Pub Date : 2025-11-26DOI: 10.1016/j.cpr.2025.102685
Katrina Hon , Takeshi Hamamura , Penelope Hasking , Eric Lim , Kassandra Hon , Mark Boyes
Facilitating voluntary disclosures of non-suicidal self-injury (NSSI) has emerged as a promising approach to catalysing personal recovery and early support-seeking for people who self-injure. However, approximately half of individuals who self-injure have never disclosed their NSSI. To date, there is a lack of theoretical explanations available to conceptualise the decision to disclose NSSI. However, various anticipatory cognitions (e.g., anticipated stigma) have been implicated in the disclosure process. As such, this scoping review used Social Cognitive Theory as a theoretical framework to identify and synthesise the social cognitive factors underlying NSSI disclosure. This review considered all published empirical articles and theses that 1) reported on populations with a history of NSSI, 2) examined NSSI disclosures, and 3) reported on at least one social cognitive factor associated with NSSI disclosures. The review was guided by Arksey and O’Malley's 5-step methodological framework and Joanna Briggs Institute's guidelines for conducting scoping reviews. The findings from 43 studies support the applicability of Social Cognitive Theory in conceptualising NSSI disclosures. Specifically, factors underlying the decision to disclose often aligned with the theory's fundamental tenets of self-efficacy, outcome expectancies, and social modelling. Across the literature, we identified cognitions that were consistently implicated as barriers or facilitators of NSSI disclosure. The findings indicate that expectancy-challenge interventions may be effective in facilitating disclosures of NSSI. Despite this, the findings of the review call for future research validating the utility of Social Cognitive Theory in the disclosure context, particularly among culturally diverse populations.
{"title":"Applying social cognitive theory to understanding the disclosure of non-suicidal self-injury: A scoping review","authors":"Katrina Hon , Takeshi Hamamura , Penelope Hasking , Eric Lim , Kassandra Hon , Mark Boyes","doi":"10.1016/j.cpr.2025.102685","DOIUrl":"10.1016/j.cpr.2025.102685","url":null,"abstract":"<div><div>Facilitating voluntary disclosures of non-suicidal self-injury (NSSI) has emerged as a promising approach to catalysing personal recovery and early support-seeking for people who self-injure. However, approximately half of individuals who self-injure have never disclosed their NSSI. To date, there is a lack of theoretical explanations available to conceptualise the decision to disclose NSSI. However, various anticipatory cognitions (e.g., anticipated stigma) have been implicated in the disclosure process. As such, this scoping review used Social Cognitive Theory as a theoretical framework to identify and synthesise the social cognitive factors underlying NSSI disclosure. This review considered all published empirical articles and theses that 1) reported on populations with a history of NSSI, 2) examined NSSI disclosures, and 3) reported on at least one social cognitive factor associated with NSSI disclosures. The review was guided by Arksey and O’Malley's 5-step methodological framework and Joanna Briggs Institute's guidelines for conducting scoping reviews. The findings from 43 studies support the applicability of Social Cognitive Theory in conceptualising NSSI disclosures. Specifically, factors underlying the decision to disclose often aligned with the theory's fundamental tenets of self-efficacy, outcome expectancies, and social modelling. Across the literature, we identified cognitions that were consistently implicated as barriers or facilitators of NSSI disclosure. The findings indicate that expectancy-challenge interventions may be effective in facilitating disclosures of NSSI. Despite this, the findings of the review call for future research validating the utility of Social Cognitive Theory in the disclosure context, particularly among culturally diverse populations.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"123 ","pages":"Article 102685"},"PeriodicalIF":12.2,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-19DOI: 10.1016/j.cpr.2025.102671
Benjamin C. Darnell , Natasha Benfer , Brett T. Litz
The development and dissemination of evidence-based psychotherapies (EBPs) has revolutionized treatment for posttraumatic stress disorder (PTSD). However, when EBPs fail or are otherwise not a good fit, providers are left with few evidence-based options for personalizing treatment to meet unique patient needs. Further, there is little recourse for real-world, clinically relevant knowledge to inform and confirm research hypotheses regarding intervention effectiveness and its moderators. In this paper, we review the research and clinical context barriers to evidence-based idiographic treatment planning and generating iterative, ecologically valid, and locally actionable practice-based research. We propose a localized learning healthcare approach that foregrounds the needs of providers and patients and generates continuous practice-based evidence from real-world care. We provide recommendations to advance this approach that prioritize systematic evaluation of its feasibility and utility, and the enhancement of measurement-based care infrastructure through using clinical dashboards and benchmarks for change, balancing standardized and flexible assessment, tracking interventions, and addressing barriers to implementation and compliance. We frame our recommendations within the context of the United States Department of Veterans Affairs network of PTSD specialty care clinics, given that this network is exceptionally well-suited to be at the forefront of a new practice-based research paradigm.
