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  Subjects -> PSYCHOLOGY (Total: 942 journals)
Showing 1 - 174 of 174 Journals sorted alphabetically
Acción Psicológica     Open Access   (Followers: 3)
Acta Colombiana de Psicología     Open Access   (Followers: 5)
Acta Comportamentalia     Open Access   (Followers: 3)
Acta de Investigación Psicológica     Open Access   (Followers: 3)
Acta Psychologica     Hybrid Journal   (Followers: 27)
Activités     Open Access   (Followers: 1)
Actualidades en Psicologia     Open Access   (Followers: 2)
Ad verba Liberorum : Journal of Linguistics & Pedagogy & Psychology     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 8)
ADHD Attention Deficit and Hyperactivity Disorders     Hybrid Journal   (Followers: 23)
ADHD Report The     Full-text available via subscription   (Followers: 9)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 43)
Advances in Mental Health     Hybrid Journal   (Followers: 74)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 3)
Advances in Physiotherapy     Hybrid Journal   (Followers: 62)
Advances in Psychology     Full-text available via subscription   (Followers: 59)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 29)
African Journal of Cross-Cultural Psychology and Sport Facilitation     Full-text available via subscription   (Followers: 5)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 438)
Aggressive Behavior     Hybrid Journal   (Followers: 17)
Aging, Neuropsychology, and Cognition     Hybrid Journal   (Followers: 40)
Ágora - studies in psychoanalytic theory     Open Access   (Followers: 3)
Aletheia     Open Access   (Followers: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 18)
American Imago     Full-text available via subscription   (Followers: 3)
American Journal of Applied Psychology     Open Access   (Followers: 43)
American Journal of Community Psychology     Hybrid Journal   (Followers: 27)
American Journal of Health Behavior     Full-text available via subscription   (Followers: 23)
American Journal of Orthopsychiatry     Hybrid Journal   (Followers: 5)
American Journal of Psychoanalysis     Hybrid Journal   (Followers: 20)
American Journal of Psychology     Full-text available via subscription   (Followers: 32)
American Psychologist     Full-text available via subscription   (Followers: 193)
Anales de Psicología     Open Access   (Followers: 2)
Análise Psicológica     Open Access   (Followers: 1)
Análisis y Modificación de Conducta     Open Access   (Followers: 2)
Analitika : Jurnal Magister Psikologi Uma     Open Access  
Analysis     Full-text available via subscription   (Followers: 3)
Annual Review of Clinical Psychology     Full-text available via subscription   (Followers: 72)
Annual Review of Organizational Psychology and Organizational Behavior     Full-text available via subscription   (Followers: 33)
Annual Review of Psychology     Full-text available via subscription   (Followers: 241)
Anuario de investigaciones (Facultad de Psicología. Universidad de Buenos Aires)     Open Access   (Followers: 1)
Anuario de Psicología / The UB Journal of Psychology     Open Access   (Followers: 1)
Anuario de Psicología Jurídica     Open Access   (Followers: 1)
Anxiety, Stress & Coping: An International Journal     Hybrid Journal   (Followers: 21)
Applied and Preventive Psychology     Hybrid Journal   (Followers: 16)
Applied Cognitive Psychology     Hybrid Journal   (Followers: 74)
Applied Neuropsychology : Adult     Hybrid Journal   (Followers: 40)
Applied Neuropsychology : Child     Hybrid Journal   (Followers: 21)
Applied Psycholinguistics     Hybrid Journal   (Followers: 22)
Applied Psychological Measurement     Hybrid Journal   (Followers: 20)
Applied Psychology     Hybrid Journal   (Followers: 160)
Applied Psychology: Health and Well-Being     Hybrid Journal   (Followers: 50)
Applied Psychophysiology and Biofeedback     Hybrid Journal   (Followers: 8)
Archive for the Psychology of Religion / Archiv für Religionspychologie     Hybrid Journal   (Followers: 23)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 30)
Archives of Scientific Psychology     Open Access   (Followers: 4)
Arquivos Brasileiros de Psicologia     Open Access   (Followers: 1)
Art Therapy Online     Open Access   (Followers: 1)
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 9)
Asia-Pacific Psychiatry     Hybrid Journal   (Followers: 3)
Asian American Journal of Psychology     Full-text available via subscription   (Followers: 5)
Asian Journal of Behavioural Studies     Open Access  
Asian Journal of Business Ethics     Hybrid Journal   (Followers: 9)
Assessment     Hybrid Journal   (Followers: 12)
Attachment: New Directions in Psychotherapy and Relational Psychoanalysis     Full-text available via subscription   (Followers: 14)
Attention, Perception & Psychophysics     Full-text available via subscription   (Followers: 13)
Australasian Journal of Organisational Psychology     Hybrid Journal   (Followers: 9)
Australian and Aotearoa New Zealand Psychodrama Association Journal     Full-text available via subscription  
Australian Educational and Developmental Psychologist, The     Full-text available via subscription   (Followers: 8)
Australian Journal of Psychology     Hybrid Journal   (Followers: 19)
Australian Journal of Rehabilitation Counseling     Full-text available via subscription   (Followers: 4)
Australian Psychologist     Hybrid Journal   (Followers: 11)
Autism Insights     Open Access   (Followers: 13)
Autism Research     Hybrid Journal   (Followers: 38)
Autism Research and Treatment     Open Access   (Followers: 25)
Autism's Own     Open Access   (Followers: 3)
Autism-Open Access     Open Access   (Followers: 6)
Avaliação Psicológica     Open Access  
Avances en Psicologia Latinoamericana     Open Access   (Followers: 1)
Aviation Psychology and Applied Human Factors     Hybrid Journal   (Followers: 19)
Balint Journal     Hybrid Journal   (Followers: 2)
Barbaroi     Open Access  
Basic and Applied Social Psychology     Hybrid Journal   (Followers: 41)
Behavior Analysis in Practice     Full-text available via subscription   (Followers: 9)
Behavior Analysis: Research and Practice     Full-text available via subscription   (Followers: 3)
Behavior Analyst     Hybrid Journal   (Followers: 3)
Behavior Modification     Hybrid Journal   (Followers: 10)
Behavior Research Methods     Hybrid Journal   (Followers: 19)
Behavior Therapy     Hybrid Journal   (Followers: 50)
Behavioral Development Bulletin     Full-text available via subscription  
Behavioral Interventions     Hybrid Journal   (Followers: 11)
Behavioral Neuroscience     Full-text available via subscription   (Followers: 54)
Behavioral Sciences & the Law     Hybrid Journal   (Followers: 24)
Behavioral Sleep Medicine     Hybrid Journal   (Followers: 7)
Behaviormetrika     Hybrid Journal  
Behaviour     Hybrid Journal   (Followers: 12)
Behaviour Change     Full-text available via subscription   (Followers: 13)
Behaviour Research and Therapy     Hybrid Journal   (Followers: 20)
Behavioural and Cognitive Psychotherapy     Hybrid Journal   (Followers: 138)
Behavioural Processes     Hybrid Journal   (Followers: 8)
Biofeedback     Hybrid Journal   (Followers: 4)
BioPsychoSocial Medicine     Open Access   (Followers: 7)
BMC Psychology     Open Access   (Followers: 17)
Body, Movement and Dance in Psychotherapy: An International Journal for Theory, Research and Practice     Hybrid Journal   (Followers: 11)
Boletim Academia Paulista de Psicologia     Open Access  
Boletim de Psicologia     Open Access  
Brain Informatics     Open Access  
British Journal of Clinical Psychology     Full-text available via subscription   (Followers: 150)
British Journal of Developmental Psychology     Full-text available via subscription   (Followers: 37)
British Journal of Educational Psychology     Hybrid Journal   (Followers: 35)
British Journal of Health Psychology     Full-text available via subscription   (Followers: 46)
British Journal of Mathematical and Statistical Psychology     Full-text available via subscription   (Followers: 20)
British Journal of Psychology     Full-text available via subscription   (Followers: 61)
British Journal of Psychotherapy     Hybrid Journal   (Followers: 69)
British Journal of Social Psychology     Full-text available via subscription   (Followers: 34)
Buletin Psikologi     Open Access  
Burnout Research     Open Access   (Followers: 8)
Cadernos de psicanálise (Rio de Janeiro)     Open Access  
Cadernos de Psicologia Social do Trabalho     Open Access  
Canadian Art Therapy Association     Hybrid Journal  
Canadian Journal of Behavioural Science     Full-text available via subscription   (Followers: 5)
Canadian Journal of Experimental Psychology     Full-text available via subscription   (Followers: 15)
Canadian Psychology / Psychologie canadienne     Full-text available via subscription   (Followers: 13)
Case Studies in Sport and Exercise Psychology     Hybrid Journal   (Followers: 1)
Castalia : Revista de Psicología de la Academia     Open Access  
Cendekia : Jurnal Kependidikan dan Kemasyarakatan     Open Access  
Child Development Perspectives     Hybrid Journal   (Followers: 30)
Child Development Research     Open Access   (Followers: 17)
Ciencia Cognitiva     Open Access   (Followers: 2)
Ciencia e Interculturalidad     Open Access   (Followers: 3)
Ciências & Cognição     Open Access  
Ciencias Psicológicas     Open Access  
Clínica y Salud     Open Access  
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 9)
Clinical Practice in Pediatric Psychology     Full-text available via subscription   (Followers: 12)
Clinical Psychological Science     Hybrid Journal   (Followers: 11)
Clinical Psychologist     Hybrid Journal   (Followers: 17)
Clinical Psychology & Psychotherapy     Hybrid Journal   (Followers: 72)
Clinical Psychology and Special Education     Open Access   (Followers: 3)
Clinical Psychology Review     Hybrid Journal   (Followers: 42)
Clinical Psychology: Science and Practice     Hybrid Journal   (Followers: 22)
Clinical Schizophrenia & Related Psychoses     Full-text available via subscription   (Followers: 8)
Coaching : Theorie & Praxis     Open Access   (Followers: 1)
Coaching Psykologi - The Danish Journal of Coaching Psychology     Open Access   (Followers: 2)
Cogent Psychology     Open Access  
Cógito     Open Access  
Cognition & Emotion     Hybrid Journal   (Followers: 43)
Cognitive Behaviour Therapist     Hybrid Journal   (Followers: 13)
Cognitive Behaviour Therapy     Hybrid Journal   (Followers: 17)
Cognitive Neuropsychology     Hybrid Journal   (Followers: 35)
Cognitive Psychology     Hybrid Journal   (Followers: 73)
Cognitive Research : Principles and Implications     Open Access   (Followers: 3)
Consciousness and Cognition     Hybrid Journal   (Followers: 32)
Construção Psicopedagógica     Open Access  
Consulting Psychology Journal : Practice and Research     Full-text available via subscription   (Followers: 4)
Contagion : Journal of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 5)
Contemporary Educational Psychology     Hybrid Journal   (Followers: 28)
Contemporary School Psychology     Hybrid Journal   (Followers: 4)
Contextos Clínicos     Open Access  
Counseling et spiritualité / Counselling and Spirituality     Full-text available via subscription   (Followers: 1)
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 12)
Counseling Psychologist     Hybrid Journal   (Followers: 17)
Counseling Psychology and Psychotherapy     Open Access   (Followers: 12)
Counselling and Psychotherapy Research : Linking research with practice     Hybrid Journal   (Followers: 27)
Counselling and Values     Hybrid Journal   (Followers: 5)
Counselling Psychology Quarterly     Hybrid Journal   (Followers: 13)
Couple and Family Psychoanalysis     Full-text available via subscription   (Followers: 1)
Couple and Family Psychology : Research and Practice     Full-text available via subscription   (Followers: 7)
Creativity Research Journal     Hybrid Journal   (Followers: 24)
Creativity. Theories - Research - Applications     Open Access   (Followers: 5)
Criminal Justice Ethics     Hybrid Journal   (Followers: 10)
Cuadernos de Neuropsicología     Open Access   (Followers: 1)
Cuadernos de Psicologia del Deporte     Open Access  
Cuadernos de Psicopedagogía     Open Access  
Cultural Diversity and Ethnic Minority Psychology     Full-text available via subscription   (Followers: 16)
Cultural-Historical Psychology     Open Access   (Followers: 2)
Culturas Psi     Open Access  
Culture and Brain     Hybrid Journal   (Followers: 4)
Current Addiction Reports     Hybrid Journal   (Followers: 12)
Current Behavioral Neuroscience Reports     Hybrid Journal   (Followers: 2)
Current Directions In Psychological Science     Hybrid Journal   (Followers: 59)
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 4)
Current Opinion in Psychology     Hybrid Journal   (Followers: 8)
Current Psychological Research     Hybrid Journal   (Followers: 14)
Current Psychology     Hybrid Journal   (Followers: 14)
Current psychology letters     Open Access   (Followers: 2)
Current Research in Psychology     Open Access   (Followers: 17)
Cyberpsychology, Behavior, and Social Networking     Hybrid Journal   (Followers: 16)
Decision     Full-text available via subscription   (Followers: 5)
Depression and Anxiety     Hybrid Journal   (Followers: 23)
Depression Research and Treatment     Open Access   (Followers: 13)
Development and Psychopathology     Hybrid Journal   (Followers: 9)
Developmental Cognitive Neuroscience     Open Access   (Followers: 18)
Developmental Neuropsychology     Hybrid Journal   (Followers: 20)
Developmental Psychobiology     Hybrid Journal   (Followers: 9)
Developmental Psychology     Full-text available via subscription   (Followers: 46)
Diagnostica     Hybrid Journal   (Followers: 2)
Dialectica     Hybrid Journal   (Followers: 2)
Discourse     Full-text available via subscription   (Followers: 10)
Diversitas : Perspectivas en Psicologia     Open Access  

