{"title":"Supplemental Material for How Perceived Causal Networks Can Complement Case Conceptualization, Diagnostic Classification, and Data-Based Networks: An Introduction to a Method for Constructing Personalized Networks","authors":"","doi":"10.1037/abn0001036.supp","DOIUrl":"https://doi.org/10.1037/abn0001036.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899659","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 Ambulatory Physiological Assessment of Posttraumatic Stress Disorder: Integrating Passive Sensing With Ecological Momentary Assessment to Measure Trauma Reactivity","authors":"","doi":"10.1037/abn0001028.supp","DOIUrl":"https://doi.org/10.1037/abn0001028.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899770","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}
Blair E Wisco,Cameron P Pugach,Casey L May,Paul J Silvia
{"title":"Ambulatory physiological assessment of posttraumatic stress disorder: Integrating passive sensing with ecological momentary assessment to measure trauma reactivity.","authors":"Blair E Wisco,Cameron P Pugach,Casey L May,Paul J Silvia","doi":"10.1037/abn0001028","DOIUrl":"https://doi.org/10.1037/abn0001028","url":null,"abstract":"The development of wearable technology affords objective measurement of physiological states outside the laboratory. We used ambulatory physiological assessment to measure overall arousal and reactivity to trauma reminders, a hallmark symptom of posttraumatic stress disorder (PTSD). Ambulatory assessment improves upon laboratory-based tests by measuring actual trauma reminders as they occur in everyday life. In this study, we recruited a mixed-trauma sample of 80 participants (39 diagnosed with PTSD) who completed 3 days of ambulatory physiological assessment time-synced with self-reported ecological momentary assessments of trauma reminders and contextual factors. We assessed heart rate (interbeat interval [IBI]) as a nonspecific marker of overall physiological arousal, skin conductance and preejection period as markers of sympathetic activity, and respiratory sinus arrhythmia as a marker of parasympathetic activity. We found that individuals with and without PTSD did not significantly differ on average levels of any physiological marker. Among individuals diagnosed with PTSD, IBI was significantly lower, indicating higher arousal, when participants were reminded of their trauma. Trauma reminders were not significantly associated with respiratory sinus arrhythmia or preejection period. Skin conductance was significantly lower (indicating lower arousal) in the presence of trauma reminders, counter to predictions. For time-varying predictors, we found that trauma reminders were associated with weaker physiological responses, as indexed by IBI, when the reminders were perceived as controllable and when they were experienced in the presence of social support. Our findings support heart rate as an inexpensive and accessible marker that can elucidate the role of contextual factors affecting PTSD symptom expression. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"743 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144819990","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}
Gabrielle S Ilagan,Gracie Schirle,Kimberly Gilbert,Elliott Lehman,Lauren A Rutter,Christopher C Conway
{"title":"Integrating invalidation and minority stress theories to model daily change in personality pathology.","authors":"Gabrielle S Ilagan,Gracie Schirle,Kimberly Gilbert,Elliott Lehman,Lauren A Rutter,Christopher C Conway","doi":"10.1037/abn0001033","DOIUrl":"https://doi.org/10.1037/abn0001033","url":null,"abstract":"People with personality disorders (PDs) tend to experience invalidation in their daily life-others seem to disregard, reject, or punish their psychological experiences (e.g., emotions and self-concept). Our study aimed to (a) examine within-person covariation in day-to-day perceived invalidation and PD symptom severity and (b) explore minority stress as a form of invalidation-one that targets aspects of people's minoritized identities. We recruited 170 community adults and 339 undergraduate students, oversampling from sexual/gender and ethnic/racial minoritized groups, to complete daily surveys of invalidation, minority stress, and PD features over 2 weeks. We observed that daily invalidation (r = .35) and, to a smaller extent, minority stress (rs = .22-.23) had meaningful within-person correlations with same-day PD symptoms. Despite moderate between-person correlations (rrange = .28-.41) between invalidation and minority stress measures, they were more modestly associated on a within-person basis (rrange = .09-.11). In a multilevel multiple regression model, both invalidation and minority stress uniquely predicted daily PD symptoms, collectively accounting for approximately 20% of within-person outcome variation. Based on these results, we speculate that various forms of invalidation (i.e., those that target thoughts, emotions, self-concepts, and identities) interact with PD features in a vicious cycle, such that daily invalidation activates personality pathology, which evokes more invalidation, and so on. We encourage more recognition of identity-based invalidation and investigation into the ways that minority stress could advance interpersonal theories of personality pathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769831","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}
