2024
Linking mentalizing capacity, shame, and depressive symptoms in the context of childhood maltreatment
Schwarzer N, Nolte T, Fonagy P, Feigenbaum J, King-Casas B, Rüfenacht E, Gingelmaier S, Leibowitz J, Pilling S, Montague P, Network L. Linking mentalizing capacity, shame, and depressive symptoms in the context of childhood maltreatment. Children And Youth Services Review 2024, 163: 107787. DOI: 10.1016/j.childyouth.2024.107787.Peer-Reviewed Original ResearchExperiences of childhood maltreatmentFeelings of shameChildhood maltreatmentDepressive symptomsMental capacityContext of childhood maltreatmentNon-clinical participantsPredictors of depressive symptomsDomains of depressionCurrent depressive symptomsHistory of maltreatmentReducing depressive symptomsReduce feelings of shameSample of adultsMental health problemsPsychological treatmentStructural equation modelingMetacognitive processesCross-sectional designMaltreatmentMentalReduce feelingsShameImpairmentResults AssociationsTraining and supervision of physical health professionals to implement mental health care in paediatric epilepsy clinics
Coughtrey A, Bennett S, Stanick C, Chorpita B, Dalrymple E, Fonagy P, Cross J, Ford T, Heyman I, Moss-Morris R, Team M, Shafran R. Training and supervision of physical health professionals to implement mental health care in paediatric epilepsy clinics. Epilepsy & Behavior 2024, 157: 109905. PMID: 38909460, DOI: 10.1016/j.yebeh.2024.109905.Peer-Reviewed Original ResearchPaediatric epilepsy servicesHealth professionalsMental health problemsSupervision sessionsPsychological interventionsHealth settingsClinical competenceChronic physical health conditionsDelivery of psychological interventionsEpilepsy servicesPhysical health settingsAcceptability of trainingHealth problemsTherapist competenceFace-to-face training workshopsMental health carePhysical health professionalsMental health settingsMental health interventionsMultiple mental health problemsPhysical health conditionsMental health backgroundPaediatric epilepsy clinicsRates of attendanceMeasures of therapist competenceMentalizing as a Predictor of Well-Being and Emotion Regulation: Longitudinal Evidence from a Community Sample of Young Adults.
Schwarzer N, Heim N, Gingelmaier S, Fonagy P, Nolte T. Mentalizing as a Predictor of Well-Being and Emotion Regulation: Longitudinal Evidence from a Community Sample of Young Adults. Psychological Reports 2024, 332941241261902. PMID: 38876977, DOI: 10.1177/00332941241261902.Peer-Reviewed Original ResearchNon-clinical sampleEmotion regulation strategiesPsychological symptom severityRegulation strategiesSymptom severityEmotional statesCommunity sample of young adultsAssociated with impaired psychological well-beingNon-clinical adult sampleWell-beingLongitudinal evidenceSample of young adultsAdaptive emotion regulationEffects of mentalizingYoung adultsProspective longitudinal designImpaired psychological well-beingIntense emotional statesPsychological well-beingIntentional mental statesMental health indicatorsCognitive reappraisalEmotion regulationCommunity sampleAdult samplesA machine-learning approach for differentiating borderline personality disorder from community participants with brain-wide functional connectivity
Lahnakoski J, Nolte T, Solway A, Vilares I, Hula A, Feigenbaum J, Lohrenz T, King-Casas B, Fonagy P, Montague P, Schilbach L. A machine-learning approach for differentiating borderline personality disorder from community participants with brain-wide functional connectivity. Journal Of Affective Disorders 2024, 360: 345-353. PMID: 38806064, DOI: 10.1016/j.jad.2024.05.125.Peer-Reviewed Original ResearchBorderline personality disorderPrediction of borderline personality disorderFunctional connectivityPersonality disorderBorderline personality disorder patientsBorderline personality disorder