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Intolerance of uncertainty causally affects indecisiveness 不能容忍不确定性会导致优柔寡断。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-11 DOI: 10.1111/bjc.12534
Helmut Appel, Alexander L. Gerlach

Objectives

Intolerance of uncertainty (IU) is characterized by a pervasive negative reaction to uncertainty. It is a transdiagnostic risk factor for various mental disorders. Since decisions often need to be made in the face of uncertainty, IU is associated with indecisiveness, a dispositional difficulty in making decisions. Indecisiveness is also linked to a range of mental disorders. While IU is seen as a causal factor in indecisiveness, experimental studies on this assumption are lacking.

Methods

In this pre-registered, adequately powered study (N = 301), IU was experimentally increased or decreased compared to a control group, and the effect on indecisiveness was observed. Indecisiveness was assessed in a situational context, focusing on two decisions that were personally relevant to participants.

Results

The manipulation successfully affected IU. As predicted, increased IU led to more indecisiveness across both decisions compared to decreased IU. Exploratory analyses found that situational IU mediated the effect of the experimental manipulation on indecisiveness.

Conclusions

The results are the first to demonstrate a causal effect of IU on indecisiveness, thus contributing to the explanation of indecisiveness and the role that uncertainty management plays in it. Moreover, they have implications for treating various mental disorders by highlighting the role of IU in the transdiagnostic phenomenon of indecisiveness.

目的:不确定性不耐受(IU)的特征是对不确定性的普遍负面反应。它是多种精神障碍的跨诊断危险因素。由于决策经常需要面对不确定性,IU与优柔寡断有关,这是一种决策的性格困难。优柔寡断还与一系列精神障碍有关。虽然IU被认为是优柔寡断的一个因果因素,但缺乏关于这一假设的实验研究。方法:在这项预注册的、充分有力的研究中(N = 301),与对照组相比,IU被实验性地增加或减少,并观察对优柔寡断的影响。优柔寡断是在情境背景下评估的,重点是与参与者个人相关的两个决定。结果:操作成功影响IU。正如预测的那样,与减少IU相比,增加IU会导致两种决策更加犹豫不决。探索性分析发现,情境IU介导了实验操作对优柔寡断的影响。结论:研究结果首次证明了IU对优柔寡断的因果影响,从而有助于解释优柔寡断以及不确定性管理在其中所起的作用。此外,它们通过强调IU在犹豫不决的跨诊断现象中的作用,对治疗各种精神障碍具有启示意义。
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引用次数: 0
Fighting against self-stigma in adults with self-reported diagnosis of OCD: A single-arm pilot study using a mobile app-based intervention 与自我报告诊断为强迫症的成年人的自我耻辱作斗争:一项使用基于移动应用程序的干预的单臂试点研究。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-03-10 DOI: 10.1111/bjc.12537
S. Arnáez, M. Roncero, J. López-Santiago, G. del Valle, E. Cabedo, G. Bottesi, G. García-Soriano

Background

Obsessive-compulsive disorder (OCD) is a disabling disorder, and self-stigma negatively impacts quality of life, symptom severity and self-esteem. esTOCma is a smartphone-based serious game developed to increase knowledge about OCD and reduce stigma. It features 10 missions using psychoeducation, indirect contact and cognitive restructuring. Players help 10 characters escape the OCD stigma monster. Aims: To explore, in individuals with a self-reported diagnosis of OCD, the feasibility, acceptability and preliminary effectiveness of esTOCma to change self-stigma and knowledge about OCD, OC severity, guilt, quality of life and self-esteem.

Materials and Methods

A single-arm pilot study with 130 participants who completed esTOCma and pre-, post- and 3-month follow-up assessments.

Results

Half of participants spent 9–10-days playing with the app and most of them found it useful/very useful and easy to use. Self-stigma was associated with higher OC symptoms, guilt and lower quality of life, self-esteem and knowledge about OCD. After using the app, participants showed lower levels of self-stigma, OC symptoms and guilt, and higher levels of quality of life, self-esteem and knowledge about OCD. Changes were maintained or increased at a 3-month follow-up.

