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At the mercy of myself: A thematic analysis of beliefs about losing control 任我摆布:对失控信念的专题分析。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-12-22 DOI: 10.1111/papt.12515
Kenneth Kelly-Turner, Adam S. Radomsky

Purpose

Concerns about the likelihood, consequences, and meaning of losing control are commonplace across anxiety-related disorders. However, several experimental studies have suggested that individuals without a diagnosis of a mental disorder also believe that they can and will lose control under the right circumstances. Understanding the range of beliefs about the nature and consequences of losing control can help us to better understand the continuum of negative beliefs about losing control.

Methods

The present study used thematic analysis to identify common beliefs about losing control in an unselected sample. Twenty-one participants, half of whom met criteria for at least one anxiety-related disorder, were interviewed about their beliefs about losing control.

Results

All 21 participants reported that losing control was possible. Losses of control were defined as multifaceted cognitive-behavioural processes and were seen as negative considering the perceived consequences of the losses. Commonly described consequences were harm to oneself or others, powerlessness, and unpleasant emotions during (e.g., sadness, frustration, and anxiety) and following (e.g., regret, shame, and humiliation) a loss of control.

Conclusions

These results suggest that perceived losses of control are common and that negative beliefs about losing may only become problematic when the losses are personally significant. Further, they offer important insight into what is common among clinical and non-clinical beliefs about losing control and inform how these beliefs might be worth targeting in cognitive and behavioural interventions.

目的:对于失去控制的可能性、后果和意义的担忧是焦虑相关障碍的普遍现象。然而,一些实验研究表明,没有被诊断出患有精神障碍的人也相信,在适当的情况下,他们能够并且将会失去控制。了解有关失控的性质和后果的信念范围,有助于我们更好地理解有关失控的负面信念的连续性:本研究采用主题分析法,从未曾选取的样本中找出有关失控的共同信念。21 名参与者(其中一半符合至少一种焦虑相关障碍的标准)接受了关于他们对失控的信念的访谈:结果:所有 21 名参与者都表示有可能失去控制。失控被定义为多方面的认知行为过程,考虑到失控的后果,失控被视为负面的。常见的后果是对自己或他人造成伤害、无能为力,以及在失控过程中(如悲伤、沮丧和焦虑)和失控后(如后悔、羞愧和羞辱)产生不愉快的情绪:这些结果表明,感知到的失控是常见的,只有当失控对个人造成重大损失时,关于失控的消极信念才会成为问题。此外,这些结果还提供了重要的洞察力,让人们了解临床和非临床中有关失控的信念有哪些共性,并告知人们如何在认知和行为干预中针对这些信念进行干预。
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引用次数: 0
Childhood maltreatment, dissociation and borderline personality disorder: Preliminary data on the mediational role of mentalizing in complex post-traumatic stress disorder 童年虐待、解离和边缘型人格障碍:关于心理化在复杂创伤后应激障碍中的中介作用的初步数据
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-12-18 DOI: 10.1111/papt.12514
Anthony Bateman, Eva Rüfenacht, Nader Perroud, Martin Debbané, Tobias Nolte, Lisa Shaverin, Peter Fonagy
Treatments for borderline personality disorder (BPD) and post-traumatic stress disorder (PTSD) are less effective for patients with co-occurring symptoms of both disorders, who are considered to have complex PTSD (cPTSD), compared with patients with either condition alone. Evidence suggests that co-occurrence of symptoms indicates greater impairment in mentalizing. This study examines evidence for targeting mentalizing when treating individuals with co-occurring symptoms, irrespective of their exposure to developmental trauma and, for the first time, investigates the mediational role of mentalizing in the associations between BPD symptomatology and cPTSD.
边缘型人格障碍(BPD)和创伤后应激障碍(PTSD)患者同时伴有这两种障碍的症状,被认为患有复杂型创伤后应激障碍(cPTSD),与单独患有其中一种症状的患者相比,治疗这两种障碍的效果较差。有证据表明,症状的共存表明患者的心智受损程度更大。本研究探讨了在治疗具有共存症状的患者时,无论其是否暴露于发育创伤,都应针对心理化进行治疗的证据,并首次研究了心理化在 BPD 症状和 cPTSD 之间的关联中的中介作用。
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引用次数: 0
Special issue: State of the art in CBT and third-wave therapies for psychosis 特刊:治疗精神病的 CBT 和第三波疗法的最新进展。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-12-18 DOI: 10.1111/papt.12513
Katherine Newman-Taylor, Richard Bentall, Lyn Ellett
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引用次数: 0
Generalisability of the interpersonal theory of suicide to latent profiles of young people attending treatment in a suicide prevention service 自杀的人际关系理论对接受自杀预防服务治疗的青少年潜在特征的普遍适用性
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-12-12 DOI: 10.1111/papt.12512
Atanas Janackovski, Frank P. Deane, Alex Hains, Peter J. Kelly, Laura D. Robinson

