Myriam González-Gómez, José M. López-Villatoro, Alejandra Galvez-Merlin, Noelia Fuentes-García, José L. Carrasco, Marina Díaz-Marsá
Introduction
Patients with eating disorders (EDs) often exhibit associated dissociative symptomatology, which could hinder ED treatment and recovery. Similarly, dissociation also appears to be linked to other risk behaviours, such as self-harm and suicide attempts that are commonly present in these patients. This study seeks to investigate the presence of dissociative features in ED and its relationship with the different phenotypical characteristics of these disorders.
Methodology
A systematic review of scientific literature concerning the association of dissociative features and ED was performed. From an initial sample of 651 studies reviewed, 32 articles were included in the analysis after applying the inclusion and exclusion criteria.
Results
The review analysis indicates that dissociation is more prevalent in ED patients than in healthy subjects. In addition, ED patients with purgative symptoms exhibit greater dissociation than purely restrictive patients. Finally, three psychological phenotypes were identified in association with dissociative symptoms: emotional-unstable, impulsive-aggressive and cognitive-identity.
Conclusions
Results confirm that dissociative symptoms are prevalent in ED, particularly among patients with a purging-impulsive-unstable profile and those with identity-related difficulties.
{"title":"Dissociative Symptoms Associated With Phenotypical Characteristics in Eating Disorders: A Systematic Review","authors":"Myriam González-Gómez, José M. López-Villatoro, Alejandra Galvez-Merlin, Noelia Fuentes-García, José L. Carrasco, Marina Díaz-Marsá","doi":"10.1002/cpp.70201","DOIUrl":"https://doi.org/10.1002/cpp.70201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Patients with eating disorders (EDs) often exhibit associated dissociative symptomatology, which could hinder ED treatment and recovery. Similarly, dissociation also appears to be linked to other risk behaviours, such as self-harm and suicide attempts that are commonly present in these patients. This study seeks to investigate the presence of dissociative features in ED and its relationship with the different phenotypical characteristics of these disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A systematic review of scientific literature concerning the association of dissociative features and ED was performed. From an initial sample of 651 studies reviewed, 32 articles were included in the analysis after applying the inclusion and exclusion criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review analysis indicates that dissociation is more prevalent in ED patients than in healthy subjects. In addition, ED patients with purgative symptoms exhibit greater dissociation than purely restrictive patients. Finally, three psychological phenotypes were identified in association with dissociative symptoms: emotional-unstable, impulsive-aggressive and cognitive-identity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results confirm that dissociative symptoms are prevalent in ED, particularly among patients with a purging-impulsive-unstable profile and those with identity-related difficulties.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739873","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}
Xinyan Sun, Maya J. Schroevers, Max O. Lessing, Julie Karsten, Maarten C. Eisma
Bereavement can precipitate mental health problems, including severe, persistent, and disabling grief, that is, prolonged grief. Cognitive behavioural therapy is the first choice for prolonged grief, but it does not benefit all clients. Mindfulness-based interventions have been proposed as an alternative treatment, yet a comprehensive review on the role of mindfulness in psychological adaptation to bereavement is lacking. Therefore, we searched PsycINFO, Web of Science and PubMed (last search: 24 February 2025; PROSPERO: CRD420251006282) to identify observational and intervention studies on the relationships of mindfulness with prolonged grief and secondary mental health problems (e.g., depression and posttraumatic stress symptoms) in bereaved adults. Thirteen studies (2097 participants) were selected. Study quality varied. Cross-sectional (n = 3) and longitudinal surveys (n = 2) consistently showed significant associations of self-reported mindfulness with levels of prolonged grief and secondary mental health problems. Self-reported mindfulness also predicted changes over time in secondary mental health outcomes but not in prolonged grief symptoms. Intervention studies, including pre-evaluations and post-evaluations (n = 3), nonrandomized trials (n = 4) and an RCT (n = 1), focused mostly on secondary mental health outcomes, with only three intervention studies also including a measure of prolonged grief. Results generally supported the effectiveness of mindfulness-based interventions for attenuating secondary mental health outcomes. Findings were mixed for prolonged grief symptoms. Altogether, findings indicated that mindfulness holds promise for improving mental health problems following bereavement. More research, including RCTs and intensive longitudinal studies, is needed to clarify the short- and long-term benefits of mindfulness in people with prolonged grief.
