Zoe Glossop, Catriona Campbell, Anastasia Ushakova, Alyson Dodd, Steven Jones
Background
Personal recovery is valued by people with bipolar disorder (BD), yet its conceptualisation is unclear. Prior work conceptualising personal recovery has focussed on qualitative evidence or clinical factors without considering broader psychosocial factors. This study used a network analysis of Bipolar Recovery Questionnaire (BRQ) responses, aiming to identify (1) independent relationships between items to identify those most “central” to personal recovery and (2) how the relationships between items reflect themes of personal recovery.
Methods
The model was developed from BRQ responses (36 items) from 394 people diagnosed with bipolar disorder. The undirected network was based on a partial correlation matrix and was weighted. Strength scores were calculated for each node. Community detection analysis identified potential themes. The accuracy of the network was assessed using bootstrapping.
Results
Two consistent communities were identified: “Access to meaningful activity” and “Learning from experiences.” “I feel confident enough to get involved in things in life that interest me” was the strongest item, although the strength stability coefficient (0.36) suggested strength should be interpreted with caution. The average edge weight was 0.02; however, stronger edges were identified.
Limitations
The network showed low stability, possibly due to sample heterogeneity. Future work could incorporate demographic variables, such as time since BD diagnosis or stage of personal recovery, into network estimation.
Conclusions
Network analysis can be applied to personal recovery, not only clinical symptoms of BD. Clinical applications could include tailoring recovery-focussed therapies towards encouraging important aspects of recovery, such as feeling confident to get involved with life.
{"title":"Personal Recovery With Bipolar Disorder: A Network Analysis","authors":"Zoe Glossop, Catriona Campbell, Anastasia Ushakova, Alyson Dodd, Steven Jones","doi":"10.1002/cpp.70001","DOIUrl":"10.1002/cpp.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Personal recovery is valued by people with bipolar disorder (BD), yet its conceptualisation is unclear. Prior work conceptualising personal recovery has focussed on qualitative evidence or clinical factors without considering broader psychosocial factors. This study used a network analysis of Bipolar Recovery Questionnaire (BRQ) responses, aiming to identify (1) independent relationships between items to identify those most “central” to personal recovery and (2) how the relationships between items reflect themes of personal recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The model was developed from BRQ responses (36 items) from 394 people diagnosed with bipolar disorder. The undirected network was based on a partial correlation matrix and was weighted. Strength scores were calculated for each node. Community detection analysis identified potential themes. The accuracy of the network was assessed using bootstrapping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two consistent communities were identified: “Access to meaningful activity” and “Learning from experiences.” “I feel confident enough to get involved in things in life that interest me” was the strongest item, although the strength stability coefficient (0.36) suggested strength should be interpreted with caution. The average edge weight was 0.02; however, stronger edges were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>The network showed low stability, possibly due to sample heterogeneity. Future work could incorporate demographic variables, such as time since BD diagnosis or stage of personal recovery, into network estimation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Network analysis can be applied to personal recovery, not only clinical symptoms of BD. Clinical applications could include tailoring recovery-focussed therapies towards encouraging important aspects of recovery, such as feeling confident to get involved with life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496373","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}
Andres Pemau, Carolina Marin-Martin, Alejandro de la Torre-Luque, Wala Ayad-Ahmed, Jose Manuel Lopez-Villatoro, Veronica Fernandez-Rodrigues, Pablo Mola, Jose Luis Carrasco, Marina Diaz-Marsa
Introduction
The feeling of emptiness is a complex subjective experience considered relevant in the suicidal process, acting as a risk factor for suicide ideation, attempts and even reattempts. However, empirical studies are still scarce.
Objectives
This study has three objectives: to compare emptiness levels in healthy people and those with suicide attempts; to compare the emptiness level between people with a single suicide attempt and multiple suicide attempts at baseline; and to study emptiness as a risk factor for the appearance of new suicidal attempts after an index one.
Methodology
In the study, 382 healthy controls and 58 participants with a recent suicide attempt (in the past 15 days) participated. All completed the feeling of emptiness scale (FES). Information was also collected on sociodemographic characteristics and history of suicide attempts. First, the control sample scores were compared with those of the clinical sample. Later, the single attempt and reattempt groups (any amount greater than one attempt at baseline) were compared. Finally, the clinical sample was followed for 1 year and 3 months (through clinical records). Survival analysis was performed.
