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

Allostasis, Action, and Affect in Depression: Insights from the Theory of Constructed Emotion.

Annu Rev Clin Psychol 2022 05;18:553-580

Department of Psychology, Northeastern University, Boston, Massachusetts, USA; email:

The theory of constructed emotion is a systems neuroscience approach to understanding the nature of emotion. It is also a general theoretical framework to guide hypothesis generation for how actions and experiences are constructed as the brain continually anticipates metabolic needs and attempts to meet those needs before they arise (termed allostasis). In this review, we introduce this framework and hypothesize that allostatic dysregulation is a trans-disorder vulnerability for mental and physical illness. Read More

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Temperamental and Theoretical Contributions to Clinical Psychology.

Jerome Kagan

Annu Rev Clin Psychol 2022 05;18:1-18

Department of Psychology, Harvard University, Cambridge, Massachusetts, USA.

This review considers two themes. The first section describes the influence of two temperamental biases detectable in infants that render children vulnerable to maladaptive behavior if the rearing environment invites such responses. Infants who display high levels of limb activity and crying in response to unexpected events are likely to be shy and fearful as children and are at risk for an anxiety disorder. Read More

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Neuroplasticity, the Prefrontal Cortex, and Psychopathology-Related Deviations in Cognitive Control.

Annu Rev Clin Psychol 2022 05;18:443-469

Department of Psychology, University of Minnesota, Minneapolis, Minnesota, USA; email:

A basic survival need is the ability to respond to, and persevere in the midst of, experiential challenges. Mechanisms of neuroplasticity permit this responsivity via functional adaptations (flexibility), as well as more substantial structural modifications following chronic stress or injury. This review focuses on prefrontally based flexibility, expressed throughout large-scale neuronal networks through the actions of excitatory and inhibitory neurotransmitters and neuromodulators. Read More

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The Genetic, Environmental, and Cultural Forces Influencing Youth Antisocial Behavior Are Tightly Intertwined.

S Alexandra Burt

Annu Rev Clin Psychol 2022 05;18:155-178

Department of Psychology, Michigan State University, East Lansing, Michigan, USA; email:

The aggressive and rule-breaking behaviors that constitute youth antisocial behavior (ASB) are shaped by intertwined genetic, developmental, familial, spatial, temporal, cultural, interpersonal, and contextual influences operating across multiple levels of analysis. Genetic influences on ASB, for example, manifest in different ways during different developmental periods, and do so in part as a function of exposure to harsh parenting, delinquent peers, and disadvantaged neighborhoods. There is also clear evidence documenting societal effects, time-period effects, sex-assigned-at-birth effects, and cohort effects, all of which point to prominent (and possibly interconnected) cultural influences on ASB. Read More

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Dissociation and Dissociative Disorders Reconsidered: Beyond Sociocognitive and Trauma Models Toward a Transtheoretical Framework.

Annu Rev Clin Psychol 2022 05 28;18:259-289. Epub 2022 Feb 28.

Department of Psychology, Emory University, Atlanta, Georgia, USA.

For more than 30 years, the posttraumatic model (PTM) and the sociocognitive model (SCM) of dissociation have vied for attention and empirical support. We contend that neither perspective provides a satisfactory account and that dissociation and dissociative disorders (e.g. Read More

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Differences/Disorders of Sex Development: Medical Conditions at the Intersection of Sex and Gender.

Annu Rev Clin Psychol 2022 05 25;18:201-231. Epub 2022 Feb 25.

Susan B. Meister Child Health Evaluation and Research Center, University of Michigan Medical School, Ann Arbor, Michigan, USA; email:

Defined as congenital conditions in which development of chromosomal, gonadal, or anatomic sex is atypical, differences or disorders of sex development (DSDs) comprise many discrete diagnoses ranging from those associated with few phenotypic differences between affected and unaffected individuals to those where questions arise regarding gender of rearing, gonadal tumor risk, genital surgery, and fertility. Controversies exist in numerous areas including how DSDs are conceptualized, how to refer to the set of conditions and those affected by them, and aspects of clinical management that extend from social media to legislative bodies, courts of law, medicine, clinical practice, and scholarly research in psychology and sociology. In addition to these aspects, this review covers biological and social influences on psychosocial development and adjustment, the psychosocial and psychosexual adaptation of people born with DSDs, and roles for clinical psychologists in the clinical management of DSDs. Read More

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Training the Next Generation of Clinical Psychological Scientists: A Data-Driven Call to Action.

Annu Rev Clin Psychol 2022 05 25;18:43-70. Epub 2022 Feb 25.

Department of Psychology, Neuroscience and Cognitive Science Program, and Maryland Neuroimaging Center, University of Maryland, College Park, Maryland, USA.

The central goal of clinical psychology is to reduce the suffering caused by mental health conditions. Anxiety, mood, psychosis, substance use, personality, and other mental disorders impose an immense burden on global public health and the economy. Tackling this burden will require the development and dissemination of intervention strategies that are more effective, sustainable, and equitable. Read More

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Psychosocial Treatments for Bipolar Disorder in Children and Adolescents.