{"title":"Mindfulness in Adaptation to Bereavement: A Systematic Review","authors":"Xinyan Sun, Maya J. Schroevers, Max O. Lessing, Julie Karsten, Maarten C. Eisma","doi":"10.1002/cpp.70198","DOIUrl":"https://doi.org/10.1002/cpp.70198","url":null,"abstract":"<p>Bereavement can precipitate mental health problems, including severe, persistent, and disabling grief, that is, prolonged grief. Cognitive behavioural therapy is the first choice for prolonged grief, but it does not benefit all clients. Mindfulness-based interventions have been proposed as an alternative treatment, yet a comprehensive review on the role of mindfulness in psychological adaptation to bereavement is lacking. Therefore, we searched PsycINFO, Web of Science and PubMed (last search: 24 February 2025; PROSPERO: CRD420251006282) to identify observational and intervention studies on the relationships of mindfulness with prolonged grief and secondary mental health problems (e.g., depression and posttraumatic stress symptoms) in bereaved adults. Thirteen studies (2097 participants) were selected. Study quality varied. Cross-sectional (<i>n</i> = 3) and longitudinal surveys (<i>n</i> = 2) consistently showed significant associations of self-reported mindfulness with levels of prolonged grief and secondary mental health problems. Self-reported mindfulness also predicted changes over time in secondary mental health outcomes but not in prolonged grief symptoms. Intervention studies, including pre-evaluations and post-evaluations (<i>n</i> = 3), nonrandomized trials (<i>n</i> = 4) and an RCT (<i>n</i> = 1), focused mostly on secondary mental health outcomes, with only three intervention studies also including a measure of prolonged grief. Results generally supported the effectiveness of mindfulness-based interventions for attenuating secondary mental health outcomes. Findings were mixed for prolonged grief symptoms. Altogether, findings indicated that mindfulness holds promise for improving mental health problems following bereavement. More research, including RCTs and intensive longitudinal studies, is needed to clarify the short- and long-term benefits of mindfulness in people with prolonged grief.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739645","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}
Childhood maltreatment increases the risk of drug dependency by affecting emotion regulation. However, the relationship between childhood maltreatment, emotion regulation, rumination and impulsive behaviour remains unclear. This study examined the mediating role of rumination and impulsivity in the relationship between childhood maltreatment and emotion regulation among methamphetamine-dependent inpatients (MDIs). A total of 592 male MDIs were recruited for this cross-sectional study. Participants provided sociodemographic information and completed assessments using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), Nolen-Hoeksema Ruminative Responses Scale (NH-RRS), SUPPS-P Impulsivity Behaviour Scale (SUPPS-P) and Difficulties in Emotion Regulation Scale (DER). Of the 592 inpatients, 56.4% reported experiencing childhood maltreatment. Compared to nonmaltreated patients, those who experienced childhood maltreatment were more likely to be unmarried, have hypertension, exhibit greater self-motivation for detoxification, and report higher levels of suicidal ideation. They also demonstrated poorer emotion regulation. Additionally, rumination mediated the relationship between childhood maltreatment and impaired emotion regulation. Our findings suggest a significant association between childhood maltreatment and impaired emotion regulation in MDIs, with rumination serving as a key mediator of this relationship.