Results
The clinical group obtained higher scores across the FES subscales, even when controlling for other relevant variables (p < 0.01). When comparing people with one versus several attempts, differences were also observed in all subscales except one, the reattempt group getting higher scores (p < 0.05). Regarding the survival analysis, the feeling of emptiness was significantly associated with the risk of reattempt (HR = 1.04; p < 0.05). All people who reattempted during follow-up belonged to the reattempt group at baseline.
Conclusions
People who have attempted suicide present higher emptiness scores. Furthermore, emptiness appears to significantly predict the occurrence of new attempts at follow-up. The feeling of emptiness may be associated with the lack of vital meaning and disconnection from others, fundamental aspects of the ideation-to-action suicide models. Including emptiness in suicide assessments could increase clinicians' predictive ability.
{"title":"Relationship Between the Feeling of Emptiness and Suicide Reattempt: Conclusions From Cross-Sectional and Longitudinal Analyses","authors":"Andres Pemau, Carolina Marin-Martin, Alejandro de la Torre-Luque, Wala Ayad-Ahmed, Jose Manuel Lopez-Villatoro, Veronica Fernandez-Rodrigues, Pablo Mola, Jose Luis Carrasco, Marina Diaz-Marsa","doi":"10.1002/cpp.70000","DOIUrl":"10.1002/cpp.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The feeling of emptiness is a complex subjective experience considered relevant in the suicidal process, acting as a risk factor for suicide ideation, attempts and even reattempts. However, empirical studies are still scarce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study has three objectives: to compare emptiness levels in healthy people and those with suicide attempts; to compare the emptiness level between people with a single suicide attempt and multiple suicide attempts at baseline; and to study emptiness as a risk factor for the appearance of new suicidal attempts after an index one.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>In the study, 382 healthy controls and 58 participants with a recent suicide attempt (in the past 15 days) participated. All completed the feeling of emptiness scale (FES). Information was also collected on sociodemographic characteristics and history of suicide attempts. First, the control sample scores were compared with those of the clinical sample. Later, the single attempt and reattempt groups (any amount greater than one attempt at baseline) were compared. Finally, the clinical sample was followed for 1 year and 3 months (through clinical records). Survival analysis was performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The clinical group obtained higher scores across the FES subscales, even when controlling for other relevant variables (<i>p</i> < 0.01). When comparing people with one versus several attempts, differences were also observed in all subscales except one, the reattempt group getting higher scores (<i>p</i> < 0.05). Regarding the survival analysis, the feeling of emptiness was significantly associated with the risk of reattempt (HR = 1.04; <i>p</i> < 0.05). All people who reattempted during follow-up belonged to the reattempt group at baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>People who have attempted suicide present higher emptiness scores. Furthermore, emptiness appears to significantly predict the occurrence of new attempts at follow-up. The feeling of emptiness may be associated with the lack of vital meaning and disconnection from others, fundamental aspects of the ideation-to-action suicide models. Including emptiness in suicide assessments could increase clinicians' predictive ability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496375","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}
Suqin Tang, Zhiwei Chen, Paul A. Boelen, Maarten C. Eisma, Lonneke I. M. Lenferink
Objective
The Traumatic Grief Inventory-Self Report Plus (TGI-SR+) measures the most recent prolonged grief disorder (PGD) symptom sets defined in the 11th edition of the International Statistical of Diseases and Related Health Problems (ICD-11) and the text revision of the fifth edition of the Diagnostical and Statistical Manual of Mental Disorders (DSM-5-TR). However, the TGI-SR+ has not yet been translated and validated in Chinese. This study aims to evaluate the psychometric properties of the Chinese translation of the TGI-SR+.
Methods
We examined the Chinese TGI-SR+'s factor structure, internal consistency, convergent validity, discriminant validity, known-groups validity, and optimal clinical cut-off scores in 443 Chinese bereaved adults.
Results
Confirmatory factor analyses showed that the two-factor models showed the best fit for the Chinese TGI-SR+ items assessing ICD-11 and DSM-5-TR prolonged grief symptoms. Items assessing ICD-11 and DSM-5-TR prolonged grief symptoms demonstrated good internal consistency. Associations of TGI-SR+ scores with symptom levels of prolonged grief (assessed by the International Prolonged Grief Disorder Scale), posttraumatic stress, anxiety, and depression supported convergent and discriminant validity. Associations with background/loss-related variables provided evidence for known-groups validity. Cut-off points for probable ICD-11 PGD (liberal scoring rule), probable ICD-11 PGD (conservative scoring rule), and probable DSM-5-TR PGD were ≥67, ≥75, and ≥68, respectively.
