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Annual Review of Clinical Psychology最新文献

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Climate Change and Mental Health
IF 18.4 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-12-11 DOI: 10.1146/annurev-clinpsy-081423-025932
Susan Clayton, Tara Crandon
Climate change negatively threatens mental health through acute, chronic, indirect, and vicarious pathways. Though these psychological consequences will be felt globally, specific populations are at increased risk. This article describes the complex and diverse ways in which climate change can affect mental health and the resulting challenges that health care services will inevitably face. In responding to these threats, both prevention and intervention are urgently needed. Although mitigating the extent of climate change is crucial, we can also foster resilience to climate change—the ability to manage, respond to, and prepare for climate-related adversity—at the systemic, community, and individual levels. The mental health field must prepare for the significant burden that climate change will place on population health and well-being in the long term. In this review, we aim to inform and provide examples of how decision makers, the mental health discipline, and mental health professionals can respond.
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引用次数: 0
Wisdom, Resilience, and Well-Being in Later Life
IF 18.4 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-12-02 DOI: 10.1146/annurev-clinpsy-081423-031855
Dilip V. Jeste, George S. Alexopoulos, Dan G. Blazer, Helen Lavretsky, Perminder S. Sachdev, Charles F. Reynolds
As the numbers of older adults continue to increase globally, the need for facilitating healthy aging has become critical. While a physically healthy lifestyle, including exercise and diet, is important, recent research has highlighted a major impact of psychosocial determinants of health, such as resilience, wisdom, positive social connections, and mental well-being, on whole health. This article focuses on keeping the mind and brain healthy with psychosocially active aging. It has six sections: Philosophy Concepts of Wisdom, Resilience, and Well-Being; Wisdom: Clinical, Neurobiological, and Evolutionary Perspectives; Resilience, Adaptation, and Augmentation; Psychological Resilience, Brain Health, and Whole Person Health; Preventing Depression and Promoting Resilience and Well-Being in Old Age; and The Centenarian as a Model of Resilience and Well-Being. We discuss the biopsychosocial mechanisms and effectiveness of healthy lifestyle strategies and propose a framework for future research and its practical implications for promoting wisdom, resilience, and well-being at the individual, societal, and policy levels.
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引用次数: 0
The Mental Health of Sexual Minority Individuals: Five Explanatory Theories and Their Implications for Intervention and Future Research
IF 18.4 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-12-02 DOI: 10.1146/annurev-clinpsy-081423-022014
John E. Pachankis, Kirsty A. Clark
Research on the disparity in common mental health problems borne by sexual minority individuals has entered a stage of increasing theoretical complexity. Indeed, such a substantial disparity is likely not determined by a singular cause and therefore warrants diverse etiological perspectives tested with increasingly rigorous methodologies. The research landscape is made even more complex by the constant and rapid shift in the ways in which sexual minority people understand and characterize their own identities and experiences. This review introduces readers to this complexity by summarizing the historical legacy of research on the sexual orientation disparity in mental health, describing five contemporary theoretical explanations for this disparity and their supporting evidence, and suggesting theoretically informed interventions for reducing this disparity. Last, we offer an agenda for future research to accurately model the complexity of the pathways and solutions to the disproportionately poorer mental health of sexual minority populations.
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引用次数: 0
Intervention Optimization: A Paradigm Shift and Its Potential Implications for Clinical Psychology. 干预优化:范式转变及其对临床心理学的潜在影响。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1146/annurev-clinpsy-080822-051119
Linda M Collins, Inbal Nahum-Shani, Kate Guastaferro, Jillian C Strayhorn, David J Vanness, Susan A Murphy

To build a coherent knowledge base about what psychological intervention strategies work, develop interventions that have positive societal impact, and maintain and increase this impact over time, it is necessary to replace the classical treatment package research paradigm. The multiphase optimization strategy (MOST) is an alternative paradigm that integrates ideas from behavioral science, engineering, implementation science, economics, and decision science. MOST enables optimization of interventions to strategically balance effectiveness, affordability, scalability, and efficiency. In this review we provide an overview of MOST, discuss several experimental designs that can be used in intervention optimization, consider how the investigator can use experimental results to select components for inclusion in the optimized intervention, discuss the application of MOST in implementation science, and list future issues in this rapidly evolving field. We highlight the feasibility of adopting this new research paradigm as well as its potential to hasten the progress of psychological intervention science.

