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Generational Egoism: Concept and Measurement. 代际利己主义:概念与测量。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-30 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S540235
Piotr Próchniak, Agnieszka Próchniak, Adam Ossowski, Marek Cieśluk, Daria Joanna Suchecka

Introduction: The conceptualisation and development of a measure of generational egoism are described. Generational egoism is defined as actions aimed at maximising benefits for one's own generation without giving due attention or concern to the negative consequences of those actions for future generations. This form of selfishness is characterised by a short-term (here and now) focus and a lack of concern for the long-term consequences of one's actions.

Methods: A study of the psychometric properties of the Generational Egoism Questionnaire was conducted, with an exploratory and a confirmatory factor analysis being carried out. The first set of data (N = 269; Mage = 24.90; SD = 6.70) was analysed by exploratory factor analysis, and the second set of data (N = 213; M = 24.70; SD = 6.15) was analysed by confirmatory factor analysis. In addition, an investigation was conducted into the potential correlations within the group of participants (N = 161; M = 23.91, SD = 8.36) between the General Egoism Questionnaire, which has been introduced in this paper, and other personality and well-being diagnostic tools: The Dark Triad Dirty Dozen, The TIPI Test, The Satisfaction with Life Scale, The Positivity Scale, Brief Resilience Coping Scale and The Meaning of Life Questionnaire.

Results: The results of the factor analyses verified the one-factor structure of the Generational Egoism Questionnaire. The Generational Egoism Questionnaire reveals satisfactory internal consistency, with r = 0.88. The divergent and convergent validity of the Generational Egoism Questionnaire was indicated by correlations with other scales. The Generational Egoism Questionnaire correlates with personality subscales: narcissism, psychopathy, machiavelism, neurtocism and open to experience. The General Egoism does not correlate well-being.

Conclusion: The results indicate that the Generational Egoism Questionnaire is a valid and reliable instrument. The Genrational Egoism Questionnaire can be used in future research but also has its practical use - for teachers and environmental educators.

介绍:概念和发展的措施代际利己主义描述。代际利己主义被定义为旨在使自己这一代人的利益最大化的行为,而不适当注意或关心这些行为对后代的负面后果。这种形式的自私的特点是短期(此时此地)的关注和缺乏对一个人的行为的长期后果的关注。方法:对代际利己主义问卷的心理测量特性进行研究,并进行探索性因素分析和验证性因素分析。第一组资料(N = 269; Mage = 24.90; SD = 6.70)采用探索性因素分析,第二组资料(N = 213; M = 24.70; SD = 6.15)采用验证性因素分析。此外,本研究还在被试群体内(N = 161; M = 23.91, SD = 8.36)调查了本文引入的一般利己主义问卷与其他人格和幸福感诊断工具(Dark Triad Dirty Dozen、TIPI Test、生活满意度量表、积极性量表、短暂弹性应对量表和生活意义量表)之间的潜在相关性。结果:因子分析结果验证了代际利己主义问卷的单因子结构。代际利己主义问卷显示出满意的内部一致性,r = 0.88。代际利己主义问卷的效度与其他量表有显著的相关关系。代际利己主义问卷与自恋、精神病、马基雅维利主义、神经质和经验开放等人格分量表相关。一般利己主义与幸福无关。结论:代际利己主义问卷是一种有效、可靠的调查工具。世代利己主义问卷可以用于未来的研究,但也有它的实际用途-教师和环境教育者。
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引用次数: 0
Visualization, Interaction and Evaluation, and Memory: How Social Media Parenting Practices Mediate the Relationship Between Authoritative Parenting and Mental Health of Young Adult. 可视化、互动、评价和记忆:社交媒体育儿实践如何中介权威育儿与青少年心理健康的关系。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-20 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S528618
Ruixia Han

Introduction: The impact of parenting styles on the mental health of young people has long gained widespread attention, yet in the age of social media, do different forms of social media parenting practice have an impact on the relationship between the two, and how does this impact play out? There is a lack of multifactorial mechanistic analyses in this area.

Methods: Based on online survey data from 413 young adults aged 18-24 in China, this study integrates measurements from Thimm et al and Modecki et al on digital parenting practices to examine the roles of visualization, interaction and evaluation, and positive media memory in the relationship between authoritative parenting style (assessed via the PAQ-R and EMBU-C) and young adults' mental health (measured by the MHC-SF) by a chain mediation analysis.

Results: (1) there was a significant correlation between authoritative parenting style and young adults' mental health; (2) Interaction & evaluation and positive media memory independently mediate the relationship between authoritative parenting and young adult mental health, but visualization practice do not.(3) Visualization practice, interaction and evaluation, and positive media memory act as pairwise and triadic chain mediators between authoritative parenting and young adult mental health.

