regulation Ability Profiles: Links With Strategies, Goals, and Internalizing Symptoms","authors":"Juhyun Park, Kristin Naragon-Gainey","doi":"10.1177/21677026231226312","DOIUrl":"https://doi.org/10.1177/21677026231226312","url":null,"abstract":"Emotion regulation (ER) encompasses multiple, interdependent aspects (e.g., abilities, strategies, goals) whose collective contribution to mental-health outcomes is not well understood. To provide a more holistic picture of ER and better identify individuals who may be more susceptible to maladaptive ER and internalizing psychopathology, we examined latent profiles of positive and negative ER abilities and their associations with other aspects of ER (e.g., strategies, goals, success) and internalizing symptoms among adults cross-sectionally (Study 1) and daily (Study 2). In both studies, profiles characterized by pronounced deficits in positive ER abilities and below-average negative ER abilities were associated with maladaptive ER strategies and internalizing symptoms. Individuals with these profiles were also more likely to want to down-regulate positive emotions and use strategies reflecting disengagement from positive emotions in daily life. These findings provide insight into characteristics of vulnerable individuals, which can help refine current theory of ER and intervention efforts.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"54 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140106262","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}
{"title":"What Is the Role of Affective Cognition in Trauma and Posttraumatic-Stress-Disorder-Related Drinking? A Systematic Review","authors":"Michelle J. Zaso, Ian R. Troidl, Jennifer P. Read","doi":"10.1177/21677026231215341","DOIUrl":"https://doi.org/10.1177/21677026231215341","url":null,"abstract":"Trauma and posttraumatic stress disorder (TR/PTSD) are implicated in deleterious alcohol outcomes, yet the processes that undergird these associations remain elusive. Affective (i.e., emotionally laden) cognitions may play key roles in TR/PTSD-related drinking that could inform prevention and intervention. In the present review, we synthesized extant literature ( k = 58) on affective cognitions and their role in negative- and positive-reinforcement TR/PTSD-related drinking, including alcohol-specific (e.g., drinking motives, alcohol expectancies) and non-alcohol-specific (e.g., emotion-regulation cognitions, perception and attentional biases) cognitions. Findings generally supported the importance of alcohol-specific cognitions in negative-reinforcement drinking more so than positive-reinforcement drinking. Non-alcohol-specific affective cognitions were considerably less researched. Several gaps in the knowledge base emerged; studies were overwhelmingly cross-sectional, conducted mainly within homogeneous college samples, and often did not disaggregate effects of trauma exposure from those of PTSD. Future research is needed to address these gaps to optimally inform clinical efforts to reduce TR/PTSD-related drinking risk.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"26 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140043969","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}
{"title":"Understanding Ethnoracial Disparities and Advancing Mental Health Equity Through Clinical Psychological Science: Introduction to Special Issue","authors":"P. Priscilla Lui, Craig Rodriguez-Seijas","doi":"10.1177/21677026231223755","DOIUrl":"https://doi.org/10.1177/21677026231223755","url":null,"abstract":"Mental health disparities persist in countries such as the United States and across the world. Research with disparity populations is underrepresented in mainstream clinical psychological journals, and existing science has not focused on group specific lived experiences. Achieving mental health equity requires examination of determinants of psychopathology and health disparities and personal and cultural attributes that promote mental health. Clinical psychological science ideally also encourages and values research with underrepresented minority and underserved populations, novel and underused study designs, and research produced by diverse scholars. Our special issue highlights research that considers systematically culture specific processes, examines not only individual- but also community-level factors that relate to psychopathology and mental-health care, and challenges structural limitations in the current literature. We review these articles that incorporate innovative and community engaged approaches and showcase the importance of diversity in researcher and research participant demographics and perspectives in the advancement of equity in clinical psychological science.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"76 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140009858","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}
Jack J. Blanchard, Jason F. Smith, Melanie E. Bennett, Ryan D. Orth, Christina L. G. Savage, Julie M. McCarthy, James A. Coan, Alexander J. Shackman
