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Publisher: Sage Publications   (Total: 1084 journals)

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Showing 1 - 200 of 1085 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 6)
Abstracts in Anthropology     Full-text available via subscription   (Followers: 21)
Academic Pathology     Open Access   (Followers: 5)
Accounting History     Hybrid Journal   (Followers: 17, SJR: 0.527, CiteScore: 1)
Acta Radiologica     Hybrid Journal   (Followers: 2, SJR: 0.754, CiteScore: 2)
Acta Radiologica Open     Open Access   (Followers: 3)
Acta Sociologica     Hybrid Journal   (Followers: 37, SJR: 0.939, CiteScore: 2)
Action Research     Hybrid Journal   (Followers: 49, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 345, SJR: 1.397, CiteScore: 2)
Adaptive Behavior     Hybrid Journal   (Followers: 9, SJR: 0.288, CiteScore: 1)
Administration & Society     Hybrid Journal   (Followers: 14, SJR: 0.675, CiteScore: 1)
Adoption & Fostering     Hybrid Journal   (Followers: 23, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 7, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 214, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 41)
Advances in Dental Research     Hybrid Journal   (Followers: 7, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 30, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 134, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 10)
Advances in Structural Engineering     Full-text available via subscription   (Followers: 45, SJR: 0.599, CiteScore: 1)
Advances in Tumor Virology     Open Access   (Followers: 3, SJR: 0.108, CiteScore: 0)
AERA Open     Open Access   (Followers: 10)
Affilia     Hybrid Journal   (Followers: 4, SJR: 0.496, CiteScore: 1)
Agrarian South : J. of Political Economy     Hybrid Journal   (Followers: 2)
Air, Soil & Water Research     Open Access   (Followers: 13, SJR: 0.214, CiteScore: 1)
Alexandria : The J. of National and Intl. Library and Information Issues     Full-text available via subscription   (Followers: 64)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 13, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 10, SJR: 0.176, CiteScore: 0)
Alternatives : Global, Local, Political     Hybrid Journal   (Followers: 12, SJR: 0.351, CiteScore: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 22, SJR: 0.982, CiteScore: 2)
American Economist     Hybrid Journal   (Followers: 7)
American Educational Research J.     Hybrid Journal   (Followers: 207, SJR: 2.913, CiteScore: 3)
American J. of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 18, SJR: 0.67, CiteScore: 2)
American J. of Cosmetic Surgery     Hybrid Journal   (Followers: 6)
American J. of Evaluation     Hybrid Journal   (Followers: 16, SJR: 0.646, CiteScore: 2)
American J. of Health Promotion     Hybrid Journal   (Followers: 32, SJR: 0.807, CiteScore: 1)
American J. of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 41, SJR: 0.65, CiteScore: 1)
American J. of Law & Medicine     Full-text available via subscription   (Followers: 11, SJR: 0.204, CiteScore: 1)
American J. of Lifestyle Medicine     Hybrid Journal   (Followers: 5, SJR: 0.431, CiteScore: 1)
American J. of Medical Quality     Hybrid Journal   (Followers: 11, SJR: 0.777, CiteScore: 1)
American J. of Men's Health     Open Access   (Followers: 8, SJR: 0.595, CiteScore: 2)
American J. of Rhinology and Allergy     Hybrid Journal   (Followers: 9, SJR: 0.972, CiteScore: 2)
American J. of Sports Medicine     Hybrid Journal   (Followers: 193, SJR: 3.949, CiteScore: 6)
American Politics Research     Hybrid Journal   (Followers: 33, SJR: 1.313, CiteScore: 1)
American Review of Public Administration     Hybrid Journal   (Followers: 19, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 307, SJR: 6.333, CiteScore: 6)
American String Teacher     Full-text available via subscription   (Followers: 2)
Analytical Chemistry Insights     Open Access   (Followers: 25, SJR: 0.224, CiteScore: 1)
Angiology     Hybrid Journal   (Followers: 3, SJR: 0.849, CiteScore: 2)
Animation     Hybrid Journal   (Followers: 13, SJR: 0.197, CiteScore: 0)
Annals of Clinical Biochemistry     Hybrid Journal   (Followers: 10, SJR: 0.634, CiteScore: 1)
Annals of Otology, Rhinology & Laryngology     Hybrid Journal   (Followers: 15, SJR: 0.807, CiteScore: 1)
Annals of Pharmacotherapy     Hybrid Journal   (Followers: 52, SJR: 1.096, CiteScore: 2)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 46, SJR: 1.225, CiteScore: 3)
Annals of the ICRP     Hybrid Journal   (Followers: 4, SJR: 0.548, CiteScore: 1)
Anthropocene Review     Hybrid Journal   (Followers: 9, SJR: 3.341, CiteScore: 7)
Anthropological Theory     Hybrid Journal   (Followers: 42, SJR: 0.739, CiteScore: 1)
Antitrust Bulletin     Hybrid Journal   (Followers: 11)
Antiviral Chemistry and Chemotherapy     Open Access   (Followers: 2, SJR: 0.635, CiteScore: 2)
Antyajaa : Indian J. of Women and Social Change     Hybrid Journal  
Applied Biosafety     Hybrid Journal   (SJR: 0.131, CiteScore: 0)
Applied Psychological Measurement     Hybrid Journal   (Followers: 23, SJR: 1.17, CiteScore: 1)
Applied Spectroscopy     Full-text available via subscription   (Followers: 26, SJR: 0.489, CiteScore: 2)
Armed Forces & Society     Hybrid Journal   (Followers: 19, SJR: 0.29, CiteScore: 1)
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 42, SJR: 0.305, CiteScore: 1)
Asia Pacific Media Educator     Hybrid Journal   (Followers: 1, SJR: 0.23, CiteScore: 0)
Asia-Pacific J. of Management Research and Innovation     Full-text available via subscription   (Followers: 3)
Asia-Pacific J. of Public Health     Hybrid Journal   (Followers: 9, SJR: 0.558, CiteScore: 1)
Asian and Pacific Migration J.     Full-text available via subscription   (Followers: 105, SJR: 0.324, CiteScore: 1)
Asian Cardiovascular and Thoracic Annals     Hybrid Journal   (Followers: 2, SJR: 0.305, CiteScore: 0)
Asian J. of Comparative Politics     Hybrid Journal   (Followers: 4)
Asian J. of Legal Education     Full-text available via subscription   (Followers: 4)
Asian J. of Management Cases     Hybrid Journal   (Followers: 6, SJR: 0.101, CiteScore: 0)
ASN Neuro     Open Access   (Followers: 2, SJR: 1.534, CiteScore: 3)
Assessment     Hybrid Journal   (Followers: 17, SJR: 1.519, CiteScore: 3)
Assessment for Effective Intervention     Hybrid Journal   (Followers: 15, SJR: 0.578, CiteScore: 1)
Australasian Psychiatry     Hybrid Journal   (Followers: 9, SJR: 0.433, CiteScore: 1)
Australian & New Zealand J. of Psychiatry     Hybrid Journal   (Followers: 20, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 523, SJR: 0.612, CiteScore: 1)
Australian J. of Career Development     Hybrid Journal   (Followers: 4)
Australian J. of Education     Hybrid Journal   (Followers: 42, SJR: 0.403, CiteScore: 1)
Australian J. of Management     Hybrid Journal   (Followers: 13, SJR: 0.497, CiteScore: 1)
Autism     Hybrid Journal   (Followers: 325, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 11)
Behavior Modification     Hybrid Journal   (Followers: 12, SJR: 0.877, CiteScore: 2)
Behavioral and Cognitive Neuroscience Reviews     Hybrid Journal   (Followers: 26)
Bible Translator     Hybrid Journal   (Followers: 12)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 18, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 48)
Biochemistry Insights     Open Access   (Followers: 7)
Bioinformatics and Biology Insights     Open Access   (Followers: 12, SJR: 1.141, CiteScore: 2)
Biological Research for Nursing     Hybrid Journal   (Followers: 7, SJR: 0.685, CiteScore: 2)
Biomarker Insights     Open Access   (Followers: 1, SJR: 0.81, CiteScore: 2)
Biomarkers in Cancer     Open Access   (Followers: 10)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 12)
Biomedical Informatics Insights     Open Access   (Followers: 8)
Bioscope: South Asian Screen Studies     Hybrid Journal   (Followers: 3, SJR: 0.235, CiteScore: 0)
BMS: Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique     Hybrid Journal   (Followers: 4, SJR: 0.226, CiteScore: 0)
Body & Society     Hybrid Journal   (Followers: 25, SJR: 1.531, CiteScore: 3)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Brain and Neuroscience Advances     Open Access  
Breast Cancer : Basic and Clinical Research     Open Access   (Followers: 9, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 8)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 195, SJR: 0.323, CiteScore: 1)
British J. of Pain     Hybrid Journal   (Followers: 25, SJR: 0.579, CiteScore: 2)
