Journal of psychopathology and clinical science最新文献

{"title":"Transactional relations between attentional biases for affective stimuli and depressive symptoms in offspring of mothers with and without major depressive disorder.","authors":"Kelly A Gair, Leslie A Brick, Brandon E Gibb","doi":"10.1037/abn0001132","DOIUrl":"10.1037/abn0001132","url":null,"abstract":"<p><p>Attentional biases toward depression-relevant stimuli (e.g., sad faces) are thought to contribute to the development and maintenance of depression, but research in youth is limited and primarily cross-sectional. Therefore, it remains unclear whether such biases are risk factors for, versus consequences of, depression (or both), and whether these links may be stronger among youth already at risk for depression due to a family history of the disorder. To address these questions, the present multiwave longitudinal study followed 242 mothers and their offspring (ages 8-14; 51.65% girls, 81.40% non-Hispanic White) over 2 years with assessments every 6 months (five assessments total) to examine prospective relations between attentional biases (measured via a dot-probe eye-tracking task) and depressive symptoms in youth. Of the mothers, 123 had a history of major depressive disorder (MDD) during their child's life and the rest had no lifetime history of MDD. Using random intercepts cross-lagged panel models, we found that depressive symptoms predicted prospective changes in attentional biases, but not the reverse, and the pattern of attentional bias change differed based on maternal history of MDD. Specifically, among offspring of mothers with MDD, higher depressive symptoms at a given assessment predicted future increases in attentional bias to sad faces, whereas among offspring of never depressed mothers, higher depressive symptoms predicted subsequent decreases in attentional bias to happy faces. These findings suggest that experiences of depression may contribute to different patterns of attention to emotional cues based on maternal history of MDD. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Separating presence from severity in suicidal ideation: Evidence from multilevel hurdle models.","authors":"Evan M Kleiman, Elizabeth A Edershile, Kinjal K Patel, Emma Yoon, Allison Pereira, Amelia H Lint, Catherine R Glenn, Richard T Liu","doi":"10.1037/abn0001130","DOIUrl":"10.1037/abn0001130","url":null,"abstract":"<p><p>Suicidal ideation is inherently episodic, yet most analytic approaches treat it as a single continuous process, handling zero inflation as a nuisance through transformation or ill-fitting models. Such approaches may obscure distinct mechanisms governing whether ideation occurs versus how severe it becomes. We applied multilevel hurdle models to ecological momentary assessment data from a large sample of psychiatrically acute adolescents with recent suicidal thoughts (<i>n</i> = 244) to examine whether affective states differentially predict suicidal ideation occurrence and severity. Hurdle models decompose ideation into a binary component (presence) and a continuous component (intensity conditional on presence). Negative and positive affect were partitioned into within-person (momentary) and between-person (person-level average) components, with models examining concurrent and lagged associations while accounting for temporal persistence. Results revealed dissociable processes. Person-level average negative affect robustly predicted ideation occurrence, whereas momentary fluctuations showed weak prospective associations with presence of suicidal ideation. In contrast, both momentary and person-level average negative affect predicted greater severity once ideation was present. Positive affect showed modest concurrent associations with lower suicidal ideation presence and severity but did not reliably predict presence of prospective suicidal thinking. These findings suggest affective states, and specifically negative affect, may primarily function as amplifiers of ideation severity rather than acute triggers of ideation presence. Multilevel hurdle models offer a useful framework for capturing the episodic structure of suicidal ideation and informing real-time prevention efforts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modeling internalizing symptoms in United States veterans using the Hierarchical Taxonomy of Psychopathology (HiTOP) framework: Gender invariance and longitudinal stability.","authors":"Kelsie T Forbush, Yiyang Chen, Zheyue Peng, Robert William Morgan, Kara Christensen Pacella, David Watson, Angeline R Bottera, Karen Mitchell, Q Chelsea Song, Marianna L Thomeczek, Sonakshi Negi, Alesha E Doan, Samiya I Rasheed, Sarah Johnson-Munguia, Ashley L Watts, Alicia Wendler, Mary Oehlert, Milena Mancini, Kazi Farhad Mahmud","doi":"10.1037/abn0001118","DOIUrl":"https://doi.org/10.1037/abn0001118","url":null,"abstract":"<p><p>Using the Hierarchical Taxonomy of Psychopathology (HiTOP) framework, we constructed hierarchical-dimensional phenotypes for internalizing disorders in a nationally representative sample of U.S. veterans that oversampled for women (<i>N</i> = 781, 62% women). Based on responses to the Eating Pathology Symptoms