Discussion

esTOCma is a feasible and acceptable app that could help people with OCD to increase their knowledge and understanding of the disorder, dismiss self-stigma and OC symptoms, and at the same time increase self-esteem and quality of life. A replication of the study with a control sample is needed to validate our findings.

Conclusion

Tools like the esTOCma app, accessible 24/7, offer a means to tackle self-stigma detrimental effects.

背景介绍强迫症(OCD)是一种致残性疾病,自我污名化对生活质量、症状严重程度和自尊心都有负面影响。esTOCma 是一款基于智能手机的严肃游戏,旨在提高人们对强迫症的认识并减少污名化。该游戏采用心理教育、间接接触和认知重组等方法完成 10 个任务。目的:在自我报告诊断为强迫症的个体中,探讨 esTOCma 的可行性、可接受性和初步有效性,以改变自我成见和对强迫症的认识、强迫症的严重程度、负罪感、生活质量和自尊:这是一项单臂试点研究,有130名参与者完成了esTOCma和前期、后期和3个月的跟踪评估:结果:半数参与者花了 9-10 天时间使用该应用程序,大多数人认为它有用/非常有用且易于使用。自我污名化与强迫症症状和负罪感增加有关,与生活质量、自尊和对强迫症的了解减少有关。使用该应用程序后,参与者的自我耻辱感、强迫症症状和负罪感水平降低,生活质量、自尊和强迫症知识水平提高。讨论:esTOCma 是一款可行且可接受的应用程序,可帮助强迫症患者增加对强迫症的了解和理解,消除自我污名和强迫症症状,同时提高自尊和生活质量。为了验证我们的研究结果,需要在对照样本中进行重复研究:像 esTOCma 应用程序这样全天候可用的工具为消除自我污名的有害影响提供了一种途径。
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引用次数: 0
Emotion-related impulsivity factors and intolerance of uncertainty are uniquely associated with interpersonal-psychological risk factors for suicide 情绪相关的冲动因素和对不确定性的不容忍与自杀的人际心理风险因素有独特的关系。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-27 DOI: 10.1111/bjc.12535
Amelia S. Dev, Theresa Davison, Hannah C. Broos, Sheri L. Johnson, Kiara R. Timpano

Objectives

The interpersonal-psychological theory of suicide identifies three risk factors for suicidal behaviours: perceived burdensomeness, thwarted belongingness, and acquired capability. We sought to clarify relationships between the interpersonal-psychological risk factors and two individual difference factors, emotion-related impulsivity (ERI) and intolerance of uncertainty (IU).

Methods

In the current study, we analysed self-report scales from a large community sample (N = 169) that was oversampled for individuals with elevated suicidality. We considered two separate factors of ERI: Pervasive Influence of Feelings, which measures how much a person's emotions shape their worldview, and Feelings Trigger Action, which measures impulsive behavioural reactivity to emotions. We tested unique effects of ERI and IU and the interactions of ERI × IU on the three interpersonal-psychological risk factors using linear regression models.

Results

Pervasive Influence of Feelings correlated with higher perceived burdensomeness and thwarted belongingness, whereas Feelings Trigger Action correlated with higher perceived burdensomeness and acquired capability. Within the regression models, IU correlated significantly with lower acquired capability but not perceived burdensomeness or thwarted belongingness. Interactions of ERI × IU were not significant.

Conclusions

These results demonstrate the importance of considering both factors of ERI in understanding the risk for suicide. Our results also provide novel evidence that while IU may not impact risk factors such as perceived burdensomeness and thwarted belongingness, higher levels of IU may serve as some protection against individuals' acquired capability for suicidal action. Limitations and implications of findings are discussed.