为了建立一个连贯的知识库,了解哪些心理干预策略有效,开发对社会有积极影响的干预措施,并随着时间的推移保持和扩大这种影响,有必要取代传统的一揽子治疗研究范式。多阶段优化策略(MOST)是一种替代范式,它整合了行为科学、工程学、实施科学、经济学和决策科学的思想。多阶段优化策略能够优化干预措施,在有效性、可负担性、可扩展性和效率之间实现战略平衡。在这篇综述中,我们概述了 MOST,讨论了可用于干预优化的几种实验设计,考虑了研究人员如何利用实验结果选择纳入优化干预的组成部分,讨论了 MOST 在实施科学中的应用,并列举了这一快速发展领域的未来问题。我们强调了采用这一新研究范式的可行性及其加快心理干预科学进步的潜力。临床心理学年度评论》第 20 卷的最终在线出版日期预计为 2024 年 5 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。
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引用次数: 0
Immune Dysfunction in Schizophrenia Spectrum Disorders. 精神分裂症谱系障碍中的免疫功能失调。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 DOI: 10.1146/annurev-clinpsy-081122-013201
S S Gangadin, A D Enthoven, N J M van Beveren, J D Laman, I E C Sommer

Evidence from epidemiological, clinical, and biological research resulted in the immune hypothesis: the hypothesis that immune system dysfunction is involved in the pathophysiology of schizophrenia spectrum disorders (SSD). The promising implication of this hypothesis is the potential to use existing immunomodulatory treatment for innovative interventions for SSD. Here, we provide a selective historical review of important discoveries that have shaped our understanding of immune dysfunction in SSD. We first explain the basic principles of immune dysfunction, after which we travel more than a century back in time. Starting our journey with neurosyphilis-associated psychosis in the nineteenth century, we continue by evaluating the role of infections and autoimmunity in SSD and findings from assessment of immune function using new techniques, such as cytokine levels, microglia density, neuroimaging, and gene expression. Drawing from these findings, we discuss anti-inflammatory interventions for SSD, and we conclude with a look into the future.

流行病学、临床和生物学研究的证据提出了免疫假说:即免疫系统功能障碍与精神分裂症谱系障碍(SSD)的病理生理学有关。这一假说的潜在意义在于利用现有的免疫调节治疗方法对精神分裂症谱系障碍进行创新性干预。在此,我们有选择性地回顾了影响我们对 SSD 免疫功能障碍认识的重要发现。我们首先解释了免疫功能障碍的基本原理,然后将时间回溯到一个多世纪以前。从十九世纪的神经梅毒相关性精神病开始,我们继续评估了感染和自身免疫在 SSD 中的作用,以及使用细胞因子水平、小胶质细胞密度、神经影像学和基因表达等新技术评估免疫功能的发现。根据这些发现,我们讨论了针对 SSD 的抗炎干预措施,最后展望了未来。
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引用次数: 0
Prevalence Increases as Treatments Improve: An Evolutionary Perspective on the Treatment-Prevalence Paradox in Depression. 患病率随着治疗方法的改进而增加:从进化角度看抑郁症的治疗-患病率悖论》。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 DOI: 10.1146/annurev-clinpsy-080822-040442
Iony D Ezawa, Noah Robinson, Steven D Hollon

Depression is an eminently treatable disorder that responds to psychotherapy or medications; the efficacy of each has been established in hundreds of controlled trials. Nonetheless, the prevalence of depression has increased in recent years despite the existence of efficacious treatments-a phenomenon known as the treatment-prevalence paradox. We consider several possible explanations for this paradox, which range from a misunderstanding of the very nature of depression, inflated efficacy of the established treatments, and a lack of access to efficacious delivery of treatments. We find support for each of these possible explanations but especially the notion that large segments of the population lack access to efficacious treatments that are implemented as intended. We conclude by describing the potential of using lay therapists and digital technologies to overcome this lack of access and to reach historically underserved populations and simultaneously guarantee the quality of the interventions delivered.

