Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.199
Fei Gao, Laichuang Fei
Background Campus mental health services face real challenges such as rapidly growing demand, lagging risk identification, and uneven allocation of intervention resources. Early identification and continuous monitoring of mental health problems are crucial for reducing the risk of symptom exacerbation and improving intervention effectiveness. With the development of educational big data technology, the comprehensive analysis of student behavior, learning, and psychological data offers new possibilities for optimizing the campus mental health service system. This study aims to explore the operational effectiveness of a campus mental health service system driven by educational big data and analyze its practical value in improving students’ mental state and enhancing their risk identification capabilities. Methods The study employed a quasi-experimental design, selecting 420 undergraduate students from two universities as research subjects. One university implemented a mental health service system supported by educational big data as the intervention group, while the other university used a conventional mental health service model as the control group. The educational big data-driven service system mainly includes a psychological risk early warning system integrating multi-source data, dynamic tracking of individual mental state, and a tiered intervention delivery mechanism. Mental state assessment used the anxiety and depression dimensions of the Symptom Checklist-90 (SCL-90), and psychological stress level was assessed using the Perceived Stress Scale (PSS). The intervention period was one semester, with assessments conducted at the beginning and end of the semester. Statistical analysis used paired t-tests and independent samples t-tests, controlling for variables such as grade and gender. Results End-of-term assessment results showed that the SCL-90 anxiety dimension score in the intervention group decreased from 2.12 ± 0.51 to 1.58 ± 0.47, while that in the control group decreased from 2.09 ± 0.49 to 1.92 ± 0.50, with a significant difference between the groups (t = 4.27, p<.001). The depression dimension score decreased from 2.06 ± 0.48 to 1.54 ± 0.45 in the intervention group, while the decrease in the control group was only from 2.03 ± 0.46 to 1.87 ± 0.47, with a statistically significant difference (t = 3.89, p<.001). The PSS score decreased significantly more in the intervention group than in the control group (t = 3.45, p=.001). Further analysis revealed a significant negative correlation between the number of risk warnings triggered by educational big data and the degree of improvement in psychological symptoms (r = -0.36, p<.001), suggesting that data-driven services have a positive role in psychological state regulation. Discussion A campus mental health service system driven by big data in education can effectively improve students’ anxiety and depression levels and enhance the timeliness of psychological risk ide
校园心理健康服务面临着需求快速增长、风险识别滞后、干预资源分配不均等现实挑战。早期识别和持续监测精神健康问题对于减少症状恶化的风险和提高干预效果至关重要。随着教育大数据技术的发展，对学生行为、学习、心理数据的综合分析，为优化校园心理健康服务体系提供了新的可能。本研究旨在探索以教育大数据为驱动的校园心理健康服务系统的运行效果，分析其在改善学生心理状态、提高学生风险识别能力方面的实用价值。方法采用准实验设计，选取两所高校420名本科生作为研究对象。一所大学采用教育大数据支持的心理健康服务系统作为干预组，另一所大学采用传统的心理健康服务模式作为对照组。教育大数据驱动服务体系主要包括多源数据集成的心理风险预警系统、个体心理状态动态跟踪、分层干预交付机制。心理状态评估采用症状自评量表（SCL-90）的焦虑和抑郁维度，心理压力水平评估采用感知压力量表（PSS）。干预期为一个学期，在学期初和学期末分别进行评估。统计分析使用配对t检验和独立样本t检验，控制年级和性别等变量。结果期末评估结果显示，干预组SCL-90焦虑维度得分由2.12±0.51降至1.58±0.47，对照组由2.09±0.49降至1.92±0.50，组间差异有统计学意义（t = 4.27, p < 0.01）。干预组抑郁维度得分由2.06±0.48降至1.54±0.45，而对照组仅由2.03±0.46降至1.87±0.47，差异有统计学意义（t = 3.89, p < 0.01）。干预组患者PSS评分下降明显高于对照组（t = 3.45, p= 0.001）。进一步分析发现，教育大数据引发的风险预警次数与心理症状改善程度呈显著负相关（r = -0.36, p<）。001)，表明数据驱动服务在心理状态调节中具有积极作用。以教育大数据为驱动的校园心理健康服务体系可以有效改善学生的焦虑抑郁水平，增强心理风险识别和干预的及时性。从心理治疗的角度来看，该模式有助于实现对心理健康问题的早期发现和分层干预，弥补了传统服务体系在动态监测和精准支持方面的不足。未来的研究可以进一步纳入纵向跟踪数据，评估该系统对严重心理健康问题的预防和心理功能的长期恢复的影响，同时在数据伦理和隐私保护的框架下探索校园心理健康服务的可持续优化路径。
{"title":"201. Optimization path of campus mental health service system driven by educational big data","authors":"Fei Gao, Laichuang Fei","doi":"10.1093/schbul/sbag003.199","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.199","url":null,"abstract":"Background Campus mental health services face real challenges such as rapidly growing demand, lagging risk identification, and uneven allocation of intervention resources. Early identification and continuous monitoring of mental health problems are crucial for reducing the risk of symptom exacerbation and improving intervention effectiveness. With the development of educational big data technology, the comprehensive analysis of student behavior, learning, and psychological data offers new possibilities for optimizing the campus mental health service system. This study aims to explore the operational effectiveness of a campus mental health service system driven by educational big data and analyze its practical