Journal Of Clinical Psychology[JOURNAL]
Sun
200 papers
Clinical Perspectives on the Nature and Treatment of Romantic Breakups.
Farber BA, Roe D
J Clin Psychol · 2026 Jun · PMID 41721610 · Publisher ↗
Enduring a romantic breakup is a typically highly distressing experience but one that has been surprisingly neglected as a scholarly topic in the psychotherapeutic literature. This introduction reviews the enduring popul...
Enduring a romantic breakup is a typically highly distressing experience but one that has been surprisingly neglected as a scholarly topic in the psychotherapeutic literature. This introduction reviews the enduring popular interest in this phenomenon and summarizes the contributions of the articles in this issue of JCLP: In Session, all of which focus on working clinically with individuals struggling with the breakup of a romantic relationship. Within this issue, Jackson's case study features the insights of a straight female psychologist working with a gay female patient through the aftermath of a breakup, noting both the universal aspects of the dissolution of romantic relationships as well as culturally specific dynamics that shape the breakup experiences of non-heterosexual individuals. Lierle and Farber present a case study illustrating how contemporary psychodynamic psychotherapy helped a young woman deal with the enduring pain of the dissolution of her first (and intense) loving relationship. Leahy's case study, of a man beset with feelings of jealousy and the fear of losing love, demonstrates the value of an integrative, primarily third-wave CBT approach, to these problems. Iwakabe offers a non-western clinical take on the plight of the "other woman" at the end of her relationship with a married man. Blake and Rose report on their experience in a psychodynamic interpersonal process group with college-age students who initiated a breakup. Finally, Ziv-Bieman describes an integrative psychological approach to treating the multiple painful aspects of a romantic breakup, including those related to loss, despair, and challenges in imagining a positive future. These articles demonstrate the ways that psychotherapy, across multiple forms and cultural contexts, can facilitate the healing of romantic wounds.
The Semi-Structured Clinical Interview for the Assessment of Compulsive Sexual Behavior (SSCI-CSB): Development, Reliability, and Validity.
Castro-Calvo J, Giménez-García C, Ruiz-Palomino E … +3 more , Gil-Juliá B, García-Barba M, Ballester-Arnal R
J Clin Psychol · 2026 Jun · PMID 41711134 · Full text
OBJECTIVES: The assessment of Compulsive Sexual Behavior (CSB) requires fine-grained assessment approaches, ideally through clinical interviews. However, none of the few available clinical interviews for CSB have demonst...
OBJECTIVES: The assessment of Compulsive Sexual Behavior (CSB) requires fine-grained assessment approaches, ideally through clinical interviews. However, none of the few available clinical interviews for CSB have demonstrated strong psychometric properties. To address this limitation, we developed the Semi-Structured Clinical Interview for the assessment of CSB (SSCI-CSB), an interview that gathers information on the manifestations, symptoms, and clinical course of CSB. The aim of this study was to examine its reliability and validity in a sample of patients seeking treatment for out-of-control sexual behavior. METHODS: The SSCI-CSB was administered as a routine assessment to a sample of 85 patients (81 men, four women) seeking outpatient treatment for CSB in two moments: at an initial screening (n = 85) and after 3 months (n = 22). RESULTS: Of the 16 CSB criteria assessed by the SSCI-CSB, four were endorsed by < 40% of the participants. Internal consistency was excellent (α = 0.95; ω = 0.97). Similarly, test-retest reliability was high (r of 0.882 and Kappa in the range of fair-to-almost-perfect agreement). The SSCI-CSB showed more specificity/positive predictive value than sensitivity/negative predictive value. CONCLUSION: The SSCI-CSB may be an appropriate assessment tool to assess and diagnose CSB in the round in patients seeking treatment for out-of-control sexual behaviors.
Psychometric Evaluation and Evidence of Validity and Reliability of the Turkish Versions of the International Depression Questionnaire and the International Anxiety Questionnaire.
Kurtoğlu MB, Boz C, Arıcak OT … +1 more , Shevlin M
J Clin Psychol · 2026 Jun · PMID 41711124 · Publisher ↗
OBJECTIVE: Depression and anxiety are among the most prevalent mental health disorders worldwide, yet existing diagnostic tools do not always align with contemporary classification systems such as the International Class...