目的:自杀的人际心理理论确定了自杀行为的三个危险因素:感知负担、受挫的归属感和获得性能力。我们试图澄清人际心理风险因素与两个个体差异因素,情绪相关冲动性(ERI)和不确定性不耐受(IU)之间的关系。方法:在当前的研究中,我们分析了来自大型社区样本(N = 169)的自我报告量表,这些样本是对自杀率升高的个体进行过采样的。我们考虑了ERI的两个独立因素:情绪的普遍影响,衡量一个人的情绪对他们世界观的影响程度,以及情绪触发行动,衡量对情绪的冲动行为反应。我们使用线性回归模型检验了ERI和IU的独特作用以及ERI × IU对三个人际心理风险因素的相互作用。结果:感受的普遍影响与较高的感知负担和受挫的归属感相关,而感受触发行动与较高的感知负担和获得能力相关。在回归模型中,IU与较低的获得性能力显著相关,但与感知负担或受挫的归属感无关。ERI和IU的相互作用不显著。结论:这些结果表明,考虑ERI的两个因素对理解自杀风险的重要性。我们的研究结果也提供了新的证据,虽然IU可能不会影响诸如感知负担和受挫的归属感等风险因素,但较高水平的IU可能会对个体获得的自杀行为能力起到一定的保护作用。讨论了研究结果的局限性和意义。
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引用次数: 0
Validation of a transdiagnostic measure of fears of recurrence and progression about mental health conditions 对精神健康状况复发和进展恐惧的一种跨诊断测量方法的验证
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-27 DOI: 10.1111/bjc.12536
Daelin Coutts-Bain, Louise Sharpe, Caroline Hunt

Objectives

Fears of recurrence and progression (FORP) in people with mental health conditions are understudied despite predicting poorer psychological outcomes and increased rates of relapse. However, there are no well-validated questionnaires that assess FORP in people with non-psychotic conditions. Moreover, it is not known whether FORP is empirically distinct from mental health anxiety.

Design

Online survey collected data at two time points.

Method

A 40-item FORP About Mental Health Questionnaire (FORP-MHQ) was derived from lived experience interviews. Analyses were conducted with a sample of 865 people with different mental health conditions. Exploratory factor analysis in a randomly split sub-sample (N = 432) yielded a 10-item, single-factor structure that measures FORP severity. Confirmatory factor analysis on these items was conducted in the remaining sample (N = 433). Discriminant and convergent validity, and reliability, analyses were conducted in the complete sample. Measurement invariance was assessed between men and women, those with and without a history of psychosis or mania, and those with and without diagnoses across different diagnostic categories.

Results

The 10-item FORP-MHQ demonstrated good structural, convergent and concurrent validity, internal consistency, and test–retest reliability. It was also empirically distinct from mental health anxiety with good discriminant validity. The FORP-MHQ was invariant between men and women, those with and without a history of psychosis or mania, and those with and without diagnoses across diagnostic categories.

Conclusion

The FORP-MHQ is a valid and reliable tool to assess FORP in people with a range of different mental health conditions, both psychotic and non-psychotic.

目的:对有精神健康状况的人的复发和进展的恐惧(FORP)的研究尚不充分,尽管预测较差的心理结果和复发率增加。然而,目前还没有经过良好验证的问卷来评估非精神病患者的FORP。此外,尚不清楚FORP是否在经验上与心理健康焦虑不同。设计:在线调查在两个时间点收集数据。方法:采用生活经验访谈法编制40项心理健康问卷(FORP- mhq)。研究人员对865名不同心理健康状况的人进行了分析。在随机分割的子样本(N = 432)中进行探索性因素分析,产生了一个10项单因素结构,用于测量FORP的严重程度。对剩余样本(N = 433)进行验证性因子分析。在完整样本中进行了判别效度和收敛效度以及信度分析。测量不变性评估了男性和女性、有和没有精神病或躁狂病史的人、有和没有不同诊断类别诊断的人。结果:10项FORP-MHQ量表具有良好的结构效度、收敛效度和并发效度、内部一致性和重测信度。与心理健康焦虑有明显的经验差异,具有良好的判别效度。FORP-MHQ在男性和女性、有和没有精神病或躁狂病史的人、有和没有诊断类别的人之间是不变的。结论:FORP- mhq是一种有效和可靠的工具,可用于评估具有一系列不同精神健康状况(包括精神病性和非精神病性)的人的FORP。
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引用次数: 0
Characteristics of young people referred for treatment of depression and anxiety in a school-based mental health service 在校本心理健康服务机构接受抑郁和焦虑治疗的年轻人的特征。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-26 DOI: 10.1111/bjc.12526
Emilia Robinson, Chloe Chapman, Faith Orchard, Clare Dixon, Mary John

Objectives

The aim of the paper was to describe referrals to a UK school-based mental health service for children and adolescents.

