Exploring nonverbal synchrony in borderline personality disorder: A double-blind placebo-controlled study using oxytocin.
CONCLUSIONS: Nonverbal synchrony in clinical interviews is influenced by inOT, and this effect depends on subject's diagnosis. In line with previous research implying positive associations between nonverbal synchrony and relationship quality, inOT led to an increase of synchrony in healthy controls, but not in patients with BPD. Low levels of synchrony under inOT in patients and its association with childhood trauma suggest that additional mechanisms such as rejection sensitivity might mediate BPD patients' nonverbal behaviour. PRACTITIONER POINTS: Intranasal oxytocin (inOT) attenuated nonverbal synchrony - a proxy fo...
Source: The British Journal of Clinical Psychology - November 27, 2019 Category: Psychiatry & Psychology Authors: Ramseyer F, Ebert A, Roser P, Edel MA, Tschacher W, Brüne M Tags: Br J Clin Psychol Source Type: research

Modelling changes in anxiety and depression during low-intensity cognitive behavioural therapy: An application of growth mixture models.
CONCLUSIONS: Findings indicate most of the sample populated an 'improvers' class for both depression and anxiety. Pre-treatment variables identified as predictive of poor treatment response may need to be considered by practitioners in potential triage referral decision policies, supporting cost-effective and efficient services. Further research around predictors of clinical outcome is recommended. PRACTITIONER POINTS: Most of the sample belonged to an 'improvers' class. Several pre-treatment variables predicted poor treatment response (unemployment, suicide risk, neglect, medication, previous or concurrent treatments...
Source: The British Journal of Clinical Psychology - November 7, 2019 Category: Psychiatry & Psychology Authors: McDevitt-Petrovic O, Shevlin M, Kirby K Tags: Br J Clin Psychol Source Type: research

Social cognition in post-traumatic stress disorder: A systematic review.
CONCLUSIONS: Social cognition is disturbed in PTSD and should be regarded as an important symptom. Damages in social cognition seem to take part in the functional disability of people with PTSD. We highlight the interest of a systematic assessment of social cognition in the care of patients with PTSD and suggest which tests could be the most relevant for this evaluation. PRACTITIONER POINTS: •PTSD is no longer regarded as a subtype of anxiety disorder, but as part of a new category in the DSM-5. In clinical practice, symptoms tied to alterations in arousal and reactivity - such as irritability and vigilance - and...
Source: The British Journal of Clinical Psychology - November 7, 2019 Category: Psychiatry & Psychology Authors: Couette M, Mouchabac S, Bourla A, Nuss P, Ferreri F Tags: Br J Clin Psychol Source Type: research

Differential associations between impaired autobiographical memory recall and future thinking in people with and without schizophrenia.
CONCLUSIONS: People with schizophrenia may not rely on autobiographical content to imagine the future and may rely instead on semantic processes. Interventions that improve past and future thinking amongst people with schizophrenia are warranted. PRACTITIONER POINTS: Compared to control participants, people with schizophrenia have marked difficulty generating possible, positive and negative, future events. Unlike controls, for people with schizophrenia there is no relation between their ability to remember past events and their ability to think about the future. People with schizophrenia may have difficulty using thei...
Source: The British Journal of Clinical Psychology - October 4, 2019 Category: Psychiatry & Psychology Authors: Barry TJ, Hallford DJ, Del Rey F, Ricarte JJ Tags: Br J Clin Psychol Source Type: research

How do I want to feel? The link between emotion goals and difficulties in emotion regulation in borderline personality disorder.
CONCLUSIONS: These results support the importance of looking at emotion goals and its link with emotion dysregulation. Interventions targeting maladaptive contextualized goals may represent an important therapeutic window to enhance emotion regulation. PRACTITIONER POINTS: Clinical implications BPD individuals' emotion regulation is linked to maladaptive emotion goals. Helping people at risk to manipulate their emotion goals to be more context sensitive may enhance well-being and serve as a therapeutic tool in practice. Limitations The present research only considered the context of collaboration and confrontation, bu...
Source: The British Journal of Clinical Psychology - September 25, 2019 Category: Psychiatry & Psychology Authors: López-Pérez B, McCagh J Tags: Br J Clin Psychol Source Type: research

Appearance-based trust processing in schizophrenia.
CONCLUSION: A failure to discriminate trust has important implications for everyday functioning in schizophrenia, as forming accurate trustworthiness beliefs is an essential social skill. Critically, without relying on more valid trust cues, people with schizophrenia may be especially susceptible to the misleading effect of appearance when making trusting decisions. PRACTITIONER POINTS: Findings People with schizophrenia made very similar facial trustworthiness impressions to healthy controls and also used facial appearance to guide trust decisions similarly to controls. However, the patient group were less able to ex...
Source: The British Journal of Clinical Psychology - September 6, 2019 Category: Psychiatry & Psychology Authors: Sutherland CAM, Rhodes G, Williams N, Connaughton E, Ewing L, Caruana N, Langdon R Tags: Br J Clin Psychol Source Type: research