OBJECTIVE: Depression and anxiety are among the most prevalent mental health disorders worldwide, yet existing diagnostic tools do not always align with contemporary classification systems such as the International Classification of Diseases-11 (ICD-11). The study aimed to evaluate the validity and reliability of the International Depression Questionnaire (IDQ) and the International Anxiety Questionnaire (IAQ) in the Turkish population. METHODS: The primary objectives were to assess the psychometric properties of these new health assessment tools, the only based on the ICD-11, in a culturally diverse setting. Participants were recruited through online survey platforms and university announcements, ensuring a diverse representation of the Turkish adult population. The sample consisted of 2894 individuals (1097 male, 1797 female) aged 18-65, including university students, and community members from various socioeconomic backgrounds. RESULTS: Factor analysis revealed that the IDQ and IAQ maintained their original factor structures, supporting their construct validity. The internal consistency of both the IDQ and IAQ was high, with Cronbach's α coefficients exceeding the threshold of 0.70, indicating acceptable reliability. These tools can be confidently used in both clinical and research settings, facilitating better mental health assessment and intervention strategies in Turkey. CONCLUSION: The findings suggest that the Turkish versions of the IDQ and the are valid and reliable tools for assessing the severity of depression and anxiety symptoms in Turkish adults. These instruments can support both clinical and research efforts by facilitating early identification of individuals who may benefit from further psychological evaluation.
The Role of Trait Empathy and State-Level Emotion in Predicting Helpers' Facilitative Interpersonal Skill.
Anderson T, Lin T, Benanzer H … +2 more , Stone SJ, de Jong K
J Clin Psychol · 2026 Jun · PMID 41711112 · Full text
OBJECTIVE: Common factor, interpersonal, and dynamic therapies assume that therapists' trait empathy and in-the-moment emotional experiences play a central role in therapeutic processes. This study tested whether a trait...
OBJECTIVE: Common factor, interpersonal, and dynamic therapies assume that therapists' trait empathy and in-the-moment emotional experiences play a central role in therapeutic processes. This study tested whether a trait level predictor (empathy) and three state-level emotion predictors (anxiety, positive affect, negative affect) could predict Facilitative Interpersonal Skills (FIS). METHOD: A total of 96 participants who self-identified as having an interest in becoming therapists responded to provocative, interpersonally difficult client simulations from the Facilitative Interpersonal Skills task (FIS) as well as a companion set of simulations that were selected to be benign (i.e., less challenging). Helpers completed measures of state-level emotions immediately after the clips. Ratings of FIS were made by both the participants and independent observers. RESULTS: FIS ratings (Skill) were highly correlated on both difficult and benign clips. Therapist positive affect (but not negative affect) was predictive of observer-rated FIS, whereas anxiety was predictive of helper-rated FIS. DISCUSSION: Helpers may associate the ability to modulate anxiety with their self-judgments of being skillful in challenging therapeutic situations. However, trained observations of these skills were associated with helper experiences of positive affect (and not anxiety or negative affect). One implication of this finding is that negative and positive affect may play different roles for how skill is perceived within students learning therapeutic skills versus observers (e.g., supervisors).
Functional Disability Among Disadvantaged Mexican Children With Mental Disorders Seeking Treatment: Differences by Gender and Diagnosis.
Márquez-Caraveo ME, Pérez-Hernández G, Díaz-Castro L … +3 more , Pérez-Barrón V, Belmonte MA, Suárez-Herrera JC
J Clin Psychol · 2026 Jun · PMID 41703702 · Publisher ↗
INTRODUCTION: Disability is a primary predictor of the need for healthcare and services, yet it is not commonly evaluated. AIM: To analyze the functional disability of children with mental disorders based on gender and d...
INTRODUCTION: Disability is a primary predictor of the need for healthcare and services, yet it is not commonly evaluated. AIM: To analyze the functional disability of children with mental disorders based on gender and diagnosis. METHODS: A cross-sectional study was conducted in two psychiatric hospitals specializing in child and adolescent mental health in Mexico. The "WHODAS 2.0 adapted for children" questionnaire was administered to a total of 397 dyads (n = 794) to measure functioning. T-tests and analysis of variance were used to compare means between groups (sex and diagnosis) and variables within each domain of functioning. RESULTS: Girls reported greater global dysfunction compared to boys (girls Ⴟ = 33.72, boys Ⴟ = 30.43, SE = 1.57, p < 0.05), particularly in the domain of mobility. Conversely, boys exhibited greater disability in the domain of life activities (domestic and school). Depressive disorder (DD) was associated with worse functioning in the domains of social participation and interpersonal interactions, whereas hyperactivity disorder (HD) was associated with greater disability in the domain of life activities (domestic). CONCLUSIONS: The level of functional disability varies by gender and diagnosis, highlighting the need for tailored interventions based on these perspectives.