{"title":"Heuristic recommendations to advance knowledge about personalizing PTSD treatment via practice-based research","authors":"Benjamin C. Darnell , Natasha Benfer , Brett T. Litz","doi":"10.1016/j.cpr.2025.102671","DOIUrl":"10.1016/j.cpr.2025.102671","url":null,"abstract":"<div><div>The development and dissemination of evidence-based psychotherapies (EBPs) has revolutionized treatment for posttraumatic stress disorder (PTSD). However, when EBPs fail or are otherwise not a good fit, providers are left with few evidence-based options for personalizing treatment to meet unique patient needs. Further, there is little recourse for real-world, clinically relevant knowledge to inform and confirm research hypotheses regarding intervention effectiveness and its moderators. In this paper, we review the research and clinical context barriers to evidence-based idiographic treatment planning and generating iterative, ecologically valid, and locally actionable practice-based research. We propose a localized learning healthcare approach that foregrounds the needs of providers and patients and generates continuous practice-based evidence from real-world care. We provide recommendations to advance this approach that prioritize systematic evaluation of its feasibility and utility, and the enhancement of measurement-based care infrastructure through using clinical dashboards and benchmarks for change, balancing standardized and flexible assessment, tracking interventions, and addressing barriers to implementation and compliance. We frame our recommendations within the context of the United States Department of Veterans Affairs network of PTSD specialty care clinics, given that this network is exceptionally well-suited to be at the forefront of a new practice-based research paradigm.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"123 ","pages":"Article 102671"},"PeriodicalIF":12.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145553340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-19DOI: 10.1016/j.cpr.2025.102673
Kai Härpfer, Anja Riesel
Human learning and as a result, the improvement of cognitive and behavioral performance, relies heavily on the ability of the brain to monitor errors. Event-related potentials such as the error-related negativity (ERN) enable us to observe and measure these brain processes. Meta-analytical evidence indicates that a trait-like attenuated ERN may serve as a biomarker for externalizing and thought disorders, whereas an elevated ERN is associated with increased risk for internalizing disorders. In this review, we synthesize previous research and propose an integrative model of error-related brain activity and psychopathology, highlighting the role of an altered ERN as a risk marker and its trajectories toward clinical symptoms. Early shaping factors during childhood and adolescence (i.e., genetics, gender/sex, cognition, temperament, and the psychosocial environment) contribute to a trait-like hypo- or hyperactive error monitoring system that reflects vulnerability to mental health impairments. The translation from vulnerability to psychopathology is further catalyzed by individual factors (i.e., gender/sex/hormones and temperament/personality traits) as well as environmental influences (i.e., susceptibility to adverse life events and interpersonal stress). Underlying latent symptom dimensions along the lines of threat sensitivity and risk tolerance, may explain why only certain clinical phenotypes are associated with altered ERN amplitudes. Overall, our integrative model provides a framework for future research to further investigate each of these associations, the directions of effects, or even entire pathways. Moreover, a neurobiological understanding of psychopathology may inform the development of tailored and personalized interventions.