{"title":"The Impact of Childhood Maltreatment Experiences on Emotion Regulation in Chinese Methamphetamine-Dependent Inpatients: A Mediation Model","authors":"Arsalan Haider, Tian Yang, Chen Jia-Jing, Saad Ullah, Chen Han, Huang Ren, Wang Dong-Mei, Zhang Xiang-Yang","doi":"10.1002/cpp.70197","DOIUrl":"10.1002/cpp.70197","url":null,"abstract":"<div>\u0000 \u0000 <p>Childhood maltreatment increases the risk of drug dependency by affecting emotion regulation. However, the relationship between childhood maltreatment, emotion regulation, rumination and impulsive behaviour remains unclear. This study examined the mediating role of rumination and impulsivity in the relationship between childhood maltreatment and emotion regulation among methamphetamine-dependent inpatients (MDIs). A total of 592 male MDIs were recruited for this cross-sectional study. Participants provided sociodemographic information and completed assessments using the Childhood Trauma Questionnaire-Short Form (CTQ-SF), Nolen-Hoeksema Ruminative Responses Scale (NH-RRS), SUPPS-P Impulsivity Behaviour Scale (SUPPS-P) and Difficulties in Emotion Regulation Scale (DER). Of the 592 inpatients, 56.4% reported experiencing childhood maltreatment. Compared to nonmaltreated patients, those who experienced childhood maltreatment were more likely to be unmarried, have hypertension, exhibit greater self-motivation for detoxification, and report higher levels of suicidal ideation. They also demonstrated poorer emotion regulation. Additionally, rumination mediated the relationship between childhood maltreatment and impaired emotion regulation. Our findings suggest a significant association between childhood maltreatment and impaired emotion regulation in MDIs, with rumination serving as a key mediator of this relationship.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145713522","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}
Jillian A. Giannini, Gary J. Badger, Rebecca Cole, Kelly R. Peck
Although prolonged exposure (PE) therapy has shown promise for improving overall posttraumatic stress disorder (PTSD) severity in individuals receiving treatment for opioid use disorder (OUD), its effect on individual PTSD symptom clusters has not been examined in this population. Thus, we examined PTSD symptom clusters (intrusion, avoidance, negative alterations in cognitions and mood [NACM], arousal and reactivity) in 82 adults who participated in one of two randomized trials wherein participants with PTSD who were receiving medications for OUD (MOUD) were randomized to: MOUD treatment as usual (TAU; n = 27), prolonged exposure therapy (PE; n = 27) or PE plus financial incentives contingent upon session attendance (PE+; n = 28). PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-5 at baseline and 4-, 8- and 12-week post-randomization. We compared the effect of experimental condition on PTSD symptom clusters. PTSD symptom clusters improved significantly (p's < 0.05) between baseline and week 12 (end of treatment) in all experimental conditions except for intrusion symptoms in TAU participants (p = 0.050). PE and PE+ participants reported greater improvements than TAU participants on intrusion symptoms (p's < 0.05). PE+ participants also experienced greater improvements on avoidance symptoms than TAU participants (p < 0.001). PE and PE+ participants achieved comparable reductions on all symptom clusters. Furthermore, participants in all experimental conditions improved similarly on NACM and arousal and reactivity symptom clusters. These results support the putative mechanisms of PE and suggest that PE+ may be well suited for improving more trauma-specific symptom clusters such as intrusion and avoidance in individuals receiving MOUD.
尽管长期暴露（PE）疗法已显示出改善接受阿片类药物使用障碍（OUD）治疗的个体创伤后应激障碍（PTSD）整体严重程度的希望，但其对个体PTSD症状群的影响尚未在该人群中得到检验。因此，我们检查了82名参加两项随机试验之一的成年人的PTSD症状群（入侵，回避，认知和情绪的负面改变[NACM]，唤醒和反应性），其中接受OUD药物治疗的PTSD患者（mod）被随机分为：常规OUD治疗（TAU, n = 27），延长暴露治疗（PE, n = 27）或PE加经济奖励（PE+, n = 28）。在基线和随机化后4周、8周和12周，使用DSM-5临床医生管理的PTSD量表评估PTSD症状。比较实验条件对PTSD症状群的影响。PTSD症状群显著改善（p’s）
{"title":"The Impact of Prolonged Exposure Therapy on Posttraumatic Stress Disorder Symptom Clusters in Adults Maintained on Medications for Opioid Use Disorder","authors":"Jillian A. Giannini, Gary J. Badger, Rebecca Cole, Kelly R. Peck","doi":"10.1002/cpp.70199","DOIUrl":"10.1002/cpp.70199","url":null,"abstract":"<p>Although prolonged exposure (PE) therapy has shown promise for improving overall posttraumatic stress disorder (PTSD) severity in individuals receiving treatment for opioid use disorder (OUD), its effect on individual PTSD symptom clusters has not been examined in this population. Thus, we examined PTSD symptom clusters (intrusion, avoidance, negative alterations in cognitions and mood [NACM], arousal and reactivity) in 82 adults who participated in one of two randomized trials wherein participants with PTSD who were receiving medications for OUD (MOUD) were randomized to: MOUD treatment as usual (TAU; <i>n</i> = 27), prolonged exposure therapy (PE; <i>n</i> = 27) or PE plus financial incentives contingent upon session attendance (PE+; <i>n</i> = 28). PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-5 at baseline and 4-, 8- and 12-week post-randomization. We compared the effect of experimental condition on PTSD symptom clusters. PTSD symptom clusters improved significantly (<i>p</i>'s < 0.05) between baseline and week 12 (end of treatment) in all experimental conditions except for intrusion symptoms in TAU participants (<i>p</i> = 0.050). PE and PE+ participants reported greater improvements than TAU participants on intrusion symptoms (<i>p</i>'s < 0.05). PE+ participants also experienced greater improvements on avoidance symptoms than TAU participants (<i>p</i> < 0.001). PE and PE+ participants achieved comparable reductions on all symptom clusters. Furthermore, participants in all experimental conditions improved similarly on NACM and arousal and reactivity symptom clusters. These results support the putative mechanisms of PE and suggest that PE+ may be well suited for improving more trauma-specific symptom clusters such as intrusion and avoidance in individuals receiving MOUD.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12686748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707773","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}