Brooke L Bennett, Lauren N Forrest, Rebecca M Puhl, Ryan J Watson
{"title":"Prevalence of disordered eating behaviors varies at the intersection of gender identity and sexual orientation among sexual and gender minority youth.","authors":"Brooke L Bennett, Lauren N Forrest, Rebecca M Puhl, Ryan J Watson","doi":"10.1037/abn0001016","DOIUrl":"10.1037/abn0001016","url":null,"abstract":"<p><p>Engaging in disordered eating behaviors (DEBs) to attempt to control weight is a well-documented precursor to the development of an eating disorder. Both gender identity and sexual orientation have been identified as relevant social positions in the development of DEBs. Most existing studies have been unable to examine the intersection of these identities due to limitations in sample size. The present study assessed DEB disparities at the intersection of gender identity and sexual orientation among a large sample of sexual and gender minority adolescents. The sample included <i>n</i> = 9,876 adolescents. Past-year prevalence of dietary restriction, self-induced vomiting, binge eating, and diet pill use was assessed. Data were analyzed with multilevel analysis of individual heterogeneity and discriminatory accuracy, which assumes individuals within a given subgroup are exposed to similar structural processes like heterosexism that lead to disparities. Pansexual transgender boys were among the three highest prevalence groups for multiple DEBs: Restricting prevalence was 67.1%, vomiting prevalence was 29.1%, and binge eating prevalence was 45.5%. For all outcomes, at least one subgroup had unexpectedly high prevalence; for all outcomes except use of diet pills, at least one subgroup had unexpectedly low prevalence, indicative of interactive intersectional effects. Overall, results demonstrate that DEBs do not universally vary across either gender identity or sexual orientation. Instead, patterns are more complex as marginalized and privileged identities are not associated with only risk or only resiliency. More research is needed on the factors that drive the development of DEBs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"674-687"},"PeriodicalIF":3.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164264","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":"Supplemental Material for Integrating Invalidation and Minority Stress Theories to Model Daily Change in Personality Pathology","authors":"","doi":"10.1037/abn0001033.supp","DOIUrl":"https://doi.org/10.1037/abn0001033.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748234","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}
Björn S. Siepe, Rayyan Tutunji, Carlotta L. Rieble, Ricarda K. K. Proppert, Eiko I. Fried
{"title":"Associations between ecological momentary assessment and passive sensor data in a large student sample.","authors":"Björn S. Siepe, Rayyan Tutunji, Carlotta L. Rieble, Ricarda K. K. Proppert, Eiko I. Fried","doi":"10.1037/abn0001013","DOIUrl":"https://doi.org/10.1037/abn0001013","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748233","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":"The virtual personality model: Toward a dynamic structured motivational systems framework for understanding personality disorders.","authors":"Stephen J Read,Lynn C Miller","doi":"10.1037/abn0001021","DOIUrl":"https://doi.org/10.1037/abn0001021","url":null,"abstract":"Dissatisfaction with the Diagnostic and Statistical Manual of Mental Disorders (2022) spurred attempts to reconceptualize personality disorders (PDs): But reconciling reconceptualizations is challenging. The Virtual Personality Model (VPM) may fill this gap, affording an integration of more static Hierarchical Taxonomy of Psychopathology and maladaptive trait models with a dynamic, interpersonal approach. VPM is implemented as a \"runnable\" computational model that treats personality as emergent from dynamic, structured motivational systems with person-specific parameter values (e.g., sensitivities) that, in interaction with situational affordances, can produce individual within-subject variability over time. Viewing dysfunctional motivational systems in social interaction as key, VPM argues that (a) at the broadest level, motivational systems consist of an approach system (governing sensitivity to reward) and an avoidance system (governing sensitivity to punishment/threat). Differential sensitivities may link to particular PDs and traits within Hierarchical Taxonomy of Psychopathology superspectrum (i.e., externalizing, emotional dysregulation). The broad systems each govern specific motives (e.g., dominance), many with epigenetic underpinnings/dysfunctions already tied to PDs. (b) Various social concepts (e.g., traits, situations, events, and emotions) can be viewed as motive/goal-based structures. Analyzing externalizing traits, we illustrate how VPM can illuminate within-person variations in the behavioral expression of these systems. (c) VPM's explicit neurobiological assumptions help address comorbidities, including between depression and anxiety. (d) We discuss implications for theory and how new methods (e.g., systematic representative design [SRD]; Miller et al., 2019) and techniques/technologies (e.g., artificial intelligence, virtual reality, and sensors) for capturing the dynamics of PDs may advance diagnosis and therapy using VPM to \"model to the case.