value in improving students’ mental state and enhancing their risk identification capabilities. Methods The study employed a quasi-experimental design, selecting 420 undergraduate students from two universities as research subjects. One university implemented a mental health service system supported by educational big data as the intervention group, while the other university used a conventional mental health service model as the control group. The educational big data-driven service system mainly includes a psychological risk early warning system integrating multi-source data, dynamic tracking of individual mental state, and a tiered intervention delivery mechanism. Mental state assessment used the anxiety and depression dimensions of the Symptom Checklist-90 (SCL-90), and psychological stress level was assessed using the Perceived Stress Scale (PSS). The intervention period was one semester, with assessments conducted at the beginning and end of the semester. Statistical analysis used paired t-tests and independent samples t-tests, controlling for variables such as grade and gender. Results End-of-term assessment results showed that the SCL-90 anxiety dimension score in the intervention group decreased from 2.12 ± 0.51 to 1.58 ± 0.47, while that in the control group decreased from 2.09 ± 0.49 to 1.92 ± 0.50, with a significant difference between the groups (t = 4.27, p&lt;.001). The depression dimension score decreased from 2.06 ± 0.48 to 1.54 ± 0.45 in the intervention group, while the decrease in the control group was only from 2.03 ± 0.46 to 1.87 ± 0.47, with a statistically significant difference (t = 3.89, p&lt;.001). The PSS score decreased significantly more in the intervention group than in the control group (t = 3.45, p=.001). Further analysis revealed a significant negative correlation between the number of risk warnings triggered by educational big data and the degree of improvement in psychological symptoms (r = -0.36, p&lt;.001), suggesting that data-driven services have a positive role in psychological state regulation. Discussion A campus mental health service system driven by big data in education can effectively improve students’ anxiety and depression levels and enhance the timeliness of psychological risk ide","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"97 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.015
Ya Zhuo
Background Female emotional disorders are both a mental health issue and a socio-cultural symptom. As a carrier of popular culture, film and television have a profound impact on public cognition, but their presentation often oscillates between objectivity and exaggeration, debunking and stereotyping, and solidifying prejudice. Therefore, analyzing the gender norms and power relations behind its audiovisual presentation has important academic and practical significance. Methods The study adopts a multi-method design that combines qualitative and quantitative methods. By purposive sampling, 30 film and television works with female emotional disorders as the core from 2010 to 2023 were selected as samples. Firstly, conduct a detailed reading and narrative analysis of the text, deconstructing character settings, symptom presentation, and disease attribution. Subsequently, a coding manual was established to systematically code dimensions such as barrier types, social attribution, and stigmatization tendencies. Finally, quantitative statistics were conducted using SPSS software for frequency analysis and chi-square test to reveal the distribution patterns and correlations between different narrative elements. Results The experiment quantified the specific patterns and significant deviations in the visual representation of female emotional disorders, and the test results are shown in Table 1. As shown in Table 1, there is a significant deviation and pattern tendency in the presentation of female emotional disorders in film and television. Depression has the highest frequency of presentation (43.3%), followed by PTSD (26.7%). Only 36.7% of works attribute obstacles to systemic gender pressure. The narrative ending is highly inclined towards "individualized resolution": 63.3% of works set "complete healing" or "romantic redemption" endings, and only 16.7% accept long-term coexistence. The chi-square test showed that the type of disorder was significantly correlated with social attribution (χ2 = 8.92, p<.05), and PTSD was more likely to be associated with structural factors, but the overall narrative was still dominated by individualized rescue plans. Discussion Research has confirmed that there is a contradiction in the presentation of film and television: although attention has increased, storytelling is still constrained by traditional concepts, which may lead to the neglect of social structural factors and reinforce stereotypes about patients. Future creation needs to seek a more balanced narrative between individual experience and social criticism.
