332 results match your criteria Annual Review Of Clinical Psychology[Journal]


Risk and Resilience in Minority Youth Populations.

Annu Rev Clin Psychol 2020 May;16:151-163

Department of Psychology, Carlos Albizu University, San Juan, Puerto Rico 00901, USA; email:

This review presents current theory and empirical research that address the interplay between risk and resilience processes among minority youth in the United States. To move the clinical sciences forward in their research and treatment approaches to solving minority-majority health and well-being disparities, ecological, intersectional, and emic (within-group) approaches must be adopted. We discuss the consequences of systematic oppression and marginalization for children in the United States, focusing primarily on research regarding xenophobia, discrimination, and racism. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071119-115839DOI Listing

Accounting for Confounding in Observational Studies.

Annu Rev Clin Psychol 2020 May;16:25-48

Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, SE-171 77 Stockholm, Sweden; email:

The goal of this review is to enable clinical psychology researchers to more rigorously test competing hypotheses when studying risk factors in observational studies. We argue that there is a critical need for researchers to leverage recent advances in epidemiology/biostatistics related to causal inference and to use innovative approaches to address a key limitation of observational research: the need to account for confounding. We first review theoretical issues related to the study of causation, how causal diagrams can facilitate the identification and testing of competing hypotheses, and the current limitations of observational research in the field. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-032816-045030DOI Listing

Bottom-Up and Top-Down Paradigms for Psychopathology: A Half-Century Odyssey.

Annu Rev Clin Psychol 2020 May;16:1-24

Departments of Psychiatry and Psychological Science, University of Vermont, Burlington, Vermont 05401, USA; email:

Bottom-up paradigms prioritize empirical data from which to derive conceptualizations of psychopathology. These paradigms use multivariate statistics to identify syndromes of problems that tend to co-occur plus higher-order groupings such as those designated as internalizing and externalizing. Bottom-up assessment instruments obtain self-ratings and collateral ratings of behavioral, emotional, social, and thought problems and strengths for ages 1½-90+. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071119-115831DOI Listing

Social Safety Theory: A Biologically Based Evolutionary Perspective on Life Stress, Health, and Behavior.

Authors:
George M Slavich

Annu Rev Clin Psychol 2020 May 6;16:265-295. Epub 2020 Mar 6.

Cousins Center for Psychoneuroimmunology and Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California 90095-7076, USA; email:

Social Safety Theory hypothesizes that developing and maintaining friendly social bonds is a fundamental organizing principle of human behavior and that threats to social safety are a critical feature of psychological stressors that increase risk for disease. Central to this formulation is the fact that the human brain and immune system are principally designed to keep the body biologically safe, which they do by continually monitoring and responding to social, physical, and microbial threats in the environment. Because situations involving social conflict, isolation, devaluation, rejection, and exclusion historically increased risk for physical injury and infection, anticipatory neural-immune reactivity to social threat was likely highly conserved. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-032816-045159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213777PMC

Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities.

Annu Rev Clin Psychol 2020 May 25;16:351-378. Epub 2020 Feb 25.

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida 33136, USA; email:

Childhood obesity has become a global pandemic in developed countries, leading to a host of medical conditions that contribute to increased morbidity and premature death. The causes of obesity in childhood and adolescence are complex and multifaceted, presenting researchers and clinicians with myriad challenges in preventing and managing the problem. This article reviews the state of the science for understanding the etiology of childhood obesity, the preventive interventions and treatment options for overweight and obesity, and the medical complications and co-occurring psychological conditions that result from excess adiposity, such as hypertension, nonalcoholic fatty liver disease, and depression. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-100219-060201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259820PMC

Stress and Psychiatric Disorders: The Role of Mitochondria.

Annu Rev Clin Psychol 2020 May 24;16:165-186. Epub 2020 Feb 24.

Mood Disorders Research Program and Laboratory for Clinical and Translational Neuroscience, Butler Hospital, Providence, Rhode Island 02906, USA; email:

In seeking to understand mental health and disease, it is fundamental to identify the biological substrates that draw together the experiences and physiological processes that underlie observed psychological changes. Mitochondria are subcellular organelles best known for their central role in energetics, producing adenosine triphosphate to power most cellular processes. Converging lines of evidence indicate that mitochondria play a key role in the biological embedding of adversity. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-082719-104030DOI Listing

Epigenetics, Development, and Psychopathology.

