Journal Of Clinical Psychology[JOURNAL]
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200 papers
Marital Status, Social Integration, and Suicidal Thoughts and Behaviors in the Military Health and Well-Being Project.
Schafer KM, Dougherty SP, Campione M … +3 more , Melia R, Wilson-Lemoine E, Joiner T
J Clin Psychol · 2026 Apr · PMID 41557963 · Full text
Suicidal thoughts and behaviors (STBs) are a public health concern, particularly among Veterans, who experience elevated rates of STBs. Social integration is negatively associated with STBs, such that high social integra...
Suicidal thoughts and behaviors (STBs) are a public health concern, particularly among Veterans, who experience elevated rates of STBs. Social integration is negatively associated with STBs, such that high social integration is correlated with low rates of STBs. Much of the literature has studied marital status as a social relationship that may protect individuals from STBs. Although largely unstudied, it has long been assumed that social integration moderates the link between marital status and STBs. Thus, in a sample of Veterans (N = 1469; Military Health and Well-Being Project), we tested our hypotheses that (1) social integration varies by marital status (single vs. married vs. domestic partnership vs. divorced vs. widowed), (2) social integration is negatively associated with STBs (i.e., lifetime suicidal ideation, past year suicidal ideation, suicidal ideation communication, and likelihood of suicide attempt), (3) STBs vary based on marital status, and (4) social integration moderates the cross-sectional link between marital status and STBs. Results indicated that (1) marital status was associated with social integration, such that married people reported greater social integration than people who were single; (2) social integration was negatively associated with all four STBs (r's < - 0.09, p < 0.001); (3) STBs varied based on marital status such that married people reported fewer STBs than people who were in a domestic partnership, single, widowed, or divorced, and (4) social integration did not moderate the link between marital status and STBs. Findings indicate that factors external to marital status may contribute to the link between social integration and STBs.
Ingredients for Success: What Clients and Informal Caregivers Value in Depression Treatment A Concept Mapping Study.
Ramaekers RMD, van Dijk DA, Veenstra MY … +3 more , Schruers KRJ, van Bronswijk SC, Leibold NK
J Clin Psychol · 2026 Apr · PMID 41557956 · Full text
OBJECTIVES: Effective treatments are available for major depressive disorder; however, treatment efficacy is less pronounced in real-life settings compared to research. One reason for this discrepancy may be that treatme...
OBJECTIVES: Effective treatments are available for major depressive disorder; however, treatment efficacy is less pronounced in real-life settings compared to research. One reason for this discrepancy may be that treatment outcomes assessed in research do not fully reflect domains important to treatment recipients: clients and their informal caregivers. Moreover, studies often struggle to assess the impact of process-related factors on treatment success. More research incorporating client and informal caregiver perspectives is therefore needed to identify what they consider essential for a successful treatment. METHODS: Group Concept Mapping was employed to elicit insights from clients and informal caregivers regarding their experiences with depression treatment. Twenty-one participants brainstormed in response to the statement: "Successful depression treatment requires…". Subsequently, 32 participants sorted the identified factors into meaningful groups and rated their importance to treatment success. RESULTS: Participants generated 79 unique responses in the brainstorm. They sorted these responses into 10 clusters: "The client", "Treatment process", "Treatment organisation", "Interaction client clinician", "The clinician", "Clinician's adherence to good practice", "Drug treatment", "Pre-condition", "Supporting activities", and "Supportive work and home life". Most clusters were considered important. CONCLUSION: These findings support the idea of using multivariate and multimodal models for understanding treatment success. Participants attributed the therapeutic alliance as more clinician-driven than client-driven. A combination of factors related to treatment organization, treatment elements, and guideline adherence emerged as a core concept to successful treatment. Recommendations include increasing clinician awareness of perceptions of the therapeutic alliance and utilizing the findings to guide treatment discussions.
Impacts of Distress Intolerance and Anxiety Sensitivity on the Maintenance and Treatment of Youth Misophonia.
Cepeda SL, Milgram L, Bigler ME … +3 more , Tonarely-Busto NA, Lewin AB, Ehrenreich-May J
J Clin Psychol · 2026 May · PMID 41557948 · Publisher ↗
OBJECTIVE: Misophonia often co-occurs with emotional disorders in youth, indicating that these conditions may share underlying risk factors, such as distress intolerance and anxiety sensitivity. However, the specific rel...
