Journal of psychopathology and clinical science最新文献

{"title":"Within-person affect dynamics among individuals in residential treatment for opioid use disorder: An ecological momentary assessment study.","authors":"Kyler S Knapp, Daniel J Petrie, Timothy R Brick, Erin Deneke, Scott C Bunce, H Harrington Cleveland","doi":"10.1037/abn0000975","DOIUrl":"10.1037/abn0000975","url":null,"abstract":"<p><p>Ecological momentary assessment is increasingly leveraged to better understand affective processes underlying substance use disorder treatment and recovery. Research in this area has yielded novel insights into the roles of mean levels of positive affect (PA) and negative affect (NA) in precipitating drug craving and substance use in daily life. Little of the extant substance use disorder treatment research, however, considers dynamic patterns of PA and NA, separately or in relation to one another, or how such patterns may differ from those observed among nonclinical samples. The current ecological momentary assessment study examined between-person differences in within-person affect dynamics-including intensity, variability, instability, inertia, polarity, and spillover-among patients in residential treatment (<i>n</i> = 73) for opioid use disorder (OUD), both collectively and separately according to posttreatment relapse status, relative to a demographically similar nonclinical comparison group (<i>n</i> = 37). The results revealed no group differences in PA dynamics. The OUD group did, however, report higher average NA intensity and within-day variability relative to the comparison group. Furthermore, relative to the comparison group, OUD patients who relapsed within 120 days posttreatment exhibited greater linear declines in NA intensity across days, whereas OUD patients who did not relapse demonstrated weaker affect polarity (i.e., the within-person correlation between PA and NA). Although PA dynamics alone did not differ between groups, weaker affect polarity differentiated OUD patients who avoided relapse from the comparison group. The capacity to experience PA separately from fluctuations in NA may reflect an adaptive tendency that could reduce vulnerability to relapse among individuals in OUD treatment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"184-200"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959929","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":"Questionable research practices violate the American Psychological Association's Code of Ethics.","authors":"Joshua D Miller, Nathaniel L Phillips, Donald R Lynam","doi":"10.1037/abn0000974","DOIUrl":"https://doi.org/10.1037/abn0000974","url":null,"abstract":"<p><p>In this viewpoint article, the authors assert that psychology is in the midst of a \"replication crisis\" due to factors such as low power, p-hacking, publication bias, and hypothesizing after the results are known (HARKing). Individually, these practices have been decried for decades, but only in the last 15 years has the corrosive effect of these practices been fully appreciated. The authors contend that these practices are more than \"questionable\" and constitute unethical research practices according to the American Psychological Association's (2017) Ethical Principles of Psychologists and Code of Conduct. The public deserves the ethical and honest practice of clinical science described by APA's ethics codes. Although these issues cut across all subdisciplines of psychology, they take on special importance within clinical psychology where research on assessment, diagnosis, and treatment of mental health problems have meaningful real-world implications. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"134 2","pages":"113-114"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442828","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":"Thinking beyond substances: Why behavioral \"addiction\" research must move past substance use disorder paradigms.","authors":"Joshua B Grubbs, Cassandra L Boness","doi":"10.1037/abn0000970","DOIUrl":"10.1037/abn0000970","url":null,"abstract":"<p><p>In this viewpoint article, the authors contend that behavioral addiction (BA) research must move past substance use disorder paradigms. Under the most liberal definitions of BA, activities such as eating, exercise, work, smartphone use, and a litany of others could all become addictions. Abundant clinical evidence shows that people may frequently engage in behaviors in ways that become impairing. Yet, frequency of engagement in a behavior is insufficient evidence that addiction is occurring and may be of little evidentiary value at all. There are also severe problems with assuming equivalence between all behavioral processes and substance use. The conceptual problems manifest in methodological problems, meaning that many of the methodological approaches used in substance use research are likely not valid for BA research. Given abundant evidence that the behavior patterns commonly referred to as BAs are associated with distress and