Discussion
The Chinese TGI-SR+ appears to be a reliable and valid measure to assess prolonged grief symptoms per ICD-11 and DSM-5-TR among Chinese bereaved adults.
{"title":"Psychometric Evaluation of the Traumatic Grief Inventory-Self Report Plus (TGI-SR+) in Chinese Bereaved People","authors":"Suqin Tang, Zhiwei Chen, Paul A. Boelen, Maarten C. Eisma, Lonneke I. M. Lenferink","doi":"10.1002/cpp.3066","DOIUrl":"10.1002/cpp.3066","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The Traumatic Grief Inventory-Self Report Plus (TGI-SR+) measures the most recent prolonged grief disorder (PGD) symptom sets defined in the 11<sup>th</sup> edition of the International Statistical of Diseases and Related Health Problems (ICD-11) and the text revision of the fifth edition of the Diagnostical and Statistical Manual of Mental Disorders (DSM-5-TR). However, the TGI-SR+ has not yet been translated and validated in Chinese. This study aims to evaluate the psychometric properties of the Chinese translation of the TGI-SR+.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We examined the Chinese TGI-SR+'s factor structure, internal consistency, convergent validity, discriminant validity, known-groups validity, and optimal clinical cut-off scores in 443 Chinese bereaved adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Confirmatory factor analyses showed that the two-factor models showed the best fit for the Chinese TGI-SR+ items assessing ICD-11 and DSM-5-TR prolonged grief symptoms. Items assessing ICD-11 and DSM-5-TR prolonged grief symptoms demonstrated good internal consistency. Associations of TGI-SR+ scores with symptom levels of prolonged grief (assessed by the International Prolonged Grief Disorder Scale), posttraumatic stress, anxiety, and depression supported convergent and discriminant validity. Associations with background/loss-related variables provided evidence for known-groups validity. Cut-off points for probable ICD-11 PGD (liberal scoring rule), probable ICD-11 PGD (conservative scoring rule), and probable DSM-5-TR PGD were ≥67, ≥75, and ≥68, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The Chinese TGI-SR+ appears to be a reliable and valid measure to assess prolonged grief symptoms per ICD-11 and DSM-5-TR among Chinese bereaved adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496374","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}
Technology-assisted child sexual abuse (TA-CSA) is defined as any type of sexual abuse with an online element occurring under the age of 18. The literature suggests that victims often experience difficulty in finding support that adequately addresses the online elements of TA-CSA. Research also suggests that practitioners are unsure about how to best approach TA-CSA during initial assessments.
Design
This modified Delphi study with healthcare professionals and researchers as experts was conducted to understand best practice principles on how to approach the topic of TA-CSA when a young person presents to clinical services.
Methods
An online, two round modified Delphi study was completed. Round 1 consisited of statements generated from existing published TA-CSA literature. One hundred and twelve participants were invited to complete Round 1. Twenty-four participants responded to Round 1, and of those responders, 15 completed Round 2. All healthcare professionals (10) and eight researchers were located in the United Kingdom. The remaining researchers were based in North and South America, Australia and Europe.
Results
Participants agreed that there is a need to provide practitioners with guidance on how to approach TA-CSA and that asking general questions about online life can help ease into the topic of TA-CSA. Additionally, a clear multi-agency approach and adequate training can provide practitioners confidence in their ability in managing risk and disclosure of TA-CSA.
Conclusions
This study provides important initial findings in approaching TA-CSA within an initial assessment. However, future research is necessary in understanding the transferability of these findings to clinical settings.