Conclusion: (1) Digital parenting practices significantly mediate the relationship between authoritative parenting style and young adult mental health. (2) Visualization practice promotes young adult mental health in authoritative family by influencing interaction and evaluation and thus positive media memory. (3) Positive media memory plays a key mediating function in each chain of influence. This implies that various forms of social media parenting practices primarily influence the mental health of young adults in authoritative family in a chain effect mode.

导读:养育方式对青少年心理健康的影响一直受到广泛关注,但在社交媒体时代,不同形式的社交媒体养育方式是否会对两者之间的关系产生影响,这种影响是如何发挥作用的?在这一领域缺乏多因素机制分析。方法:基于中国413名18-24岁的年轻人的在线调查数据,本研究整合了Thimm等人和Modecki等人对数字育儿实践的测量,通过连锁中介分析,研究了可视化、互动和评价以及积极的媒体记忆在权威型育儿方式(通过PAQ-R和EMBU-C评估)和年轻人心理健康(通过MHC-SF测量)之间的关系中的作用。结果:(1)权威型父母教养方式与青少年心理健康存在显著相关;(2)互动与评价和正向媒体记忆在权威型父母教养方式与青少年心理健康的关系中起独立中介作用,而可视化实践不起中介作用。(3)可视化实践、互动与评价、积极媒体记忆在权威型父母教养与青少年心理健康之间存在两两和三联链中介作用。结论:(1)数字化教养方式显著中介权威型教养方式与青少年心理健康的关系。(2)可视化实践通过影响互动与评价,进而影响正向媒体记忆,促进权威家庭青少年心理健康。(3)正向媒体记忆在各影响链中起着关键的中介作用。这表明,各种形式的社交媒体育儿实践主要以连锁效应的方式影响权威家庭中年轻人的心理健康。
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引用次数: 0
Social Media and Mental Health: Lessons Learned from the Psychology Research and Behavior Management Article Collection. 社交媒体与心理健康:来自心理学研究和行为管理文章集的经验教训。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-20 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S549588
Tore Bonsaksen, Annette Løvheim Kleppang

The article collection on social media and mental health attracted the interest of many researchers and resulted in 25 articles published in the collection. In this editorial, the guest advisors for the collection summarize the included studies and some of the most relevant findings from them. Five of the articles are given particular attention, representing both cross-sectional and longitudinal study designs. The article collection brings new and important insights into how mental health is shaped, and how mental health shapes behaviors, in the modern world of social media. It highlights mediational pathways from social media use to mental health problems through cyberbullying, social comparison, and cognitive overload, and from mental health problems to problematic social media use through self-referential processing. It is the guest advisors' hope that researchers can use the collection, and indeed this editorial providing a synopsis and commentary to the collection, as a point of reference when choosing new research questions to explore and when deciding on certain aspects of design and methodology.

关于社交媒体和心理健康的文章集吸引了许多研究人员的兴趣,并在该合集中发表了25篇文章。在这篇社论中,该合集的客座顾问总结了所包括的研究和其中一些最相关的发现。其中五篇文章被特别关注,代表了横断面和纵向研究设计。该文集为现代社交媒体世界中心理健康是如何形成的,以及心理健康如何影响行为带来了新的重要见解。它强调了通过网络欺凌、社会比较和认知超载从社交媒体使用到心理健康问题的中介途径,以及通过自我参照处理从心理健康问题到有问题的社交媒体使用的中介途径。这是客座顾问的希望,研究人员可以使用的集合,事实上,这篇社论提供了一个概要和评论的集合,作为一个参考点时,选择新的研究问题进行探索,当决定某些方面的设计和方法。
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引用次数: 0
Are Sociodemographic Characteristics Associated with Course of High Risk for Psychosis Symptoms at 12-Month Follow-Up? 在12个月的随访中,社会人口学特征是否与精神病症状的高危病程相关?
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S512252
Lourdes Nieto, Tecelli Domínguez, Laura Navarrete, César Augusto Celada-Borja, Mauricio Rosel-Vales, Ricardo Saracco-Álvarez

Background: Research on the Clinical High-Risk (CHR) paradigm for psychosis has significantly increased in recent decades. This approach aims to identify young individuals who experiences attenuated psychotic symptoms, as well as difficulties in social and occupational functioning to provide early intervention.

Purpose: This study aims to analyze the relationship of baseline sociodemographic characteristics to the course of psychopathology and functioning at a 12-month follow-up in a sample of Mexican individuals at CHR-P.

Patients and methods: We conducted a longitudinal study with 43 Mexicans at CHR-P assessed at baseline and 33 of them at a 12-month follow-up using the Comprehensive Assessment of At-Risk Mental State and the Global Functioning Social and Role Scales. Sociodemographic information, including age, sex, marital status, occupation, education, household type, and socioeconomic status, was collected through a semi-structured interview.

