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


Designing Evidence-Based Preventive Interventions That Reach More People, Faster, and with More Impact in Global Contexts.

Annu Rev Clin Psychol 2021 05;17:551-575

Department of Psychiatry, University of California, Los Angeles, California 90024, USA; email:

This article demonstrates the substantial similarities globally among preventive, evidence-based interventions (EBIs) designed to address HIV by providing four examples: an HIV family-focused intervention, the Community Popular Opinion Leader intervention, a South African maternal/child health program, and an EBI for sex workers in India. Each identified the key problems in the target population, utilized well-established social cognitive theories, created processes for engaging the target population, set standards for staff accountability, and included routine data collection to facilitate iterative program improvements over time. Building EBIs based on these common, robust features is an alternative design strategy to replication with fidelity. Read More

View Article and Full-Text PDF

Mental Health and Wealth: Depression, Gender, Poverty, and Parenting.

Annu Rev Clin Psychol 2021 05;17:181-205

Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06511, USA; email:

Depression is a common and debilitating condition that adversely affects functioning and the capacity to work and establish economic stability. Women are disproportionately burdened by depression, and low-income pregnant and parenting women have particularly high rates of depression and often lack access to treatment. As depression can be treated, it is a modifiable risk factor for poor economic outcomes for women, and thus for children and families. Read More

View Article and Full-Text PDF

Cognitive Behavioral Therapy for the Eating Disorders.

Annu Rev Clin Psychol 2021 05;17:417-438

Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California 94305, USA; email:

Research findings strongly suggest that cognitive behavioral therapy for the eating disorders (CBT-ED) is more effective than other treatments for bulimia nervosa (BN) and for binge eating disorder (BED), although interpersonal psychotherapy appears to be equally effective for BED. Evidence for the effectiveness of CBT-ED for the persistent (adult) form of anorexia nervosa (AN) is insufficient at present and is essentially absent for AN in adolescents except for some evidence from uncontrolled trials. This article begins with an overview of the early studies in the development of CBT-ED that showed a similar effectiveness of other symptom-focused psychotherapies-a finding that was neglected at the time. Read More

View Article and Full-Text PDF

Smoking Treatment: A Report Card on Progress and Challenges.

Annu Rev Clin Psychol 2021 05;17:1-30

Department of Medicine, University of Wisconsin-Madison, Madison, Wisconsin 53711, USA; email:

The impact of tobacco smoking treatment is determined by its reach into the smoking population and the effectiveness of its interventions. This review evaluates the reach and effectiveness of pharmacotherapy and psychosocial interventions for smoking. Historically, the reach of smoking treatment has been low, and therefore its impact has been limited, but new reach strategies such as digital interventions and health care system changes offer great promise. Read More

View Article and Full-Text PDF

Violence, Place, and Strengthened Space: A Review of Immigration Stress, Violence Exposure, and Intervention for Immigrant Latinx Youth and Families.

Annu Rev Clin Psychol 2021 05;17:127-151

Department of Psychology, Loyola University Chicago, Chicago, Illinois 60660, USA; email:

Latinx immigrant families are greatly impacted by US policies and practices that limit immigrant families' and children's rights. This article reviews the effects of such policies and the growing literature examining migration experiences. Latinx immigrant youth and parents may encounter multiple stressors across the stages of migration, including physical and structural violence, fear, poverty, and discrimination, which contribute to higher rates of mental health problems in this population. Read More

View Article and Full-Text PDF

Pathology in Relationships.

Authors:
Susan C South

Annu Rev Clin Psychol 2021 05 24;17:577-601. Epub 2021 Feb 24.

Department of Psychological Sciences, Purdue University, West Lafayette, Indiana 47907, USA; email:

Committed, long-term romantic relationships are ubiquitous among modern society. They are one of the most important contexts for the development, maintenance, and treatment of psychopathology. In this review, I first place psychopathology within the most commonly cited theoretical model of marital satisfaction and stability and then discuss how relationship satisfaction is conceptualized and assessed in this literature. Read More

View Article and Full-Text PDF

Virtual Reality Therapy in Mental Health.