{"title":"On the role of neural error monitoring in clinical research: An integrative model of altered error-related brain activity and psychopathology","authors":"Kai Härpfer, Anja Riesel","doi":"10.1016/j.cpr.2025.102673","DOIUrl":"10.1016/j.cpr.2025.102673","url":null,"abstract":"<div><div>Human learning and as a result, the improvement of cognitive and behavioral performance, relies heavily on the ability of the brain to monitor errors. Event-related potentials such as the error-related negativity (ERN) enable us to observe and measure these brain processes. Meta-analytical evidence indicates that a trait-like attenuated ERN may serve as a biomarker for externalizing and thought disorders, whereas an elevated ERN is associated with increased risk for internalizing disorders. In this review, we synthesize previous research and propose an integrative model of error-related brain activity and psychopathology, highlighting the role of an altered ERN as a risk marker and its trajectories toward clinical symptoms. Early shaping factors during childhood and adolescence (i.e., genetics, gender/sex, cognition, temperament, and the psychosocial environment) contribute to a trait-like hypo- or hyperactive error monitoring system that reflects vulnerability to mental health impairments. The translation from vulnerability to psychopathology is further catalyzed by individual factors (i.e., gender/sex/hormones and temperament/personality traits) as well as environmental influences (i.e., susceptibility to adverse life events and interpersonal stress). Underlying latent symptom dimensions along the lines of threat sensitivity and risk tolerance, may explain why only certain clinical phenotypes are associated with altered ERN amplitudes. Overall, our integrative model provides a framework for future research to further investigate each of these associations, the directions of effects, or even entire pathways. Moreover, a neurobiological understanding of psychopathology may inform the development of tailored and personalized interventions.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"123 ","pages":"Article 102673"},"PeriodicalIF":12.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145554091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-19DOI: 10.1016/j.cpr.2025.102674
Anahí Collado , Antonella Onofrietti Magrassi , Jennifer Hudson , Marian Ruiz
Latinas/os in the U.S. experience depression and anxiety at rates comparable to or exceeding national averages, yet face systemic barriers to mental health care, including language access, stigma, and provider shortages. This systematic review evaluated the state of the literature on peer-delivered mental health interventions for depression and anxiety among Latinas/os, synthesizing evidence from 36 studies (published between 2007 and 2025). Findings indicate that 72 % of peer-led programs significantly reduced depression and anxiety symptoms, with the highest efficacy observed for mental health-specific interventions (88 % success rate), interventions lasting eight or more sessions (82 %), community-based group interventions (81 %). Variability in peer training (4–60+ hours) and limited inclusion of anxiety-focused programs, men, adolescents, and rural populations highlight ongoing gaps. Results highlight that peer support is an effective, culturally responsive approach for improving depression and anxiety outcomes in Latino/a populations. Its scalability and alignment with community needs suggest that such interventions may also contribute to advancing mental health equity, particularly by reaching underserved groups. Policy and research should focus on standardized training, hybrid delivery models, and extending these programs to underserved regions and populations.
{"title":"Harnessing Compañerismo: A systematic review of peer-delivered mental health support for depression and anxiety in Latino/a communities","authors":"Anahí Collado , Antonella Onofrietti Magrassi , Jennifer Hudson , Marian Ruiz","doi":"10.1016/j.cpr.2025.102674","DOIUrl":"10.1016/j.cpr.2025.102674","url":null,"abstract":"<div><div>Latinas/os in the U.S. experience depression and anxiety at rates comparable to or exceeding national averages, yet face systemic barriers to mental health care, including language access, stigma, and provider shortages. This systematic review evaluated the state of the literature on peer-delivered mental health interventions for depression and anxiety among Latinas/os, synthesizing evidence from 36 studies (published between 2007 and 2025). Findings indicate that 72 % of peer-led programs significantly reduced depression and anxiety symptoms, with the highest efficacy observed for mental health-specific interventions (88 % success rate), interventions lasting eight or more sessions (82 %), community-based group interventions (81 %). Variability in peer training (4–60+ hours) and limited inclusion of anxiety-focused programs, men, adolescents, and rural populations highlight ongoing gaps. Results highlight that peer support is an effective, culturally responsive approach for improving depression and anxiety outcomes in Latino/a populations. Its scalability and alignment with community needs suggest that such interventions may also contribute to advancing mental health equity, particularly by reaching underserved groups. Policy and research should focus on standardized training, hybrid delivery models, and extending these programs to underserved regions and populations.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"123 ","pages":"Article 102674"},"PeriodicalIF":12.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145553391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-19DOI: 10.1016/j.cpr.2025.102672
Yixuan Li, Yuhui Liu, Monja Knoll, Ingrid Obsuth
There is a growing body of evidence indicating that cyberbullying victimisation (CV) among youth is associated with internalising problems, such as depression, anxiety, non-suicidal self-injury (NSSI) and suicidality. Despite numerous individual studies examining the mechanisms linking CV to internalising problems, no meta-analyses have systematically synthesised the evidence on mediating pathways, leaving a critical gap in understanding how CV is linked to these internalising problems. This systematic review and meta-analysis addressed this gap by identifying and synthesising key factors that influence the link between CV and internalising problems. We searched multiple databases, identifying 125 quantitative studies in English or Chinese that met our inclusion criteria. Our review categorised the mediators into emotional dysregulation, social support, cognitive processes, internalising problems, externalising problems and life stressors across cross-sectional and longitudinal studies with 260,608 participants from 33 countries. Separate meta-analytic structural equation modelling (MASEM) analyses revealed that emotional dysregulation, internalising problems, life stressors and social support partially mediated the impact of CV on depression/anxiety, and internalising problems partially mediated the association between CV and NSSI/suicidality. These findings highlight the need for prevention and intervention strategies focused on these mechanisms to improve youth mental well-being.