Objective

The Interpersonal Theory of Suicide (ITS) could help identify differences in groups of suicidal adolescents and inform treatment.

Method

Latent Profile Analysis (LPA) using thwarted belongingness (TB), perceived burdensomeness (PB), hopelessness, and capability was conducted on data from an at-risk clinical sample (N = 500). The ITS prediction that changes in TB and PB are associated with changes in suicidal ideation was tested using admission and discharge data.

Results

Latent Profile Analysis identified three profiles with increasing complexity and severity on ITS factors. The profiles were labelled low-severity (7.6% of participants), moderate-severity (45.2%), and high-severity (47.2%). ITS predictions were partially supported for the full sample and only for the high-severity and moderate-severity subgroups, whereby changes in TB were significantly associated with changes in suicidal ideation over the course of treatment. However, changes in PB were only significant in the moderate-severity subgroup, and none of the ITS predictions were supported in the low-severity subgroup. Additionally, effect sizes for changes in TB and PB were modest in all analyses.

Conclusions

Our findings highlight the importance reducing low belongingness in youth, which is a component of all supported interventions of youth suicide prevention. However, given the modest association of changes in ITS variables had with changes in suicidal ideation, it may be fruitful to elaborate on the relative importance on types of low belongingness or include other non-ITS variables.

自杀的人际关系理论(ITS)有助于确定有自杀倾向的青少年群体的差异,并为治疗提供依据。
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引用次数: 0
Evaluation of a new online cognitive remediation therapy (CIRCuiTSTM) training for mental health professionals 评估一种新的在线认知补救疗法(CIRCuiTSTM)对心理健康专业人员的培训。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-11-30 DOI: 10.1111/papt.12510
Rumina Taylor, Adam Crowther, Rose Tinch-Taylor, Caroline da Cunha Lewin, Caterina Cali, Clare Reeder, Matteo Cella, Til Wykes

Objective

Cognitive remediation (CR) improves cognition and aids recovery in people with psychosis. An active therapist provides increased benefit, but CR training for therapists is not routinely available, so CR has limited scalability. This study describes the development and evaluation of the first online CR therapist training programme.

Methods

An online CR training, based on expert and novice therapist consultations, was developed, and then pilot tested with novice trainees and changes made to produce the evaluation version. Feasibility, acceptability, and training benefits were assessed in a group of naïve UK NHS mental health professionals. Training engagement with a group of clinicians who accessed the programme for professional development was compared to those who paid fees.

Results

Most mental health professionals finished training and passed the knowledge test, indicating that training enhanced clinicians' knowledge. Fee-paying trainees had significantly faster completion times and a higher proportion finished in the recommended time. Those who were successful at passing the knowledge questionnaire had significantly fewer years in practice. The majority were satisfied with the programme, felt they had made considerable progress and that training would allow them to begin practicing CR, and would recommend the training to colleagues.

Conclusions

This online CR training programme was feasible, acceptable to participants and showed benefits for clinicians. It improved knowledge even in the most junior of staff who have had less time to develop clinical know-how.