Helping parents to help children overcome fear: The influence of a short video tutorial.
CONCLUSIONS: Parenting, particularly 'avoidance parenting', is associated with children's approach and avoidance. A short video tutorial modified these parenting behaviours and reduced avoidance. These effects were apparent regardless of parent or child anxiety level. PRACTITIONER POINTS: Avoidance and approach parenting may influence children's response to fearful stimuli. Avoidance parenting may be more problematic than lack of approach parenting. Approach and avoidance parenting are amenable to manipulation by short video tutorial. Parenting improvement resulted in increased approach behaviour in children. PMI...
Source: The British Journal of Clinical Psychology - August 7, 2019 Category: Psychiatry & Psychology Authors: Ewing D, Pike A, Dash S, Hughes Z, Thompson EJ, Hazell C, Ang CM, Kucuk N, Laine A, Cartwright-Hatton S Tags: Br J Clin Psychol Source Type: research

The relationship between insecure attachment and paranoia in psychosis: A systematic literature review.
CONCLUSIONS: The findings support the proposed role of attachment insecurity in the development and maintenance of paranoia in psychosis and highlight the need to address insecure attachment representations in the treatment of paranoia. PRACTITIONER POINTS: There is consistent evidence of associations between insecure attachment style and paranoia. Insecure anxious attachment is more consistently associated with paranoia than an insecure avoidant attachment. Associations between attachment and paranoia remain significant when key confounders are controlled for in the analyses. Interventions that address insecure attac...
Source: The British Journal of Clinical Psychology - August 7, 2019 Category: Psychiatry & Psychology Authors: Lavin R, Bucci S, Varese F, Berry K Tags: Br J Clin Psychol Source Type: research

The impact of depression and culture on responses to intrusive autobiographical memories: Cognitive appraisals, cognitive avoidance, and brooding rumination.
CONCLUSIONS: The findings suggest that depression may be associated with some similar maladaptive responses to intrusive autobiographical memories across cultural groups. Clinical interventions targeting unhelpful responses may, therefore, be beneficial for those with depression, regardless of cultural background. PRACTITIONER POINTS: Across both European Australian and East Asian cultures, depressed participants endorsed higher maladaptive intrusive memory appraisals and brooded more in response to memories. Clinical interventions targeting appraisals and emotion regulation in response to intrusive memories may be be...
Source: The British Journal of Clinical Psychology - July 31, 2019 Category: Psychiatry & Psychology Authors: Mihailova S, Jobson L Tags: Br J Clin Psychol Source Type: research

Population profiles of child-reported psychotic-like experiences and their differential association with other psychopathologies.
CONCLUSIONS: Tailored interventions that address the particular needs of these different classes of individuals may be warranted. PRACTITIONER POINTS: Children aged 11-12 years who report psychotic-like experiences (PLEs) can be classified into five different PLE profiles based on self-reported questionnaire responses, which may reflect different pathological processes. These PLE profiles show different patterns and magnitudes of increased risk for other types of psychopathology, and multiple psychopathology, suggesting that they present different treatment needs. Cross-sectional investigation of the associations...
Source: The British Journal of Clinical Psychology - July 22, 2019 Category: Psychiatry & Psychology Authors: Laurens KR, Tzoumakis S, Dean K, Harris F, Carr VJ, Green MJ Tags: Br J Clin Psychol Source Type: research

The relationship between death anxiety and severity of mental illnesses.
CONCLUSIONS: The findings reveal a strong relationship between death anxiety and psychopathology across numerous disorders, further supporting the transdiagnostic role of fears of death. As such, clinical implications revolve around the potential need for innovative treatments which address death fears directly, in order to produce long-term improvements in mental health. However, experimental research is needed to ascertain causal relationships. PRACTITIONER POINTS: Across a large treatment-seeking sample, death anxiety was a significant predictor of broad psychopathology, including distress and number of lifetime di...
Source: The British Journal of Clinical Psychology - July 18, 2019 Category: Psychiatry & Psychology Authors: Menzies RE, Sharpe L, Dar-Nimrod I Tags: Br J Clin Psychol Source Type: research

Treating hoarding disorder with compassion-focused therapy: A pilot study examining treatment feasibility, acceptability, and exploring treatment effects.
CONCLUSIONS: The current study showed satisfactory feasibility and acceptability of CFT. Moreover, it also found promising effects of CFT in addressing hoarding-related mechanisms that may not have been sufficiently addressed by CBT. The results suggest promising potential of CFT as a treatment for HD. Further investigation on this intervention is needed. PRACTITIONER POINTS: CFT may be a promising treatment option, particularly for those who do not respond well to CBT. Improving emotion regulation and negative self-perception by applying CFT interventions may help relieve hoarding symptoms. Generalization of the find...
Source: The British Journal of Clinical Psychology - July 4, 2019 Category: Psychiatry & Psychology Authors: Chou CY, Tsoh JY, Shumway M, Smith LC, Chan J, Delucchi K, Tirch D, Gilbert P, Mathews CA Tags: Br J Clin Psychol Source Type: research