British J. of Politics and Intl. Relations     Hybrid Journal   (Followers: 32, SJR: 0.91, CiteScore: 2)
British J. of Visual Impairment     Hybrid Journal   (Followers: 13, SJR: 0.337, CiteScore: 1)
British J.ism Review     Hybrid Journal   (Followers: 17)
Building Acoustics     Hybrid Journal   (Followers: 4, SJR: 0.215, CiteScore: 1)
Building Services Engineering Research & Technology     Hybrid Journal   (Followers: 3, SJR: 0.583, CiteScore: 1)
Bulletin of Science, Technology & Society     Hybrid Journal   (Followers: 7)
Business & Society     Hybrid Journal   (Followers: 12)
Business and Professional Communication Quarterly     Hybrid Journal   (Followers: 8, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 16, SJR: 0.279, CiteScore: 0)
Business Perspectives and Research     Hybrid Journal   (Followers: 3)
Cahiers Élisabéthains     Hybrid Journal   (Followers: 1, SJR: 0.111, CiteScore: 0)
Calcutta Statistical Association Bulletin     Full-text available via subscription   (Followers: 1)
California Management Review     Hybrid Journal   (Followers: 30, SJR: 2.209, CiteScore: 4)
Canadian J. of Kidney Health and Disease     Open Access   (Followers: 6, SJR: 1.007, CiteScore: 2)
Canadian J. of Nursing Research (CJNR)     Hybrid Journal   (Followers: 13)
Canadian J. of Occupational Therapy     Hybrid Journal   (Followers: 134, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 28, SJR: 1.769, CiteScore: 3)
Canadian J. of School Psychology     Hybrid Journal   (Followers: 11, SJR: 0.266, CiteScore: 1)
Canadian Pharmacists J. / Revue des Pharmaciens du Canada     Hybrid Journal   (Followers: 3, SJR: 0.536, CiteScore: 1)
Cancer Control     Open Access   (Followers: 1)
Cancer Growth and Metastasis     Open Access   (Followers: 1)
Cancer Informatics     Open Access   (Followers: 4, SJR: 0.64, CiteScore: 1)
Capital and Class     Hybrid Journal   (Followers: 7, SJR: 0.282, CiteScore: 1)
Cardiac Cath Lab Director     Full-text available via subscription  
Cardiovascular and Thoracic Open     Open Access  
Career Development and Transition for Exceptional Individuals     Hybrid Journal   (Followers: 8, SJR: 0.44, CiteScore: 1)
Cartilage     Hybrid Journal   (Followers: 5, SJR: 0.889, CiteScore: 3)
Cell and Tissue Transplantation and Therapy     Open Access   (Followers: 2)
Cell Transplantation     Open Access   (Followers: 4, SJR: 1.023, CiteScore: 3)
Cephalalgia     Hybrid Journal   (Followers: 7, SJR: 1.581, CiteScore: 3)
Child Language Teaching and Therapy     Hybrid Journal   (Followers: 31, SJR: 0.501, CiteScore: 1)
Child Maltreatment     Hybrid Journal   (Followers: 9, SJR: 1.22, CiteScore: 3)
Child Neurology Open     Open Access   (Followers: 6)
Childhood     Hybrid Journal   (Followers: 18, SJR: 0.894, CiteScore: 2)
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
China Information     Hybrid Journal   (Followers: 7, SJR: 0.767, CiteScore: 2)
China Report     Hybrid Journal   (Followers: 10, SJR: 0.221, CiteScore: 0)
Chinese J. of Sociology     Full-text available via subscription   (Followers: 4)
Christianity & Literature     Full-text available via subscription   (Followers: 8)
Chronic Illness     Hybrid Journal   (Followers: 6, SJR: 0.672, CiteScore: 2)
Chronic Respiratory Disease     Hybrid Journal   (Followers: 9, SJR: 0.808, CiteScore: 2)
Chronic Stress     Open Access  
Citizenship, Social and Economics Education     Full-text available via subscription   (Followers: 6, SJR: 0.145, CiteScore: 0)
Cleft Palate-Craniofacial J.     Hybrid Journal   (Followers: 7, SJR: 0.757, CiteScore: 1)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 16, SJR: 0.49, CiteScore: 1)
Clinical and Translational Neuroscience     Open Access  
Clinical Case Studies     Hybrid Journal   (Followers: 3, SJR: 0.364, CiteScore: 1)
Clinical Child Psychology and Psychiatry     Hybrid Journal   (Followers: 45, SJR: 0.73, CiteScore: 2)
Clinical EEG and Neuroscience     Hybrid Journal   (Followers: 6, SJR: 0.552, CiteScore: 2)
Clinical Ethics     Hybrid Journal   (Followers: 10, SJR: 0.296, CiteScore: 1)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3, SJR: 0.537, CiteScore: 2)
Clinical Medicine Insights : Blood Disorders     Open Access   (SJR: 0.314, CiteScore: 2)
Clinical Medicine Insights : Cardiology     Open Access   (Followers: 6, SJR: 0.686, CiteScore: 2)
Clinical Medicine Insights : Case Reports     Open Access   (Followers: 1, SJR: 0.283, CiteScore: 1)
Clinical Medicine Insights : Circulatory, Respiratory and Pulmonary Medicine     Open Access   (Followers: 3, SJR: 0.425, CiteScore: 2)
Clinical Medicine Insights : Ear, Nose and Throat     Open Access   (Followers: 1)
Clinical Medicine Insights : Endocrinology and Diabetes     Open Access   (Followers: 32, SJR: 0.63, CiteScore: 2)
Clinical Medicine Insights : Oncology     Open Access   (Followers: 3, SJR: 1.129, CiteScore: 3)
Clinical Medicine Insights : Pediatrics     Open Access   (Followers: 3)
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 9)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 2, SJR: 0.776, CiteScore: 0)
Clinical Medicine Insights : Therapeutics     Open Access   (Followers: 1, SJR: 0.172, CiteScore: 0)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 4)
Clinical Medicine Insights : Urology     Open Access   (Followers: 2)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Nursing Research     Hybrid Journal   (Followers: 29, SJR: 0.471, CiteScore: 1)
Clinical Pathology     Open Access   (Followers: 3)
Clinical Pediatrics     Hybrid Journal   (Followers: 22, SJR: 0.487, CiteScore: 1)
Clinical Psychological Science     Hybrid Journal   (Followers: 11, SJR: 3.281, CiteScore: 5)
Clinical Rehabilitation     Hybrid Journal   (Followers: 70, SJR: 1.322, CiteScore: 3)
Clinical Risk     Hybrid Journal   (Followers: 5, SJR: 0.133, CiteScore: 0)
Clinical Trials     Hybrid Journal   (Followers: 22, SJR: 2.399, CiteScore: 2)
Clothing and Textiles Research J.     Hybrid Journal   (Followers: 24, SJR: 0.36, CiteScore: 1)
Common Law World Review     Full-text available via subscription   (Followers: 18)
Communication & Sport     Hybrid Journal   (Followers: 8, SJR: 0.385, CiteScore: 1)
Communication and the Public     Hybrid Journal   (Followers: 1)
Communication Disorders Quarterly     Hybrid Journal   (Followers: 15, SJR: 0.458, CiteScore: 1)
Communication Research     Hybrid Journal   (Followers: 20, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 9, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 226, SJR: 3.772, CiteScore: 3)
Compensation & Benefits Review     Hybrid Journal   (Followers: 8)
Competition & Change     Hybrid Journal   (Followers: 11, SJR: 0.843, CiteScore: 2)
Competition and Regulation in Network Industries     Full-text available via subscription   (Followers: 8, SJR: 0.143, CiteScore: 0)
Concurrent Engineering     Hybrid Journal   (Followers: 3, SJR: 0.642, CiteScore: 2)
Conflict Management and Peace Science     Hybrid Journal   (Followers: 35, SJR: 2.441, CiteScore: 1)
Contemporary Drug Problems     Full-text available via subscription   (Followers: 3, SJR: 0.609, CiteScore: 2)
Contemporary Education Dialogue     Hybrid Journal   (Followers: 5, SJR: 0.102, CiteScore: 0)
Contemporary Issues in Early Childhood     Full-text available via subscription   (Followers: 6, SJR: 0.766, CiteScore: 1)
Contemporary Review of the Middle East     Full-text available via subscription   (Followers: 12)
Contemporary Sociology : A J. of Reviews     Full-text available via subscription   (Followers: 34, SJR: 0.195, CiteScore: 0)
Contemporary Voice of Dalit     Full-text available via subscription   (Followers: 1)
Contexts     Hybrid Journal   (Followers: 6)
Contributions to Indian Sociology     Hybrid Journal   (Followers: 4, SJR: 0.376, CiteScore: 0)
Convergence The Intl. J. of Research into New Media Technologies     Hybrid Journal   (Followers: 50, SJR: 0.521, CiteScore: 1)

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Similar Journals
Journal Cover
Clinical Psychological Science
Journal Prestige (SJR): 3.281
Citation Impact (citeScore): 5
Number of Followers: 11  
Hybrid Journal Hybrid journal   * Containing 2 Open Access Open Access article(s) in this issue *
ISSN (Print) 2167-7026 - ISSN (Online) 2167-7034
Published by Sage Publications Homepage  [1084 journals]
  • Interpersonal Distance Regulation and Approach-Avoidance Reactions Are
           Altered in Psychopathy
    • Authors: Robin Welsch, Christoph von Castell, Heiko Hecht
      Abstract: Clinical Psychological Science, Ahead of Print.