OBJECTIVE: Misophonia often co-occurs with emotional disorders in youth, indicating that these conditions may share underlying risk factors, such as distress intolerance and anxiety sensitivity. However, the specific relationships between misophonia severity, distress intolerance, and anxiety sensitivity have not been formally explored. Understanding how these transdiagnostic risk factors impact misophonia severity and related impairment could offer valuable insights into misophonia phenomenology and identify key therapeutic targets for affected youth. METHODS: This study examined the impacts of distress intolerance and anxiety sensitivity on misophonia severity during treatment in youth (N = 43) randomized to either a 10-week course of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A; N = 29) or psychoeducation/relaxation training (PRT; N = 14). Youth completed self-report measures at 0-, 5-, and 10-weeks post-enrollment. RESULTS: Greater distress intolerance and anxiety sensitivity were both associated with greater misophonia symptom severity at pre-treatment. Distress intolerance, but not anxiety sensitivity, improved significantly across treatment course. Compared to youth receiving PRT, youth receiving UP-C/A exhibited greater improvements in distress intolerance across treatment, and indirect effect estimates indicated that improvement in distress intolerance was a mechanism through which the UP-C/A elicited change in misophonia symptom severity. CONCLUSION: Preliminary findings support distress intolerance as a mechanism of symptom change in transdiagnostic cognitive-behavioral treatment for youth misophonia. Future large-scale trials are warranted to further investigate distress intolerance and other transdiagnostic factors as treatment targets for misophonia.
Opioid Use Disorders and Perceived Social Isolation: A Latent Profile Analysis.
Ashrafioun L, Allan NP, Ding Y … +2 more , Ko H, Stecker TA
J Clin Psychol · 2026 May · PMID 41546880 · Publisher ↗
OBJECTIVES: The goal of this study was to characterize a sample of individuals with opioid use disorder (OUD) reporting perceived social isolation (PSI) using latent profile analyses. METHODS: Individuals with OUD report...
OBJECTIVES: The goal of this study was to characterize a sample of individuals with opioid use disorder (OUD) reporting perceived social isolation (PSI) using latent profile analyses. METHODS: Individuals with OUD reporting PSI (n = 125) were recruited for a clinical trial to address PSI. Measures assessing PSI, quantity of social interactions, perceived social support, and opioid use were used to create latent profiles. Additional characteristics including other substance use, substance use consequences, depression, anxiety, belongingness, and burdensomeness were assessed to differentiate the profiles. RESULTS: Latent profile analyses revealed 3 profiles, each of which reported high PSI and low quantity of social interactions as well as low perceived social support but varied based on days using opioids. Profile 1 (n = 36; labeled Low Frequency Use) had less frequent opioid use with few social interactions and lower perceived social support. Profile 2 (n = 17; Occasionally Abstinent) used opioids daily, had few social interactions, and had higher perceived social support. Profile 3 (n = 72; Frequent Use) used opioids daily. Low Frequency Use participants engaged in polysubstance use on less days and were more diverse in gender and race. CONCLUSIONS: This study identified three classes of individuals with OUD and elevated PSI that were differentiated primarily by frequency of opioid use, while all classes reported high loneliness and low social support. Although exploratory, outcome analyses suggested that the classes were clinically meaningful, with differences in polysubstance use and drug consequences, and warrant replication in larger samples.
Child Trauma and Family Adversity Predict Treatment Completion Among High-Risk Youth in Intensive Home-Based Treatment: A Latent Class Analysis of the Intensive In-Home Child & Adolescent Psychiatric Service (IICAPS).
Holland ML, Decker LB, Kamody RC … +2 more , Stob V, Woolston JL
J Clin Psychol · 2026 Apr · PMID 41543330 · Publisher ↗
Over the past three decades, rigorous empirical research has highlighted both cumulative and non-additive effects of childhood trauma, which are intricately intertwined with the broader developmental and psychosocial con...
Over the past three decades, rigorous empirical research has highlighted both cumulative and non-additive effects of childhood trauma, which are intricately intertwined with the broader developmental and psychosocial context. Latent class analysis has proven useful in identifying at-risk groups, thereby informing the design of targeted prevention and early-intervention efforts. Extending prior research to highly complex, high-risk children and families receiving intensive home-based treatment (IHBT), this study analyzed archival data from 10,301 Connecticut families enrolled in the Intensive In-Home Child & Adolescent Psychiatric Service (IICAPS) from May 2014 to February 2020. The objective was to identify clusters of child traumatic events alongside familial and community-level adversities that predict treatment engagement within this marginalized and hard-to-reach population. Using latent class analysis (LCA), four classes emerged: (1) Unspecified Adversity (69% probability of membership across the sample); (2) High Family Adversity (13%); (3) High Child Trauma & Family Adversity (11%); and (4) High Child Trauma (7%). Relative to the Unspecified Adversity group (reference class), all other groups exhibited lower odds of completing treatment. These findings hold implications for developing targeted assessment and intervention strategies to enhance treatment engagement and outcomes for underserved youth in intensive home-based programs.
