Pub Date : 2024-03-13DOI: 10.1177/21677026241234319
Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis
Suicide is a public-health concern that has been linked to multiple biological, psychological, and social risk factors. Rural living is purported to be a unique risk for suicide for myriad reasons. Yet there are some concerns with rural suicidology, notably regarding defining and operationalizing “rural.” Furthermore, the last comprehensive review of rural suicide is approximately 10 years old. With this in mind, in the current review, we offer (a) a comprehensive and updated overview of the operationalization and variability of rural in rural suicidology and (b) a summary of differences in direct and indirect suicide factors between rural and nonrural regions and whether potential differences depend on how rural is operationalized. Results indicate a high degree of heterogeneity in defining rural, rendering conclusions about both direct and indirect rural suicide risks unclear. We therefore present a set of recommendations for rural suicidologists to apply to enhance the understanding of suicide and, ultimately, prevent death by suicide in rural regions.
{"title":"Rural Suicide: A Systematic Review and Recommendations","authors":"Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis","doi":"10.1177/21677026241234319","DOIUrl":"https://doi.org/10.1177/21677026241234319","url":null,"abstract":"Suicide is a public-health concern that has been linked to multiple biological, psychological, and social risk factors. Rural living is purported to be a unique risk for suicide for myriad reasons. Yet there are some concerns with rural suicidology, notably regarding defining and operationalizing “rural.” Furthermore, the last comprehensive review of rural suicide is approximately 10 years old. With this in mind, in the current review, we offer (a) a comprehensive and updated overview of the operationalization and variability of rural in rural suicidology and (b) a summary of differences in direct and indirect suicide factors between rural and nonrural regions and whether potential differences depend on how rural is operationalized. Results indicate a high degree of heterogeneity in defining rural, rendering conclusions about both direct and indirect rural suicide risks unclear. We therefore present a set of recommendations for rural suicidologists to apply to enhance the understanding of suicide and, ultimately, prevent death by suicide in rural regions.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"113 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140124788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-11DOI: 10.1177/21677026231226312
Juhyun Park, Kristin Naragon-Gainey
Emotion regulation (ER) encompasses multiple, interdependent aspects (e.g., abilities, strategies, goals) whose collective contribution to mental-health outcomes is not well understood. To provide a more holistic picture of ER and better identify individuals who may be more susceptible to maladaptive ER and internalizing psychopathology, we examined latent profiles of positive and negative ER abilities and their associations with other aspects of ER (e.g., strategies, goals, success) and internalizing symptoms among adults cross-sectionally (Study 1) and daily (Study 2). In both studies, profiles characterized by pronounced deficits in positive ER abilities and below-average negative ER abilities were associated with maladaptive ER strategies and internalizing symptoms. Individuals with these profiles were also more likely to want to down-regulate positive emotions and use strategies reflecting disengagement from positive emotions in daily life. These findings provide insight into characteristics of vulnerable individuals, which can help refine current theory of ER and intervention efforts.