Annu Rev Clin Psychol 2020 May 21;16:327-350. Epub 2020 Feb 21.

Department of Psychiatry and Sackler Program for Epigenetics and Psychobiology, McGill University, Montreal, Quebec H4H 1R3, Canada; email:

Epigenetic mechanisms govern the transcription of the genome. Research with model systems reveals that environmental conditions can directly influence epigenetic mechanisms that are associated with interindividual differences in gene expression in brain and neural function. In this review, we provide a brief overview of epigenetic mechanisms and research with relevant rodent models. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095530DOI Listing

Executive Function and Psychopathology: A Neurodevelopmental Perspective.

Annu Rev Clin Psychol 2020 May 19;16:431-454. Epub 2020 Feb 19.

Institute of Child Development, University of Minnesota, Minneapolis, Minnesota 55455-0345, USA; email:

Executive function (EF) skills are neurocognitive skills that support the reflective, top-down coordination and control of other brain functions, and there is neural and behavioral evidence for a continuum from more "cool" EF skills activated in emotionally neutral contexts to more "hot" EF skills needed for the reversal of motivationally significant tendencies. Difficulties in EF are transdiagnostic indicators of atypical development. A neurodevelopmental model traces the pathway from adverse childhood experiences and stress to disruption of the development of neural systems supporting reflection and EF skills to an increased risk for general features of psychopathology. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-072319-024242DOI Listing

Personalized Models of Psychopathology.

Annu Rev Clin Psychol 2020 May 18;16:49-74. Epub 2020 Feb 18.

Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA; email:

The personalized approach to psychopathology conceptualizes mental disorder as a complex system of contextualized dynamic processes that is nontrivially specific to each individual, and it seeks to develop formal idiographic statistical models to represent these individual processes. Although the personalized approach draws on long-standing influences in clinical psychology, there has been an explosion of research in recent years following the development of intensive longitudinal data capture and statistical techniques that facilitate modeling of the dynamic processes of each individual's pathology. Advances are also making idiographic analyses scalable and generalizable. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-102419-125032DOI Listing

The General Factor of Psychopathology.

Annu Rev Clin Psychol 2020 May 4;16:75-98. Epub 2020 Feb 4.

Department of Psychology, University of Kentucky, Lexington, Kentucky 40506, USA; email:

An important advance in understanding and defining mental disorders has been the development of empirical approaches to mapping dimensions of dysfunction and their interrelatedness. Such empirical approaches have consistently observed intercorrelations among the many forms of psychopathology, leading to the identification of a general factor of psychopathology (the p factor). In this article, we review empirical support for p, including evidence for the stability and criterion validity of p. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071119-115848DOI Listing

Research on Improving Outcomes and Reducing Costs of Psychological Interventions: Toward Delivering the Best to the Most for the Least.

Authors:
Brian T Yates

Annu Rev Clin Psychol 2020 May 10;16:125-150. Epub 2020 Feb 10.

Department of Psychology, American University, Washington, DC 20016-8062, USA; email:

Treatment and prevention efforts guided by psychological theory, research, and practice can have outcomes of greater value than the resources consumed by those efforts-and outcomes superior to those attainable by other means, often at lower costs. How can we make this hope true more often, for more of the clients who need our services, despite severe resource constraints? Routinely reporting the costs, effectiveness, and benefits of psychological interventions from client, practitioner, and societal perspectives is only a beginning. We also need to use descriptive and inferential statistics to measure, report, and analyze the cost-effectiveness and cost-benefit of our interventions to discover the strongest determinants of intervention costs and outcomes. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071519-110415DOI Listing

Stress Allostasis in Substance Use Disorders: Promise, Progress, and Emerging Priorities in Clinical Research.

Annu Rev Clin Psychol 2020 May 10;16:401-430. Epub 2020 Feb 10.

