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Moodpep: Description and Evaluation of an Online Self-Help Program for Young Adults with Feelings of Depression Moodpep:对有抑郁情绪的年轻人在线自助项目的描述和评估
Pub Date : 2023-01-19 DOI: 10.55913/joep.v1i1.10
N. Garnefski, V. Kraaij
There is a high prevalence of mental health problems in young adulthood. At the same time, these problems seem to be undertreated. Barriers to seeking help include: stigma, costs and time issues. eHealth interventions could be a promising solution. Moodpep was developed in 2019 as a guided online self-help program for young adults (18+) with depressive symptoms. It is based on Cognitive Behavioral Therapy and includes 8 lessons and 4 themes: activation, relaxation, changing negative cognitions, and goal attainment. The aims of the present article were: giving a detailed description of Moodpep and evaluating the program. The latter was done by analyzing pre-post data and studying participant satisfaction. In total, 31 participants started with the intervention of whom 23 completed it. The results showed that depressive symptoms significantly reduced after following the program, with large effect sizes. At post-test almost all participants scored in the categories of minimal or mild depression. In addition, program and coaching were valued by the participants. In conclusion, Moodpep could provide effective low-threshold help to young people; they could work on mental health at their own time and place, in relative anonymity, and against no or low costs.
心理健康问题在青年成人中非常普遍。与此同时,这些问题似乎没有得到充分的治疗。寻求帮助的障碍包括:耻辱、费用和时间问题。电子卫生干预可能是一个有希望的解决方案。Moodpep于2019年开发,是一个针对有抑郁症状的年轻人(18岁以上)的在线自助指导项目。它以认知行为疗法为基础,包括8节课和4个主题:激活、放松、改变消极认知和实现目标。本文的目的是:给出Moodpep的详细描述和评估程序。后者是通过分析前后数据和研究参与者满意度来完成的。总共有31名参与者从干预开始,其中23人完成了干预。结果显示,实施该方案后,抑郁症状明显减轻,且效果显著。在测试后,几乎所有的参与者都在轻度或轻度抑郁的类别中得分。此外,计划和指导也受到了参与者的重视。综上所述,Moodpep可以为青少年提供有效的低门槛帮助;他们可以在自己的时间和地点从事心理健康方面的工作,相对匿名,没有或低成本。
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引用次数: 0
Aversive Reactivity: A Transdiagnostic Functional Bridge Between Neuroticism and Avoidant Behavioral Coping. 厌恶反应:神经质和回避行为应对之间的跨诊断功能桥梁。
Pub Date : 2023-01-19 DOI: 10.55913/joep.v1i1.9
Stephen A Semcho, Matthew W Southward, Nicole E Stumpp, Destiney L MacLean, Caitlyn O Hood, Kate Wolitzky-Taylor, Shannon Sauer-Zavala

Aversive reactivity to negative affect has been described as a transdiagnostic mechanism that links distal temperamental vulnerabilities to clinically relevant behaviors. However, the abundance of constructs reflecting aversive reactivity has resulted in a proliferation of models that may ultimately be redundant. We performed a circumscribed review of studies measuring associations between six constructs - anxiety sensitivity, experiential avoidance, distress intolerance, intolerance of uncertainty, thought-action fusion, and negative urgency - and ten relevant coping behaviors. Results suggested that most constructs were measured in relation to a limited number of coping behaviors. Additionally, constructs were most often measured in isolation, rather than with similar constructs. Implications and suggestions for future research and treatment are discussed.