{"title":"Positive and Negative Emotion-Regulation Ability Profiles: Links With Strategies, Goals, and Internalizing Symptoms","authors":"Juhyun Park, Kristin Naragon-Gainey","doi":"10.1177/21677026231226312","DOIUrl":"https://doi.org/10.1177/21677026231226312","url":null,"abstract":"Emotion regulation (ER) encompasses multiple, interdependent aspects (e.g., abilities, strategies, goals) whose collective contribution to mental-health outcomes is not well understood. To provide a more holistic picture of ER and better identify individuals who may be more susceptible to maladaptive ER and internalizing psychopathology, we examined latent profiles of positive and negative ER abilities and their associations with other aspects of ER (e.g., strategies, goals, success) and internalizing symptoms among adults cross-sectionally (Study 1) and daily (Study 2). In both studies, profiles characterized by pronounced deficits in positive ER abilities and below-average negative ER abilities were associated with maladaptive ER strategies and internalizing symptoms. Individuals with these profiles were also more likely to want to down-regulate positive emotions and use strategies reflecting disengagement from positive emotions in daily life. These findings provide insight into characteristics of vulnerable individuals, which can help refine current theory of ER and intervention efforts.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"54 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140106262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-05DOI: 10.1177/21677026231215341
Michelle J. Zaso, Ian R. Troidl, Jennifer P. Read
Trauma and posttraumatic stress disorder (TR/PTSD) are implicated in deleterious alcohol outcomes, yet the processes that undergird these associations remain elusive. Affective (i.e., emotionally laden) cognitions may play key roles in TR/PTSD-related drinking that could inform prevention and intervention. In the present review, we synthesized extant literature ( k = 58) on affective cognitions and their role in negative- and positive-reinforcement TR/PTSD-related drinking, including alcohol-specific (e.g., drinking motives, alcohol expectancies) and non-alcohol-specific (e.g., emotion-regulation cognitions, perception and attentional biases) cognitions. Findings generally supported the importance of alcohol-specific cognitions in negative-reinforcement drinking more so than positive-reinforcement drinking. Non-alcohol-specific affective cognitions were considerably less researched. Several gaps in the knowledge base emerged; studies were overwhelmingly cross-sectional, conducted mainly within homogeneous college samples, and often did not disaggregate effects of trauma exposure from those of PTSD. Future research is needed to address these gaps to optimally inform clinical efforts to reduce TR/PTSD-related drinking risk.
{"title":"What Is the Role of Affective Cognition in Trauma and Posttraumatic-Stress-Disorder-Related Drinking? A Systematic Review","authors":"Michelle J. Zaso, Ian R. Troidl, Jennifer P. Read","doi":"10.1177/21677026231215341","DOIUrl":"https://doi.org/10.1177/21677026231215341","url":null,"abstract":"Trauma and posttraumatic stress disorder (TR/PTSD) are implicated in deleterious alcohol outcomes, yet the processes that undergird these associations remain elusive. Affective (i.e., emotionally laden) cognitions may play key roles in TR/PTSD-related drinking that could inform prevention and intervention. In the present review, we synthesized extant literature ( k = 58) on affective cognitions and their role in negative- and positive-reinforcement TR/PTSD-related drinking, including alcohol-specific (e.g., drinking motives, alcohol expectancies) and non-alcohol-specific (e.g., emotion-regulation cognitions, perception and attentional biases) cognitions. Findings generally supported the importance of alcohol-specific cognitions in negative-reinforcement drinking more so than positive-reinforcement drinking. Non-alcohol-specific affective cognitions were considerably less researched. Several gaps in the knowledge base emerged; studies were overwhelmingly cross-sectional, conducted mainly within homogeneous college samples, and often did not disaggregate effects of trauma exposure from those of PTSD. Future research is needed to address these gaps to optimally inform clinical efforts to reduce TR/PTSD-related drinking risk.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"26 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140043969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-29DOI: 10.1177/21677026231223755
P. Priscilla Lui, Craig Rodriguez-Seijas
Mental health disparities persist in countries such as the United States and across the world. Research with disparity populations is underrepresented in mainstream clinical psychological journals, and existing science has not focused on group specific lived experiences. Achieving mental health equity requires examination of determinants of psychopathology and health disparities and personal and cultural attributes that promote mental health. Clinical psychological science ideally also encourages and values research with underrepresented minority and underserved populations, novel and underused study designs, and research produced by diverse scholars. Our special issue highlights research that considers systematically culture specific processes, examines not only individual- but also community-level factors that relate to psychopathology and mental-health care, and challenges structural limitations in the current literature. We review these articles that incorporate innovative and community engaged approaches and showcase the importance of diversity in researcher and research participant demographics and perspectives in the advancement of equity in clinical psychological science.
