Psychology and Psychotherapy-Theory Research and Practice最新文献

Age equality in mental health: Déjà vu all over again. 心理健康中的年龄平等：又来了一遍。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-11 DOI: 10.1111/papt.12594

Polly Kaiser, Kathryn Dykes, Natasha Lord

引用次数: 0

Empathy training for counselling novices: A randomized controlled trial using machine learning and natural language processing. 咨询新手共情训练：一项使用机器学习和自然语言处理的随机对照试验。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-04 DOI: 10.1111/papt.12604

Wenjun Luo, Rui Li, Zihan Guo, Siyao Jia, Qiwu Sun, Zhihong Ren

{"title":"Empathy training for counselling novices: A randomized controlled trial using machine learning and natural language processing.","authors":"Wenjun Luo, Rui Li, Zihan Guo, Siyao Jia, Qiwu Sun, Zhihong Ren","doi":"10.1111/papt.12604","DOIUrl":"https://doi.org/10.1111/papt.12604","url":null,"abstract":"Objective: Empathy is a critical skill for effective counselling, yet novice counsellors often struggle to develop it. Traditional training methods may not sufficiently address the complexities of empathic development. This study aims to develop and assess an empathy training programme using machine learning (ML) and natural language processing (NLP) to enhance empathy in novice counsellors.Methods: We developed the 'Empathy Feedback' WeChat mini-programme to provide real-time feedback through counselling exercises. In a randomized controlled trial (RCT), 143 participants were randomly assigned to one of four groups: control, feedback, practice or feedback-practice. Over 5 days, participants completed daily empathy exercises through the mini-programme. Empathy levels, as measured by the Helpful Responses Questionnaire (HRQ), and self-efficacy were assessed immediately post-intervention and at a 2-week follow-up.Results: Significant improvements in empathy and HRQ scores were observed in the experimental groups compared to the control group (p < .05), but no changes were found in self-efficacy scores.Conclusions: The AI-driven empathy training programme effectively enhanced empathic skills among novice counsellors, demonstrating the potential of integrating machine learning and NLP into counsellor education. The lack of change in self-efficacy suggests that additional strategies may be needed to boost counsellors' confidence in applying these skills in practice.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of cumulative trauma and polarised thinking on severity of depressive disorder. 累积性创伤与两极化思维对抑郁症严重程度的影响。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-04 DOI: 10.1111/papt.12602

Marta Salla, Mari Aguilera, Clara Paz, Jorge Moya, Guillem Feixas

{"title":"The effect of cumulative trauma and polarised thinking on severity of depressive disorder.","authors":"Marta Salla, Mari Aguilera, Clara Paz, Jorge Moya, Guillem Feixas","doi":"10.1111/papt.12602","DOIUrl":"https://doi.org/10.1111/papt.12602","url":null,"abstract":"Over recent decades, there has been more evidence of the connection between trauma and depression. More research is needed on the relationship between different types of trauma and their combination (cumulative trauma) with respect to the severity of depressive symptoms. The extent to which trauma and cognitive processes that manifest as polarised or 'black and white' thinking affect the severity of depression has yet to be explored.Objective: The objective of this research was to examine the impact of cumulative trauma and polarised thinking on the severity of depressive symptoms.Method: In total, 172 patients, mostly women, with a diagnosis of Major Depressive Disorder or Dysthymia (or both) were evaluated using the Cumulative Trauma Scale. The Repertory Grid Technique was used to measure polarised thinking, and the Beck Depression Inventory-II was used to assess the severity of depressive symptoms.Results: The severity of depressive symptoms was strongly associated with a high level of polarised thinking and a high frequency of perceived negative trauma.Conclusions: Our findings underscore the need to address polarised thinking and trauma (when present) as a target of interventions aimed at reducing depression symptoms.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non-clinical sample. 对不确定性、偏执和前驱症状的不耐受：精神分裂症谱系障碍、焦虑障碍和非临床样本的比较

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-06-02 DOI: 10.1111/papt.12599