"It Was a Very Pleasant Surprise": Exploring Public Safety Service Users' Experiences With Inpatient Mental Health Treatment and Recovery.
Johnston MS, Ricciardelli R, Vester E … +1 more , Martin K
J Clin Psychol · 2026 Apr · PMID 41521694 · Full text
OBJECTIVES: Mental health service users are responsible and autonomous individuals who can comprehend their own illness and recovery and therefore engage healthcare professionals in their care. Studies have demonstrated...
OBJECTIVES: Mental health service users are responsible and autonomous individuals who can comprehend their own illness and recovery and therefore engage healthcare professionals in their care. Studies have demonstrated how service users feel more dignified, safe, and respected during mental health treatment when they are listened to by their caregivers and included in treatment decision-making. The physical space and design of mental health facilities, as well as the approach to care and treatment, have been found to have positive implications for service users' treatment and recovery, both in contemporary and historical settings. Thus, understanding service user perspectives is necessary because these experiences may shed light on best treatment practices. METHODS: The current study engages interview data produced by public safety professionals-who are often exposed throughout the course of their service and duties to potentially psychologically traumatic events-who were receiving inpatient care for trauma and, in some circumstances, substance misuse at Edgewood Health Network's Guardians Gateway facility. Framed through the sociology of mental health literature, we qualitatively explore how these service users experienced the physical and psychological aspects of the treatment space. RESULTS: We found their experiences of recovery at this facility led to new conceptions of mental health treatment, including overcoming stigma, personal growth, and encouragement to try new activities and programs tailored to their individualized mental health needs. CONCLUSION: We discuss how their lived experiences provide novel insights into best care practices for public safety personnel in Canada.
Managing Emotional Intensity Difficulties in Older Adults With Personality Disorders: A Proof-of-Concept Study.
Ekiz E, van Alphen SPJ, Ouwens MA … +1 more , Videler AC
J Clin Psychol · 2026 Apr · PMID 41512189 · Full text
Problematic emotion management is a core symptom of personality disorders and does not tend to improve spontaneously with age. Systems Training for Emotional Predictability and Problem Solving (STEPPS), a treatment progr...
Problematic emotion management is a core symptom of personality disorders and does not tend to improve spontaneously with age. Systems Training for Emotional Predictability and Problem Solving (STEPPS), a treatment program targeting emotional intensity difficulties, has been found to be effective for younger adults with borderline personality disorder. After a pilot study and a Delphi study, STEPPS was adjusted for older adults to better suit this population. The aim of present study was to evaluate first outcomes (e.g., level of improvement) of the adjusted STEPPS Older Adults (STEPPS-OA). A total of 52 patients, with a mean age of 67 years (range: 60-80), participated in this proof-of-concept study with pre-, mid-, and post-treatment measurement points. A total number of 38 patients completed the treatment; 14 patients (27%) dropped out. A majority of the patients (58%) had borderline personality disorder. After treatment, patients reported significantly decreased borderline personality disorder severity and symptomatic distress. Furthermore, there was a significant improvement of adaptive emotion regulation strategies and all personality functioning factors. Finally, some maladaptive personality traits (i.e., Disinhibition and Negative Affectivity) decreased significantly. Results of this proof-of-concept study indicate STEPPS-OA is a promising treatment option for managing emotional intensity difficulties for older adults with personality disorders.
Treating Profound Shame States in Men With Antisocial Personality Disorder (ASPD) With Mentalisation-Based Treatment (MBT): A Case Illustration.
Blumenthal S, Yakeley J
J Clin Psychol · 2026 Apr · PMID 41503708 · Publisher ↗
Shame is a fundamental human affect that plays a central role in social regulation and psychopathology. In some individuals with antisocial personality disorder (ASPD), chronic and pathological shame-shaped by early expe...
Shame is a fundamental human affect that plays a central role in social regulation and psychopathology. In some individuals with antisocial personality disorder (ASPD), chronic and pathological shame-shaped by early experiences of abuse, neglect, and attachment disruption-may contribute to difficulties in affect regulation, mentalization, and interpersonal functioning, and is frequently implicated in violent and antisocial behavior. The authors describe a long-term, psychodynamically informed mentalization-based treatment (MBT) group for men with ASPD. The paper focuses on shame as a clinically organizing affect, examining how unmentalized experiences of shame and humiliation may precipitate transient collapses in mentalization, paranoia, and violent acting out. Drawing on detailed clinical material, the authors consider the developmental origins of pathological shame in early attachment relationships and explore the technical challenges of working therapeutically with profound shame states in a group context. It is proposed that addressing both individual and collective experiences of shame within a stable therapeutic group can foster a sense of safety, support the restoration of mentalizing capacity, and reduce vulnerability to violent behavior. The paper aims to extend existing mentalization-based formulations of ASPD by foregrounding shame as a central affective process within long-term group treatment.