Inventory and the Expanded Form of the Inventory of Depression and Anxiety Symptoms, HiTOP models were constructed using L. R. Goldberg's bass-ackwards method with exploratory structural equation modeling. We identified one large superordinate factor that assessed broad internalizing psychopathology, three subfactors (Eating Pathology, Fear, and Distress in women; Eating Pathology, Fear/Distress, and low Well-being in men), and six dimensional syndromes (Bulimia, Fitness Concerns, Restriction, Fear, Mixed Arousal-Distress, and low Well-being). The model demonstrated gender invariance across both time points. Factors showed evidence of measurement stability over time, as indicated by high Tucker's congruence coefficients and low average levels of differences in the loadings across assessments. Results suggested that the HiTOP framework is a robust, longitudinally stable framework for assessing internalizing symptoms. Our findings have implications for future research seeking to improve diagnostic precision for internalizing psychopathology. Empirically based phenotypes have the potential to lead to improved treatments that target shared maintenance mechanisms underlying internalizing dimensions and, in turn, improve clinical care and treatment efficacy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rebuilding HiTOP from the ground up: Symptom-level analyses and a revised mapping to the DSM.","authors":"Miriam K Forbes, Tam Pham, Matthew Roberts, Carly J Johnco","doi":"10.1037/abn0001125","DOIUrl":"10.1037/abn0001125","url":null,"abstract":"<p><p>The evidence for the structure of the Hierarchical Taxonomy of Psychopathology (HiTOP) model relies heavily on analyses of correlations among <i>Diagnostic and Statistical Manual of Mental Disorders</i> diagnoses, which entrenches some of their limitations. In this study, we deconstructed the mental disorders covered in HiTOP into individual symptoms-with personality disorders represented via item-level assessment of the Alternative Model for Personality Disorders facets-and rebuilt the HiTOP model from the ground up. Participants self-selected into an online mental health study and were randomly split into primary (<i>n</i> = 11,762) and holdout (<i>n</i> = 3,000) samples to identify a robust hierarchy of empirically derived constructs, ranging from symptoms and syndromes to very broad \"superspectra\" of psychopathology. In each sample, both hierarchical clustering and hierarchical principal components analyses were used; the final hierarchical structure was derived based on points of cross-sample and cross-method agreement. The resulting model was remarkably similar to the HiTOP model, including nearly all of the same subfactors, spectra, and superspectra-albeit with some reorganization in the structure. The inclusion of broad disinhibition/hypomania and pathological introversion dimensions represented the most prominent differences compared with the current higher order structure of HiTOP. The detailed lower order constructs found here also mirrored many of the existing components and traits in HiTOP, as well as indicating some potential areas for revision. Finally, we remapped the disorders included in the Structured Clinical Interview for the <i>Diagnostic and Statistical Manual of Mental Disorders-5th Edition</i> onto the new framework model. Overall, the results suggest that the structural foundations of the HiTOP model are largely sound. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate relationship distress and incidence of major depression in a U.S. probability sample: A preregistered propensity score analysis.","authors":"Mark A Whisman, Pia E Sellery, Savannah M Boyd, David A Sbarra","doi":"10.1037/abn0001131","DOIUrl":"https://doi.org/10.1037/abn0001131","url":null,"abstract":"<p><p>Poor intimate relationship quality is prospectively associated with elevated levels of depressive symptoms and higher incidence of a major depressive episode. Propensity score matching analyses, which statistically equate people in the exposure sample (e.g., people in distressed relationships) with a comparison sample (e.g., people in nondistressed relationships), provide a complementary means to traditional covariate analyses for addressing confounding in observational research, thereby enhancing the ability to evaluate potential causal associations. In this preregistered study, propensity score matching analyses were conducted using a probability sample of married adults in the United States aged 50 years and older who participated in 2014/2016 or 2016/2018 waves of the Health and Retirement Study and who were (a) not depressed at baseline and (b) continuously married at baseline and 2-year follow-up. Women (<i>n</i> = 407) and men (<i>n</i> = 525) in distressed relationships were matched with an equal number of women and men in nondistressed relationships on the propensity to experience relationship distress. Women and men in distressed relationships were significantly more likely than propensity-matched women and men in nondistressed relationships to meet criteria for a past-year major depressive episode at follow-up. In the full sample of women (<i>n</i> = 2,273) and men (<i>n</i> = 2,345), similar results were obtained for covariate analyses using the propensity score as well as traditional covariate analyses examining covariates independently. Findings provide strong support for the perspective that relationship distress is causally associated with depression and support the use of couple-based interventions for preventing and treating depression in middle-aged and older adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are there differences in depression across biological sex and developmental phases? Examining the structure and measurement invariance of depressive symptoms in males and females from childhood through adolescence.","authors":"Thomas J Harrison,Thomas M Olino,Daniel N Klein","doi":"10.1037/abn0001129","DOIUrl":"https://doi.org/10.1037/abn0001129","url":null,"abstract":"Depressive symptoms increase markedly in adolescence, especially among females. It remains unclear whether this reflects age- and sex-related changes in levels of the same construct or differences in the nature or expression of depression. We examined whether depression is structurally equivalent across age and sex. A community sample of 481 youth was assessed from age 9 to 18 at 3-year intervals. At each wave, participants completed the Children's Depression Inventory. We evaluated the Children's Depression Inventory factor structure and tested measurement invariance (MI) across development and sex. A unidimensional structure was supported at all waves. Developmental MI analyses indicated configural, metric, and partial scalar invariance. Sex-based MI analyses within the longitudinal framework showed similar results. Depression appears largely structurally consistent across development and sex, although its expression may vary slightly as a function of changing contexts and socioemotional development. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Heart rate variability as a biomarker for transdiagnostic depressive and anxiety symptom trajectory in adolescents and young adults\" by Wen et al. (2024).","authors":"","doi":"10.1037/abn0001120","DOIUrl":"https://doi.org/10.1037/abn0001120","url":null,"abstract":"Reports an error in \"Heart rate variability as a biomarker for transdiagnostic depressive and anxiety symptom trajectory in adolescents and young adults\" by Alainna Wen, Tomislav D. Zbozinek, Julian Ruiz, Richard E. Zinbarg, Robin Nusslock and Michelle G. Craske (Journal of Psychopathology and Clinical Science, 2024[Nov], Vol 133[8], 638-646; see record 2025-40884-007). In the article, the authors several errors related to the Anhedonia-Apprehension variable. These errors do not affect the main findings or conclusions of the article. (The following abstract of the original article appeared in record 2025-40884-007). Internalizing psychopathology is associated with abnormalities in heart rate variability (HRV). Lower HRV that reflects reduced parasympathetic nervous system activity has been observed in depressive and anxiety disorders. Existing studies predominantly used categorical rather than dimensional approaches, the latter of which better addresses clinical comorbidity and heterogeneity. Moreover, there is little evidence on the role of HRV in longitudinal symptom trajectory in adolescents and young adults. The current study examined the association between HRV and internalizing symptom trajectory using a dimensional approach-the tri-level model of depression and anxiety. Adolescents and young adults (N = 362) were recruited in a 3-year longitudinal study, where they completed electrocardiogram recordings and self-report symptom questionnaires. Multilevel modeling was conducted with high-frequency power bands (HF power) of interbeat intervals at baseline as the predictor, and tri-level symptom factors over 3 years as the outcome. HF power significantly predicted the trajectory of the broad General Distress symptom factor, but not the intermediate Fears or Anhedonia-Apprehension symptom factors. Higher HF power was associated with a decline in General Distress over time. This association was held when neuroticism, other tri-level symptom factors, and demographic variables were covaried. That is, greater parasympathetic nervous system activity at baseline was significantly associated with a greater decline in the broad internalizing symptom factor, but not symptom factors that are more specific to depressive or anxiety disorders. Parasympathetic activity, therefore, may be a transdiagnostic biomarker for internalizing symptoms in adolescents and young adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"144 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visual distraction and experience-based suppression in attention-deficit/hyperactivity disorder: A registered report.","authors":"Mor Sasi,Tair Vizel,Nitzan Shahar,Dominique Lamy","doi":"10.1037/abn0001119","DOIUrl":"https://doi.org/10.1037/abn0001119","url":null,"abstract":"Although \"easily distracted\" is a core diagnostic criterion for attention-deficit/hyperactivity disorder (ADHD), its underlying mechanisms are poorly understood. The few studies on ADHD that relied on experimental tasks specially designed to study visual