statusBrain-wide functional connectivityBiomarkers of psychiatric disordersFunctional connectivity markersFunctional connectivity patternsSelf-reported resultsClinical interviewPsychiatric disordersSomatomotor regionsChance levelSeed ROIConnectivity markersComparison correctionSeed regionConnectivity patternsDiscrimination performanceConnectivity valuesDisordersBorderlineGeneralizabilityCorrigendum: Epistemic trust and personality functioning mediate the association between adverse childhood experiences and posttraumatic stress disorder and complex posttraumatic stress disorder in adulthood
Kampling H, Kruse J, Lampe A, Nolte T, Hettich N, Brähler E, Sachser C, Fegert J, Gingelmaier S, Fonagy P, Krakau L, Zara S, Riedl D. Corrigendum: Epistemic trust and personality functioning mediate the association between adverse childhood experiences and posttraumatic stress disorder and complex posttraumatic stress disorder in adulthood. Frontiers In Psychiatry 2024, 15: 1427500. PMID: 38835551, PMCID: PMC11148657, DOI: 10.3389/fpsyt.2024.1427500.Peer-Reviewed Original ResearchA cross‐sectional investigation into the role of intersectionality as a moderator of the relation between youth adversity and adolescent depression/anxiety symptoms in the community
Havers L, Bhui K, Shuai R, Fonagy P, Fazel M, Morgan C, Fancourt D, McCrone P, Smuk M, Hosang G, Shakoor S. A cross‐sectional investigation into the role of intersectionality as a moderator of the relation between youth adversity and adolescent depression/anxiety symptoms in the community. Journal Of Adolescence 2024 PMID: 38769710, DOI: 10.1002/jad.12347.Peer-Reviewed Original ResearchDepression/anxiety symptomsMultiple group structural equation modelingGroup structural equation modelingLevels of depressionEmotional problems subscaleStrengths and Difficulties QuestionnaireIndication of moderationMental health problemsAssociated with higher levelsIntersectional effectsProblems subscaleStructural equation modelingCross-sectional designDifficulties QuestionnaireDepression/anxietyCross-sectional investigationAdversityModerating effectEquation modelingHigher SESPreliminary findingsStructural privilegeDisadvantaged individualsHealth problemsSymptomsClinical effectiveness and cost-effectiveness of a brief accessible cognitive behavioural therapy programme for stress in school-aged adolescents (BESST): a cluster randomised controlled trial in the UK
Brown J, James K, Lisk S, Shearer J, Byford S, Stallard P, Deighton J, Saunders D, Yarrum J, Fonagy P, Weaver T, Sclare I, Day C, Evans C, Carter B. Clinical effectiveness and cost-effectiveness of a brief accessible cognitive behavioural therapy programme for stress in school-aged adolescents (BESST): a cluster randomised controlled trial in the UK. The Lancet Psychiatry 2024, 11: 504-515. PMID: 38759665, DOI: 10.1016/s2215-0366(24)00101-9.Peer-Reviewed Original ResearchTreatment-as-usualCognitive behavioral therapyTreatment-as-usual groupCluster randomised controlled trialCognitive behavioral therapy workshopRandomised controlled trialsCognitive behavioural therapy programmeSymptoms of depressionBehavioural therapy programmePrimary intention-to-treat analysisSchools TrialIndex of Multiple DeprivationBehavioral therapyDepressive symptomsHealth Technology Assessment programmeSchool-aged adolescentsControlled trialsSelf-referral systemIntention-to-treat populationDiscover interventionsFull school yearMental healthDepressionTherapy programmeIntention-to-treat analysisBrief Educational Workshops in Secondary Schools Trial (BESST trial), a school-based cluster randomised controlled trial of the DISCOVER workshop for 16–18-year-olds: recruitment and baseline characteristics