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Journal Cover Clinical Psychology Review
  Journal Prestige (SJR): 4.59
  Citation Impact (citeScore): 140
  Number of Followers: 42  
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0272-7358
   Published by Elsevier Homepage  [3162 journals]
  • The efficacy of incorporating motivational interviewing to cognitive
           behavior therapy for anxiety disorders: A review and meta-analysis
    • Authors: Isabella Marker; Peter J. Norton
      Pages: 1 - 10
      Abstract: Publication date: June 2018
      Source:Clinical Psychology Review, Volume 62
      Author(s): Isabella Marker, Peter J. Norton
      Motivational Interviewing (MI) has been suggested as an adjunct to Cognitive Behavior Therapy (CBT) for anxiety disorders. Although preliminary evidence suggests that MI as a prelude to CBT (MI + CBT) improves various aspects of treatment from initial engagement, overall symptom reduction, and treatment drop out rate, results are inconsistent. The current meta-analysis combined the findings of 12 trials examining the efficacy of MI + CBT in comparison to CBT alone. Across studies, MI + CBT outperformed standard CBT in terms of overall anxiety symptom reduction, Hedges g = 0.59. Drop out rates were not significantly different between groups. Moderator analyses revealed no significant differences based on specific anxiety diagnosis or dose of MI. The findings of this meta-analysis suggest that MI as an adjunct to CBT for anxiety disorders improves treatment outcome, in comparison to CBT alone. Limitations of the study and future research directions are explored.

      PubDate: 2018-05-18T08:43:54Z
      DOI: 10.1016/j.cpr.2018.04.004
      Issue No: Vol. 62 (2018)
       
  • Early psychological interventions for posttraumatic stress, depression and
           anxiety after traumatic injury: A systematic review and meta-analysis
    • Authors: Melita J. Giummarra; Alyse Lennox; Gezelle Dali; Beth Costa; Belinda J. Gabbe
      Pages: 11 - 36
      Abstract: Publication date: June 2018
      Source:Clinical Psychology Review, Volume 62
      Author(s): Melita J. Giummarra, Alyse Lennox, Gezelle Dali, Beth Costa, Belinda J. Gabbe
      The psychological impacts of injury have significant long-term implications on injury recovery. This review examined the effectiveness of interventions delivered within three months of injury on reducing the severity of posttraumatic stress disorder (PTSD), anxiety and depression symptoms. A systematic search of seven databases (PsycINFO, Medline, Web of Science, CINAHL, Embase, Scopus and Cochrane Library) identified 15,224 records. 212 full-text articles were retrieved, 26 studies were included in narrative synthesis, and 12 studies with lower risk of bias were included in meta-analyses. Prolonged exposure, and cognitive and behavioural interventions elicited improvements in PTSD, anxiety and depression symptoms; multidisciplinary interventions improved PTSD and depression symptoms; and education-based interventions had little impact on any psychological symptoms. Studies comprising risk stratified or stepped care methods showed markedly greater population impact through better reach, implementation and adoption. Meta-analyses revealed small-medium reductions in PTSD symptoms over the first 12 months postinjury (SMD = 0.32 to 0.49) with clinically meaningful effects in 64% of studies; reduced depression symptoms at 0–3 (small effect; SMD = 0.34) and 6–12 months postinjury (medium effect; SMD = 0.60), with clinically meaningful effects in 40% of studies; but no pooled effects on anxiety symptoms at any time. Altogether, exposure- and CBT-based psychological interventions had the greatest impact on PTSD and depression symptoms postinjury when delivered within three months of injury, with risk-stratified, stepped care having the greatest population impact potential.

