Nicole H Weiss, Melissa R Schick, Alexa M Raudales, Shannon R Forkus, Emmanuel D Thomas, Ateka A Contractor, Tami P Sullivan
{"title":"Experimental Investigation of the Influence of Positive Emotion Dysregulation on Risky Behavior Following Idiographic Emotion Inductions.","authors":"Nicole H Weiss, Melissa R Schick, Alexa M Raudales, Shannon R Forkus, Emmanuel D Thomas, Ateka A Contractor, Tami P Sullivan","doi":"10.1177/21677026221133295","DOIUrl":"10.1177/21677026221133295","url":null,"abstract":"<p><p>An experimental paradigm with subjective and objective assessments was used to further explicate the role of positive emotion dysregulation on risky behavior. Participants were 151 community women currently experiencing intimate partner violence and using substances (<i>M</i><sub>age</sub> = 40.81, 43.0% white). Participants were randomly assigned to positive, negative, and neutral idiographic emotion inductions. Subjective (state self-report) and objective (high frequency heart rate variability [hfHRV], skin conductance response, and salivary cortisol) markers of emotion dysregulation were assessed, following which participants completed subjective (state urges for substances) and objective (Balloon Analogue Risk Task) measures of risky behavior. Results showed (a) greater self-reported state emotion dysregulation and lower hfHRV predicted more urges for substances in the positive (versus negative and neutral) emotion induction conditions; and (b) lower hfHRV predicted more behavioral risk-taking propensity in the positive (versus neutral) emotion induction condition. Findings provide additional support for the influence of positive emotion dysregulation on risky behavior.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 3","pages":"490-508"},"PeriodicalIF":4.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10420898/pdf/nihms-1840085.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10060508","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}
Michael A Mooney, Christopher Neighbor, Sarah Karalunas, Nathan F Dieckmann, Molly Nikolas, Elizabeth Nousen, Jessica Tipsord, Xubo Song, Joel T Nigg
{"title":"Prediction of Attention-Deficit/Hyperactivity Disorder Diagnosis Using Brief, Low-Cost Clinical Measures: A Competitive Model Evaluation.","authors":"Michael A Mooney, Christopher Neighbor, Sarah Karalunas, Nathan F Dieckmann, Molly Nikolas, Elizabeth Nousen, Jessica Tipsord, Xubo Song, Joel T Nigg","doi":"10.1177/21677026221120236","DOIUrl":"https://doi.org/10.1177/21677026221120236","url":null,"abstract":"<p><p>Proper diagnosis of ADHD is costly, requiring in-depth evaluation via interview, multi-informant and observational assessment, and scrutiny of possible other conditions. The increasing availability of data may allow the development of machine-learning algorithms capable of accurate diagnostic predictions using low-cost measures to supplement human decision-making. We report on the performance of multiple classification methods used to predict a clinician-consensus ADHD diagnosis. Methods ranged from fairly simple (e.g., logistic regression) to more complex (e.g., random forest), while emphasizing a multi-stage Bayesian approach. Classifiers were evaluated in two large (N>1000), independent cohorts. The multi-stage Bayesian classifier provides an intuitive approach consistent with clinical workflows, and was able to predict expert consensus ADHD diagnosis with high accuracy (>86%)-though not significantly better than other methods. Results suggest that parent and teacher surveys are sufficient for high-confidence classifications in the vast majority of cases, while an important minority require additional evaluation for accurate diagnosis.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 3","pages":"458-475"},"PeriodicalIF":4.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191260/pdf/nihms-1827576.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9851823","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}
Ali Giusto, Adrienne Romer, Kathryn Lovero, Palmira Fortunado Dos Santos, Claire Greene, Lidia Gouveia, Antonio Suleman, Paulino Feliciano, Maria A Oquendo, Jennifer Mootz, Milton L Wainberg
{"title":"Examination of the Factor Structure of Psychopathology in a Mozambican Sample.","authors":"Ali Giusto, Adrienne Romer, Kathryn Lovero, Palmira Fortunado Dos Santos, Claire Greene, Lidia Gouveia, Antonio Suleman, Paulino Feliciano, Maria A Oquendo, Jennifer Mootz, Milton L Wainberg","doi":"10.1177/21677026221122773","DOIUrl":"10.1177/21677026221122773","url":null,"abstract":"<p><p>Factor-analytic studies are needed in global samples to advance understanding of psychopathology. We aimed to examine the structure of psychopathology and a general psychopathology ('p') factor using data from a cross-sectional study of 971 adults (63% women) from Maputo City, Mozambique. We used confirmatory factor analyses of symptoms from 15 psychiatric disorders to test common models of the structure of psychopathology. Models including internalizing, substance use, and thought disorder factors as well as a general p-factor fit the data well. Measurement invariance testing revealed that factor loadings on p differed by gender. Higher levels of p, internalizing, and thought disorder factors were associated with greater suicide risk, psychiatric comorbidity, chronic medical illnesses, and poorer functioning. A general psychopathology ('p') factor and internalizing, substance use, and thought disorder factors are identifiable in this Mozambican sample. Understanding psychopathology dimensions is a step toward building more scalable mental health service approaches globally.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 3","pages":"409-424"},"PeriodicalIF":4.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181828/pdf/nihms-1829913.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743060","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}
