心理学最新文献

The aim of this study is to measure the effectiveness of an acceptance and commitment therapy (ACT)-based group intervention program on post-traumatic stress (PTS) symptoms, psychological inflexibility, and self-compassion in intimate partner violence (IPV) survivor university women. The research was conducted at a state university in İstanbul, Türkiye. Participants consisted of 22 IPV survivor university women with 10 in the treatment group and 12 in the waitlist-control group. Participants were assigned to groups based on their preferences. The treatment group participated in a 12-session ACT intervention group, each lasting 120 to 150 min. During this period, no intervention was applied to the waitlist-control group. At the end of the treatment, the intervention group's average PTS symptom scores and psychological inflexibility scores significantly decreased, while their self-compassion scores significantly increased. This effect persisted during the 1-month follow-up period. On the other hand, no changes were observed in the PTS, psychological inflexibility, and self-compassion levels of the control group. When comparing the treatment group with the control group, it was observed that the treatment group had significantly lower levels of PTS and psychological inflexibility and significantly higher levels of self-compassion in both the post-test and follow-up assessments. Consequently, the results revealed the effectiveness of the program on PTS, psychological inflexibility, and self-compassion among a group of IPV survivor university women. Thus, we concluded that ACT may serve as an effective therapy for addressing IPV among university women and that it is culturally applicable to the Turkish context.

Intimate partner violence (IPV) victimization is a risk factor for drug use, which has the potential to negatively impact survivor health and well-being. However, few studies have explored the role of emotion regulation in the association between IPV exposure and drug use. Understanding whether difficulties with emotion regulation mediate the association between IPV victimization and drug use may be important to better understand the mechanisms driving drug use and identify potential intervention targets. Thus, the present study aims to test the role of emotion dysregulation in the link between IPV exposure and drug use among violently injured adults. A total of 367 adults who had experienced a violent injury from any source (M_age = 32.7, 73% male, 80% Black/African-American) from an Urban Level 1 Trauma Center were recruited. Participants completed self-report surveys on their IPV victimization experiences, emotion regulation difficulties, and drug use. Results showed that IPV victimization was associated with greater emotion regulation difficulties and higher levels of drug use. In addition, several domains of emotion regulation difficulties (strategies, non-acceptance, goals, and impulse) were associated with more engagement in drug use, and those domains of emotion regulation difficulties partially mediated the associations between IPV victimization and drug use. These findings highlight the importance of exploring mechanisms of IPV victimization outcomes, such as drug use that can guide education (e.g., stigma prevention), prevention (e.g., early and hospital-based screening), and intervention (e.g., treatments to target emotion regulation) efforts.

Youth violence is a critical social issue, often linked to feelings of relative deprivation (RD) and perceptions of social injustice. Understanding how these factors interact can inform strategies to reduce violence among young people. This study examines the impact of RD on youth violence tendencies, with a specific focus on the mediating role of the perception of social justice. A cross-sectional survey was conducted with 1,500 young people aged 20 to 30 in a major urban center in China, selected through convenience sampling. Structural equation modeling using SmartPLS assessed the relationships between RD, social justice perception, and youth violence. RD was positively associated with youth violence tendency (β = .45, p < .001). The perception of social justice significantly mediated this relationship, reducing the direct effect of deprivation on violence (β = -.15, p < .001). Both distributive and procedural justice played critical roles in moderating youth responses to perceived deprivation. Results of this evaluation suggested that RD may increase the likelihood of youth violence, and that perceptions of social justice may mitigate this association. Addressing socioeconomic inequalities and enhancing fairness in resource distribution and decision-making processes are crucial strategies to reduce youth violence.

