BRITISH JOURNAL OF CLINICAL PSYCHOLOGY

A single-session feedback training modifies interpretation bias in individuals with high social anxiety: A randomized controlled trial
Choi J, Kim G and Yang JW
The ability to interpret facial expressions accurately is important to adaptive social functioning. Social anxiety disorder is associated with a biased interpretation of facial emotions. This study aimed to demonstrate the effects of feedback training on modifying interpretation bias in individuals with high social anxiety.
Predictors of dropout in self-guided internet-delivered cognitive behaviour therapy for obsessive-compulsive disorder: An exploratory study
Wootton BM, Melkonian M, McDonald S, Karin E, Titov N and Dear BF
Self-guided internet-delivered cognitive behaviour therapy (ICBT) is an effective treatment for obsessive-compulsive disorder (OCD); however, there is little research investigating who dropouts of treatment. Therefore, the aim of this study was to conduct an exploratory study of predictors of dropout in self-guided ICBT for OCD. Given that definitions of dropout vary across ICBT studies, we conceptualized dropout in multiple ways: (1) early dropout (proportion of participants who did not complete the pre-treatment questionnaires); (2) proportion of participants who did not commence the intervention; (3) proportion of participants who did not complete the treatment; and (4) proportion of participants who did not complete the post-treatment questionnaires.
More than Body Appearance! Improving body image in young women through a functionality-focused intervention combined with psychoeducation: A randomized controlled trial
Cerea S, Panzeri A, Burdisso B, Bottesi G, Mancin P, Rapisarda M and Ghisi M
Body dissatisfaction is a public health concern, prevalent among women. This study aims to investigate the efficacy of a 2-week online functionality-focused intervention combined with psychoeducation on improving body image among young women at both high and low risk of Body Image Disorders (BIDs).
Brief remote cognitive behaviour therapy for generalized anxiety disorder: An open trial
Basile VT, Newton-John T, McDonald S and Wootton BM
Generalized anxiety disorder (GAD) is a persistent mental health condition that results in significant individual and economic burden. The uptake of evidence-based treatment is low, with many individuals with GAD citing cost as one of the key barriers. Brief treatments, which are typically more cost effective than standard length treatments, have the potential to make treatment more accessible to patients with GAD. Despite evidence demonstrating the efficacy of brief treatments for a range of anxiety disorders, there are currently no such studies examining brief Internet videoconferencing-delivered cognitive behavioural therapy (VCBT) interventions for patients with diagnosed GAD. The current study aims to examine the preliminary efficacy and acceptability of brief VCBT for GAD.
'Not my mess'?: How do supporters of individuals with hoarding difficulties rate the quality of the support they offer?
Dennis J, Rosen K and Salkovskis PM
Hoarding difficulties (HD) affect many people and cause upset and danger for the person, as well as friends and family. Previous research found that people with HD feel less adequately socially supported compared with individuals with obsessive compulsive disorder (OCD). This study used the perspective of those offering support to infer whether people with HD view their support differently, or if there is a gap in support quality compared with those with OCD.
Predicting optimal treatment allocation for cognitive analytic-guided self-help versus cognitive behavioural-guided self-help
Wojnarowski C, Simmonds-Buckley M and Kellett S
Given the ubiquity in routine services of low-intensity guided self-help (GSH) psychological interventions, better patient selection for these brief interventions would be organizationally efficient. This study therefore sought to define who would respond best to two different types of GSH for anxiety to enable better future treatment matching.
Ensuring that psychological interventions are delivered as intended on mental health inpatient wards
Berry K, Handerer F, Bucci S, Penn G, Morley H, Raphael J, Lovell K, Price O, Edge D, Drake RJ and Haddock G
Talk, Understand and Listen for InPatient Settings (TULIPS) was a multi-centred randomized control trial of an intervention that aimed to increase patient access to psychological therapies on acute mental health wards. This paper aims to: (i) describe a strategy for designing a psychological intervention that is implementable in inpatient mental health settings; (ii) describe methods for assessing the fidelity of interventions within these settings; (iii) report on the extent to which fidelity was achieved in the TULIPS trial.
Trauma and social pathways to psychosis: Examining the role of attachment, social rank and dissociation in a clinical sample
Grady S, Crowley N, Scott S, Ndukwe CI, Donohoe R and Gaynor K
The trauma and social pathways model of psychosis proposes interactions between trauma, attachment, social rank and dissociation in pathways to psychosis, though this model has yet to be empirically investigated. The primary aim of this study was to examine the overall predictive value of the trauma and social pathways model using regression analysis. A secondary aim was to delineate hypothesized pathways between trauma and positive symptoms of psychosis using serial mediation analysis.
Implicit associations with non-suicidal self-injury: Examination in a clinical sample by borderline personality symptomatology
Steele SJ, Jaffe NM, Kelly CA, Björgvinsson T and Swenson LP
We examine correlates and predictors for implicit associations with non-suicidal self-injury (NSSI) with the Self-Injury Implicit Association Test (SI-IAT) in a treatment-seeking sample. We also examine group differences in the SI-IAT among those with low/none, moderate and high/clinically significant borderline personality disorder (BPD) symptomatology in a treatment-seeking sample.
Intolerance of uncertainty and psychosis: A systematic review
Morriss J, Butler D and Ellett L
Intolerance of uncertainty, the tendency to interpret and react negatively to uncertainty, is a transdiagnostic risk factor for anxiety, depression and eating-related disorders. Given the high comorbidity between anxiety, depression and schizophrenia-spectrum diagnoses (SSDs), there is potential for intolerance of uncertainty to play a role in modulating psychosis symptoms. To address this gap in our understanding, we conducted the first prospectively registered systematic review on intolerance of uncertainty and psychotic symptoms in both people with SSDs and in the general population.