      In this study, we examined the impact of psychopathy on approach-avoidance reactions and interpersonal distance (IPD) in response to social cues. We selected a student sample and measured psychopathy via self-report. Participants were immersed in a virtual environment in which a virtual person displayed either angry or happy facial expressions. In the first experiment, participants had to walk toward the virtual person until a comfortable IPD had been reached. In the second experiment, participants had to push or pull a joystick in response to the facial expression of the virtual person. Our results suggest that psychopathy does not change average IPD but does impair its regulation. That is, the facial expression of the avatar no longer modulated IPD in participants with psychopathic traits to the extent that it did in participants with fewer psychopathic traits. The speed of the approach and avoidance reactions is altered in psychopathy when confronted with social cues.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-26T07:07:29Z
      DOI: 10.1177/2167702619869336
  • Emotion Dynamics and the Association With Depressive Features and
           Borderline Personality Disorder Traits: Unique, Specific, and Prospective
    • Authors: Marlies Houben, Peter Kuppens
      Abstract: Clinical Psychological Science, Ahead of Print.
      Patterns of emotional change in daily life have been consistently linked to depressive and borderline personality disorder (BPD) features. However, dynamic measures and average affect show considerable statistical overlap, and depressive and BPD features are comorbid. Moreover, the prospective nature of these relationships is unclear. We used a measurement burst design in which 202 young adults with varying levels of psychopathological features participated in a week-long experience sampling at baseline and 1-year follow-up. Taking overlap into account, we found that BPD traits were uniquely and specifically linked to higher levels of variability in negative affect (NA). For depressive features, indications were found for a specific association with inertia of NA, but these results were not robust and consistent. In fact, overall, incremental predictive power of the dynamic measures above mean affect was limited, especially for depressive features. Prospective relationships showed that psychopathological features predicted stronger emotion dynamic patterns 1 year later rather than the other way around.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-25T06:03:14Z
      DOI: 10.1177/2167702619871962
  • Direction of Dependence Between Specific Symptoms of Depression: A
           Non-Gaussian Approach
    • Authors: Regina García-Velázquez, Markus Jokela, Tom Henrik Rosenström
      Abstract: Clinical Psychological Science, Ahead of Print.
      Psychopathology could arise from direct interactions between symptoms. Evidence suggests that the mechanisms underlying somatic and cognitive-affective symptoms of depression are different. The aim of this study was to explore dynamic associations among cognitive-affective depression criteria. We used distribution-based direction of dependence models, which estimate whether the presence of symptom A is more likely to depend on the presence of symptom B than vice versa. We analyzed six large samples of adults from the United States (N = 34,963) and conducted a simulation study to test the performance of the algorithm with ordinal variables and a second simulation study focusing on Type I error. Our results were consistent with the literature: Depressed mood and anhedonia were reactive to changes in other symptoms, whereas suicidality may reinforce other symptoms or reflect factors doing so. We discuss the results in the context of other empirical findings and theories of depression, reflect on the potential of these methods in psychopathology, and consider some practical implications.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-22T07:15:34Z
      DOI: 10.1177/2167702619875410
  • Cross-Lagged Association Between Symptoms of Posttraumatic Stress Disorder
           and Perceived Centrality of a Terrorist Attack
    • Authors: Kristin Alve Glad, Nikolai Olavi Czajkowski, Grete Dyb, Gertrud S. Hafstad
      Abstract: Clinical Psychological Science, Ahead of Print.
      Numerous cross-sectional studies have found a positive association between level of event centrality and symptoms of posttraumatic stress disorder (PTSD), but the temporal course of this relationship is unclear. We aimed to investigate the concurrent and longitudinal association between event centrality and symptoms of PTSD in a trauma-exposed sample. In total, 319 survivors of the 2011 massacre on Utøya island, Norway, were interviewed 14 to 15 and 30 to 32 months after the event. A cross-lagged panel model was used to explore the association between event centrality and PTSD symptoms over time. Level of event centrality was significantly associated with concurrent PTSD symptoms at both time points. PTSD symptoms were significantly associated with prospective levels of event centrality but not vice versa. This finding indicates that the degree to which survivors perceive a terrorist attack as central to their identity may be an effect, not a cause, of their PTSD symptoms.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-20T09:16:32Z
      DOI: 10.1177/2167702619873590
  • Aberrant Cost–Benefit Integration During Effort-Based Decision Making
           Relates to Severity of Substance Use Disorders
    • Authors: Allison M. Stuppy-Sullivan, Joshua W. Buckholtz, Arielle Baskin-Sommers
      Abstract: Clinical Psychological Science, Ahead of Print.
      Aberrant cost–benefit decision making is a key factor related to individual differences in the expression of substance use disorders (SUDs). Previous research highlights how delay-cost sensitivity affects variability in SUDs; however, other forms of cost–benefit decision making—effort-based choice—have received less attention. We administered the Effort Expenditure for Rewards Task (EEfRT) in an SUD-enriched community sample (N = 80). Individuals with more severe SUDs were less likely to use information about expected value when deciding between high-effort, high-reward and low-effort, low-reward options. Furthermore, individuals whose severity of use was primarily related to avoiding aversive affective states and individuals with heightened sensitivity to delay costs during intertemporal decision making were the least sensitive to expected value signals when making decisions to engage in effortful behavior. Together, these findings suggest that individuals with more severe SUDs have difficulty integrating multiple decision variables to guide behavior during effort-based decision making.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-12T12:11:54Z
      DOI: 10.1177/2167702619868155
  • Disgust Theory Through the Lens of Psychiatric Medicine
    • Authors: Caroline R. Amoroso, Eleanor K. Hanna, Kevin S. LaBar, Jana Schaich Borg, Walter Sinnott-Armstrong, Nancy L. Zucker
      Abstract: Clinical Psychological Science, Ahead of Print.