Jayne Morriss, Lyn Ellett

{"title":"Intolerance of uncertainty, paranoia, and prodromal symptoms: Comparisons between a schizophrenia spectrum disorder, anxiety disorder and non-clinical sample.","authors":"Jayne Morriss, Lyn Ellett","doi":"10.1111/papt.12599","DOIUrl":"https://doi.org/10.1111/papt.12599","url":null,"abstract":"Background: Greater Intolerance of Uncertainty (IU: the tendency to find uncertainty negative) is associated with greater paranoia (mistrust of others) in clinical samples with schizophrenia spectrum disorders (SSDs). Questions remain on whether the relationship between IU and paranoia/prodromal symptoms is: (1) specific over other related negative affective traits and cognitive biases, and (2) specific to SSDs or is transdiagnostic.Methods: To examine these research questions, we conducted a survey in those with SSDs (n = 103), anxiety disorders (n = 102) a non-clinical sample (n = 102). Questionnaires included: IU, paranoia, prodromal symptoms of schizophrenia, neuroticism and jumping to conclusions bias.Results: IU, neuroticism and jumping to conclusions bias were elevated in those with SSDs and anxiety disorders, compared to the non-clinical group. Both paranoia and prodromal symptoms were highest in those with SSDs, then anxiety disorders and lowest in the non-clinical group. Greater IU was associated with greater paranoia and prodromal symptoms across SSDs, anxiety disorders and a non-clinical sample. The majority of the relationships between IU and paranoia/prodromal symptoms remained significant when controlling for neuroticism and the jumping to conclusions bias. However, the relationship between IU and paranoia in the SSD group was not specific over the jumping to conclusions bias.Discussion: These findings highlight the potentially transdiagnostic role of IU in paranoia/prodromal symptoms across SSDs and anxiety disorders, which has implications for the development of transdiagnostic treatment interventions for SSDs and anxiety disorders.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cisnormativity and the frustration of core emotional needs among transgender and gender diverse individuals. 跨性别及性别差异个体的顺规范性与核心情感需求受挫。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-22 DOI: 10.1111/papt.12596

George Radford, Jamie E M Byrne, Petra K Staiger, Gery C Karantzas

{"title":"Cisnormativity and the frustration of core emotional needs among transgender and gender diverse individuals.","authors":"George Radford, Jamie E M Byrne, Petra K Staiger, Gery C Karantzas","doi":"10.1111/papt.12596","DOIUrl":"https://doi.org/10.1111/papt.12596","url":null,"abstract":"Introduction: Cisnormativity is a sociocultural narrative that contributes to the marginalisation of transgender and gender diverse (TGD) people. The schema therapy model theorises that humans have five core emotional needs that must be met to support psychological well-being. Experiences of marginalisation may result in TGD people feeling as if their core emotional needs are not being met. Integrating the schema therapy model with an ecological systems perspective, this study aimed to examine how manifestations of cisnormativity across different levels of the social ecology impact the extent to which TGD people feel their core emotional needs are met.Methods: An online qualitative survey was completed by 101 TGD adults, and the data were analysed using reflexive thematic analysis.Results: Cisnormativity greatly impacted TGD people in ways that reflected the denial of numerous core emotional needs under the schema therapy model. The frustration of these needs was represented in four themes: disconnection and rejection; representation and reputation; suppressing and performing gender; and autonomy. The sources for these unmet needs were present across multiple levels of people's ecological systems.Conclusion: Integrating an ecological systems perspective with the schema model demonstrated how the sociocultural context can directly and indirectly interfere with the meeting of core emotional needs. Some of the needs constructs demonstrated conceptual overlap, necessitating further investigation of the schema therapy model. This study documented the wide-ranging impacts of cisnormativity on TGD people, highlighting novel considerations that should be incorporated into the schema therapy model and models of TGD mental health and well-being.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The associations of stress, pleasure and emotion to voice-hearing: An ecological momentary assessment study. 应激、愉悦和情绪对语音听力的影响：一项生态瞬时评价研究。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-19 DOI: 10.1111/papt.12598

Kelly Cusworth, Sharla Cartner, Georgie Paulik, Neil Thomas, Guillermo Campitelli, Danielle C Mathersul

{"title":"The associations of stress, pleasure and emotion to voice-hearing: An ecological momentary assessment study.","authors":"Kelly Cusworth, Sharla Cartner, Georgie Paulik, Neil Thomas, Guillermo Campitelli, Danielle C Mathersul","doi":"10.1111/papt.12598","DOIUrl":"https://doi.org/10.1111/papt.12598","url":null,"abstract":"Background: Negative emotions and stress are theorised to play a role in the onset and maintenance of voice-hearing experiences. However, previous research has not explored these temporal relationships in daily life using differentiated psychological constructs.Aim: Using ecological momentary assessment, this study examined the moment-to-moment relationships between negative and positive emotion valence and intensity, stressful and pleasurable events, and voice-hearing onset.Materials & methods: Forty voice-hearers completed seven days of smartphone-based surveys, rating their emotions and their intensity, perceived stress and pleasure of life events, and presence of voice-hearing.Results: Multilevel modelling showed that stressful events, but not pleasurable events, were significantly predictive of voice-hearing, both concurrently and in the next time point. Neither negative nor positive emotion intensity predicted voice-hearing, nor did they moderate the relationship between voice-hearing onset and stressful or pleasurable events, respectively.Discussion: These findings suggest that factors which differentiate perception of stressful events from self-reported negative emotions may be useful intervention targets, such as mitigating prolonged external stressors, reducing sensitivity to external stressors and targeting negative perceptions or resistance to these stressors.Conclusion: Clinically, our findings underscore the relevance of stress and a negative perception of externally oriented events, with further research needed to explore useful interventions for targeting these mechanisms.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative study exploring the role of perfectionism in trichotillomania. 一项探讨完美主义在拔毛癖中的作用的定性研究。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-16 DOI: 10.1111/papt.12597