Methods

Children and young people (CYP) (N = 485, aged 4–18) were referred to two Mental Health Support Team sites in the South of England in 2021, for CBT-informed interventions for mild-to-moderate anxiety and depression. Child and parent reported outcome measures were completed pre-intervention, including measures of symptom severity and impact.

Results

Referrals consisted of 61% female, 57% secondary school age (12–18 years old) and 81% White British. Children of secondary school age self-reported significantly higher levels of anxiety (p = .003) and depression (p < .001) than children of primary age. Females self-reported significantly higher levels of anxiety (p < .001) and depression (p < .001) than males. The majority of CYP self-reported below or borderline threshold anxiety, depression and overall internalizing symptoms. The majority of caregiver-reported CYP difficulties met the clinical threshold for anxiety and overall internalizing symptoms, but not depression.

Conclusions

The findings have direct relevance to the transformation and delivery of school-based public mental health services for children and adolescents. There is a need to collect routine data from other services to assess the broader needs of CYP referred for low intensity early interventions across regions.

目的:本文的目的是描述转介到英国学校为基础的儿童和青少年心理健康服务。方法:儿童和青少年(CYP) (N = 485,年龄4-18岁)于2021年被转介到英格兰南部的两个心理健康支持团队站点,接受cbt知情干预,治疗轻度至中度焦虑和抑郁。在干预前完成儿童和家长报告的结果测量,包括症状严重程度和影响的测量。结果:转介包括61%的女性,57%的中学年龄(12-18岁)和81%的白人英国人。中学适龄儿童自我报告的焦虑(p = 0.003)和抑郁(p)水平显著较高。结论:研究结果与以学校为基础的儿童和青少年公共心理卫生服务的转变和提供直接相关。有必要从其他服务收集常规数据,以评估各区域转介进行低强度早期干预的CYP的更广泛需求。
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引用次数: 0
A preliminary investigation of the relationships between attachment insecurity, fear of compassion, and OCD severity 依恋不安全感、同情恐惧和强迫症严重程度之间关系的初步调查。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-24 DOI: 10.1111/bjc.12533
Aliya McNeil, Christine Purdon

Objectives

The most successful psychological treatment for obsessive-compulsive disorder (OCD) is cognitive behavioural therapy (CBT). However, treatment success remains around 50% when refusal and dropout are considered. Purdon (Journal of Behavior Therapy and Experimental, Psychiatry, 2023, 78, 101773) argued that the CBT model is under-specified, suggesting that there may be important treatment targets that are not directly addressed. Based on emerging research, she identified insecure attachment and fear of compassion (FOC) as potentially important targets. Insecure attachment and FOC are associated with OCD symptoms, and past research suggests that FOC may explain the relationship between attachment insecurity and emotional distress. We reasoned that FOC may also be an important predictor of OCD symptom severity.

Methods

We conducted two preliminary, pre-registered online survey studies with undergraduate samples to explore potential theoretical relationships between attachment, FOC, and OCD.

Results

Study one (N = 329) revealed that the indirect effect of attachment anxiety on OCD symptom severity through fear of self-compassion was significant, even when controlling for trait self-compassion. A significant indirect effect of attachment avoidance predicting OCD severity, through fear of receiving compassion, also emerged. Study two (N = 340) replicated these findings and extended this research by controlling for depression.

Conclusions

Taken together, these findings suggest that FOC could be an important variable to consider when conceptualizing OCD. Further exploration is warranted to understand the directionality of these relationships and whether attachment and FOC could be valuable targets in OCD treatment.