Predictors of disengagement from cognitive behavioural therapy for psychosis in a National Health Service setting: A retrospective evaluation.
Abstract OBJECTIVES: To evaluate whether demographic and clinical variables are related to disengagement rates in cognitive behavioural therapy (CBT) for psychosis in a clinical setting. METHODS: The medical records and symptom severity data (from Health of the Nation Outcome Scales) were analysed retrospectively for 103 referrals for CBT for psychosis in a National Health Service secondary care and Early Intervention in Psychosis team. RESULTS: Overall, 42.7% (n = 44) disengaged from CBT. There was no impact of gender or ethnicity, and no impact of clinical variables such as risk history and c...
Source: The British Journal of Clinical Psychology - June 10, 2019 Category: Psychiatry & Psychology Authors: Richardson T, Dasyam B, Courtney H, White L, Tedbury J, Butt J, Newman-Taylor K Tags: Br J Clin Psychol Source Type: research

Empathy for others' pain is disrupted at the neurophysiological level in schizophrenia.
CONCLUSIONS: These data cross-validate previous studies that have shown that schizophrenia is associated with atypicalities in bottom-up automatic resonance processes that likely contribute to empathic and socio-emotional processing deficits, and indicate that these findings cannot be easily attributed to background contextual differences between the two groups. The results also point to a potential relationship between positive schizotypal characteristics and neurophysiological responding. Implications for simulation theories of empathy and social functioning in schizophrenia are discussed. PRACTITIONER POINTS: Empat...
Source: The British Journal of Clinical Psychology - April 19, 2019 Category: Psychiatry & Psychology Authors: Varcin KJ, Grainger SA, Bailey PE, Richmond JL, Henry JD Tags: Br J Clin Psychol Source Type: research

Characteristics of severe life events, attachment style, and depression - Using a new online approach.
CONCLUSIONS: Identifying salient features of severe life events improves associations with depression and insecure attachment style. Utilizing a new online approach can aid research and clinical approaches for depression at low cost. PRACTITIONER POINTS: Salient features of severe life events (e.g., loss, humiliation) give insight into the potential impact on attachment vulnerability and depression. Clinicians and researchers can use online methods to economically gain detailed life event information needed for clinical formulation and valid data on stressors. The self-reported scale for recent depression is only a pr...
Source: The British Journal of Clinical Psychology - April 13, 2019 Category: Psychiatry & Psychology Authors: Bifulco A, Kagan L, Spence R, Nunn S, Bailey-Rodriguez D, Hosang G, Taylor M, Fisher HL Tags: Br J Clin Psychol Source Type: research

The Beliefs in Trichotillomania Scale (BiTS): Factor analyses and preliminary validation.
CONCLUSIONS: The BiTS demonstrated satisfactory psychometric properties and all three subscales significantly correlated with greater hair pulling severity. Negative self-beliefs predicted hair pulling severity over and above mood symptoms, suggesting the importance of addressing self-construals in psychological treatments for TTM. Validation in a clinician diagnosed sample is required. PRACTITIONER POINTS: Research supports cognitive therapies for treating trichotillomania (hair pulling disorder), although studies investigating the nature and role of cognitions and beliefs in this disorder have been lacking. This stu...
Source: The British Journal of Clinical Psychology - April 10, 2019 Category: Psychiatry & Psychology Authors: Rehm IC, Nedeljkovic M, Moulding R, Thomas A Tags: Br J Clin Psychol Source Type: research

The link between rejection sensitivity and borderline personality disorder: A systematic review and meta-analysis.
CONCLUSIONS: Childhood rejection, particularly emotional abuse and neglect, appears to be linked to rejection sensitivity, and rejection sensitivity is linked to BPD. However, this may not be linear. Implications for clinical practice and research are discussed. PRACTITIONER POINTS: Rejection sensitivity is consistently linked with BPD, in clinical and non-clinical samples. Supporting mentalization or improved theory of mind may offer a therapeutic target for this disposition. Considering the causes and effects of rejection sensitivity may offer a non-blaming explanation of interpersonal difficulties in BPD and could ...
Source: The British Journal of Clinical Psychology - March 21, 2019 Category: Psychiatry & Psychology Authors: Foxhall M, Hamilton-Giachritsis C, Button K Tags: Br J Clin Psychol Source Type: research

Anticipatory pleasure for future experiences in schizophrenia spectrum disorders and major depression: A systematic review and meta-analysis.
Abstract OBJECTIVES: Deficits in anticipating pleasure may be an important dimension of anhedonia and functioning in psychiatric disorders, particularly schizophrenia and depression; however, inconsistent findings have limited the conclusions that can be drawn. We conducted the first systemic review and meta-analysis of the extant literature for research comparing psychiatric groups to healthy control groups on anticipatory pleasure. METHODS: Academic Search Complete, Science Direct, and CINAHL databases were systematically searched up to 9 June 2018 for relevant peer-reviewed articles, book chapters, and dis...
Source: The British Journal of Clinical Psychology - March 10, 2019 Category: Psychiatry & Psychology Authors: Hallford DJ, Sharma MK Tags: Br J Clin Psychol Source Type: research

