{"title":"Supplemental Material for Polygenic Scores for Depression Are Associated With Indices of Neighborhood Adversity","authors":"","doi":"10.1037/abn0001038.supp","DOIUrl":"https://doi.org/10.1037/abn0001038.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144901777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for How Perceived Causal Networks Can Complement Case Conceptualization, Diagnostic Classification, and Data-Based Networks: An Introduction to a Method for Constructing Personalized Networks","authors":"","doi":"10.1037/abn0001036.supp","DOIUrl":"https://doi.org/10.1037/abn0001036.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Ambulatory Physiological Assessment of Posttraumatic Stress Disorder: Integrating Passive Sensing With Ecological Momentary Assessment to Measure Trauma Reactivity","authors":"","doi":"10.1037/abn0001028.supp","DOIUrl":"https://doi.org/10.1037/abn0001028.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blair E Wisco,Cameron P Pugach,Casey L May,Paul J Silvia
The development of wearable technology affords objective measurement of physiological states outside the laboratory. We used ambulatory physiological assessment to measure overall arousal and reactivity to trauma reminders, a hallmark symptom of posttraumatic stress disorder (PTSD). Ambulatory assessment improves upon laboratory-based tests by measuring actual trauma reminders as they occur in everyday life. In this study, we recruited a mixed-trauma sample of 80 participants (39 diagnosed with PTSD) who completed 3 days of ambulatory physiological assessment time-synced with self-reported ecological momentary assessments of trauma reminders and contextual factors. We assessed heart rate (interbeat interval [IBI]) as a nonspecific marker of overall physiological arousal, skin conductance and preejection period as markers of sympathetic activity, and respiratory sinus arrhythmia as a marker of parasympathetic activity. We found that individuals with and without PTSD did not significantly differ on average levels of any physiological marker. Among individuals diagnosed with PTSD, IBI was significantly lower, indicating higher arousal, when participants were reminded of their trauma. Trauma reminders were not significantly associated with respiratory sinus arrhythmia or preejection period. Skin conductance was significantly lower (indicating lower arousal) in the presence of trauma reminders, counter to predictions. For time-varying predictors, we found that trauma reminders were associated with weaker physiological responses, as indexed by IBI, when the reminders were perceived as controllable and when they were experienced in the presence of social support. Our findings support heart rate as an inexpensive and accessible marker that can elucidate the role of contextual factors affecting PTSD symptom expression. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
可穿戴技术的发展使人们能够在实验室之外对生理状态进行客观测量。我们使用动态生理评估来测量对创伤提醒的总体唤醒和反应，创伤后应激障碍（PTSD）的标志症状。通过测量日常生活中发生的实际创伤提醒，门诊评估改进了基于实验室的测试。在这项研究中，我们招募了80名混合创伤样本的参与者（39名诊断为PTSD），他们完成了为期3天的动态生理评估，与自我报告的创伤提醒和环境因素的生态瞬时评估时间同步。我们评估了心率（心跳间隔[IBI]）作为整体生理觉醒的非特异性标志物，皮肤电导和射血前期作为交感神经活动的标志物，呼吸窦性心律失常作为副交感神经活动的标志物。我们发现患有和没有创伤后应激障碍的个体在任何生理标志物的平均水平上没有显著差异。在被诊断为创伤后应激障碍的个体中，IBI明显较低，表明当参与者被提醒他们的创伤时，他们的觉醒程度更高。创伤提醒与呼吸性窦性心律失常或射血前期无显著相关性。与预测相反，在有创伤提醒的情况下，皮肤电导明显较低（表明唤醒较低）。对于时变预测因子，我们发现，当创伤提醒被认为是可控的，并且在有社会支持的情况下经历时，创伤提醒与IBI索引的较弱生理反应相关。我们的研究结果支持心率作为一种廉价且易于获得的标志物，可以阐明影响PTSD症状表达的环境因素的作用。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Ambulatory physiological assessment of posttraumatic stress disorder: Integrating passive sensing with ecological momentary assessment to measure trauma reactivity.","authors":"Blair E Wisco,Cameron P Pugach,Casey L May,Paul J Silvia","doi":"10.1037/abn0001028","DOIUrl":"https://doi.org/10.1037/abn0001028","url":null,"abstract":"The development of wearable technology affords objective measurement of physiological states outside the laboratory. We used ambulatory physiological assessment to measure overall arousal and reactivity to trauma reminders, a hallmark symptom of posttraumatic stress disorder (PTSD). Ambulatory assessment improves upon laboratory-based tests by measuring actual trauma reminders as they occur in everyday life. In this study, we recruited a mixed-trauma sample of 80 participants (39 