Journal of psychopathology and clinical science最新文献_第6页

Within-person associations of daily activity to sleep actigraphy following trauma: Explicating a novel index of risk for major depressive disorder and posttraumatic stress disorder. 创伤后日常活动与睡眠活动图的内在关联：解释重性抑郁症和创伤后应激障碍风险的新指标。

Journal of psychopathology and clinical science Pub Date : 2025-07-24 DOI: 10.1037/abn0001029

Brittany J Baugher,Karin G Coifman

{"title":"Within-person associations of daily activity to sleep actigraphy following trauma: Explicating a novel index of risk for major depressive disorder and posttraumatic stress disorder.","authors":"Brittany J Baugher,Karin G Coifman","doi":"10.1037/abn0001029","DOIUrl":"https://doi.org/10.1037/abn0001029","url":null,"abstract":"Adult patients (N = 206) were recruited in-hospital following traumatic events resulting in significant physical injury (e.g., motor-vehicle crashes, violence) for a longitudinal investigation of adjustment. Approximately 4-5 months posttraumatic event, participants completed a diagnostic interview (Structured Diagnostic Interview for the Diagnostic and Statistical Manual of Mental Disorders-5-Research Version; First et al., 2015) and approximately 10 days of passive biosensing, using an Actigraph GT9X (ActiLife Software). Data were extracted and processed, and within-person, bidirectional associations between sleep constructs (sleep fragmentation, efficiency) and daily activity (total step count, sedentary time periods) were estimated via linear-mixed effects models (Bolger & Laurenceau, 2013). No self-report of sleep or activity was included in the primary analyses, only passive-sensing data. Within-person estimates (extracted as random effects) of sleep-activity indices (SAI) were considered in relation to current continuous symptoms of major depressive disorder and posttraumatic stress disorder, derived from diagnostic interviews. Two SAI indices were uniquely predictive of either major depressive disorder or posttraumatic stress disorder symptoms, even when considering past diagnoses and a range of relevant covariates and survived Type 1 error correction. These SAI indices may represent novel patterns of vulnerability following trauma and may offer new pathways for treatment and risk reduction. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701305","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}

引用次数: 0

Recentering environmental context in the conceptualization of borderline personality disorder among sexual and gender minority individuals. 重新进入性与性别少数个体边缘型人格障碍概念化的环境背景。

Journal of psychopathology and clinical science Pub Date : 2025-07-24 DOI: 10.1037/abn0001012

Craig Rodriguez-Seijas,Brooke G Rogers

{"title":"Recentering environmental context in the conceptualization of borderline personality disorder among sexual and gender minority individuals.","authors":"Craig Rodriguez-Seijas,Brooke G Rogers","doi":"10.1037/abn0001012","DOIUrl":"https://doi.org/10.1037/abn0001012","url":null,"abstract":"Borderline personality disorder (BPD) prevalence is higher among sexual and gender minority (SGM) individuals compared with cisgender heterosexuals; SGM individuals are additionally diagnosed with BPD more frequently in clinical settings. There appears to be a small effect of clinician bias-particularly for gender minority individuals. However, it does not fully explain this observed psychiatric disparity. In the current article, we review the historical origins of the BPD diagnosis as well as the present-day conceptualization of the disorder. The theory, research, and treatment of BPD overwhelmingly reinforce an intraindividual deficit framing of the etiology and maintenance of the disorder. However, predominant conceptualizations of the disorder fail to adequately contend with the pernicious, inflexible, and stable impacts of minority stress processes that SGM individuals face, rooted in societal heterosexism and cisnormativity. The sources of oppression SGM individuals face are ostensibly different from the individual-level invalidation that is most typically discussed in relation to BPD. We review each of the nine BPD diagnostic criteria, demonstrating their close associations with SGM-relevant minority stress processes. We also briefly discuss dimensional models of BPD and how they too confound adaptations to minority stress processes with assumptions about intraindividual developmental deficits in the normal developmental process. We posit that societal heterosexism and cisnormativity create strong social forces and pressures, the adaptations to which engender behaviors that overlap with the BPD phenotype. We end by discussing the clinical implications of the limited utility of the BPD diagnosis when working with SGM individuals and directions for future research. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701307","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}

引用次数: 0

From bench to bedside: Examining the interpersonal and affective context of borderline personality disorder as it unfolds over time in psychotherapy. 从长凳到床边：检查边缘型人格障碍的人际和情感背景，因为它在心理治疗中随着时间的推移而展开。

Journal of psychopathology and clinical science Pub Date : 2025-07-24 DOI: 10.1037/abn0001032

Nicole M Cain,Kevin B Meehan,Michael J Roche,Julia Sowislo,Mark F Lenzenweger,John F Clarkin