目的:认知修复(Cognitive remediation, CR)能改善精神病患者的认知能力,帮助其康复。积极的治疗师可以提供更多的益处,但治疗师的CR培训并不是常规的,因此CR的可扩展性有限。本研究描述了第一个在线CR治疗师培训计划的发展和评估。方法:基于专家和新手治疗师的咨询,开发了一种在线CR培训,然后对新学员进行试点测试,并进行修改,生成评估版本。可行性,可接受性和培训效益在一组naïve英国NHS心理健康专业人员中进行了评估。与一组临床医生的培训参与进行比较,这些临床医生参加了专业发展计划,与付费的临床医生进行了比较。结果:大多数心理卫生专业人员完成了培训并通过了知识测试,说明培训提高了临床医生的知识水平。付费学员的完成时间明显更快,在推荐时间内完成的比例也更高。那些成功通过知识问卷的人在实践中的时间明显更短。大多数人对该计划感到满意,认为他们已经取得了相当大的进步,培训将使他们开始实践企业社会责任,并将培训推荐给同事。结论:这种在线CR培训方案是可行的,参与者可以接受,并且对临床医生有好处。它甚至提高了那些没有多少时间发展临床知识的最初级工作人员的知识。
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引用次数: 0
Expression of Concern: Eysenck, H. J. (1988). Personality, stress and cancer: Prediction and prophylaxis. British Journal of Medical Psychology, 61(1), 57–75. https://doi.org/10.1111/j.2044-8341.1988.tb02765.x 关注的表达:艾森克,H. J.(1988)。个性、压力与癌症:预测与预防。英国医学心理学杂志,61(1),57-75。https://doi.org/10.1111/j.2044-8341.1988.tb02765.x。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-11-14 DOI: 10.1111/papt.12508
The Challenging Histories Group of the British Psychological Society

This expression of concern has been agreed following an examination of papers by Hans Eysenck that were published in British Psychological Society journals. This was undertaken by the Challenging Histories Group of the Society. Specific allegations have been raised since the 1990s about work that Eysenck carried out in collaboration with Ronald Grossarth-Maticek. An inquiry in 2019 by King's College London concluded that 26 articles co-authored by Eysenck and Grossarth-Matcek were ‘unsafe’. King's College did not examine publications based on the same research programme that were solely authored by Eysenck. One of these is the above article originally published in the British Journal of Medical Psychology (now Psychology and Psychotherapy: Theory, Research and Practice). This presents the results of observational studies and a randomised trial on the prediction and prophylaxis of cancer and other fatal diseases. The effect sizes of the findings, as pointed out in the King's College inquiry, are ‘incompatible with modern clinical science and the understanding of disease processes' (King's College London, 2019).

Accordingly, the Challenging Histories Group (2023) has decided to issue an Expression of Concern to readers. It has been published with the agreement of the journal Editors-in-Chief, the British Psychological Society and John Wiley & Sons, Limited.

在对汉斯-艾森克发表在英国心理学会期刊上的论文进行审查之后,我们同意表达这一关切。这项工作由学会的 "挑战历史小组 "负责。自 20 世纪 90 年代以来,有人对艾森克与罗纳德-格罗斯-马蒂切克(Ronald Grossarth-Maticek)合作开展的工作提出了具体指控。伦敦国王学院在 2019 年进行的一项调查得出结论,艾森克和格罗萨斯-马特切克合著的 26 篇文章 "不安全"。国王学院没有审查基于同一研究计划、由艾森克单独撰写的出版物。其中之一就是最初发表在《英国医学心理学杂志》(现为《心理学与心理治疗:理论、研究与实践》)上的上述文章。这篇文章介绍了关于癌症和其他致命疾病的预测和预防的观察性研究和随机试验的结果。正如国王学院调查所指出的,研究结果的效应大小 "不符合现代临床科学和对疾病过程的理解"(King's College London,2019)。本声明是在征得期刊主编、英国心理学会和约翰-威利父子有限公司(John Wiley & Sons, Limited)同意后发布的。
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引用次数: 0
Social identification, identity integration and wellbeing in people who hear voices 幻听者的社会认同,身份整合和幸福感。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-11-14 DOI: 10.1111/papt.12509
Lorna I. Hogg, Laura G. E. Smith, Tim Kurz, Anthony P. Morrison

Objectives

Hearing voices is associated with public stigma and this can influence readiness to identify as a voice hearer (VH) and psychological wellbeing. In this study, we investigated the relationships between a VH social identity, the integration of that identity with other important social identities and wellbeing.

Design

Cross-sectional study, with a subset of longitudinal data across three time points.