{"title":"Mechanisms linking cyberbullying victimisation to internalising problems in youth: A systematic review and meta-analytic structural equation modelling","authors":"Yixuan Li, Yuhui Liu, Monja Knoll, Ingrid Obsuth","doi":"10.1016/j.cpr.2025.102672","DOIUrl":"10.1016/j.cpr.2025.102672","url":null,"abstract":"<div><div>There is a growing body of evidence indicating that cyberbullying victimisation (CV) among youth is associated with internalising problems, such as depression, anxiety, non-suicidal self-injury (NSSI) and suicidality. Despite numerous individual studies examining the mechanisms linking CV to internalising problems, no meta-analyses have systematically synthesised the evidence on mediating pathways, leaving a critical gap in understanding how CV is linked to these internalising problems. This systematic review and meta-analysis addressed this gap by identifying and synthesising key factors that influence the link between CV and internalising problems. We searched multiple databases, identifying 125 quantitative studies in English or Chinese that met our inclusion criteria. Our review categorised the mediators into emotional dysregulation, social support, cognitive processes, internalising problems, externalising problems and life stressors across cross-sectional and longitudinal studies with 260,608 participants from 33 countries. Separate meta-analytic structural equation modelling (MASEM) analyses revealed that emotional dysregulation, internalising problems, life stressors and social support partially mediated the impact of CV on depression/anxiety, and internalising problems partially mediated the association between CV and NSSI/suicidality. These findings highlight the need for prevention and intervention strategies focused on these mechanisms to improve youth mental well-being.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"123 ","pages":"Article 102672"},"PeriodicalIF":12.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145553338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-11DOI: 10.1016/j.cpr.2025.102670
Rose Doherty , Nathan Weber , Charley Hillier , Robert Ross , Ryan Balzan
{"title":"Corrigendum to Jumping to conclusions and delusional ideation: A systematic review and meta-analysis across the psychosis continuum [Clinical Psychology Review 120 (2025) 102618]","authors":"Rose Doherty , Nathan Weber , Charley Hillier , Robert Ross , Ryan Balzan","doi":"10.1016/j.cpr.2025.102670","DOIUrl":"10.1016/j.cpr.2025.102670","url":null,"abstract":"","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102670"},"PeriodicalIF":12.2,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-04DOI: 10.1016/j.cpr.2025.102669
Dorota Ali , Mackenzie Bougoure , Brodie Cooper , Alice M.G. Quinton , Diana Tan , Jack Brett , William Mandy , Murray Maybery , Iliana Magiati , Francesca Happé
‘Autistic burnout’ is described as a debilitating state of exhaustion experienced by autistic people due to living in a world that often lacks accommodations and understanding of their needs. This systematic review thematically synthesised research on how autistic people understand and experience burnout. We reviewed 48 studies (30 qualitative, seven quantitative, and 11 mixed methods), which included approximately 4000 autistic people, predominantly featuring White, female, late-diagnosed autistic adults with at least average intellectual and/or verbal abilities. Our findings suggest that burnout, as experienced by these autistic people, consisted of debilitating exhaustion and increased disability, which could be chronic with intermittent crises. Sensory and social overwhelm, camouflaging, ignorance and stigma, everyday life challenges, and alexithymia contributed to burnout. Burnout held negative consequences for health and well-being, community involvement, and maintaining hope for the future. Having a more accurate framework for self-understanding, meeting the needs for rest, solitude, and sensory relief, and having individual and community support helped with recovery. Addressing burnout effectively will require individual coping strategies, clinical recognition, and broader societal awareness and acceptance of supporting diverse needs and ways of being. Future research should investigate burnout and its associated factors in more representative autistic samples.