\" (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701308","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":"Expanding life's radius? Evaluating geolocation data of women with posttraumatic stress disorder related to childhood abuse throughout a randomized controlled trial.","authors":"Johanna Rehder,Marvin Guth,Ulrich Ebner-Priemer,Nikolaus Kleindienst,Kathlen Priebe,Meike Müller-Engelmann,Franziska Friedmann,Sophie Rausch,Martin Bohus,Thomas Fydrich,Regina Steil,Philip Santangelo","doi":"10.1037/abn0001009","DOIUrl":"https://doi.org/10.1037/abn0001009","url":null,"abstract":"Experiences of childhood abuse often relate to reduced physical and mental well-being in adulthood, affecting the everyday life behavior of people with posttraumatic stress disorder (PTSD) after childhood abuse. Passive sensing via digital sensors allows for examining manifestations of psychopathology, for example, restricted activity space, in daily life. However, there is a scarcity of research applying this method in therapy research. Building on previous cross-sectional findings showing restricted activity space in PTSD, we used global positioning system (GPS) tracking in a randomized controlled trial (RCT) to examine how treatment effects of two treatment arms, dialectical behavior therapy for PTSD (DBT-PTSD) and cognitive processing therapy (CPT), map to changes in patients' daily lives throughout 12 months of outpatient psychotherapy. We examined the spatial and temporal activity spaces of women with PTSD (n = 166, Mage = 35.81, SDage = 10.98) at three timepoints over the course of 1 week each: pretreatment (t1RCT), 6 months into treatment (t3RCT), and at the end of the intensive treatment phase after 12 months (t5RCT). While both DBT-PTSD and CPT have demonstrated efficacy in treating PTSD with affective instability, with DBT-PTSD showing superiority over CPT, these effects did not transfer to the everyday life activity spaces captured via GPS tracking. Comparing t1RCT to t5RCT, linear mixed models revealed no effect of timepoint or treatment on movement radius and time spent away from home. Hence, previously reported treatment effects were not reflected in GPS data. While patients reported decreased symptom severity their behavioral data still show restricted activity space in daily life. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701366","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}
Orestis Zavlis,Michael Moutoussis,Peter Fonagy,Giles Story
{"title":"A generative model of personality disorder as a relational disorder.","authors":"Orestis Zavlis,Michael Moutoussis,Peter Fonagy,Giles Story","doi":"10.1037/abn0001010","DOIUrl":"https://doi.org/10.1037/abn0001010","url":null,"abstract":"Existing models of personality disorder are statistical models: dispersion patterns of personality facets. Although useful in describing personality differences, such models fall short in terms of explaining those differences. Generative models can address these explanatory gaps by explicating the mechanisms that generate descriptive pathologies. In this article, we aim to move beyond the former descriptive models and toward the latter explanatory ones. To do so, we formalize personality pathology using a generative model with four key properties. First, it is probabilistic: it outlines how humans leverage uncertainty to make sense of their own and others' ways of being. Second, it is relational: it posits that personality pathology is about poor ways of experiencing and relating to the self and others. Third, it is hierarchical: it accounts for the multiplicity of self- and other-states (in the here-and-now) and traits (in the long run). Finally, it is dynamic: it outlines how these properties evolve over time, accounting for the development of personality. By simulating data from this model, we demonstrate how it can account for the generation, maintenance, and treatment of various personality problems (from borderline instability to narcissistic grandiosity) by formalizing them as relational problems: problems with navigating relationships. We thus discuss how our model could be used to address recent debates on what is central to personality pathology by clarifying the distinction between description (what personality \"is\") and explanation (what personality \"does\"). We conclude the article with a tutorial on our model and suggestions for future research. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701306","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}