Methods

People who self-identified as voice hearers completed questionnaires (VH social identity, identity integration, wellbeing and perceptions of in-group and out-group empathy) at three time points, spaced at 3-monthly intervals. The final sample comprised 182 participants at T1, 91 at T2 and 75 at T3. Hierarchical linear multiple regression analyses were used to test all hypotheses.

Results

The integration of a VH social identity was strongly associated with better psychological wellbeing at T1. Identity integration was also associated with static wellbeing scores at 6 months. Effects on wellbeing were not accounted for by either severity of voice-hearing or paranoia. Whilst perceptions of in-group empathy were associated with VH social identification, perceptions of outgroup empathy were important for identity integration.

Conclusions

Integrating a VH social identity with other important identities into a coherent sense of self is important for wellbeing in voice hearers; perceived in-group and outgroup empathy are important in this process.

目的:幻听与公众的耻辱感有关,这可能会影响到认作听声者(VH)的意愿和心理健康。在本研究中,我们调查了VH社会身份、该身份与其他重要社会身份的整合和幸福感之间的关系。设计:横断面研究,纵向数据子集跨越三个时间点。方法:自认为是声音听众的人在三个时间点完成问卷调查(VH社会认同、认同整合、幸福感和群体内外共情感知),间隔为3个月。最终样本包括182名参与者在T1, 91名参与者在T2和75名参与者在T3。采用层次线性多元回归分析对所有假设进行检验。结果:VH社会身份的整合与T1时较好的心理健康密切相关。身份整合也与6个月时的静态幸福感得分有关。对幸福感的影响并不是由听音的严重程度或偏执狂来解释的。虽然群体内共情的感知与VH社会认同有关,但群体外共情的感知对身份整合很重要。结论:将VH社会身份与其他重要身份整合成连贯的自我意识对听话者的幸福感很重要;在这个过程中,感知到的群体内和群体外同理心很重要。
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引用次数: 0
Mindful parenting and child behaviour problems: A chain mediating role of parental and child communicating performance 注意育儿和儿童行为问题:父母和儿童沟通表现的连锁中介作用。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-10-30 DOI: 10.1111/papt.12507
Chengyu Fu, Jiayi Tang, Dan Chen, Ruotong Zhang, Yeng Zh. Chong, Wei Xu

Objective

This study investigates the impact of mindful parenting on child behaviour problems and examines the chain mediating role of parental and child communicating performance in this relationship.

Methods

A 10-month follow-up survey was conducted, utilizing the Interpersonal Mindfulness in Parenting Scale (IM-P), the Parent–Child Communication Inventory, and the abbreviated version of the Child Behaviour Checklist (CBCL).

Results

At baseline (T1), higher levels of mindful parenting in parents were significantly and positively associated with both T1 parental communicating performance and child communicating performance. After 10 months, all three variables showed significant negative associations with child behaviour problems. T1 parental communication performance positively correlated with T1 child communication performance. After controlling for T1 child behaviour problems, children's gender and age, and parents' gender, the indirect association between T1 parents' levels of mindful parenting and T2 child behaviour problems was significant, mediated by T1 parental communicating performance and T1 child communicating performance.

Conclusion

Mindful parenting enhances parental communication behaviour, leading to improved child communication behaviour and reduced child behaviour problems.

目的:本研究调查了用心育儿对儿童行为问题的影响,并考察了父母和儿童沟通表现在这种关系中的连锁中介作用。方法:采用亲子关系正念量表(IM-P)、亲子沟通量表和儿童行为量表(CBCL)进行为期10个月的跟踪调查。结果:在基线(T1),父母较高水平的正念育儿与T1父母沟通表现和儿童沟通表现均呈显著正相关。10之后 几个月后,所有三个变量都显示出与儿童行为问题的显著负相关。T1父母沟通表现与T1儿童沟通表现呈正相关。在控制了T1儿童行为问题、儿童的性别和年龄以及父母的性别后,T1父母的专注育儿水平与T2儿童行为问题之间的间接关联是显著的,由T1父母沟通表现和T1儿童沟通表现介导。结论:有意识的育儿可以增强父母的沟通行为,从而改善儿童的沟通行为并减少儿童的行为问题。
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引用次数: 0
Investigating the relationship between specific negative symptoms and metacognitive functioning in psychosis: A systematic review 研究精神病患者的特定负面症状与元认知功能之间的关系:一项系统综述。
IF 3.4 3区 医学 Q1 Arts and Humanities Pub Date : 2023-10-21 DOI: 10.1111/papt.12505
Nicola McGuire, Andrew Gumley, Ilanit Hasson-Ohayon, Stephanie Allan, Warut Aunjitsakul, Orkun Aydin, Sune Bo, Kelsey A. Bonfils, Anna-Lena Bröcker, Steven de Jong, Giancarlo Dimaggio, Felix Inchausti, Jens Einar Jansen, Tania Lecomte, Lauren Luther, Angus MacBeth, Christiane Montag, Marlene Buch Pedersen, Gerdina Henrika Maria Pijnenborg, Raffaele Popolo, Matthias Schwannauer, Anne-Marie Trauelsen, Rozanne van Donkersgoed, Weiming Wu, Kai Wang, Paul H. Lysaker, Hamish McLeod