      The elicitors of disgust are heterogeneous, which makes attributing one function to disgust challenging. Theorists have proposed that disgust solves multiple adaptive problems and comprises multiple functional domains. However, theories conflict with regard to what the domains are and how they should be delineated. In this article, we examine clinical evidence of aberrant disgust symptoms in the contamination subtype of obsessive-compulsive disorder, blood-injury-injection phobia, and posttraumatic stress disorder to adjudicate between two prevailing theories of disgust. We argue that the pattern of disgust sensitivities in these psychiatric disorders sheds new light on the domain structure of disgust. Specifically, the supported domain structure of disgust is likely similar to an adaptationist model of disgust, with more subdivisions of the domain of pathogen disgust. We discuss the implications of this approach for the prevention and treatment of psychiatric disorders relevant to disgust.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-07T06:13:32Z
      DOI: 10.1177/2167702619863769
  • Changes in Positive and Negative Affect During Pharmacological Treatment
           and Cognitive Therapy for Major Depressive Disorder: A Secondary Analysis
           of Two Randomized Controlled Trials
    • Authors: Barnaby D. Dunn, Ramaris E. German, Gabi Khazanov, Colin Xu, Steven D. Hollon, Robert J. DeRubeis
      Abstract: Clinical Psychological Science, Ahead of Print.
      The cardinal symptoms of major depressive disorder (MDD) are heightened depressed mood (negative affectivity, or NA) and diminished interest or pleasure (positive affectivity, or PA). It is unknown how well treatments for MDD repair either symptom. Two secondary analyses of randomized controlled trials were therefore conducted. In Study 1, 180 adult outpatients with MDD received 16 weeks of antidepressant medication (ADM; n = 120) or cognitive therapy (CT; n = 60). In Study 2, adult outpatients with MDD were treated until remission with ADM (n = 225) or ADM and CT (n = 227). Across trials and treatments, intake disturbances were more marked in PA than NA, there was smaller repair of PA than NA during treatment, and disturbances remained more pronounced for PA than NA after treatment. Greater change in PA and NA were independently associated with depression symptom change. These findings suggest that depression treatments more effectively repair NA than PA and that outcomes may be improved with more effective targeting of the latter.
      Citation: Clinical Psychological Science
      PubDate: 2019-11-07T06:13:12Z
      DOI: 10.1177/2167702619863427
  • Effective Connectivity Between Broca’s Area and Amygdala as a Mechanism
           of Top-Down Control in Worry
    • Authors: Anika Guha, Jeffrey M. Spielberg, Jessica Lake, Tzvetan Popov, Wendy Heller, Cindy M. Yee, Gregory A. Miller
      Abstract: Clinical Psychological Science, Ahead of Print.
      Individuals higher in trait worry exhibit increased activation in Broca’s area during inhibitory processing tasks. To identify whether such activity represents an adaptive mechanism supporting top-down control, we investigated functional and effective connectivity of Broca’s area during a task of inhibitory control. Functional MRI data obtained from 106 participants performing an emotion-word Stroop task were examined using psychophysiological interaction and Granger causality (GC) analyses. Findings revealed greater directed connectivity from Broca’s area to amygdala in the presence of emotional distraction. Furthermore, a predictive relationship was observed between worry and the asymmetry in effective connectivity; worriers exhibited greater directed connectivity from Broca’s area to amygdala. When performing the task, worriers with greater GC directional asymmetry were more accurate than worriers with less asymmetry. Present findings indicate that individuals with elevated trait worry use a mechanism of top-down control in which communication from Broca’s area to amygdala fosters successful compensation for interference effects.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-24T10:27:46Z
      DOI: 10.1177/2167702619867098
  • Dating With Social Anxiety: An Empirical Examination of Momentary Anxiety
           and Desire for Future Interaction
    • Authors: Maya Asher, Idan M. Aderka
      Abstract: Clinical Psychological Science, Ahead of Print.
      Individuals with social anxiety disorder (SAD) have substantial difficulties in romantic relationships. The aim of the present study was to examine initial, opposite-sex interactions of individuals with SAD and their interaction partners. Specifically, we investigated gender and social context (small talk vs. closeness-generating conversations) and their effects on momentary social anxiety during the interaction, as well as on participants’ desire for future interaction. Participants in this study (N = 160) formed 42 experimental dyads, each comprising one individual with SAD and another non–socially anxious (NSA) individual, and 38 control dyads of two NSA individuals. We found that men with SAD benefitted significantly from closeness-generating interactions such that levels of momentary social anxiety were greatly reduced and both members of the dyad reported increased desire for future interaction. This effect was not found in small-talk conversations and not found for women with SAD. Implications for psychopathology and treatment are discussed.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-24T10:25:26Z
      DOI: 10.1177/2167702619867055
  • Mental Health, Deprivation, and the Neighborhood Environment: What Is the
           Impact of Loneliness and Social Anxiety'
    • Authors: Robert Eres, Karra D. Harrington, Michelle H. Lim
      Abstract: Clinical Psychological Science, Ahead of Print.

      Citation: Clinical Psychological Science
      PubDate: 2019-10-17T09:30:01Z
      DOI: 10.1177/2167702619868736
  • Perfectionism in the Transition to University: Comparing Diathesis-Stress
           and Downward Spiral Models of Depressive Symptoms
    • Authors: Shelby L. Levine, Marina Milyavskaya, David C. Zuroff
      Abstract: Clinical Psychological Science, Ahead of Print.
      Transitioning to university may be especially difficult for students who expect perfection from themselves. Self-critical perfectionism has consistently been linked to poor mental health. The current study compares a diathesis-stress and a downward-spiral model to determine why self-critical perfectionism is detrimental for mental health during this transition. First-year students (N = 658) were recruited before beginning university in August and contacted again in October, January, and April. Participants completed measures on perfectionism, stress, and depressive symptoms. Evidence was found for a downward-spiral model with self-critical perfectionism but not a diathesis-stress model. Students higher in self-critical perfectionism were more likely to experience increased stress and depressive symptoms in a circular and additive manner. Conversely, students higher in personal-standards perfectionism experienced less stress and subsequent depressive symptoms. This research provides a theoretical model for why self-critical perfectionism is related to poor mental-health outcomes that become sustained over time.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-14T10:25:09Z
      DOI: 10.1177/2167702619865966
  • Central Symptoms Predict Posttreatment Outcomes and Clinical Impairment in
           Anorexia Nervosa: A Network Analysis
    • Authors: Haley Elliott, Payton J. Jones, Ulrike Schmidt
      Abstract: Clinical Psychological Science, Ahead of Print.
      Network analysis can be used to identify central symptoms of eating disorders such as anorexia nervosa (AN), but the validity of this approach has been questioned. Using network analysis, in the present study we identify central symptoms of adult AN, identify key bridge symptoms between AN and anxiety/depression, and examine whether central symptoms at baseline are important predictors of treatment outcomes. We conducted network analyses for AN and comorbid depression and anxiety using longitudinal data (N = 142) with measurements at baseline, and at 6-month, 12-month, and 24-month postrandomization follow-ups. We identified central symptoms and bridge symptoms and tested whether centrality values calculated at baseline were related to the prognostic utility of symptoms longitudinally. Feeling fat and fear of weight gain were among the most central symptoms of AN. Feelings of worthlessness had the highest bridge centrality connecting depression to AN. Symptom centrality at baseline was strongly related to prognostic utility (r2 = .52, .55). The finding that symptom centrality was strongly related to prognostic utility supports the validity of network theory in that central symptoms may have a particularly strong influence on clinical impairment and recovery. These analyses generate useful hypotheses about the etiology and maintenance of AN and related comorbidities and may inform future treatment development.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-11T08:25:35Z
      DOI: 10.1177/2167702619865958
  • Deconstructing Individual Differences in Long-Term Personality Disorder
           and Trait Change
    • Authors: William C. Woods, Aidan G. C. Wright, Andrew E. Skodol, Leslie C. Morey, Christopher J. Hopwood
      Abstract: Clinical Psychological Science, Ahead of Print.