{"title":"Addressing Technology-Assisted Child Sexual Abuse During an Initial Clinical Assessment: A modified Delphi Study","authors":"Felipa Schmidt, Sandra Bucci, Ethel Quayle, Filippo Varese","doi":"10.1002/cpp.3071","DOIUrl":"10.1002/cpp.3071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Technology-assisted child sexual abuse (TA-CSA) is defined as any type of sexual abuse with an online element occurring under the age of 18. The literature suggests that victims often experience difficulty in finding support that adequately addresses the online elements of TA-CSA. Research also suggests that practitioners are unsure about how to best approach TA-CSA during initial assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This modified Delphi study with healthcare professionals and researchers as experts was conducted to understand best practice principles on how to approach the topic of TA-CSA when a young person presents to clinical services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online, two round modified Delphi study was completed. Round 1 consisited of statements generated from existing published TA-CSA literature. One hundred and twelve participants were invited to complete Round 1. Twenty-four participants responded to Round 1, and of those responders, 15 completed Round 2. All healthcare professionals (10) and eight researchers were located in the United Kingdom. The remaining researchers were based in North and South America, Australia and Europe.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants agreed that there is a need to provide practitioners with guidance on how to approach TA-CSA and that asking general questions about online life can help ease into the topic of TA-CSA. Additionally, a clear multi-agency approach and adequate training can provide practitioners confidence in their ability in managing risk and disclosure of TA-CSA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides important initial findings in approaching TA-CSA within an initial assessment. However, future research is necessary in understanding the transferability of these findings to clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496372","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}
This longitudinal study involved youths in residential care due to previous adverse experiences and their educators, aiming to investigate the role of youths and educators' attachment, educators' psychopathology, and the quality of youth–educator relationship on change scores of youths' symptoms and youth–educator relationship security over 6 months.
Method
Participants were 36 institutionalized youths (Mage = 16.50 ± 2.13) and their 25 main educators (Mage = 38.48 ± 5.75), assessed at baseline (T1) and 6 months later (T2). Youths were assessed in total, internalizing and externalizing problems via a multi-informant approach, and educators in psychopathology levels. Attachment representations of youths and educators were assessed through validated attachment interviews (Friends and Family Interview and Adult Attachment Interview), and both separately rated the youth–educator relationship.
Results
(1) Most cases remain stable over 6 months. (2) Educator narrative coherence and the quality of youth–educator relationship at baseline were correlated but not predictive of change in youths' symptoms. (3) Youths' higher attachment disorganization at baseline was the unique predictor of 14% variance of positive change in the youth–educator relationship security perceived by the youth. (4) Youth attachment avoidance uniquely predicted 37% of positive change variance in the youth–educator relationship security perceived by educators.
Conclusion
In conclusion, attachment-based assessment of youths and educators can inform intervention to foster youth improvement.
{"title":"Do Attachment, Educator Characteristics and Youth–Educator Relationship Matter in 6-Month Changes of Institutionalized Adolescents?","authors":"S. Muzi, G. Rogier, F. Bizzi, C. S. Pace","doi":"10.1002/cpp.3059","DOIUrl":"https://doi.org/10.1002/cpp.3059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This longitudinal study involved youths in residential care due to previous adverse experiences and their educators, aiming to investigate the role of youths and educators' attachment, educators' psychopathology, and the quality of youth–educator relationship on change scores of youths' symptoms and youth–educator relationship security over 6 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were 36 institutionalized youths (M<sub>age</sub> = 16.50 ± 2.13) and their 25 main educators (M<sub>age</sub> = 38.48 ± 5.75), assessed at baseline (T1) and 6 months later (T2). Youths were assessed in total, internalizing and externalizing problems via a multi-informant approach, and educators in psychopathology levels. Attachment representations of youths and educators were assessed through validated attachment interviews (Friends and Family Interview and Adult Attachment Interview), and both separately rated the youth–educator relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>(1) Most cases remain stable over 6 months. (2) Educator narrative coherence and the quality of youth–educator relationship at baseline were correlated but not predictive of change in youths' symptoms. (3) Youths' higher attachment disorganization at baseline was the unique predictor of 14% variance of positive change in the youth–educator relationship security perceived by the youth. (4) Youth attachment avoidance uniquely predicted 37% of positive change variance in the youth–educator relationship security perceived by educators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In conclusion, attachment<b>-</b>based assessment of youths and educators can inform intervention to foster youth improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449232","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}
Social support can promote posttraumatic growth (PTG) in the general trauma population. However, evidence on the reciprocal predictive relationship between social support and PTG is lacking, particularly among the bereaved. In this longitudinal study, we surveyed 181 adults who had lost first-degree relatives within 1 year at three intervals, each 6 months apart. The study utilized The Scale of Social Support in Bereavement (SSB), which distinguishes four domains of social support for the bereaved: living support, economic support, grief processing and emotion restoration. Additionally, The Posttraumatic Growth Inventory (PTGI) was used to measure PTG. Random intercepts cross-lagged panel model analyses revealed that social support and PTG were positively correlated at each time point at the within-person level. Moreover, at the within-person level, the total social support, as well as social support in the restoration-oriented domains at Time 2, positively predicted PTG at Time 3, but this relationship was not observed for grief processing support. Additionally, PTG at Time 1 positively predicted the receipt of emotion restoration support at Time 2 at the within-person level. The mutual influence between PTG and social support, as well as the differential relationship between types of support and PTG, enriches our understanding of ways to promote positive changes among the bereaved. The findings underscore the importance of restoration-oriented social support for bereaved individuals in facilitating PTG.