      PubDate: 2018-05-18T08:43:54Z
      DOI: 10.1016/j.cpr.2018.05.001
      Issue No: Vol. 62 (2018)
       
  • Anxiety sensitivity in the association between posttraumatic stress and
           substance use disorders: A systematic review
    • Authors: Anka A. Vujanovic; Samantha G. Farris; Brooke A. Bartlett; Robert C. Lyons; Moira Haller; Peter J. Colvonen; Sonya B. Norman
      Pages: 37 - 55
      Abstract: Publication date: June 2018
      Source:Clinical Psychology Review, Volume 62
      Author(s): Anka A. Vujanovic, Samantha G. Farris, Brooke A. Bartlett, Robert C. Lyons, Moira Haller, Peter J. Colvonen, Sonya B. Norman
      Posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are complex psychiatric conditions that commonly co-occur. No evidence-based, “gold standard” treatments for PTSD/SUD comorbidity are currently available. Thus, it is imperative to better understand cognitive-affective mechanisms, targetable via cognitive-behavioral intervention (i.e., malleable), that may be related to both disorders in order to improve the theory and treatment of PTSD/SUD. Anxiety sensitivity is a malleable cognitive-affective factor with relevance to both PTSD and SUD. This systematic review focused on the published literature on anxiety sensitivity and trauma/PTSD and substance use/SUD from 1966 – May 1, 2018, and includes a total of 35 manuscripts. The state of the literature, limitations, and future research directions are discussed.

      PubDate: 2018-05-20T22:39:24Z
      DOI: 10.1016/j.cpr.2018.05.003
      Issue No: Vol. 62 (2018)
       
  • Measurement properties of tools used to assess suicidality in autistic and
           general population adults: A systematic review
    • Authors: S.A. Cassidy; L. Bradley; E. Bowen; S. Wigham; J. Rodgers
      Pages: 56 - 70
      Abstract: Publication date: Available online 5 May 2018
      Source:Clinical Psychology Review
      Author(s): S.A. Cassidy, L. Bradley, E. Bowen, S. Wigham, J. Rodgers
      Adults diagnosed with autism are at significantly increased risk of suicidal thoughts, suicidal behaviours and dying by suicide. However, it is unclear whether any validated tools are currently available to effectively assess suicidality in autistic adults in research and clinical practice. This is crucial for understanding and preventing premature death by suicide in this vulnerable group. This two stage systematic review therefore aimed to identify tools used to assess suicidality in autistic and general population adults, evaluate these tools for their appropriateness and measurement properties, and make recommendations for appropriate selection of suicidality assessment tools in research and clinical practice. Three databases were searched (PsycInfo, Medline and Web of Knowledge). Four frequently used suicidality assessment tools were identified, and subsequently rated for quality of the evidence in support of their measurement properties using the COSMIN checklist. Despite studies having explored suicidality in autistic adults, none had utilised a validated tool. Overall, there was lack of evidence in support of suicidality risk assessments successfully predicting future suicide attempts. We recommend adaptations to current suicidality assessment tools and priorities for future research, in order to better conceptualise suicidality and its measurement in autism.

      PubDate: 2018-05-18T08:43:54Z
      DOI: 10.1016/j.cpr.2018.05.002
      Issue No: Vol. 62 (2018)
       
  • Intolerance of uncertainty: Neural and psychophysiological correlates of
           the perception of uncertainty as threatening
    • Authors: Ema Tanovic; Dylan G. Gee; Jutta Joormann
      Pages: 87 - 99
      Abstract: Publication date: Available online 6 January 2018
      Source:Clinical Psychology Review
      Author(s): Ema Tanovic, Dylan G. Gee, Jutta Joormann
      Intolerance of uncertainty (IU) reflects the perception of uncertainty as threatening, regardless of the true probability of threat. IU is elevated in various forms of psychopathology, uniquely associated with anxiety and depression symptoms after controlling for related constructs, and prospectively predicts symptoms. Given the ubiquity of uncertainty in daily life and the clinical implications of IU, recent work has begun to investigate the neural and psychophysiological correlates of IU. This review summarizes the existing literature and integrates findings within a mechanistic neural model of responding to uncertainty. IU is associated with heightened reactivity to uncertainty reflected in greater activity of the anterior insula and amygdala, alterations in neural responses to rewards and errors evident in event-related potentials, a mixed pattern of startle responses to uncertain threat, and deficiencies in safety learning indexed by startle and skin conductance responding. These findings provide evidence of disruptions in several domains of responding to uncertainty, threat, and reward associated with IU that may confer risk for the development of psychopathology. Significant attention is devoted to recommendations for future research, including consideration of the complex interplay of IU with emotion regulation, cognitive control, and reward processing.

      PubDate: 2018-02-05T16:17:34Z
      DOI: 10.1016/j.cpr.2018.01.001
      Issue No: Vol. 60 (2018)
       
  • Intolerance of uncertainty in youth with obsessive-compulsive disorder and
           generalized anxiety disorder: A transdiagnostic construct with
           implications for phenomenology and treatment
    • Authors: Carrie B. Gillett; Emily L. Bilek; Gregory L. Hanna; Kate D. Fitzgerald
      Pages: 100 - 108
      Abstract: Publication date: Available online 2 February 2018
      Source:Clinical Psychology Review
      Author(s): Carrie B. Gillett, Emily L. Bilek, Gregory L. Hanna, Kate D. Fitzgerald
      Obsessive-compulsive disorder (OCD) and generalized anxiety disorder (GAD) are early-onset disorders with significant overlapping phenomenology, especially in young patients who, due to developmental stage, may have difficulty recognizing obsessions and worries as unrealistic or excessive. Shared phenomenology and high rates of comorbidity between OCD and GAD raise the possibility of common underlying processes, and recent work has focused on intolerance of uncertainty (IU) as a reasonable candidate. With an emphasis on the youth literature, we review the phenomenological overlap between OCD and GAD, how symptoms may relate to IU, and how IU may be measured. We review existing psychotherapeutic treatments and discuss how understanding the role of IU may assist in the development of novel psychotherapeutic strategies to improve treatment outcomes. Neuroimaging studies of IU in OCD and GAD are also discussed and suggestions for further research are offered. We conclude that, consistent with Research Domain Criteria (RDoC), IU represents a transdiagnostic construct with a demonstrable neural basis that could be targeted to improve existing treatments for these disorders.

      PubDate: 2018-02-05T16:17:34Z
      DOI: 10.1016/j.cpr.2018.01.007
      Issue No: Vol. 60 (2018)
       
  • eHealth interventions for family carers of people with long term illness:
           A promising approach'
    • Authors: Jacqueline Sin; Claire Henderson; Debbie Spain; Victoria Cornelius; Tao Chen; Steve Gillard
      Pages: 109 - 125
      Abstract: Publication date: Available online 2 February 2018
      Source:Clinical Psychology Review
      Author(s): Jacqueline Sin, Claire Henderson, Debbie Spain, Victoria Cornelius, Tao Chen, Steve Gillard
      Family carers of people who have long term illness often experience physical and mental health morbidities, and burden. While there is good evidence to suggest that carers benefit from psychosocial interventions, these have primarily been delivered via face-to-face individual or group-formats. eHealth interventions offer a novel, accessible and self-paced approach to care delivery. Whether these are effective for carers' wellbeing has been little explored. This paper reports the first comprehensive systematic review in this area. A total of 78 studies, describing 62 discrete interventions, were identified. Interventions commonly aimed to promote carers' knowledge, self-efficacy, caregiving appraisal, and reduce global health morbidities. Interventions were offered to carers of people with a wide range of long term illness; dementia has been the most researched area, as reported in 40% of studies. Clinical and methodological heterogeneity in interventions precluded meta-analyses, and so data were analysed narratively. The most popular approach has comprised psychoeducational interventions delivered via an enriched online environment with supplementary modes of communication, such as network support with professionals and peers. Overall, carers appreciate the flexibility and self-paced nature of eHealth interventions, with high rates of satisfaction and acceptability. More studies using robust designs are needed to extend the evidence base.