{"title":"Motivation and Pleasure Deficits Undermine the Benefits of Social Affiliation in Psychosis","authors":"Jack J. Blanchard, Jason F. Smith, Melanie E. Bennett, Ryan D. Orth, Christina L. G. Savage, Julie M. McCarthy, James A. Coan, Alexander J. Shackman","doi":"10.1177/21677026241227886","DOIUrl":"https://doi.org/10.1177/21677026241227886","url":null,"abstract":"In psychotic disorders, motivation and pleasure (MAP) deficits are associated with decreased affiliation and heightened functional impairment. We leveraged a transdiagnostic sample enriched for psychosis and a multimethod approach to test the hypothesis that MAP deficits undermine the stress-buffering benefits of affiliation. Participants completed the social-affiliation-enhancement task (SAET) to cultivate affiliation with an experimental partner. Although the SAET increased perceived affiliation and mood, individuals with greater negative symptoms derived smaller emotional benefits from the partners, as indexed by self-report and facial behavior. We then used the handholding functional MRI paradigm, which combines threat anticipation with affiliative physical contact, to determine whether MAP deficits undermine the social regulation of distress. Individuals with greater MAP deficits showed diminished neural “benefits”—reduced dampening of threat-elicited activation—from affiliative touch in key frontoparietal nodes of the dorsal attention network. In short, MAP symptoms disrupt the emotional and neuroregulatory benefits of affiliation.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"198 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946721","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}
{"title":"A Brief Group Social-Belonging Intervention to Improve Mental-Health and Academic Outcomes in BIPOC and First-Generation-to-College Students","authors":"Erin S. Sheets, Denise Young","doi":"10.1177/21677026231220060","DOIUrl":"https://doi.org/10.1177/21677026231220060","url":null,"abstract":"Despite greater emphasis on diversity and inclusion on college and university campuses, inequities persist. Awareness of structural and social threats to success can lead students from underrepresented identities to question whether they will fully belong at a given institution, which jeopardizes their psychological well-being and academic performance. This study tested a brief social-belonging intervention, delivered in a group format, that emphasized that first-year challenges are normative and that, over time, students develop relationships that deepen their sense of belonging. Participants ( N = 122) who reported poorer belonging at baseline experienced greater depressive symptoms, greater worry, and worse psychological well-being over the 14-month follow-up period. The intervention significantly reduced risk for major depression during the first 2 years of college and specifically reduced risk for participants experiencing more discrimination. Hypotheses that the intervention would improve psychosocial or academic outcomes specifically for Black, Indigenous, and people of color and first-generation-to-college students were not supported.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946706","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}
Briana N. Brownlow, Kassidie S. Harmon, J. Pek, J. Cheavens, James L. Moore, Emil F. Coccaro
{"title":"Criminalizing Psychopathology in Black Americans: Racial and Gender Differences in the Relationship Between Psychopathology and Arrests","authors":"Briana N. Brownlow, Kassidie S. Harmon, J. Pek, J. Cheavens, James L. Moore, Emil F. Coccaro","doi":"10.1177/21677026231217312","DOIUrl":"https://doi.org/10.1177/21677026231217312","url":null,"abstract":"Black Americans are arrested at disproportionate levels compared with White Americans. We sought to understand whether the association between psychopathology and arrest record is equally strong for Black Americans and White Americans, hypothesizing that the association would be stronger for Black Americans. In a sample of adults (age: M = 34.81 years), we found that at the same level of psychopathology severity, emotion dysregulation, and impulsivity, Black Americans ( n = 585) exhibited higher rates of being arrested in adulthood than White Americans ( n = 977). These findings held even when controlling for environmental (e.g., socioeconomic status) and individual (e.g., substance-use history) factors associated with arrests. This suggests that the risk conferred by more severe psychopathology on arrests is stronger for Black Americans than White Americans. Our results highlight how structural racism affects both psychopathology and the carceral system to contribute to the overrepresentation of Black Americans within the criminal justice system.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"6 7","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381166","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}
R. McDanal, Jenny Shen, K. Fox, Nicholas R. Eaton, J. Schleider
{"title":"Predicting Transdiagnostic Symptom Change Across Diverse Demographic Groups in Single-Session Interventions for Adolescent Depression","authors":"R. McDanal, Jenny Shen, K. Fox, Nicholas R. Eaton, J. Schleider","doi":"10.1177/21677026231199437","DOIUrl":"https://doi.org/10.1177/21677026231199437","url":null,"abstract":"Youths with marginalized identities experience minority stress, a construct linked to more severe transdiagnostic psychopathology. Financial, geographical, and temporal barriers limit access to psychological care for these individuals. Single-session interventions (SSIs), which mitigate many such barriers, are likely more accessible than traditional therapies. However, accessibility does not guarantee effectiveness across identity groups. In a preregistered study ( N = 2,452), we assessed whether demographic identities moderated the relationship between SSI condition and transdiagnostic internalizing (emotional distress) change from before SSI to after SSI in a national U.S. sample of adolescents with elevated depressive symptoms. SSI-driven internalizing-symptom reductions were equivalent between youths with myriad marginalized identities (e.g., Black, asexual, gender minority) and their counterparts (e.g., non-Hispanic White, heterosexual, cisgender) and across age and subjective school social status. We discuss implications of the results for SSI dissemination.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"41 5","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139384774","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}