Imagery Rescripting and Behavioural Experiments for Mental Contamination in Obsessive-Compulsive Disorder: A Case Illustration.
Micheli E, Melli G
J Clin Psychol · 2026 Apr · PMID 41494086 · Publisher ↗
This case study presents the treatment of a young adult with severe mental contamination (MC), a subtype of obsessive-compulsive disorder (OCD) characterized by internal feelings of dirtiness triggered by trauma-related...
This case study presents the treatment of a young adult with severe mental contamination (MC), a subtype of obsessive-compulsive disorder (OCD) characterized by internal feelings of dirtiness triggered by trauma-related emotions rather than physical contaminants. The patient, Federico, exhibited intense shame and disgust linked to a bullying episode, leading to compulsive rituals and functional impairments. Treatment integrated emotion regulation training, Imagery Rescripting (ImRs), and behavioral experiments, targeting dysfunctional beliefs about emotions. ImRs allowed reprocessing of the traumatic memory and reshaping of self-related meanings of impurity and unworthiness. Behavioral experiments tested and modified catastrophic appraisals of emotional experiences, fostering tolerance of distress without compulsive neutralization. By the end of treatment, Federico's Y-BOCS-II score fell from 42 to 15 (-64%) and his VOCI-MC score from 50 to 9 (-82%), with stability at 3-month follow-up. Follow-up confirmed the stability of gains and increased emotional autonomy. This case supports the utility of combining trauma-focused cognitive techniques and behavioral experiments in MC, particularly when compulsions are maintained by unprocessed emotional memories rather than concrete contamination threats. It highlights the need for individualized interventions in which ImRs may serve as a central component in treating MC symptoms.
A Qualitative Exploration of Post-Injury Challenges and the Potential Role of the PTSD Coach Mobile Application to Improve Recovery Among Acutely Injured Patients.
Pacella-LaBarbara ML, Hamm M, Kenkre N … +5 more , Plaitano EG, Gallo N, Morford H, Kuhn E, Suffoletto BP
J Clin Psychol · 2026 Apr · PMID 41494058 · Full text
OBJECTIVE: Digital interventions designed to prevent development of chronic pain and comorbid mental health symptoms, specifically targeting the acute injury recovery period, are in the early stages of development. The e...
OBJECTIVE: Digital interventions designed to prevent development of chronic pain and comorbid mental health symptoms, specifically targeting the acute injury recovery period, are in the early stages of development. The evidence-based PTSD Coach mobile application is a free resource offering cognitive-behavioral interventions to self-manage posttraumatic symptoms; it is used widely in varied populations, and it is feasible and acceptable to injured Emergency Department patients. However, patients' subjective experience and feedback regarding optimizing the app are lacking. METHODS: We conducted a qualitative study in which we recruited and interviewed 18 acutely injured adult patients (5 men; 13 women) at-risk for persistent pain and psychological problems. Participants were instructed to use PTSD Coach for at least 1 week; during the interview, participants discussed post-injury needs and challenges, their experience with the app, and general perceptions of its suitability to address post-injury distress. RESULTS: Favorable feedback centered on the variety of user-friendly tools to help manage symptoms, ability to increase awareness of symptoms and identify and cope with distressing reminders of the trauma, and on facilitating openness and linking to resources for mental health treatment. Suggestions for improvement included: increased personalization through app onboarding, text messages and other notifications to prompt use, having voice-overs to read content to participants, and linkages to in-person mental healthcare if needed. CONCLUSION: These findings support PTSD Coach as a potential self-management tool to prevent the chronicity of maladaptive psychological reactions to injury and highlight features that may improve its utility for this unique underserved population.
Growing Pains: Lessons From A Process Group on Heartbreak.
Blake E, Rose N
J Clin Psychol · 2026 Mar · PMID 41480793 · Publisher ↗
Despite prevailing cultural assumptions, individuals who initiate romantic break-ups may suffer greater emotional turmoil than those who are left. In this article, the authors draw from case material from a psychodynamic...