      PubDate: 2018-02-05T16:17:34Z
      DOI: 10.1016/j.cpr.2018.01.008
      Issue No: Vol. 60 (2018)
       
  • Does childhood neglect contribute to violent behavior in adulthood' A
           review of possible links
    • Authors: Vikki J. Bland; Ian Lambie; Charlotte Best
      Pages: 126 - 135
      Abstract: Publication date: Available online 9 February 2018
      Source:Clinical Psychology Review
      Author(s): Vikki J. Bland, Ian Lambie, Charlotte Best
      Child neglect, whether intentional or unintentional on the part of caregivers, has serious and far-reaching negative consequences for children. Neglect is the most prevalent form of child maltreatment and has been associated with impaired cognitive development, changes in brain structure and nervous systems, behavioral and personality disorders and poor academic performance. However, the role of child neglect, and subtypes of neglect, in the development of adult violent behavior is not well understood. The “cycle of violence” hypothesis, which predicts that individuals exposed to child physical abuse are more likely to be physically violent in adulthood, is well supported by the literature. However, a growing number of studies suggests that child neglect may be equally predictive, or more predictive, of adult violent behavior than child physical abuse. The present review considers a range of studies that investigate aspects of this relationship, and identifies key patterns and trends that have emerged from these investigations. Methodological issues and limitations of the existing literature are also identified and new research directions suggested. This review also considers studies that support the possibility of protective factors against the development of adult violent behavior in victims of child neglect.

      PubDate: 2018-02-25T17:44:22Z
      DOI: 10.1016/j.cpr.2018.02.001
      Issue No: Vol. 60 (2018)
       
  • Corrigendum to “Intervention studies to foster resilience — A
           systematic review and proposal for a resilience framework in future
           intervention studies” [Clinical Psychology Review 59 (2018) 78–100]
    • Authors: A. Chmitorz; A. Kunzler; I. Helmreich; O. Tüscher; R. Kalisch; T. Kubiak; M. Wessa; K. Lieb
      First page: 148
      Abstract: Publication date: Available online 3 February 2018
      Source:Clinical Psychology Review
      Author(s): A. Chmitorz, A. Kunzler, I. Helmreich, O. Tüscher, R. Kalisch, T. Kubiak, M. Wessa, K. Lieb


      PubDate: 2018-02-05T16:17:34Z
      DOI: 10.1016/j.cpr.2018.01.003
      Issue No: Vol. 60 (2018)
       
  • Corrigendum to “Beyond war and PTSD: The crucial role of transition
           stress in the lives of military veterans” [Clin. Psychol. Rev. 59 (2018)
           137–144]
    • Authors: Meaghan C. Mobbs; George A. Bonanno
      Pages: 137 - 144
      Abstract: Publication date: Available online 1 February 2018
      Source:Clinical Psychology Review
      Author(s): Meaghan C. Mobbs, George A. Bonanno


      PubDate: 2018-02-05T16:17:34Z
      DOI: 10.1016/j.cpr.2017.11.007
      Issue No: Vol. 59 (2018)
       
  • Estrogen, progesterone, and the menstrual cycle: A systematic review of
           fear learning, intrusive memories, and PTSD
    • Abstract: Publication date: Available online 12 June 2018
      Source:Clinical Psychology Review
      Author(s): Natalia Garcia, Rosemary Walker, Lori Zoellner
      Women are disproportionately affected by posttraumatic stress disorder (PTSD), and gonadal hormones are implicated in fear learning processes associated with PTSD. In rodents, lower estradiol, particularly during metestrus when progesterone is also low, is associated with impaired extinction. Based on theories that extinction deficits underlie PTSD, individuals with lower estradiol and progesterone may exhibit fear learning deficits and higher PTSD symptomatology. A systematic review was conducted in PsycInfo, PubMed, and Medline databases for studies examining estradiol, progesterone, or menstrual phase in relation to fear learning or PTSD symptoms. Twenty-three studies are organized into fear learning (k = 17) and PTSD symptom (k = 12) studies. Across fear learning studies, higher estradiol was consistently associated with enhanced fear extinction recall and inconsistently and weakly associated with better extinction learning and fear acquisition, respectively. Extending to PTSD symptoms, the association with hormonal status was reversed, such that luteal phase, associated with higher estradiol and progesterone, was generally associated with higher re-experiencing symptoms. Overall, human fear learning studies were consistent with rodent studies. Despite strong experimental links between fear learning processes and PTSD, the clinical translation was inconsistent and may reflect varying methods, imprecise measurement, and greater complexity of hormonal effects on symptomatology.

      PubDate: 2018-06-12T23:08:14Z
       
  • Shedding light on the association between repetitive negative thinking and
           deficits in cognitive control – A meta-analysis
    • Abstract: Publication date: Available online 11 June 2018
      Source:Clinical Psychology Review
      Author(s): Ulrike Zetsche, Paul-Christian Bürkner, Lars Schulze
      Individuals who experience recurrent negative thoughts are at elevated risk for mood and anxiety disorders. It is thus essential to understand why some individuals get stuck in recurrent negative thinking (RNT), whereas others are able to disengage eventually. Theoretical models propose that individuals high in recurrent negative thinking suffer from deficits in controlling the contents of working memory. Empirical findings, however, are inconclusive. In this meta-analysis, we synthesize findings from 94 studies to examine the proposed association between RNT and deficits in cognitive control. We included numerous effect sizes not reported in the primary publications. Moderator analyses tested the influence of variables, such as stimuli valence, cognitive control function (e.g., shifting, discarding), or type of RNT (i.e., rumination or worry). Results demonstrated an association between repetitive negative thinking and deficits in only one specific cognitive control function, namely difficulty discarding no longer relevant material from working memory (r = −0.20). This association remained significant after controlling for level of psychopathology. There was no substantial association between RNT and deficits in any other cognitive control function. All other moderators were not significant. We discuss limitations (e.g., primary sample sizes, reliability of paradigms) and highlight implications for future research and clinical interventions.

      PubDate: 2018-06-12T23:08:14Z
       
  • Treatment of depression, anxiety, and trauma-related disorders during the
           perinatal period: A systematic review
    • Abstract: Publication date: Available online 9 June 2018
      Source:Clinical Psychology Review
      Author(s): Yael I. Nillni, Aydan Mehralizade, Laura Mayer, Snezana Milanovic
      Women with psychiatric disorders during pregnancy and the postpartum period (i.e., perinatal period) are at increased risk for adverse maternal and child outcomes. Effective treatment of psychiatric disorders during the perinatal period is imperative. This review summarizes the outcomes of 78 studies focused on the treatment of depression, anxiety, and trauma-related disorders during the perinatal period. The majority of studies focused on perinatal depression (n = 73). Of the five studies focused on anxiety or trauma-related disorders, only one was a randomized controlled trial (RCT). The most studied treatment was cognitive behavioral therapy (CBT; n = 22), followed by interpersonal psychotherapy (IPT; n = 13). Other interventions reviewed include other talk therapies (n = 5), collaborative care models (n = 2), complementary and alternative medicine approaches (n = 18), light therapy (n = 3), brain stimulation (n = 2), and psychopharmacological interventions (n = 13). Eleven studies focused specifically on treatment for low-income and/or minority women. Both CBT and IPT demonstrated a significant benefit over control conditions. However, findings were mixed when these interventions were examined in low-income and/or minority samples. There is some support for complementary and alternative medicine approaches (e.g., exercise). Although scarce, SSRIs demonstrated good efficacy when compared to a placebo. However, SSRIs did not outperform another active treatment condition (e.g., CBT). There is a tremendous need for more studies focused on treatment of perinatal anxiety and trauma-related disorders, as well as psychopharmacological effectiveness studies. Limitations and future directions of perinatal treatment research, particularly among low-income and/or minority populations, are discussed.

      PubDate: 2018-06-09T23:06:44Z
       
  • Cognitive mechanisms of disgust in the development and maintenance of
           psychopathology: A qualitative review and synthesis
    • Abstract: Publication date: Available online 7 June 2018
      Source:Clinical Psychology Review
      Author(s): Kelly A. Knowles, Rebecca C. Cox, Thomas Armstrong, Bunmi O. Olatunji
      A growing body of research has implicated disgust in various psychopathologies, especially anxiety-related disorders. Although the observed role of disgust in many disorders is robust, the mechanisms that may explain this role are unclear. Cutting-edge research in cognitive science has the potential to elucidate such mechanisms and consequently improve our understanding of how disgust contributes to the etiology and maintenance of psychopathology. In this qualitative review, we systematically assess cognitive bias mechanisms that have been linked to disgust and its disorders. This review suggests that disgust-related biases may be observed in memory, interpretation, judgment of expectancies, and attention, as well as at implicit levels. Of these cognitive domains, the most robust bias appears to be observed at the level of attention. However, reliable moderators of attentional biases for disgust have not yet been identified, and this bias has not been systematically linked to other levels of analysis. Despite these limitations, the available research indicates that attentional avoidance rather than orienting or maintenance may be the most characteristic of disgust. Attentional avoidance of disgust may have important implications for etiological and treatment models of disorders characterized by excessive disgust reactions. The implications for advancing such models are discussed in the context of a combined cognitive bias hypothesis.