Annu Rev Clin Psychol 2021 05 19;17:495-519. Epub 2021 Feb 19.

Department of Clinical Psychology, Utrecht University, 3584 CS Utrecht, The Netherlands.

Initially designed for the treatment of phobias, the use of virtual reality in phobic disorders has expanded to other mental health disorders such as posttraumatic stress disorder, substance-related disorders, eating disorders, psychosis, and autism spectrum disorder. The goal of this review is to provide an accessible understanding of why this approach is important for future practice, given its potential to provide clinically relevant information associated with the assessment and treatment of people suffering from mental illness. Most of the evidence is available for the use of virtual reality exposure therapy in anxiety disorders and posttraumatic stress disorder. Read More

View Article and Full-Text PDF

The Hierarchical Taxonomy of Psychopathology (HiTOP): A Quantitative Nosology Based on Consensus of Evidence.

Annu Rev Clin Psychol 2021 05 12;17:83-108. Epub 2021 Feb 12.

Department of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA.

Traditional diagnostic systems went beyond empirical evidence on the structure of mental health. Consequently, these diagnoses do not depict psychopathology accurately, and their validity in research and utility in clinicalpractice are therefore limited. The Hierarchical Taxonomy of Psychopathology (HiTOP) consortium proposed a model based on structural evidence. Read More

View Article and Full-Text PDF

Clinical and Translational Implications of an Emerging Developmental Substructure for Autism.

Annu Rev Clin Psychol 2021 05 12;17:365-389. Epub 2021 Feb 12.

Centre for Brain & Cognitive Development, Birkbeck, University of London, London WC1E 7HX, United Kingdom.

A vast share of the population-attributable risk for autism relates to inherited polygenic risk. A growing number of studies in the past five years have indicated that inherited susceptibility may operate through a finite number of early developmental liabilities that, in various permutations and combinations, jointly predict familial recurrence of the convergent syndrome of social communication disability that defines the condition. Here, we synthesize this body of research to derive evidence for a novel developmental substructure for autism, which has profound implications for ongoing discovery efforts to elucidate its neurobiological causes, and to inform future clinical and biomarker studies, early interventions, and personalized approaches to therapy. Read More

View Article and Full-Text PDF

Intimate Relationships and Depression: Searching for Causation in the Sea of Association.

Annu Rev Clin Psychol 2021 05 10;17:233-258. Epub 2021 Feb 10.

Center for Family Research and Department of Psychology, University of Georgia, Athens, Georgia 30602-3013, USA.

This article provides a critical review of existing research on intimate (marriage or marriage-like) relationship distress and risk for depression. Using the meta-framework of research triangulation, we seek to synthesize research evidence across several different methodologies and study designs and to draw the most reliable conclusion regarding a potential causal association between relationship distress and depression. Focusing on existing correlational (i. Read More

View Article and Full-Text PDF

Developing and Validating Clinical Questionnaires.

Annu Rev Clin Psychol 2021 05 9;17:55-81. Epub 2021 Feb 9.

Center for Anxiety and Related Disorders, Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts 02215, USA; email:

Coinciding with the development and revision of conceptual models of psychopathology, there has been a proliferation in the number of self-report clinical questionnaires and studies evaluating their psychometric properties. Unfortunately, many clinical measures are constructed and evaluated using suboptimal methods. This review provides current guidelines for the conceptualization, development, and psychometric validation of clinical questionnaires using latent variable methods. Read More

View Article and Full-Text PDF

Ketamine and the Future of Rapid-Acting Antidepressants.

Annu Rev Clin Psychol 2021 05 9;17:207-231. Epub 2021 Feb 9.

Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA; email:

The therapeutic onset of traditional antidepressants is delayed by several weeks and many depressed patients fail to respond to treatment altogether. In contrast, subanesthetic ketamine can rapidly alleviate symptoms of depression within hours of a single administration, even in patients who are considered treatment-resistant. Ketamine is thought to exert these effects by restoring the integrity of neural circuits that are compromised in depression. Read More

View Article and Full-Text PDF

Developmental Perspectives on the Study of Persons with Intellectual Disability.