目的:对强迫症(OCD)最成功的心理治疗是认知行为疗法(CBT)。然而,如果考虑到拒绝和退出,治疗成功率仍在50%左右。Purdon (Journal of Behavior Therapy and Experimental, Psychiatry, 2023, 78, 101773)认为,CBT模型没有明确规定,这表明可能存在没有直接解决的重要治疗目标。根据最新的研究,她确定了不安全依恋和同情恐惧(FOC)是潜在的重要目标。不安全依恋和FOC与强迫症症状有关,过去的研究表明FOC可以解释依恋不安全和情绪困扰之间的关系。我们推断FOC也可能是强迫症症状严重程度的重要预测因子。方法:我们对大学生样本进行了两项初步的、预先注册的在线调查研究,以探索依恋、FOC和强迫症之间潜在的理论关系。结果:研究一(N = 329)发现,即使在控制特质性自我同情的情况下,依恋焦虑通过对自我同情的恐惧对强迫症症状严重程度的间接影响也是显著的。通过害怕得到同情,依恋回避对强迫症严重程度的预测也产生了重要的间接影响。研究二(N = 340)重复了这些发现,并通过控制抑郁来扩展这项研究。结论:综上所述,这些发现表明FOC可能是概念化强迫症时需要考虑的一个重要变量。进一步的探索是必要的,以了解这些关系的方向性,以及依恋和FOC是否可以成为强迫症治疗的有价值的目标。
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引用次数: 0
Imagining Futures: Evaluation of a blended programme of dialectical behaviour therapy and the creative arts for young women with a history of self-harm 想象未来:对有自残史的年轻女性的辩证行为疗法和创造性艺术混合方案的评估。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-19 DOI: 10.1111/bjc.12528
L. M. Smith, B. Barrett, S. Barnes, B. Oltean, L. Ige, C. Day, T. Tranah

Objectives

To evaluate an arts-enhanced dialectical behavioural therapy skills group for managing emotions and self-harm, implemented via an innovative public sector/third sector partnership to increase access to care.

Design

This is a pilot mixed-methods study.

Methods

To assess participant experience in the ‘Imagining Futures’ programme, we examined self-report questionnaires and qualitative focus group interviews using framework analysis. We collected recruitment, session attendance and programme completion rates. To explore impact, we also report on quantitative psychological outcome measures, including self-harm frequency and overall well-being.

Results

We recruited 45 young women (mean age: 15.9, s.d. = 1.24, range 13.9–18.0 years) with a history of emotional dysregulation, self-harm and other contextual risks who were not receiving support from statutory child and adolescent mental health services in the United Kingdom. Participants were 22% not in education, employment or training and 77% were from United Kingdom racially minoritized backgrounds. The overall completion rate was 62% (n = 28/45). Qualitative data analysed from respondents (n = 25/28 young people and n = 12 parents) suggested high levels of satisfaction with the project. Thirteen themes were identified which described service elements perceived to support engagement and observed impact. There was an important role for relationships and the creative components. Quantitative clinical data indicated reductions in the frequency of self-harming, significant reductions in the perceived impact of difficulties and increased perceived social support.

Conclusions

This novel delivery of a DBT skills group, incorporating blended psychology arts activities, has the potential to support engagement with psychological supports that improve mental well-being.

目的:评估通过创新的公共部门/第三部门合作伙伴关系实施的艺术增强的辩证行为治疗技能小组,以管理情绪和自我伤害,以增加获得护理的机会。设计:这是一项试验性混合方法研究。方法:为了评估参与者在“想象未来”项目中的体验,我们使用框架分析检查了自我报告问卷和定性焦点小组访谈。我们收集了招聘、课程出勤率和课程完成率。为了探索影响,我们还报告了定量的心理结果测量,包括自残频率和整体幸福感。结果:我们招募了45名年轻女性(平均年龄:15.9岁,s.d. = 1.24,范围13.9-18.0岁),她们有情绪失调、自残和其他背景风险史,没有得到英国法定儿童和青少年心理健康服务机构的支持。22%的参与者没有接受教育、就业或培训,77%的参与者来自英国的少数民族背景。总体完成率为62% (n = 28/45)。从受访者(n = 25/28名年轻人和n = 12名家长)中分析的定性数据表明,对该项目的满意度很高。确定了13个主题,其中描述了支持参与和观察到的影响的服务要素。人际关系和创造性元素扮演着重要的角色。定量临床数据表明,自我伤害的频率减少了,感知到的困难影响显著减少,感知到的社会支持增加了。结论:结合混合心理艺术活动的DBT技能组的这种新颖交付,有可能支持参与心理支持,从而改善心理健康。
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引用次数: 0
Relevance of ecological momentary assessment for medication adherence in clinical settings: A precision psychiatry approach 临床环境中对药物依从性的生态瞬时评估的相关性:一种精确的精神病学方法。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-17 DOI: 10.1111/bjc.12532
Valentine Chirokoff, Arnaud Tessier, Fuschia Serre, Maud Dupuy, Marc Auriacombe, Sandra Chanraud, Sylvie Berthoz, Melina Fatseas, David Misdrahi