Results: Findings showed significant changes in psychopathology at 12-month follow-up. Participants who reported not studying or working at baseline showed a reduction in attenuated positive symptoms and general psychopathology. Similarly, attenuated positive symptoms improved in those living with friends or roommates at baseline. Individuals with a medium socioeconomic status at baseline also experienced a decrease in general symptoms. No significant changes were observed in negative symptoms or social and role functioning at the 12-month follow-up assessment.

Conclusion: It is important to address the needs of individuals at CHR-P in both schools and workplaces. This includes reducing stress and improving access to mental health care. Promoting social skills and fostering peer relationships can help build supportive networks beyond the family.

背景:近几十年来,对精神病临床高危(CHR)范式的研究显著增加。该方法旨在识别经历精神病症状减轻以及社会和职业功能困难的年轻人,以提供早期干预。目的:本研究旨在分析基线社会人口学特征与chrp墨西哥个体12个月随访的精神病理和功能过程的关系。患者和方法:我们对43名墨西哥人进行了一项纵向研究,他们在基线时进行了评估,其中33人在12个月的随访中使用了风险精神状态综合评估和全球功能社会和角色量表。通过半结构化访谈收集社会人口统计信息,包括年龄、性别、婚姻状况、职业、教育程度、家庭类型和社会经济地位。结果:随访12个月,精神病理有明显变化。报告在基线时没有学习或工作的参与者表现出减弱的阳性症状和一般精神病理的减少。同样,与朋友或室友住在一起的人在基线时,阳性症状有所减轻。基线时社会经济地位中等的个体一般症状也有所减轻。在12个月的随访评估中,未观察到阴性症状或社会和角色功能的显著变化。结论:在学校和工作场所,解决个人的需求是很重要的。这包括减轻压力和改善获得精神卫生保健的机会。提高社交技能和培养同伴关系可以帮助建立家庭以外的支持网络。
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引用次数: 0
Ageism and Career Motivation Toward Gerontological Nursing in the Post-Pandemic Era: A Sequential-Parallel Mediation Analysis Among Early-Stage Nursing Students. 大流行后时代老年护理的年龄歧视与职业动机:早期护理学生的序贯平行中介分析。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S539792
Se Chen, Zhonglei Wan

Background: The growing aging population has led to escalating demands for gerontological nursing, further intensified by the COVID-19 pandemic. While ageism is a recognized barrier to nursing students' career motivation toward gerontological nursing (CMGN), the underlying mechanisms through which it exerts influence remain underexplored. Moreover, empirical research on CMGN and related factors in the post-pandemic context is limited.

Objective: This study examined the levels and predictors of CMGN among early-stage nursing students in the post-pandemic context and explored how ageism influences CMGN directly and indirectly through a sequential-parallel mediation model.

Methods: A cross-sectional online survey was conducted at a medical university in Jiangxi Province, China. A total of 1,192 completed questionnaires from nursing students (mean age = 18.44; 90.3% female; 85.6% first-year students) across two academic tracks (bachelor's and diploma programs) were included in the analysis. T-tests, ANOVA, regression, and structural equation modeling were used to identify key predictors and mediating pathways.

Results: Students reported a moderate overall level of CMGN (M = 64.12, SD = 12.86; range = 20-100). Key predictors of both CMGN subscales-Expectancy and Value-with β > 0.1 and p < 0.01 included empathy, intergenerational contact quality, and learning experiences in gerontological nursing. Ageism was a dimension-specific negative predictor, affecting only the Value subscale (β = -0.212, p < 0.001). Mediation analysis further showed that ageism influenced Value both directly (β = -0.200, p < 0.001) and indirectly (β = -0.124, p < 0.001) through a sequential pathway involving contact quality and Expectancy, as well as a parallel pathway mediated by gratitude.

Conclusion: The multifaceted negative impact of ageism on CMGN underscores the need for a holistic curriculum strategy. Key recommendations include integrated gerontological nursing education, anti-ageism instruction, interventions to foster gratitude and empathy, and interpersonal communication training tailored to geriatric care.