Despite prevailing cultural assumptions, individuals who initiate romantic break-ups may suffer greater emotional turmoil than those who are left. In this article, the authors draw from case material from a psychodynamic interpersonal process group they co-led, which focused on helping five college-aged young adults navigate the emotional aftermath of initiating a breakup. Group sessions revealed persistent struggles with anger, guilt, and fear-emotions that lingered months or even years after the relationships had ended. A parallel process unfolded as members worked to develop a sense of adult identity while living away from home for the first time. They grappled not only with the loss of the relationship but also with questions of who they were becoming outside of it. The group functioned as both a container for shared grief and a generative space for envisioning something new. It offered a secure base-a consistent, supportive presence-that enabled members to take emotional risks, explore new facets of themselves, and gradually open up to the possibility of love again. This process was particularly evident in the internal and external transformation of one group member. Themes of homesickness, identity, gender, aggression, and fear of repeating past relational patterns emerged as especially poignant throughout the group's evolution.
Psychometric Properties of the Dutch Version of the Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL).
Wibbelink CJM, Sinnaeve R, Boyette LL … +2 more , Arntz A, Kamphuis JH
J Clin Psychol · 2026 Mar · PMID 41466400 · Full text
Dialectical behavior therapy (DBT) is an extensively studied treatment for borderline personality disorder (BPD), with skills use being one of the hypothesized mechanisms of change. Research has previously been hindered...
Dialectical behavior therapy (DBT) is an extensively studied treatment for borderline personality disorder (BPD), with skills use being one of the hypothesized mechanisms of change. Research has previously been hindered by the absence of an appropriate tool to measure skills use, leading to the development of the DBT Ways of Coping Checklist (DBT-WCCL). The DBT-WCCL aims to assess DBT skills use (DSS) as well as dysfunctional coping (DCS), which can be divided into dysfunctional coping in general (DCS1) and blaming others (DCS2). This study evaluated the Dutch version of the DBT-WCCL by examining (1) the dimensional structure and measurement invariance across BPD and non-clinical samples, (2) psychometric properties (reliability and validity), and (3) sensitivity to change. A total of 204 participants diagnosed with BPD and 103 non-clinical controls completed the Dutch DBT-WCCL along with instruments assessing emotion regulation and BPD manifestations. First, when including all DBT-WCCL items, the hypothesized two-factor and three-factor models were not tenable due to substantial content overlap. When factor analyses included only items representing DBT skills or dysfunctional coping, support was found for three subscales (DSS, DCS1, and DCS2). Partial measurement invariance was established only for the DSS subscale. Reliability and known-group validity were satisfactory for all scales, while inconclusive results were found for the concurrent validity of the DSS subscale. Finally, the DBT-WCCL proved to be sensitive to change. In conclusion, our findings largely support the use of the Dutch DBT-WCCL, but warrant caution when comparing samples on dysfunctional coping. Trial Registration: The BOOTS study was registered in the Overview of Medical Research in the Netherlands (NL-OMON21337).
Acupuncture for Anxiety: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Jang A, Wenninger M, Lee H … +1 more , Zheng S
J Clin Psychol · 2026 Apr · PMID 41460176 · Publisher ↗
OBJECTIVE: This systematic review and meta-analysis aim to evaluate the efficacy of acupuncture in reducing anxiety by synthesizing evidence from randomized controlled trials (RCTs). METHODS: A comprehensive search was c...
OBJECTIVE: This systematic review and meta-analysis aim to evaluate the efficacy of acupuncture in reducing anxiety by synthesizing evidence from randomized controlled trials (RCTs). METHODS: A comprehensive search was conducted across six databases-AMED, CINAHL, CENTRAL, Embase, Ovid MEDLINE, and PubMed-for RCTs published in English up to January 22, 2025. Eligible studies included patients with anxiety complications and compared RCTs comparing manual acupuncture (MA) with sham acupuncture (SA) or usual care or wait list control (UC/WLC) were included if anxiety was assessed as the primary outcome using validated measures. SMDs with 95% CIs were calculated using a random-effects model, and heterogeneity was assessed using I² and REML. Risk of bias was assessed using the Cochrane Risk of Bias 2.0 (RoB 2) tool. RESULTS: A total of 20 RCTs with 1462 participants were included. MA significantly reduced anxiety at post-treatment compared to SA (SMD = -1.06, 95% CI: -1.74 to -0.39, p = 0.0005, I² = 94%) and UC/WLC (SMD = -1.35, 95% CI: -2.26 to -0.44, p = 0.00006, I² = 59%). The effect was maintained at follow-up when compared to SA (SMD = -0.78, 95% CI: -1.21 to -0.35, p < 0.00001) but not significant compared to UC/WLC (SMD = -0.60, 95% CI: -1.68 to 0.49, p = 0.12). RoB assessment showed low risk in 14 studies, while others had unclear allocation concealment and blinding issues. Seventy-nine adverse events were reported, mainly transient discomfort, minor bleeding, or localized pain, with no severe events. CONCLUSION: MA effectively reduces anxiety symptoms in the short term, with effects sustained at follow-up when compared to SA but not UC/WLC. Further research is needed to confirm long-term efficacy and standardize methodologies. Acupuncture remains a promising, safe, and minimally invasive therapy for chronic anxiety. CLINICAL TRIAL REGISTRATION: The review protocol was preregistered on the International Prospective Register of Systematic Reviews (PROSPERO; CRD420250621404) and can be accessed at https://www.crd.york.ac.uk/PROSPERO/view/CRD420250621404.