对负面情绪的厌恶反应被描述为一种跨诊断机制,将远端气质脆弱性与临床相关行为联系起来。然而,反映厌恶反应性的结构的丰富性导致了模型的扩散,最终可能是多余的。我们对六种构念——焦虑敏感性、经验回避、痛苦不耐受、不确定性不耐受、思想-行动融合和消极紧迫性——与十种相关应对行为之间的关联进行了限制性回顾。结果表明,大多数构念与有限数量的应对行为有关。此外,构念通常是单独测量的,而不是与相似的构念一起测量的。讨论了对未来研究和治疗的启示和建议。
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引用次数: 0
Intervention to Change Attributions that are Negative: A Feasibility Study on Reducing Anger after Brain Injury 改变消极归因的干预:减少脑损伤后愤怒情绪的可行性研究
Pub Date : 2023-01-19 DOI: 10.55913/joep.v1i1.5
Dawn Neumann, Samantha Backhaus Backhaus, Jeong-in Jang, Sruthi Bhamadipalli, J. Winegardner, B. Helton, F. Hammond
Objectives: Explore the early efficacy of a treatment to modify anger, aggression, negative attributions, and perspective-taking in participants with traumatic brain injury (TBI). Design:  Randomized waitlist-controlled trial. Participants: Twenty-four adults with a TBI (³ 1-year post-injury) who had above average aggression and either negative attribution bias or poor perspective-taking. Intervention: Intervention to Change Attributions that are Negative (ICAN). Measures: Epps Scenarios (attributions of intent, hostility, blame; anger and aggression responses); Aggression Questionnaire (AQ); PROMIS-Anger; Interpersonal Reactivity Index Perspective-taking; and Participant Global Impression of Change (PGIC) for anger and perspective-taking. Results: Twenty-one participants completed the study (ICAN = 8; Waitlist control [WLC] = 13).  Post-treatment, ICAN participants had lower anger responses to Epps Scenarios (p = 0.03) compared to WLC participants who had not yet received treatment. Other between-group comparisons were not significant. Analyses comparing pre/post-intervention changes in the pooled sample (n=21), revealed reduced attributions of intent (p < 0.01) and blame (p = 0.05), and anger (p = 0.01) and aggression responses to Epps scenarios (p < 0.01) after receiving treatment. Post-intervention scores on the AQ and PROMIS-Anger were also significantly reduced (p < 0.01). On the PGIC, 83% and 45% reported noticeable changes in perspective-taking and anger, respectively. Discussion: ICAN may reduce anger and negative attributions after TBI and merits further investigation.
目的:探讨创伤性脑损伤(TBI)患者愤怒、攻击、负性归因和换位思考的早期治疗效果。设计:随机候补对照试验。参与者:24名创伤性脑损伤(损伤后3年)的成年人,他们具有高于平均水平的攻击性和负归因偏见或较差的观点。干预:干预改变消极归因(ICAN)。测量方法:埃普斯情景(意图归因、敌意、指责;愤怒和攻击反应);攻击问卷;PROMIS-Anger;人际反应指数换位思考;以及参与者整体变化印象(PGIC)对愤怒和换位思考的影响。结果:21名参与者完成了研究(ICAN = 8;候补名单控制[WLC] = 13)。治疗后,与未接受治疗的WLC参与者相比,ICAN参与者对Epps情景的愤怒反应较低(p = 0.03)。其他组间比较无统计学意义。分析比较干预前和干预后样本(n=21)的变化,发现在接受治疗后,对Epps情景的意图归因(p < 0.01)和责备归因(p = 0.05)以及愤怒(p = 0.01)和攻击反应(p < 0.01)减少。干预后的AQ和promise - anger得分也显著降低(p < 0.01)。在PGIC测试中,分别有83%和45%的人报告在换位思考和愤怒方面发生了明显变化。讨论:ICAN可以减少脑损伤后的愤怒和消极归因,值得进一步研究。
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引用次数: 1
Why Loneliness Matters in Clinical Practice: A Primer for Clinical- and Neuro-Psychologists. 为什么孤独在临床实践中很重要:临床和神经心理学家入门。
Pub Date : 2023-01-19 DOI: 10.55913/joep.v1i1.21
J. Badcock, D. Preece, A. Badcock
Aims: Loneliness has an adverse impact on mental health, yet it is often overlooked in psychological services. To inform clinical practice, we provide an overview of research hotspots on loneliness and mental health, the ‘state of the art’ in assessment and treatment, and workforce implications. Methods: Narrative synthesis. Results: Loneliness occurs in all age groups, with peaks in younger and older adults. It is a well-established risk factor for mental ill-health, neurodevelopmental and neurodegenerative disorders, and other problems prompting people to seek psychological care. A variety of psychometrically sound self-report measures are available for assessment purposes, though some lack structural or cross-cultural validity. The most promising interventions use cognitive-behavioural therapy to change maladaptive social cognitions. Recent studies are focused on identifying mechanisms of change, the role of social networks, and the use of digital technologies to augment treatment. The stigma of loneliness can prevent clients and healthcare professionals from talking openly about it, but the best strategies for combating loneliness stigma are unclear. Conclusion: Loneliness and mental ill-health are mutually reinforcing; hence, loneliness should be routinely considered in clinical practice. Psychological interventions are moderately effective at alleviating loneliness but further research and practice-based evaluation of solutions for loneliness is needed.