James K, Lisk S, Payne-Cook C, Farishta Z, Farrelly M, Sheikh A, Slusarczyk M, Byford S, Day C, Deighton J, Evans C, Fonagy P, Saunders D, Sclare I, Shearer J, Stallard P, Weaver T, Yarrum J, Carter B, Brown J. Brief Educational Workshops in Secondary Schools Trial (BESST trial), a school-based cluster randomised controlled trial of the DISCOVER workshop for 16–18-year-olds: recruitment and baseline characteristics. Trials 2024, 25: 302. PMID: 38702825, PMCID: PMC11069277, DOI: 10.1186/s13063-024-08116-7.Peer-Reviewed Original ResearchConceptsSchool-based cluster randomised controlled trialWarwick-Edinburgh Mental Wellbeing ScaleCluster randomised controlled trialRandomised controlled trialsSchools TrialEducational workshopsMental Wellbeing ScaleControlled trialsOutcome data collectionSymptoms of depressionEthnic minority groupsSecondary schoolsReduce stigmaBaseline characteristicsPost-randomisationWellbeing ScaleSelf-referralSelf-referredLower wellbeingStudentsDistressed studentsEthnically diverse sampleSchoolWorkshop programmeGeneral wellbeingThe complexity of treatment-resistant depression: A data-driven approach
Rost F, Booker T, Gonsard A, de Felice G, Asseburg L, Malda-Castillo J, Koutoufa I, Ridsdale H, Johnson R, Taylor D, Fonagy P. The complexity of treatment-resistant depression: A data-driven approach. Journal Of Affective Disorders 2024, 358: 292-301. PMID: 38697222, DOI: 10.1016/j.jad.2024.04.093.Peer-Reviewed Original ResearchTreatment-resistant depressionPersonality disorderSuicide attemptsChronic course of depressionCourse of depressionCo-occurring problemsDuration of illnessPhysical health problemsAdverse childhood experiencesPhysical health conditionsDepressive illnessPsychiatric diagnosisSuicidal ideationOccupational functioningPersistent depressionSeverely impaired quality of lifeQuality of lifeChildhood experiencesPragmatic randomized controlled trialDepressionChronic courseSuicideRecall biasClinical descriptionImpaired quality of lifeAttachment and borderline personality disorder as the dance unfolds: A quantitative analysis of a novel paradigm
Mancinelli F, Nolte T, Griem J, Consortium L, Lohrenz T, Feigenbaum J, King-Casas B, Montague P, Fonagy P, Mathys C. Attachment and borderline personality disorder as the dance unfolds: A quantitative analysis of a novel paradigm. Journal Of Psychiatric Research 2024, 175: 470-478. PMID: 38823203, DOI: 10.1016/j.jpsychires.2024.03.046.Peer-Reviewed Original ResearchBorderline personality disorderAttachment anxietyPersonality disorderNegative appraisalsMeasures of attachment anxietyBorderline personality disorder symptomsVirtual partnerSecond-person neuroscienceCore symptomsCognitive facetsPartner distressPositive moodInterpersonal experiencesAnxietyAction latencyPositive/negative moodMovement initiationHigher scoresMoodDisordersPotential findingsPatient functionDistressNovel paradigmsParadigmYouth adversity and trajectories of depression/anxiety symptoms in adolescence in the context of intersectionality in the United Kingdom.
Havers L, Shuai R, Fonagy P, Fazel M, Morgan C, Fancourt D, McCrone P, Smuk M, Bhui K, Shakoor S, Hosang G. Youth adversity and trajectories of depression/anxiety symptoms in adolescence in the context of intersectionality in the United Kingdom. Psychological Medicine 2024, 1-11. PMID: 38623689, DOI: 10.1017/s0033291724000795.Peer-Reviewed Original ResearchDepression/anxiety symptomsAnxiety symptomsDevelopment of depressionPersistence of depressionSymptoms of depressionModerating effectContext of intersectionalityIndividual characteristicsLatent trajectoriesAdvantaged groupsSocietal groupsAnxietyDepressionMagnitude of effectAdversityAssociated with persistenceSymptomsModeratelyAdolescentsUnited KingdomIntersecting profilesYouthSESPersistent symptomsIntersectionThe mediating role of reflective functioning and general psychopathology in the relationship between childhood conduct disorder and adult aggression among offenders.