Annu Rev Clin Psychol 2021 05 9;17:339-363. Epub 2021 Feb 9.

Department of Psychology, Simon Fraser University, Burnaby, British Columbia V5A 1S6, Canada; email:

Developmental approaches provide inclusive, universal, and methodologically rigorous frameworks for studying persons with intellectual disability (ID). This is an exceptionally heterogeneous group with regard to etiology, genotype, and phenotype that simply shares the traditional diagnostic criteria, typically a score of two standard deviations below the population mean of 100 on standardized IQ tests and deficits in adaptive behavior. We trace the foundational, conceptual, and methodological roots of developmental approaches and highlight ways that these and more recent iterations continue to be central to advances in the increasingly nuanced study of persons with ID. Read More

View Article and Full-Text PDF

Early Environmental Upheaval and the Risk for Schizophrenia.

Annu Rev Clin Psychol 2021 05 5;17:285-311. Epub 2021 Feb 5.

Department of Psychiatry, McGill University, Montréal, Québec H3A 1A1, Canada; email:

Why does prenatal exposure to wars, natural disasters, urbanicity, or winter increase the risk for schizophrenia? Research from the last two decades has provided rich insight about the underlying chains of causation at play during environmental upheaval, from conception to early infancy. In this review, we appraise the evidence linking schizophrenia spectrum disorder to prenatal maternal stress, obstetric complications, early infections, and maternal nutrition and other lifestyle factors. We discuss putative mechanisms, including the maternal stress system, perinatal hypoxia, and maternal-offspring immune activation. Read More

View Article and Full-Text PDF

Resilience in Development and Psychopathology: Multisystem Perspectives.

Annu Rev Clin Psychol 2021 05 3;17:521-549. Epub 2021 Feb 3.

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

Resilience science in psychology and related fields emerged from clinical research on risk for psychopathology in the 1970s and matured over the ensuing decades with advances in theory, methods, and knowledge. Definitions and models of resilience shifted to reflect the expanding influence of developmental systems theory and the growing need to integrate knowledge about resilience across levels and disciplines to address multisystem threats. Resilience is defined for scalability and integrative purposes as the capacity of a dynamic system to adapt successfully through multisystem processes to challenges that threaten system function, survival, or development. Read More

View Article and Full-Text PDF

History and Status of Prolonged Grief Disorder as a Psychiatric Diagnosis.

Annu Rev Clin Psychol 2021 05 1;17:109-126. Epub 2021 Feb 1.

Cornell Center for Research on End-of-Life Care, Weill Cornell Medicine, New York, NY 10021, USA; email:

Prolonged grief disorder (PGD) is a diagnostic entity now included in the (ICD-11) and soon to appear in the , fifth edition, text revision (DSM-5-TR). A characteristic feature of PGD is distressing, disabling yearning that persists a year or more after the loss. Other characteristic symptoms include disbelief and lack of acceptance of the loss, emotional detachment from others since the loss, loneliness, identity disturbance, and sense of meaninglessness. Read More

View Article and Full-Text PDF

Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms.

Authors:
Jennie G Noll

Annu Rev Clin Psychol 2021 05 20;17:439-464. Epub 2021 Jan 20.

Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania 16803, USA; email:

Meta-analytic, population cohort, prospective, and clinical studies provide systematic evidence that child sexual abuse accounts for unique variation in several deleterious outcomes. There is strong evidence for psychiatric disorders, including posttraumatic stress disorder and mood, anxiety, and substance use disorders, and mixed evidence for personality disorders. Evaluation of sex-specific outcomes shows strong evidence for teenage childbearing, sexual revictimization, and sexual dysfunction and mixed evidence for heightened sexual behaviors and sexual offending. Read More

View Article and Full-Text PDF

Clinical Neuroscience of Addiction: What Clinical Psychologists Need to Know and Why.

Annu Rev Clin Psychol 2021 05 20;17:465-493. Epub 2021 Jan 20.