impairment, BAs are likely to continue to garner interest in both clinical care and clinical science. To better understand the phenomenology of BAs, research should first start with systematic and multimethod investigations among patients reporting such problems. That is, rather than simply co-opting methods and measures from substance use disorder (SUD) research, BA research should carefully consider the signs and symptoms reported by people experiencing real impairments from excessive and dysregulated behavioral engagements. Additionally, BA researchers should seek to engage with larger theoretical perspectives on psychopathology regarding the core processes that seem to be driving such impairments. For BA research to achieve scientific legitimacy, explain clinical phenomena, and, ultimately, reduce human suffering, the study of such disorders must move beyond SUD paradigms and addiction framing alone and instead strive for riskier tests of validity. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"115-116"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959780","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":"Enhanced creativity in autism is due to co-occurring attention-deficit/hyperactivity disorder.","authors":"Emily C Taylor, Małgorzata A Gocłowska, Mitchell J Callan, Lucy A Livingston","doi":"10.1037/abn0000910","DOIUrl":"10.1037/abn0000910","url":null,"abstract":"<p><p>There has been longstanding speculation that enhanced creativity is associated with autism. Evidence for this association, however, is limited and derived from small-scale studies in nonclinical samples. Furthermore, nothing is known about autism-related creativity after accounting for general cognitive ability and attention-deficit/hyperactivity disorder (ADHD), that is, other factors known to predict creativity. Addressing these issues, we conducted preregistered comparisons of the creativity of autistic and nonautistic adults (<i>N</i> = 352), matched on age, sex, and general cognitive ability. We found clear evidence that there were no group differences on a divergent thinking creativity task. Autistic adults did self-report more real-world creative accomplishments and behaviors, but these differences did not hold after accounting for ADHD. We conclude that enhanced creativity, where observed in autistic people, is likely to be driven by co-occurring ADHD. The clinical and practical implications of these findings for strength-based approaches to psychopathology are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"201-211"},"PeriodicalIF":3.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959775","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":"Suicide risk assessment and management protocol for research within the Department of Veterans Affairs.","authors":"Emily R Edwards,Grace N Anderson,Emilia M Fonseca,Amanda L Reed,Chi Chan,Erin A Hazlett,Joseph C Geraci,Marianne Goodman","doi":"10.1037/abn0000968","DOIUrl":"https://doi.org/10.1037/abn0000968","url":null,"abstract":"Escalating rates of suicide among U.S. military Veterans have prompted the Department of Veterans Affairs to prioritize Veteran suicide as a chief clinical concern. Veterans Affairs-funded research is consistently dedicated to suicide prevention initiatives, reflecting a commitment to addressing this urgent issue. Although general guidelines have been proposed for recognizing and responding to suicide risk among research participants, to date, no guidelines have been published that are Veteran specific. Veterans exhibit unique suicide risk factors compared to civilians, including higher rates of suicide, a tendency to utilize more lethal means when attempting suicide, and substantial stigma surrounding mental health and help seeking, underscoring the need for Veteran-specific suicide risk assessment and management protocols (SRAMs). This article offers a comprehensive SRAM to guide research with Veteran participants. The protocol provides guidance on (a) accurate assessment of suicide risk, (b) risk management strategies commensurate to presenting risk, and (c) tailoring SRAMs for diverse study designs and contexts. By introducing this standardized, Veteran-focused SRAM, we aspire to bolster ongoing research dedicated to saving the lives of Veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142989149","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":"Putting the \"experience\" back in experience sampling: A phenomenological approach.","authors":"Gil Grunfeld, Laura F Bringmann, Daniel Fulford","doi":"10.1037/abn0000928","DOIUrl":"10.1037/abn0000928","url":null,"abstract":"<p><p>This article discusses the concept of \"experience\" in experience sampling. A central challenge of clinical science is understanding psychopathological constructs and their manifestations. In conventional definitions and measures of psychopathology, subjective experience of mental disorder is often lost. The authors argue for an integration of phenomenology-or prioritization of subjectivity-in psychopathological