Yirmiya K, Constantinou M, Simes E, Bateman A, Wason J, Yakeley J, McMurran M, Crawford M, Frater A, Moran P, Barrett B, Cameron A, Hoare Z, Allison E, Pilling S, Butler S, Fonagy P. The mediating role of reflective functioning and general psychopathology in the relationship between childhood conduct disorder and adult aggression among offenders. Psychological Medicine 2024, 1-12. PMID: 38563288, DOI: 10.1017/s003329172400062x.Peer-Reviewed Original ResearchConduct disorderPsychopathological factorsMentalization-based treatmentStructure of psychopathologyChildhood conduct disorderAdult male offendersOne-factor modelConfirmatory factor analysisPsychopathological dimensionsTransdiagnostic approachDiverse psychopathologiesBifactor modelAntisocial behaviorCD symptomsClinical interviewPsychopathological structurePsychopathologyMale offendersAdult aggressionMediation modelDevelopmental trajectoriesIncreased aggressionMental statesReflective functioningAggressionEvaluating the 20-day Dynamic Interpersonal Therapy (DIT) training programme: a mixed methods investigation to identify characteristics associated with successful outcomes of DIT
Khalastchy J, Abrahams D, Saunders R, Fonagy P. Evaluating the 20-day Dynamic Interpersonal Therapy (DIT) training programme: a mixed methods investigation to identify characteristics associated with successful outcomes of DIT. Psychoanalytic Psychotherapy 2024, 38: 95-120. DOI: 10.1080/02668734.2024.2340447.Peer-Reviewed Original ResearchDynamic Interpersonal TherapyPatient Health Questionnaire-9Interpersonal therapyPatient-therapist relationshipBaseline Patient Health Questionnaire-9Training programmeAnna Freud CentrePatient outcomesPsychodynamic therapyNovice therapistsTherapists' perspectivesAssociated with successful outcomesSuperordinate themesTherapistsPatient complexityThematic analysisSuccessful outcomesImprovement of patientsReliable recoveryPositive outcomesInvestigate factorsOutcomesTrainingDepressionProgrammeImplementing and evaluating group interpersonal therapy for postnatal depression in Lebanon and Kenya—individually randomised superiority trial
Fonagy P, Chammay R, Ngunu C, Kumar M, Verdeli L, Allison E, Anani G, Fearon P, Fouad F, Hoare Z, Koyio L, Moore H, Nyandigisi A, Pilling S, Sender H, Skordis J, Evans R, Jaoude G, Madeghe B, Maradian S, O’Donnell C, Simes E, Truscott A, Wambua G, Yator O. Implementing and evaluating group interpersonal therapy for postnatal depression in Lebanon and Kenya—individually randomised superiority trial. Trials 2024, 25: 217. PMID: 38532432, PMCID: PMC10964704, DOI: 10.1186/s13063-024-08039-3.Peer-Reviewed Original ResearchConceptsPostnatal depressionInterpersonal psychotherapyChild developmental outcomesMulti-site randomised controlled trialWomen's mental health needsStandard careEfficacy of interpersonal psychotherapyMaternal postnatal depressionMental health needsMental health concernsMiddle-income countriesRandomised controlled trialsDevelopmental outcomesHigh-income countriesAntenatal servicesChildbearing womenMother-child bondingRandomised superiority trialChildren's developmental progressHealth needsOffspring of womenMaternal depressionCommunity settingsLMIC contextsInterpersonal therapy“You can’t really have a relationship with them because they just ask you questions”: understanding adolescent dropout – an empirical single case study
Cirasola A, Szegedi D, Fonagy P, Midgley N. “You can’t really have a relationship with them because they just ask you questions”: understanding adolescent dropout – an empirical single case study. Frontiers In Psychology 2024, 15: 1381901. PMID: 38533210, PMCID: PMC10963658, DOI: 10.3389/fpsyg.2024.1381901.Peer-Reviewed Original ResearchAlliance rupturesPsychoanalytic psychotherapyTherapeutic allianceShort-term psychoanalytic psychotherapyYouth psychotherapyHigh dropout ratesTherapeutic relationshipAdolescent dropoutsPsychotherapyLongitudinal frameworkSingle case studySession recordingsAdolescent engagementParental involvementAdolescent involvementEngaging adolescentsDropout ratesAdolescentsParental engagementTherapistsAllianceSporadic attendanceDropoutClinical improvementDepressionClinical effectiveness of the psychological therapy Mental Health Intervention for Children with Epilepsy in addition to usual care compared with assessment-enhanced usual care alone: a multicentre, randomised controlled clinical trial in the UK