Self-reported affective biases, but not all affective performance biases, are present in depression remission.
CONCLUSIONS: These results provide initial evidence that some performance, but not self-reported, indices of affective bias may improve during remission from MDD. Results of this study could suggest that some components of affective bias may represent state feature of illness and others trait-like risk or scar features. PRACTITIONER POINTS: This study suggests that self-reported affective biases may persist in remission of major depressive disorder (rMDD). Affective attentional biases and affective memory biases were not demonstrated in individuals with rMDD, with the exception of a bias for recognizing negatively ver...
Source: The British Journal of Clinical Psychology - March 10, 2019 Category: Psychiatry & Psychology Authors: Cerny BM, Stange JP, Kling LR, Hamlat EJ, O'Donnell LA, Deveney C, Langenecker SA Tags: Br J Clin Psychol Source Type: research

'I Am Worthless and Kind'; the specificity of positive and negative self-evaluation in adolescent depression.
CONCLUSIONS: Although depressed adolescents endorsed more negative descriptions of themselves than community adolescents, positive self-endorsements related to their relationships with other people were not impaired. PRACTITIONER POINTS: Most highly endorsed self-descriptive negative words by depressed adolescents were 'worthless' and 'useless' Positive prosocial self-descriptive adjectives (i.e., trustworthy, friendly, and kind) were highly endorsed by all young people and were not associated with depression Assessment and treatment should consider the content of adolescent self-evaluation The present study is unable...
Source: The British Journal of Clinical Psychology - December 16, 2018 Category: Psychiatry & Psychology Authors: Orchard F, Pass L, Reynolds S Tags: Br J Clin Psychol Source Type: research

Long-term efficacy of Metacognitive Training for Depression (D-MCT): A randomized controlled trial.
CONCLUSIONS: Findings suggest that D-MCT may be a promising add-on treatment for unipolar depression that should be investigated in large multi-centre studies. Independent replications are needed. PRACTITIONER POINTS: Clinical implications: The current study shows tentative evidence that positive effects of the D-MCT reported at the 6-month follow-up assessment were sustained over 3.5 years. Potential positive effects regard severity of depression, dysfunctional cognitive, and metacognitive beliefs as well as quality of life. If positive results are replicated with less trained therapists, D-MCT offers the p...
Source: The British Journal of Clinical Psychology - December 16, 2018 Category: Psychiatry & Psychology Authors: Jelinek L, Faissner M, Moritz S, Kriston L Tags: Br J Clin Psychol Source Type: research

Reduced fear-of-self is associated with improvement in concerns related to repugnant obsessions in obsessive-compulsive disorder.
CONCLUSIONS: The current study thus replicated previous research suggesting the relevance of the feared possible self in psychological disorders such as OCD, where negative self-perception is a dominant theme. PRACTITIONER POINTS: Current results suggest that changes in feared self-perceptions may be the mechanism through which OCD symptoms improve via therapy. Interventions specifically aimed at changing feared self-perceptions may prove effective in improving cognitive-behavioural treatments for OCD. One limitation of the current study is the lack of behavioural measures of OCD to supplement self-report measures of ...
Source: The British Journal of Clinical Psychology - December 12, 2018 Category: Psychiatry & Psychology Authors: Aardema F, Wong SF, Audet JS, Melli G, Baraby LP Tags: Br J Clin Psychol Source Type: research

Hoarding symptoms and workplace impairment.
CONCLUSIONS: Among a community sample of employed individuals, greater hoarding symptoms were associated with greater psychiatric work impairment. Work-related variables, such as co-worker relationships and attention difficulties, contributed additional variance above that accounted for by hoarding symptoms. There were significant associations between co-worker relationships, work engagement, and workplace impairment, though the direction of the mediation model is unclear. Future research should examine factors associated with unemployment in hoarding disorder. PRACTITIONER POINTS: Clinicians should be aware that grea...
Source: The British Journal of Clinical Psychology - December 11, 2018 Category: Psychiatry & Psychology Authors: Mathes BM, Henry A, Schmidt NB, Norberg MM Tags: Br J Clin Psychol Source Type: research

A feasibility study of a cross-diagnostic, CBT-based psychological intervention for acute mental health inpatients: Results, challenges, and methodological implications.
CONCLUSION: These issues, and the feasibility of randomization and rater-blinding, have important implications for the design of future trials. Overall, this study provides an important insight into the challenges and complexities of developing and evaluating a comprehensive psychological intervention service in an acute psychiatric setting. PRACTITIONER POINTS: Individual therapy sessions can be delivered in the acute environment. The EDAPTS intervention showed some promise on outcomes of distress and self-efficacy. Delivery of nurse-led groups was challenging and may need to be embedded into routine clinical practic...
Source: The British Journal of Clinical Psychology - December 2, 2018 Category: Psychiatry & Psychology Authors: Paterson C, Karatzias T, Harper S, Dougall N, Dickson A, Hutton P Tags: Br J Clin Psychol Source Type: research