{"title":"Understanding Ethnoracial Disparities and Advancing Mental Health Equity Through Clinical Psychological Science: Introduction to Special Issue","authors":"P. Priscilla Lui, Craig Rodriguez-Seijas","doi":"10.1177/21677026231223755","DOIUrl":"https://doi.org/10.1177/21677026231223755","url":null,"abstract":"Mental health disparities persist in countries such as the United States and across the world. Research with disparity populations is underrepresented in mainstream clinical psychological journals, and existing science has not focused on group specific lived experiences. Achieving mental health equity requires examination of determinants of psychopathology and health disparities and personal and cultural attributes that promote mental health. Clinical psychological science ideally also encourages and values research with underrepresented minority and underserved populations, novel and underused study designs, and research produced by diverse scholars. Our special issue highlights research that considers systematically culture specific processes, examines not only individual- but also community-level factors that relate to psychopathology and mental-health care, and challenges structural limitations in the current literature. We review these articles that incorporate innovative and community engaged approaches and showcase the importance of diversity in researcher and research participant demographics and perspectives in the advancement of equity in clinical psychological science.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"76 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140009858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-20DOI: 10.1177/21677026241227886
Jack J. Blanchard, Jason F. Smith, Melanie E. Bennett, Ryan D. Orth, Christina L. G. Savage, Julie M. McCarthy, James A. Coan, Alexander J. Shackman
In psychotic disorders, motivation and pleasure (MAP) deficits are associated with decreased affiliation and heightened functional impairment. We leveraged a transdiagnostic sample enriched for psychosis and a multimethod approach to test the hypothesis that MAP deficits undermine the stress-buffering benefits of affiliation. Participants completed the social-affiliation-enhancement task (SAET) to cultivate affiliation with an experimental partner. Although the SAET increased perceived affiliation and mood, individuals with greater negative symptoms derived smaller emotional benefits from the partners, as indexed by self-report and facial behavior. We then used the handholding functional MRI paradigm, which combines threat anticipation with affiliative physical contact, to determine whether MAP deficits undermine the social regulation of distress. Individuals with greater MAP deficits showed diminished neural “benefits”—reduced dampening of threat-elicited activation—from affiliative touch in key frontoparietal nodes of the dorsal attention network. In short, MAP symptoms disrupt the emotional and neuroregulatory benefits of affiliation.
{"title":"Motivation and Pleasure Deficits Undermine the Benefits of Social Affiliation in Psychosis","authors":"Jack J. Blanchard, Jason F. Smith, Melanie E. Bennett, Ryan D. Orth, Christina L. G. Savage, Julie M. McCarthy, James A. Coan, Alexander J. Shackman","doi":"10.1177/21677026241227886","DOIUrl":"https://doi.org/10.1177/21677026241227886","url":null,"abstract":"In psychotic disorders, motivation and pleasure (MAP) deficits are associated with decreased affiliation and heightened functional impairment. We leveraged a transdiagnostic sample enriched for psychosis and a multimethod approach to test the hypothesis that MAP deficits undermine the stress-buffering benefits of affiliation. Participants completed the social-affiliation-enhancement task (SAET) to cultivate affiliation with an experimental partner. Although the SAET increased perceived affiliation and mood, individuals with greater negative symptoms derived smaller emotional benefits from the partners, as indexed by self-report and facial behavior. We then used the handholding functional MRI paradigm, which combines threat anticipation with affiliative physical contact, to determine whether MAP deficits undermine the social regulation of distress. Individuals with greater MAP deficits showed diminished neural “benefits”—reduced dampening of threat-elicited activation—from affiliative touch in key frontoparietal nodes of the dorsal attention network. In short, MAP symptoms disrupt the emotional and neuroregulatory benefits of affiliation.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"198 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-20DOI: 10.1177/21677026231220060
Erin S. Sheets, Denise Young
Despite greater emphasis on diversity and inclusion on college and university campuses, inequities persist. Awareness of structural and social threats to success can lead students from underrepresented identities to question whether they will fully belong at a given institution, which jeopardizes their psychological well-being and academic performance. This study tested a brief social-belonging intervention, delivered in a group format, that emphasized that first-year challenges are normative and that, over time, students develop relationships that deepen their sense of belonging. Participants ( N = 122) who reported poorer belonging at baseline experienced greater depressive symptoms, greater worry, and worse psychological well-being over the 14-month follow-up period. The intervention significantly reduced risk for major depression during the first 2 years of college and specifically reduced risk for participants experiencing more discrimination. Hypotheses that the intervention would improve psychosocial or academic outcomes specifically for Black, Indigenous, and people of color and first-generation-to-college students were not supported.