The Association Between Contentment and Depressive Symptoms: Results From Three Panel Studies.
Yan S, Eckland NS, Berenbaum H
J Clin Psychol · 2026 Apr · PMID 41693545 · Full text
We examined whether contentment was associated with depressive symptoms at both between- and within-person levels, both concurrently and prospectively. We examined our hypotheses using random-intercept cross-lagged panel...
We examined whether contentment was associated with depressive symptoms at both between- and within-person levels, both concurrently and prospectively. We examined our hypotheses using random-intercept cross-lagged panel models (RI-CLPM) that computed the associations between contentment and depressive symptoms, treating tranquility and cheer as covariates, with three sets of data: three waves of the Health and Retirement Study (HRS; n = 27,947), the Midlife in the United States (MIDUS) Refresher daily diary study (n = 782), and a daily diary study with college students (n = 278). For the between-person and concurrent within-person associations, in all three samples, contentment was associated with depressive symptoms, even when considering tranquility and cheer. Likewise, for the prospective associations, only contentment predicted subsequent depressive symptoms in two of the three samples (the HRS and the MIDUS samples). We discuss implications for studying the etiology and treatment of depression.
Beyond Exposure: Innovations in the Treatment of Obsessive-Compulsive Disorder.
Coughtrey AE, Melli G
J Clin Psychol · 2026 May · PMID 41666309 · Publisher ↗
Obsessive-compulsive disorder (OCD) is a profoundly heterogeneous condition, encompassing a wide spectrum of symptom presentations, from contamination fears to sexual obsessions, moral scrupulosity, and pathological doub...
Obsessive-compulsive disorder (OCD) is a profoundly heterogeneous condition, encompassing a wide spectrum of symptom presentations, from contamination fears to sexual obsessions, moral scrupulosity, and pathological doubt. While cognitive-behavioral therapy (CBT) incorporating exposure and response prevention (ERP) and challenging of dysfunctional obsessive beliefs remains the gold standard treatment, a growing body of literature has drawn attention to the limitations of traditional approaches. These include high drop-out rates, partial or nonresponse, and difficulty in addressing trauma-related or value-conflicted obsessional content through traditional fear-based exposure hierarchies. Continual refinement and innovation of psychotherapeutic approaches to OCD is therefore essential, not only for enhancing clinical efficacy, but also for increasing engagement, retention and meaning in therapy. This issue of Journal of Clinical Psychology: In Session brings together five in-depth clinical case studies, each exemplifying a distinct yet complementary advance in the treatment of OCD. Taken together, these cases provide a rich, practice-based insight into the diversity, complexity, and personalization of effective therapy, challenging us to expand our understanding of what constitutes successful treatment for OCD.
Looking Within: Self-Concept, Cognitive Flexibility, and Emotion Regulation as Intrapersonal Discriminants of Non-Suicidal Self-Injury Cessation.
Herrick C, Melvin G, Skvarc D … +1 more , Mildred H
J Clin Psychol · 2026 May · PMID 41650372 · Full text
BACKGROUND: Given their modifiable nature, understanding the intrapersonal factors involved in the cessation of non-suicidal self-injury (NSSI) is needed to inform existing therapeutic approaches and explore novel avenue...
BACKGROUND: Given their modifiable nature, understanding the intrapersonal factors involved in the cessation of non-suicidal self-injury (NSSI) is needed to inform existing therapeutic approaches and explore novel avenues for supporting individuals with NSSI. This study aimed to examine the relative contributions of and interactions among intrapersonal factors (self-concept, emotion regulation, and cognitive flexibility) in distinguishing between ceased and current NSSI. METHODS: Two hundred and two adults aged 18-71 years (M = 31.50, SD = 11.23; 74.75% female) were surveyed to compare facets of self-concept, emotion regulation, and cognitive flexibility that contributed most to discriminating those who had ceased NSSI for at least 1 year from those who continued. These intrapersonal factors were also explored as potential indirect pathways between identity and NSSI status. RESULTS: Significant differences between ceased and current NSSI groups were observed across all intrapersonal factors, with moderate to large effects. Most differences persisted after accounting for psychological distress. Less identity fragmentation, greater emotional clarity, internal locus of control, self-liking, access to emotion regulation strategies, and impulse control contributed most to discriminating NSSI cessation after accounting for psychological distress. The relationship between lack of identity and NSSI status operated indirectly through lack of emotional clarity and self-liking. CONCLUSIONS: Having a coherent sense of identity, emotional clarity, internal locus of control, self-liking, access to emotion regulation strategies, and managing impulsivity relate to NSSI cessation. These modifiable factors denote several promising intervention opportunities and should be considered in the design of NSSI-specific treatments.