Department of Psychology, University of Wisconsin, Madison, Wisconsin 53706, USA; email:

Clinicians and researchers alike have long believed that stressors play a pivotal etiologic role in risk, maintenance, and/or relapse of alcohol and other substance use disorders (SUDs). Numerous seminal and contemporary theories on SUD etiology posit that stressors may motivate drug use and that individuals who use drugs chronically may display altered responses to stressors. We use foundational basic stress biology research as a lens through which to evaluate critically the available evidence to support these key stress-SUD theses in humans. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-102419-125016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259491PMC

Creativity and Bipolar Disorder: A Shared Genetic Vulnerability.

Annu Rev Clin Psychol 2020 May 10;16:239-264. Epub 2020 Feb 10.

Department of Psychiatry, University of California, San Diego, La Jolla, California 92093, USA; email:

Bipolar disorder is a lifelong mood disorder characterized by extreme mood swings between mania and depression. Despite fitness costs associated with increased mortality and significant impairment, bipolar disorder has persisted in the population with a high heritability and a stable prevalence. Creativity and other positive traits have repeatedly been associated with the bipolar spectrum, particularly among unaffected first-degree relatives and those with milder expressions of bipolar traits. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095449DOI Listing

Interventions for Couples.

Annu Rev Clin Psychol 2020 May 7;16:99-123. Epub 2020 Feb 7.

Department of Psychology, University of Zurich, CH-8050 Zurich, Switzerland; email:

Because relationship discord and dissolution are common and costly, interventions are needed to treat distressed couples and to prevent distress among vulnerable couples. We review meta-analytic evidence showing that 60-80% of distressed couples benefit from behavioral and emotion-focused approaches to couple therapy, but we also note that treatment effects are weaker in actual clinical practice than in controlled studies, dissipate following treatment for about half of all couples, and may be explained by factors that are common across models. Meta-analyses of prevention programs reveal reliable but smaller effects, reflecting a need to know more about whether and how communication mediates effects, about how risk and diversity moderate effects, and about how technology-enabled interventions can reduce attrition in vulnerable populations. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071519-020546DOI Listing

The Mentalizing Approach to Psychopathology: State of the Art and Future Directions.

Annu Rev Clin Psychol 2020 May 5;16:297-325. Epub 2020 Feb 5.

Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 7HB, United Kingdom.

Mentalizing is the capacity to understand others and oneself in terms of internal mental states. It is assumed to be underpinned by four dimensions: automatic-controlled, internally-externally focused, self-other, and cognitive-affective. Research suggests that mental disorders are associated with different imbalances in these dimensions. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071919-015355DOI Listing

Conceptualization, History, and Future of the Paraphilias.

Annu Rev Clin Psychol 2020 May 5;16:379-399. Epub 2020 Feb 5.

Department of Family Medicine and School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario K2P 0X4, Canada; email:

There is no accepted definition of the term paraphilia despite its being listed as an essential feature of a class of mental disorders known as the paraphilic disorders. The origin of the term, history of its inclusion as a diagnosis, and logical flaws inherent in the various definitions are discussed in this review. We examine the basis for pathologizing individuals with paraphilias, consider what paraphilias can tell us about how humans develop their sexual interests, and question the usefulness of dividing sexual interests into paraphilias and normophilias. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095548DOI Listing

Intergenerational Transmission of Depression.

Annu Rev Clin Psychol 2020 May 21;16:213-238. Epub 2020 Jan 21.

Department of Psychology, Emory University, Atlanta, Georgia 30322, USA; email:

The study of depression in mothers in relation to transmission of risk for the development of psychopathology in their children relies on solid foundations in the understanding of psychopathology, of development, and of developmental psychopathology per se. This article begins with a description of the scope of the problem, including a summary of knowledge of how mothers' depression is associated with outcomes in children and of moderators of those associations. The sense of scope then informs a theoretical and empirical perspective on knowledge of mechanisms in those associations, with a focus on what has been learned in the past 20 years. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-071519-113915DOI Listing

Behavioral Conceptualization and Treatment of Chronic Pain.

Annu Rev Clin Psychol 2020 May 10;16:187-212. Epub 2019 Dec 10.

Department of Experimental-Clinical and Health Psychology, Faculty of Psychology and Educational Sciences, Ghent University, 9000 Ghent, Belgium.