distraction in the general population reported mixed findings. Here, we suggest that failure to consider experience-based suppression, that is, suppression of irrelevant information after repeated exposures, may explain the inconsistent findings. Therefore, we investigated distraction in ADHD while disentangling distraction by novel salient distractors and experience-based suppression of these distractors. Participants searched for a target shape, and a salient-color distractor was either present or absent. Its color changed at the beginning of each block. We compared baseline distraction (the performance cost on distractor-present versus distractor-absent trials in the first block halves) and feature-based suppression efficiency (the reduction of this cost from the first to the second block half) in participants with ADHD and their controls. The results confirmed our conjecture: Participants with ADHD tended to be more distracted by novel distractors than controls, but they were at least as efficient at suppressing these distractors following a few exposures. These findings explain why studies using rare distractors showed higher distractibility in ADHD, whereas studies using frequently repeated distractors reported no difference. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From suicide prevention to suicide provision: The troubling growth of Canada's medical assistance in dying program.","authors":"Marie Campione,Thomas Joiner","doi":"10.1037/abn0001109","DOIUrl":"https://doi.org/10.1037/abn0001109","url":null,"abstract":"This article discusses trends in Canada's medical assistance in dying program (MAID). Canada reported over 15,000 deaths via medical assistance in dying in 2023; for comparison's sake, California recorded fewer than 900. As both jurisdictions legalized MAID in 2016 and have similarly sized populations, neither timing nor size can explain the discrepancy. Instead, Canada's uniquely large presence of MAID reflects an intersection of several key factors discussed in the article. The present and future of Canada's MAID program lie in direct opposition to the mission of clinical psychologists, medical professionals, policymakers, and society at large. Collectively, we have long worked to understand, predict, and prevent suicide, identifying risk factors such as perceived burdensomeness, isolation, and hopelessness. Once considered treatment targets, these factors are becoming sufficient grounds for ending a life. Within Canada's MAID program, MAID and suicide are indistinguishable; motivations are identical, barriers are overcome, and a person concludes that life is no longer worth living. What results is suicide by another name, provided by the very system that has historically worked to prevent it. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147733902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hyperactivity-impulsivity, inattention, and cognitive disengagement syndrome: A meta-analytic investigation of overlapping and differential cognitive associations.","authors":"Nicole E Stuart,Andrew M C Sheridan,Carmela F Pestell,Gilles E Gignac,Charlotte Fox,Nicholas Badcock,Kristin Naragon-Gainey","doi":"10.1037/abn0001121","DOIUrl":"https://doi.org/10.1037/abn0001121","url":null,"abstract":"Cognitive disengagement syndrome (CDS) and attention-deficit/hyperactivity disorder-related inattention (ADHD-I) and hyperactivity-impulsivity (ADHD-HI) are often studied together, yet the differences between their cognitive profiles remain unclear. This systematic review and meta-analysis aimed to identify their cognitive correlates while controlling for symptom overlap. A total of 115 cross-sectional studies were included based on predefined eligibility criteria. Participants were children and adults, with clinical and community samples represented. Random-effects meta-analyses were conducted to examine bivariate associations between CDS, ADHD-I, and ADHD-HI symptoms with cognitive functioning. Multiple regression analyses were then applied to pooled correlation matrices to estimate cognitive correlates of each symptom dimension while controlling for shared variance between the constructs. Cognitive profiles were more similar when examined via correlations, but greater differences emerged in regression-based analyses. Among the larger multiple regression effects, ADHD-I symptoms were associated with weaker intelligence, perceptual reasoning, response inhibition, working memory, perceptual-motor functioning, and memory (βs = -.21 to -.10, p < .01). ADHD-HI symptoms were linked to weaker social cognition, focused and sustained attention (βs = -.24 to -.11, p < .001), and better motor coordination (β = .14, p < .001). CDS symptoms were associated with poorer interference control and processing speed (βs = -.29 to -.13, p < .001). Limitations include low precision for some meta-analyses and reliance on cross-sectional data. Findings support CDS as a meaningful symptom domain while highlighting the need for ADHD research that prioritizes dimensional analyses and accounts for symptom overlap. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147695032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}