An Integrative Model for Treating Romantic Breakup Crises as Traumatic Relational Loss: Synthesizing Grief-Oriented, Trauma-Focused, and Relational Approaches.
Ziv-Beiman S, Bar S
J Clin Psychol · 2026 May · PMID 41618805 · Publisher ↗
This paper presents an integrative therapeutic paradigm for treating individuals experiencing a psychological crisis following a romantic breakup, often viewed as both profound and life-altering. Conceptualizing the brea...
This paper presents an integrative therapeutic paradigm for treating individuals experiencing a psychological crisis following a romantic breakup, often viewed as both profound and life-altering. Conceptualizing the breakup experience as involving elements of loss, trauma, and relational rupture, the proposed model integrates principles and interventions drawn from grief-and-loss therapies, trauma-informed approaches, and key principles from relational psychodynamic psychotherapy, as well as humanistic approaches. Based on the common factors model of psychotherapy integration, the model's core principle is the dialectical and ongoing oscillation between two primary therapeutic channels. One focuses on emotion regulation, resource-strengthening, and functional support; the other emphasizes processing the breakup through narrative construction, meaning-making, and reintegration of self-states. The model outlines the clinical considerations that guide the oscillation between these therapeutic channels. In addition, it details the interventions relevant to each channel, in the spirit of the eclectic approach to psychotherapy integration. Two clinical case studies illustrate the model's application and demonstrate how its principles can adapt to various clinical presentations. The paper concludes by mapping the key principles and interventions presented, emphasizing the therapist's role as an active and subjective participant in the therapeutic process.
Initial Suicide-Related Disclosure Characteristics, Motivations, and Outcomes Based on Sexual Orientation.
Kobrinsky V, Ammerman BA
J Clin Psychol · 2026 May · PMID 41618782 · Full text
BACKGROUND: Self-disclosure of suicidal thoughts and behaviors (STBs) is integral for risk assessment and intervention. However, limited research elucidates the nuanced characteristics of first disclosure experiences for...
BACKGROUND: Self-disclosure of suicidal thoughts and behaviors (STBs) is integral for risk assessment and intervention. However, limited research elucidates the nuanced characteristics of first disclosure experiences for bisexual individuals, who are disproportionately impacted by suicide yet remain underrepresented in the literature. This study examined the features, motivations, and outcomes of an initial STB disclosure among heterosexual and bisexual individuals. METHODS: Self-report data from 259 adults (M = 35.40 years; 35.09% bisexual) with a history of STB disclosure recruited through Amazon Mechanical Turk (mTurk) were analyzed with univariate and non-parametric tests and binary logistic regression models. RESULTS: Compared to heterosexuals, bisexual participants reported a higher prevalence of suicidal behavior disclosure, seeking formal disclosure recipients, and disclosing through online platforms. They were also more motivated to address physical safety concerns and obtain professional help and more frequently engaged in help-seeking behaviors post-disclosure. On average, both groups rated disclosure as helpful, with heterosexual individuals reporting it as more helpful. There was a significant main effect of help-seeking encouragement from recipients in predicting post-disclosure help-seeking engagement. CONCLUSIONS: These findings underscore the necessity of considering the impact of sexual orientation differences in initial STB disclosure processes, which may set the benchmark for subsequent disclosure and help-seeking trajectories.
Measurement and Correlates of Peer Social Support During Brief Psychiatric Treatment: The Fellow Travelers in Treatment Scale.
Peckham AD, Winer JP, Dattolico DB … +2 more , Björgvinsson T, Beard C
J Clin Psychol · 2026 Apr · PMID 41618638 · Publisher ↗
OBJECTIVES: Many forms of psychiatric treatment include social experiences as part of treatment. Patients often have both formal and informal opportunities to interact with their peers while receiving treatment in settin...