Background

Medication non-adherence is a leading cause of treatment failure in psychiatric populations. However, current studies highlight the lack of methodological guidance on medication assessments. Ecological Momentary Assessment (EMA), using smartphone-based evaluations, shows promise for real-time monitoring in everyday settings.

Aims

This study evaluated EMA's effectiveness in assessing medication adherence in patients with schizophrenia, depression, and substance use disorders (SUD), covering various treatment regimens.

Materials & Methods

A total of 133 participants (27 with schizophrenia, 20 with depression, 44 with SUDs, and 42 healthy controls) completed EMA via study-provided smartphones five times daily over 1 week. Treatment regimens, categorized by mono vs. polytherapy and single vs. multiple daily doses, were documented. EMA adherence was calculated from the completion rate of the assessments, while medication adherence was assessed daily for patients. Both mean medication adherence and adherence variation over time were analysed by diagnosis and treatment regimen.

Results

All groups demonstrated high mean EMA and medication adherence, with minor variations across treatment types. Importantly, patients showed improved adherence over time, independently of diagnosis or regimen.

Discussion

These findings indicate EMA's potential as an effective method for capturing medication adherence in psychiatric populations.

Conclusion

The approach's capacity for real-time, context-sensitive data collection could reveal adherence patterns and changes not detectable by conventional methods, offering valuable insights for clinical practice.

背景:药物不依从性是精神科人群治疗失败的主要原因。然而,目前的研究强调缺乏药物评估的方法学指导。生态瞬间评估(EMA)使用智能手机进行评估,有望在日常环境中进行实时监测。目的:本研究评估了EMA在评估精神分裂症、抑郁症和物质使用障碍(SUD)患者药物依从性方面的有效性,涵盖了各种治疗方案。材料与方法:共有133名参与者(27名精神分裂症患者,20名抑郁症患者,44名sud患者和42名健康对照者)通过研究提供的智能手机完成EMA,每天5次,持续1周。治疗方案分为单药与多药、单药与多药。EMA依从性是根据评估的完成率计算的,而药物依从性是每天对患者进行评估的。通过诊断和治疗方案分析平均药物依从性和依从性随时间的变化。结果:所有组均表现出较高的平均EMA和药物依从性,不同治疗类型差异较小。重要的是,随着时间的推移,患者表现出更好的依从性,独立于诊断或治疗方案。讨论:这些发现表明EMA作为捕获精神科人群药物依从性的有效方法的潜力。结论:该方法具有实时、上下文敏感的数据收集能力,可以揭示常规方法无法检测到的依从性模式和变化,为临床实践提供有价值的见解。
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引用次数: 0
Editorial acknowledgement 社论承认
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-05 DOI: 10.1111/bjc.12521
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引用次数: 0
The role of impulsivity in the association between rumination and cannabis-related problems among trauma-exposed cannabis users 在创伤暴露的大麻使用者中,冲动在反刍和大麻相关问题之间的关联中的作用。
IF 3.1 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-02-05 DOI: 10.1111/bjc.12530
Jennifer U. Le, Regine M. Deguzman, Norman B. Schmidt, Nicole A. Short

Objectives

The Emotional Cascade Model posits that rumination is associated with impulsivity and risky behaviours such as substance use. Although trauma-exposed individuals often engage in rumination and problematic cannabis use, this model has not been tested on trauma-exposed cannabis users. Therefore, our study examines the direct and indirect effects between rumination and its subtypes with problematic cannabis use among trauma-exposed cannabis users. We also examine how these associations occur through impulsivity.