      PubDate: 2018-06-09T23:06:44Z
       
  • Trajectories of resilience and dysfunction following potential trauma: A
           review and statistical evaluation
    • Abstract: Publication date: Available online 6 June 2018
      Source:Clinical Psychology Review
      Author(s): Isaac R. Galatzer-Levy, Sandy H. Huang, George A. Bonanno
      Given the rapid proliferation of trajectory-based approaches to study clinical consequences to stress and potentially traumatic events (PTEs), there is a need to evaluate emerging findings. This review examined convergence/divergences across 54 studies in the nature and prevalence of response trajectories, and determined potential sources of bias to improve future research. Of the 67 cases that emerged from the 54 studies, the most consistently observed trajectories following PTEs were resilience (observed in: n = 63 cases), recovery (n = 49), chronic (n = 47), and delayed onset (n = 22). The resilience trajectory was the modal response across studies (average of 65.7% across populations, 95% CI [0.616, 0.698]), followed in prevalence by recovery (20.8% [0.162, 0.258]), chronicity (10.6%, [0.086, 0.127]), and delayed onset (8.9% [0.053, 0.133]). Sources of heterogeneity in estimates primarily resulted from substantive population differences rather than bias, which was observed when prospective data is lacking. Overall, prototypical trajectories have been identified across independent studies in relatively consistent proportions, with resilience being the modal response to adversity. Thus, trajectory models robustly identify clinically relevant patterns of response to potential trauma, and are important for studying determinants, consequences, and modifiers of course following potential trauma.

      PubDate: 2018-06-06T23:05:24Z
       
  • Mechanisms underlying the association between insomnia, anxiety, and
           depression in adolescence: Implications for behavioral sleep interventions
           
    • Abstract: Publication date: Available online 28 May 2018
      Source:Clinical Psychology Review
      Author(s): Matthew J. Blake, John A. Trinder, Nicholas B. Allen


      PubDate: 2018-05-28T22:47:50Z
       
  • Social motivation in schizophrenia: How research on basic reward processes
           informs and limits our understanding
    • Abstract: Publication date: Available online 28 May 2018
      Source:Clinical Psychology Review
      Author(s): Daniel Fulford, Tim Campellone, David E. Gard
      Limited quantity and quality of interpersonal exchanges and relationships predict worse symptomatic and hospitalization outcomes and limit functional recovery in people with schizophrenia. While deficits in social skills and social cognition contribute to much of the impairment in social functioning in schizophrenia, our focus on the current review is social motivation—the drive to connect with others and form meaningful, lasting relationships. We pay particular attention to how recent research on reward informs, and limits, our understanding of the construct. Recent findings that parse out key components of human motivation, especially the temporal nature of reward and effort, are informative for understanding some aspects of social motivation. This approach, however, fails to fully integrate the critical influence of uncertainty and punishment (e.g., avoidance, threat) in social motivation. In the current review, we argue for the importance of experimental paradigms and real-time measurement to capture the interaction between social approach and avoidance in characterizing social affiliation in schizophrenia. We end with suggestions for how researchers might move the field forward by emphasizing the ecological validity of social motivation paradigms, including dynamic, momentary assessment of social reward and punishment using mobile technology and other innovative tools.

      PubDate: 2018-05-28T22:47:50Z
       
  • Attentional bias for threat: Crisis or opportunity'
    • Authors: Richard J. McNally
      Abstract: Publication date: Available online 21 May 2018
      Source:Clinical Psychology Review
      Author(s): Richard J. McNally
      Beginning in the 1980s, experimental psychopathologists increasingly adapted the concepts and paradigms of cognitive science to elucidate information-processing abnormalities that may figure in the etiology and maintenance of anxiety disorders. Assessment and modification of attentional biases for threat has been a major theme in this research program. The field has witnessed the development of progressively more sophisticated approaches for isolating attentional processes from other cognitive processes in the service of accurate assessment and treatment. Yet the field is now in crisis as foundational concerns about the reliability of basic measures of attentional bias for threat (ABT) have emerged. Moreover, recent research points to theoretical revisions deemphasizing ABT as a stable, near-universal feature of anxiety disorders, and stressing deficits in executive control as the primary attentional problem linked to anxiety.

      PubDate: 2018-05-25T22:46:41Z
      DOI: 10.1016/j.cpr.2018.05.005
       
  • The relationship of fatigue in breast cancer survivors with quality of
           life and factors to address in psychological interventions: A systematic
           review
    • Authors: H.J.G. Abrahams; M.F.M. Gielissen; C.A.H.H.V.M. Verhagen; H. Knoop
      Abstract: Publication date: Available online 17 May 2018
      Source:Clinical Psychology Review
      Author(s): H.J.G. Abrahams, M.F.M. Gielissen, C.A.H.H.V.M. Verhagen, H. Knoop
      Severe fatigue occurs in one in four breast cancer survivors (BCS). Quality of life (QOL) and psychological factors are important in fatigue-oriented interventions for BCS, but an up-to-date overview is lacking. The aims of this review were to (i) provide a comprehensive overview of the relationship of fatigue with QOL and factors that can be addressed in psychological interventions for fatigue in BCS and (ii) determine the strength of evidence for these relationships. A systematic literature search was conducted to find studies on fatigue in BCS who had completed curative breast cancer treatment. Fatigue-related factors of 57 eligible studies were extracted and the level of evidence was determined. Factors regarding QOL (ie, general QOL, functioning, work ability, and mental health) had a negative relationship with fatigue (moderate to strong evidence). Target factors for psychological interventions were divided into the subcategories emotional problems, sleep disturbances, physical activity, pain, coping with cancer, dysfunctional cognitions, and social support. Moderate to strong evidence appeared for a relationship of fatigue with depressive symptoms, anxiety, distress, sleep disturbances, lower physical activity levels, pain, difficulties with coping with cancer, and catastrophizing about symptoms. These factors are points of attention for existing and future psychological interventions for fatigue in BCS.

      PubDate: 2018-05-18T08:43:54Z
      DOI: 10.1016/j.cpr.2018.05.004
       
  • Hoping for more: How cognitive science has and hasn't been helpful to the
           OCD clinician
    • Authors: Allison J. Ouimet; Andrea R. Ashbaugh; Adam S. Radomsky
      Abstract: Publication date: Available online 12 April 2018
      Source:Clinical Psychology Review
      Author(s): Allison J. Ouimet, Andrea R. Ashbaugh, Adam S. Radomsky
      Cognitive-behavioural models of obsessive-compulsive disorder (OCD) stemmed from knowledge acquired from cognitive science. Researchers continue to apply basic cognitive-affective science methods to understanding OCD, with the overarching goal of improving and refining evidence-based treatments. However, the degree to which such research has contributed to this goal is unclear. We reviewed OCD research in the general areas that comprise basic cognitive science, and evaluated the degree to which it has contributed to our understanding of the development, maintenance, and treatment of OCD. We focused on studies that either compared people with and without OCD and/or used experimental psychopathology methods with human participants, and attempted to resolve some of the conflicting theories related to the importance of cognitive deficits vs. cognitive biases. Overall, we observed equivocal findings for deficits in perception, attention, memory, and executive functioning. Moreover, many so-called deficits were moderated and/or explained by OCD-relevant beliefs, highlighting the role of confidence in cognitive processes as integral to our understanding of OCD. We discussed these findings in terms of cognitive measurement, cognitive-behavioural models, and clinical applicability, and made recommendations for future research that may offer innovation and insight helpful to clinicians working to improve the symptoms and lives of people with OCD.

      PubDate: 2018-04-15T16:28:52Z
      DOI: 10.1016/j.cpr.2018.04.003
       
  • A dual process perspective on advances in cognitive science and alcohol
           use disorder
    • Authors: Kristen P. Lindgren; Christian S. Hendershot; Jason J. Ramirez; Edward Bernat; Mauricio Rangel-Gomez; Kirsten P. Peterson; James G. Murphy
      Abstract: Publication date: Available online 11 April 2018
      Source:Clinical Psychology Review
      Author(s): Kristen P. Lindgren, Christian S. Hendershot, Jason J. Ramirez, Edward Bernat, Mauricio Rangel-Gomez, Kirsten P. Peterson, James G. Murphy
      There is a tremendous global and national (US) burden associated with alcohol misuse and alcohol use disorder (AUD). Further, of the mental health disorders, AUD has the widest treatment gap. Thus, there is a critical need for improved understanding of the etiology, maintenance, and treatment of AUD. The application of cognitive science to the study of AUD has a longstanding history of attempting to meet this need. In this selective review, we identified and focused on four domains of recent (i.e., in the last decade) applications of cognitive science to the study of AUD: implicit cognitive biases, executive function, behavioral economic approaches to alcohol decision making, and functional connectivity neuroimaging. We highlighted advances within these four domains and considered them in the context of dual process models of addiction, which focus on the contribution and interplay of two complementary neurocognitive systems (impulsive and control systems). Findings across the domains were generally consistent with dual process models. They also suggest the need for further model refinements, including integrating behavioral economic approaches and findings from functional connectivity neuroimaging studies. Research evaluating candidate interventions associated with these domains is emergent but promising, suggesting important directions for future research.