{"title":"Burnout as experienced by autistic people: A systematic review","authors":"Dorota Ali , Mackenzie Bougoure , Brodie Cooper , Alice M.G. Quinton , Diana Tan , Jack Brett , William Mandy , Murray Maybery , Iliana Magiati , Francesca Happé","doi":"10.1016/j.cpr.2025.102669","DOIUrl":"10.1016/j.cpr.2025.102669","url":null,"abstract":"<div><div>‘Autistic burnout’ is described as a debilitating state of exhaustion experienced by autistic people due to living in a world that often lacks accommodations and understanding of their needs. This systematic review thematically synthesised research on how autistic people understand and experience burnout. We reviewed 48 studies (30 qualitative, seven quantitative, and 11 mixed methods), which included approximately 4000 autistic people, predominantly featuring White, female, late-diagnosed autistic adults with at least average intellectual and/or verbal abilities. Our findings suggest that burnout, as experienced by these autistic people, consisted of debilitating exhaustion and increased disability, which could be chronic with intermittent crises. Sensory and social overwhelm, camouflaging, ignorance and stigma, everyday life challenges, and alexithymia contributed to burnout. Burnout held negative consequences for health and well-being, community involvement, and maintaining hope for the future. Having a more accurate framework for self-understanding, meeting the needs for rest, solitude, and sensory relief, and having individual and community support helped with recovery. Addressing burnout effectively will require individual coping strategies, clinical recognition, and broader societal awareness and acceptance of supporting diverse needs and ways of being. Future research should investigate burnout and its associated factors in more representative autistic samples.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102669"},"PeriodicalIF":12.2,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145434588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-11DOI: 10.1016/j.cpr.2025.102661
Liam Alexander MacKenzie Myles , Matthew Hotton , Francis Madden , Paul M. Salkovskis
Background
This systematic review and meta-analysis evaluated whether people with obsessive-compulsive disorder (OCD) exhibit differences in associative learning.
Methods
CINAHL, Cochrane Library, EMBASE, PsycINFO, PubMed, Scopus and Web of Science were searched for published peer-reviewed studies in English quantitatively examining the relationship between OCD and associative phenomena in humans. 5508 titles, 124 abstracts and 55 full texts were reviewed; citation searching identified 15 records. Sixty-six studies were included. Risk of bias was assessed and random-effects meta-analysis synthesised results.
Results
Obsessive-compulsive disorder was associated with differences in extinction (g = 0.37, p < .001, k = 15) and mediated associative learning (k = 1), but not associative learning (g = −0.12, p = .26, k = 49), avoidance learning (g = 1.5, p = .13, k = 4), blocking (k = 1), generalisation (g = −0.2, p = .16, k = 3), latent inhibition (g = 0.45, p = .39, k = 3), outcome devaluation (g = 0.26, p = .33, k = 7), Pavlovian-to-instrumental transfer (g = −0.24, p = .22, k = 2) or reversal learning (g = 0.16, p = .36, k = 10). The quality of evidence was moderate for reversal learning, low for associative learning, extinction, generalisation, latent inhibition and Pavlovian-to-instrumental transfer, and very low for avoidance learning and outcome devaluation.
Conclusion
Low quality evidence suggests people with OCD learn that stimuli no longer predict negatively valanced outcomes slower than healthy controls. Future research must elucidate the cause of attenuated extinction and its specificity to OCD.