{"title":"The Reciprocal Relationship Between Social Support in Bereavement and Posttraumatic Growth—A Random Intercept Cross-Lagged Analysis","authors":"Yihan Gai, Jie Li, Mengyuan Long, Mei Li, Kan Shi","doi":"10.1002/cpp.3069","DOIUrl":"https://doi.org/10.1002/cpp.3069","url":null,"abstract":"<div>\u0000 \u0000 <p>Social support can promote posttraumatic growth (PTG) in the general trauma population. However, evidence on the reciprocal predictive relationship between social support and PTG is lacking, particularly among the bereaved. In this longitudinal study, we surveyed 181 adults who had lost first-degree relatives within 1 year at three intervals, each 6 months apart. The study utilized The Scale of Social Support in Bereavement (SSB), which distinguishes four domains of social support for the bereaved: living support, economic support, grief processing and emotion restoration. Additionally, The Posttraumatic Growth Inventory (PTGI) was used to measure PTG. Random intercepts cross-lagged panel model analyses revealed that social support and PTG were positively correlated at each time point at the within-person level. Moreover, at the within-person level, the total social support, as well as social support in the restoration-oriented domains at Time 2, positively predicted PTG at Time 3, but this relationship was not observed for grief processing support. Additionally, PTG at Time 1 positively predicted the receipt of emotion restoration support at Time 2 at the within-person level. The mutual influence between PTG and social support, as well as the differential relationship between types of support and PTG, enriches our understanding of ways to promote positive changes among the bereaved. The findings underscore the importance of restoration-oriented social support for bereaved individuals in facilitating PTG.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451243","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}
Morteza Aghaeimazraji, Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Michael Berk, Mahmoud Najafi
Childhood maltreatment, alexithymia and impulsivity are related to bipolar disorder (BD), but the role of potential underlying mechanisms of this link, such as extreme sensory processing, in BD are unclear. This study compared sensory processing patterns between individuals with BD-I or BD-II and between those with and without alexithymia and childhood maltreatment. Additionally, the study aimed to examine the role of extreme sensory processing in the relationship between childhood trauma, alexithymia and impulsivity with both depression and mania in a sample of hospitalized individuals with BD (n = 300). Participants completed self-report and clinician-rated scales. Patients with BD-II exceeded those with BD-I in low registration, sensory sensitivity and sensation avoidance, whereas patients with BD-I exhibited a more heightened sensation-seeking pattern. Patients with BD who had alexithymia and a history of childhood maltreatment exhibited more heightened sensory processing patterns, apart from sensory seeking, compared to those without alexithymia and childhood maltreatment. Additionally, the same pattern was more pronounced in individuals with BD who had both alexithymia and childhood maltreatment compared to those with either condition or neither of these conditions. The pathways from childhood maltreatment and alexithymia to depressive symptoms were mediated by low registration and sensation avoidance. Sensory seeking indirectly affected the link between alexithymia and manic symptoms. Childhood maltreatment and challenges in effectively processing emotional information, along with their related hypo- and hypersensitivity, may characterize BD individuals and its manifestation of depressive and manic symptoms.