Gender bias in assessing narcissistic personality: Exploring the utility of the ICD-11 dimensional model
Green A, Day NJS, Hart CM, Grenyer BFS and Bach B
Narcissistic personality disorder as captured in categorical diagnostic systems (e.g., DSM-5) emphasizes grandiose features more associated with masculine norms and under-emphasizes vulnerable features more associated with femininity. This poses significant implications in diagnostic outcome and clinical treatment in women with narcissistic preoccupations. Research finds that clinicians using the DSM-5 categorical system tend to diagnose vulnerable narcissism in women as other 'feminized' personality disorders (e.g., borderline), but no research has explored gender differences in narcissism using the new ICD-11 dimensional framework for personality disorders. This study investigated the clinical utility of the ICD-11 approach in capturing gender differences in narcissistic presentations.
Momentary displays of compassion and the relationship between psychosis, mood and risk incidents on inpatient wards: An experience sampling study
Irwin L, Berry K, Bell T, Carter LA and Udachina A
Psychosis can be thought of as a threat-based experience. Compassion has been shown to be effective in reducing threat, although highly distressed individuals may struggle to be self-compassionate. This study explored the effects of compassionate interactions with staff on inpatients with psychosis.
Effects of social anxiety and self-schemas on the impact and meaningfulness of positive versus negative social autobiographical memories
Martin KE, Kudryk SM and Moscovitch DA
Social anxiety is characterized by maladaptive self-schemas about being socially undesirable. Self-schemas are deeply held beliefs which are derived from negative autobiographical memories of painful social experiences. In contrast to the plethora of past research on negative memories in social anxiety, almost no research has investigated objectively positive social autobiographical memories. In this preregistered study, we examined the effects of social anxiety and self-schemas on the appraised impact and meaningfulness of retrieved positive versus negative social autobiographical memories.
Emotion regulation and psychopathology: Investigating differential associations between emotion regulation skills and psychological symptoms using a network approach
Trautmann S, Muehlhan M, Berking M, Miethe S, Wigger J and Dragan M
Emotion regulation plays an important role in the development and maintenance of psychopathology. However, the question whether specific ER skills are related to specific psychological symptoms has rarely been studied, but has important implications for targeted interventions. This analysis aims to explore potential differential associations between various ER skills and psychological symptoms using a network analysis approach.
A narrative review of factors affecting memory confidence in the context of compulsive checking: A search for evidence-based potential therapeutic targets to improve memory confidence
Abbasi Jondani J and Yazdkhasti F
According to current models of compulsive checking, memory confidence greatly contributes to the development and maintenance of checking behaviours. However, how to intervene in memory confidence in an evidence-based manner has not yet been fully understood. Thus, the purpose of the current paper was to identify the factors influencing memory confidence through the review of experimental evidence.
Broadening accessibillity and scalability of interventions for trauma-related conditions
Hitchcock C and Fitzpatrick S
Trauma-related conditions, such as post-traumatic stress disorder, are associated with high rates of impairment and distress. Evidence-based interventions for many trauma-related conditions exert robust effects on their primary outcomes. However, logistical, financial, geographic and stigma-related barriers to accessing these interventions exist.
The influence of therapy quality on outcomes from behavioural activation and guided self-help treatments for depression in adults with intellectual disabilities
Dagnan D, Thompson P, Hastings RP, Hatton C, Melville C, Cooper SA, McMeekin N, Fulton L, Jones RSP, McConnachie A and Jahoda A
We report the effect of quality of therapy delivery on outcomes in a randomized, controlled trial of behavioural activation (BA) and guided self-help (GSH) for depression in adults with intellectual disabilities.
Development of the Flexibility in Daily Life scale to measure multidimensional cognitive and behavioural flexibility in health and disease
Horne K, Chen T and Irish M
Inflexibility of thought and behaviour is a transdiagnostic feature of many neuropsychiatric disorders and presents several empirical measurement challenges. Here, we developed and validated the Flexibility in Daily Life scale (FIDL); a novel, self-report questionnaire, which captures expressions of cognitive and behavioural flexibility in daily life and is sensitive to natural shifts in these processes across the adult lifespan.
A preliminary study of factors associated with accommodation of obsessive-compulsive symptoms by romantic partners
Toohey BG, Quinlan E, Reece J, Wootton BM and Paparo J
The accommodation of symptoms of obsessive-compulsive disorder (OCD) by loved ones is highly prevalent and impactful on treatment outcomes; however, little is known about factors that influence accommodation by romantic partners of OCD sufferers. The aim of this preliminary investigation was to explore such correlates.
Quality of life in older adults with mood states associated with bipolar disorder: A secondary analysis of the English longitudinal study of ageing data
Warner A, Holland C, Lobban F, Bentley L, Tyler E and Palmier-Claus J
To investigate: (i) whether mood states associated with bipolar disorder are associated with poorer quality of life in older adults, and (ii) what are some of the predictors of quality of life in older adults with mood states associated with bipolar disorder.
The enhancing effect of social reward on inhibitory control in smokers: Evidence from behaviour and ERP studies
Zhang Y, Chen H, Li W, Gao L, Zhao B and Zhao W
Prior research has revealed impaired inhibitory control as a pivotal factor contributing to smokers' struggle to control smoking impulses. However, few studies focus on enhancing smokers' inhibitory control. This study investigates the potential of social rewards to bolster inhibitory control among smokers and elucidates the underlying mechanisms.