diagnosed with PTSD) who completed 3 days of ambulatory physiological assessment time-synced with self-reported ecological momentary assessments of trauma reminders and contextual factors. We assessed heart rate (interbeat interval [IBI]) as a nonspecific marker of overall physiological arousal, skin conductance and preejection period as markers of sympathetic activity, and respiratory sinus arrhythmia as a marker of parasympathetic activity. We found that individuals with and without PTSD did not significantly differ on average levels of any physiological marker. Among individuals diagnosed with PTSD, IBI was significantly lower, indicating higher arousal, when participants were reminded of their trauma. Trauma reminders were not significantly associated with respiratory sinus arrhythmia or preejection period. Skin conductance was significantly lower (indicating lower arousal) in the presence of trauma reminders, counter to predictions. For time-varying predictors, we found that trauma reminders were associated with weaker physiological responses, as indexed by IBI, when the reminders were perceived as controllable and when they were experienced in the presence of social support. Our findings support heart rate as an inexpensive and accessible marker that can elucidate the role of contextual factors affecting PTSD symptom expression. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"743 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144819990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabrielle S Ilagan,Gracie Schirle,Kimberly Gilbert,Elliott Lehman,Lauren A Rutter,Christopher C Conway
People with personality disorders (PDs) tend to experience invalidation in their daily life-others seem to disregard, reject, or punish their psychological experiences (e.g., emotions and self-concept). Our study aimed to (a) examine within-person covariation in day-to-day perceived invalidation and PD symptom severity and (b) explore minority stress as a form of invalidation-one that targets aspects of people's minoritized identities. We recruited 170 community adults and 339 undergraduate students, oversampling from sexual/gender and ethnic/racial minoritized groups, to complete daily surveys of invalidation, minority stress, and PD features over 2 weeks. We observed that daily invalidation (r = .35) and, to a smaller extent, minority stress (rs = .22-.23) had meaningful within-person correlations with same-day PD symptoms. Despite moderate between-person correlations (rrange = .28-.41) between invalidation and minority stress measures, they were more modestly associated on a within-person basis (rrange = .09-.11). In a multilevel multiple regression model, both invalidation and minority stress uniquely predicted daily PD symptoms, collectively accounting for approximately 20% of within-person outcome variation. Based on these results, we speculate that various forms of invalidation (i.e., those that target thoughts, emotions, self-concepts, and identities) interact with PD features in a vicious cycle, such that daily invalidation activates personality pathology, which evokes more invalidation, and so on. We encourage more recognition of identity-based invalidation and investigation into the ways that minority stress could advance interpersonal theories of personality pathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Integrating invalidation and minority stress theories to model daily change in personality pathology.","authors":"Gabrielle S Ilagan,Gracie Schirle,Kimberly Gilbert,Elliott Lehman,Lauren A Rutter,Christopher C Conway","doi":"10.1037/abn0001033","DOIUrl":"https://doi.org/10.1037/abn0001033","url":null,"abstract":"People with personality disorders (PDs) tend to experience invalidation in their daily life-others seem to disregard, reject, or punish their psychological experiences (e.g., emotions and self-concept). Our study aimed to (a) examine within-person covariation in day-to-day perceived invalidation and PD symptom severity and (b) explore minority stress as a form of invalidation-one that targets aspects of people's minoritized identities. We recruited 170 community adults and 339 undergraduate students, oversampling from sexual/gender and ethnic/racial minoritized groups, to complete daily surveys of invalidation, minority