{"title":"The Connections Between Alexithymia, Childhood Maltreatment, Impulsivity and Extreme Sensory Processing Patterns in Relation to Bipolar Symptoms in Inpatients With Bipolar Disorder","authors":"Morteza Aghaeimazraji, Vahid Khosravani, Seyed Mehdi Samimi Ardestani, Michael Berk, Mahmoud Najafi","doi":"10.1002/cpp.3070","DOIUrl":"https://doi.org/10.1002/cpp.3070","url":null,"abstract":"<div>\u0000 \u0000 <p>Childhood maltreatment, alexithymia and impulsivity are related to bipolar disorder (BD), but the role of potential underlying mechanisms of this link, such as extreme sensory processing, in BD are unclear. This study compared sensory processing patterns between individuals with BD-I or BD-II and between those with and without alexithymia and childhood maltreatment. Additionally, the study aimed to examine the role of extreme sensory processing in the relationship between childhood trauma, alexithymia and impulsivity with both depression and mania in a sample of hospitalized individuals with BD (<i>n</i> = 300). Participants completed self-report and clinician-rated scales. Patients with BD-II exceeded those with BD-I in low registration, sensory sensitivity and sensation avoidance, whereas patients with BD-I exhibited a more heightened sensation-seeking pattern. Patients with BD who had alexithymia and a history of childhood maltreatment exhibited more heightened sensory processing patterns, apart from sensory seeking, compared to those without alexithymia and childhood maltreatment. Additionally, the same pattern was more pronounced in individuals with BD who had both alexithymia and childhood maltreatment compared to those with either condition or neither of these conditions. The pathways from childhood maltreatment and alexithymia to depressive symptoms were mediated by low registration and sensation avoidance. Sensory seeking indirectly affected the link between alexithymia and manic symptoms. Childhood maltreatment and challenges in effectively processing emotional information, along with their related hypo- and hypersensitivity, may characterize BD individuals and its manifestation of depressive and manic symptoms.</p>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438998","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}
Barreto, J. F., & Matos, P. M. (2018). Mentalizing countertransference? A model for research on the elaboration of countertransference experience in psychotherapy. Clinical Psychology and Psychotherapy, 25(3), 427–439. https://doi.org/10.1002/cpp.2177.
In page 428, last but one paragraph, the text
‘Examples include the so-called evenly-hovering attention (Freud/hovering attention (Freud, 1912)’
was incorrect. This should have read
‘Examples include the so-called evenly-suspended/hovering attention (Freud, 1912/1958)’.
We apologize for this error.
Barreto, J. F., & Matos, P. M. (2018)。 心理化反移情？心理治疗中反移情体验阐述的研究模型。临床心理学与心理治疗》，25（3），427-439。https://doi.org/10.1002/cpp.2177。 第 428 页，最后一段中的 "例子包括所谓的均匀徘徊注意（弗洛伊德/徘徊注意（弗洛伊德，1912 年）"不正确。我们对此错误表示歉意。
{"title":"Correction to ‘Mentalizing Countertransference? A Model for Research on the Elaboration of Countertransference Experience in Psychotherapy’","authors":"","doi":"10.1002/cpp.3068","DOIUrl":"https://doi.org/10.1002/cpp.3068","url":null,"abstract":"<p>\u0000 <span>Barreto, J. F.</span>, & <span>Matos, P. M.</span> (<span>2018</span>). <span>Mentalizing countertransference? A model for research on the elaboration of countertransference experience in psychotherapy</span>. <i>Clinical Psychology and Psychotherapy</i>, <span>25</span>(<span>3</span>), <span>427</span>–<span>439</span>. https://doi.org/10.1002/cpp.2177.\u0000 </p><p>In page 428, last but one paragraph, the text</p><p>‘Examples include the so-called evenly-hovering attention (Freud/hovering attention (Freud, 1912)’</p><p>was incorrect. This should have read</p><p>‘Examples include the so-called evenly-suspended/hovering attention (Freud, 1912/1958)’.</p><p>We apologize for this error.</p>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.3068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429907","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}
Recent research shows that for clients who identify as ethnic minority group members, therapists' effort to include ethnic-cultural topics in therapy conversations—that is, broaching—is important for clients' evaluations of therapy and symptom improvement. However, little is known about how this is experienced by clients and how different patterns of broaching behaviours are related to the therapeutic process. This study aimed to identify meaningful combinations of therapist broaching behaviours in a sample of clients that identify as ethnic minority group members in outpatient psychotherapy (N = 452; 64.6% women, 33.6% men, 1.3% nonbinary; 0.4% preferred not to say; Mage = 33.8).
Methods
In the present research, we employed latent profile analysis to discern therapist profiles based on the similarity of their reported broaching behaviours. Group differences were analysed with Welch's analysis of variance.