      PubDate: 2018-04-15T16:28:52Z
      DOI: 10.1016/j.cpr.2018.04.002
       
  • A meta-analytic review of self-reported, clinician-rated, and
           performance-based motivation measures in schizophrenia: Are we measuring
           the same “stuff”'
    • Authors: Lauren Luther; Ruth L. Firmin; Paul H. Lysaker; Kyle S. Minor; Michelle P. Salyers
      Abstract: Publication date: Available online 7 April 2018
      Source:Clinical Psychology Review
      Author(s): Lauren Luther, Ruth L. Firmin, Paul H. Lysaker, Kyle S. Minor, Michelle P. Salyers
      An array of self-reported, clinician-rated, and performance-based measures has been used to assess motivation in schizophrenia; however, the convergent validity evidence for these motivation assessment methods is mixed. The current study is a series of meta-analyses that summarized the relationship between methods of motivation measurement in 45 studies of people with schizophrenia. The overall mean effect size between self-reported and clinician-rated motivation measures (r = 0.27, k = 33) was significant, positive, and approaching medium in magnitude, and the overall effect size between performance-based and clinician-rated motivation measures (r = 0.21, k = 11) was positive, significant, and small in magnitude. The overall mean effect size between self-reported and performance-based motivation measures was negligible and non-significant (r = −0.001, k = 2), but this meta-analysis was underpowered. Findings suggest modest convergent validity between clinician-rated and both self-reported and performance-based motivation measures, but additional work is needed to clarify the convergent validity between self-reported and performance-based measures. Further, there is likely more variability than similarity in the underlying construct that is being assessed across the three methods, particularly between the performance-based and other motivation measurement types. These motivation assessment methods should not be used interchangeably, and measures should be more precisely described as the specific motivational construct or domain they are capturing.

      PubDate: 2018-04-15T16:28:52Z
      DOI: 10.1016/j.cpr.2018.04.001
       
  • Rumination and eating disorder psychopathology: A meta-analysis
    • Authors: Kathryn E. Smith; Tyler B. Mason; Jason M. Lavender
      Abstract: Publication date: Available online 28 March 2018
      Source:Clinical Psychology Review
      Author(s): Kathryn E. Smith, Tyler B. Mason, Jason M. Lavender
      Rumination is a cognitive process involving repetitive thoughts about negative experiences and emotions and is associated with psychopathology. Rumination has been implicated in mood and anxiety disorders, and there is a growing body of research on rumination in relation to eating disorder (ED) psychopathology. The current meta-analytic review focused on the literature addressing rumination and ED psychopathology. A comprehensive search process identified 38 studies, which primarily used cross-sectional designs with non-clinical samples. Results demonstrated that rumination was concurrently (r = 0.33) and prospectively (r = 0.22–0.23) associated with ED psychopathology, and that groups with ED psychopathology evidenced higher levels of rumination compared to non-ED control groups (g = 0.95), though no significant differences in rumination were observed when comparing anorexia nervosa to bulimia nervosa groups (g = 0.09). In addition, a narrative review of five experimental studies suggested that rumination in response to ED-related stimuli was related to increased negative affect and negative body-related cognitions across clinical and non-clinical samples. The type of rumination and sample population emerged as moderators of effect sizes, such that larger effects were observed among samples using ED-specific measures of rumination and heterogeneous samples compared to only non-clinical samples. Taken together, this literature demonstrates that rumination is a salient process in ED psychopathology, though the literature is characterized by methodological limitations and the need for more fully elaborated theories on the role of rumination in EDs. Findings are discussed in the context of existing models of rumination and ED psychopathology, with suggestions for future research in this area.

      PubDate: 2018-04-15T16:28:52Z
      DOI: 10.1016/j.cpr.2018.03.004
       
  • Remission in CBT for adult anxiety disorders: A meta-analysis
    • Authors: Kristen S. Springer; Hannah C. Levy; David F. Tolin
      Abstract: Publication date: Available online 16 March 2018
      Source:Clinical Psychology Review
      Author(s): Kristen S. Springer, Hannah C. Levy, David F. Tolin
      Currently there is no universally accepted definition of remission in anxiety disorders. This may be causing significantly different estimates of treatment efficacy across anxiety disorders. The aim of this paper was to determine not only the overall remission rate in cognitive-behavioral therapy (CBT) for anxiety disorders, but also to examine whether the different definitions of remission lead to significantly different remission rates. From the initial 228 abstracts reviewed by the authors, 100 articles were retained. The overall mean remission rate was 51.0%. Remission rates were highest when remission was defined as good end state functioning or no longer meeting criteria for the primary diagnosis. Studies of posttraumatic stress disorder had the highest remission rates, while those of obsessive-compulsive disorder and social anxiety disorder had the lowest remission rates. Rates of remission differed by certain demographic (e.g., older age) and clinical (e.g., medication use) characteristics. Although CBT is an empirically supported treatment for anxiety disorders, it is clear that there is room for improvement, as many patients do not achieve remission status.

      PubDate: 2018-04-15T16:28:52Z
      DOI: 10.1016/j.cpr.2018.03.002
       
  • Using a social construction of gender lens to understand gender
           differences in posttraumatic stress disorder
    • Authors: Amy E. Street; Christina M. Dardis
      Abstract: Publication date: Available online 9 March 2018
      Source:Clinical Psychology Review
      Author(s): Amy E. Street, Christina M. Dardis
      A wealth of research has established clear gender differences in exposure to potentially traumatic events and in subsequent posttraumatic stress disorder (PTSD). One perspective that is missing from most conversations about gender differences in PTSD is a systematic discussion of gender role socialization, and relatedly, the social construction of gender within our society. The purpose of the present review is to provide exposure to these theories as they relate to gender differences in PTSD, including differences in trauma exposure, risk for the development and maintenance of PTSD symptoms, and PTSD treatment outcome. In this review we focus on characteristics and behaviors that arise from a way of being in the world that is largely influenced by assigned gender. These include gender differences in patterns of trauma exposure, chronic environmental strain, behavioral responses to distress, cognitive factors, and the experience and expression of emotion. We posit that these different sets of factors reciprocally influence each other and combine synergistically to influence observed gender differences. The research reviewed here indicates that societal definitions of masculinity and femininity have psychological consequences in that they produce gender differences in major risk factors relevant to PTSD.

      PubDate: 2018-04-15T16:28:52Z
      DOI: 10.1016/j.cpr.2018.03.001
       
  • Biological alterations affecting risk of adult psychopathology following
           childhood trauma: A review of sex differences
    • Authors: Ashwini Tiwari; Andrea Gonzalez
      Abstract: Publication date: Available online 2 February 2018
      Source:Clinical Psychology Review
      Author(s): Ashwini Tiwari, Andrea Gonzalez
      Childhood trauma exposure is a significant public health problem. While adult mental health consequences of such experiences are well documented, sex differences in both prevalence and severity are less understood. Sex-based differences in biological circuitry and physiological trauma responses are proposed to potentiate the differential risk for pathogenesis of mental health disorders among adults. This paper will provide a contextualized summary of neuroendocrine, neuroimaging, and behavioral epigenetic studies on biological sex differences contributing to internalizing psychopathology, specifically posttraumatic stress disorder and depression, among adults with a history of childhood abuse. This review concludes with a discussion of implications for trauma interventions and sex-based biopsychological research in violence prevention.