Mona L. Diehm, Julia I. Kunz, Stephan Goerigk, Johannes Wolf, Jennifer Lange, Andrea Jobst, Frank Padberg, Matthias A. Reinhard
Background
Persistent depressive disorder (PDD) is marked by interpersonal dysfunction, presenting significant challenges for effective treatment. The Cognitive Behavioural Analysis System of Psychotherapy (CBASP) is specifically designed for PDD, offering a structured framework to foster a meaningful therapeutic relationship. However, its effectiveness in patients with attachment insecurities—commonly observed in PDD—remains unclear. This study examined the bidirectional relationship between the therapeutic working alliance and depressive symptoms, alongside the moderating role of attachment anxiety and attachment avoidance, in patients undergoing inpatient CBASP.
Methods
A total of 164 patients completed a 10-week inpatient CBASP programme. Depressive symptoms and the therapeutic working alliance were assessed weekly via self-report measures, while attachment anxiety and attachment avoidance were evaluated before and after treatment. Linear mixed-effects models were employed to analyse symptom and alliance trajectories, their reciprocal influences and the moderating effects of attachment insecurity.
Results
Over the course of treatment, depressive symptoms significantly decreased, while therapeutic alliance scores significantly increased. In addition, attachment anxiety decreased significantly. Attachment anxiety and attachment avoidance did not significantly moderate changes in depressive symptoms or therapeutic working alliance over time. Increases in the working alliance predicted subsequent reductions in depressive symptoms, and improvements in symptoms predicted subsequent strengthening of the working alliance. Attachment anxiety and attachment avoidance did not moderate these reciprocal associations.
Conclusion
Findings demonstrate a robust bidirectional relationship between working alliance and depressive symptomatology, independent of attachment insecurity. A brief CBASP intervention effectively reduces symptoms and strengthens the therapeutic alliance, highlighting its clinical utility in treating PDD.
{"title":"Reciprocal Dynamics of Therapeutic Alliance and Depressive Symptoms in Inpatient Cognitive Behavioural Analysis System of Psychotherapy: The Role of Attachment Insecurity","authors":"Mona L. Diehm, Julia I. Kunz, Stephan Goerigk, Johannes Wolf, Jennifer Lange, Andrea Jobst, Frank Padberg, Matthias A. Reinhard","doi":"10.1002/cpp.70200","DOIUrl":"10.1002/cpp.70200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Persistent depressive disorder (PDD) is marked by interpersonal dysfunction, presenting significant challenges for effective treatment. The Cognitive Behavioural Analysis System of Psychotherapy (CBASP) is specifically designed for PDD, offering a structured framework to foster a meaningful therapeutic relationship. However, its effectiveness in patients with attachment insecurities—commonly observed in PDD—remains unclear. This study examined the bidirectional relationship between the therapeutic working alliance and depressive symptoms, alongside the moderating role of attachment anxiety and attachment avoidance, in patients undergoing inpatient CBASP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 164 patients completed a 10-week inpatient CBASP programme. Depressive symptoms and the therapeutic working alliance were assessed weekly via self-report measures, while attachment anxiety and attachment avoidance were evaluated before and after treatment. Linear mixed-effects models were employed to analyse symptom and alliance trajectories, their reciprocal influences and the moderating effects of attachment insecurity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Over the course of treatment, depressive symptoms significantly decreased, while therapeutic alliance scores significantly increased. In addition, attachment anxiety decreased significantly. Attachment anxiety and attachment avoidance did not significantly moderate changes in depressive symptoms or therapeutic working alliance over time. Increases in the working alliance predicted subsequent reductions in depressive symptoms, and improvements in symptoms predicted subsequent strengthening of the working alliance. Attachment anxiety and attachment avoidance did not moderate these reciprocal associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings demonstrate a robust bidirectional relationship between working alliance and depressive symptomatology, independent of attachment insecurity. A brief CBASP intervention effectively reduces symptoms and strengthens the therapeutic alliance, highlighting its clinical utility in treating PDD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12683610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145699822","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}
Inês Maçãs-Carvalho, Nélio Brazão, Marco Pereira, Maria Cristina Canavarro, Daniel Rijo
Background
Anxiety and depression are among the most prevalent mental health disorders in adolescence. However, there is a lack of efficient instruments that simultaneously assess both the severity and impairment associated with these symptoms. This study aims to adapt and further validate the Overall Anxiety Severity and Impairment Scale (OASIS) and the Overall Depression Severity and Impairment Scale (ODSIS) for adolescents.