stress, and PD features over 2 weeks. We observed that daily invalidation (r = .35) and, to a smaller extent, minority stress (rs = .22-.23) had meaningful within-person correlations with same-day PD symptoms. Despite moderate between-person correlations (rrange = .28-.41) between invalidation and minority stress measures, they were more modestly associated on a within-person basis (rrange = .09-.11). In a multilevel multiple regression model, both invalidation and minority stress uniquely predicted daily PD symptoms, collectively accounting for approximately 20% of within-person outcome variation. Based on these results, we speculate that various forms of invalidation (i.e., those that target thoughts, emotions, self-concepts, and identities) interact with PD features in a vicious cycle, such that daily invalidation activates personality pathology, which evokes more invalidation, and so on. We encourage more recognition of identity-based invalidation and investigation into the ways that minority stress could advance interpersonal theories of personality pathology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01Epub Date: 2025-05-26DOI: 10.1037/abn0001016
Brooke L Bennett, Lauren N Forrest, Rebecca M Puhl, Ryan J Watson
Engaging in disordered eating behaviors (DEBs) to attempt to control weight is a well-documented precursor to the development of an eating disorder. Both gender identity and sexual orientation have been identified as relevant social positions in the development of DEBs. Most existing studies have been unable to examine the intersection of these identities due to limitations in sample size. The present study assessed DEB disparities at the intersection of gender identity and sexual orientation among a large sample of sexual and gender minority adolescents. The sample included n = 9,876 adolescents. Past-year prevalence of dietary restriction, self-induced vomiting, binge eating, and diet pill use was assessed. Data were analyzed with multilevel analysis of individual heterogeneity and discriminatory accuracy, which assumes individuals within a given subgroup are exposed to similar structural processes like heterosexism that lead to disparities. Pansexual transgender boys were among the three highest prevalence groups for multiple DEBs: Restricting prevalence was 67.1%, vomiting prevalence was 29.1%, and binge eating prevalence was 45.5%. For all outcomes, at least one subgroup had unexpectedly high prevalence; for all outcomes except use of diet pills, at least one subgroup had unexpectedly low prevalence, indicative of interactive intersectional effects. Overall, results demonstrate that DEBs do not universally vary across either gender identity or sexual orientation. Instead, patterns are more complex as marginalized and privileged identities are not associated with only risk or only resiliency. More research is needed on the factors that drive the development of DEBs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
通过饮食失调行为（DEBs）来控制体重是饮食失调的前兆。性别认同和性取向都被认为是deb发展过程中相关的社会地位。由于样本量的限制，大多数现有研究都无法检查这些身份的交集。本研究评估了性别认同和性取向交叉点的DEB差异，研究对象是性取向和性别少数的青少年。样本包括n = 9876名青少年。评估了过去一年饮食限制、自我诱导呕吐、暴食和减肥药使用的患病率。数据分析采用个体异质性和歧视准确性的多水平分析，假设特定亚群中的个体暴露于类似的结构过程，如异性恋导致差异。泛性跨性别男孩是多重DEBs患病率最高的三个群体之一：限制患病率为67.1%，呕吐患病率为29.1%，暴食患病率为45.5%。在所有结果中，至少有一个亚组的患病率出乎意料地高；除了使用减肥药外，在所有结果中，至少有一个亚组的患病率出乎意料地低，这表明存在相互作用的交叉效应。总体而言，研究结果表明，DEBs在性别认同或性取向方面并不普遍存在差异。相反，模式更加复杂，因为边缘化和特权身份不仅仅与风险或弹性有关。需要对推动deb发展的因素进行更多的研究。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"Prevalence of disordered eating behaviors varies at the intersection of gender identity and sexual orientation among sexual and gender minority youth.","authors":"Brooke L Bennett, Lauren N Forrest, Rebecca M Puhl, Ryan J Watson","doi":"10.1037/abn0001016","DOIUrl":"10.1037/abn0001016","url":null,"abstract":"<p><p>Engaging in disordered eating behaviors (DEBs) to attempt to control weight is a well-documented precursor to the development of an eating disorder. Both gender identity and sexual orientation have been identified as relevant social positions in the development of DEBs. Most existing studies have been unable to examine the intersection of these identities due to limitations in sample size. The present study assessed DEB disparities at the intersection of gender identity and sexual orientation among a