Are acceptance and mindfulness-based interventions 'value for money'? Evidence from a systematic literature review.
CONCLUSION: This first substantive review of economic evaluations of A/MBIs indicates that more research is needed before firm conclusions can be reached on the cost-effectiveness of A/MBIs for mental health conditions. PRACTITIONER POINTS: The findings of the review provide information that may be relevant to mental health service commissioners and decision-makers as all economic evidence available on acceptance and mindfulness-based interventions for mental health conditions is summarized. Evidence relating to the cost-effectiveness and cost-saving potential of acceptance and mindfulness-based interventions is focus...
Source: The British Journal of Clinical Psychology - November 29, 2018 Category: Psychiatry & Psychology Authors: Duarte R, Lloyd A, Kotas E, Andronis L, White R Tags: Br J Clin Psychol Source Type: research

Comparing cognitive styles in social anxiety and major depressive disorders: An examination of rumination, worry, and reappraisal.
CONCLUSIONS: Results support transdiagnostic conceptualizations of rumination and worry. They also suggest that reappraisal is only useful when it is used by people who experience frequent and habitual negative cognitions. PRACTITIONER POINTS: Individuals with SAD or MDD report more rumination and worry than healthy controls, but do not differ from each other in their reliance on these cognitive styles. Individuals with comorbid SAD/MDD endorse more rumination than individuals with SAD or MDD alone, even after adjusting for differences in symptom severity. Reappraisal may only predict diagnostic group status when cons...
Source: The British Journal of Clinical Psychology - November 28, 2018 Category: Psychiatry & Psychology Authors: Arditte Hall KA, Quinn ME, Vanderlind WM, Joormann J Tags: Br J Clin Psychol Source Type: research

Depression diagnoses, but not individual differences in depression symptoms, are associated with reduced autobiographical memory specificity.
CONCLUSIONS: Our findings extend our understanding of the mechanisms involved in reduced memory specificity but future research must explore the causal contribution of weak executive functioning to reduced memory specificity. PRACTITIONERS POINTS: Diagnoses of depression were associated with problems recalling specific events from one's past. Problems with memory specificity amongst depressed people were associated with executive functioning difficulties. Problems with specificity were not associated with individual differences in depression severity or ruminative tendencies. PMID: 30444032 [PubMed - as supplied ...
Source: The British Journal of Clinical Psychology - November 15, 2018 Category: Psychiatry & Psychology Authors: Farina FR, Barry TJ, van Damme I, van Hie T, Raes F Tags: Br J Clin Psychol Source Type: research

Testing models of post-traumatic intrusions, trauma-related beliefs, hallucinations, and delusions in a first episode psychosis sample.
This study investigated relationships between childhood trauma, psychotic symptoms (hallucinations and delusions), post-traumatic intrusions, and trauma-related beliefs while accounting for comorbid symptoms. METHODS: Sixty-six people with first episode psychosis aged between 15 and 24 years were assessed for hallucinations, delusions, childhood trauma, post-traumatic intrusions, post-traumatic avoidance, and trauma-related beliefs. RESULTS: Fifty-three per cent of the sample had experienced childhood trauma, and 27% met diagnostic criteria for post-traumatic stress disorder. Both post-traumatic intrusions a...
Source: The British Journal of Clinical Psychology - November 13, 2018 Category: Psychiatry & Psychology Authors: Peach N, Alvarez-Jimenez M, Cropper SJ, Sun P, Bendall S Tags: Br J Clin Psychol Source Type: research

Valence-related impairments in the retrieval of specific autobiographical memories amongst patients with schizophrenia.
Abstract OBJECTIVES: People with schizophrenia have difficulty recalling specific autobiographical events from their past. However, the nature of this difficulty (e.g., whether these problems are only for memories that are negative or positive) and the mechanisms associated with it remain poorly understood. METHODS: The present investigation asked patients with schizophrenia (n = 91) and healthy controls (n = 109) to recall memories related to several positive and negative cue words. Participants also completed self-report measures of rumination and depressive symptoms and a measure of ver...
Source: The British Journal of Clinical Psychology - October 25, 2018 Category: Psychiatry & Psychology Authors: Barry TJ, Del Rey F, Ricarte JJ Tags: Br J Clin Psychol Source Type: research

Improving empathy with motivational strategies in batterer intervention programmes: Results of a randomized controlled trial.
CONCLUSIONS: Our study reinforces the view that different modalities of IPV intervention might lead to different cognitive outcomes after the intervention. Thus, these results may help professionals to develop specific intervention programmes focused on improving cognitive abilities in order to reduce IPV recidivism. PRACTITIONER POINTS: Interventions for batterers' neglected empathic changes after these programmes. Not enough randomized controlled trials for these kinds of interventions. An improvement in the ability to decode emotions after the intervention programme. An improvement in cognitive empathy (perspective...
Source: The British Journal of Clinical Psychology - October 21, 2018 Category: Psychiatry & Psychology Authors: Romero-Martínez Á, Lila M, Gracia E, Moya-Albiol L Tags: Br J Clin Psychol Source Type: research

Editorial.
PMID: 30133871 [PubMed - in process] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - August 23, 2018 Category: Psychiatry & Psychology Authors: Grisham JR Tags: Br J Clin Psychol Source Type: research