{"title":"A Brief Group Social-Belonging Intervention to Improve Mental-Health and Academic Outcomes in BIPOC and First-Generation-to-College Students","authors":"Erin S. Sheets, Denise Young","doi":"10.1177/21677026231220060","DOIUrl":"https://doi.org/10.1177/21677026231220060","url":null,"abstract":"Despite greater emphasis on diversity and inclusion on college and university campuses, inequities persist. Awareness of structural and social threats to success can lead students from underrepresented identities to question whether they will fully belong at a given institution, which jeopardizes their psychological well-being and academic performance. This study tested a brief social-belonging intervention, delivered in a group format, that emphasized that first-year challenges are normative and that, over time, students develop relationships that deepen their sense of belonging. Participants ( N = 122) who reported poorer belonging at baseline experienced greater depressive symptoms, greater worry, and worse psychological well-being over the 14-month follow-up period. The intervention significantly reduced risk for major depression during the first 2 years of college and specifically reduced risk for participants experiencing more discrimination. Hypotheses that the intervention would improve psychosocial or academic outcomes specifically for Black, Indigenous, and people of color and first-generation-to-college students were not supported.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 1","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139946706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-05DOI: 10.1177/21677026231217312
Briana N. Brownlow, Kassidie S. Harmon, J. Pek, J. Cheavens, James L. Moore, Emil F. Coccaro
Black Americans are arrested at disproportionate levels compared with White Americans. We sought to understand whether the association between psychopathology and arrest record is equally strong for Black Americans and White Americans, hypothesizing that the association would be stronger for Black Americans. In a sample of adults (age: M = 34.81 years), we found that at the same level of psychopathology severity, emotion dysregulation, and impulsivity, Black Americans ( n = 585) exhibited higher rates of being arrested in adulthood than White Americans ( n = 977). These findings held even when controlling for environmental (e.g., socioeconomic status) and individual (e.g., substance-use history) factors associated with arrests. This suggests that the risk conferred by more severe psychopathology on arrests is stronger for Black Americans than White Americans. Our results highlight how structural racism affects both psychopathology and the carceral system to contribute to the overrepresentation of Black Americans within the criminal justice system.
{"title":"Criminalizing Psychopathology in Black Americans: Racial and Gender Differences in the Relationship Between Psychopathology and Arrests","authors":"Briana N. Brownlow, Kassidie S. Harmon, J. Pek, J. Cheavens, James L. Moore, Emil F. Coccaro","doi":"10.1177/21677026231217312","DOIUrl":"https://doi.org/10.1177/21677026231217312","url":null,"abstract":"Black Americans are arrested at disproportionate levels compared with White Americans. We sought to understand whether the association between psychopathology and arrest record is equally strong for Black Americans and White Americans, hypothesizing that the association would be stronger for Black Americans. In a sample of adults (age: M = 34.81 years), we found that at the same level of psychopathology severity, emotion dysregulation, and impulsivity, Black Americans ( n = 585) exhibited higher rates of being arrested in adulthood than White Americans ( n = 977). These findings held even when controlling for environmental (e.g., socioeconomic status) and individual (e.g., substance-use history) factors associated with arrests. This suggests that the risk conferred by more severe psychopathology on arrests is stronger for Black Americans than White Americans. Our results highlight how structural racism affects both psychopathology and the carceral system to contribute to the overrepresentation of Black Americans within the criminal justice system.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"6 7","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-04DOI: 10.1177/21677026231199437
R. McDanal, Jenny Shen, K. Fox, Nicholas R. Eaton, J. Schleider
Youths with marginalized identities experience minority stress, a construct linked to more severe transdiagnostic psychopathology. Financial, geographical, and temporal barriers limit access to psychological care for these individuals. Single-session interventions (SSIs), which mitigate many such barriers, are likely more accessible than traditional therapies. However, accessibility does not guarantee effectiveness across identity groups. In a preregistered study ( N = 2,452), we assessed whether demographic identities moderated the relationship between SSI condition and transdiagnostic internalizing (emotional distress) change from before SSI to after SSI in a national U.S. sample of adolescents with elevated depressive symptoms. SSI-driven internalizing-symptom reductions were equivalent between youths with myriad marginalized identities (e.g., Black, asexual, gender minority) and their counterparts (e.g., non-Hispanic White, heterosexual, cisgender) and across age and subjective school social status. We discuss implications of the results for SSI dissemination.