背景:人口老龄化加剧导致老年护理需求不断上升,COVID-19大流行进一步加剧了老年护理需求。虽然年龄歧视是一个公认的障碍护理学生的职业动机向老年护理(CMGN),通过它施加影响的潜在机制尚不清楚。此外,大流行后背景下对CMGN及其相关因素的实证研究有限。目的:研究大流行后背景下早期护生CMGN水平及其预测因素,并通过序平行中介模型探讨年龄歧视对CMGN的直接和间接影响。方法:在江西省某医科大学进行横断面在线调查。共有1192份来自护理专业学生(平均年龄为18.44岁,90.3%为女性,85.6%为一年级学生)的完整问卷被纳入分析,这些学生来自两个专业(学士和文凭课程)。使用t检验、方差分析、回归和结构方程模型来确定关键预测因子和中介途径。结果:学生报告CMGN总体水平中等(M = 64.12, SD = 12.86,范围= 20-100)。CMGN子量表期望和价值(β >.1和p < 0.01)的关键预测因子包括共情、代际接触质量和老年护理学习经验。年龄歧视是一个维度特异性的负向预测因子,仅影响价值分量表(β = -0.212, p < 0.001)。中介分析进一步表明,年龄歧视通过接触质量和期望的序贯通路直接影响价值(β = -0.200, p < 0.001),通过感恩介导的平行通路间接影响价值(β = -0.124, p < 0.001)。结论:年龄歧视对CMGN的多方面负面影响强调了整体课程策略的必要性。主要建议包括综合老年护理教育、反年龄歧视指导、培养感恩和同理心的干预措施,以及针对老年护理的人际沟通培训。
{"title":"Ageism and Career Motivation Toward Gerontological Nursing in the Post-Pandemic Era: A Sequential-Parallel Mediation Analysis Among Early-Stage Nursing Students.","authors":"Se Chen, Zhonglei Wan","doi":"10.2147/PRBM.S539792","DOIUrl":"10.2147/PRBM.S539792","url":null,"abstract":"<p><strong>Background: </strong>The growing aging population has led to escalating demands for gerontological nursing, further intensified by the COVID-19 pandemic. While ageism is a recognized barrier to nursing students' career motivation toward gerontological nursing (CMGN), the underlying mechanisms through which it exerts influence remain underexplored. Moreover, empirical research on CMGN and related factors in the post-pandemic context is limited.</p><p><strong>Objective: </strong>This study examined the levels and predictors of CMGN among early-stage nursing students in the post-pandemic context and explored how ageism influences CMGN directly and indirectly through a sequential-parallel mediation model.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted at a medical university in Jiangxi Province, China. A total of 1,192 completed questionnaires from nursing students (mean age = 18.44; 90.3% female; 85.6% first-year students) across two academic tracks (bachelor's and diploma programs) were included in the analysis. T-tests, ANOVA, regression, and structural equation modeling were used to identify key predictors and mediating pathways.</p><p><strong>Results: </strong>Students reported a moderate overall level of CMGN (M = 64.12, SD = 12.86; range = 20-100). Key predictors of both CMGN subscales-Expectancy and Value-with β > 0.1 and <i>p</i> < 0.01 included empathy, intergenerational contact quality, and learning experiences in gerontological nursing. Ageism was a dimension-specific negative predictor, affecting only the Value subscale (β = -0.212, <i>p</i> < 0.001). Mediation analysis further showed that ageism influenced Value both directly (β = -0.200, <i>p</i> < 0.001) and indirectly (β = -0.124, <i>p</i> < 0.001) through a sequential pathway involving contact quality and Expectancy, as well as a parallel pathway mediated by gratitude.</p><p><strong>Conclusion: </strong>The multifaceted negative impact of ageism on CMGN underscores the need for a holistic curriculum strategy. Key recommendations include integrated gerontological nursing education, anti-ageism instruction, interventions to foster gratitude and empathy, and interpersonal communication training tailored to geriatric care.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"2009-2028"},"PeriodicalIF":3.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Risky Decision-Making in Depressed Patients with High Aggression: An Event-Related Potential Study. 探究高攻击性抑郁症患者的风险决策:事件相关电位研究。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S538756
Lei Huang, Qingqing Zhang, Woxin Pan, Qianqian Li, Zixu Wang, Yiming Liu, Feng Geng, Kai Wang, Mengzhu Zhang, Chunyan Zhu

Background: Beyond self-injurious and suicidal behaviors, depressed patients may show outward aggression. However, it remains unclear whether high levels of aggression in depressed patients are associated with abnormalities in decision-making processes and altered sensitivity to feedback.

Methods: Ninety-six depressed patients were recruited and divided into two groups (n = 48 patients each) based on aggression. Patients completed psychological tests (Balloon Analog Risk Task and Iowa Gambling Task [IGT]), with event-related potentials recorded during the IGT to measure neural responses to feedback.

Results: Depressed patients with high aggression showed stronger risk aversion on the IGT compared to those with low aggression. Electrophysiological findings indicated that depressed patients with high aggression generate larger feedback-related negativity (FRN) components in response to losses, as well as greater FRN amplitude differences between loss and win. The FRN difference wave (loss-win) was significantly correlated with higher scores on the anger dimension of the Buss-Perry Aggression Questionnaire, trait anger scale, emotion regulation difficulties, and depression severity, supporting heightened feedback sensitivity as a mechanism underlying aggression in depression.