本系统综述和荟萃分析评估了强迫症患者在联想学习方面是否表现出差异。
{"title":"Systematic review and meta-analysis examining the effect of obsessive-compulsive disorder on associative learning","authors":"Liam Alexander MacKenzie Myles , Matthew Hotton , Francis Madden , Paul M. Salkovskis","doi":"10.1016/j.cpr.2025.102661","DOIUrl":"10.1016/j.cpr.2025.102661","url":null,"abstract":"<div><h3>Background</h3><div>This systematic review and meta-analysis evaluated whether people with obsessive-compulsive disorder (OCD) exhibit differences in associative learning.</div></div><div><h3>Methods</h3><div>CINAHL, Cochrane Library, EMBASE, PsycINFO, PubMed, Scopus and Web of Science were searched for published peer-reviewed studies in English quantitatively examining the relationship between OCD and associative phenomena in humans. 5508 titles, 124 abstracts and 55 full texts were reviewed; citation searching identified 15 records. Sixty-six studies were included. Risk of bias was assessed and random-effects meta-analysis synthesised results.</div></div><div><h3>Results</h3><div>Obsessive-compulsive disorder was associated with differences in extinction (g = 0.37, <em>p</em> < .001, k = 15) and mediated associative learning (k = 1), but not associative learning (g = −0.12, <em>p</em> = .26, k = 49), avoidance learning (g = 1.5, <em>p</em> = .13, k = 4), blocking (k = 1), generalisation (g = −0.2, <em>p</em> = .16, k = 3), latent inhibition (g = 0.45, <em>p</em> = .39, k = 3), outcome devaluation (g = 0.26, <em>p</em> = .33, k = 7), Pavlovian-to-instrumental transfer (g = −0.24, <em>p</em> = .22, k = 2) or reversal learning (g = 0.16, <em>p</em> = .36, k = 10). The quality of evidence was moderate for reversal learning, low for associative learning, extinction, generalisation, latent inhibition and Pavlovian-to-instrumental transfer, and very low for avoidance learning and outcome devaluation.</div></div><div><h3>Conclusion</h3><div>Low quality evidence suggests people with OCD learn that stimuli no longer predict negatively valanced outcomes slower than healthy controls. Future research must elucidate the cause of attenuated extinction and its specificity to OCD.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102661"},"PeriodicalIF":12.2,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145412323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-10DOI: 10.1016/j.cpr.2025.102659
Yael I. Nillni , Anna C. Barbano , Jessica N. Coleman , Michelle Fernando , Megan R. Gerber , Nichole Goodsmith , Kristin O. Haeger , Claire A. Hoffmire , Arielle Horenstein , Sabra S. Inslicht , Amanda M. Johnson , Jodie G. Katon , Eydie L. Moses-Kolko , Katherine A. Kosman , Suzanne L. Pineles , Zoe H. Pleasure , Namrata Singh , Laura J. Miller
Compared to their non-Veteran peers, women Veterans have a higher burden of trauma and mental health conditions, which intersect with reproductive health across the lifespan. This scoping review summarizes the outcomes of 83 studies focused on the associations between trauma or mental health and reproductive health among women Veterans in the United States. While research in some areas of reproductive health (i.e., sexual dysfunction, perinatal health) have steadily increased, other areas (e.g., menopausal symptoms) remain largely unstudied. Findings reveal that trauma, particularly sexual trauma, and mental health conditions, especially PTSD and depression, are associated with adverse reproductive health outcomes for women Veterans across the lifespan, including unintended pregnancies, adverse gynecological conditions, sexual dysfunction, adverse perinatal outcomes, and increased distress during routine gynecological care procedures. The review underscores the need for trauma-informed care, integration of reproductive and mental health services, and additional research on underexplored reproductive health outcomes.