Casey L Brown, Kevin J Grimm, Jenna L Wells, Alice Y Hua, Robert W Levenson
{"title":"Empathic Accuracy and Shared Depressive Symptoms in Close Relationships.","authors":"Casey L Brown, Kevin J Grimm, Jenna L Wells, Alice Y Hua, Robert W Levenson","doi":"10.1177/21677026221141852","DOIUrl":"10.1177/21677026221141852","url":null,"abstract":"<p><p>Empathic accuracy, the ability to accurately understand others' emotions, is typically viewed as beneficial for mental health. However, empathic accuracy may be problematic when a close relational partner is depressed because it promotes shared depression. Across two studies, we measured empathic accuracy using laboratory tasks that capture the ability to rate others' emotional valence accurately over time: first, in a sample of 156 neurotypical married couples (Study 1; Total N=312), and then in a sample of 102 informal caregivers of individuals with dementia (Study 2). Across both studies, the association between empathic accuracy and depressive symptoms varied as a function of a partner's level of depressive symptoms. Greater empathic accuracy was associated with (a) fewer depressive symptoms when a partner lacked depressive symptoms, but (b) more depressive symptoms when a partner had high levels of depressive symptoms. Accurately detecting changes in others' emotional valence may underpin shared depressive symptoms.</p>","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 3","pages":"509-525"},"PeriodicalIF":4.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193708/pdf/nihms-1849812.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9502312","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}
{"title":"Accusation Is Not Proof: Procedural Justice in Psychology","authors":"W. O’Donohue, J. Fisher","doi":"10.1177/21677026231159564","DOIUrl":"https://doi.org/10.1177/21677026231159564","url":null,"abstract":"In this article, we explicate a relatively ignored construct in clinical science—procedural justice. Procedural justice is concerned with adjudicative processes in which norms are applied to particular cases in which there is an allegation of some transgression. Psychologists often value social justice, but there can be no social justice without procedural justice. Procedural-justice concerns arise in a wide variety of interpersonal contexts, including diagnoses, administrative adjudications such as ethics complaints or Title IX hearings, conflicts clients experience with others, and more informal contexts such as gossip. Exemplars of problematic procedural justice relevant to psychologists are described. We argue that there are five general dimensions of procedural justice (epistemic, ethical, subjective, legal, and pragmatic) and 20 specific principles of procedural fairness. Suggestions for improved practice and future research are provided. Procedural justice exemplifies values embodied in the late Scott Lilienfeld’s work and life.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"49 1","pages":"705 - 724"},"PeriodicalIF":4.8,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86135441","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}
Philippa Specker, B. Liddell, M. O'Donnell, R. Bryant, V. Mau, T. McMahon, Y. Byrow, A. Nickerson
{"title":"The Longitudinal Association Between Posttraumatic Stress Disorder, Emotion Dysregulation, and Postmigration Stressors Among Refugees","authors":"Philippa Specker, B. Liddell, M. O'Donnell, R. Bryant, V. Mau, T. McMahon, Y. Byrow, A. Nickerson","doi":"10.1177/21677026231164393","DOIUrl":"https://doi.org/10.1177/21677026231164393","url":null,"abstract":"Although emotion dysregulation has been robustly associated with posttraumatic stress disorder (PTSD), there is relatively little understanding of this process in refugees. Specifically, longitudinal methodology has not been used to examine the relationship between emotion dysregulation and PTSD among refugees. In this study, we investigated the temporal relationship between emotion dysregulation, postmigration stressors, and PTSD clusters (reexperiencing, avoidance, negative alterations in mood and cognition [NAMC], and hyperarousal) from the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders among a community sample of refugees ( N = 1,081) over a 2-year period. Random intercept cross-lagged panel analysis found that emotion dysregulation was antecedent to within-persons increases in reexperiencing and NAMC symptoms over time and bidirectionally associated with hyperarousal and postmigration stressors. In addition, postmigration stressors were antecedent to within-persons increases in reexperiencing, avoidance, and NAMC and bidirectionally associated with hyperarousal symptoms. Findings provide novel evidence in support of postmigration stressors and emotion dysregulation as mechanisms maintaining PTSD and highlight the potential utility of tailoring interventions to address these factors.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"21 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81750490","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":"Do I Like Me Now? An Analysis of Everyday Sudden Gains and Sudden Losses in Self-Esteem and Nervousness","authors":"Theresa Eckes, S. Nestler","doi":"10.1177/21677026231165677","DOIUrl":"https://doi.org/10.1177/21677026231165677","url":null,"abstract":"Although rapid changes in symptom severity, or sudden gains and losses, are well known in psychotherapeutic research, much about the underlying processes that lead to them is still unclear. The revised theory of sudden gains and the complexity theory of psychopathology offer explanations of why sudden gains and sudden losses occur and how they can be predicted. To test the implications of these two theories, we investigated sudden gains and losses in a daily diary study focusing on their frequency, stability, and association with certain statistical indicators. To this end, we examined the daily self-esteem and nervousness ratings of 98 young adults over 82 consecutive days. Generally supporting the theoretical frameworks above, our findings suggest that everyday sudden gains and losses seem to be a common but unstable phenomenon associated with increased within-person variance.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"17 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79431482","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}