Department of Psychology, University of California, Los Angeles, California 90095, USA; email:

The last three decades in psychological research have been marked by interdisciplinary science. Addiction represents a prime example of a disorder marked by a complex interaction among psychosocial and biological factors. This review highlights critical findings in the basic neuroscience of addiction and translates them into clinical language that can inform clinical psychologists in their research, teaching, and practice. Read More

View Article and Full-Text PDF

Social Behavior as a Transdiagnostic Marker of Resilience.

Authors:
Ruth Feldman

Annu Rev Clin Psychol 2021 05 12;17:153-180. Epub 2021 Jan 12.

Center for Developmental Social Neuroscience, Interdisciplinary Center Herzliya, Herzliya 4601010, Israel; email:

The recent shift from psychopathology to resilience and from diagnosis to functioning requires the construction of transdiagnostic markers of adaptation. This review describes a model of resilience that is based on the neurobiology of affiliation and the initial condition of mammals that mature in the context of the mother's body and social behavior. The model proposes three tenets of resilience-plasticity, sociality, and meaning-and argues that coordinated social behavior stands at the core sustaining resilience. Read More

View Article and Full-Text PDF

DSM-5 Level of Personality Functioning: Refocusing Personality Disorder on What It Means to Be Human.

Annu Rev Clin Psychol 2021 05 11;17:313-337. Epub 2020 Dec 11.

Department of Psychology, University of Houston, Houston, Texas 77204, USA; email:

Level of Personality Functioning (LPF) represents the entry criterion (Criterion A) of the Alternative Model for Personality Disorders (AMPD) in the fifth edition of the (DSM-5). It is defined as a dimensional general severity criterion common to all personality disorders and conceptually independent of personality types or traits, and it represents maladaptive self (identity and self-direction) and interpersonal (empathy and intimacy) functioning. We review the history, measurement, and significance of LPF. Read More

View Article and Full-Text PDF

Conduct Disorders and Empathy Development.

Annu Rev Clin Psychol 2021 05 8;17:391-416. Epub 2020 Dec 8.

Department of Psychology, Louisiana State University, Baton Rouge, Louisiana 70803, USA; email:

Childhood conduct disorders, a serious mental health concern, put children at risk for significant mental health problems throughout development. Elevations on callous-unemotional (CU) traits designate a subgroup of youth with conduct disorders who have unique causal processes underlying their problem behavior and are at a particularly high risk for serious impairment relative to others with these disorders. As a result, these traits have recently been integrated into major diagnostic classification systems for conduct disorders. Read More

View Article and Full-Text PDF

Network Analysis of Psychopathology: Controversies and Challenges.

Annu Rev Clin Psychol 2021 05 23;17:31-53. Epub 2020 Nov 23.

Department of Psychology, Harvard University, Cambridge, Massachusetts 02138, USA; email:

Empirical publications inspired by the network approach to psychopathology have increased exponentially in the twenty-first century. The central idea that an episode of mental disorder arises from causal interactions among its symptomatic elements has especially resonated with those clinical scientists whose disenchantment with traditional categorical and dimensional approaches to mental illness has become all too apparent. As the field has matured, conceptual and statistical concerns about the limitations of network approaches to psychopathology have emerged, inspiring the development of novel methods to address these concerns. Read More

View Article and Full-Text PDF

Risk and Resilience in Minority Youth Populations.

Annu Rev Clin Psychol 2020 05;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

View Article and Full-Text PDF

Accounting for Confounding in Observational Studies.

Annu Rev Clin Psychol 2020 05;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

View Article and Full-Text PDF

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

Annu Rev Clin Psychol 2020 05;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

View Article and Full-Text PDF

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

Authors:
George M Slavich

Annu Rev Clin Psychol 2020 05 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

View Article and Full-Text PDF

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

Annu Rev Clin Psychol 2020 05 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

View Article and Full-Text PDF

Stress and Psychiatric Disorders: The Role of Mitochondria.

Annu Rev Clin Psychol 2020 05 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

View Article and Full-Text PDF

Epigenetics, Development, and Psychopathology.

Annu Rev Clin Psychol 2020 05 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

View Article and Full-Text PDF