目的:孤独对心理健康有不利影响,但在心理服务中往往被忽视。为了给临床实践提供信息,我们概述了孤独和心理健康的研究热点,评估和治疗的“最新状态”,以及对劳动力的影响。方法:叙事综合。结果:孤独发生在所有年龄组,以年轻人和老年人为高峰。它是精神疾病、神经发育和神经退行性疾病以及促使人们寻求心理治疗的其他问题的公认风险因素。各种心理计量学上健全的自我报告测量可用于评估目的,尽管有些缺乏结构或跨文化有效性。最有希望的干预是使用认知行为疗法来改变不适应的社会认知。最近的研究集中在确定变化的机制,社会网络的作用,以及使用数字技术来增加治疗。孤独的耻辱感可能会阻止客户和医疗保健专业人员公开谈论它,但对抗孤独耻辱感的最佳策略尚不清楚。结论:孤独感与心理健康是相辅相成的;因此,在临床实践中应该常规地考虑孤独。心理干预在缓解孤独感方面效果一般,但需要进一步研究和基于实践的孤独感解决方案评估。
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引用次数: 2
Mind the Gap? Emotion Regulation Ability and Achievement in Psychological Health Disorders 介意差距吗?心理健康障碍患者情绪调节能力与成就
Pub Date : 2023-01-19 DOI: 10.55913/joep.v1i1.22
J. Gruber, S. Hagerty, D. Mennin, J. Gross
Why do so many people fail to manage their emotions successfully even though they can do so? This review begins by noting a surprising gap between emotion regulation ability and achievement  apparent across individuals with emotional disorders, many of whom appear to be able to effectively regulate emotions when cued. Recently, clinical science has begun to take stock of this puzzling gap between intact emotion regulation ability and challenges with emotion regulation achievement. We refer to this as the ‘emotion regulation ability-achievement’ (or ER-AA) gap, and discuss clinical implications, including alternative approaches to closing this gap.
为什么有那么多人能够成功地管理自己的情绪,却未能成功呢?这篇综述首先注意到情绪障碍患者在情绪调节能力和成就之间的惊人差距,他们中的许多人似乎能够在受到暗示时有效地调节情绪。最近,临床科学开始对完整的情绪调节能力与情绪调节成就的挑战之间的这一令人困惑的差距进行评估。我们将其称为“情绪调节能力-成就”(ER-AA)差距,并讨论了临床意义,包括缩小这一差距的替代方法。
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引用次数: 3
Emotion Regulation Strategy Choices Following Aversive Self-Awareness in People with Nonsuicidal Self-Injury or Indirect Self-Injury 非自杀性自伤或间接自伤患者厌恶自我意识后的情绪调节策略选择
Pub Date : 2023-01-19 DOI: 10.55913/joep.v1i1.3
C. Boccagno, J. Hooley
Emotion regulation difficulties are implicated prominently in self-injury. Additionally, emotion regulation strategy selection is a core component of the emotion regulation process. Yet it is unclear how people who engage in different forms of self-injury attempt to regulate negative affect when multiple strategies are available to them. This laboratory-based study examined emotion regulation strategy choices in individuals who engage in non-suicidal self-injury (n=40), indirect forms of self-injury (disordered eating and problematic substance use; n=46), and controls (n=48). Following a self-relevant stressor (negative autobiographical memory recall), participants selected one of six strategies based on what they believed would most effectively alter their affect. Strategies spanned behavioral (physical pain, a snack, word activity) and non-behavioral (rumination, reappraisal, doing nothing) domains. Compared to controls, individuals who engage in NSSI and indirect self-injury were more likely to select behavioral strategies. In addition, people with NSSI and indirect self-injury were more likely than controls to choose physical pain and less likely to ruminate. Findings indicate that people with direct and indirect forms of self-injury alike are more likely to take action than engage in further thought when experiencing aversive self-awareness, even when cognitive strategies are made salient. Results illuminate intervention targets for these clinical populations.