Pain is considered a hardwired signal of bodily disturbance belonging to a basic motivational system that urges the individual to act and to restore the body's integrity, rather than just a sensory and emotional experience. Given its eminent survival value, pain is a strong motivator for learning. Response to repeated pain increases when harm risks are high (sensitization) and decreases in the absence of such risks (habituation). Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095744DOI Listing
May 2020
12.674 Impact Factor

An Active Inference Approach to Interoceptive Psychopathology.

Annu Rev Clin Psychol 2019 05;15:97-122

Laureate Institute for Brain Research, Tulsa, Oklahoma 74136, USA; email:

Interoception refers to the process by which the nervous system senses and integrates signals originating from within the body, providing a momentary mapping of the body's internal landscape and its relationship to the outside world. Active inference is based on the premise that afferent sensory input to the brain is constantly shaped and modified by prior expectations. In this review we propose that interoceptive psychopathology results from two primary interoceptive dysfunctions: First, individuals have abnormally strong expectations of the situations that elicit bodily change (i. Read More

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https://www.annualreviews.org/doi/10.1146/annurev-clinpsy-05
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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095617DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280559PMC
May 2019
13 Reads

Introduction.

Annu Rev Clin Psychol 2019 05;15:i-iv

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http://dx.doi.org/10.1146/annurev-cp-15-021519-100001DOI Listing
May 2019
4 Reads

The Utility of Event-Related Potentials in Clinical Psychology.

Annu Rev Clin Psychol 2019 05;15:71-95

Department of Psychology, Florida State University, Tallahassee, Florida 32306, USA.

Event-related potentials (ERPs) are direct measures of brain activity that can be leveraged for clinically meaningful research. They can relate robustly both to continuous measures of individual difference and to categorical diagnoses in ways that clarify similarities and distinctions between apparently related disorders and traits. ERPs can be linked to genetic risk, can act as moderators of developmental trajectories and responses to stress, and can be leveraged to identify those at greater risk for psychopathology, especially when used in combination with other neural and self-report measures. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095457DOI Listing
May 2019
4 Reads

Prenatal Developmental Origins of Future Psychopathology: Mechanisms and Pathways.

Annu Rev Clin Psychol 2019 05 22;15:317-344. Epub 2019 Feb 22.

Department of Psychiatry, Columbia University, New York, NY 10032, USA; email:

The developmental origins of health and disease hypothesis applied to neurodevelopmental outcomes asserts that the fetal origins of future development are relevant to mental health. There is a third pathway for the familial inheritance of risk for psychiatric illness beyond shared genes and the quality of parental care: the impact of pregnant women's distress-defined broadly to include perceived stress, life events, depression, and anxiety-on fetal and infant brain-behavior development. We discuss epidemiological and observational clinical data demonstrating that maternal distress is associated with children's increased risk for psychopathology: For example, high maternal anxiety is associated with a twofold increase in the risk of probable mental disorder in children. Read More

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https://www.annualreviews.org/doi/10.1146/annurev-clinpsy-05
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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027196PMC
May 2019
27 Reads

Using a Developmental Ecology Framework to Align Fear Neurobiology Across Species.

Annu Rev Clin Psychol 2019 05 20;15:345-369. Epub 2019 Feb 20.

Department of Psychology, Columbia University, New York, NY 10027, USA; email: , , ,

Children's development is largely dependent on caregiving; when caregiving is disrupted, children are at increased risk for numerous poor outcomes, in particular psychopathology. Therefore, determining how caregivers regulate children's affective neurobiology is essential for understanding psychopathology etiology and prevention. Much of the research on affective functioning uses fear learning to map maturation trajectories, with both rodent and human studies contributing knowledge. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095727DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219957PMC
May 2019
3 Reads

Abnormal Sleep Spindles, Memory Consolidation, and Schizophrenia.

Annu Rev Clin Psychol 2019 05 20;15:451-479. Epub 2019 Feb 20.

Department of Psychiatry, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215; email:

There is overwhelming evidence that sleep is crucial for memory consolidation. Patients with schizophrenia and their unaffected relatives have a specific deficit in sleep spindles, a defining oscillation of non-rapid eye movement (NREM) Stage 2 sleep that, in coordination with other NREM oscillations, mediate memory consolidation. In schizophrenia, the spindle deficit correlates with impaired sleep-dependent memory consolidation, positive symptoms, and abnormal thalamocortical connectivity. Read More

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https://www.annualreviews.org/doi/10.1146/annurev-clinpsy-05
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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307009PMC
May 2019
15 Reads

Man and the Microbiome: A New Theory of Everything?