OBJECTIVES: Many forms of psychiatric treatment include social experiences as part of treatment. Patients often have both formal and informal opportunities to interact with their peers while receiving treatment in settings such as residential, inpatient, and partial hospital levels of care. However, patients' perceptions of these formal and informal social encounters are not routinely assessed in clinical care or clinical research, and the extent to which these social experiences are related to positive or negative outcomes during treatment is unclear. METHODS: The authors developed a 19-item self-report measure of social experiences during treatment, with input from stakeholders comprised of former patients at the study site. 470 adults receiving psychiatric treatment at a partial hospitalization program then completed this novel measure, the "Fellow Travelers in Treatment" Scale, alongside symptom and personality measures. These measures were used to test the factor structure of the new Scale, and the hypothesis that more positive and more frequent social interactions would be associated with less post-treatment depression and anxiety symptoms. We also assessed whether more frequent and more positive social interactions with peers were related to established measures of extraversion and social anxiety. Finally, we conducted exploratory analyses of symptoms and frequency of specific social behaviors. RESULTS: Exploratory factor analysis (EFA) yielded a 3-factor solution for the measure, with domains of learning from others, frequency of social contact, and respect from peers; in addition, a separate set of items not included in the factor analysis assessed frequency of specific social behaviors. Broadly, these subscales showed the expected relationships with extraversion, social anxiety, and social support. Mostly consistent with hypotheses, higher levels of respect from peers and learning from peers were associated with lower depression and anxiety scores; however, frequency of social contact was unrelated to symptom measures. CONCLUSION: Results of this preliminary study illustrate the potential value of assessing patients' social experiences with peers during acute treatment, and demonstrate that peer social interactions are a significant correlate of treatment outcome. Future research is needed to further establish the validity of this novel measure.
Psychometric Properties and Clinical Resources of the Clinical Outcomes in Routine Evaluation-10 in Argentina: Data-Driven Approach for Clinical Cut-Off.
Meglio M, López F, Areas M … +3 more , Gómez B, Álvarez JF, Penedo JMG
J Clin Psychol · 2026 May · PMID 41610215 · Publisher ↗
AIM: To evaluate the psychometric properties of the 10-item Clinical Outcomes in Routine Evaluation (CORE-10) in terms of change sensitivity and to develop clinical resources to support its use in routine practice for th...
AIM: To evaluate the psychometric properties of the 10-item Clinical Outcomes in Routine Evaluation (CORE-10) in terms of change sensitivity and to develop clinical resources to support its use in routine practice for the Argentine adult population. Specifically, it explored the differentiation between clinical and non-clinical groups using traditional and data-driven approaches to determine clinical cut-off scores. METHOD: Two independent samples were included: a cross-sectional sample (n = 637) composed of individuals from the general population and patients initiating therapy, and a longitudinal clinical sample (n = 148) assessed session-by-session. Psychometric analyses included factor structure, internal consistency, and convergent and divergent validity. Sensitivity to change was assessed through standardized effect sizes and mixed-effects modeling. Clinical cut-off scores were estimated using therapy status and data-driven clustering methods. RESULTS: The CORE-10 showed good internal consistency and a unidimensional factor structure with excellent fit. Strong concurrent and acceptable divergent validity were found. Moderate internal responsiveness was observed, and longitudinal analyses confirmed a significant reduction in CORE-10 scores over time. Clustering methods outperformed traditional therapy-status classifications, yielding more consistent and interpretable groupings. The optimal cut-off score derived from K-Means clustering was 1.39 (SD = 0.36; 95% CI [1.36, 1.42]). The reliable change index values were comparable to previous studies. DISCUSSION: The CORE-10 is a reliable and valid tool for monitoring psychological distress and change in Argentine psychotherapy settings. Beyond supporting its psychometric robustness, this study contributes practical, data-informed resources to improve clinical decision-making and routine outcome monitoring.
Differential Effects of Autistic Traits and Psychotic-Like Experiences on the Interpretation and Inference of Social Intentions.
Zhou HY, Xin ZM, Lu YY
J Clin Psychol · 2026 May · PMID 41610200 · Publisher ↗
OBJECTIVE: Theory of mind (ToM), the ability of mental state attribution, is an important aspect of social cognition. The autism-psychosis diametrical model suggests that there is an opposite impact of autistic traits an...