Results
Five profiles were delineated, each revealing specific broaching patterns. The obtained profiles were named Pending, Neutral, Inappropriate, Uninvolved and Engaged. Reported cultural identity concealment was lower and client-estimated improvement higher in the Pending and Engaged profiles compared to the Inappropriate profile. Both the Neutral and Uninvolved profiles yielded scores in between.
Conclusions
Pending and Engaged profiles are equally beneficial and the Inappropriate profile is the most harmful in terms of reported cultural concealment and client-estimated improvement. Implications of findings for practice, training and research are discussed.
{"title":"Uncovering Patterns in Perceived Therapist Behaviour: A Latent Profile Analysis of Broaching Experiences Among Ethnic Minority Group Member Clients","authors":"Hilde Depauw, Alain Van Hiel","doi":"10.1002/cpp.3067","DOIUrl":"https://doi.org/10.1002/cpp.3067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Recent research shows that for clients who identify as ethnic minority group members, therapists' effort to include ethnic-cultural topics in therapy conversations—that is, <i>broaching</i>—is important for clients' evaluations of therapy and symptom improvement. However, little is known about how this is experienced by clients and how different patterns of broaching behaviours are related to the therapeutic process. This study aimed to identify meaningful combinations of therapist broaching behaviours in a sample of clients that identify as ethnic minority group members in outpatient psychotherapy (<i>N</i> = 452; 64.6% women, 33.6% men, 1.3% nonbinary; 0.4% preferred not to say; <i>M</i><sub>age</sub> = 33.8).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the present research, we employed latent profile analysis to discern therapist profiles based on the similarity of their reported broaching behaviours. Group differences were analysed with Welch's analysis of variance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five profiles were delineated, each revealing specific broaching patterns. The obtained profiles were named Pending, Neutral, Inappropriate, Uninvolved and Engaged. Reported cultural identity concealment was lower and client-estimated improvement higher in the Pending and Engaged profiles compared to the Inappropriate profile. Both the Neutral and Uninvolved profiles yielded scores in between.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Pending and Engaged profiles are equally beneficial and the Inappropriate profile is the most harmful in terms of reported cultural concealment and client-estimated improvement. Implications of findings for practice, training and research are discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429905","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}
Türkan Doğan, Nilüfer Koçtürk, Ercan Akın, M. Furkan Kurnaz, Cemile Dur Öztürk, Ali Şen, Mehmet Yalçın
This systematic review and meta-analysis examines the effectiveness of science-based mobile apps for reducing anxiety. A systematic review was employed to identify experimental studies on science-based mobile applications developed anxiety disorders. International databases such as PubMed, Web of Science, SCOPUS and ProQuest were searched to locate relevant articles. After the systematic review, 16 (k = 20) experimental studies on the effectiveness of science-based mobile apps for reducing anxiety that met the inclusion criteria were included in the meta-analysis study. The analysis findings concluded that science-based mobile apps have a noteworthy impact on reducing anxiety symptoms. Additionally, the moderator analysis indicated that various factors, including participant characteristics (such as gender and age), methodological factors (such as the measurement tool for anxiety and type of control group) and the intervention duration, play a crucial role in this impact. These findings suggest that science-based mobile apps can provide a helpful tool for individuals seeking to manage their anxiety symptoms and that a range of therapeutic techniques, such as mindfulness, cognitive restructuring and psychoeducation, can be effectively employed in these apps.
本系统综述和荟萃分析研究了基于科学的移动应用程序在减少焦虑方面的有效性。本研究采用了系统综述的方法，以确定有关基于科学的移动应用开发焦虑症的实验研究。我们搜索了 PubMed、Web of Science、SCOPUS 和 ProQuest 等国际数据库，以查找相关文章。经过系统回顾，16 项（k = 20）符合纳入标准的关于基于科学的移动应用程序对减少焦虑症的有效性的实验研究被纳入了荟萃分析研究。分析结果表明，基于科学的移动应用程序对减轻焦虑症状有显著影响。此外，调节因素分析表明，包括参与者特征（如性别和年龄）、方法因素（如焦虑测量工具和对照组类型）和干预持续时间在内的各种因素在这种影响中起着至关重要的作用。这些研究结果表明，以科学为基础的移动应用程序可以为寻求控制焦虑症状的个人提供有用的工具，而且这些应用程序可以有效地采用一系列治疗技术，如正念、认知重组和心理教育。
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