      Converging lines of evidence suggest that personality pathology comprises shared and unique impairments. We leveraged a large clinical sample (N = 505) and a person-centered statistical approach, ipsative change analysis, to decompose individuals’ multidimensional profiles at two time points into a metric that captures change in the elevation of the profile (i.e., impairment severity) and change in configuration of the dimensions in the profile (i.e., stylistic symptom presentation). Results demonstrated that both severity and style change were associated with overall pathology change, although the relative importance of these metrics was influenced by assessment method. Specifically, structured interview showed strong effects of severity change relative to style change, whereas self-report was less definitive. In addition, severity change was more strongly associated with change in psychosocial functioning. Results support earlier evidence of shared and unique factors in personality pathology while highlighting the influence of assessment method on models of pathology structure.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-10T10:02:15Z
      DOI: 10.1177/2167702619865227
  • Feeling Empathically Toward Other People and the Self: The Role of
           Perspective Shifting in Emotion Sharing and Self-Reassurance
    • Authors: Chui-De Chiu, Hau Ching Ng, Wing Ki Kwok, Marieke S. Tollenaar
      Abstract: Clinical Psychological Science, Ahead of Print.
      Feeling one’s own emotions empathically when negative thoughts about the self arise, a defining element of self-reassurance, promotes resilience to prolonged emotional reactivity. We propose that feeling empathically toward the self is accomplished by first stepping into the shoes of an objectified, undesired self-aspect, after which the process of perspective shifting should be completed by reengaging the self to experience the moment in the first person. We hypothesize that the resumption of the egocentric perspective in perspective shifting, a cognitive characteristic of sharing other people’s emotions, is crucial for self-reassurance as well. The relationships among flexibility in perspective shifting, self-reassurance, and emotion sharing were examined in community participants. Our results show that quickly switching back to a visuospatial egocentric perspective after adopting an opposing perspective relates to self-reassurance and emotion sharing. We conclude that both reassuring the self and empathizing with other people involve flexibility in perspective shifting.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-10T09:55:22Z
      DOI: 10.1177/2167702619863058
  • The Power of the Present: Effects of Three Mindfulness Tasks on
           Women’s Sexual Response
    • Authors: Julia Velten, Lori A. Brotto, Meredith L. Chivers, Gerrit Hirschfeld, Jürgen Margraf
      Abstract: Clinical Psychological Science, Ahead of Print.
      Mindfulness-based interventions are effective at improving sexual dysfunctions in women, yet the mechanisms of action are less clear. Our objective was to investigate the impact of three mindfulness exercises on women’s sexual response. Forty-nine women participated in a laboratory session involving a series of 5-min exercises and erotic films. They completed three mindfulness-based exercises and a mental-imagery task. Genital and subjective arousal were measured continuously during erotic films, and genital arousal was measured during the exercises. A focus on the genitals led to greater genital arousal during the exercise. A focus on sensations in the body and on the genitals was associated with greater subjective sexual arousal during erotic films. Effects were small in size. Taken together, the focus of attention during a mindfulness practice may differentially affect genital and subjective sexual arousal and has implications for women experiencing difficulties in different aspects of sexual response.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-08T11:32:07Z
      DOI: 10.1177/2167702619861394
  • Media Exposure to Collective Trauma, Mental Health, and Functioning: Does
           It Matter What You See'
    • Authors: E. Alison Holman, Dana Rose Garfin, Pauline Lubens, Roxane Cohen Silver
      Abstract: Clinical Psychological Science, Ahead of Print.
      Media exposure to collective trauma is associated with acute stress (AS) and posttraumatic stress symptoms (PTSS). Qualities of media exposure (e.g., amount, graphic features) contributing to this distress are poorly understood. A representative national sample (with New York and Boston oversamples; N = 4,675) completed anonymous, online surveys 2 to 4 weeks after the Boston Marathon bombings (BMB; Wave 1, or W1) and again 6 months later (Wave 2, or W2; N = 3,598). W1 assessed BMB-related AS and media exposure (i.e., hours of media consumption, graphic image content) 1 week post-BMB; W2 assessed PTSS, fear of future terrorism, and functional impairment. Greater exposure to graphic (bloody) images was associated with higher W1 AS and increased PTSS, fear of future terrorism, and functional impairment at W2. W1 AS, W2 PTSS, and fear of future terrorism mediated the association between media and functional impairment. Graphic image exposure is associated with mental-health symptoms linked to impaired functioning.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-08T11:14:35Z
      DOI: 10.1177/2167702619858300
  • The Turker Blues: Hidden Factors Behind Increased Depression Rates Among
           Amazon’s Mechanical Turkers
    • Authors: Yaakov Ophir, Itay Sisso, Christa S. C. Asterhan, Refael Tikochinski, Roi Reichart
      Abstract: Clinical Psychological Science, Ahead of Print.
      Data collection from online platforms, such as Amazon’s Mechanical Turk (MTurk), has become popular in clinical research. However, there are also concerns about the representativeness and the quality of these data for clinical studies. The present work explores these issues in the specific case of major depression. Analyses of two large data sets gathered from MTurk (Sample 1: N = 2,692; Sample 2: N = 2,354) revealed two major findings: First, failing to screen for inattentive and fake respondents inflates the rates of major depression artificially and significantly (by 18.5%–27.5%). Second, after cleaning the data sets, depression in MTurk is still 1.6 to 3.6 times higher than general population estimates. Approximately half of this difference can be attributed to differences in the composition of MTurk samples and the general population (i.e., sociodemographics, health, and physical activity lifestyle). Several explanations for the other half are proposed, and practical data-quality tools are provided.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-02T05:40:24Z
      DOI: 10.1177/2167702619865973
  • Behind Closed Doors: The Role of Depressed Affect on Risky Choices Under
           Time Pressure
    • Authors: Kaileigh Byrne, Hunter Willis, Caitlin Peters, Deborah Kunkel, Thomas Tibbett
      Abstract: Clinical Psychological Science, Ahead of Print.
      Previous research suggests that depressive symptoms are associated with altered sensitivity to reward and punishment in various decision-making contexts. Building on this work, this study investigated whether depressed-affect symptoms influenced risky decision making under time pressure. The effect of depressed affect on risky choice was assessed in a reward (Experiments 1A and 1B) and loss (Experiment 2) context under low- and high-pressure conditions. Decisions involved learning to choose between a “sure” option and a “risky” option with identical expected values. In Experiment 1A, depressed affect predicted increased risky decision making under time pressure but did not affect decision making under low pressure. Experiment 1B replicated this effect. In contrast, in Experiment 2, depressed affect led to reduced risk taking in low-pressure condition but did not affect decision making under high pressure. These results suggest that the pattern of risky decision making among those experiencing symptoms of depressed affect depends on performance pressure demands.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-24T07:51:29Z
      DOI: 10.1177/2167702619858423
  • Critical Fluctuations as an Early-Warning Signal for Sudden Gains and
           Losses in Patients Receiving Psychotherapy for Mood Disorders

         This is an Open Access Article Open Access Article

    • Authors: Merlijn Olthof, Fred Hasselman, Guido Strunk, Marieke van Rooij, Benjamin Aas, Marieke A. Helmich, Günter Schiepek, Anna Lichtwarck-Aschoff
      Abstract: Clinical Psychological Science, Ahead of Print.
      Whereas sudden gains and losses (large shifts in symptom severity) in patients receiving psychotherapy appear abrupt and hence may seem unexpected, hypotheses from complex-systems theory suggest that sudden gains and losses are actually preceded by certain early-warning signals (EWSs). We tested whether EWSs in patients’ daily self-ratings of the psychotherapeutic process predicted future sudden gains and losses. Data were collected from 328 patients receiving psychotherapy for mood disorders who completed daily self-ratings about their therapeutic process using the Therapy Process Questionnaire (TPQ). Sudden gains and losses were classified from the Problem Intensity scale of the TPQ. The other items of the TPQ were used to compute the EWSs. EWSs predicted an increased probability for sudden gains and losses in a 4-day predictive window. These results show that EWSs can be used for real-time prediction of sudden gains and losses in clinical practice.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-24T07:49:29Z
      DOI: 10.1177/2167702619865969
  • New-Media Screen Time is Not (Necessarily) Linked to Depression: Comments
           on Twenge, Joiner, Rogers, and Martin (2018)
    • Authors: Yaakov Ophir, Yuliya Lipshits-Braziler, Hananel Rosenberg
      Abstract: Clinical Psychological Science, Ahead of Print.