情绪调节困难与自伤有显著关系。此外,情绪调节策略选择是情绪调节过程的核心组成部分。然而,目前尚不清楚,当有多种策略可供选择时,从事不同形式自残的人是如何试图调节负面影响的。本研究以实验室为基础,研究了非自杀性自伤(n=40)、间接自伤(饮食失调和问题物质使用;N =46),对照组(N =48)。在自我相关的压力源(消极的自传式记忆回忆)之后,参与者根据他们认为最有效地改变自己情绪的策略,从六种策略中选择一种。策略涵盖了行为(身体疼痛、零食、文字活动)和非行为(沉思、重新评估、什么都不做)领域。与对照组相比,参与自伤和间接自伤的个体更有可能选择行为策略。此外,与对照组相比,有自伤和间接自伤的人更有可能选择身体疼痛,而不太可能反思。研究结果表明,有直接和间接自伤经历的人在经历厌恶的自我意识时,更有可能采取行动,而不是进一步思考,即使认知策略很突出。结果阐明了这些临床人群的干预目标。
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引用次数: 1
Micro-Longitudinal Examination of Emotion Dysregulation and Posttraumatic Stress Disorder Symptoms among Community Women Experiencing Intimate Partner Violence: Modeling Reciprocal Relationships Using Dynamic Structural Equation Modeling. 经历过亲密伴侣暴力的社区妇女情绪失调和创伤后应激障碍症状的微观纵向研究:用动态结构方程模型模拟相互关系
Pub Date : 2023-01-01 Epub Date: 2023-05-27 DOI: 10.55913/joep.v1i1.23
Nicole H Weiss, Alexa M Raudales, Ateka A Contractor, Shannon R Forkus, Reina Kiefer, Leslie A Brick, Tami P Sullivan

Research examining emotion dysregulation and posttraumatic stress disorder (PTSD) has seen tremendous growth over the past decade. However, past investigations have almost exclusively relied on cross-sectional designs and have neglected to consider the potential role of dysregulation stemming from positive emotions. The current study utilized rigorous methodology (experience sampling) and statistics (dynamic structural equation modeling) to explicate daily reciprocal associations between negative and positive emotion dysregulation and PTSD symptoms. Participants were 145 community women (M age = 40.66, 40.7% white) experiencing intimate partner violence (IPV) and using substances who participated in a baseline interview and then completed surveys three times a day for 30 days. Results at the between-person level showed that women who reported higher negative and positive emotion dysregulation also reported more PTSD symptoms. At the within-person level, findings supported a significant contemporaneous effect between positive emotion dysregulation and PTSD symptoms. Further, there was a significant cross-lagged effect from negative emotion dysregulation to next-interval PTSD symptoms. Results suggest that positive emotion dysregulation co-occurs with PTSD symptoms and that negative emotion dysregulation predicts PTSD symptoms. Findings provide additional support for the utility of addressing both negative and positive emotion dysregulation in the treatment of PTSD among women experiencing IPV.