Limitations: The cross-sectional design limits causal inference, and the relatively small ERP subsample may affect generalizability of electrophysiological findings.

Conclusion: Depressed patients with high aggression exhibited stronger electrophysiologic responses to negative feedback during risky decision-making. This hypersensitivity may contribute to aggression in depression, highlighting a potential clinical target for interventions that modulate feedback sensitivity or emotional reactivity.

背景:抑郁症患者除了自残和自杀行为外,还可能表现出外向攻击行为。然而,尚不清楚抑郁症患者的高攻击性是否与决策过程异常和对反馈的敏感性改变有关。方法:选取96例抑郁症患者,根据攻击行为分为两组,每组48例。患者完成了心理测试(气球模拟风险任务和爱荷华赌博任务[IGT]),在IGT期间记录事件相关电位,以测量神经对反馈的反应。结果:高攻击性抑郁症患者的IGT风险厌恶程度高于低攻击性抑郁症患者。电生理结果表明,高攻击性抑郁症患者在面对损失时产生更大的反馈相关负性(FRN)分量,且输赢之间FRN振幅差异更大。FRN差异波(输赢)与Buss-Perry攻击问卷愤怒维度、特质愤怒量表、情绪调节困难和抑郁严重程度得分显著相关,支持反馈敏感性升高是抑郁症攻击的潜在机制。局限性:横断面设计限制了因果推断,相对较小的ERP子样本可能会影响电生理结果的普遍性。结论:高攻击性抑郁症患者在风险决策过程中对负面反馈表现出更强的电生理反应。这种超敏反应可能导致抑郁症的攻击性,强调了调节反馈敏感性或情绪反应性干预的潜在临床目标。
{"title":"Exploring Risky Decision-Making in Depressed Patients with High Aggression: An Event-Related Potential Study.","authors":"Lei Huang, Qingqing Zhang, Woxin Pan, Qianqian Li, Zixu Wang, Yiming Liu, Feng Geng, Kai Wang, Mengzhu Zhang, Chunyan Zhu","doi":"10.2147/PRBM.S538756","DOIUrl":"10.2147/PRBM.S538756","url":null,"abstract":"<p><strong>Background: </strong>Beyond self-injurious and suicidal behaviors, depressed patients may show outward aggression. However, it remains unclear whether high levels of aggression in depressed patients are associated with abnormalities in decision-making processes and altered sensitivity to feedback.</p><p><strong>Methods: </strong>Ninety-six depressed patients were recruited and divided into two groups (n = 48 patients each) based on aggression. Patients completed psychological tests (Balloon Analog Risk Task and Iowa Gambling Task [IGT]), with event-related potentials recorded during the IGT to measure neural responses to feedback.</p><p><strong>Results: </strong>Depressed patients with high aggression showed stronger risk aversion on the IGT compared to those with low aggression. Electrophysiological findings indicated that depressed patients with high aggression generate larger feedback-related negativity (FRN) components in response to losses, as well as greater FRN amplitude differences between loss and win. The FRN difference wave (loss-win) was significantly correlated with higher scores on the anger dimension of the Buss-Perry Aggression Questionnaire, trait anger scale, emotion regulation difficulties, and depression severity, supporting heightened feedback sensitivity as a mechanism underlying aggression in depression.</p><p><strong>Limitations: </strong>The cross-sectional design limits causal inference, and the relatively small ERP subsample may affect generalizability of electrophysiological findings.</p><p><strong>Conclusion: </strong>Depressed patients with high aggression exhibited stronger electrophysiologic responses to negative feedback during risky decision-making. This hypersensitivity may contribute to aggression in depression, highlighting a potential clinical target for interventions that modulate feedback sensitivity or emotional reactivity.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1993-2008"},"PeriodicalIF":3.2,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Let's Try to Stay on Track": Exploring Therapists' Responses to Digressive Utterances of Children with ASD. “让我们试着保持正轨”:探索治疗师对自闭症儿童离题话语的反应。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S530238
Huazhen Wen, Xiaorong Zeng, Xia Liu, Zeyuan Chen, Bosen Ma

Purpose: Autistic children's digressive utterances can disrupt therapeutic progress, yet remain understudied in China. This study investigates how Chinese therapists respond to such digressions during Naturalistic Intervention (NI) sessions, specifically exploring how they navigate the tension between structured therapeutic goals and spontaneous interactions while adapting evidence-based practices (EBPs) to individual child profiles and sociocultural contexts.

Participants and methods: Applying discourse analysis (DA), we analyzed 19 NI sessions involving five Board Certified Behavior Analysts (BCBAs; ≥2 years of experience; trained in NI) and ten Chinese autistic boys (aged 29-78 months; Level 1 ASD). Therapists delivered tailored NI sessions (4-30 hours/week), embedding communication goals within play-based routines. Sessions were video-recorded in therapeutic settings.