Methods

A cross-sectional sample of 56 trauma-exposed young adult cannabis users (Mage = 21 years, 59% female, 73% white) self-reported rumination, impulsivity, and cannabis-related problems. All participants provided written informed consent, and procedures were approved by the university's Institutional Review Board and pre-registered.

Results

Regression analyses indicated total and brooding rumination were related to greater cannabis-related problems, after covarying for number of traumas and cannabis use frequency. Rumination, specifically brooding, was incrementally associated with greater cannabis-related problems and had an indirect effect on cannabis-related problems through impulsivity. Consistent with hypothesis, rumination and impulsivity were incrementally associated with greater problematic cannabis use among trauma-exposed cannabis users.

Conclusion

The current study expands work on the Emotional Cascade Model by supporting the indirect effect of impulsivity in the association between rumination and problematic cannabis use.

研究目的情绪级联模型认为,反刍与冲动和药物使用等危险行为有关。虽然遭受创伤的人经常会产生反刍和使用问题大麻,但这一模型尚未在遭受创伤的大麻使用者身上进行过测试。因此,我们的研究探讨了反刍及其亚型对受创伤影响的大麻使用者使用问题大麻的直接和间接影响。我们还研究了这些关联是如何通过冲动性发生的:56名受创伤的年轻成人大麻使用者(年龄=21岁,59%为女性,73%为白人)自我报告了反刍、冲动和大麻相关问题。所有参与者都提供了书面知情同意书,研究程序获得了大学机构审查委员会的批准,并进行了预先登记:回归分析表明,在与创伤次数和大麻使用频率相关联后,总遐想和忧郁遐想与大麻相关问题的增加有关。反刍,特别是沉思,与大麻相关问题的增加呈递增关系,并通过冲动性对大麻相关问题产生间接影响。与假设一致的是,反刍和冲动与受到创伤的大麻使用者使用大麻的问题更多呈递增关系:本研究通过支持冲动在反刍与问题性吸食大麻之间的关联中的间接作用,扩展了情绪级联模型的研究工作。
{"title":"The role of impulsivity in the association between rumination and cannabis-related problems among trauma-exposed cannabis users","authors":"Jennifer U. Le,&nbsp;Regine M. Deguzman,&nbsp;Norman B. Schmidt,&nbsp;Nicole A. Short","doi":"10.1111/bjc.12530","DOIUrl":"10.1111/bjc.12530","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The Emotional Cascade Model posits that rumination is associated with impulsivity and risky behaviours such as substance use. Although trauma-exposed individuals often engage in rumination and problematic cannabis use, this model has not been tested on trauma-exposed cannabis users. Therefore, our study examines the direct and indirect effects between rumination and its subtypes with problematic cannabis use among trauma-exposed cannabis users. We also examine how these associations occur through impulsivity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional sample of 56 trauma-exposed young adult cannabis users (<i>M</i><sub>age</sub> = 21 years, 59% female, 73% white) self-reported rumination, impulsivity, and cannabis-related problems. All participants provided written informed consent, and procedures were approved by the university's Institutional Review Board and pre-registered.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regression analyses indicated total and brooding rumination were related to greater cannabis-related problems, after covarying for number of traumas and cannabis use frequency. Rumination, specifically brooding, was incrementally associated with greater cannabis-related problems and had an indirect effect on cannabis-related problems through impulsivity. Consistent with hypothesis, rumination and impulsivity were incrementally associated with greater problematic cannabis use among trauma-exposed cannabis users.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The current study expands work on the Emotional Cascade Model by supporting the indirect effect of impulsivity in the association between rumination and problematic cannabis use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"64 3","pages":"677-691"},"PeriodicalIF":3.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190570","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}
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British Journal of Clinical Psychology
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