{"title":"Predicting Transdiagnostic Symptom Change Across Diverse Demographic Groups in Single-Session Interventions for Adolescent Depression","authors":"R. McDanal, Jenny Shen, K. Fox, Nicholas R. Eaton, J. Schleider","doi":"10.1177/21677026231199437","DOIUrl":"https://doi.org/10.1177/21677026231199437","url":null,"abstract":"Youths with marginalized identities experience minority stress, a construct linked to more severe transdiagnostic psychopathology. Financial, geographical, and temporal barriers limit access to psychological care for these individuals. Single-session interventions (SSIs), which mitigate many such barriers, are likely more accessible than traditional therapies. However, accessibility does not guarantee effectiveness across identity groups. In a preregistered study ( N = 2,452), we assessed whether demographic identities moderated the relationship between SSI condition and transdiagnostic internalizing (emotional distress) change from before SSI to after SSI in a national U.S. sample of adolescents with elevated depressive symptoms. SSI-driven internalizing-symptom reductions were equivalent between youths with myriad marginalized identities (e.g., Black, asexual, gender minority) and their counterparts (e.g., non-Hispanic White, heterosexual, cisgender) and across age and subjective school social status. We discuss implications of the results for SSI dissemination.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"41 5","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139384774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anxiety is believed to be characterized by heightened sensitivity to threat. The behavioral-inhibition system (BIS), a risk factor for anxiety, is hypothesized to index this threat sensitivity. In the present study, we address a critical gap in the literature: Neither anxiety nor BIS have been clearly linked with behavioral measures of threat sensitivity indexed by lowered threat-related perceptual thresholds. We used psychophysical methods to precisely measure absolute perceptual thresholds for detection of threatening and neutral faces. We examined their relationships with self-reported BIS and anxious apprehension in individuals diagnosed with anxiety disorders and individuals not diagnosed with anxiety disorders. Irrespective of anxiety disorder diagnosis, higher self-reported BIS and anxious apprehension were associated with reduced perceptual thresholds for threatening versus neutral stimuli, but only BIS showed a specific association after controlling for anxious apprehension. Using adaptive psychometrics, in this study, we offer key empirical evidence linking specific temperamental dimensions with perceptual indices of threat sensitivity transdiagnostically across anxiety disorders.