Results: Therapists employed seven distinct response practices spanning a directive-to-elicitory continuum. Immediate refocusing practices (restatement with nonverbal cues, digression-termination before refocusing, and integration) prioritized task adherence but risked further disengagement. Delayed refocusing practices (minimal acknowledgment before refocusing, accommodation before refocusing, and following the child's lead before refocusing) validated children's agency and elicited higher rates of goal-aligned responses. Digression-following practices fostered spontaneity but risked further divergence. Notably, accommodation and following the child's lead before refocusing elicited the most contingent responses, while abrupt termination often provoked resistance. Senior therapists employed more diverse practices while favoring delayed refocusing practices, whereas juniors favored immediate refocusing practices. Practice selection was influenced by digression sub-focus, therapist experience, child characteristics, and sociocultural contexts.

Conclusion: Findings reframe digressions as agentic bids necessitating mutual adaptation, aligning with "the double empathy problem". As the first DA study of therapist responses to digressions in China, this study underscores the clinical importance of culturally attuned flexibility for validating autistic agency while maintaining therapeutic progress. Based on the research findings, therapist training should emphasize reflective, context-responsive practices to enhance engagement across cultures.

目的:自闭症儿童的离题言语会影响治疗进展,但在中国仍未得到充分研究。本研究调查了中国治疗师在自然干预(NI)会议中如何应对这种偏离,特别是探索他们如何在结构化治疗目标和自发互动之间的紧张关系中进行处理,同时使循证实践(ebp)适应儿童个体特征和社会文化背景。参与者和方法:应用话语分析(DA),我们分析了19次NI会议,涉及5名委员会认证行为分析师(bcba,≥2年经验,接受过NI培训)和10名中国自闭症男孩(29-78个月,1级ASD)。治疗师提供量身定制的NI课程(每周4-30小时),将交流目标嵌入到以游戏为基础的日常活动中。在治疗环境中对治疗过程进行录像。结果:治疗师采用了七种不同的反应实践,跨越了指令-诱发连续体。立即重新集中注意力的做法(用非语言提示重述,在重新集中注意力之前终止离题,以及整合)优先考虑了任务坚持,但有进一步脱离工作的风险。延迟重新聚焦练习(重新聚焦前的最小承认,重新聚焦前的适应,重新聚焦前的跟随)验证了儿童的能动性,并引发了更高的目标一致的反应率。离题跟踪的做法促进了自发性,但有进一步分歧的风险。值得注意的是,在重新集中注意力之前,迁就和跟随孩子的领导会引起最偶然的反应,而突然终止往往会引起抵制。高级治疗师采用更多样化的做法,同时倾向于延迟重新聚焦的做法,而初级治疗师则倾向于立即重新聚焦的做法。实践选择受离题子焦点、治疗师经验、儿童特征和社会文化背景的影响。结论:研究结果将离题重新定义为需要相互适应的代理出价,与“双重共情问题”一致。作为中国第一个关于治疗师对离题反应的数据分析研究,本研究强调了在保持治疗进展的同时,文化协调灵活性对验证自闭症代理的临床重要性。根据研究结果,治疗师培训应强调反思,情境响应实践,以提高跨文化参与。
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引用次数: 0
Harnessing Research Pressure: A Dual Chain Mediation Effects of Achievement Motivation and Research Anxiety on Innovative Behavior Under Challenge-Hindrance Research Stressors [Letter]. 研究压力:成就动机和研究焦虑对创新行为的双链中介作用[j]。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S565651
Daimin Zhang, Heng Zhou
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引用次数: 0
From Thoughts to Actions: A Longitudinal Examination of NSSI Risk Factors in Adolescence. 从思想到行动:青少年自伤危险因素的纵向研究。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S545595
Jiaqi Zhou, Shiyi Hu, Haoze Wu, Suhong Wang, Jingbo Gong

Introduction: Non-suicidal self-injury (NSSI) is a prevalent issue among adolescents, with potential long-term mental health implications. To investigate NSSI thoughts as a distinct developmental stage and inform early intervention strategies, this study employed a longitudinal design to examine progression differences in Chinese adolescents across three NSSI status: NO NSSI, NSSI thoughts without behaviors, and NSSI behaviors.

Methods: Using a machine learning approach (Random Forest models), a two-wave longitudinal study assessed 2,154 adolescents (aged 11-18) from Chinese middle and high schools. Analyses focused on NSSI status, risk factors, and developmental trajectories. ANOVAs and paired-t tests were conducted to examine risk factors and NSSI functions of group with different NSSI status.