      PubDate: 2018-02-05T16:17:34Z
      DOI: 10.1016/j.cpr.2018.01.006
       
  • A systematic review and meta-analysis of psychological functioning in
           chronic tinnitus
    • Authors: Krysta Trevis; Neil McLachlan Sarah Wilson
      Abstract: Publication date: Available online 30 December 2017
      Source:Clinical Psychology Review
      Author(s): Krysta J. Trevis, Neil M. McLachlan, Sarah J. Wilson
      Chronic tinnitus, the phenomenon of a chronic ringing in the ears or head, has a significant negative impact on an individual's health and wellbeing. Despite this, there is no cure or consensus regarding factors maintaining ongoing awareness of the sensation in this population, or the severity of its impact. We aimed to comprehensively and systematically review behavioural studies investigating the psychological functioning of adults with chronic tinnitus. We identified 64 papers meeting our search criteria for inclusion, which are reviewed with regard to psychological factors involved with the presence of chronic tinnitus, and those relating to its severity. The majority of studies assessed the presence and impact of chronic tinnitus with regard to emotional wellbeing (n =59), with a more recent interest in cognitive functioning (n =16). A subset of 36 studies was included in meta-analyses investigating the relationships between emotional wellbeing and the presence and impact of chronic tinnitus using random-effects models. Our findings indicate the presence of chronic tinnitus may be associated with reduced cognitive functioning, particularly attention, and with reduced emotional wellbeing, particularly anxiety and depression. We also found consistent evidence indicating severity of chronic tinnitus is associated with a broad range of psychological features, primarily symptoms of depression and anxiety. We recommend investigating the complexity of the relationships between emotional wellbeing, cognitive functioning, and chronic tinnitus using a range of methodologies to further elucidate the role of psychological functioning in chronic tinnitus.

      PubDate: 2018-02-05T16:17:34Z
       
  • Mindfulness and craving: effects and mechanisms
    • Authors: Katy Tapper
      Pages: 122 - 134
      Abstract: Publication date: Available online 13 November 2017
      Source:Clinical Psychology Review
      Author(s): Katy Tapper
      Mindfulness meditation has a long tradition of being used to manage cravings. This paper reviews 30 experimental studies that have examined the effects of different types of mindfulness practice on cravings for food, cigarettes and alcohol. The findings are interpreted in light of relevant theories of craving. The studies show most support for the elaborated intrusion theory of desire and conditioning models. They suggest that whilst mindfulness strategies may bring about immediate reductions in craving, such effects are likely to stem from working memory load, and will not necessarily be superior to alternative strategies that also load working memory. Likewise, reductions in craving over the medium term may occur due to extinction processes that result from the individual inhibiting craving-related responses. Again, alternative strategies that promote response suppression may be equally effective. Nevertheless, a smaller number of studies show promising results where mindfulness exercises have been repeatedly practiced over a longer period of time. The results of these studies provide tentative support for Buddhist models of craving that suggest mindfulness practice may confer unique benefits in terms of both craving reduction and reducing the extent to which craving leads to consumption. Further research would be needed to confirm this.

      PubDate: 2017-11-15T19:29:38Z
      DOI: 10.1016/j.cpr.2017.03.003
      Issue No: Vol. 53 (2017)
       
  • Potential psychological & neural mechanisms in binge eating disorder:
           Implications for treatment
    • Authors: Hedy Kober; Rebecca Boswell
      Abstract: Publication date: Available online 23 December 2017
      Source:Clinical Psychology Review
      Author(s): Hedy Kober, Rebecca G. Boswell
      Binge Eating Disorder (BED) is a newly-established eating disorder diagnosis in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Although systematic research on BED is in its infancy and many studies feature small samples, several observations emerge. First, we review diagnostic, developmental, and socio-demographic features of BED. Next, although BED and obesity are linked and frequently co-occur, we review data suggesting that BED is a distinct phenotype. Importantly, we take a mechanism-focused approach and propose four psychological processes with neurobiological bases that may uniquely differentiate BED from obesity: emotion reactivity, food-cue reactivity, food craving, and cognitive control. Further, we propose that interactions between impairments in cognitive control and increased emotional reactivity, food-cue reactivity, and craving may underlie emotion dysregulation and promote binge eating. Consistently, neuroimaging studies point towards neural alterations in the response to rewards and to food specifically, and suggest preliminary links between impaired cognitive-control-related neural activity and binge eating. However, additional systematic work is required in this area. We conclude with a detailed review of treatment approaches to BED; specifically, we suggest that psychological and pharmacological treatments that target core mechanisms – including cognitive control and emotion/craving dysregulation – may be particularly effective.

      PubDate: 2017-12-27T00:24:18Z
       
  • Does comorbidity predict poorer treatment outcome in pediatric anxiety
           disorders' An updated 10-year review
    • Authors: Monika Walczak; Thomas Ollendick Sarah Ryan Barbara Hoff
      Abstract: Publication date: Available online 21 December 2017
      Source:Clinical Psychology Review
      Author(s): Monika Walczak, Thomas Ollendick, Sarah Ryan, Barbara Hoff Esbjørn
      The aim of the present review was to provide an updated investigation of literature from the past ten years that examined the effects of comorbid problems on treatment outcomes, and/or explored if cognitive behavioral treatments (CBT) targeting anxiety disorders also affected comorbid disorders. A search of the literature resulted in a total of 33 publications, based on 28 randomized controlled trials that met predefined inclusion criteria. An analysis of studies that examined whether comorbidity affects treatment outcome yielded mixed results for different types of comorbidities. The inconsistent results were largely due to methodological heterogeneity in the identified studies. Support for negative effects of comorbidity on treatment outcomes was usually found in studies that investigated comorbidity as a categorical diagnosis, rather than symptom levels, and those that analyzed specific comorbid diagnoses, rather than grouping them together. Overall, our findings suggest that comorbid disorders may have a more negative impact on treatment outcomes than proposed in previous reviews, particularly in the cases of comorbid social anxiety and mood disorders. Furthermore, CBT for anxiety disorders in children was found to ameliorate comorbid problems.

      PubDate: 2017-12-27T00:24:18Z
       
  • Preventing depression in the offspring of parents with depression: A
           systematic review and meta-analysis of randomized controlled trials
    • Authors: Johanna Loechner; Kornelija Starman Katharina Galuschka Jeanette Tamm Gerd Julian
      Abstract: Publication date: Available online 29 November 2017
      Source:Clinical Psychology Review
      Author(s): Johanna Loechner, Kornelija Starman, Katharina Galuschka, Jeanette Tamm, Gerd Schulte-Körne, Julian Rubel, Belinda Platt
      One major predictor of depression onset is having a depressed parent. This study provides the first systematic review and meta-analysis of preventive interventions for offspring of depressed parents. We searched six literature databases and included randomized controlled trials which concerned the non-depressed offspring (aged 18 or younger) of a depressed parent, who received a preventive intervention designed to reduce the risk of depression or a comparison condition. Primary and secondary outcome measures were the severity and incidence of childhood depression. 14 publications reporting data from seven trials (n =935 children) were included and were of relatively high quality. The effect of the interventions (versus any control condition) on depressive and internalising symptoms at post-intervention follow-up (up to four months) was small but significant [g′=−0.20, 95% CI (−0.34; −0.06), p =0.005; I 2 =0.00%)]. The interventions also had a small but significant effect on depression incidence [Risk Ratio=0.56; 95% CI(0.41;0.77); d′=−0.42]. Intervention effects were not present in the short-term (up to 12months post-intervention) or long-term (15–72months post-intervention) follow-ups. Interventions targeting the offspring of depressed parents show promise not only in reducing symptoms of depression but also in preventing the onset of depression, at least immediately after the intervention.

      PubDate: 2017-12-12T16:50:12Z
       
  • Long-term efficacy of psychotherapy for posttraumatic stress disorder: A
           meta-analysis of randomized controlled trials
    • Authors: Alexander Kline; Andrew Cooper Nina Rytwinksi Norah Feeny
      Abstract: Publication date: Available online 21 November 2017
      Source:Clinical Psychology Review
      Author(s): Alexander C. Kline, Andrew A. Cooper, Nina K. Rytwinksi, Norah C. Feeny
      Psychotherapies are well established as efficacious acute interventions for posttraumatic stress disorder (PTSD). However, the long-term efficacy of such interventions and the maintenance of gains following termination is less understood. This meta-analysis evaluated enduring effects of psychotherapy for PTSD in randomized controlled trials (RCTs) with long-term follow-ups (LTFUs) of at least six months duration. Analyses included 32 PTSD trials involving 72 treatment conditions (N =2935). Effect sizes were significantly larger for active psychotherapy conditions relative to control conditions for the period from pretreatment to LTFU, but not posttreatment to LTFU. All active interventions demonstrated long-term efficacy. Pretreatment to LTFU effect sizes did not significantly differ among treatment types. Exposure-based treatments demonstrated stronger effects in the posttreatment to LTFU period (d =0.27) compared to other interventions (p =0.005). Among active conditions, LTFU effect sizes were not significantly linked to trauma type, population type, or intended duration of treatment, but were strongly tied to acute dropout as well as whether studies included all randomized patients in follow-up analyses. Findings provide encouraging implications regarding the long-term efficacy of interventions and the durability of symptom reduction, but must be interpreted in parallel with methodological considerations and study characteristics of RCTs.

