Journal of psychopathology and clinical science最新文献

{"title":"Personality functioning as generalized correlated changes in personality traits.","authors":"Christopher J Hopwood,Charles C Driver,Leslie C Morey,Andrew E Skodol","doi":"10.1037/abn0001065","DOIUrl":"https://doi.org/10.1037/abn0001065","url":null,"abstract":"Contemporary personality disorder diagnosis distinguishes personality functioning (PF) as a general criterion for diagnosis from personality traits as the style in which the disorder manifests. There is ongoing debate about the distinctness of PF and personality traits, but research on core differences between PF and personality traits has been limited by an overreliance on cross-sectional data that may be insensitive to these differences. We fit a continuous time model to five-factor model personality trait facets that parsed general correlated change and change that could be accounted for by five-factor model domains using 10 years of longitudinal data from the Collaborative Longitudinal Personality Disorders Study (N = 733). We found that the general change factor was very similar to lay and expert conceptions of psychological health and explained more variance in personality disorder symptom reductions over time than trait change factors. These results support the distinction between PF and personality traits, suggest that features of PF can be identified within change processes in personality trait assessments, and highlight the importance of designs that are sensitive to theoretical differences in these concepts. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254844","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":"Establishing minimally sufficient conditions reduces the complexity of symptom presentations in Diagnostic and Statistical Manual of Mental Disorders internalizing disorders.","authors":"Aaron J Fisher","doi":"10.1037/abn0001069","DOIUrl":"https://doi.org/10.1037/abn0001069","url":null,"abstract":"<p><p>This article contends that many of the chief complaints about the <i>Diagnostic and Statistical Manual of Mental Disorders</i> can be obviated by a set-theoretic, combinatorial approach. Arbitrary cutoffs, polythetic criteria, and category heterogeneity can be avoided by using a data-driven approach that assesses whether particular symptom combinations represent sufficient conditions for clinical benchmarks at an acceptable level of conditional probability. Using data from the National Comorbidity Survey-Replication, this study employed generalized anxiety disorder, major depressive disorder, posttraumatic stress disorder, and the union of major depressive disorder and generalized anxiety disorder as exemplars and set a target probability threshold of <i>p</i> ≥ .90 for sufficiency. All possible symptom combinations were generated for each subsample, with sample sizes of <i>N</i> = 1,948, <i>N</i> = 2,285, <i>N</i> = 777, and <i>N</i> = 3,129, respectively. Sufficient sets were identified for diagnosis, clinical distress, and functional impairment. Establishing sufficiency reduced the number of possible symptom combinations by at least 94% (<i>M</i> = 98.7%, <i>SD</i> = 1.79%). Finally, in a large, randomly split-halved subsample (<i>N</i> = 6,656), sufficient sets were identified at p ≥ .90 and tested in the holdout data. Results yielded an average conditional probability of .91 (SD = .03), reinforcing the robustness and generalizability of the current methods. These results suggest that a large amount of the heterogeneity in symptom combinations in internalizing disorders may be nested and reducible. Thus, much of the combinatorial information in the symptom presentations of these disorders may be overlapping and there may be core features of psychopathology that are sufficient to produce fidelity without requiring additional complexity. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234311","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":"Predicting concurrent and short-term desire and intent to attempt suicide among people with body dysmorphic disorder using ecological momentary assessment of anxiety and shame.","authors":"Hilary Weingarden, Adam C Jaroszewski, Michael Armey, Bettina B Hoeppner, Caroline H Armstrong, Jukka-Pekka Onnela, Sabine Wilhelm","doi":"10.1037/abn0001054","DOIUrl":"https://doi.org/10.1037/abn0001054","url":null,"abstract":"<p><p>Anxiety and shame are central, elevated emotions in body dysmorphic disorder (BDD) that are implicated as risk factors for suicide in suicide theories and are associated with suicide risk in cross-sectional BDD studies. Given that emotions are transient and suicide risk can increase quickly, risk prediction in BDD may be enhanced by measuring momentary anxiety and shame. In 87 adults with moderate to severe, clinician-diagnosed BDD, we collected ecological momentary assessment-rated anxiety and shame 3 times daily for two 14-day periods (28 days). We used generalized linear mixed models to estimate associations of concurrent or next-observation ecological momentary assessment-rated (a) intensity of desire to die by suicide and (b) intention (absent/present) to attempt suicide, above baseline clinician-assessed suicide ideation (SI) severity (Columbia-Suicide Severity Rating Scale). Higher within-person deviations from one's average anxiety and shame were significantly related to greater concurrent and next-observation suicide desire and concurrent intent, above baseline clinician-assessed SI severity. Only baseline clinician-assessed SI predicted next-observation suicide intent. Altogether, results showed that our ability to detect and predict suicide risk in BDD was improved beyond baseline clinician assessment when a person's current anxiety and shame levels were also considered. When someone with BDD experiences elevated anxiety or shame compared to their own norm, these elevations are associated with concurrent and short-term increases in suicide desire and concurrent suicide intent. This is the first prospective study of shame and anxiety as risk factors for SI in BDD. Results underscore the importance of these emotions as assessment and intervention targets. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234400","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":"Testing the feasibility of passive sensing among adolescents: Implications for mental health.","authors":"Kaitlyn Burnell, Jesus A Beltran, Monika N Lind, Gillian R Hayes, Candice L Odgers","doi":"10.1037/abn0001027","DOIUrl":"10.1037/abn0001027","url":null,"abstract":"<p><p>Passive sensing technology shows promise in capturing elements of adolescent mental health. Research testing if there is a signal between adolescents' self-reports of same-day mental health indicators and passively sensed variables can be inconsistent, particularly with metrics pertaining to digital behaviors. Moreover, little is known if adolescent participation in passive sensing research is biased with respect to demographics and general metrics of mental health. The current research tested these aims among adolescents recruited from a large and diverse sample participating in an ongoing longitudinal study. Adolescents (aged 15-20, <i>N</i> = 131) participated in a 90-day passive sensing study, which collected data on both digital (keystroke and app usage) and offline (sleep and physical activity) behaviors. Although correlations indicated a small signal between same-day mental health indicators and several passively sensed variables (e.g., proportion of typed negative words and call behaviors), associations typically disappeared when disaggregating between- from within-person associations. Additionally, participation uptake was low, but there was little evidence of bias in participation or data coverage based on mental health risk or demographics. Results demonstrate the feasibility of collecting passive sensing data with a diverse sample of adolescents, but barriers remain on adolescent willingness to engage in this research and the strength of signal between passively sensed variables and self-report constructs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214626","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":"The structure of psychopathology among young adults in Kenya, Namibia, and South Africa.","authors":"Daniel V Hofmann, Christopher J Hopwood, Sumaya Laher, Stephen Asatsa, Maria Florence, Elizabeth N Shino, Luzelle Naudé, Amber Gayle Thalmayer","doi":"10.1037/abn0001045","DOIUrl":"10.1037/abn0001045","url":null,"abstract":"<p><p>The generalizability of psychopathology constructs across human populations is often assumed, but most evidence comes from the Western contexts. The \"Majority World\" (Africa, Asia, Latin America, and the Middle East) is underrepresented in psychopathology research. Current efforts to reorganize mental disorder classifications provide an opportunity to better integrate evidence from these undersampled contexts. This study tested how the hierarchical structure of psychopathology replicates and deviates among a community sample of young adults in Kenya, Namibia, and South Africa. Using confirmatory and exploratory models, we investigated the structure and measurement invariance of common mental health symptoms. Our results provide limited support for the internalizing and externalizing distinction across these contexts. In the confirmatory models, the two spectra were nearly perfectly correlated. Exploratory models similarly indicated a single higher-order general distress spectrum across countries. At a lower-order level, three dimensions consistently emerged across countries: disinhibited negative affect, dysregulated sleep and stress, and harmful substance use. Attention-deficit/hyperactivity and anger symptoms showed substantial variation in loading patterns, suggesting cultural differences in symptom expression. Exploratory analyses revealed considerable variability in symptom structures across the three African countries, likely reflecting demographic, cultural, and semantic influences. This variability was further underscored by exploratory models, which identified low-loading and varying symptoms that confirmatory approaches often fail to detect. These results show how universal and culture-specific aspects shape psychopathology and emphasize the need for data from diverse global samples to better understand these differences. We advocate for a more inclusive, culturally sensitive approach to investigating mental health globally. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214611","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":"Supplemental Material for Establishing Minimally Sufficient Conditions Reduces the Complexity of Symptom Presentations in Diagnostic and Statistical Manual of Mental Disorders Internalizing Disorders","authors":"","doi":"10.1037/abn0001069.supp","DOIUrl":"https://doi.org/10.1037/abn0001069.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254635","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":"Supplemental Material for Predicting Concurrent and Short-Term Desire and Intent to Attempt Suicide Among People With Body Dysmorphic Disorder Using Ecological Momentary Assessment of Anxiety and Shame","authors":"","doi":"10.1037/abn0001054.supp","DOIUrl":"https://doi.org/10.1037/abn0001054.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254624","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":"How perceived causal networks can complement case conceptualization, diagnostic classification, and data-based networks: An introduction to a method for constructing personalized networks.","authors":"Felix Vogel, Tessa F Blanken, Julian Burger, Julian Reichert, Saskia Scholten, Lars Klintwall","doi":"10.1037/abn0001036","DOIUrl":"10.1037/abn0001036","url":null,"abstract":"<p><p>The personalization of psychopathology through the use of personalized symptom networks appears to be a promising approach for gaining deeper insights into the development and maintenance of mental disorders. One way to create such networks is by using the perceived causal networks (PECAN) method. In this method, respondents are systematically asked to quantify how their symptoms are causally linked. Answers are then visualized, either for the individual or aggregated for a group, as a directed network. PECAN can represent causal relations irrespective of their timescales and requires no data-hungry estimations. The following guidelines are intended to assist clinicians and researchers in the creation of personalized networks using the PECAN method. These networks can facilitate case conceptualization and personalization of treatments for individual patients and the description of groups of patients, revealing recurring feedback loops and central symptoms. Additionally, recommendations are provided regarding the procedures to be employed in the selection of nodes, assessment of edges, and visualization of the data. Furthermore, the potential for evaluating the reliability, validity, and clinical usefulness, as well as strengths, limitations, and future challenges of PECAN, is discussed. We conclude with an overview of the challenges of PECAN and a research agenda that highlights opportunities to improve the still very young method and implement it in clinical research and practice. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"844-854"},"PeriodicalIF":3.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857174","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":"Supplemental Material for Testing the Feasibility of Passive Sensing Among Adolescents: Implications for Mental Health","authors":"","doi":"10.1037/abn0001027.supp","DOIUrl":"https://doi.org/10.1037/abn0001027.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254876","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":"Supplemental Material for A Dimensional Latent Variable Model Approach to Connecting Psychopathology and Neurocognition Hierarchies","authors":"","doi":"10.1037/abn0001041.supp","DOIUrl":"https://doi.org/10.1037/abn0001041.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254877","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}