抑郁症是一种非常容易治疗的疾病,对心理治疗或药物治疗均有反应;数百项对照试验已经证实了每种疗法的疗效。然而,尽管存在有效的治疗方法,近年来抑郁症的患病率却在上升--这种现象被称为治疗-患病率悖论。对于这种悖论,我们考虑了几种可能的解释,包括对抑郁症本质的误解、夸大已有治疗方法的疗效,以及缺乏有效的治疗方法。我们发现这些可能的解释都得到了支持,尤其是大部分人无法获得按预期实施的有效治疗这一观点。最后,我们介绍了利用非专业治疗师和数字技术来克服这种缺乏机会的问题,并帮助历史上得不到充分服务的人群,同时保证所提供干预措施的质量的潜力。
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引用次数: 0
Treatment of Eating Disorders: Current Status, Challenges, and Future Directions. 饮食失调症的治疗:现状、挑战和未来方向。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1146/annurev-clinpsy-080822-043256
Carlos M Grilo

Specific psychological treatments have demonstrated efficacy and represent the first-line approaches recommended for anorexia nervosa, bulimia nervosa, and binge-eating disorder. Unfortunately, many patients, particularly those with anorexia nervosa, do not derive sufficient benefit from existing treatments, and better or alternative treatments for eating disorders are needed. Less progress has been made in developing pharmacologic options for eating disorders. No medications approved for anorexia nervosa exist, and only one each exists for bulimia nervosa and for binge-eating disorder; available data indicate that most patients fail to benefit from available medications. Longer and combined treatments have generally not enhanced outcomes. This review presents emerging findings from more complex and clinically relevant adaptive treatment designs, as they offer some clinical guidance and may serve as models for future enhanced treatment research.

特定的心理治疗方法已被证明具有疗效,是建议用于治疗神经性厌食症、神经性贪食症和暴食症的一线方法。遗憾的是,许多患者,尤其是神经性厌食症患者,并没有从现有的治疗方法中获得足够的益处,因此需要对饮食失调症采取更好的或替代性的治疗方法。在开发治疗饮食失调症的药物方面,进展较小。目前还没有针对神经性厌食症的药物获得批准,针对神经性贪食症和暴食症的药物也各有一种;现有数据表明,大多数患者都无法从现有药物中获益。更长时间的综合治疗一般也不会提高疗效。本综述介绍了更为复杂且与临床相关的适应性治疗设计的新发现,因为这些设计可提供一些临床指导,并可作为未来强化治疗研究的模型。临床心理学年度综述》第 20 卷的最终在线出版日期预计为 2024 年 5 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。
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引用次数: 0
Life Is About Change: A Professional Memoir. 生命在于改变:职业回忆录》。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1146/annurev-clinpsy-081122-021157
Marvin R Goldfried

Receiving my doctorate in 1961 just as John F. Kennedy was inaugurated president of the United States, I was inspired by his sentiment that any person can make a difference, and every person should try. In this memoir I review my professional journey of trying to make a difference in researching, teaching, supervising, and practicing clinical psychology and psychotherapy. I began my career by working on an evidence base for projective techniques. Upon joining the Stony Brook faculty, I shifted my efforts to research on and practice of behavior therapy, and then to the incorporation of cognition in developing cognitive behavioral therapy. Further work on integration consisted of closing the gap between research and practice, lowering the barriers that existed across schools of therapy, and incorporating lesbian, gay, bisexual, and transgender issues into mainstream psychology.

1961年,约翰-肯尼迪(John F. Kennedy)就任美国总统时,我获得了博士学位,他的 "每个人都可以有所作为,每个人都应该尝试 "的观点激励了我。在这本回忆录中,我回顾了自己在临床心理学和心理治疗的研究、教学、督导和实践中努力做出改变的职业历程。我的职业生涯始于投射技术的实证研究。加入石溪大学后,我将工作重心转移到行为疗法的研究和实践上,然后又将认知纳入认知行为疗法的发展中。进一步的整合工作包括缩小研究与实践之间的差距、降低治疗流派之间存在的障碍,以及将女同性恋、男同性恋、双性恋和变性者问题纳入主流心理学。临床心理学年度评论》第 20 卷的最终在线出版日期预计为 2024 年 5 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。
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引用次数: 0
The Alternative Model of Personality Disorders: Assessment, Convergent and Discriminant Validity, and a Look to the Future. 人格障碍的替代模式:评估、收敛性和判别性的有效性,以及对未来的展望。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1146/annurev-clinpsy-081122-010709
Luis F García, Fernando Gutiérrez, Oscar García, Anton Aluja

