Clinical psychology & psychotherapy最新文献

{"title":"Brief Cognitive Analytic Therapy (CAT)-Informed Reformulation for Young People With Eating Disorders: A Case Series","authors":"C. Green,&nbsp;G. Mannion,&nbsp;I. Gill,&nbsp;S. Hartley,&nbsp;B. J. Dunlop,&nbsp;P. J. Taylor","doi":"10.1002/cpp.70043","DOIUrl":"https://doi.org/10.1002/cpp.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Onset of Eating Disorder (ED) peaks in young people, and interpersonal factors can influence development and maintenance. With increased referrals to ED services, accessible, brief interventions may support early intervention and improve outcomes. Cognitive Analytic Therapy (CAT) is a transdiagnostic relational approach, which can offer benefit for a range of presenting difficulties. This study aimed to assess the feasibility and acceptability of a brief, CAT-informed reformulation for young people with ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A case series design recruited eight young people who met inclusion and exclusion criteria to participate in the five-session reformulation intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Recruitment took place from NHS ED services. Feasibility and acceptability were measured via recruitment, retention, qualitative feedback and missing data. Psychological distress, ED severity, personal recovery and motivation to change were assessed at baseline, post-intervention and follow-up. Participants also completed sessional measures of psychological distress and alliance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight eligible participants aged 15–24 years (M = 20.25, <i>SD</i> = 3.58) consented to take part and received the intervention. All participants attended all intervention sessions and completed all assessments. Participants reported positive experiences of the intervention. There was an associated reduction across clinical outcomes, including psychological distress and ED severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case series showed promising results on the feasibility and acceptability of a brief CAT-informed reformulation for young people with ED. However, the study had a small sample size and no comparator control group. Larger scale exploration of a brief CAT-informed reformulation for EDs among young people is warranted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Trial Registration</h3>\u0000 \u0000 <p>The study was preregistered with clinicaltrials.gov (NCT05746364).</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143749351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent Profiles of Early Maladaptive Schemas and Their Associations With Suicide Risk Factors in Patients With Mood Disorders","authors":"Chanhee Park,&nbsp;C. Hyung Keun Park","doi":"10.1002/cpp.70069","DOIUrl":"https://doi.org/10.1002/cpp.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Although early maladaptive schemas (EMSs) have been linked to suicidal ideation, their heterogeneous nature has not been fully explored in this relationship. This study sought to identify distinct latent profiles based on 18 EMSs in a clinical sample and examine how these profiles differ in relation to suicidal ideation and suicide risk factors, such as perceived burdensomeness, thwarted belongingness and fearlessness about death.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data from routine clinical assessments of 799 outpatients with mood disorders (aged 18–49 years, 513 female, 286 male, <i>M</i>_<i>age</i> = 28.71) were analysed. Latent profile analysis was performed to identify distinct EMS profiles, and their associations with suicide risk factors were examined using the Bolck–Croon–Hagenaars method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five distinct EMS profiles emerged: <i>Low</i>, <i>Below Average</i>, <i>Above Average</i>, <i>Specific Elevation</i> and <i>High Risk</i>. The <i>Specific Elevation</i> profile demonstrated specifically elevated levels of social isolation/alienation, defectiveness/shame, failure, dependence/incompetence and insufficient self-control/self-discipline, while the levels of most other schemas were similar to the <i>Above Average</i> profile. The <i>High Risk</i> profile showed elevated levels across all schemas. Both the <i>Specific Elevation</i> profile and the <i>High Risk</i> profile exhibited the highest levels of perceived burdensomeness, thwarted belongingness and suicidal ideation, with no significant differences between them. Fearlessness about death did not differ among the profiles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The identified EMS profiles offer unique utility in predicting perceived burdensomeness, thwarted belongingness and suicidal ideation. The specific schemas that showed elevation in the <i>Specific Elevation</i> profile may serve as promising targets for mitigating suicide risk in patients with mood disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation and Refinement of the Short Version of Perinatal Grief Scale in Chinese Women Who Experience Perianal Loss: A Psychometric Study","authors":"Si Ni Li,&nbsp;Li Yang,&nbsp;Qing Yu Wang,&nbsp;Jiao Xie,&nbsp;Hui Cao,&nbsp;Wen Zhao,&nbsp;Su Qin Tang","doi":"10.1002/cpp.70067","DOIUrl":"https://doi.org/10.1002/cpp.