Methods
The psychometric properties of the OASIS-A and ODSIS-A were examined in a community sample of 598 adolescents (51% male) from Portuguese public schools. Analyses included factor structure, internal consistency, measurement invariance, construct validity, gender-based comparisons and cutoff scores.
Results
Factor analysis supported a unidimensional structure for both the OASIS-A and ODSIS-A. The internal consistency was excellent for both scales (Cronbach's α and McDonald's ω for the OASIS-A were 0.90 and for ODSIS-A were 0.94) and measurement invariance across gender was established. The OASIS-A and ODSIS-A showed significant correlations with measures of anxiety, depression, quality of life and mental well-being, in theoretically expected directions. Additionally, girls reported significantly higher levels of anxiety and depression. Optimal cutoff scores were identified as 7 for OASIS-A and 5 for ODSIS-A.
Conclusions
This study presents the first psychometric evaluation of the OASIS-A and ODSIS-A, underscoring the utility of brief self-report measures for the severity and impairment associated with anxiety and depression in adolescents. Findings also support the use of these tools for screening purposes, particularly in school settings.
{"title":"Measuring Anxiety and Depression in Adolescents: Psychometric Properties of the Overall Anxiety and Depression Severity and Impairment Scales","authors":"Inês Maçãs-Carvalho, Nélio Brazão, Marco Pereira, Maria Cristina Canavarro, Daniel Rijo","doi":"10.1002/cpp.70196","DOIUrl":"10.1002/cpp.70196","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Anxiety and depression are among the most prevalent mental health disorders in adolescence. However, there is a lack of efficient instruments that simultaneously assess both the severity and impairment associated with these symptoms. This study aims to adapt and further validate the Overall Anxiety Severity and Impairment Scale (OASIS) and the Overall Depression Severity and Impairment Scale (ODSIS) for adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The psychometric properties of the OASIS-A and ODSIS-A were examined in a community sample of 598 adolescents (51% male) from Portuguese public schools. Analyses included factor structure, internal consistency, measurement invariance, construct validity, gender-based comparisons and cutoff scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factor analysis supported a unidimensional structure for both the OASIS-A and ODSIS-A. The internal consistency was excellent for both scales (Cronbach's <i>α</i> and McDonald's <i>ω</i> for the OASIS-A were 0.90 and for ODSIS-A were 0.94) and measurement invariance across gender was established. The OASIS-A and ODSIS-A showed significant correlations with measures of anxiety, depression, quality of life and mental well-being, in theoretically expected directions. Additionally, girls reported significantly higher levels of anxiety and depression. Optimal cutoff scores were identified as 7 for OASIS-A and 5 for ODSIS-A.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study presents the first psychometric evaluation of the OASIS-A and ODSIS-A, underscoring the utility of brief self-report measures for the severity and impairment associated with anxiety and depression in adolescents. Findings also support the use of these tools for screening purposes, particularly in school settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12686764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707702","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}
Trauma survivors in warring countries may show intense traumatic symptoms as they are forced to repeatedly experience severe traumatic experiences. Psychosocial intervention and support activities are of great importance in order to repair the deep psychological traumas caused by war. This study was conducted with the aim of demonstrating the effectiveness of psychosocial interventions applied to war victims.
Method
For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar and YÖK Thesis Center databases without any year limitation. After the reviews, 13 studies were included in the study.
Results
This systematic review and meta-analysis analysed the effects of psychosocial interventions on depression (SMD: −0.502; 95% CI: −0.966 to −0.037; Z = −2.117, p = 0.037 [I2 = 87.32%]) and psychological well-being (SMD: −0.030; 95% CI: −0.721 to 0.660; Z = −0.886, p = 0.931 [I2 = 97.99%]).