OBJECTIVE: Theory of mind (ToM), the ability of mental state attribution, is an important aspect of social cognition. The autism-psychosis diametrical model suggests that there is an opposite impact of autistic traits and psychotic-like experiences (PLE) upon ToM, with autistic traits associated with under-mentalizing and PLE linked to over-mentalizing. This exploratory study aimed to examine the diametrical model at both subclinical and clinical levels. METHOD: We recruited 240 college students (Study 1), 28 patients with chronic schizophrenia and their demographically-matched controls (Study 2). The animated shapes task was used to assess ToM ability. This task was a non-verbal task involving the interpretation of geometric figure interactions in random and ToM conditions. All participants completed the Community Assessment of Psychic Experiences (CAPE) and the Autism-Spectrum Quotient (AQ) to measure PLE and autistic traits. The positive symptom subscale (PANSS-P) and the dimensional autism severity score (PAUSS) of the PANSS were additionally used to assess the severity of positive symptoms and autistic phenotypes in clinical populations. RESULTS: Patients with chronic schizophrenia demonstrated a mixed pattern of ToM impairment, combining over-mentalizing for random movements and under-mentalizing for movements involving mental state. Correlational analysis preliminarily suggested that regardless of diagnostic status, PLE was associated with over-mentalizing, that is, more intentionality attribution to random movement. Autistic-like symptoms among patients were related to less intentionality with less appropriate answers in ToM condition. However, the interaction of the two symptoms, or the co-occurrence of PLE and autistic traits had no significant beneficial effect on ToM performances. DISCUSSION: Autistic traits and positive psychotic symptoms may have differential effects on mentalizing, but there is no support that ToM impairments would be attenuated in individuals with mixed symptom expressions.
Metacognitive Deficits in Attention Deficit Hyperactivity Disorder: Insights From Adolescents and Their Parents.
Toksoy ZE, Ekinci O, Gamli IS … +3 more , Karakuş OB, Kocabas S, Adak I
J Clin Psychol · 2026 May · PMID 41610199 · Publisher ↗
OBJECTIVE: Metacognition refers to the awareness and regulation of one's cognitive processes, including self-monitoring, planning, and controlling thoughts. In individuals with attention deficit hyperactivity disorder (A...
OBJECTIVE: Metacognition refers to the awareness and regulation of one's cognitive processes, including self-monitoring, planning, and controlling thoughts. In individuals with attention deficit hyperactivity disorder (ADHD), although research is limited, deficits in metacognitive skills are commonly observed, which contribute to difficulties in attention, task completion, and self-regulation. The aim of this study is to identify metacognitive characteristics in adolescents diagnosed with ADHD and to explore the relationship between these characteristics and the metacognitions of their parents. METHODS: The study included 107 adolescents, aged 12-18 years, who were newly diagnosed with ADHD, as well as 100 healthy control participants. A sociodemographic form, The Schedule for Affective Disorders and Schizophrenia for School Aged Children-Present and Lifetime version for DSM-5 (K-SADS-PL DSM-5), Metacognitions Questionnaire for Children (MCQ-C) were applied, while their parents completed the Metacognitions Questionnaire-30 (MCQ-30), Turgay DSM-IV Disruptive Behavior Disorders Rating Scale Form (T-DSM-IV-S) and the Adult ADHD Self-Report Scale for DSM-5 (ASRS-5). Based on ASRS-5 scores, parents were categorized into two groups: those at increased risk of ADHD (ASRS ≥ 14) and those at low risk of ADHD (ASRS < 14). Group differences were examined using multivariate analyses (MANCOVA/MANOVA), while associations between adolescent and parental variables were assessed using correlation analyses. RESULTS: In adolescents with ADHD, scores on the negative meta-worry, superstitious, punishment and responsibility beliefs and cognitive monitoring subscales -as well as the MCQ-C total score- were significantly higher compared to the control group, while no difference was found for positive meta-worry, regardless of subtype. On the parental MCQ-30, all subscale and total scores were significantly higher in the ADHD group. Parents categorized as being at increased risk of ADHD had significantly higher MCQ-30 total scores compared to those at low risk. Furthermore, the severity of ADHD symptoms in adolescents, particularly inattention and hyperactivity-impulsivity, was positively and weakly correlated with the MCQ-C total score. In addition, a weak negative correlation was observed between adolescents' positive meta-worry and parents' cognitive confidence. CONCLUSION: Our study suggests that metacognitive impairment is prevalent among adolescents with ADHD and their parents. Enhancing metacognitive awareness in individuals with ADHD may facilitate their adaptation to treatment and preparedness for alternative forms of therapeutic intervention.
The Impact of Combat Exposure on Suicidal Behavior Among U.S. Military Personnel: The Moderating Roles of Moral Injury and Stigma.
Im S, Woo S
J Clin Psychol · 2026 May · PMID 41610182 · Publisher ↗
This study analyzed data from the Military Health and Well-being Project (MHWBP) to examine the influence of combat exposure on suicidal behavior among U.S. military personnel with combat experience, focusing on the mode...