Anticipated and imagined futures: prospective cognition and depressed mood following brain injury.
CONCLUSIONS: These findings (1) elucidate depression-linked cognitive-affective processes following ABI, where cognitive difficulties are common, and (2) highlight psychological processes associated with depression that are common to ABI and non-ABI populations. PRACTITIONER POINTS: Clinical implications A relative negative bias in future-directed cognition is associated with depressed mood in individuals with chronic ABI. Such processes may contribute to the onset and maintenance of depression following ABI. These findings suggest it may be important to consider a role for prospective cognition in psychological inter...
Source: The British Journal of Clinical Psychology - August 21, 2018 Category: Psychiatry & Psychology Authors: Murphy FC, Peers PV, Blackwell SE, Holmes EA, Manly T Tags: Br J Clin Psychol Source Type: research

Adverse childhood experiences, daily worries, and positive thoughts: A daily diary multi-wave study.
CONCLUSIONS: Daily worry during late adolescence may be an important consequence of earlier exposure to ACEs. Early interventions focused on worry reduction and improved emotion regulation might mitigate worry among high-ACE youth. PMID: 30047145 [PubMed - as supplied by publisher] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - July 25, 2018 Category: Psychiatry & Psychology Authors: Arbel R, Schacter HL, Kazmierski KFM, Daspe MÈ, Margolin G Tags: Br J Clin Psychol Source Type: research

Paranoia and interpersonal functioning across the continuum from healthy to pathological - Network analysis.
CONCLUSIONS: The current results support previous findings linking paranoid ideation to interpersonal functioning in both clinical and non-clinical samples. Patterns of these relationships differed slightly across groups. Results in general support a continuum model of paranoia. PRACTITIONER POINTS: Network analyses were used to identify central aspects of persecutory ideation in both clinical and non-clinical samples. Qualitative assessment of clinical and non-clinical networks revealed similar central symptoms and supported a continuum model of paranoia. Central aspects of paranoia, that is, feeling that others have...
Source: The British Journal of Clinical Psychology - July 20, 2018 Category: Psychiatry & Psychology Authors: Hajdúk M, Klein HS, Harvey PD, Penn DL, Pinkham AE Tags: Br J Clin Psychol Source Type: research

Brief group-based acceptance and commitment therapy for stroke survivors.
CONCLUSIONS: The results correspond with previous studies of group-based ACT with other long-term conditions. The findings from this current study suggest group-based ACT may have promising utility and could offer a suitable low-intensity psychological intervention for stroke survivors. However, further large-scale research is required. PRACTITIONER POINTS: Acceptance and commitment therapy (ACT), delivered didactically to groups of stroke survivors, proved feasible and acceptable. ACT had benefits, relative to treatment as usual, for depression, health status, and hope. Several secondary outcome variables did not sho...
Source: The British Journal of Clinical Psychology - July 12, 2018 Category: Psychiatry & Psychology Authors: Majumdar S, Morris R Tags: Br J Clin Psychol Source Type: research

Does the addition of cognitive therapy to exposure and response prevention for obsessive compulsive disorder enhance clinical efficacy? A randomized controlled trial in a community setting.
CONCLUSIONS: The results of this study suggest that cognitive therapy can be readily integrated with ERP to improve clinical outcomes beyond ERP alone. PRACTITIONER POINTS: Both ERP and ERP + CT were effective, however a course of ERP + CT was significantly more effective at reducing symptoms of OCD than the ERP treatment condition. Significantly more participants who received ERP + CT experienced clinically significant change in OCD symptoms compared to those who received ERP. OCD symptom dimension did not significantly impact response to either ERP or ERP + CT treatments. ...
Source: The British Journal of Clinical Psychology - July 8, 2018 Category: Psychiatry & Psychology Authors: Rector NA, Richter MA, Katz D, Leybman M Tags: Br J Clin Psychol Source Type: research

Schizotypal personality traits and social cognition are associated with childhood trauma exposure.
CONCLUSIONS: These findings suggest that childhood trauma exposure impacts long-term schizotypy outcomes, especially paranoid ideation (suspiciousness), as well as complex social cognitive abilities in both healthy and psychotic populations. However, cognitive deficits associated with psychotic illness may not be distinguishable from those related to trauma exposure in previous studies. PRACTITIONER POINTS: Findings Childhood trauma exposure is associated with increased schizotypal features (in particular paranoid ideation) and complex social cognitive abilities, independently of the diagnosis of psychotic disorder. C...
Source: The British Journal of Clinical Psychology - June 20, 2018 Category: Psychiatry & Psychology Authors: Quidé Y, Cohen-Woods S, O'Reilly N, Carr VJ, Elzinga BM, Green MJ Tags: Br J Clin Psychol Source Type: research

Dissociative absorption, mind-wandering, and attention-deficit symptoms: Associations with obsessive-compulsive symptoms.
CONCLUSIONS: Attentional deficits and mind-wandering cannot account for the association between absorption and OC symptoms. Future research should explore whether reports of comorbidity between ADHD and OC symptoms may be inflated due to misdiagnosis of absorption tendencies as ADHD. PRACTITIONER POINTS: Dissociative absorption is a personality tendency that may interact with obsessive-compulsive symptoms, and thus, it may deserve clinical attention when treating obsessive-compulsive disorder (OCD) Dissociative absorption might bring about an unnecessary diagnosis of attention-deficit hyperactivity disorder (ADHD) in ...
Source: The British Journal of Clinical Psychology - June 5, 2018 Category: Psychiatry & Psychology Authors: Soffer-Dudek N Tags: Br J Clin Psychol Source Type: research