Assessing bilingual Afghan Americans poses significant challenges for clinicians because of limited validated Farsi tests and norms. To better address existing limitations, case-based research can provide valuable insights into the cognitive and psychiatric conditions of Afghan Americans. The study utilized a case series design focusing on three Afghan American individuals selected for their diverse age groups, educational backgrounds, and clinical presentations to illustrate the neuropsychological assessment process. Each case was individually examined, allowing in-depth qualitative insights while highlighting common themes and challenges. Assessment measures were tailored for the bilingual Afghan population, using standardized cognitive tests for various functions and culturally relevant psychological evaluations to address mental health concerns. Following a review of these cases, the authors made key considerations and recommendations, including becoming familiar with non-English assessments. A list of terms is provided in English, Farsi, and Finglish (aka, Farsi written in English). Overall, the case presentations highlight the importance of culturally appropriate assessments and the need for special considerations when conducting a neuropsychological evaluation with Afghan Americans. Additionally, the authors provide insights for clinicians to enhance culturally informed practices.

ObjectiveThe objective of this study is to empirically test a computational model of interruptions processes and effects, and to compare an alternative model to determine which best explains interruption and response decision making.BackgroundInterruptions in safety-critical environments (e.g., hospitals) can lead to an increased risk of error for the person being interrupted (the interruptee) but may be necessary for the person doing the interrupting (the interrupter) to maintain safety. Little research has considered the perspective of both the interrupter and interruptee.MethodWe tested a computational model of interruption and response decision processes through an experiment where participants (n = 312) worked as a nurse in a simulated clinical team. We examined how task progress, time remaining, and time pressure influenced decisions and compared the model with an alternative that allowed the effects of time pressure to be non-monotonic.ResultsUsing Bayesian hierarchical modeling, we found that a non-monotonic model best explained interruption decisions. Participants were biased toward interrupting, with time pressure only influencing decisions when it was very high. Contrastingly, the monotonic model best explained response decisions. Participants were more likely to accept interruptions as the interrupter's time pressure increased in comparison to their own.ConclusionTime pressure has a non-monotonic influence on interruption decisions, but a monotonic influence on response decisions.ApplicationFindings can inform interventions to consider the interruptions process from the perspective of both the interrupter and interruptee. Interventions could focus on training workers to more accurately assess time pressure when making interruption decisions.

ObjectiveThis research investigated effects for new traffic markings on the user behaviour of motorcycle riders.BackgroundAcross motorised vehicles, motorcycles represent the most vulnerable road users.MethodA road sign and traffic markings were installed at six trial sites. Data from video cameras at each site provided measures of rider behaviour in relation to speed, road position, brake use, and use of the traffic markings, before and after installations. Throughout this research 4652 motorcycle riders travelled through the sites. Of these 1542 riders were analysed in more detail to investigate the effects of the road safety intervention on rider behaviour.ResultsAt five sites speed was reduced by a significant margin. At four sites there were significant improvements in road position at the final traffic marking. At five of the trial sites on the apex of a bend, there were significant improvements in road position. Braking behaviour decreased at two of the trial sites. For use of the traffic markings a significant increase was observed across all the trial sites. Across the behaviour measures, the changes were still present 4 weeks later. At a comparison site no changes in behaviour were observed.ConclusionThe findings provide evidence of improved rider behaviour which are placed in reference to the Safe System principles for road safety and casualty reduction.ApplicationThis research has generated international interest for installing the road sign and traffic markings in other regions and contributes to the Scottish Government's Road Safety Framework to 2030 by reducing motorcycle casualties.

Introduction: The Collaborative Assessment of Suicidality (CAMS) is an effective clinical framework to treat suicidal thoughts and behaviours. CAMS employs the Suicide Status Form (SSF) to monitor suicide risk factors across sessions. The first six items (termed the SSF Core Assessment) include psychological pain, stress, agitation, hopelessness, self-hate and self-reported overall behavioural risk for suicide. The first five are theoretically derived risk factors. While CAMS employs session-by-session tracking, no research has investigated how the five risk factors vary together and concurrently and prospectively predict self-perceived suicide risk when assessed via ambulatory assessment.

Methods: Undergraduates (n = 52) with past-2-week suicidal ideation completed 5 ambulatory assessment surveys of the SSF Core Assessment variables daily over 10 days. Descriptive and variability statistics were used to describe the core assessment constructs. Multilevel models were used to examine how the first five items predicted overall behavioural risk of suicide.