{"title":"From bench to bedside: Examining the interpersonal and affective context of borderline personality disorder as it unfolds over time in psychotherapy.","authors":"Nicole M Cain,Kevin B Meehan,Michael J Roche,Julia Sowislo,Mark F Lenzenweger,John F Clarkin","doi":"10.1037/abn0001032","DOIUrl":"https://doi.org/10.1037/abn0001032","url":null,"abstract":"Wright et al. (2022) argued that the core of personality disorder (PD) is interpersonal in nature; thus, reconceptualizing PD as interpersonal disorders allows more focused assessment, formulation, and treatment planning. Previous research has examined the interpersonal and affective processes relevant to borderline PD (BPD), yet no study to date has investigated how these dynamics may shift in response to psychodynamic psychotherapy. We present preliminary data examining the interpersonal and affective context of BPD over time in an evidence-based treatment. Forty-five patients diagnosed with BPD who participated in a clinical trial of 18 months of transference-focused psychotherapy completed ecological momentary assessment rating interpersonal events in daily life for 14 days for up to three timepoints (0, 9, and 18 months). Multilevel models examined ratings of self and other interpersonal dominance/warmth and affect valence/arousal in the interpersonal field. Patients rated on average 35 events per timepoint, with over 3,300 events total. Results suggest reduced volatility in affective dimensions and in identity confusion, and changes in patients experiencing themselves and others as more friendly, happy, and energized over time in treatment. Shifts in patterns among interpersonal variables over the course of treatment suggest that patients developed a warmer experience of agency and affect. These changes align with the putative mechanism of transference-focused psychotherapy-to shift the habitual, maladaptive ways that patients perceive themselves affectively relating to others. Our assessment of other's affect extends research on the interpersonal situation. We conclude with recommendations for future research integrating advances in ecological momentary assessment reporting with clinical practice. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701310","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}

引用次数: 0

Ambulatory physiological state dynamics predict proximal behavioral markers of affect regulation in everyday life. 动态生理状态动力学预测日常生活中影响调节的近端行为标记。

Journal of psychopathology and clinical science Pub Date : 2025-07-24 DOI: 10.1037/abn0001030

Jiani Li,Ellie P Xu,Sarah L Zapetis,Coralie S Phanord,Zihua Ye,Umiemah Farrukh,Erika Forbes,Timothy J Trull,Jonathan P Stange

{"title":"Ambulatory physiological state dynamics predict proximal behavioral markers of affect regulation in everyday life.","authors":"Jiani Li,Ellie P Xu,Sarah L Zapetis,Coralie S Phanord,Zihua Ye,Umiemah Farrukh,Erika Forbes,Timothy J Trull,Jonathan P Stange","doi":"10.1037/abn0001030","DOIUrl":"https://doi.org/10.1037/abn0001030","url":null,"abstract":"Human physiology reflects the body's capacity for self-regulation that is crucial for flexible adaptation to changing environmental demands. Leveraging wearable sensors and machine learning, we aimed to uncover latent physiological states from ambulatory recordings of cardiac, respiratory, and activity signals that correspond with self-reported momentary affective processes, with implications for informing just-in-time adaptive interventions. Fifty-one participants with remitted major depressive disorder and 42 healthy controls completed 7-day ecological momentary assessments of affect, affect regulation, and momentary impulsivity while their heart rate variability, respiration, and movement were passively monitored. Using Hidden Markov models for state decoding, we found that frequency, dwell time, and transitions of physiological states predicted self-reported momentary affect, affect regulation, and impulsivity, with depression history moderating some of the associations. Findings underscore the feasibility of passive physiological phenotyping for tracking momentary affective processes that would otherwise be difficult to actively sample via self-report, but that may be crucial to informing timing and targets for intervention. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701311","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}

引用次数: 0

Real-world conversations across the schizophrenia spectrum: Implementing passive audio sensing to examine linguistic style matching. 跨精神分裂症谱系的真实世界对话：实现被动音频传感以检查语言风格匹配。

Journal of psychopathology and clinical science Pub Date : 2025-07-24 DOI: 10.1037/abn0000998

Danielle B Abel,Evan J Myers,Brailee A Whan,Ceouna M Hegwood,Morgan M Sullivan,Megan L Robbins,Kyle S Minor