Conclusion
This study demonstrated that psychosocial interventions for war victims can play a beneficial role on individuals' mental health. These findings highlight the importance of early and targeted psychosocial intervention programs for war victims.
目的：战争国家的创伤幸存者可能表现出强烈的创伤症状，因为他们被迫反复经历严重的创伤经历。心理社会干预和支持活动对于修复战争造成的深层心理创伤具有重要意义。进行这项研究的目的是证明对战争受害者进行心理社会干预的有效性。方法：本系统综述和荟萃分析研究通过检索PubMed、Web of Science、EBSCOhost、谷歌Scholar和YÖK论文中心数据库获得，不受年份限制。经过审查，13项研究被纳入研究。结果：本系统综述和荟萃分析分析了心理社会干预对抑郁症（SMD: -0.502; 95% CI: -0.966 ~ -0.037; Z = -2.117, p = 0.037 [I2 = 87.32%]）和心理健康（SMD: -0.030; 95% CI: -0.721 ~ 0.660; Z = -0.886, p = 0.931 [I2 = 97.99%]）的影响。结论：本研究表明，对战争受害者的心理社会干预可以对个人的心理健康起到有益的作用。这些发现强调了为战争受害者提供早期和有针对性的社会心理干预方案的重要性。
{"title":"From Trauma to Recovery: A Systematic Review and Meta-Analysis on the Effectiveness of Psychosocial Interventions Applied to War Victims","authors":"Çiçek Ediz, Sevda Uzun","doi":"10.1002/cpp.70192","DOIUrl":"10.1002/cpp.70192","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Trauma survivors in warring countries may show intense traumatic symptoms as they are forced to repeatedly experience severe traumatic experiences. Psychosocial intervention and support activities are of great importance in order to repair the deep psychological traumas caused by war. This study was conducted with the aim of demonstrating the effectiveness of psychosocial interventions applied to war victims.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>For this systematic review and meta-analysis study, studies were obtained by searching PubMed, Web of Science, EBSCOhost, Google Scholar and YÖK Thesis Center databases without any year limitation. After the reviews, 13 studies were included in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This systematic review and meta-analysis analysed the effects of psychosocial interventions on depression (SMD: −0.502; 95% CI: −0.966 to −0.037; <i>Z</i> = −2.117, <i>p</i> = 0.037 [<i>I</i><sup>2</sup> = 87.32%]) and psychological well-being (SMD: −0.030; 95% CI: −0.721 to 0.660; <i>Z</i> = −0.886, <i>p</i> = 0.931 [<i>I</i><sup>2</sup> = 97.99%]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrated that psychosocial interventions for war victims can play a beneficial role on individuals' mental health. These findings highlight the importance of early and targeted psychosocial intervention programs for war victims.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707678","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}
Andrea Calderone, Desirèe Latella, Elvira La Fauci, Roberta Puleo, Arturo Sergi, Mariachiara De Francesco, Maria Mauro, Angela Foti, Leda Salemi, Rocco Salvatore Calabrò
Background/Objectives
Clinical psychology is undergoing a profound transformation with the integration of artificial intelligence (AI) technologies. While the field has traditionally advanced from psychodynamic theories to cognitive-behavioural and evidence-based approaches, the emergence of AI presents both unprecedented opportunities and new challenges. This narrative review accordingly critically evaluates the integration of AI into clinical psychology practice, encompassing the continuum from assessment and diagnosis to intervention and follow-up care. It applies an analytic lens that differentiates clinically validated tools from experimental prototypes, and it appraises study quality against contemporary standards.
Methods
We conducted a comprehensive narrative review of the recent literature, focusing on studies and expert opinions regarding the application of machine learning (ML), deep learning (DL) and natural language processing (NLP) in psychological assessment and therapy, the use of digital phenotyping through smartphones and wearables and the implementation of AI-assisted care models in clinical practice.
Results
AI technologies are increasingly used to automate assessment scoring and analyse multimodal data, enhancing objectivity and scalability while requiring ongoing clinician oversight to address bias and interpretability issues. In therapeutic contexts, AI-driven conversational agents and hybrid ‘AI-in-the-loop’ systems show promise in supporting engagement and personalization, though ethical and relational concerns remain.