The Alternative Model of Personality Disorders (AMPD) is a dimensional, empirically based diagnostic system developed to overcome the serious limitations of traditional categories. We review the mounting evidence on its convergent and discriminant validity, with an incursion into the less-studied ICD-11 system. In the literature, the AMPD's Pathological Trait Model (Criterion B) shows excellent convergence with normal personality traits, and it could be useful as an organizing framework for mental disorders. In contrast, Personality Functioning (Criterion A) cannot be distinguished from personality traits, lacks both discriminant and incremental validity, and has a shaky theoretical background. We offer some suggestions with a view to the future. These include removing Criterion A, using the real-life consequences of traits as indicators of severity, delving into the dynamic mechanisms underlying traits, and furthering the integration of currently disengaged psychological paradigms that can shape a sounder clinical science.

人格障碍替代模式(AMPD)是一种基于经验的维度诊断系统,旨在克服传统分类的严重局限性。我们回顾了有关其收敛性和鉴别性有效性的越来越多的证据,并对研究较少的 ICD-11 系统进行了探讨。在文献中,AMPD 的病态特质模型(标准 B)与正常人格特质有很好的趋同性,可以作为精神障碍的组织框架。相比之下,人格功能(标准 A)无法与人格特质区分开来,缺乏判别效度和增量效度,而且理论背景不稳固。展望未来,我们提出了一些建议。这些建议包括取消标准 A,使用特质的现实后果作为严重程度的指标,深入研究特质背后的动态机制,以及进一步整合目前不相干的心理学范式,从而形成更健全的临床科学。临床心理学年度评论》第 20 卷的最终在线出版日期预计为 2024 年 5 月。修订后的预计日期请参见 http://www.annualreviews.org/page/journal/pubdates。
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引用次数: 0
Intergenerational Transmission of Ethnoracial Historical Trauma in the United States. 美国人种历史创伤的代际传递。
IF 17.8 1区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-02 DOI: 10.1146/annurev-clinpsy-080822-044522
Donna K Nagata, Jacqueline H J Kim, Joseph P Gone

Throughout time, ethnoracial groups have endured a range of traumatic experiences as historically marginalized members of the United States. The consequences of these experiences have been referred to as historical trauma (HT): a collective trauma, inflicted on a group of people who share a specific identity, that has psychological, physical, and social impacts on succeeding generations. In this review, we examine the literature on HT in relation to US ethnoracial groups by defining HT, providing a background for its development, and describing critiques of the concept. We then review the literature on HT in relation to Indigenous Americans, African Americans, and Asian Americans. For each group, we address the nature of HT, the transmission of HT and its impacts, and healing strategies. We conclude with a summary of the benefits, limitations, and complexities of HT research as well as recommendations for future work in this area.

一直以来,族裔群体作为美国历史上被边缘化的成员,经历了一系列创伤。这些经历所造成的后果被称为历史创伤(HT):一种集体创伤,施加在具有特定身份的群体身上,对后代产生心理、生理和社会影响。在这篇综述中,我们将通过对历史创伤的定义、历史创伤的发展背景以及对这一概念的批判来研究与美国人种群体相关的历史创伤文献。然后,我们回顾了与美国原住民、非裔美国人和亚裔美国人有关的 HT 文献。针对每个群体,我们讨论了 HT 的性质、HT 的传播及其影响,以及治疗策略。最后,我们总结了 HT 研究的益处、局限性和复杂性,并对该领域未来的工作提出了建议。临床心理学年度评论》第 20 卷的最终在线出版日期预计为 2024 年 5 月。有关修订后的预计日期,请参阅 http://www.annualreviews.org/page/journal/pubdates。
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引用次数: 0
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Annual Review of Clinical Psychology
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