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Short Version of the Perinatal Grief Scale (SVPGS) is a widely used scale of grief related to perinatal loss. This study aims to validate and refine the SVPGS among Chinese women experiencing perinatal loss by addressing its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After translating the SVPGS from English to Chinese and conducting a pre-test with 20 end-users, followed by an assessment of content validity involving 10 experts, a cross-sectional study was conducted to assess its internal reliability and structure, concurrent, convergent, divergent, known-group validities among 353 women who have experienced perinatal loss across eight hospitals in Hunan Province, China. A subset of 275 participants were reassessed over a 1-month interval for the test–retest reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The refined 15-item SVPGS demonstrated excellent internal consistency (Cronbach's α = 0.92) and strong 1-month test–retest reliability (κ = 0.83) compared to the original SVPGS. A three-factor structure consisting of 15 items was confirmed through item analysis, exploratory factor analysis, and parallel analysis. Confirmatory factor analysis further validated this structure, indicating a good fit for the refined SVPGS. Concurrent validity was supported by a large correlation between the SVPGS and refined SVPGS (<i>r</i> = 0.90, <i>p</i> &lt; 0.01). Convergent and divergent validities were confirmed through significant correlations with variables including depressive symptoms, anxiety symptoms, and post-traumatic stress disorder, psychological flexibility, mindfulness, self-compassion, perceived social support, and quality of life. Known-group validation revealed significant differences in these variables between high and low levels of the refined SVPGS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings indicate that the refined SVPGS is a brief, reliable, and valid tool for measuring grief in women who have experienced perinatal loss. Future research is strongly recommended to test the refined SVPGS across diverse samples and cultural contexts to enhance its generalizability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician Diagnostic Ratings and Countertransference Reactions Towards Grandiose and Vulnerable Narcissism","authors":"Nicholas J. S. Day,&nbsp;Marko Biberdzic,&nbsp;Ava Green,&nbsp;Georgia Denmeade,&nbsp;Bo Bach,&nbsp;Brin F. S. Grenyer","doi":"10.1002/cpp.70070","DOIUrl":"https://doi.org/10.1002/cpp.70070","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Narcissistic personality disorder (NPD) is known to comprise two distinct but connected phenotypes related to ‘grandiosity’ and ‘vulnerability’, respectively. While evidence suggests differing countertransference responses to narcissism subtype expression, no study has examined this using a qualitative methodology and explored associations with ratings of personality disorder severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Mental health clinicians (<i>N</i> = 180, 67% female, age = 38.9), completed qualitative clinical reflections and ratings of overall personality disorder severity towards two hypothetical vignettes displaying pathological narcissism (‘grandiose’ and ‘vulnerable’ narcissism respectively), as well as a rating of attitudes towards patients in their routine practice who resemble these vignettes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Distinct qualitative themes were identified between narcissistic subtype, with grandiose narcissism evoking anger, lack of empathy and hopelessness, compared to sympathy, sadness and discomfort in vulnerable narcissism. In terms of diagnostic category, the grandiose vignette was predominately identified as ‘narcissistic personality disorder’ (97%), whereas the vulnerable vignette was a mixture of ‘depressive disorder’ (29%), ‘narcissistic personality disorder’ (24%), ‘trauma and stressor related disorders’ (21%) and ‘borderline personality disorder’ (21%). Attitude scores differed significantly between subtypes, with more negative attitudes towards narcissistic grandiosity than narcissistic vulnerability. The grandiose vignette was also rated as displaying more overall personality impairment, with an association observed between negative clinician attitude scores and increased ratings of personality disorder severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Two potential pathways are outlined to interpret these findings. The first is that inordinate stigma towards narcissistic grandiosity negatively biases clinicians when working with these patients due to feelings of anger and frustration. The second is that clinicians are drawn to minimise pathology of vulnerable patients due to their feelings of sadness and empathy. We propose that effective diagnosis and psychotherapy for pathological narcissism rely on clinicians' ability to balance these two dilemmas and resist either extreme.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70070","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Interaction Between Alliance and Technique Use in the Prediction of Client Change: Replication and Extension of Owen et al. (2013) in a Different Cultural Context","authors":"Michael Katz,&nbsp;Mark Hilsenroth,&nbsp;Nurit Rokah,&nbsp;Or Wolster,&nbsp;Sharon Ziv-Beiman","doi":"10.1002/cpp.70057","DOIUrl":"https://doi.org/10.1002/cpp.70057","url":null,"abstract":"<div>\u0000 \u0000 <p>Although the relationship between alliance and outcome is well established, the relationship between technique and outcome seems to be more complex. Accordingly, interest has been rising in the <i>interaction</i> between alliance and technique. In this study, using the new Hebrew version of the Comparative Psychotherapy Process Scale (CPPS), we set out to replicate and extend Owen et al.'s findings regarding the interaction between psychodynamic-interpersonal (PI) technique, cognitive-behavioural (CB) technique and the alliance with patient rated change, 10 years later, and in a