Conclusions
AI offers opportunities for selected assessment, monitoring and triage tasks, but evidence remains heterogeneous. Clinical integration should be incremental and evaluative, prioritizing external validation, calibration and patient-centred outcomes.
{"title":"Mind Meets Machine: A Narrative Review of Artificial Intelligence Role in Clinical Psychology Practice","authors":"Andrea Calderone, Desirèe Latella, Elvira La Fauci, Roberta Puleo, Arturo Sergi, Mariachiara De Francesco, Maria Mauro, Angela Foti, Leda Salemi, Rocco Salvatore Calabrò","doi":"10.1002/cpp.70191","DOIUrl":"10.1002/cpp.70191","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background/Objectives</h3>\u0000 \u0000 <p>Clinical psychology is undergoing a profound transformation with the integration of artificial intelligence (AI) technologies. While the field has traditionally advanced from psychodynamic theories to cognitive-behavioural and evidence-based approaches, the emergence of AI presents both unprecedented opportunities and new challenges. This narrative review accordingly critically evaluates the integration of AI into clinical psychology practice, encompassing the continuum from assessment and diagnosis to intervention and follow-up care. It applies an analytic lens that differentiates clinically validated tools from experimental prototypes, and it appraises study quality against contemporary standards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a comprehensive narrative review of the recent literature, focusing on studies and expert opinions regarding the application of machine learning (ML), deep learning (DL) and natural language processing (NLP) in psychological assessment and therapy, the use of digital phenotyping through smartphones and wearables and the implementation of AI-assisted care models in clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AI technologies are increasingly used to automate assessment scoring and analyse multimodal data, enhancing objectivity and scalability while requiring ongoing clinician oversight to address bias and interpretability issues. In therapeutic contexts, AI-driven conversational agents and hybrid ‘AI-in-the-loop’ systems show promise in supporting engagement and personalization, though ethical and relational concerns remain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AI offers opportunities for selected assessment, monitoring and triage tasks, but evidence remains heterogeneous. Clinical integration should be incremental and evaluative, prioritizing external validation, calibration and patient-centred outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676606","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}
José Vicente Esteve-Rodrigo, Iryna Semkiv, Samuel Mayoral, Iryna Zharova, María José Jorques Infante, Carmen Moret-Tatay
Living in a war zone is a profoundly traumatic experience that can lead to mental health disorders, such as post-traumatic stress disorder, as well as hopelessness and suicidal ideation (SI). The ongoing Russian occupation in Ukraine has resulted in casualties, population displacement and ongoing political strain, making individuals particularly vulnerable. This study aims to examine the interconnections between feelings of hopelessness and SI across age in individuals residing in Ukraine during the occupation. Additionally, this research aims to revisit the psychometric properties of the Beck Hopelessness Scale (BHS) for the Ukrainian population and explore the moderating role of SI in the relationship between age and hopelessness. Results suggest that the BHS has satisfactory psychometric properties and factor structure. Furthermore, the BHS displayed an inverse association with resilience. Age was found to be linked to specific subfactors associated with future but not with failure. Additionally, a moderation effect of SI was identified in the relationship between age and expectations of failure. The findings might contribute to understanding the mental health needs of the affected population and inform strategies to enhance overall well-being and reduce SI.