      Citation: Clinical Psychological Science
      PubDate: 2019-05-31T11:54:58Z
      DOI: 10.1177/2167702619849412
  • The Critical Need for Help-Seeking Controls in Clinical High-Risk Research
    • Authors: Zachary B. Millman, James M. Gold, Vijay A. Mittal, Jason Schiffman
      First page: 1171
      Abstract: Clinical Psychological Science, Ahead of Print.
      Despite rapidly growing knowledge of the clinical high-risk (CHR) state for psychosis, the vast majority of case-control studies have relied on healthy volunteers as a reference point for drawing inferences about the CHR construct. Researchers have long recognized that results generated from this design are limited by significant interpretive concerns, yet little attention has been given to how these concerns affect the growing field of CHR research. We argue that overreliance on healthy control participants in CHR research threatens the validity of inferences concerning group differences, hinders advances in understanding the development of psychosis, and limits clinical progress. We suggest that the combined use of healthy and help-seeking (i.e., psychiatric) controls is a necessary step for the next generation of CHR research. We then evaluate methods for help-seeking control studies, identify the available CHR studies that have used such designs, discuss select findings in this literature, and offer recommendations for research.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-23T07:33:13Z
      DOI: 10.1177/2167702619855660
  • Anhedonia as a Key Clinical Feature in the Maintenance and Treatment of
           Opioid Use Disorder
    • Authors: Brian D. Kiluk, Sarah W. Yip, Elise E. DeVito, Kathleen M. Carroll, Mehmet Sofuoglu
      First page: 1190
      Abstract: Clinical Psychological Science, Ahead of Print.
      There is a critical need for research on clinical features that may influence response to treatment for opioid use disorder (OUD). Given its neurobiology and relevance to opioid use, anhedonia may be one such promising clinical feature. We identified and reviewed 11 studies that measured anhedonia in humans with OUD to characterize the current state of evidence and highlight potential implications for treatment. The majority of studies were cross-sectional, indicating higher anhedonia scores in opioid-dependent samples compared with healthy control subjects. Rates of participants with clinically significant anhedonia ranged from 21% to 48%. Anhedonia scores were correlated with opioid craving and use; however, there are significant knowledge gaps regarding its time course and impact on treatment adherence and outcomes. Repeated assessment of anhedonia early in treatment for OUD is recommended because it may be a unique predictor of dropout or nonresponse and a potential target for behavioral and/or pharmacological intervention.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-23T07:45:12Z
      DOI: 10.1177/2167702619855659
  • Coal-Mine Canaries in Clinical Psychology: Getting Better at Identifying
           Early Signals of Treatment Nonresponse
    • Authors: Natalie Hong, Danielle Cornacchio, Jeremy W. Pettit, Jonathan S. Comer
      First page: 1207
      Abstract: Clinical Psychological Science, Ahead of Print.
      Sequential, multiple-assignment, randomized trials (SMARTs) have emerged as a preferred design strategy with which to inform dynamic mental-health treatment decisions and adaptive interventions, yet their potential to improve patient outcomes is only as strong as the extent to which selected tailoring variables (i.e., interim response factors that dictate whether treatment shifts course) do indeed predict ultimate response. To date, tailoring variable selection has rarely drawn on adequately powered findings or conceptual links to interim target mechanisms underlying treatment response. Building on early work in this area, we detail a strategy that leverages randomized controlled trial data to simultaneously compare candidate tailoring variables at candidate decision points and their relationships with treatment response. Findings from such efforts can improve the conceptual clarity and efficiency of SMARTs, laying a foundation for modern clinical trials to ask, “Are treatment-related change mechanisms being affected and, if not, what is the most appropriate next treatment strategy'”
      Citation: Clinical Psychological Science
      PubDate: 2019-09-23T11:13:23Z
      DOI: 10.1177/2167702619858111
  • Introducing the Leapfrog Design: A Simple Bayesian Adaptive Rolling Trial
           Design for Accelerated Treatment Development and Optimization
    • Authors: Simon E. Blackwell, Marcella L. Woud, Jürgen Margraf, Felix D. Schönbrodt
      First page: 1222
      Abstract: Clinical Psychological Science, Ahead of Print.
      The application of basic science research to the development and optimization of psychological treatments holds great potential. However, this process of clinical translation is challenging and time-consuming, and the standard route by which it proceeds is inefficient. Adaptive rolling designs, which originated within cancer treatment research, provide an alternative methodology with potential to accelerate development and optimization of psychological treatments. In such designs, multiple treatment options are tested simultaneously, with sequential Bayesian analyses used to remove poorly performing arms. Further, new treatment arms informed by the latest research findings can be introduced into the existing infrastructure as the trial progresses. These features dramatically reduce the sample sizes needed and offer a means for more rapid and efficient clinical translation. This article outlines the utility of such designs to clinical psychological science, focusing on a new variant termed the leapfrog design, and discusses their potential uses to accelerate clinical translation.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-23T07:40:47Z
      DOI: 10.1177/2167702619858071
  • The Forensic and Clinical Relevance of Evidence-Based Investigative
           Interview Methods in Historical Sexual Abuse Cases
    • Authors: Olivier Dodier, Henry Otgaar
      First page: 1244
      Abstract: Clinical Psychological Science, Ahead of Print.
      Decades-old child sexual abuse cases stress the need to examine the accuracy of long-term memory regarding traumatic events. The article by Goldfarb, Goodman, Larson, Eisen, and Qin (published in the March 2019 issue of Clinical Psychological Science) showed that memories of genital contact occurring decades ago were highly accurate. We argue that their findings emphasize the use of investigative interviewing in past abuse cases. Such cognitive interviewing (CI) is known to increase the completeness of memory reports. We also contend that the CI may reduce a victim’s anxiety at the time of the interview. Therefore, besides a well-proven legal relevance, investigative interviewing could also have clinical value.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-02T10:21:04Z
      DOI: 10.1177/2167702619858287
  • Reconsolidating Intrusive Distressing Memories by Thinking of Attachment
    • Authors: Richard A. Bryant, Shiksha Datta
      First page: 1249
      Abstract: Clinical Psychological Science, Ahead of Print.
      Thinking of attachment security can reduce arousal, and arousal has been shown to modulate memory reconsolidation. We investigated the effect of priming attachment security during reactivation of a distressing memory. We hypothesized that attachment priming would result in less frequent, distressing, and vivid subsequent intrusive, distressing memories. Seventy-one participants viewed a traumatic film and recorded the frequency, distress, and vividness of subsequent intrusive memories for the following week. The day after initial consolidation, the memory was reactivated before presentation of either an attachment or a positive nonattachment control prime. The attachment prime reduced the vividness and distress of intrusions during the ensuing week. These effects were stronger for participants with less avoidant attachment tendencies, suggesting that the reconsolidating effect of attachment priming is stronger for those with secure attachment systems. Thinking of attachment figures during reactivation of distressing memories may decrease the distressing nature of subsequent intrusive memories.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-29T10:59:54Z
      DOI: 10.1177/2167702619866387
  • Investigating the Motivational and Psychosocial Dynamics of Dysregulated
           Gaming: Evidence From a Preregistered Cohort Study
    • Authors: Andrew K. Przybylski, Netta Weinstein
      First page: 1257
      Abstract: Clinical Psychological Science, Ahead of Print.