      PubDate: 2017-12-12T16:50:12Z
       
  • Beyond war and PTSD: The crucial role of transition stress in the lives of
           military veterans
    • Authors: Meaghan Mobbs; George Bonanno
      Abstract: Publication date: Available online 21 November 2017
      Source:Clinical Psychology Review
      Author(s): Meaghan C. Mobbs, George A. Bonanno
      Although only a relatively small minority of military veterans develop Posttraumatic Stress Disorder (PTSD), mental health theory and research with military veterans has focused primarily on PTSD and its treatment. By contrast, many and by some accounts most veterans experience high levels of stress during the transition to civilian life, however transition stress has received scant attention. In this paper we attempt to address this deficit by reviewing the wider range of challenges, rewards, successes, and failures that transitioning veterans might experience, as well as the factors that might moderate these experiences. To illuminate this argument, we briefly consider what it means to become a soldier (i.e., what is required to transition into military service) and more crucially what kind of stressors veterans might experience when they attempt to shed that identity (i.e., what is required to transition out of military service). We end by suggesting how an expanded research program on veteran transition stress might move forward.

      PubDate: 2017-12-12T16:50:12Z
       
  • Insomnia in United States military veterans: An integrated theoretical
           model
    • Authors: Jaime Hughes; Christi Ulmer Jennifer Gierisch Nicole Hastings Matthew Howard
      Abstract: Publication date: Available online 20 November 2017
      Source:Clinical Psychology Review
      Author(s): Jaime M. Hughes, Christi S. Ulmer, Jennifer M. Gierisch, S. Nicole Hastings, Matthew O. Howard
      Marked by difficulty falling or staying asleep and/or poor sleep leading to daytime dysfunction, insomnia contributes to functional impairment, poor health, and increased healthcare utilization when left untreated. As many as two-thirds of Iraq and Afghanistan military veterans complain of insomnia. Older veterans of prior conflicts report insomnia occurring since initial service, suggesting a chronic nature to insomnia in this population. Despite insomnia's high prevalence and severe consequences, there is no theoretical model to explain either the onset or chronicity of insomnia in this growing patient population. Existing theories view insomnia as an acute, unidirectional phenomenon and do little to elucidate long-term consequences of such problems. Existing theories also fail to address mechanisms by which acute insomnia becomes chronic. This paper presents an original, integrated theoretical model that draws upon constructs from several prominent behavioral medicine theories to reconceptualize insomnia as a chronic, cyclical problem that is both a consequence and predictor of stress. Additional research examining the relationships between stress, sleep, resilience, and outcomes of interest could inform clinical and research practices. Addressing sleep problems early could potentially enhance adaptive capacity, thereby reducing the risk for subsequent negative outcomes.

      PubDate: 2017-12-12T16:50:12Z
       
  • What do help-seeking measures assess' Building a conceptualization
           framework for help-seeking intentions through a systematic review of
           measure content
    • Authors: Margaret White; Bonnie Clough Leanne Casey
      Abstract: Publication date: Available online 10 November 2017
      Source:Clinical Psychology Review
      Author(s): Margaret M. White, Bonnie A. Clough, Leanne M. Casey
      Mental health services are underutilised by people who could benefit from treatment. Research into help-seeking intentions (HSI) is required to support interventions to increase service use. Existing HSI measures are not psychometrically robust and problems with content validity undermine research in this field. Our purpose was to create a clear conceptualization of HSI and systematically review the content of existing measures. Previous researchers had defined help-seeking and intentions separately, so the first step was to create a more comprehensive definition. Seven theoretical perspectives identified in the HSI literature were mapped onto the new definition and aggregated to form a conceptual framework that reflects expert opinion. This framework guided an analysis of item relevance and a comparison of completeness across measures. Most individual items (99.1%) were relevant, lending credibility to the proposed framework. However, no measure provided a complete assessment of the HSI construct. This study used a novel methodology to develop a definition and conceptual framework, both of which reflect sound theoretical perspectives and represent the consensus-view of experts. The current results will guide the development of stronger measures with improved construct validity and will support interventions aimed at improving help-seeking.

      PubDate: 2017-11-15T19:29:38Z
       
  • Mindfulness-based interventions for psychiatric disorders: A systematic
           review and meta-analysis
    • Authors: Simon Goldberg; Raymond Tucker Preston Greene Richard Davidson Bruce Wampold
      Abstract: Publication date: Available online 2 November 2017
      Source:Clinical Psychology Review
      Author(s): Simon B. Goldberg, Raymond P. Tucker, Preston A. Greene, Richard J. Davidson, Bruce E. Wampold, David J. Kearney, Tracy L. Simpson
      Despite widespread scientific and popular interest in mindfulness-based interventions, questions regarding the empirical status of these treatments remain. We sought to examine the efficacy of mindfulness-based interventions for clinical populations on disorder-specific symptoms. To address the question of relative efficacy, we coded the strength of the comparison group into five categories: no treatment, minimal treatment, non-specific active control, specific active control, and evidence-based treatment. A total of 142 non-overlapping samples and 12,005 participants were included. At post-treatment, mindfulness-based interventions were superior to no treatment (d =0.55), minimal treatment (d =0.37), non-specific active controls (d =0.35), and specific active controls (d =0.23). Mindfulness conditions did not differ from evidence-based treatments (d =−0.004). At follow-up, mindfulness-based interventions were superior to no treatment conditions (d =0.50), non-specific active controls (d =0.52), and specific active controls (d =0.29). Mindfulness conditions did not differ from minimal treatment conditions (d =0.38) and evidence-based treatments (d =0.09). Effects on specific disorder subgroups showed the most consistent evidence in support of mindfulness for depression, pain conditions, smoking, and addictive disorders. Results support the notion that mindfulness-based interventions hold promise as evidence-based treatments.

      PubDate: 2017-11-08T18:42:35Z
       
  • The efficacy of attentional distraction and sensory monitoring in chronic
           pain patients: A meta-analysis
    • Authors: Dimitri Van; Ryckeghem Stefaan Van Damme Christopher Eccleston Geert Crombez
      Abstract: Publication date: Available online 28 October 2017
      Source:Clinical Psychology Review
      Author(s): Dimitri Van Ryckeghem, Stefaan Van Damme, Christopher Eccleston, Geert Crombez
      Attentional strategies, such as distraction and sensory monitoring, are often offered to reduce pain and pain-related distress. However, evidence for their efficacy in chronic pain patients is equivocal. We report a meta-analysis on the efficacy of distraction and sensory monitoring in chronic pain patients, and explore possible methodological and theoretical moderators. The scientific literature was searched for relevant articles, which were coded for methodological quality and several theoretical and methodological moderator variables. Only 10 articles fulfilled the search criteria. Eight studies allowed us to compare distraction with a control condition, two studies to compare sensory monitoring with a control condition, and four studies to compare the effect of distraction with the effect of sensory monitoring. Overall, results indicate that distraction did not differ from control in altering pain experience (k =8; Hedges' g =0.10, ns) and distress (k =2; Hedges' g =0.549). Sensory monitoring did also not alter pain experience (k =2; Hedges' g =−0.21, ns) and distress (k =1; Hedges' g =−0.191, ns). We found no evidence to support the superiority of distraction or sensory monitoring in altering pain compared to control conditions. We offer guidance for future theory-driven research to investigate distraction and sensory monitoring in this largely unexplored field, albeit one replete with methodological difficulties.

      PubDate: 2017-11-01T19:44:53Z
       
  • The sociocultural context of emotion socialization in African American
           families
    • Authors: Madelyn Labella
      Abstract: Publication date: Available online 24 October 2017
      Source:Clinical Psychology Review
      Author(s): Madelyn H. Labella
      The current paper systematically reviews empirical research on parental emotion socialization in African American families, addressing gaps in a literature that has historically focused on White middle class samples. Of the 1210 studies screened, 329 were inspected, 280 were excluded, and 49 were included. Studies addressed emotion-related beliefs and attitudes, emotion expressiveness, discussion of emotion, and responses to children's emotion. Mixed findings are interpreted in light of sociocultural factors. An emerging body of research suggests that the celebration and restriction of children's emotions coexist closely in African American families, perhaps reflecting the joint influence of traditional Afro-cultural values and the historical context of slavery and discrimination. Methodological issues are identified and future directions for research and practice are discussed.

      PubDate: 2017-10-25T03:37:57Z
       
 
 
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