Background

Disrupted metacognition is implicated in development and maintenance of negative symptoms, but more fine-grained analyses would inform precise treatment targeting for individual negative symptoms.

Aims

This systematic review identifies and examines datasets that test whether specific metacognitive capacities distinctly influence negative symptoms.

Materials & Methods

PsycINFO, EMBASE, Medline and Cochrane Library databases plus hand searching of relevant articles, journals and grey literature identified quantitative research investigating negative symptoms and metacognition in adults aged 16+ with psychosis. Authors of included articles were contacted to identify unique datasets and missing information. Data were extracted for a risk of bias assessment using the Quality in Prognostic Studies tool.

Results

85 published reports met criteria and are estimated to reflect 32 distinct datasets and 1623 unique participants. The data indicated uncertainty about the relationship between summed scores of negative symptoms and domains of metacognition, with significant findings indicating correlation coefficients from 0.88 to −0.23. Only eight studies investigated the relationship between metacognition and individual negative symptoms, with mixed findings. Studies were mostly moderate-to-low risk of bias.

Discussion

The relationship between negative symptoms and metacognition is rarely the focus of studies reviewed here, and negative symptom scores are often summed. This approach may obscure relationships between metacognitive domains and individual negative symptoms which may be important for understanding how negative symptoms are developed and maintained.

Conlclusion

Methodological challenges around overlapping participants, variation in aggregation of negative symptom items and types of analyses used, make a strong case for use of Individual Participant Data Meta-Analysis to further elucidate these relationships.

背景:破坏的元认知与负面症状的发展和维持有关,但更精细的分析将为针对个人负面症状的精确治疗提供信息。目的:本系统综述确定并检查了测试特定元认知能力是否显著影响负面症状的数据集。材料与方法:PsycINFO、EMBASE、Medline和Cochrane图书馆数据库,加上对相关文章、期刊和灰色文献的手工搜索,确定了调查16岁以上精神病成年人负面症状和元认知的定量研究。我们联系了收录文章的作者,以确定独特的数据集和缺失的信息。使用预后研究质量工具提取偏倚风险评估数据。结果:85份已发表的报告符合标准,估计反映了32个不同的数据集和1623名独特的参与者。数据表明,负面症状总分与元认知领域之间的关系存在不确定性,显著结果表明相关系数在0.88至-0.23之间。只有八项研究调查了元认知与个人负面症状之间的关系,结果喜忧参半。研究大多为中度至低度偏倚风险。讨论:负面症状和元认知之间的关系很少是本文综述的研究重点,负面症状得分经常被总结。这种方法可能会混淆元认知领域和个人负面症状之间的关系,这对于理解负面症状是如何发展和维持的可能很重要。结论:围绕重叠参与者、负面症状项目聚合的变化和所用分析类型的方法学挑战,有力地证明了使用个体参与者数据元分析来进一步阐明这些关系。
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引用次数: 0
Editorial: An unsafe article on the prediction and prevention of cancer published in British Journal of Medical Psychology 社论:发表在《英国医学心理学杂志》上的一篇关于癌症预测和预防的不安全文章。
IF 2.6 3区 医学 Q2 PSYCHIATRY Pub Date : 2023-10-18 DOI: 10.1111/papt.12506
The Challenging Histories Group of the British Psychological Society
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引用次数: 0
期刊
Psychology and Psychotherapy-Theory Research and Practice
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