Examining the Relationship Between Prospective and Inhibitory Intolerance of Uncertainty, Obsessive Compulsive Disorder Symptoms and Treatment Outcome.
Laposa JM, Puccinelli C
J Clin Psychol · 2026 Apr · PMID 41431862 · Full text
OBJECTIVES: Intolerance of uncertainty (IU) is a cognitive vulnerability factor that plays a role in obsessive compulsive disorder (OCD). Most research has looked at IU at an omnibus level. This paper aimed to investigat...
OBJECTIVES: Intolerance of uncertainty (IU) is a cognitive vulnerability factor that plays a role in obsessive compulsive disorder (OCD). Most research has looked at IU at an omnibus level. This paper aimed to investigate the two dimensions of IU, prospective and inhibitory IU, and their relation to overall OCD symptom severity, as well as the severity of obsessions and compulsions. METHOD: Fifty-nine individuals with OCD completed measures of OCD symptom severity and IU at pre- and post- group cognitive behavioral therapy (CBT). RESULTS: IU and OCD symptoms, and their dimensions, all reduced over the CBT treatment. At the start of treatment, only prospective IU was associated with compulsion symptom severity. In contrast, at the end of treatment, prospective and inhibitory IU were associated with compulsion symptom severity, and inhibitory IU was associated with obsession symptom severity. Baseline IU, prospective and inhibitory IU were not associated with post OCD symptom severity scores, when controlling for pre-treatment OCD severity levels. Change in prospective IU was associated with changes in OCD symptom severity, and change in compulsions, but not change in obsessions. The results cannot speak to causal or temporal predictions, or directionality of the relationship between IU and OCD. CONCLUSION: These findings underscore the dynamic relationship between the IU dimensions and OCD symptoms, and highlights prospective IU as a potential important target in CBT for OCD to achieve reductions in compulsions and overall OCD symptom severity.
Nonsuicidal Self-Injury (NSSI) in Virtual Reality: Effect of Blood-Viewing on Affect Controlling for Pain.
Dumas RE, Stacy SE, Kati Lear M … +6 more , Perry KM, Glenn LE, Branson DA, Zeller GM, Summerfield K, Pepper CM
J Clin Psychol · 2026 Mar · PMID 41431423 · Publisher ↗
Empirical evidence suggests engagement with nonsuicidal self-injury (NSSI) serves to regulate emotions, though there is controversy surrounding specific mechanisms by which this occurs, partially because of limited abili...
Empirical evidence suggests engagement with nonsuicidal self-injury (NSSI) serves to regulate emotions, though there is controversy surrounding specific mechanisms by which this occurs, partially because of limited ability to observe the behavior within a laboratory setting. Although behavioral analogues (e.g., pressure, cold) have found support for the role of pain in affect regulation, they have neglected other potential processes, including viewing one's wound and seeing blood. In a virtual reality paradigm, participants were randomly assigned to either a "see blood" (n = 35) or "no blood" (n = 29) condition following a negative mood induction to simulate the experience of self-cutting. Positive (PA) and negative affect (NA) were assessed at baseline, post-induction, and post-NSSI. Analyses failed to support differential changes in both NA and PA following engagement with NSSI between conditions, though NA increased significantly post-NSSI across conditions. Results from this study provide no evidence to suggest viewing blood alone (i.e., without pain) is an integral part of emotion regulation processes associated with NSSI. Unexpected mood worsening following virtual reality NSSI simulation raises questions about the utility of this paradigm for studying the affect regulation functions of NSSI above and beyond existing methods (e.g., EMA). However, qualitative evidence and follow-up assessments suggest it is a feasible and safe way to study NSSI within a laboratory setting. Future research is needed to adjust virtual reality procedures for NSSI to make the experience more realistic (e.g., adding pressure) and to clarify whether it can capture established affect regulation functions of NSSI.