Amy L Zarandi, Josie F A Millar, Erin Waites, Judith L Stevenson

{"title":"A qualitative study exploring the role of perfectionism in trichotillomania.","authors":"Amy L Zarandi, Josie F A Millar, Erin Waites, Judith L Stevenson","doi":"10.1111/papt.12597","DOIUrl":"https://doi.org/10.1111/papt.12597","url":null,"abstract":"Objective: Trichotillomania (TTM) is a condition in which individuals repeatedly pull out their hair despite adverse consequences. Several models have suggested underlying processes, with a central feature of hairpulling being an external means to regulate internal states. The frustrated action model suggests that certain affective states arise from perfectionistic beliefs and an overactive, overprepared style of planning, triggering episodes of hairpulling. To date, there is limited research investigating perfectionism in people with TTM. The current study investigated the experiences of hairpulling behaviour in people with TTM, with specific attention given to perfectionism.Design: A qualitative methodology was employed.Method: Twenty participants completed online screening questionnaires and were interviewed via an online communication platform. Data were analysed using reflexive thematic analysis.Results: The findings identified the role and development of maladaptive perfectionism in hairpulling. Furthermore, a maintenance cycle is proposed, in which hairpulling is maintained via the positive function it plays in preventing confirmation of self-critical cognitions.Conclusions: The results indicate that interventions targeting perfectionism specifically in individuals with TTM could be beneficial. Furthermore, clinicians should be sensitive to the positive functions that hairpulling can serve for people with TTM.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'I think that we can effect change': Psychologist use of social media for social justice advocacy. “我认为我们可以影响改变”：心理学家利用社交媒体倡导社会正义。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-11 DOI: 10.1111/papt.12601

Ella White, Terry Hanley

{"title":"'I think that we can effect change': Psychologist use of social media for social justice advocacy.","authors":"Ella White, Terry Hanley","doi":"10.1111/papt.12601","DOIUrl":"https://doi.org/10.1111/papt.12601","url":null,"abstract":"Introduction: Psychologists can bring social justice into their professional presence on social media, with the public perceiving health care professionals as a reputable source of information online. This study aimed to explore practitioner psychologists' use of social media for social justice advocacy as a mental health influencer.Methods: Twelve UK-based practitioner psychologists were interviewed who had an Instagram account that they used as a mental health influencer. The semi-structured interview transcripts were analysed using reflexive thematic analysis.Results: Systemic issues have motivated many psychologists to begin work as a mental health influencer. There are challenges between the use of social media for social justice advocacy and for business purposes to promote private practice. Psychologists can use social media to share psychoeducation to increase mental health literacy and encourage access to therapy. The accessibility of this content is particularly valuable for people from marginalised communities and for people on long waiting lists to access mental health support. Psychologists can use social media to raise critical consciousness of social inequalities and reduce an individual's sense of self-blame.Conclusion: Irrespective of working in the public sector or private practice, there are opportunities for psychologists to use social media as a resource for social justice advocacy.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Compassion-focused chairwork for voice-hearing relationships, body triggers and motivational states. 以同情为中心的椅子，用于语音听觉关系、身体触发和动机状态。

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-11 DOI: 10.1111/papt.12600

Charles Heriot-Maitland, Tobyn Bell

{"title":"Compassion-focused chairwork for voice-hearing relationships, body triggers and motivational states.","authors":"Charles Heriot-Maitland, Tobyn Bell","doi":"10.1111/papt.12600","DOIUrl":"https://doi.org/10.1111/papt.12600","url":null,"abstract":"Purpose: This paper aims to build on a recent theoretical and empirical review of CFT for psychosis by outlining a more detailed account of how voice-hearing perceptions may be generated and triggered, and the implications for clinical practice. It also aims to provide a detailed and practical illustration of how CFT for voice-hearing is applied in therapy.Method: This paper summarises the evolution-informed rationale for CFT for voice-hearing and integrates into this framework some major developments in cognitive neuroscience-namely predictive processing models of perception-to develop a richer account of the mechanisms and targets of CFT for voice-hearing. The clinical application of this model is demonstrated using a description of compassion-focused chairwork for voice-hearing.Results: The enriched perceptual modelling of CFT for voice-hearing is complementary to the (evolution-informed) accounts in the existing CFT literature, while adding precision and utility when it comes to describing compassion-focused chairwork for voice-hearing and discussing some of the key clinical considerations for therapists wishing to use this method.Conclusions: CFT for voice-hearing is an integrated biopsychosocial approach that indicates therapy targets linked to both sides of the voice-to-voice hearer relationship, to corresponding embodied and motivational states, and to the past traumas and conflicts that may drive these patterns. CFT chairwork is particularly well suited to addressing some of the perceptual, embodied and motivational drivers of voice-hearing experiences. We recommend the development of detailed intervention protocols for therapist guidance on specific techniques such as CFT chairwork, which can be used in future evaluation research.","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial acknowledgement 社论承认

IF 2.6 3区医学

Psychology and Psychotherapy-Theory Research and Practice Pub Date : 2025-05-10 DOI: 10.1111/papt.12561

引用次数: 0