large sample of sexual and gender minority adolescents. The sample included <i>n</i> = 9,876 adolescents. Past-year prevalence of dietary restriction, self-induced vomiting, binge eating, and diet pill use was assessed. Data were analyzed with multilevel analysis of individual heterogeneity and discriminatory accuracy, which assumes individuals within a given subgroup are exposed to similar structural processes like heterosexism that lead to disparities. Pansexual transgender boys were among the three highest prevalence groups for multiple DEBs: Restricting prevalence was 67.1%, vomiting prevalence was 29.1%, and binge eating prevalence was 45.5%. For all outcomes, at least one subgroup had unexpectedly high prevalence; for all outcomes except use of diet pills, at least one subgroup had unexpectedly low prevalence, indicative of interactive intersectional effects. Overall, results demonstrate that DEBs do not universally vary across either gender identity or sexual orientation. Instead, patterns are more complex as marginalized and privileged identities are not associated with only risk or only resiliency. More research is needed on the factors that drive the development of DEBs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":" ","pages":"674-687"},"PeriodicalIF":3.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12259360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144164264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supplemental Material for Integrating Invalidation and Minority Stress Theories to Model Daily Change in Personality Pathology","authors":"","doi":"10.1037/abn0001033.supp","DOIUrl":"https://doi.org/10.1037/abn0001033.supp","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Björn S. Siepe, Rayyan Tutunji, Carlotta L. Rieble, Ricarda K. K. Proppert, Eiko I. Fried
{"title":"Associations between ecological momentary assessment and passive sensor data in a large student sample.","authors":"Björn S. Siepe, Rayyan Tutunji, Carlotta L. Rieble, Ricarda K. K. Proppert, Eiko I. Fried","doi":"10.1037/abn0001013","DOIUrl":"https://doi.org/10.1037/abn0001013","url":null,"abstract":"","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144748233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dissatisfaction with the Diagnostic and Statistical Manual of Mental Disorders (2022) spurred attempts to reconceptualize personality disorders (PDs): But reconciling reconceptualizations is challenging. The Virtual Personality Model (VPM) may fill this gap, affording an integration of more static Hierarchical Taxonomy of Psychopathology and maladaptive trait models with a dynamic, interpersonal approach. VPM is implemented as a "runnable" computational model that treats personality as emergent from dynamic, structured motivational systems with person-specific parameter values (e.g., sensitivities) that, in interaction with situational affordances, can produce individual within-subject variability over time. Viewing dysfunctional motivational systems in social interaction as key, VPM argues that (a) at the broadest level, motivational systems consist of an approach system (governing sensitivity to reward) and an avoidance system (governing sensitivity to punishment/threat). Differential sensitivities may link to particular PDs and traits within Hierarchical Taxonomy of Psychopathology superspectrum (i.e., externalizing, emotional dysregulation). The broad systems each govern specific motives (e.g., dominance), many with epigenetic underpinnings/dysfunctions already tied to PDs. (b) Various social concepts (e.g., traits, situations, events, and emotions) can be viewed as motive/goal-based structures. Analyzing externalizing traits, we illustrate how VPM can illuminate within-person variations in the behavioral expression of these systems. (c) VPM's explicit neurobiological assumptions help address comorbidities, including between depression and anxiety. (d) We discuss implications for theory and how new methods (e.g., systematic representative design [SRD]; Miller et al., 2019) and techniques/technologies (e.g., artificial intelligence, virtual reality, and sensors) for capturing the dynamics of PDs may advance diagnosis and therapy using VPM to "model to the case." (PsycInfo Database Record (c) 2025 APA, all rights reserved).