Translation and Validation of the Pain Resilience Scale in a French Population Suffering From Chronic Pain.
Gkiouzeli A, Tarquinio C, Eby E … +4 more , Touchet C, Brennstuhl MJ, Poisbeau P, Rotonda C
J Clin Psychol · 2026 Apr · PMID 41417482 · Publisher ↗
OBJECTIVE: The present study aimed to translate and validate the French version of the Pain Resilience Scale (PRS) that was initially created and validated within English-speaking populations. METHODS: A total of 137 par...
OBJECTIVE: The present study aimed to translate and validate the French version of the Pain Resilience Scale (PRS) that was initially created and validated within English-speaking populations. METHODS: A total of 137 participants experiencing chronic pain completed the French version of the PRS and other questionnaires commonly used to evaluate resilience or vulnerability towards pain. Of these, 71 participants successfully retook the PRS measure within 15 days of their initial participation. A principal component analysis was employed to evaluate the internal structure of the questionnaire. Following classical test theory, internal consistency, convergent validity, and test-retest reliability were checked for the chosen model. Lastly, an item response theory analysis (IRT) was conducted for the 2 PRS dimensions. Factor analyses identified a two-factor solution consistent to the original English version of the PRS. RESULTS: The findings demonstrated that the scale's internal consistency and test-retest reliability meet the requirements for classical psychometric qualities. The overall PRS score and its subscales showed good convergent validity with measures assessing resilience or vulnerability processes to pain. IRT results highlighted difficulties with some items on each of the 2 dimensions that complement the results of the previous classical analyses. CONCLUSIONS: The French version of the PRS scale is a reliable tool for measuring pain-specific resilience toward persistent pain.
Examining Sleep-Related Problems in Youth With Misophonia.
Wagner KM, Cervin M, Rast CE … +5 more , Parnes M, Murphy N, Spencer S, Storch EA, Guzick AG
J Clin Psychol · 2026 Mar · PMID 41355217 · Full text
The relationship between misophonia and sleep-related problems (SRPs) in youth is underexplored. This paucity of research is concerning because SRPs might be elevated among youth with misophonia. If left untreated, SRPs...
The relationship between misophonia and sleep-related problems (SRPs) in youth is underexplored. This paucity of research is concerning because SRPs might be elevated among youth with misophonia. If left untreated, SRPs can contribute to long-term health consequences. Thus, in this study we examined the link between misophonia and SRPs in youth aged 8 to 17. In this study, we compared SRPs in 102 children and adolescents with clinically significant misophonia to SRPs in a normative youth sample and a sample of 94 youth with anxiety disorders. We also examined the extent to which SRPs were associated with misophonia severity. Approximately 30% of youth with misophonia endorsed clinical levels of SRPs. SRPs were more prevalent in youth with misophonia compared to normative data from the general youth population (d = 1.22) and similar to SRPs in youth with anxiety disorders (d = 0.13). Youth with more severe misophonia symptoms had greater difficulties with SRPs and this association was attenuated but still significant when adjusting for gender, age, and internalizing and externalizing symptoms. In this study, we provided the first evidence of substantial issues with SRPs in youth with misophonia. Importantly, there was a moderate association between misophonia severity and SRPs, indicating that SRPs should be carefully assessed and potentially addressed in treatment for youth with misophonia. We discussed suggestions for clinical practice and future research.
Bridging Perspectives: Clinician-Adolescent Agreement on Psychopathological Severity in the European MILESTONE Cohort.
Marcolini F, Magno M, Leone S … +21 more , Martella D, Leucci AC, Atti AR, Cortese S, De Ronchi D, Dieleman G, Franic T, Gerritsen S, Maras A, McNicholas F, Purper-Ouakil D, Santosh P, Schulze UME, Street C, Singh S, Tremmery S, Tuomainen H, van Bodegom LS, Wolke D, de Girolamo G, MILESTONE Consortium
J Clin Psychol · 2026 Mar · PMID 41319312 · Full text
OBJECTIVES: Adolescents transitioning from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) may face challenges in accurately identifying and reporting their mental health sympto...