Annu Rev Clin Psychol 2022 05 25;18:291-327. Epub 2022 Feb 25.

Big Lots Behavioral Health Services and Division of Child and Family Psychiatry, Nationwide Children's Hospital, Columbus, Ohio, USA; email:

Evidence suggests that adjunctive psychosocial intervention for the treatment of pediatric bipolar spectrum disorders (BPSDs) is effective, feasible, and highly accepted as both an acute and maintenance treatment for youth with BPSD diagnoses as well as a preventive treatment for high-risk youth who are either asymptomatic or exhibit subsyndromal mood symptoms. Here, we provide a comprehensive review of all known evidence-based interventions, including detailed descriptions of treatment targets and core components, results of clinical trials, and updated research on mediators and moderators of treatment efficacy. Treatments are presented systematically according to level of empirical support (i. Read More

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The Biopsychosocial Puzzle of Painful Sex.

Annu Rev Clin Psychol 2022 05 25;18:471-495. Epub 2022 Feb 25.

Department of Psychology, McGill University, Montreal, Quebec, Canada.

Genital pain associated with sex is a prevalent and distressing problem with a complex research and clinical profile. This article reviews the historical context of the "sexual pain disorders" and the circuitous trajectory that has led from the first mention of painful sex in ancient documents to the latest diagnostic category of genito-pelvic pain penetration disorder in the fifth edition of the as well as in other existing and proposed nomenclatures. Prominent etiologic research and emergent theoretical models are critically assessed, as is the latest treatment outcome research of note. Read More

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Major Depression and Its Recurrences: Life Course Matters.

Annu Rev Clin Psychol 2022 05 25;18:329-357. Epub 2022 Feb 25.

Department of Psychology, Queen's University, Kingston, Ontario, Canada.

Major depression is one of the most prevalent and debilitating personal and public health conditions worldwide. Less appreciated is that depression's tremendous burdens are not shared equally among all who become depressed. Some will suffer recurrences over the rest of their lives, whereas half or more will never have a recurrence. Read More

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Behavioral Interventions to Reduce Cardiovascular Risk Among People with Severe Mental Disorder.

Annu Rev Clin Psychol 2022 05 17;18:99-124. Epub 2022 Feb 17.

School of Psychological Sciences, College of Engineering, Science and Environment, University of Newcastle, Callaghan, New South Wales, Australia.

Cardiovascular disease (CVD) is the leading cause of death among people with severe mental disorder (SMD). CVD risk factors occur at the individual, health system, and socio-environmental levels and contribute not only to high rates of CVD but also to worsening mental health. While acknowledging this wider context, this review focuses on behavioral interventions for seven CVD risk behaviors-smoking, physical inactivity, excessive alcohol consumption, low fruit and vegetable intake, inadequate sleep, poor social participation, and poor medication adherence-that are common among people with SMD. Read More

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Mechanisms of Behavior Change in Substance Use Disorder With and Without Formal Treatment.

Annu Rev Clin Psychol 2022 05 9;18:497-525. Epub 2022 Feb 9.

Department of Health Education & Behavior and Center for Behavioral Economic Health Research, University of Florida, Gainesville, Florida, USA.

This article provides a narrative review of studies that examined mechanisms of behavior change in substance use disorder. Several mechanisms have some support, including self-efficacy, craving, protective behavioral strategies, and increasing substance-free rewards, whereas others have minimal support (e.g. Read More

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A Current Learning Theory Approach to the Etiology and Course of Anxiety and Related Disorders.

Annu Rev Clin Psychol 2022 05 8;18:233-258. Epub 2022 Feb 8.

Department of Psychology, Northwestern University, Evanston, Illinois, USA; email:

The authors describe how contemporary learning theory and research provide the basis for models of the etiology and maintenance of anxiety and related disorders. They argue that contemporary learning theory accounts for much of the complexity associated with individual differences in the development and course of these disorders. These insights from modern research on learning overcome the limitations of earlier behavioral approaches, which were overly simplistic and have been justifiably criticized. Read More

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Psychopathy: Current Knowledge and Future Directions.

Annu Rev Clin Psychol 2022 05 4;18:387-415. Epub 2022 Feb 4.

Department of Psychology, Florida State University, Tallahassee, Florida, USA; email:

Research on psychopathy has progressed considerably in recent years against the backdrop of important advances in the broader field of clinical psychological science. My major aim in this review is to encourage integration of investigative work on dispositional, biobehavioral, and developmental aspects of psychopathy with counterpart work on general psychopathology. Using the triarchic model of psychopathy as a frame of reference, I offer perspective on long-standing debates pertaining to the conceptualization and assessment of psychopathy, discuss how dispositional facets of psychopathy relate to subdimensions of internalizing and externalizing psychopathology, and summarize findings from contemporary biobehavioral and developmental research on psychopathy. Read More

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Real-Time Functional MRI in the Treatment of Mental Health Disorders.