This study analyzed data from the Military Health and Well-being Project (MHWBP) to examine the influence of combat exposure on suicidal behavior among U.S. military personnel with combat experience, focusing on the moderated effects of moral injury and stigma. Data from 1,495 service members were analyzed, revealing significant correlations among the variables. The Process Macro was employed to assess the impact of moral injury and stigma on suicidal behavior. Furthermore, moderated moderation analyses were conducted, revealing that combat experience had a stronger relationship on suicidal behavior among individuals with high levels of moral injury and stigma. These findings shed light on the interacting factors through which combat exposure affects suicidal behavior among military personnel and are discussed in terms of their implications, limitations, and future research directions.
Effects of Internet and Social Media Platforms on Pretreatment Anxiety and Stress Levels in Patients Scheduled for Periodontal Surgery.
Saraç Atagün Ö, Özcan E, Özarslantürk S … +2 more , Ceylan Şen S, Çardakci Bahar Ş
J Clin Psychol · 2026 May · PMID 41610178 · Publisher ↗
OBJECTIVES: This study aimed to evaluate the stress levels of patients who watched or did not watch videos about their disease and surgical procedure on social media before periodontal surgery. METHODS: A total of 250 pa...
OBJECTIVES: This study aimed to evaluate the stress levels of patients who watched or did not watch videos about their disease and surgical procedure on social media before periodontal surgery. METHODS: A total of 250 patients given a questionnaire before periodontal surgery were included. The patients were categorized according to whether they watched the video, the type of surgery, whether they were knowledgeable about the disease, and whether they had remaining questions. The Visual Analog Scale (VAS), Perceived Stress Scale (PSS), Beck Anxiety Inventory (BAI), and Modified Dental Anxiety Scale (MDAS) scores were measured. RESULTS: Patients who watched informational videos reported significantly higher VAS scores than those who did not. Among viewers, patients who reported increased fear exhibited significantly higher VAS, PSS, BAI, and MDAS scores than both nonviewers and viewers who reported reduced fear. VAS scores were significantly higher for gingivectomy and biopsy procedures compared to flap surgery. PSS scores were also significantly higher for mucogingival surgery and biopsy than for flap surgery. Lack of knowledge about gingival disease was associated with significantly higher PSS scores, and patients with unanswered or partially answered questions showed higher VAS, BAI, and MDAS scores. There were significant positive correlations among all anxiety scales. CONCLUSIONS: Patients' stress levels were influenced both by the type of surgical procedure to be performed and by their level of knowledge about the disease; however, watching videos before surgery was found to further increase their stress. To prevent patients from postponing dental treatments, the procedures to be performed should be explained, and it should be emphasized that watching videos on the Internet may cause unnecessary anxiety.
From Exposure to Insight: Lessons From Five Contemporary OCD Cases and Where Treatment Should Go Next.
Fink-Lamotte J
J Clin Psychol · 2026 May · PMID 41610133 · Full text
Exposure and response prevention (ERP) remains the gold-standard psychotherapy for obsessive-compulsive disorder (OCD), yet real-world care is limited by dropout, partial response, relapse, and phenotypes that strain hab...
Exposure and response prevention (ERP) remains the gold-standard psychotherapy for obsessive-compulsive disorder (OCD), yet real-world care is limited by dropout, partial response, relapse, and phenotypes that strain habituation-centric protocols. This commentary synthesizes five case reports that upgrade ERP not by replacing it, but by refining how inhibitory learning is taught and enacted. In the first case study Capel and Twohig 2025, Acceptance and Commitment Therapy (ACT) with values-based exposure shifted the goal from distress reduction to values-consistent action under aversive private events, boosting motivation and generalization. In the second case (Wille et al. 2025), VR-assisted avatar therapy externalized the OCD voice", boosting insight and resistance to compulsions and thereby unlocking ERP. In the third case (Micheli and Melli, 2026), addressing mental contamination, imagery rescripting reframed shame and disgust. In the fourth case (Jessup et al. 2024), ERP was tuned to emphasize clear expectancy violations and to vary contexts. In the fifth and final case study Fausting et al. 2025, the focus was on "innovative moments" during ERP. Noticing and amplifying these small, natural shifts ("exceptions") kept the client engaged and helped solidify new response patterns. Together, these vectors suggest a next wave of OCD care: precise personalization of ERP's mechanism (expectancy violation/inhibitory learning), process targets (motivation, insight, psychological flexibility and non-fear emotions like shame and disgust), and format (tech-assisted delivery), evaluated with mechanism-linked outcomes. Rather than "more ERP," the field should engineer better operating conditions for ERP-one explicit prediction, one values-anchored action, and one reinforced micro-gain at a time.