{"title":"Real-world conversations across the schizophrenia spectrum: Implementing passive audio sensing to examine linguistic style matching.","authors":"Danielle B Abel,Evan J Myers,Brailee A Whan,Ceouna M Hegwood,Morgan M Sullivan,Megan L Robbins,Kyle S Minor","doi":"10.1037/abn0000998","DOIUrl":"https://doi.org/10.1037/abn0000998","url":null,"abstract":"Social dysfunction is a hallmark of schizophrenia. Experience sampling has facilitated the investigation of daily socialization to detect dysfunction and identify treatment targets. Yet, poor cognition and insight in schizophrenia interfere with subjective self-report. Passive audio sensing and lexical analysis offer a solution to examine objective markers of real-world functioning. Linguistic style matching (LSM), the tendency to coordinate speech patterns with conversation partners, has been linked to social affiliation and connection in healthy populations. It has been theorized that LSM may be disrupted across the schizophrenia spectrum, indicating underlying psychopathology. Our two-part, proof-of-concept study leverages passive audio sensing to measure LSM during real-life conversations and quantify its relationship with interaction depth coded by trained raters. Data were from 2013 to 2019. Study 1 compared LSM between 31 people high in schizotypy and 26 low in schizotypy, finding no significant differences. In Study 2, we observed that those with schizophrenia (n = 28) exhibited reduced LSM compared to controls (n = 26). Across studies, LSM was associated with real-world interaction depth (i.e., level of self-disclosure during conversation). The results support the feasibility of capturing daily LSM via passive sensing and suggest LSM may reflect real-world interaction depth that can differentiate people with and without schizophrenia. Consequently, LSM may be a useful marker of social dysfunction in psychopathology. However, this does not seem to extend to subclinical schizotypy, where social affiliative deficits are more subtle. Given the automation and ease of lexical analysis, these findings are promising for the future of passive sensing of social interactions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701309","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}

引用次数: 0

Shared and distinct effects of everyday physical activity on affective well-being in schizophrenia, major depression, and healthy controls. 日常体育活动对精神分裂症、重度抑郁症和健康对照组情感幸福感的共同和独特影响

Journal of psychopathology and clinical science Pub Date : 2025-07-24 DOI: 10.1037/abn0001001

Anastasia Benedyk,Alexander Moldavski,Markus Reichert,Iris Reinhard,Stefan Fritze,Heike Tost,Andreas Meyer-Lindenberg

{"title":"Shared and distinct effects of everyday physical activity on affective well-being in schizophrenia, major depression, and healthy controls.","authors":"Anastasia Benedyk,Alexander Moldavski,Markus Reichert,Iris Reinhard,Stefan Fritze,Heike Tost,Andreas Meyer-Lindenberg","doi":"10.1037/abn0001001","DOIUrl":"https://doi.org/10.1037/abn0001001","url":null,"abstract":"Novel sensor technology, such as accelerometry, enables device-based tracking of physical activity (PA) in patients' everyday lives. In combination with intensive longitudinal self-report data, accelerometry may provide a useful tool for understanding the interactions of PA, well-being, and psychopathology. However, this interplay has not been extensively studied in severe mental illnesses (SMIs) such as schizophrenia (SZ) and major depression (major depressive disorder [MDD]). In this longitudinal prospective observational study using accelerometers, ecological momentary assessment, and clinical interviews, we applied multilevel modeling to examine the association of PA with affective well-being in patients suffering from SZ (n = 30), MDD (n = 36), and healthy controls (HCs; n = 31). We found PA to be significantly related to momentary mood in everyday life. PA was positively associated with valence (MDD, HC) and energetic arousal (SZ, MDD, HC), but negatively with calmness (SZ, MDD). Psychopathology moderated these associations across diagnoses. Patients with higher negative symptoms did not experience any valence improvement from PA, while those with higher depression scores showed no association between PA and calmness. This investigation combining accelerometry with ecological momentary assessment in SMI indicates that while PA was linked to increased energetic arousal in all participants, replicating previous results, it also showed a distinct group- and psychopathology-depended association with other mood dimensions. The observed moderation effects by negative and depressive symptoms on the association between PA, valence, and calmness, if replicated, point to a transdiagnostic phenomenon that may aid in personalizing PA interventions in SMI patients in the future. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701253","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}

引用次数: 0

Supplemental Material for A Generative Model of Personality Disorder as a Relational Disorder 人格障碍作为一种关系障碍的生成模型补充材料

Journal of psychopathology and clinical science Pub Date : 2025-07-21 DOI: 10.1037/abn0001010.supp

引用次数: 0

Supplemental Material for Within-Person Associations of Daily Activity to Sleep Actigraphy Following Trauma: Explicating a Novel Index of Risk for Major Depressive Disorder and Posttraumatic Stress Disorder 补充材料：日常活动与创伤后睡眠活动图的人体内关联：解释重性抑郁症和创伤后应激障碍风险的新指标

Journal of psychopathology and clinical science Pub Date : 2025-07-21 DOI: 10.1037/abn0001029.supp

引用次数: 0

Supplemental Material for Predicting Depressive and Manic Episodes in Patients With Bipolar Disorder Using Statistical Process Control Methods on Passive Sensing Data 利用被动感知数据的统计过程控制方法预测双相情感障碍患者抑郁和躁狂发作的补充材料

Journal of psychopathology and clinical science Pub Date : 2025-07-21 DOI: 10.1037/abn0001002.supp

引用次数: 0

Supplemental Material for Real-World Conversations Across the Schizophrenia Spectrum: Implementing Passive Audio Sensing to Examine Linguistic Style Matching 补充材料的现实世界的对话跨越精神分裂症频谱：实现被动音频传感检查语言风格匹配

Journal of psychopathology and clinical science Pub Date : 2025-07-21 DOI: 10.1037/abn0000998.supp

引用次数: 0