      The American Psychiatric Association (APA) and World Health Organization (WHO) have called for research investigating the clinical relevance of dysregulated video-game play. A growing number of exploratory studies have applied self-determination theory to probe the psychological dynamics of problematic gaming, but little is known about these dynamics in adolescents—the targets of most concerns—or the extent to which dysregulated gaming, in turn, affects functioning. In our study of British adolescents and their caregivers (n = 2,008), we adopted a confirmatory lens to test the extent to which basic psychological need satisfactions and frustrations underlie dysfunctional gaming behavior. The results, in line with preregistered sampling and data-analysis plans, indicated the frustrations, but not the absence of satisfactions, of psychological needs predicted adolescents’ dysregulated gaming and psychosocial functioning. Our discussion focuses on the clinical significance of gaming dysregulation and the advantages of transparent scientific practices for research informed by, and meant to inform, APA and WHO guidance.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-22T11:06:43Z
      DOI: 10.1177/2167702619859341
  • The p Factor and the n Factor: Associations Between the General Factors of
           Psychopathology and Neuroticism in Children
    • Authors: Cassandra M. Brandes, Kathrin Herzhoff, Avanté J. Smack, Jennifer L. Tackett
      First page: 1266
      Abstract: Clinical Psychological Science, Ahead of Print.
      Research across age groups has consistently indicated that psychopathology has a general factor structure such that a broad latent dimension (or p factor) captures variance common to all mental disorders as well as specific internalizing and externalizing factors. This research has found that the p factor overlaps substantially with trait negative emotionality (or neuroticism). However, less is known about the psychological substance of the specific factors of the general psychopathology model or how lower-order facets of neuroticism may relate to each psychopathology factor. We investigated the structure of neuroticism and psychopathology as well as associations between these domains using multimethod assessments in a sample of 695 preadolescent children. We found that both psychopathology and neuroticism may be well characterized by bifactor models and that there was substantial overlap between psychopathology (p) and neuroticism (n) general factors as well as between specific factors (Internalizing with Fear, Externalizing with Irritability).
      Citation: Clinical Psychological Science
      PubDate: 2019-09-18T11:34:40Z
      DOI: 10.1177/2167702619859332
  • Riskier Tests of the Validity of the Bifactor Model of Psychopathology
    • Authors: Ashley L. Watts, Holly E. Poore, Irwin D. Waldman
      First page: 1285
      Abstract: Clinical Psychological Science, Ahead of Print.
      We advanced several “riskier tests” of the validity of bifactor models of psychopathology, which included that the general and specific psychopathology factors should be reliable and well represented by their respective indicators and that including a general factor should improve on the correlated factor model’s external validity. We compared bifactor and correlated factors models of psychopathology using data from a community sample of youth (N = 2,498) whose parents provided ratings on psychopathology and theoretically relevant external criteria (i.e., personality, aggression, antisociality). Bifactor models tended to yield either general or specific factors that were unstable and difficult to interpret. The general factor appeared to reflect a differentially weighted amalgam of psychopathology rather than a liability for psychopathology broadly construed. With rare exceptions, bifactor models did not explain additional variance in first-order psychopathology symptom dimensions or external criteria compared with correlated factors models. Together, our findings call into question the validity of bifactor models of psychopathology and the p factor more broadly.
      Citation: Clinical Psychological Science
      PubDate: 2019-07-29T08:48:59Z
      DOI: 10.1177/2167702619855035
  • Emotion Regulation Difficulties Related to Depression and Anxiety: A
           Network Approach to Model Relations Among Symptoms, Positive Reappraisal,
           and Repetitive Negative Thinking
    • Authors: Jonas Everaert, Jutta Joormann
      First page: 1304
      Abstract: Clinical Psychological Science, Ahead of Print.
      Frequent repetitive negative thinking and infrequent positive reappraisal use are theorized to increase risk for depression and anxiety. Yet, research has studied these regulatory strategies at the disorder level, ignoring the clinical heterogeneity and differential relations among their individual symptoms. In this study, we examined the associations among repetitive negative thinking, positive reappraisal, and individual symptoms of depression and anxiety disorders. Models of regularized partial-correlation networks were estimated using cross-sectional data from 468 participants. Results showed that repetitive negative thinking and positive reappraisal were differentially related to affective, cognitive, and somatic symptoms of depression and anxiety. Moreover, repetitive negative thinking was more central than positive reappraisal with stronger connections to individual symptoms. Finally, repetitive negative thinking was more important than positive reappraisal in connecting clusters of depression and anxiety symptoms. These findings cast light on potential pathways through which repetitive negative thinking and positive reappraisal may operate within depression and anxiety.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-20T10:49:52Z
      DOI: 10.1177/2167702619859342
  • Parental Burnout: What Is It, and Why Does It Matter'
    • Authors: Moïra Mikolajczak, James J. Gross, Isabelle Roskam
      First page: 1319
      Abstract: Clinical Psychological Science, Ahead of Print.
      Parenting can be wonderful. However, it also can be stressful, and when parents lack the resources needed to handle stressors related to parenting, they may develop parental burnout. This condition is characterized by an overwhelming exhaustion related to one’s parental role, an emotional distancing from one’s children, and a sense of parental ineffectiveness. Researchers have begun to document the antecedents of parental burnout, but little is known about its consequences. Here we investigated the impact of parental burnout on escape ideation, parental neglect, and parental violence through two cross-lagged longitudinal studies (N = 918, N = 822) that involved the completion of online surveys three times over a year. Results indicated that parental burnout strongly increases escape ideation as well as neglectful and violent behaviors toward one’s children (aggregated Cohen’s d = 1.31, 1.25, and 1.25, respectively). These findings show that parental burnout is a serious condition that urgently requires more attention.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-20T10:48:32Z
      DOI: 10.1177/2167702619858430
  • Reciprocal Associations Among Symptom Levels of Disturbed Grief,
           Posttraumatic Stress, and Depression Following Traumatic Loss: A Four-Wave
           Cross-Lagged Study

         This is an Open Access Article Open Access Article

    • Authors: Lonneke I. M. Lenferink, Angela Nickerson, Jos de Keijser, Geert E. Smid, Paul A. Boelen
      First page: 1330
      Abstract: Clinical Psychological Science, Ahead of Print.
      Disturbed grief, operationalized as persistent complex bereavement disorder (PCBD), correlates with yet differs from posttraumatic stress disorder (PTSD) and depression symptoms. However, knowledge about temporal associations among these symptoms is limited. We aimed to enhance our understanding of the etiology of loss-related distress by examining temporal associations among PCBD, PTSD, and depression symptom levels. Dutch people (N = 172) who lost significant other(s) in a plane disaster completed questionnaires for PCBD, PTSD, and depression 11, 22, 31, and 42 months after the disaster. Cross-lagged analyses revealed that changes in PCBD symptom levels have a greater impact on changes in symptom levels of PTSD and depression than vice versa. Our findings contradict the notion that PTSD and depression symptoms should be addressed before grief in treatment. Pending replication of our findings in clinical samples, we tentatively conclude that screening and treatment of grief symptoms has potential value in preventing long-lasting distress.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-23T10:13:16Z
      DOI: 10.1177/2167702619858288
  • Posttraumatic Stress Disorder Near and Far: Symptom Networks From 2 to 12
           Months After the Virginia Tech Campus Shootings
    • Authors: Anthony D. Mancini, Heather L. Littleton, Amie E. Grills, Payton J. Jones
      First page: 1340
      Abstract: Clinical Psychological Science, Ahead of Print.
      Posttraumatic stress disorder (PTSD) is unique in its longitudinal focus. To better understand how PTSD develops, we used network analysis in a longitudinal sample of survivors of the 2008 Virginia Tech campus shootings. Participants were 212 women who completed surveys at both 2 and 12 months after the shooting. Using within-group permutation tests, we found that overall network strength significantly increased and overall network structure significantly changed. Several symptoms saw marked alterations in their network centrality and relations to other symptoms. Psychological reactivity at reminders was the most central symptom at 2 months but among the least central at 12 months. By contrast, reliving, anhedonia, and physiological reactivity had low centrality at 2 months but high centrality at 12 months. Findings broadly support memory-based and fear-conditioning accounts of PTSD and suggest that automatic situationally cued symptoms, including reliving, thought avoidance, and physiological reactions, become more central to the network over time.