"Barefoot on the Rocks": Addressing Shame and Guilt in a Woman Suffering From Borderline Personality Disorder With Combined Individual and Group Metacognitive Interpersonal Therapy.
Passarella T, Catalfio F, Ottavi P … +2 more , Maffia A, Dimaggio G
J Clin Psychol · 2026 May · PMID 41603708 · Publisher ↗
Guilt and shame can be very relevant when treating personality disorders. Understanding how they block the patients' capacity to figure out they can fulfill their wishes is central for a fine-grained case formulation, an...
Guilt and shame can be very relevant when treating personality disorders. Understanding how they block the patients' capacity to figure out they can fulfill their wishes is central for a fine-grained case formulation, and for counteracting their contribution to symptom and goal fulfillment. To this purpose we will describe how Metacognitive Interpersonal Therapy, delivered in a combined individual and an open-group format, addressed pathological emotions of shame and guilt in the case of Martina, a woman suffering from Borderline PD with avoidant and dependent traits. We show how the therapists adopted a combined individual and group format, working through the therapeutic alliance, using experiential techniques such as guided imagery, rescripting, body work, and role-play. Through this process, Martina came to realize that her core problem was related to a core self-idea of being "shattered" and "harmful" which she held as true and that made her impossible to access the very idea of deserving to be treated. Therapy helped her figure out the origins of these ideas which generated intense guilt and shame and to process them until she was able to contact a sense of self-confidence and dignity, and finally to pursue her own wishes.
Evaluating Group Schema Day Treatment: Patient Satisfaction and Outcomes in Mixed Personality Disorders.
Broersen J, van Vreeswijk M, Videler A … +1 more , Lobbestael J
J Clin Psychol · 2026 Apr · PMID 41586812 · Publisher ↗
OBJECTIVE: This study aimed to examine patient satisfaction and treatment outcomes of a 34-week Group Schema Day Treatment (GSDT) program combined with individual Schema Therapy, for individuals with cluster B and C pers...
OBJECTIVE: This study aimed to examine patient satisfaction and treatment outcomes of a 34-week Group Schema Day Treatment (GSDT) program combined with individual Schema Therapy, for individuals with cluster B and C personality disorders. METHOD: A naturalistic design was utilized with 39 adult patients (mean age = 33.95; SD = 10.83; 62% female) primary diagnosed with personality disorders from clusters B and C. The therapy outcome measures were assessed before the start of treatment (T0), 8 weeks (T1) and 26 weeks in treatment (T2), and between the first and second follow-up (T3). RESULTS: Significant positive change was observed in overall patient satisfaction, with effect sizes for the treatment satisfaction domains (information, shared decision, satisfaction of therapists, overall satisfaction and treatment mark) ranging from -0.36 to 0.98 (Cohen's d). Significant reductions were observed in psychological symptoms, personality disorder severity, and dysfunctional schemas, with effect sizes (Cohen's d) ranging from 0.77 to 0.87. Increase in healthy modes showed a smaller effect size of 0.24. The dropout rate was 17.9%. CONCLUSIONS: The findings suggest that GSDT is generally well-accepted by patients who report high satisfaction with the treatment. It could be potentially effective in treating mixed cluster B and C personality disorders. Further randomized controlled trials are recommended to better understand the relationship between patient satisfaction and treatment outcomes, as well as to assess cost-effectiveness.
The Complex Relationship Between Community, Economic, Social Factors, Violent Crime, and Suicide.
Henderson H, Bourgeois JW, Smith S … +2 more , Smith S, Ferguson CJ
J Clin Psychol · 2026 Apr · PMID 41582925 · Publisher ↗
The current study examined suicide and violent crime data for 100 large municipalities in the United States. Suicide occurred more often when high school graduation rates were lower, but paradoxically, better income ineq...
The current study examined suicide and violent crime data for 100 large municipalities in the United States. Suicide occurred more often when high school graduation rates were lower, but paradoxically, better income inequality rates predicted higher suicide, though this is consistent with international economic data. The frequency of mental distress predicted suicide as expected. Communities with higher proportions of black residents were more resilient to suicide, and why this is may be worth exploring in future research.
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