different cultural context (Israel vs. United States). A sample of 112 clients completed an online survey including three measures to rate their most recent session: the CPPS, the Working Alliance Inventory (WAI-SF-P) and the Client Task Specific Change Measure Revised (CTSC-R). We found a significant positive relationship between both PI and CB technique with patient rated change, as well as a significant positive relationship between PI technique and the working alliance. We also found interactions between both PI and CB technique use with alliance, in predicting patient rated change. A PROCESS moderation analysis was utilized to better understand these interactions. Whereas amplified PI technique use was most effective in low alliance levels; CB technique was most effective in the context of a strong alliance. The findings support the notion that the technique–alliance interaction may be related to whether the technique a therapist is considering amplifying is adherent or non-adherent to their primary model.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Norms for the Symptom Questionnaire (SQ-48): Normalised T-Scores and Percentile Rank Order Scores","authors":"Edwin de Beurs,&nbsp;Erik J. Giltay,&nbsp;Ingrid V. Carlier","doi":"10.1002/cpp.70056","DOIUrl":"https://doi.org/10.1002/cpp.70056","url":null,"abstract":"<p>Use of standardised scores, such as <i>T</i>-scores and percentile rank order scores, enhances measurement-based care. They facilitate communication between therapists and clients about test results, particularly for multidimensional measures such as the Symptoms Questionnaire (SQ-48). By transforming raw scores into a common metric, clinicians can more easily interpret and discuss patient profiles of scores on the various scales of the measure.</p><p>This study explored the advantages and disadvantages of standardised scores and percentile ranks, with a specific focus on <i>T</i>-scores, utilising cross-sectional data from a general population sample (<i>N</i> = 516) and a clinical sample (<i>N</i> = 242). We outline various approaches for establishing <i>T</i>-scores and provide illustrative examples. The analysis of the SQ-48 revealed the necessity of first normalising raw scores to obtain accurate <i>T</i>-scores. Normalisation based on an IRT model is deemed superior, but formulas converting summed scale scores provide a good approximation. Regarding percentile rank order scores, we demonstrated that clinical percentiles offer more meaningful interpretations than population-based percentiles, due to restriction of range for the latter among clinical subjects. Gender and age group differences were identified, with significantly higher scores for women and individuals aged 55 and older. Benefits of normalised <i>T</i>-scores and the need for gender- and age-specific norms for the SQ-48 are discussed.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contributory Factors to Self-Disclosure in Clinical Supervision: A Meta-ethnography","authors":"Alina Elena Apostol,&nbsp;Kellie Turner,&nbsp;Rosa Hoshi,&nbsp;Aimee Pudduck","doi":"10.1002/cpp.70068","DOIUrl":"https://doi.org/10.1002/cpp.70068","url":null,"abstract":"<p>Research on supervisee disclosure in clinical supervision has predominantly focused on supervisees' tendency to withhold important information (e.g., negative feelings, perceived power differentials, clinical mistakes, personal issues and countertransference), highlighting a significant gap in understanding the factors that influence supervisees' self-disclosure. Self-disclosure, which is considered essential for supervisors to provide personalised feedback and tailored guidance, plays a critical role in effective supervision but remains underexplored in terms of its facilitators and barriers. This study addresses this gap by systematically exploring the contributory factors affecting supervisee self-disclosure within the context of clinical supervision. Using the principles of meta-ethnography, this systematic review synthesised findings from eight qualitative studies involving 180 participants (the sample ranging from 3 to 110). Through a thorough process of data extraction, translation, and synthesis, a conceptual framework was developed, positioning self-disclosure as a dynamic process shaped by the interplay between supervisory dynamics, contextual factors, and supervisees' internal experiences. Key factors influencing self-disclosure included the quality of the supervisory relationship, supervisees' perception of supervisors' personal characteristics, the emotional impact of self-disclosure on supervisees and power differentials. These findings highlight the relational and systemic factors shaping supervisee self-disclosure. Implications include strategies to improve supervisory relationships, reduce power imbalances and foster supportive environments. The study informs future research, enhances supervisory practice and guides training programmes to improve clinical supervision effectiveness.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measures of Psychological Mindedness: A Systematic Review of Psychometric Properties","authors":"Joshua Eli Thompson,&nbsp;Gillian Haddock,&nbsp;Katherine Berry","doi":"10.1002/cpp.70064","DOIUrl":"https://doi.org/10.1002/cpp.