      Citation: Clinical Psychological Science
      PubDate: 2019-10-03T08:58:28Z
      DOI: 10.1177/2167702619859333
  • Attachment Security Moderates Effects of Uncontrollable Stress on
           Preadolescent Hypothalamic–Pituitary–Adrenal Axis Responses: Evidence
           of Regulatory Fit
    • Authors: Jason José Bendezú, John E. Loughlin-Presnal, Martha E. Wadsworth
      First page: 1355
      Abstract: Clinical Psychological Science, Ahead of Print.
      This study examined whether perceived attachment security (i.e., perceptions of caregivers as responsive, available, and open to communication during times of need) and effortful coping work in concert to buffer against uncontrollable life event effects on hypothalamic–pituitary–adrenal axis (HPA) response patterns in preadolescent boys and girls (N = 121, mean age = 10.60 years). Children completed the Trier Social Stress Test (TSST) and were immediately thereafter exposed to one of two randomly assigned coping conditions: distraction and avoidance. Piecewise growth multilevel modeling of children’s salivary cortisol levels over the course of the experimental protocol suggested that uncontrollable life events in the year prior were associated with exaggerated cortisol reactivity, though this pattern was buffered against by children’s secure attachment beliefs. Furthermore, perceived attachment security, uncontrollable life event, and coping condition interactive effects on cortisol recovery emerged. As expected, distraction supported efficient cortisol recovery for those uncontrollable stress-exposed children with secure beliefs, and avoidance worked in this fashion for those with insecure beliefs. Findings point to perceived attachment security as a putative buffer of stress-exposed preadolescents’ HPA reactivity and possible contributor to regulatory fit, informing how specific coping skills work or backfire in supporting these children’s HPA recovery efficiency.
      Citation: Clinical Psychological Science
      PubDate: 2019-07-29T08:47:19Z
      DOI: 10.1177/2167702619854747
  • Social Anxiety and Dynamic Social Reinforcement Learning in a Volatile
    • Authors: Miranda L. Beltzer, Stephen Adams, Peter A. Beling, Bethany A. Teachman
      First page: 1372
      Abstract: Clinical Psychological Science, Ahead of Print.
      Adaptive social behavior requires learning probabilities of social reward and punishment and updating these probabilities when they change. Given prior research on aberrant reinforcement learning in affective disorders, this study examines how social anxiety affects probabilistic social reinforcement learning and dynamic updating of learned probabilities in a volatile environment. Two hundred and twenty-two online participants completed questionnaires and a computerized ball-catching game with changing probabilities of reward and punishment. Dynamic learning rates were estimated to assess the relative importance ascribed to new information in response to volatility. Mixed-effects regression was used to analyze throw patterns as a function of social anxiety symptoms. Higher social anxiety predicted fewer throws to the previously punishing avatar and different learning rates after certain role changes, suggesting that social anxiety may be characterized by difficulty updating learned social probabilities. Socially anxious individuals may miss the chance to learn that a once-punishing situation no longer poses a threat.
      Citation: Clinical Psychological Science
      PubDate: 2019-09-20T10:56:27Z
      DOI: 10.1177/2167702619858425
  • Callousness and Affective Face Processing: Clarifying the Neural Basis of
           Behavioral-Recognition Deficits Through the Use of Brain Event-Related
    • Authors: Sarah J. Brislin, Christopher J. Patrick
      First page: 1389
      Abstract: Clinical Psychological Science, Ahead of Print.
      Callousness encompasses a lack of guilt, shallow affect, and deficient affiliative tendencies and relates to severe antisocial behavior. Across developmental stages, callousness is associated with abnormalities in emotional processing, including decreased physiological reactivity to emotional faces. The current study recruited an adult participant sample to investigate selective associations of callousness with deficits in behavioral performance and reduced neurophysiological response within a face-processing task. Participants who scored higher in callousness demonstrated decreased reactivity to fearful faces across temporal components of the electrocortical response along with reduced accuracy in identifying fearful faces. Further analyses demonstrated that late-positive potential amplitude alone was related to behavioral response and mediated the association between callousness and impaired recognition of fearful faces. These findings clarify the nature of face-processing deficits in relation to callousness and have implications for biologically informed interventions to reduce antisocial behavior.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-29T10:58:54Z
      DOI: 10.1177/2167702619856342
  • Fifteen-Year Prevalence, Trajectories, and Predictors of Body
           Dissatisfaction From Adolescence to Middle Adulthood
    • Authors: Shirley B. Wang, Ann F. Haynos, Melanie M. Wall, Chen Chen, Marla E. Eisenberg, Dianne Neumark-Sztainer
      First page: 1403
      Abstract: Clinical Psychological Science, Ahead of Print.
      Body dissatisfaction is common in adolescence and associated with negative outcomes (e.g., eating disorders). We identified common individual trajectories of body dissatisfaction from midadolescence to adulthood and predictors of divergent patterns. Participants were 1,455 individuals from four waves of Project EAT (Eating and Activity in Teens and Young Adults), a population-based, 15-year longitudinal study. Aggregate body dissatisfaction increased over 15 years, which was largely attributable to increases in weight. Growth mixture modeling identified four common patterns of body dissatisfaction, revealing nearly 95% of individuals experienced relatively stable body dissatisfaction from adolescence through adulthood. Baseline depression, self-esteem, parental communication/caring, peer dieting, and weight-based teasing predicted differing trajectories. Body dissatisfaction appears largely stable from midadolescence onward. There may be a critical period for body image development during childhood/early adolescence. Clinicians should intervene with clients experiencing body dissatisfaction before it becomes chronic and target depression, self-esteem, parent/child connectedness, and responses to teasing and peer dieting.
      Citation: Clinical Psychological Science
      PubDate: 2019-07-29T08:50:39Z
      DOI: 10.1177/2167702619859331
  • Young Adolescents’ Digital Technology Use and Adolescents’ Mental
           Health Symptoms: Little Evidence of Longitudinal or Daily Linkages
    • Authors: Michaeline Jensen, Madeleine J. George, Michael R. Russell, Candice L. Odgers
      First page: 1416
      Abstract: Clinical Psychological Science, Ahead of Print.
      This study examines whether 388 adolescents’ digital technology use is associated with mental-health symptoms during early adolescence to midadolescence. Adolescents completed an initial Time 1 (T1) assessment in 2015, followed by a 14-day ecological momentary assessment (EMA) via mobile phone in 2016–2017 that yielded 13,017 total observations over 5,270 study days. Adolescents’ T1 technology use did not predict later mental-health symptoms. Adolescents’ reported mental health was also not worse on days when they reported spending more versus less time on technology. Little was found to support daily quadratic associations (whereby adolescent mental health was worse on days with little or excessive use). Adolescents at higher risk for mental-health problems also exhibited no signs of increased risk for mental-health problems on higher technology use days. Findings from this EMA study do not support the narrative that young adolescents’ digital technology usage is associated with elevated mental-health symptoms.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-20T10:46:52Z
      DOI: 10.1177/2167702619859336
  • An Upper Limit to Youth Psychotherapy Benefit' A Meta-Analytic Copula
           Approach to Psychotherapy Outcomes
    • Authors: Payton J. Jones, Patrick Mair, Sofie Kuppens, John R. Weisz
      First page: 1434
      Abstract: Clinical Psychological Science, Ahead of Print.
      Across 50 years of research, extensive efforts have been made to improve the effectiveness of psychotherapies for children and adolescents. Yet recent evidence shows no significant improvement in youth psychotherapy outcomes. In other words, efforts to improve the general quality of therapy models do not appear to have translated directly into improved outcomes. We used multilevel meta-analytic data from 502 randomized controlled trials to generate a bivariate copula model predicting effect size as therapy quality approaches infinity. Our results suggest that even with a therapy of perfect quality, achieved effect sizes may be modest. If therapy quality and therapy outcome share a correlation of .20 (a somewhat optimistic assumption given the evidence we review), a therapy of perfect quality would produce an effect size of Hedges’s g = 0.83. We suggest that youth psychotherapy researchers complement their efforts to improve psychotherapy quality by investigating additional strategies for improving outcomes.
      Citation: Clinical Psychological Science
      PubDate: 2019-08-06T09:07:09Z
      DOI: 10.1177/2167702619858424
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