对《精神疾病诊断与统计手册》（2022）的不满刺激了对人格障碍（pd）重新概念化的尝试：但调和重新概念化是具有挑战性的。虚拟人格模型（Virtual Personality Model， VPM）可能会填补这一空白，它提供了一种更静态的精神病理学分层分类法和适应不良特征模型与动态人际关系方法的整合。VPM作为一种“可运行”的计算模型来实现，它将人格视为动态的、结构化的动机系统中涌现出来的，这些动机系统具有个人特定的参数值（例如，敏感性），在与情景可得性的相互作用下，随着时间的推移，可以产生个体的主体内部变异性。将社会互动中功能失调的动机系统视为关键，VPM认为(a)在最广泛的层面上，动机系统由接近系统（控制对奖励的敏感性）和回避系统（控制对惩罚/威胁的敏感性）组成。不同的敏感性可能与特定的pd和精神病理超谱等级分类中的特征（即外化，情绪失调）有关。这些广泛的系统各自控制着特定的动机（例如，支配地位），其中许多具有表观遗传基础/功能障碍，已经与pd联系在一起。(b)各种社会概念（例如，特征、情境、事件和情绪）可以被视为基于动机/目标的结构。通过分析外化特征，我们说明了VPM如何阐明这些系统的行为表达中的个人内部变化。(c) VPM明确的神经生物学假设有助于解决共病，包括抑郁和焦虑之间的共病。(d)我们讨论了理论的含义以及新方法(例如，系统代表性设计[SRD]；Miller等人，2019)和捕捉pd动态的技术/技术（如人工智能、虚拟现实和传感器）可能会推进使用VPM“对病例进行建模”的诊断和治疗。（PsycInfo Database Record (c) 2025 APA，版权所有）。
{"title":"The virtual personality model: Toward a dynamic structured motivational systems framework for understanding personality disorders.","authors":"Stephen J Read,Lynn C Miller","doi":"10.1037/abn0001021","DOIUrl":"https://doi.org/10.1037/abn0001021","url":null,"abstract":"Dissatisfaction with the Diagnostic and Statistical Manual of Mental Disorders (2022) spurred attempts to reconceptualize personality disorders (PDs): But reconciling reconceptualizations is challenging. The Virtual Personality Model (VPM) may fill this gap, affording an integration of more static Hierarchical Taxonomy of Psychopathology and maladaptive trait models with a dynamic, interpersonal approach. VPM is implemented as a \"runnable\" computational model that treats personality as emergent from dynamic, structured motivational systems with person-specific parameter values (e.g., sensitivities) that, in interaction with situational affordances, can produce individual within-subject variability over time. Viewing dysfunctional motivational systems in social interaction as key, VPM argues that (a) at the broadest level, motivational systems consist of an approach system (governing sensitivity to reward) and an avoidance system (governing sensitivity to punishment/threat). Differential sensitivities may link to particular PDs and traits within Hierarchical Taxonomy of Psychopathology superspectrum (i.e., externalizing, emotional dysregulation). The broad systems each govern specific motives (e.g., dominance), many with epigenetic underpinnings/dysfunctions already tied to PDs. (b) Various social concepts (e.g., traits, situations, events, and emotions) can be viewed as motive/goal-based structures. Analyzing externalizing traits, we illustrate how VPM can illuminate within-person variations in the behavioral expression of these systems. (c) VPM's explicit neurobiological assumptions help address comorbidities, including between depression and anxiety. (d) We discuss implications for theory and how new methods (e.g., systematic representative design [SRD]; Miller et al., 2019) and techniques/technologies (e.g., artificial intelligence, virtual reality, and sensors) for capturing the dynamics of PDs may advance diagnosis and therapy using VPM to \"model to the case.\" (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Experiences of childhood abuse often relate to reduced physical and mental well-being in adulthood, affecting the everyday life behavior of people with posttraumatic stress disorder (PTSD) after childhood abuse. Passive sensing via digital sensors allows for examining manifestations of psychopathology, for example, restricted activity space, in daily life. However, there is a scarcity of research applying this method in therapy research. Building on previous cross-sectional findings showing restricted activity space in PTSD, we used global positioning system (GPS) tracking in a randomized controlled trial (RCT) to