Results: NSSI thoughts emerged as both a distinct category and a potential precursor to behaviors. Despite limitations in accurately classifying the NSSI thoughts group, the Random Forest models demonstrated capability in differentiating NSSI status. Age-specific patterns were identified: middle school students showed a higher propensity to progress to NSSI behaviors than high schoolers, with emotional/social factors more prominent for middle schoolers and broader risk factors for high schoolers.

Conclusion: Findings support conceptualizing NSSI thoughts as a critical stage in NSSI development, highlighting distinct risk profiles across age groups. Future research should focus on improving the identification and assessment of NSSI thoughts and developing early intervention strategies based on developmental stages and associated risk factors.

非自杀性自伤(NSSI)是青少年中普遍存在的问题,具有潜在的长期心理健康影响。为了探讨自伤思想作为一个独特的发展阶段,并为早期干预策略提供依据,本研究采用纵向设计,考察了中国青少年在三种自伤状态下的进展差异:无自伤、无行为的自伤思想和自伤行为。方法:采用机器学习方法(随机森林模型),对来自中国初中和高中的2154名青少年(11-18岁)进行了两波纵向研究。分析的重点是自伤状况、危险因素和发展轨迹。采用方差分析和配对t检验检验不同自伤状态组的危险因素和自伤功能。结果:自伤思想既是一个独特的类别,也是行为的潜在前兆。尽管在准确分类自伤思想组方面存在局限性,但随机森林模型在区分自伤状态方面表现出了能力。结果发现,初中生的自伤倾向高于高中生,其中情绪/社会因素在初中生中更为突出,而高中生的危险因素更为广泛。结论:研究结果支持将自伤思想概念化为自伤发展的关键阶段,强调了不同年龄组的不同风险概况。未来的研究应侧重于提高对自伤思想的识别和评估,并根据发育阶段和相关危险因素制定早期干预策略。
{"title":"From Thoughts to Actions: A Longitudinal Examination of NSSI Risk Factors in Adolescence.","authors":"Jiaqi Zhou, Shiyi Hu, Haoze Wu, Suhong Wang, Jingbo Gong","doi":"10.2147/PRBM.S545595","DOIUrl":"10.2147/PRBM.S545595","url":null,"abstract":"<p><strong>Introduction: </strong>Non-suicidal self-injury (NSSI) is a prevalent issue among adolescents, with potential long-term mental health implications. To investigate NSSI thoughts as a distinct developmental stage and inform early intervention strategies, this study employed a longitudinal design to examine progression differences in Chinese adolescents across three NSSI status: NO NSSI, NSSI thoughts without behaviors, and NSSI behaviors.</p><p><strong>Methods: </strong>Using a machine learning approach (Random Forest models), a two-wave longitudinal study assessed 2,154 adolescents (aged 11-18) from Chinese middle and high schools. Analyses focused on NSSI status, risk factors, and developmental trajectories. ANOVAs and paired-t tests were conducted to examine risk factors and NSSI functions of group with different NSSI status.</p><p><strong>Results: </strong>NSSI thoughts emerged as both a distinct category and a potential precursor to behaviors. Despite limitations in accurately classifying the NSSI thoughts group, the Random Forest models demonstrated capability in differentiating NSSI status. Age-specific patterns were identified: middle school students showed a higher propensity to progress to NSSI behaviors than high schoolers, with emotional/social factors more prominent for middle schoolers and broader risk factors for high schoolers.</p><p><strong>Conclusion: </strong>Findings support conceptualizing NSSI thoughts as a critical stage in NSSI development, highlighting distinct risk profiles across age groups. Future research should focus on improving the identification and assessment of NSSI thoughts and developing early intervention strategies based on developmental stages and associated risk factors.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1915-1930"},"PeriodicalIF":3.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emotional Lability Independently Predicts Functional Impairment in Children with ADHD: A Cross-Sectional Study. 情绪不稳定独立预测多动症儿童的功能损害:一项横断面研究。
IF 3.2 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S535898
Xiaolan Cao, Zhaomin Wu, Juan Liu, Ying Li, Linlin Zhang, Yufeng Wang, Binrang Yang

Background: Emotional lability (EL), characterized by excessive emotional fluctuations and intense outbursts, frequently co-occurs with attention deficit hyperactivity disorder (ADHD) and may exacerbate functional impairments. This study aimed to explore the disparities in ADHD-related symptoms and functional impairments in children with ADHD who exhibited EL and those without it and to examine the unique contribution of EL to functional impairments.

Methods: A total of 427 children with ADHD, aged 6-14 years, were recruited from Shenzhen Children's Hospital. EL was assessed using the Conners'Parent Rating Scale, while ADHD-related symptoms were measured using the ADHD Rating Scale (ADHD-RS) and Child Behavior Checklist (CBCL). Functional impairment was assessed using the Weiss Functional Impairment Scale-Parent Form (WFIRS-P). Group comparisons were conducted between ADHD with EL and ADHD without EL, and correlations and multiple linear regressions were performed to explore the associations between EL, ADHD-related symptoms, and functional impairment.