Self-focused processing after severe traumatic brain injury: Relationship to neurocognitive functioning and mood symptoms.
Abstract OBJECTIVE: To investigate the impact of neurocognitive functioning on the self-focused processing styles of rumination and reflection, and the relationship to mood symptoms after severe traumatic brain injury (TBI). DESIGN: A cross-sectional design with a between-group component comparing self-focused processing styles and mood symptoms of adults with TBI and age- and gender-matched controls. METHOD: Fifty-two participants with severe TBI (75% male, M age = 36.56, SD = 12.39) completed cognitive tests of attention, memory, executive functioning and the Awareness Questionnaire...
Source: The British Journal of Clinical Psychology - May 28, 2018 Category: Psychiatry & Psychology Authors: Ownsworth T, Gooding K, Beadle E Tags: Br J Clin Psychol Source Type: research

The combined influence of cognitions in adolescent depression: Biases of interpretation, self-evaluation, and memory.
CONCLUSIONS: The findings support the interrelationship and additive effect of biases in explaining depression and suggest that understanding the way in which cognitive biases interact could be important in advancing methods of identification, early intervention, and treatment. PRACTITIONER POINTS: A combination of biases was a better predictor of depression symptom severity than individual biases. Interpretation and self-evaluation were better predictors of depression symptom severity than recall. Negative self-evaluation was the strongest individual predictor of depression symptom severity. Negative self-evaluation ...
Source: The British Journal of Clinical Psychology - May 25, 2018 Category: Psychiatry & Psychology Authors: Orchard F, Reynolds S Tags: Br J Clin Psychol Source Type: research

Neurocognitive functioning over the course of trauma-focused psychotherapy for PTSD: Changes in verbal memory and executive functioning.
In this study, we examined whether memory and executive functioning changed over the course of treatment and which clinical variables were associated with change. DESIGN: Neuropsychological assessments were administered at baseline and endpoint of a randomized controlled trial as secondary outcome. METHODS: Trauma survivors (n = 88) diagnosed with PTSD received trauma-focused psychotherapy within a 17-week randomized controlled trial. Neuropsychological tests were the California Verbal Learning Test, Rivermead Behavioural Memory Test, Stroop Color Word Test, and Trail Making Test. RESULTS: Signific...
Source: The British Journal of Clinical Psychology - May 1, 2018 Category: Psychiatry & Psychology Authors: Nijdam MJ, Martens IJM, Reitsma JB, Gersons BPR, Olff M Tags: Br J Clin Psychol Source Type: research

Staff perceptions of borderline personality disorder and recovery: A Q-sort method approach.
CONCLUSIONS: Staff perceptions of recovery in BPD can differ, which poses risks for consistent team working, a particularly important issue in this client group due to the relational difficulties associated with the diagnosis. Multidisciplinary teams working with people diagnosed with BPD therefore need to find a forum to promote a shared understanding of each patient's needs and support plans. We advocate that team formulation is a promising approach to achieve more consistent ways of working within teams. PRACTITIONER POINTS: Findings Multidisciplinary teams working with people with borderline personality disorder s...
Source: The British Journal of Clinical Psychology - April 16, 2018 Category: Psychiatry & Psychology Authors: Dean R, Siddiqui S, Beesley F, Fox J, Berry K Tags: Br J Clin Psychol Source Type: research

Psychological therapy for inpatients receiving acute mental health care: A systematic review and meta-analysis of controlled trials.
CONCLUSIONS: The provision of psychological therapy to acute psychiatric inpatients is associated with improvements; however, the use of single-blind RCT methodology was associated with reduced therapy-attributable improvements. Whether this is a consequence of increased internal validity or reduced external validity is unclear. Trials with both high internal and external validity are now required to establish what type, format, and intensity of brief psychological therapy is required to achieve sustained benefits. PRACTITIONER POINTS: Clinical implications: This review provides the first meta-analytical synthesis of ...
Source: The British Journal of Clinical Psychology - April 16, 2018 Category: Psychiatry & Psychology Authors: Paterson C, Karatzias T, Dickson A, Harper S, Dougall N, Hutton P Tags: Br J Clin Psychol Source Type: research

Preventing family transmission of anxiety: Feasibility RCT of a brief intervention for parents.
CONCLUSIONS: An inexpensive, light-touch, psycho-educational intervention may be useful in breaking the intergenerational cycle of transmission of anxiety disorders. A substantive trial is warranted. PRACTITIONER POINTS: Anxiety disorders run in families, but we currently do little to help anxious parents to raise confident children. A brief group workshop was highly acceptable to such parents and was very inexpensive to run. Children of parents who took part in the brief intervention were 16.5% less likely to have an anxiety disorder, 1 year later, than children whose parents were in the control group. This was ...
Source: The British Journal of Clinical Psychology - March 25, 2018 Category: Psychiatry & Psychology Authors: Cartwright-Hatton S, Ewing D, Dash S, Hughes Z, Thompson EJ, Hazell CM, Field AP, Startup H Tags: Br J Clin Psychol Source Type: research