examine how treatment effects of two treatment arms, dialectical behavior therapy for PTSD (DBT-PTSD) and cognitive processing therapy (CPT), map to changes in patients' daily lives throughout 12 months of outpatient psychotherapy. We examined the spatial and temporal activity spaces of women with PTSD (n = 166, Mage = 35.81, SDage = 10.98) at three timepoints over the course of 1 week each: pretreatment (t1RCT), 6 months into treatment (t3RCT), and at the end of the intensive treatment phase after 12 months (t5RCT). While both DBT-PTSD and CPT have demonstrated efficacy in treating PTSD with affective instability, with DBT-PTSD showing superiority over CPT, these effects did not transfer to the everyday life activity spaces captured via GPS tracking. Comparing t1RCT to t5RCT, linear mixed models revealed no effect of timepoint or treatment on movement radius and time spent away from home. Hence, previously reported treatment effects were not reflected in GPS data. While patients reported decreased symptom severity their behavioral data still show restricted activity space in daily life. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
{"title":"Expanding life's radius? Evaluating geolocation data of women with posttraumatic stress disorder related to childhood abuse throughout a randomized controlled trial.","authors":"Johanna Rehder,Marvin Guth,Ulrich Ebner-Priemer,Nikolaus Kleindienst,Kathlen Priebe,Meike Müller-Engelmann,Franziska Friedmann,Sophie Rausch,Martin Bohus,Thomas Fydrich,Regina Steil,Philip Santangelo","doi":"10.1037/abn0001009","DOIUrl":"https://doi.org/10.1037/abn0001009","url":null,"abstract":"Experiences of childhood abuse often relate to reduced physical and mental well-being in adulthood, affecting the everyday life behavior of people with posttraumatic stress disorder (PTSD) after childhood abuse. Passive sensing via digital sensors allows for examining manifestations of psychopathology, for example, restricted activity space, in daily life. However, there is a scarcity of research applying this method in therapy research. Building on previous cross-sectional findings showing restricted activity space in PTSD, we used global positioning system (GPS) tracking in a randomized controlled trial (RCT) to examine how treatment effects of two treatment arms, dialectical behavior therapy for PTSD (DBT-PTSD) and cognitive processing therapy (CPT), map to changes in patients' daily lives throughout 12 months of outpatient psychotherapy. We examined the spatial and temporal activity spaces of women with PTSD (n = 166, Mage = 35.81, SDage = 10.98) at three timepoints over the course of 1 week each: pretreatment (t1RCT), 6 months into treatment (t3RCT), and at the end of the intensive treatment phase after 12 months (t5RCT). While both DBT-PTSD and CPT have demonstrated efficacy in treating PTSD with affective instability, with DBT-PTSD showing superiority over CPT, these effects did not transfer to the everyday life activity spaces captured via GPS tracking. Comparing t1RCT to t5RCT, linear mixed models revealed no effect of timepoint or treatment on movement radius and time spent away from home. Hence, previously reported treatment effects were not reflected in GPS data. While patients reported decreased symptom severity their behavioral data still show restricted activity space in daily life. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":73914,"journal":{"name":"Journal of psychopathology and clinical science","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144701366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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