Annu Rev Clin Psychol 2019 05 20;15:371-398. Epub 2019 Feb 20.

Department of Psychiatry and Neurobehavioural Science, University College Cork, Cork T12 K8AF, Ireland; email:

The gut microbiome is implicated in the pathophysiology of a wide range of psychological disorders. Preclinical studies have provided us with key insights into the mechanisms by which the microbiome influences bidirectional gut-brain communication. There are many signaling pathways involved, including the hypothalamic-pituitary-adrenal axis, immune modulation, tryptophan and serotonin metabolism, bile acid transformation, microbial production of neuroactive compounds, and regulation of the endocannabinoid system. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095432DOI Listing
May 2019
8 Reads

Estrogen, Stress, and Depression: Cognitive and Biological Interactions.

Annu Rev Clin Psychol 2019 05 20;15:399-423. Epub 2019 Feb 20.

Center for Cognitive Medicine, Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee 37212, USA; email:

This article reviews the interactions of estrogen changes and psychosocial stress in contributing to vulnerability to major depressive disorder (MDD) in women. Estrogen modulates brain networks and processes related to changes in stress response, cognition, and emotional dysregulation that are core characteristics of MDD. Synergistic effects of estrogen on cognitive and emotional function, particularly during psychosocial stress, may underlie the association of ovarian hormone fluctuation and depression in women. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095557DOI Listing
May 2019
2 Reads

History of Psychopharmacology.

Annu Rev Clin Psychol 2019 05 20;15:25-50. Epub 2019 Feb 20.

Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, California 90095-1759, USA; email:

We live in an age of psychopharmacology. One in six persons currently takes a psychotropic drug. These drugs have profoundly shaped our scientific and cultural understanding of psychiatric disease. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095514DOI Listing
May 2019
5 Reads

Augmentation of Extinction and Inhibitory Learning in Anxiety and Trauma-Related Disorders.

Annu Rev Clin Psychol 2019 05 30;15:257-284. Epub 2019 Jan 30.

Division of Depression and Anxiety Disorders, Department of Psychiatry, McLean Hospital, Harvard Medical School, Belmont, Massachusetts 02478, USA; email:

Although the fear response is an adaptive response to threatening situations, a number of psychiatric disorders feature prominent fear-related symptoms caused, in part, by failures of extinction and inhibitory learning. The translational nature of fear conditioning paradigms has enabled us to develop a nuanced understanding of extinction and inhibitory learning based on the molecular substrates to systems neural circuitry and psychological mechanisms. This knowledge has facilitated the development of novel interventions that may augment extinction and inhibitory learning. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095634DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547363PMC
May 2019
3 Reads

Psychology's Replication Crisis and Clinical Psychological Science.

Annu Rev Clin Psychol 2019 05 23;15:579-604. Epub 2019 Jan 23.

Department of Psychological and Brain Sciences, University of Iowa, Iowa City, Iowa 52242, USA.

Despite psychological scientists' increasing interest in replicability, open science, research transparency, and the improvement of methods and practices, the clinical psychology community has been slow to engage. This has been shifting more recently, and with this review, we hope to facilitate this emerging dialogue. We begin by examining some potential areas of weakness in clinical psychology in terms of methods, practices, and evidentiary base. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095710DOI Listing
May 2019
1 Read

Bifactor and Hierarchical Models: Specification, Inference, and Interpretation.

Annu Rev Clin Psychol 2019 05 16;15:51-69. Epub 2019 Jan 16.

Department of Psychological and Brain Sciences, University of Iowa, Iowa City, Iowa 52242, USA; email:

Bifactor and other hierarchical models have become central to representing and explaining observations in psychopathology, health, and other areas of clinical science, as well as in the behavioral sciences more broadly. This prominence comes after a relatively rapid period of rediscovery, however, and certain features remain poorly understood. Here, hierarchical models are compared and contrasted with other models of superordinate structure, with a focus on implications for model comparisons and interpretation. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095522DOI Listing
May 2019
2 Reads

Anxiety-Linked Attentional Bias: Is It Reliable?