OBJECTIVES: Adolescents transitioning from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) may face challenges in accurately identifying and reporting their mental health symptoms, often leading to discrepancies between clinician and patient evaluations. Using data from the MILESTONE project, this study aims to assess clinician-adolescent concordance over 24 months and identify domains of psychopathology with the highest disparities. METHODS: Participants were assessed at baseline, 9, 15, and 24 months using the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) scale and were categorized in four diagnostic groups. Hierarchical cluster analysis identified symptom-based subgroups of patients based on clinician and patient-rated HoNOSCA scores. Concordance was evaluated through multilevel linear regression models, while Bland-Altman plots examined agreement between scores across time points. RESULTS: Two clusters of patients were identified: one characterized by lower severity and greater prevalence, the other by higher complexity and fewer individuals. Clinician-patient concordance increased over time, rising from 77% to 83% by the second time point and stabilizing. Concordance varied across diagnostic categories, with anxiety showing the highest agreement and ADHD the lowest. CONCLUSIONS: Improved communication, psychoeducation, and tailored interventions may facilitate greater patient-clinician alignment, thereby supporting more favorable outcomes during this critical developmental period. TRIAL REGISTRATION: ISRCTN83240263; NCT03013595.
Psychometric Properties of the Polish Adaptation of the Short Dark Tetrad (SD4-PL).
Kosowski P, Janeczek P
J Clin Psychol · 2026 Mar · PMID 41312806 · Publisher ↗
The Dark Triad is a very popular construct in Polish psychology. Enriching the Triad with another variable, sadism, significantly expands the research in this field. The main aim of the presented study was to determine t...
The Dark Triad is a very popular construct in Polish psychology. Enriching the Triad with another variable, sadism, significantly expands the research in this field. The main aim of the presented study was to determine the psychometric properties of the Short Dark Tetrad (SD4), adapting it to Polish, exploring the factor structure, determining reliability and external validity, and correlating it with age and gender. For this purpose, 1188 individuals were studied (age range 18-78; M age = 25.50; SD = 10.50); with 858 females (72.2%), 324 males (27.3%), and 6 persons identifying as nonbinary, other genders (0.5%). The results indicate a factor structure not fully similar to the original, with the exception of the Narcissism and Psychopathy scales (six instead of seven items) and Sadism (three instead of seven items). However, the factor structure appeared to fit the model and was found to be significant. The reliability analysis indicated satisfactory scores. Correlation analyses confirmed the external consistency of the Dark Tetrad components with their full-length instruments. In spite of the difference between the final structure of the questionnaire in the Polish version and the original version, the adapted SD4 questionnaire can be successfully used in research, thus expanding the research possibilities in the Polish sample.
DSM-5 AMPD Maladaptive Personality Traits: One-Year Temporal Stability and Associations With Therapeutic Processes and Outcomes.
Buck B, Chauhan K, Thompson R … +1 more , Donahue JJ
J Clin Psychol · 2026 Mar · PMID 41307531 · Publisher ↗
OBJECTIVE: The DSM-5 Alternative Model for Personality Disorders (AMPD) includes two main criteria, impairments in personality functioning (Criterion A) and the presence of maladaptive personality traits (Criterion B). T...
OBJECTIVE: The DSM-5 Alternative Model for Personality Disorders (AMPD) includes two main criteria, impairments in personality functioning (Criterion A) and the presence of maladaptive personality traits (Criterion B). The Personality Inventory for DSM-5 (PID-5) is the primary operationalization of the maladaptive trait framework characterized in Criterion B. This study sought to examine the temporal stability of the PID-5 across 1-year, as well as its concurrent and longitudinal associations with clinically relevant external criteria. We hypothesized the PID-5 would exhibit a high degree of rank-order stability over time, as well as positive associations with putatively negative clinical processes and negative associations with adaptive processes. Negative affectivity was expected to display a markedly consistent pattern of associations, and antagonism was expected to exhibit a more attenuated pattern. METHODS: Participants with heightened borderline personality features completed the PID-5 and measures of emotional, cognitive, and behavioral processes, as well as psychiatric symptomology, at baseline (N = 107; M = 30.94, SD = 7.33; 51% women) and 1-year follow-up (N = 72). Rank-order stability (Pearson's r) and mean-level changes (Cohen's d) for the PID-5 domains and facets were calculated, along with bivariate correlations with outcomes. RESULTS: Results suggest high stability in terms of rank-order (median Pearson's r correlation of 0.74 for domains and 0.70 for facets), but small to moderate mean-level Cohen's d changes were common (Mdn = -0.56 for domains). Prospective associations with clinical criteria suggest domains and facets are predictive of important therapeutic change processes and outcomes in theoretically expected ways. Negative affectivity exhibited a consistent pattern of associations with outcomes (14/19 correlations > 0.30), and antagonism demonstrated the most attenuated pattern of associations (5/19 correlations > 0.30). CONCLUSION: Findings generally support the stability of AMPD maladaptive traits and provide further evidence for the model's clinical utility.
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