The Associations Between Early Maladaptive Schemas and Adult Attachment Styles: A Meta-AnalysisKarantzas, Gery C.; Younan, Rita; Pilkington, Pamela D.
doi: 10.1037/cps0000108pmid: N/A
This article reports on the first meta-analysis into the relationships between attachment styles and early maladaptive schemas (EMS). Fifteen studies were included. All associations were estimated using a random-effects model. Overall, insecure attachment styles were significantly positively associated with EMS (anxious attachment r = .36, avoidant attachment r = .22, fearful attachment r = .28) and significantly negatively associated with secure attachment (r = −.13). Subgroup analyses revealed differences in the magnitude of the associations between attachment styles and specific EMS. Anxious attachment demonstrated larger associations with EMS (compared to avoidant attachment) within the schema domains of disconnection/rejection (r = .49 vs. r = .31) and other-directedness (r = .32 vs. r = .12). The findings have important implications for the advancement of theory, research, and clinical practice in the fields of adult attachment and schema therapy.
Self-Compassion, Minority Stress, and Mental Health in Sexual and Gender Minority Populations: A Meta-Analysis and Systematic ReviewHelminen, Emily C.; Ducar, Dallas M.; Scheer, Jillian R.; Parke, Kari L.; Morton, Melissa L.; Felver, Joshua C.
doi: 10.1037/cps0000104pmid: 37197599
Sexual and gender minority (SGM) populations report numerous mental health disparities relative to heterosexual and cisgender populations, due in part to the effects of minority stress. This article evaluated self-compassion as a coping resource among SGM populations by (a) meta-analyzing the associations between self-compassion, minority stress, and mental health; and (b) synthesizing evidence for the mediating effects of self-compassion between minority stress and mental health. Systematic searches of databases identified 21 papers for the systematic review and 19 for the meta-analysis. Significant meta-analytic associations were found between self-compassion and minority stress (n = 4,296, r = −.29), psychological distress (n = 3,931, r = −.59), and well-being (n = 2,493, r = .50). The research synthesis identified supporting evidence for self-compassion as a coping resource for SGM people. The results of this review warrant further self-compassion research, particularly longitudinal research, for SGM populations.
Personalizing Youth Psychotherapy: A Scoping Review of Decision-Making in Modular TreatmentsVenturo-Conerly, Katherine E.; Reynolds, Rachel; Clark, Malia; Fitzpatrick, Olivia M.; Weisz, John R.
doi: 10.1037/cps0000130pmid: N/A
Modular youth psychotherapies are increasingly popular, in part because their flexibility facilitates personalizing, but the clinician decision-making required can be complex. We investigated decision guidance in 20 modular youth psychotherapies, described in 67 articles identified via a systematic search. Decision guidance was limited. Clinical judgment was recommended in all therapies; 95% recommended using baseline assessment, 65% measurement-based care, and 25% prior research. Most commonly, guidance involved module descriptions (90%); some therapies provided decision flow diagrams (35%); one provided an online decision tool. Only 40% proposed seeking client input. Despite evidence that statistical models outperform clinical judgment, no modular psychotherapy used statistical models. Maximizing therapy effectiveness may require building decision supports that incorporate client perspectives and balance clinical judgment with statistical methods.
Are Hoarding Disorder and Buying-Shopping Disorder Behavioural Addictions? A Conceptual ReviewPickering, Dylan; Norberg, Melissa M.
doi: 10.1037/cps0000120pmid: N/A
There is considerable conceptual debate about how hoarding disorder (HD) and buying-shopping disorder (BSD) can be best classified. In this article, we reason that these disorders may represent behavioral addictions by mapping evidence to the Components Model of Addiction and the Interaction of Person-Affect-Cognition-Execution (I-PACE) model for addictive behaviors. Our review identifies phenomenological, psychological, and neurobiological evidence to support both disorders as behavioral addictions. However, limitations of the extant literature prevent strong conclusions from being made about the conceptual status of HD and BSD as behavioral addictions. By applying addiction theory to HD and BSD, we generate testable predictions for future research and open potential new avenues for psychological treatment advances.