Annu Rev Clin Psychol 2019 05 16;15:529-554. Epub 2019 Jan 16.

Elizabeth Rutherford Memorial Centre for the Advancement of Research on Emotion, School of Psychological Science, University of Western Australia, Crawley, Western Australia 6009, Australia; email:

There is substantial evidence that heightened anxiety vulnerability is characterized by increased selective attention to threatening information. The reliability of this anxiety-linked attentional bias has become the focus of considerable recent interest. We distinguish between the potential inconsistency of anxiety-linked attentional bias and inconsistency potentially reflecting the psychometric properties of the assessment approaches used to measure it. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095505DOI Listing
May 2019
2 Reads

Implicit Cognition and Psychopathology: Looking Back and Looking Forward.

Annu Rev Clin Psychol 2019 05 11;15:123-148. Epub 2019 Jan 11.

Department of Psychology, University of Virginia, Charlottesville, Virginia 22904, USA; email:

Implicit cognitive processing is theorized to have a central role in many forms of psychopathology. In the current review, we focus on implicit associations, by which we mean evaluative representations in memory that are difficult to control and do not require conscious reflection to influence affect, cognition, or behavior. We consider definitional and measurement challenges before examining recent empirical evidence for these associations in anxiety, obsessive-compulsive, posttraumatic stress, depressive, and alcohol use disorders. Read More

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https://www.annualreviews.org/doi/10.1146/annurev-clinpsy-05
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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095718DOI Listing
May 2019
29 Reads

The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics.

Annu Rev Clin Psychol 2019 05 2;15:481-502. Epub 2019 Jan 2.

Centre for Psychiatry, Department of Medicine, Imperial College London, London W12 0NN, United Kingdom; email: ,

The nomenclature of personality disorders in the 11th revision of the represents the most radical change in the classification history of personality disorders. A dimensional structure now replaces categorical description. It was argued by the Working Group that only a dimensional system was consistent with the empirical evidence and, in the spirit of clinical utility, the new system is based on two steps. Read More

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https://www.annualreviews.org/doi/10.1146/annurev-clinpsy-05
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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095736DOI Listing
May 2019
4 Reads

The MMPI-2-Restructured Form (MMPI-2-RF): Assessment of Personality and Psychopathology in the Twenty-First Century.

Authors:
Martin Sellbom

Annu Rev Clin Psychol 2019 05 2;15:149-177. Epub 2019 Jan 2.

Department of Psychology, University of Otago, Dunedin 9054, New Zealand; email:

This article describes the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and situates the instrument in contemporary psychopathology and personality literature. The historical evolution of the MMPI instruments is highlighted, including how failure to update the test for several decades resulted in increasing disinterest by basic researchers and how the restructuring efforts beginning in the 2000s promised to realign the instrument with basic research. In this regard, the construct validity associated with MMPI-2-RF scores in the context of contemporary dimensional models of psychopathology is considered. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095701DOI Listing
May 2019
2 Reads

A Reciprocal Model of Pain and Substance Use: Transdiagnostic Considerations, Clinical Implications, and Future Directions.

Annu Rev Clin Psychol 2019 05 19;15:503-528. Epub 2018 Dec 19.

Department of Psychology, Syracuse University, Syracuse, New York 13244, USA; email: ,

Pain and substance use are highly prevalent and co-occurring conditions that continue to garner increasing clinical and empirical interest. Although nicotine and tobacco, alcohol, and cannabis each confer acute analgesic effects, frequent or heavy use may contribute to the development and progression of chronic pain, and pain may be heightened during abstinence. Additionally, pain can be a potent motivator of substance self-administration, and it may contribute to escalating use and poorer substance-related treatment outcomes. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095440DOI Listing
May 2019
17 Reads

One-Session Treatment of Specific Phobias in Children: Recent Developments and a Systematic Review.

Annu Rev Clin Psychol 2019 05 14;15:233-256. Epub 2018 Dec 14.