construct definition and measurement, particularly through experience sampling methods (ESMs). ESMs capture idiographic, contextual, and longitudinal elements of lived experience that can expand our current conceptualizations and classifications of psychopathology. The authors propose three novel applications and extensions: (a) leveraging ESM for subjective construct definition (i.e., phenomena detection), (b) mixed-methods approaches, like cognitive interviewing, to improve the validity of ESM measures and (c) incorporation of novel ESM approaches (e.g., audiovisual data capturing) to expand understanding of subjective, daily experience of psychopathology. Merging phenomenological tradition with ESM serves to expand our understanding of psychopathology and bring \"experience\" back into experience sampling. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"3-5"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115722","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":"Use of passively collected actigraphy data to detect individual depressive symptoms in a clinical subpopulation and a general population.","authors":"George D Price, Amanda C Collins, Daniel M Mackin, Michael V Heinz, Nicholas C Jacobson","doi":"10.1037/abn0000933","DOIUrl":"10.1037/abn0000933","url":null,"abstract":"<p><p>The presentation of major depressive disorder (MDD) can vary widely due to its heterogeneity, including inter- and intraindividual symptom variability, making MDD difficult to diagnose with standard measures in clinical settings. Prior work has demonstrated that passively collected actigraphy can be used to detect MDD at a disorder level; however, given the heterogeneous nature of MDD, comprising multiple distinct symptoms, it is important to measure the degree to which various MDD symptoms may be captured by such passive data. The current study investigated whether individual depressive symptoms could be detected from passively collected actigraphy data in a (a) clinical subpopulation (i.e., moderate depressive symptoms or greater) and (b) general population. Using data from the National Health and Nutrition Examination Survey, a large nationally representative sample (<i>N</i> = 8,378), we employed a convolutional neural network to determine which depressive symptoms in each population could be detected by wrist-worn, minute-level actigraphy data. Findings indicated a small-moderate correspondence between the predictions and observed outcomes for mood, psychomotor, and suicide items (area under the receiver operating characteristic curve [AUCs] = 0.58-0.61); a moderate-large correspondence for anhedonia (AUC = 0.64); and a large correspondence for fatigue (AUC = 0.74) in the clinical subpopulation (<i>n</i> = 766); and a small-moderate correspondence for sleep, appetite, psychomotor, and suicide items (AUCs = 0.56-0.60) in the general population (<i>n</i> = 8,378). Thus, individual depressive symptoms can be detected in individuals who likely meet the criteria for MDD, suggesting that wrist-worn actigraphy may be suitable for passively assessing these symptoms, providing important clinical implications for the diagnosis and treatment of MDD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"31-40"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482465","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":"Adolescent social anxiety is associated with diminished discrimination of anticipated threat and safety in the bed nucleus of the stria terminalis.","authors":"Juyoen Hur, Rachael M Tillman, Hyung Cho Kim, Paige Didier, Allegra S Anderson, Samiha Islam, Melissa D Stockbridge, Andres De Los Reyes, Kathryn A DeYoung, Jason F Smith, Alexander J Shackman","doi":"10.1037/abn0000940","DOIUrl":"10.1037/abn0000940","url":null,"abstract":"<p><p>Social anxiety-which typically emerges in adolescence-lies on a continuum and, when extreme, can be devastating. Socially anxious individuals are prone to heightened fear, anxiety, and the avoidance of contexts associated with potential social scrutiny. Yet most neuroimaging research has focused on acute social threat. Much less attention has been devoted to understanding the neural systems recruited during the uncertain anticipation of potential encounters with social threat. Here we used a novel functional magnetic resonance imaging paradigm to probe the neural circuitry engaged during the anticipation and acute presentation of threatening faces and voices in a racially diverse sample of 66 adolescents selectively recruited to encompass a range of social anxiety and enriched for clinically significant levels of distress and impairment. Results demonstrated that adolescents with more severe social anxiety symptoms experience heightened distress when anticipating encounters with social threat, and reduced discrimination of uncertain social threat and safety in the bed nucleus of the stria terminalis, a key division of the central extended amygdala (EAc). Although the EAc-including the bed nucleus of the stria