Annu Rev Clin Psychol 2022 05 21;18:125-154. Epub 2022 Jan 21.

RIKEN Center for Brain Science, Wakoshi, Saitama, Japan.

Multiple mental disorders have been associated with dysregulation of precise brain processes. However, few therapeutic approaches can correct such specific patterns of brain activity. Since the late 1960s and early 1970s, many researchers have hoped that this feat could be achieved by closed-loop brain imaging approaches, such as neurofeedback, that aim to modulate brain activity directly. Read More

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The Invisibility of Power: A Cultural Ecology of Development in the Contemporary United States.

Annu Rev Clin Psychol 2022 05 21;18:179-199. Epub 2022 Jan 21.

Department of Comparative Human Development, University of Chicago, Chicago, Illinois, USA; email:

This article highlights the invisible power those in racial and gendered privilege continue to hold in the contemporary United States and the harmful psychological effects of this power on both those it oppresses and, importantly, those who wield it. A lack of empathy and an inability for compassion arise in individuals holding sociopolitical and cultural power, and we highlight how this psychological condition is qualifiable as psychosis and question why it has not been discussed as such in the literature until now. We also, however, bring attention to the invisible psychological power that marginalized populations in the United States hold, invisible because it has been left largely unrecognized by mainstream cultural forces. Read More

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Cognitive Aging and the Promise of Physical Activity.

Annu Rev Clin Psychol 2022 05 19;18:417-442. Epub 2022 Jan 19.

Department of Psychology and Center for the Neural Basis of Cognition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; email:

Is the field of cognitive aging irretrievably concerned with decline and deficits, or is it shifting to emphasize the hope of preservation and enhancement of cognitive function in late life? A fragment of an answer comes from research attempting to understand the reasons for individual variability in the extent and rate of cognitive decline. This body of work has created a sense of optimism based on evidence that there are some health behaviors that amplify cognitive performance or mitigate the rate of age-related cognitive decline. In this context, we discuss the role of physical activity on neurocognitive function in late adulthood and summarize how it can be conceptualized as a constructive approach both for the maintenance of cognitive function and as a therapeutic for enhancing or optimizing cognitive function in late life. Read More

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What Do We Know About the Genetic Architecture of Psychopathology?

Annu Rev Clin Psychol 2022 05 4;18:19-42. Epub 2022 Jan 4.

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

In the second half of the twentieth century, twin and family studies established beyond a reasonable doubt that all forms of psychopathology are substantially heritable and highly polygenic. These conclusions were simultaneously an important theoretical advance and a difficult methodological obstacle, as it became clear that heritability is universal and undifferentiated across forms of psychopathology, and the radical polygenicity of genetic effects limits the biological insight provided by genetically informed studies at the phenotypic level. The paradigm-shifting revolution brought on by the Human Genome Project has recapitulated the great methodological promise and the profound theoretical difficulties of the twin study era. Read More

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Measurement-Based and Data-Informed Psychological Therapy.

Annu Rev Clin Psychol 2022 05 15;18:71-98. Epub 2021 Dec 15.

Clinical and Applied Psychology Unit, Department of Psychology, University of Sheffield, Sheffield, United Kingdom.

Outcome measurement in the field of psychotherapy has developed considerably in the last decade. This review discusses key issues related to outcome measurement, modeling, and implementation of data-informed and measurement-based psychological therapy. First, an overview is provided, covering the rationale of outcome measurement by acknowledging some of the limitations of clinical judgment. Read More

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Police Violence and Public Health.

Annu Rev Clin Psychol 2022 05 10;18:527-552. Epub 2021 Dec 10.

School of Public Policy and Department of Sociology, University of California, Riverside, California, USA.

Despite their enormous potential impact on population health and health inequities, police violence and use of excessive force have only recently been addressed from a public health perspective. Moving to change this state of affairs, this article considers police violence in the USA within a social determinants and health disparities framework, highlighting recent literature linking this exposure to mental health symptoms, physical health conditions, and premature mortality. The review demonstrates that police violence is common in the USA; is disproportionately directed toward Black, Latinx, and other marginalized communities; and exerts a significant and adverse effect on a broad range of health outcomes. Read More

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The Psychology of Pandemics.

Steven Taylor

Annu Rev Clin Psychol 2022 05 15;18:581-609. Epub 2021 Nov 15.

Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada; email:

This article reviews the current state of knowledge and promising new directions concerning the psychology of pandemics. Pandemics are disease outbreaks that spread globally. Historically, psychological factors have been neglected by researchers and health authorities despite evidence that pandemics are, to a large extent, psychological phenomena whereby beliefs and behaviors influence the spreading versus containment of infection. Read More

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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

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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

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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

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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

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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

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Pathology in Relationships.

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

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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

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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

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