Department of Psychology, Stockholm University, SE-106 91 Stockholm, Sweden; email:

One-Session Treatment is a well-established evidence-based treatment for specific phobias in youths that incorporates reinforcement, cognitive challenges, participant modeling, psychoeducation, and skills training into a single, massed session of graduated exposure. This review begins by briefly examining the phenomenology, etiology, epidemiology, and assessment of specific phobias and then pivots to a description of One-Session Treatment. We examine the use of One-Session Treatment with children and adolescents, briefly discussing its components and application, and subsequently review almost two decades of research supporting its efficacy. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095608DOI Listing
May 2019
13 Reads

The Role of Common Factors in Psychotherapy Outcomes.

Annu Rev Clin Psychol 2019 05 14;15:207-231. Epub 2018 Dec 14.

Department of Clinical, Neuro-, and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands; email:

Psychotherapies may work through techniques that are specific to each therapy or through factors that all therapies have in common. Proponents of the common factors model often point to meta-analyses of comparative outcome studies that show all therapies have comparable effects. However, not all meta-analyses support the common factors model; the included studies often have several methodological problems; and there are alternative explanations for finding comparable outcomes. Read More

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https://www.annualreviews.org/doi/10.1146/annurev-clinpsy-05
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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095424DOI Listing
May 2019
69 Reads

Positive Psychology: A Personal History.

Annu Rev Clin Psychol 2019 05 10;15:1-23. Epub 2018 Dec 10.

Positive Psychology Center, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA; email:

As president of the American Psychological Association in 1998, I organized researchers and practitioners to work on building well-being, not just on the traditional task of reducing ill-being. Substantial research then found that well-being causes many external benefits, including better physical and mental health. Among the applications of Positive Psychology are national psychological accounts of well-being, Positive Psychotherapy, the classification of strengths and virtues, Comprehensive Soldier Fitness, and Positive Education. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095653DOI Listing
May 2019
5 Reads

Mindfulness Meditation and Psychopathology.

Annu Rev Clin Psychol 2019 05 10;15:285-316. Epub 2018 Dec 10.

Center for Healthy Minds, University of Wisconsin-Madison, Madison, Wisconsin 53703, USA; email: , , , ,

Mindfulness meditation is increasingly incorporated into mental health interventions, and theoretical concepts associated with it have influenced basic research on psychopathology. Here, we review the current understanding of mindfulness meditation through the lens of clinical neuroscience, outlining the core capacities targeted by mindfulness meditation and mapping them onto cognitive and affective constructs of the Research Domain Criteria matrix proposed by the National Institute of Mental Health. We review efficacious applications of mindfulness meditation to specific domains of psychopathology including depression, anxiety, chronic pain, and substance abuse, as well as emerging efforts related to attention disorders, traumatic stress, dysregulated eating, and serious mental illness. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-021815-093423DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597263PMC
May 2019
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Biomedical Explanations of Psychopathology and Their Implications for Attitudes and Beliefs About Mental Disorders.

Annu Rev Clin Psychol 2019 05 16;15:555-577. Epub 2018 Nov 16.

Center for Research on Ethical, Legal, and Social Implications of Psychiatric, Neurologic, and Behavioral Genetics; Department of Psychiatry; Columbia University Medical Center; New York, NY 10032, USA; email:

Mental disorders are increasingly conceptualized as biomedical diseases, explained as manifestations of genetic and neurobiological abnormalities. Here, we discuss changes in the dominant explanatory accounts of psychopathology that have occurred over time and the driving forces behind these shifts, lay out some real-world evidence for the increasing ascendancy of biomedical explanations, and provide an overview of the types of attitudes and beliefs that may be affected by them. We examine theoretical and conceptual models that are relevant to understanding how biomedical conceptualizations might affect attitudes and beliefs about mental disorders, and we review some empirical evidence that bears on this question. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050718-095416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6506347PMC
May 2019
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Latent Growth and Dynamic Structural Equation Models.

Annu Rev Clin Psychol 2018 05;14:55-89

Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania 16802, USA; email:

Latent growth models make up a class of methods to study within-person change-how it progresses, how it differs across individuals, what are its determinants, and what are its consequences. Latent growth methods have been applied in many domains to examine average and differential responses to interventions and treatments. In this review, we introduce the growth modeling approach to studying change by presenting different models of change and interpretations of their model parameters. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050817-084840DOI Listing
May 2018
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Social Security and Disability Due to Mental Impairment in Adults.