This corrosion: A systematic review of the association between alternative subcultures and the risk of self-harm and suicide.
CONCLUSIONS: More research is required to understand the association between self-harm, suicide and alternative subculture affiliation, and the factors underlying it. Longitudinal studies and studies focusing on mechanism are particularly important. PRACTITIONER POINTS: The review supports the suggestion that those who identify as belonging to an alternative subculture may be at a higher risk of self-harm and suicidal behaviour. It also presents preliminary evidence that alternative affiliation predicts self-harm over time, and that this effect holds whilst adjusting for a number of likely confounders. The findings hi...
Source: The British Journal of Clinical Psychology - March 25, 2018 Category: Psychiatry & Psychology Authors: Hughes MA, Knowles SF, Dhingra K, Nicholson HL, Taylor PJ Tags: Br J Clin Psychol Source Type: research

Impact of culture on autobiographical life structure in depression.
CONCLUSIONS: The findings suggest culture may shape aspects of the autobiographical life structure in MDD. PRACTITIONER POINTS: The majority of the literature investigating depression pertains to individuals from European Western cultures, despite recognition that depression ranks as one of the most debilitating diseases worldwide. This raises questions as to whether current depression models and interventions can be applied universally or whether they are limited to European Western groups. The current study found that pan-culturally those with MDD had similar structuring of their life story relative to controls. How...
Source: The British Journal of Clinical Psychology - March 23, 2018 Category: Psychiatry & Psychology Authors: Jobson L, Miskon N, Dalgleish T, Hitchcock C, Hill E, Golden AM, Zulkefly NS, Mukhtar F Tags: Br J Clin Psychol Source Type: research

The Coping with Unusual Experiences for Children Study (CUES): A pilot randomized controlled evaluation of the acceptability and potential clinical utility of a cognitive behavioural intervention package for young people aged 8-14  years with unusual experiences and emotional symptoms.
We report the first randomized controlled evaluation of the acceptability and potential clinical utility of cognitive behavioural therapy for childhood UEDs (CBT-UED). DESIGN: Pilot randomized controlled trial. METHODS: Participants aged 8-14 years were recruited from referrals to community services for children with emotional/behavioural problems and screened for self-reported UEDs. RESULTS: Of around 1,000 referrals over 36 months, 304 (30%) were identified to the research team, 174 (57%) were successfully contacted, 110 (63%) consented to screening, 96 (87%) attended a screening assessment, and ...
Source: The British Journal of Clinical Psychology - March 12, 2018 Category: Psychiatry & Psychology Authors: Jolley S, Kuipers E, Stewart C, Browning S, Bracegirdle K, Basit N, Gin K, Hirsch C, Corrigall R, Banerjea P, Turley G, Stahl D, Laurens KR Tags: Br J Clin Psychol Source Type: research

Corrigendum.
Authors: PMID: 29393524 [PubMed - in process] (Source: The British Journal of Clinical Psychology)
Source: The British Journal of Clinical Psychology - February 3, 2018 Category: Psychiatry & Psychology Tags: Br J Clin Psychol Source Type: research

The role of negative cognitions, emotion regulation strategies, and attachment style in complex post-traumatic stress disorder: Implications for new and existing therapies.
CONCLUSIONS: Targeting negative thoughts and attachment representations while promoting skills acquisition in emotional regulation hold promise in the treatment of CPTSD. Further research is required on the development of appropriate models to treat CPTSD that tackle skills deficit in these areas. PRACTITIONER POINTS: Results suggest that cognitive-behavioural interventions might be useful for the treatment of CPTSD. Targeting negative thoughts and attachment representations while promoting skills acquisition in emotional regulation hold promise in the treatment of CPTSD. PMID: 29355986 [PubMed - as supplied by p...
Source: The British Journal of Clinical Psychology - January 22, 2018 Category: Psychiatry & Psychology Authors: Karatzias T, Shevlin M, Hyland P, Brewin CR, Cloitre M, Bradley A, Kitchiner NJ, Jumbe S, Bisson JI, Roberts NP Tags: Br J Clin Psychol Source Type: research

Symptoms of social anxiety, depression, and stress in parents of children with social anxiety disorder.
CONCLUSIONS: This study is one of the few existing studies that have examined mothers' and fathers' psychopathology across different childhood anxiety disorders. Compared to parents of children with ANX, parents of children with SAD may have poorer mental health which may inhibit optimum child treatment outcomes for children with SAD. Thus, targeting parental psychopathology may be particularly important in the treatment of childhood SAD. PRACTITIONER POINTS: Consideration of parental psychopathology may be particularly important in the treatment of childhood social anxiety disorder. Mothers of children with social an...
Source: The British Journal of Clinical Psychology - January 16, 2018 Category: Psychiatry & Psychology Authors: Halldorsson B, Draisey J, Cooper P, Creswell C Tags: Br J Clin Psychol Source Type: research