Results: EL prevalence in the study sample was 33.96%. Children with ADHD and EL exhibited significantly higher scores for inattention (P<0.001), hyperactivity/impulsivity (P<0.001), CBCL factors (P<0.001), and all domains of functional impairment (P<0.05) than those without EL. The two groups differed substantially in their distribution of ADHD subtypes (P=0.012). Moderate correlations were found between EL and functional impairment (r=0.40-0.45, P<0.001). After adjusting for ADHD-related symptoms, EL independently predicted impairments in family (P=0.001), life skills (P=0.001), self-concept domains (P=0.001), and total functional impairment (P=0.002). EL, along with attention scores, social problems, and delinquent behaviors, significantly predicted the overall functional impairment.

Conclusion: EL is a significant contributor to functional impairment in children with ADHD, exerting its influence independently of the core symptoms of ADHD. Our findings highlight the need for targeted interventions to address emotional regulation in ADHD and mitigate long-term functional impairments.

背景:情绪不稳定(EL)以过度的情绪波动和强烈的情绪爆发为特征,经常与注意缺陷多动障碍(ADHD)共同发生,并可能加剧功能障碍。本研究旨在探讨ADHD患儿表现出EL和未表现出EL的ADHD患儿在ADHD相关症状和功能障碍方面的差异,并探讨EL对功能障碍的独特贡献。方法:从深圳市儿童医院招募6 ~ 14岁ADHD患儿427例。使用Conners'父母评定量表评估EL,而使用ADHD评定量表(ADHD- rs)和儿童行为检查表(CBCL)测量ADHD相关症状。使用Weiss功能损害量表-家长表格(WFIRS-P)评估功能损害。将ADHD合并EL和ADHD不合并EL进行组间比较,并通过相关和多元线性回归来探讨EL、ADHD相关症状和功能损害之间的关系。结果:研究样本EL患病率为33.96%。结论:注意力缺失是ADHD儿童功能损害的重要因素,其影响独立于ADHD的核心症状。我们的研究结果强调,需要有针对性的干预措施来解决ADHD患者的情绪调节问题,并减轻长期功能障碍。
{"title":"Emotional Lability Independently Predicts Functional Impairment in Children with ADHD: A Cross-Sectional Study.","authors":"Xiaolan Cao, Zhaomin Wu, Juan Liu, Ying Li, Linlin Zhang, Yufeng Wang, Binrang Yang","doi":"10.2147/PRBM.S535898","DOIUrl":"10.2147/PRBM.S535898","url":null,"abstract":"<p><strong>Background: </strong>Emotional lability (EL), characterized by excessive emotional fluctuations and intense outbursts, frequently co-occurs with attention deficit hyperactivity disorder (ADHD) and may exacerbate functional impairments. This study aimed to explore the disparities in ADHD-related symptoms and functional impairments in children with ADHD who exhibited EL and those without it and to examine the unique contribution of EL to functional impairments.</p><p><strong>Methods: </strong>A total of 427 children with ADHD, aged 6-14 years, were recruited from Shenzhen Children's Hospital. EL was assessed using the Conners'Parent Rating Scale, while ADHD-related symptoms were measured using the ADHD Rating Scale (ADHD-RS) and Child Behavior Checklist (CBCL). Functional impairment was assessed using the Weiss Functional Impairment Scale-Parent Form (WFIRS-P). Group comparisons were conducted between ADHD with EL and ADHD without EL, and correlations and multiple linear regressions were performed to explore the associations between EL, ADHD-related symptoms, and functional impairment.</p><p><strong>Results: </strong>EL prevalence in the study sample was 33.96%. Children with ADHD and EL exhibited significantly higher scores for inattention (P<0.001), hyperactivity/impulsivity (P<0.001), CBCL factors (P<0.001), and all domains of functional impairment (P<0.05) than those without EL. The two groups differed substantially in their distribution of ADHD subtypes (P=0.012). Moderate correlations were found between EL and functional impairment (r=0.40-0.45, P<0.001). After adjusting for ADHD-related symptoms, EL independently predicted impairments in family (P=0.001), life skills (P=0.001), self-concept domains (P=0.001), and total functional impairment (P=0.002). EL, along with attention scores, social problems, and delinquent behaviors, significantly predicted the overall functional impairment.</p><p><strong>Conclusion: </strong>EL is a significant contributor to functional impairment in children with ADHD, exerting its influence independently of the core symptoms of ADHD. Our findings highlight the need for targeted interventions to address emotional regulation in ADHD and mitigate long-term functional impairments.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1957-1968"},"PeriodicalIF":3.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Psychology Research and Behavior Management
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