Annu Rev Clin Psychol 2018 05;14:453-469

Westat, Rockville, Maryland 20850, USA; email: ,

The Social Security Administration (SSA) oversees two disability programs, Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). Adults with mental impairments represent a very large component of the programs. Policy makers and SSA are concerned about the accuracy of disability determination and also about low levels of labor force participation among individuals with disabilities. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050817-084754DOI Listing
May 2018
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Behavioral Addictions as Mental Disorders: To Be or Not To Be?

Annu Rev Clin Psychol 2018 05;14:399-423

Department of Medicine, University of Connecticut School of Medicine, Farmington, Connecticut 16032-3944, USA; email: , ,

Should excessive and problematic engagement in nonsubstance use behaviors be mental disorders? The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) repositioned gambling disorder in the substance use disorders section and introduced Internet gaming disorder in the research appendix; the International Classification of Diseases (ICD-11) is also considering it. This article outlines pros and cons of considering behavioral addictions as mental disorders and also reviews the DSM-5 decision-making processes. It focuses on three conditions: gambling disorder, Internet gaming disorder (IGD), and Internet addiction (IA). Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-032816-045120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992581PMC
May 2018
7 Reads

Introduction.

Annu Rev Clin Psychol 2018 05;14:i-ii

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http://dx.doi.org/10.1146/annurev-cp-14-030618-100001DOI Listing
May 2018
5 Reads

Polygenic Risk Scores in Clinical Psychology: Bridging Genomic Risk to Individual Differences.

Annu Rev Clin Psychol 2018 05;14:119-157

Department of Psychiatry, Washington University in St. Louis School of Medicine, St. Louis, Missouri 63110, USA.

Genomewide association studies (GWASs) across psychiatric phenotypes have shown that common genetic variants generally confer risk with small effect sizes (odds ratio < 1.1) that additively contribute to polygenic risk. Summary statistics derived from large discovery GWASs can be used to generate polygenic risk scores (PRS) in independent, target data sets to examine correlates of polygenic disorder liability (e. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050817-084847DOI Listing
May 2018
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Treatment Selection in Depression.

Annu Rev Clin Psychol 2018 05 1;14:209-236. Epub 2018 Mar 1.

Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA; email:

Mental health researchers and clinicians have long sought answers to the question "What works for whom?" The goal of precision medicine is to provide evidence-based answers to this question. Treatment selection in depression aims to help each individual receive the treatment, among the available options, that is most likely to lead to a positive outcome for them. Although patient variables that are predictive of response to treatment have been identified, this knowledge has not yet translated into real-world treatment recommendations. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050817-084746DOI Listing
May 2018
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Stress, Telomeres, and Psychopathology: Toward a Deeper Understanding of a Triad of Early Aging.

Annu Rev Clin Psychol 2018 05 1;14:371-397. Epub 2018 Mar 1.

Department of Psychiatry; Center for Health and Community; Aging, Metabolism, and Emotions Center; University of California, San Francisco, California 94118, USA; email: ,

Telomeres play an important part in aging and show relationships to lifetime adversity, particularly childhood adversity. Meta-analyses demonstrate reliable associations between psychopathology (primarily depression) and shorter telomere length, but the nature of this relationship has not been fully understood. Here, we review and evaluate the evidence for impaired telomere biology as a consequence of psychopathology or as a contributing factor, and the important mediating roles of chronic psychological stress and impaired allostasis. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-032816-045054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039047PMC
May 2018
6 Reads

Evolutionary Perspectives on Genetic and Environmental Risk Factors for Psychiatric Disorders.

Authors:
Matthew C Keller

Annu Rev Clin Psychol 2018 05 24;14:471-493. Epub 2018 Jan 24.

Department of Psychology and Neuroscience and the Institute for Behavioral Genetics, University of Colorado at Boulder, Boulder, Colorado 80309, USA; email:

Evolutionary medicine uses evolutionary theory to help elucidate why humans are vulnerable to disease and disorders. I discuss two different types of evolutionary explanations that have been used to help understand human psychiatric disorders. First, a consistent finding is that psychiatric disorders are moderately to highly heritable, and many, such as schizophrenia, are also highly disabling and appear to decrease Darwinian fitness. Read More

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http://dx.doi.org/10.1146/annurev-clinpsy-050817-084854DOI Listing
May 2018
8 Reads