Results: Each of the SSF Core Assessment variables demonstrated variability over the study period, with stress exhibiting the greatest and overall risk the lowest variability. Self-hate and hopelessness concurrently predicted self-reported overall risk for suicide within the same model. Only self-hate and agitation were significantly prospectively predictive of overall behavioural risk, even after controlling for suicidal ideation.

Conclusions: This is the first study to provide insight into the short-term variability and predictive capabilities of the SSF Core Assessment constructs. Each construct varies considerably over short time scales, suggesting that more frequent monitoring of these constructs may be an important consideration within future CAMS treatment research.

Background: Emotional and behavioural problems (i.e., mental health difficulties and their decomposition into internalizing and externalizing symptoms) often emerge in adolescence and can persist into adulthood if not addressed. Identifying modifiable social-cognitive processes that influence the persistence of psychopathology across the lifespan is thus essential.

Method: Using data from the Millennium Cohort Study, a nationally representative birth cohort of UK youths born in 2000-2002, we examined whether social safety at age 14 mediated the association between mental health difficulties at age 11 and mental health difficulties at age 17. The sample included 10,782 participants (50% female, 20% non-White, 21% in poverty).

Results: Mental health difficulties (total symptoms) at age 11 predicted both mental health difficulties at age 17 (b = .41, p < .001) and negative social safety schemas at age 14 (b = .02, p < .001). Negative social safety schemas in mid-adolescence partially mediated the persistence of difficulties from early to late adolescence (ab = .01, p < .001). In sex-stratified analyses, we found that negative social safety mediated the persistence of internalizing problems only for females and the persistence of externalizing problems only for males.

Conclusions and relevance: These findings highlight the important role of social safety schemas in the persistence of adolescent emotional and behavioural problems over time. Based on these results, investments in improving early adolescent mental health by bolstering social safety perceptions may be effective for reducing mental health risks.

Many veterans do not initiate trauma-focused evidence-based psychotherapy (TF-EBP) to treat posttraumatic stress disorder (PTSD). Instead, veterans receive other treatments prior to TF-EBP and the process of transitioning to TF-EBP is poorly understood. The goal of the current study was to understand clinicians' beliefs about and approaches to transitioning veterans into TF-EBP. Clinicians (n = 20) with any experience providing TF-EBP from across the national VA healthcare system participated in semi-structured qualitative interviews. Rapid qualitative analysis procedures were used to identify themes: (1) TF-EBP is rarely contraindicated; (2) there is no consensus on treatment alternatives after veterans decline TF-EBP; (3) unstructured therapy can be a barrier to TF-EBP; (4) data from non-TF-EBP can be used to encourage TF-EBP engagement; (5) veterans are poorly informed about PTSD referrals; (6) culturally responsive PTSD care involves asking questions throughout the treatment process; (7) TF-EBP was delivered with attention to how identity may impact treatment; (8) TF-EBP was among the first treatment option offered by all clinicians; (9) veterans initiate TF-EBP when willing; and (10) clinicians developed resources socialize veterans to structured treatment. Since non-TF-EBP approaches may be indicated (or requested) for some veterans, strategies to facilitate transitions to TF-EBP are needed.

Cognitive screening assessments for neurological deficits are critical to the initial assessment of post-stroke patients. However, most measures are not designed for post-stroke patients and in particular not for people with aphasia (PWA), because they rely on language functions. The Cognitive Assessment for Stroke Patients (CASP) is a screening test that can also be administered to PWA, and was recently adapted into Hebrew. The current study aimed to compare the performance of post-stroke patients on the Hebrew versions of the CASP and the Montreal Cognitive Assessment (MoCA). Forty medical records of post-stroke patients were retrospectively examined: Twenty participants without aphasia and 20 PWA. The data included demographics, total CASP and MoCA scores, and scores in specific cognitive domains. Correlations were found between total CASP and MoCA scores, for all participants as well as for each group separately. Comparisons between groups revealed significantly higher performance of the participants without aphasia on the MoCA, but not on the CASP. Clinically, these findings suggest that the Hebrew version of the CASP can be implemented as a formal cognitive screening test for post-stroke patients, including PWA. It can help identifying PWA's cognitive state and differentiate between language and cognitive impairments, hence, contributing in planning targeted treatment.