{"title":"Hopelessness and Suicidal Ideation Across Age in Individuals Residing in Ukraine During the Ongoing Russian Occupation","authors":"José Vicente Esteve-Rodrigo, Iryna Semkiv, Samuel Mayoral, Iryna Zharova, María José Jorques Infante, Carmen Moret-Tatay","doi":"10.1002/cpp.70190","DOIUrl":"10.1002/cpp.70190","url":null,"abstract":"<div>\u0000 \u0000 <p>Living in a war zone is a profoundly traumatic experience that can lead to mental health disorders, such as post-traumatic stress disorder, as well as hopelessness and suicidal ideation (SI). The ongoing Russian occupation in Ukraine has resulted in casualties, population displacement and ongoing political strain, making individuals particularly vulnerable. This study aims to examine the interconnections between feelings of hopelessness and SI across age in individuals residing in Ukraine during the occupation. Additionally, this research aims to revisit the psychometric properties of the Beck Hopelessness Scale (BHS) for the Ukrainian population and explore the moderating role of SI in the relationship between age and hopelessness. Results suggest that the BHS has satisfactory psychometric properties and factor structure. Furthermore, the BHS displayed an inverse association with resilience. Age was found to be linked to specific subfactors associated with future but not with failure. Additionally, a moderation effect of SI was identified in the relationship between age and expectations of failure. The findings might contribute to understanding the mental health needs of the affected population and inform strategies to enhance overall well-being and reduce SI.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667336","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}
Anthea Sutton, Christopher Carroll, Emma Simpson, Jessica Forsyth, Annabel Rayner, Shijie Ren, Matthew Franklin, Emily Wood
Eye movement desensitisation and reprocessing (EMDR) is a psychological therapy used to treat trauma. While trauma-focused cognitive behavioural therapy (TF-CBT) is often used, EMDR has potential for treating post-traumatic stress disorder (PTSD). Previous research has focused on adult populations, with limited evidence for children and adolescents available. A systematic review was conducted to evaluate the clinical and cost-effectiveness of EMDR for treating or preventing PTSD in children and adolescents. Randomised controlled trials (RCTs) were identified through a comprehensive search of six databases in September 2023. Eligibility criteria were based on the NICE 2018 PTSD guidelines. Data were extracted, and risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Meta-analyses were conducted where appropriate. Of 1220 unique records identified, nine studies met the inclusion criteria. Eight RCTs (n = 794 participants) explored clinical effectiveness, and one study examined cost-effectiveness. Most studies compared EMDR with waitlist/usual care. A meta-analysis demonstrated a significant and large effect size (SMD 1.57 95% CrI = 0.07–3.21) of EMDR treatment (delivered 3 months or more following trauma) compared with waitlist/usual care for children and adolescents with PTSD, in various populations including refugees, and victims of physical and/or sexual violence. Two trials compared EMDR with TF-CBT and found no significant difference between therapies. From the very limited cost-effectiveness evidence available, EMDR was ranked sixth out of 10 interventions. EMDR was demonstrated to be effective in reducing PTSD symptoms in children and adolescents, particularly when compared with waitlist/usual care. However, more high-quality RCTs are needed to establish definitive conclusions. In addition, future research should prioritise within-trial cost-effectiveness analyses to provide a more comprehensive understanding of the cost–benefit profile of EMDR.
Trial Registration: PROSPERO prospective register of systematic reviews: CRD42023463360.
{"title":"Clinical and Cost-Effectiveness of Eye Movement Desensitisation and Reprocessing for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Meta-Analysis","authors":"Anthea Sutton, Christopher Carroll, Emma Simpson, Jessica Forsyth, Annabel Rayner, Shijie Ren, Matthew Franklin, Emily Wood","doi":"10.1002/cpp.70186","DOIUrl":"10.1002/cpp.70186","url":null,"abstract":"<p>Eye movement desensitisation and reprocessing (EMDR) is a psychological therapy used to treat trauma. While trauma-focused cognitive behavioural therapy (TF-CBT) is often used, EMDR has potential for treating post-traumatic stress disorder (PTSD). Previous research has focused on adult populations, with limited evidence for children and adolescents available. A systematic review was conducted to evaluate the clinical and cost-effectiveness of EMDR for treating or preventing PTSD in children and adolescents. Randomised controlled trials (RCTs) were identified through a comprehensive search of six databases in September 2023. Eligibility criteria were based on the NICE 2018 PTSD guidelines. Data were extracted, and risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Meta-analyses were conducted where appropriate. Of 1220 unique records identified, nine studies met the inclusion criteria. Eight RCTs (<i>n</i> = 794 participants) explored clinical effectiveness, and one study examined cost-effectiveness. Most studies compared EMDR with waitlist/usual care. A meta-analysis demonstrated a significant and large effect size (SMD 1.57 95% CrI = 0.07–3.21) of EMDR treatment (delivered 3 months or more following trauma) compared with waitlist/usual care for children and adolescents with PTSD, in various populations including refugees, and victims of physical and/or sexual violence. Two trials compared EMDR with TF-CBT and found no significant difference between therapies. From the very limited cost-effectiveness evidence available, EMDR was ranked sixth out of 10 interventions. EMDR was demonstrated to be effective in reducing PTSD symptoms in children and adolescents, particularly when compared with waitlist/usual care. However, more high-quality RCTs are needed to establish definitive conclusions. In addition, future research should prioritise within-trial cost-effectiveness analyses to provide a more comprehensive understanding of the cost–benefit profile of EMDR.</p><p><b>Trial Registration:</b> PROSPERO prospective register of systematic reviews: CRD42023463360.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 6","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667314","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号