{"title":"The intersection of trauma, mental health, and reproductive health among women veterans: A scoping review","authors":"Yael I. Nillni , Anna C. Barbano , Jessica N. Coleman , Michelle Fernando , Megan R. Gerber , Nichole Goodsmith , Kristin O. Haeger , Claire A. Hoffmire , Arielle Horenstein , Sabra S. Inslicht , Amanda M. Johnson , Jodie G. Katon , Eydie L. Moses-Kolko , Katherine A. Kosman , Suzanne L. Pineles , Zoe H. Pleasure , Namrata Singh , Laura J. Miller","doi":"10.1016/j.cpr.2025.102659","DOIUrl":"10.1016/j.cpr.2025.102659","url":null,"abstract":"<div><div>Compared to their non-Veteran peers, women Veterans have a higher burden of trauma and mental health conditions, which intersect with reproductive health across the lifespan. This scoping review summarizes the outcomes of 83 studies focused on the associations between trauma or mental health and reproductive health among women Veterans in the United States. While research in some areas of reproductive health (i.e., sexual dysfunction, perinatal health) have steadily increased, other areas (e.g., menopausal symptoms) remain largely unstudied. Findings reveal that trauma, particularly sexual trauma, and mental health conditions, especially PTSD and depression, are associated with adverse reproductive health outcomes for women Veterans across the lifespan, including unintended pregnancies, adverse gynecological conditions, sexual dysfunction, adverse perinatal outcomes, and increased distress during routine gynecological care procedures. The review underscores the need for trauma-informed care, integration of reproductive and mental health services, and additional research on underexplored reproductive health outcomes.</div></div>","PeriodicalId":48458,"journal":{"name":"Clinical Psychology Review","volume":"122 ","pages":"Article 102659"},"PeriodicalIF":12.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-10DOI: 10.1016/j.cpr.2025.102652
David P. Cenkner, Amy L. Dent, Agnes Zhou, Katherine E. Wislocki, Sarah K. Stevens, Sono Lee, Kayvon Amindari, Matt Sereno, Daniel Lu, Megan Chang, Hanniel Uwadia, Ethan G. Smith, Riley Woo, Hana Nip, Bethzaida N. Serrano, Alyson K. Zalta
Posttraumatic stress disorder (PTSD) is an established risk factor for suicidality in service members and veterans (SM/Vs). However, no meta-analysis has examined associations between PTSD symptom severity and suicidality in SM/Vs or moderators of these relationships. Three meta-analyses examined cross-sectional correlations between PTSD symptoms and suicide ideation, attempt, and risk. Seven databases were searched four times, most recently in June 2025. Eligible reports had to include adult SM/Vs, be written in English, be published in or after 1980, assess PTSD symptoms, and include a validated measure of suicidal ideation, attempts, or risk (or single item of attempts). We included 87 ideation effect sizes representing 82,318 SM/Vs, 74 attempt effect sizes representing 104,952 SM/Vs, and 45 risk effect sizes representing 38,927 SM/Vs. Correlated-and-hierarchical effects models with robust variance estimation revealed significant summary correlations for ideation (rz = 0.29; 95 % PI [0.02, 0.57]), attempt (rz = 0.16; 95 % PI [0.003, 0.32]), and risk (rz = 0.40; 95 % PI [0.08, 0.72]), all with statistically significant heterogeneity. Among 19 moderators tested, veteran status (v. active-duty) significantly strengthened the correlation with suicidal ideation (b = 0.12, se = 0.04, t(34.03) = 2.91, p = .006) and suicide attempt (b = 0.08, se = 0.03, t(19.83) = 2.44, p = .024). Partnered status significantly strengthened the correlation with suicide risk (b = 0.01, se = 0.00, t(8.77) = 4.62, p = .001). Findings highlight who might be at greater risk for suicide and underscore the potential benefits of treating PTSD symptoms for suicide prevention in SM/Vs.
创伤后应激障碍（PTSD）是现役军人和退伍军人（SM/Vs）自杀的一个确定的危险因素。然而，没有荟萃分析研究PTSD症状严重程度与SM/ v自杀之间的关系或这些关系的调节因子。三项荟萃分析检验了PTSD症状与自杀意念、企图和风险之间的横断面相关性。七个数据库被搜索了四次，最近一次是在2025年6月。合格的报告必须包括成人SM/ v，用英语书写，在1980年或之后出版，评估PTSD症状，并包括自杀意念、企图或风险（或企图的单项）的有效测量。我们纳入了87个构思效应大小，代表82318个SM/ v， 74个尝试效应大小，代表104952个SM/ v，以及45个风险效应大小，代表38927个SM/ v。具有稳健方差估计的相关和层次效应模型显示，构思（rz = 0.29; 95% PI[0.02, 0.57]）、尝试（rz = 0.16; 95% PI[0.003, 0.32]）和风险（rz = 0.40; 95% PI[0.08, 0.72]）的汇总相关性显著，均具有统计学上显著的异质性。在被测的19个调节因子中，退伍军人身份与自杀意念（b = 0.12, se = 0.04, t(34.03) = 2.91, p = 0.006）和自杀企图（b = 0.08, se = 0.03, t(19.83) = 2.44, p = 0.024）的相关性显著增强。伴侣状态与自杀风险的相关性显著增强（b = 0.01, se = 0.00, t(8.77) = 4.62, p = 0.001）。研究结果强调了哪些人可能有更大的自杀风险，并强调了治疗创伤后应激障碍症状对SM/ v自杀预防的潜在益处。
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