焦虑症的特征被认为是对威胁高度敏感。行为抑制系统（BIS）是焦虑症的一个危险因素，据推测它能反映这种威胁敏感性。在本研究中，我们填补了文献中的一个重要空白：无论是焦虑还是 BIS，都没有与威胁敏感性的行为测量指标（以降低与威胁相关的感知阈值为指标）明确联系起来。我们使用心理物理方法精确测量了检测威胁性面孔和中性面孔的绝对知觉阈值。我们研究了被诊断为焦虑症的人和未被诊断为焦虑症的人的自我报告的 BIS 和焦虑不安之间的关系。无论焦虑症诊断与否，较高的自我报告 BIS 和焦虑不安都与威胁性刺激和中性刺激的感知阈值降低有关，但在控制焦虑不安后，只有 BIS 显示出特定的关联。在本研究中，我们利用适应性心理测量法提供了关键的实证证据，证明特定的气质维度与跨焦虑症诊断的威胁敏感性知觉指数之间存在联系。
{"title":"Perceptual Thresholds for Threat Are Lowered in Anxiety: Evidence From Perceptual Psychophysics","authors":"Shannon Glasgow, Gabriella Imbriano, Sekine Ozturk, Jingwen Jin, Aprajita Mohanty","doi":"10.1177/21677026231211211","DOIUrl":"https://doi.org/10.1177/21677026231211211","url":null,"abstract":"Anxiety is believed to be characterized by heightened sensitivity to threat. The behavioral-inhibition system (BIS), a risk factor for anxiety, is hypothesized to index this threat sensitivity. In the present study, we address a critical gap in the literature: Neither anxiety nor BIS have been clearly linked with behavioral measures of threat sensitivity indexed by lowered threat-related perceptual thresholds. We used psychophysical methods to precisely measure absolute perceptual thresholds for detection of threatening and neutral faces. We examined their relationships with self-reported BIS and anxious apprehension in individuals diagnosed with anxiety disorders and individuals not diagnosed with anxiety disorders. Irrespective of anxiety disorder diagnosis, higher self-reported BIS and anxious apprehension were associated with reduced perceptual thresholds for threatening versus neutral stimuli, but only BIS showed a specific association after controlling for anxious apprehension. Using adaptive psychometrics, in this study, we offer key empirical evidence linking specific temperamental dimensions with perceptual indices of threat sensitivity transdiagnostically across anxiety disorders.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"11 3","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139005800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-30DOI: 10.1177/21677026231209331
Wendy K. Silverman, Yasmin Rey, Carla E Marin, Panagiotis Boutris, James Jaccard, Jeremy W Pettit
Extending a recent parent-mediation efficacy trial, we identified parent reinforcement and relationship behaviors as setting boundary conditions, or moderators, of youths’ anxiety outcome in 254 youths and their parents, who were randomized to (a) cognitive-behavioral treatment (CBT) with parent reinforcement-behavior training (CBT + Reinf), (b) CBT with parent relationship-behavior training (CBT + Relat), or (c) individual-youth CBT—a comparator control arm. Findings revealed that parents with high baseline negative-reinforcement levels and acceptance levels (i.e., above the mean) report their children as having lower anxiety at outcome when assigned to CBT + Reinf and CBT + Relat, respectively, versus CBT. No moderation effects were found for either parent positive reinforcement or parent psychological control. Implications for treating anxiety disorders and moving toward precision-treatment approaches in youths and the importance of research replication and extension are discussed.
{"title":"Boundaries on Parent Involvement in Their Child’s Anxiety Cognitive-Behavioral-Treatment Outcome: Parent Reinforcement and Relationship Behaviors Moderate Outcome","authors":"Wendy K. Silverman, Yasmin Rey, Carla E Marin, Panagiotis Boutris, James Jaccard, Jeremy W Pettit","doi":"10.1177/21677026231209331","DOIUrl":"https://doi.org/10.1177/21677026231209331","url":null,"abstract":"Extending a recent parent-mediation efficacy trial, we identified parent reinforcement and relationship behaviors as setting boundary conditions, or moderators, of youths’ anxiety outcome in 254 youths and their parents, who were randomized to (a) cognitive-behavioral treatment (CBT) with parent reinforcement-behavior training (CBT + Reinf), (b) CBT with parent relationship-behavior training (CBT + Relat), or (c) individual-youth CBT—a comparator control arm. Findings revealed that parents with high baseline negative-reinforcement levels and acceptance levels (i.e., above the mean) report their children as having lower anxiety at outcome when assigned to CBT + Reinf and CBT + Relat, respectively, versus CBT. No moderation effects were found for either parent positive reinforcement or parent psychological control. Implications for treating anxiety disorders and moving toward precision-treatment approaches in youths and the importance of research replication and extension are discussed.","PeriodicalId":54234,"journal":{"name":"Clinical Psychological Science","volume":"170 ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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