Bennett S, Cross J, Chowdhury K, Ford T, Heyman I, Coughtrey A, Dalrymple E, Byford S, Chorpita B, Fonagy P, Moss-Morris R, Reilly C, Smith J, Stephenson T, Varadkar S, Blackstone J, Quartly H, Hughes T, Lewins A, Moore E, Walji F, Welch A, Whelan E, Zacharia A, D'Oelsnitz A, Shah M, Xu L, Vezyroglou A, Mitchell K, Nizza I, Ganguli P, Shafran R. Clinical effectiveness of the psychological therapy Mental Health Intervention for Children with Epilepsy in addition to usual care compared with assessment-enhanced usual care alone: a multicentre, randomised controlled clinical trial in the UK. The Lancet 2024, 403: 1254-1266. PMID: 38461840, DOI: 10.1016/s0140-6736(23)02791-5.Peer-Reviewed Original ResearchConceptsChronic health conditionsMental health disordersUsual careMental health interventionsMental health difficultiesHealth conditionsHealth disordersHealth interventionsHealth difficultiesProgramme Grants for Applied Research programmeNational Institute for Health Research Programme Grants for Applied Research programmeTreating common mental health conditionsMICE groupPrimary mental health disorderYoung peopleMental health comorbiditiesMonths post-randomisationStudy inclusionMental health conditionsEvidence-based psychological treatmentsMental health treatmentMental health assessmentIntellectual disabilityParent-reported StrengthsParticipants aged 3Repairing Alliance Ruptures in Psychodynamic Psychotherapy With Young People: The Development of a Rational–Empirical Model to Support Youth Therapists
Cirasola A, Midgley N, Muran J, Eubanks C, Hunter E, Fonagy P. Repairing Alliance Ruptures in Psychodynamic Psychotherapy With Young People: The Development of a Rational–Empirical Model to Support Youth Therapists. Psychotherapy 2024, 61: 68-81. PMID: 37956075, DOI: 10.1037/pst0000514.Peer-Reviewed Original ResearchGender, marginalised groups, and young people’s mental health: a longitudinal analysis of trajectories
Lereya S, Norton S, Crease M, Deighton J, Labno A, Ravaccia G, Bhui K, Brooks H, English C, Fonagy P, Heslin M, Edbrooke-Childs J. Gender, marginalised groups, and young people’s mental health: a longitudinal analysis of trajectories. Child And Adolescent Psychiatry And Mental Health 2024, 18: 29. PMID: 38419124, PMCID: PMC10902968, DOI: 10.1186/s13034-024-00720-4.Peer-Reviewed Original ResearchLevels of mental health difficultiesMental health difficultiesHealth difficultiesMental healthYoung peopleMarginalised groupsTrajectories of mental healthYoung people's mental healthGroup-based trajectory modelingPeople's mental healthYoung womenMarginalised identitiesEconomic disadvantagePublic policySecondary analysisGirls' trajectoriesNon-binaryAnnual surveyConclusionsThis informationLongitudinal analysisEducational needsBehavioral difficultiesYoung menHealthPeopleUniversity students' access to mental health services: A qualitative study of the experiences of health service professionals through the lens of candidacy in England.
Osborn T, Town R, Bawendi M, Stapley E, Saunders R, Fonagy P. University students' access to mental health services: A qualitative study of the experiences of health service professionals through the lens of candidacy in England. Journal Of Health Services Research & Policy 2024, 13558196241235877. PMID: 38414282, DOI: 10.1177/13558196241235877.Peer-Reviewed Original ResearchMental health servicesMental health supportHealth servicesHealth supportHealth systemExperiences of health care professionalsUse of mental health servicesNHS general practiceMental health careHealth care professionalsLocal health systemsService attentivenessHealth service professionalsMental health problemsReflexive thematic analysisProfessional servicesGeneral practiceCare professionalsCounseling servicesHealth careDynamic social contextThematic analysisPolicy goalsQualitative studyService professionalsTaking stock to move forward: Where the field of developmental psychopathology might be heading.
Fonagy P, Luyten P, Allison E, Campbell C. Taking stock to move forward: Where the field of developmental psychopathology might be heading. Development And Psychopathology 2024, 1-10. PMID: 38389294, DOI: 10.1017/s0954579424000312.Peer-Reviewed Original ResearchDevelopmental psychopathologyField of developmental psychopathologyDevelopmental psychopathology frameworkMental state languagePsychopathology frameworkDevelopmental coursePredicting developmental trajectoriesDevelopmental trajectoriesDevelopment of preventionPsychopathologyPsychological developmentConcept of equifinalityEnvironmental influencesState languageIntervention tacticsSociocultural viewpointMultifinalityCicchettiAdolescentsCaregiversChildrenLanguage