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Psychological mindedness has been positively associated with psychological wellbeing and positive outcomes in psychological therapy. Valid and reliable measures of psychological mindedness are needed for accurate measurement of the construct. This paper is the first to provide a comprehensive review of existing measures of psychological mindedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The review protocol was pre-registered and systematic with methods reported according to PRISMA criteria. The quality of studies reporting on psychometric properties of measurement tools was evaluated against the COSMIN criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three studies relating to six measures of psychological mindedness were included in the review. No measure demonstrated sufficient evidence when evaluated against all COSMIN measurement criteria. However, the Balanced Index of Psychological Mindedness (BIPM) demonstrated the most robust psychometric properties with sufficient evidence of structural validity and internal consistency demonstrated through studies of high quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Whilst the BIPM demonstrated the most robust measurement properties, further research is needed in relation to its content validity, cross-cultural validity, and responsiveness. The BIPM also does not incorporate ‘other-oriented’ psychological mindedness. Alternative measures such as the PMS and PMAP are available to measure psychological mindedness towards others but have less sufficient evidence of psychometric rigour.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychopathological Symptoms of Individuals Recently Bereaved During COVID-19 Pandemic: Symptom Profiles, Predictive Factors and Correlations With Insomnia","authors":"Wenli Qian,&nbsp;Tong Xie,&nbsp;Renzhihui Tang,&nbsp;Xin Xu,&nbsp;Keyuan Jiao,&nbsp;Xinyan Zou,&nbsp;Jianping Wang","doi":"10.1002/cpp.70066","DOIUrl":"https://doi.org/10.1002/cpp.70066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to identify subgroups of individuals bereaved within the past 1 year during the COVID-19 pandemic based on symptoms of prolonged grief disorder (PGD), depression and post-traumatic stress (PTSD). Additionally, we examined class differences in socio-demographic and loss-related variables and explored the associations between class membership and insomnia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 324 individuals (72.2% female) who experienced bereavement within 12 months (M = 4.01 months, SD = 2.45) completed Inventory of Complicated Grief (ICG), Patient Health Questionnaire (PHQ-9), PTSD Checklist for DSM-5 (PCL-5) and Insomnia Severity Index (ISI). Latent class analysis (LCA) with three-step and BCH procedure was employed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three distinct subgroups were identified: a high symptoms class (33.4%), a high PGD, moderate depression and PTSD class (35.2%) and a moderate PGD, low depression and PTSD class (31.4%), especially yearning, preoccupation, emotional pain and loneliness, were predominant. Class membership was influenced by relationship to the deceased and expectancy of death but not by time since loss. Death due to COVID-19 did not significantly differentiate class membership compared to other causes. Additionally, significant differences in insomnia severity were observed across classes (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Distinct psychopathological patterns emerged among recently bereaved individuals during the pandemic, with PGD symptoms being particularly prominent. Tailored strategies may help address distinct symptom profiles and co-morbid symptoms within bereavement care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering the Internal Structure of the German Version of the CORE-OM: A Network Analysis","authors":"Jürgen Fuchshuber,&nbsp;Marina Zeldovich,&nbsp;Gabor Aranyi,&nbsp;Lisa Winter,&nbsp;Martin Kuska,&nbsp;Dominique Dumont,&nbsp;Elke Humer,&nbsp;Human-Friedrich Unterrainer","doi":"10.1002/cpp.70063","DOIUrl":"10.1002/cpp.70063","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The Clinical Outcomes in Routine Evaluation – Outcome Measures (CORE-OM) is a pantheoretical diagnostic instrument that has been widely used in mental health research. Nevertheless, the exploration of the factor structure of the CORE-OM yields diverse results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to explore the internal structure of the German CORE-OM using network analysis and compare several competing factorial structures of the CORE-OM with traditional confirmatory factor analysis (CFA) to gain a more comprehensive understanding of its structural validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total sample comprised 4496 (63% female) participants from an outpatient population. In a first step, we used network analysis (<i>n</i>₁ = 2248) to assess relationships between the items, followed by explorative graph analysis (EGA) to analyse community structure. Finally, we specified five competing models, including the one derived from the EGA, and used CFA in a second sample (<i>n</i>₂ = 2248) to identify the best-fitting structure of the instrument.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The estimated cross-sectional network demonstrated high correlation stability. The average item predictability was <i>R</i>² = 0.42. The EGA identified four distinct communities in the German CORE-OM (General Problems; Interpersonal Problems; Positive Resources; Self Harm Risk). Confirmatory factor analysis showed that the EGA-derived models had the most parsimonious fit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest a refined structure for the CORE-OM, highlighting key item relationships and offering potential improvements for scoring and clinical use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 2","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11923399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}