Maike Salazar Kämpf, Luisa Adam, M. Rohr, C. Exner, Cornelia Wieck
{"title":"A Meta-Analysis of the Relationship Between Emotion Regulation and Social Affect and Cognition","authors":"Maike Salazar Kämpf, Luisa Adam, M. Rohr, C. Exner, Cornelia Wieck","doi":"10.1177/21677026221149953","DOIUrl":"https://doi.org/10.1177/21677026221149953","url":null,"abstract":"Researchers have proposed that emotion regulation can enhance or hinder socioaffective and sociocognitive processes. However, an integration of the evidence is still lacking. The present preregistered meta-analysis disentangled the link between adaptive and maladaptive emotion regulation and different aspects of social affect and cognition. Our findings, based on 549 effect sizes from 58 samples, show that adaptive emotion regulation is positively related to cognitive empathy (ρ = .22), affective empathy (ρ = .07), and compassion (ρ = .19) but negatively related to empathic distress (ρ = –.12). Furthermore, maladaptive emotion regulation is negatively related to cognitive empathy (ρ = –.11) and positively related to empathic distress (ρ = .19). Our findings open up new pathways for practitioners, as it might be possible to foster empathy and compassion and alleviate empathic distress through emotion regulation training. Furthermore, the results suggest a potential explanation for the link between mental disorders and interpersonal problems.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78902493","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}
Y. Kunkels, A. Smit, O. Minaeva, E. Snippe, S. George, A. V. van Roon, M. Wichers, H. Riese
{"title":"Risk Ahead: Actigraphy-Based Early-Warning Signals of Increases in Depressive Symptoms During Antidepressant Discontinuation","authors":"Y. Kunkels, A. Smit, O. Minaeva, E. Snippe, S. George, A. V. van Roon, M. Wichers, H. Riese","doi":"10.1177/21677026221148101","DOIUrl":"https://doi.org/10.1177/21677026221148101","url":null,"abstract":"Antidepressant discontinuation increases the risk of experiencing depressive symptoms. In a repeated single-subject design, we tested whether transitions in depression were preceded by increases in actigraphy-based critical-slowing-down-based early-warning signals (EWSs; variance, kurtosis, autocorrelation), circadian-rhythm-based indicators, and decreases in mean activity levels. Four months of data from 16 individuals with a transition in depression and nine without a transition in depression were analyzed using a moving-window method. As expected, more participants with a transition showed at least one EWS (50% true positives; 22.2% false positives). Increases in circadian rhythm variables (25.0% true positives vs. 44.4% false positives) and decreases in activity levels (37.5% true positives vs. 44.4% false positives) were more common in participants without a transition. None of the tested risk indicators could confidently predict upcoming transitions in depression, but some evidence was found that critical-slowing-down-based EWSs were more common in participants with a transition.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"20 1","pages":"942 - 953"},"PeriodicalIF":4.8,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87352473","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}
Nathan L. Hollinsaid, J. Pachankis, R. Bränström, M. Hatzenbuehler
{"title":"Hypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults","authors":"Nathan L. Hollinsaid, J. Pachankis, R. Bränström, M. Hatzenbuehler","doi":"10.1177/21677026231159050","DOIUrl":"https://doi.org/10.1177/21677026231159050","url":null,"abstract":"Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minorities. Empirically, however, hypervigilance is rarely explicitly assessed but is instead commonly conflated with putatively related constructs, including sexual-orientation-related rejection sensitivity and rumination, hindering conceptual and mechanistic understandings of this process. We therefore embedded a hypervigilance measure in a longitudinal, population-based study of 811 Swedish sexual-minority young adults (ages 17–34). Hypervigilance—but neither sexual-orientation-related rejection sensitivity nor rumination, with which it was only weakly correlated (rs = .23–.24)—uniquely mediated prospective associations between perceived discrimination and internalizing symptoms 2 years later, explaining up to 40% of these effects. Sexual-orientation-related rejection sensitivity and rumination prospectively predicted hypervigilance on these paths. Findings suggest that hypervigilance represents a distinct construct and transdiagnostic mechanism through which stigma-related experiences and processes undermine sexual-minority mental health. We discuss implications for enhancing psychological interventions for sexual minorities by addressing hypervigilance.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"39 1","pages":"954 - 973"},"PeriodicalIF":4.8,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80973404","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}