terminalis and central nucleus of the amygdala-was robustly engaged by the acute presentation of threatening faces and voices, the degree of EAc engagement was unrelated to the severity of social anxiety. Together, these observations provide a neurobiologically grounded framework for conceptualizing adolescent social anxiety and set the stage for the kinds of prospective-longitudinal and mechanistic research that will be necessary to determine causation and, ultimately, to develop improved interventions for this often-debilitating illness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"41-56"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606769","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":"A viewpoint on stress generation methodology.","authors":"Thomas J Harrison, Daniel N Klein, Josephine H Shih","doi":"10.1037/abn0000964","DOIUrl":"10.1037/abn0000964","url":null,"abstract":"<p><p>This article provides an overview of Stress Generation Methodology. Stress generation is a phenomenon in which individuals with depression or vulnerability to depression experience greater dependent stressful life events (SLEs), defined as stressors in which individuals at least partially contributed to occurrence. The stress generation process demonstrates how depressed individuals shape their environments, contributing to depression maintenance and exacerbation. Subsequent extensions have shown that other forms of psychopathology and a variety of cognitive and personality risk factors also predict stress generation. The focus on stress generation in women is accompanied by an emphasis on interpersonal stress. In addition to emphasizing communal SLEs, stress generation studies have also focused on communal vulnerability factors. However, men do not typically exhibit communal vulnerabilities to the degree that women do. Thus, it is also important to broaden the scope of vulnerability factors examined to include vulnerabilities associated with stress generation in men. These could include impulsivity, anger and aggression, and the need for autonomy and self-definition, all of which tend to be more common in males. Lastly, studies often employ self-report measures of SLEs which could artificially accentuate gender differences in stress generation findings. As existing studies may be more sensitive to detecting stress generation in women, future research should examine this phenomenon with the following methodological refinements: (a) use male-only or adequately sized samples with equal gender representation to test gender moderation effects, (b) expand the range of SLEs to include agentic and achievement-oriented stressors and use wider assessment windows, and (c) examine vulnerability factors that may be relevant to men such as impulsivity, anger, aggression, and the need for autonomy and self-definition. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"1-2"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549372","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":"Modeling the dynamics of addiction relapse via the double-well potential system.","authors":"Haya Fatimah, Michael D Hunter, Marina A Bornovalova","doi":"10.1037/abn0000960","DOIUrl":"10.1037/abn0000960","url":null,"abstract":"<p><p>Substance use relapse is difficult to define, and previous work has used one-size-fits-all ad hoc definitions. Researchers have called for a dynamic and personalized understanding of relapse as a concept and model, necessitating novel statistical tools. We aimed to develop and validate a novel statistical model of latent relapse processes: the double-well potential model (DWPM). This model describes posttreatment substance use in terms of a dynamical system with stable equilibria of abstinence and relapse, person-specific dominant equilibria (tilt), the ease of changing between equilibria (steepness), and an overall relapse risk (RR). Using timeline follow-back data from <i>N</i> = 139 adults with a substance use disorder transitioning back to the community after residential treatment, we examined individual differences and the criterion-related validity of DWPM parameters to determine the clinical utility of the double-well model. While nonuse was the predominant stable state across participants, we found significant between-subjects variability steepness and RR. These individual differences were predictable via demographics, baseline psychopathology, treatment history, and treatment condition. Steepness and RR also predicted long-term outcomes, including life satisfaction and criminal behavior, above and beyond traditional metrics of relapse (proportion of days used and time to first use). Thus, the DWPM is a strong theoretical and statistical representation of the underlying relapse processes. Moreover, the parameters show criterion-related validity and may be useful in precision medicine. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"69-80"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634168","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}