在过去的十年里,对情绪失调和创伤后应激障碍(PTSD)的研究有了巨大的增长。然而,过去的研究几乎完全依赖于横断面设计,而忽略了考虑来自积极情绪的失调的潜在作用。目前的研究采用严格的方法(经验抽样)和统计(动态结构方程模型)来解释消极和积极情绪失调与创伤后应激障碍症状之间的日常相互关联。参与者为145名遭受亲密伴侣暴力(IPV)和使用物质的社区妇女(M年龄= 40.66,白人40.7%),她们参加了基线访谈,然后每天完成三次调查,持续30天。人与人之间水平的结果显示,报告较高的消极和积极情绪失调的女性也报告了更多的创伤后应激障碍症状。在个人层面上,研究结果支持积极情绪失调和创伤后应激障碍症状之间的显著同步效应。此外,负性情绪失调对下一间隔PTSD症状存在显著的交叉滞后效应。结果表明,积极情绪失调与PTSD症状共存,消极情绪失调可预测PTSD症状。研究结果为解决消极和积极情绪失调在治疗IPV女性创伤后应激障碍中的效用提供了额外的支持。
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引用次数: 0
Aversive Reactivity: A Transdiagnostic Functional Bridge Between Neuroticism and Avoidant Behavioral Coping. 厌恶反应:神经质和回避行为应对之间的跨诊断功能桥梁。
Pub Date : 2022-01-05 DOI: 10.31219/osf.io/dmtxu
Stephen A Semcho, Matthew W. Southward, Nicole E. Stumpp, Destiney MacLean, Caitlyn O. Hood, K. Wolitzky-Taylor, S. Sauer‐Zavala
Aversive reactivity to negative affect has been described as a transdiagnostic mechanism that links distal temperamental vulnerabilities to clinically relevant behaviors. However, the abundance of constructs reflecting aversive reactivity has resulted in a proliferation of models that may ultimately be redundant. We performed a circumscribed review of studies measuring associations between six constructs - anxiety sensitivity, experiential avoidance, distress intolerance, intolerance of uncertainty, thought-action fusion, and negative urgency - and ten relevant coping behaviors. Results suggested that most constructs were measured in relation to a limited number of coping behaviors. Additionally, constructs were most often measured in isolation, rather than with similar constructs. Implications and suggestions for future research and treatment are discussed.
对负面情绪的厌恶反应被描述为一种跨诊断机制,将远端气质脆弱性与临床相关行为联系起来。然而,反映厌恶反应性的结构的丰富性导致了模型的扩散,最终可能是多余的。我们对六种构念——焦虑敏感性、经验回避、痛苦不耐受、不确定性不耐受、思想-行动融合和消极紧迫性——与十种相关应对行为之间的关联进行了限制性回顾。结果表明,大多数构念与有限数量的应对行为有关。此外,构念通常是单独测量的,而不是与相似的构念一起测量的。讨论了对未来研究和治疗的启示和建议。
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引用次数: 6
Implications of the Symptom-Level Overlap Among DSM Diagnoses for Dimensions of Psychopathology DSM诊断中症状水平重叠对精神病理维度的影响
Pub Date : 2021-08-25 DOI: 10.31234/osf.io/f5gqz
M. Forbes
Research on the patterns of covariation among mental disorders has proliferated, as summarized in the Hierarchical Taxonomy of Psychopathology (HiTOP). This brief letter sought to examine whether symptom overlap represents an important source of bias in the statistical structure of psychopathology. I found that 358 pairs of the DSM-5 diagnoses covered by the HiTOP framework had one or more overlapping, and that a third (n = 130; 34%) of the unique constituent symptoms do reinforce the higher-order structure of HiTOP through repetition within dimensions and/or between dimensions in the same superspectrum. By contrast, 86% of the possible pairs of diagnoses did not have any shared symptoms, and the majority of the unique constituent symptoms (n = 222; 58%) do not influence the structure through repetition; a fifth (n = 71; 19%) work against the HiTOP structure at the subfactor, spectrum, and superspectrum level. I conclude that symptom-level homogeneity likely inflates the similarity and consequent covariation of some DSM diagnoses—e.g., in the Antisocial Behavior dimension—and research on the statistical structure of psychopathology should account for this potential source of bias. However, the patterns of symptom overlap in the DSM are not strong enough to make the HiTOP structure a foregone conclusion.
精神病理分级分类法(HiTOP)总结了精神疾病共变模式的研究。这封简短的信试图检查症状重叠是否代表精神病理学统计结构中偏见的重要来源。我发现,HiTOP框架涵盖的358对DSM-5诊断有一个或多个重叠,三分之一(n = 130;34%)的独特组成症状确实通过在同一超光谱的维度内和/或维度之间的重复加强了HiTOP的高阶结构。相比之下,86%的可能诊断对没有任何共同症状,大多数独特的组成症状(n = 222;58%)不通过重复影响结构;五分之一(n = 71;19%)在子因子、光谱和超光谱水平上对HiTOP结构起作用。我的结论是,症状水平的同质性可能夸大了一些DSM诊断的相似性和随之而来的协变。精神病理学的统计结构研究应该考虑到这种潜在的偏见来源。然而,DSM中症状重叠的模式还不够强,不足以使HiTOP结构成为定局。
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引用次数: 3
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Journal of emotion and psychopathology
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