{"title":"15. The film and television presentation of female emotional disorders and its sociological analysis","authors":"Ya Zhuo","doi":"10.1093/schbul/sbag003.015","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.015","url":null,"abstract":"Background Female emotional disorders are both a mental health issue and a socio-cultural symptom. As a carrier of popular culture, film and television have a profound impact on public cognition, but their presentation often oscillates between objectivity and exaggeration, debunking and stereotyping, and solidifying prejudice. Therefore, analyzing the gender norms and power relations behind its audiovisual presentation has important academic and practical significance. Methods The study adopts a multi-method design that combines qualitative and quantitative methods. By purposive sampling, 30 film and television works with female emotional disorders as the core from 2010 to 2023 were selected as samples. Firstly, conduct a detailed reading and narrative analysis of the text, deconstructing character settings, symptom presentation, and disease attribution. Subsequently, a coding manual was established to systematically code dimensions such as barrier types, social attribution, and stigmatization tendencies. Finally, quantitative statistics were conducted using SPSS software for frequency analysis and chi-square test to reveal the distribution patterns and correlations between different narrative elements. Results The experiment quantified the specific patterns and significant deviations in the visual representation of female emotional disorders, and the test results are shown in Table 1. As shown in Table 1, there is a significant deviation and pattern tendency in the presentation of female emotional disorders in film and television. Depression has the highest frequency of presentation (43.3%), followed by PTSD (26.7%). Only 36.7% of works attribute obstacles to systemic gender pressure. The narrative ending is highly inclined towards \"individualized resolution\": 63.3% of works set \"complete healing\" or \"romantic redemption\" endings, and only 16.7% accept long-term coexistence. The chi-square test showed that the type of disorder was significantly correlated with social attribution (χ2 = 8.92, p&lt;.05), and PTSD was more likely to be associated with structural factors, but the overall narrative was still dominated by individualized rescue plans. Discussion Research has confirmed that there is a contradiction in the presentation of film and television: although attention has increased, storytelling is still constrained by traditional concepts, which may lead to the neglect of social structural factors and reinforce stereotypes about patients. Future creation needs to seek a more balanced narrative between individual experience and social criticism.","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"43 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.024
Wanping Zhou
Background Avoidant Personality Disorder (AvPD) is characterised by pervasive social inhibition, a sense of inadequate self-worth, and excessive sensitivity to negative evaluation, resulting in severely impaired social functioning. Creative arts therapies (such as music interventions) may serve as effective mediators for social rehabilitation by providing patients with non-verbal avenues for expression and emotional regulation. However, empirical research focusing on structured group piano ensemble interventions and systematically evaluating their impact on objective social behaviours in AvPD patients remains unexplored. This study aims to examine whether a 10-week group piano ensemble intervention programme can effectively improve social avoidance behaviours and social anxiety levels in individuals with AvPD. Methods The study employed a randomised controlled trial design, with 72 participants meeting DSM-5 diagnostic criteria for Avoidant Personality Disorder (AvPD) randomly assigned to either a piano intervention group (n = 36) or a routine supportive psychoeducation control group (n = 36). The intervention group received weekly 90-minute group piano ensemble training sessions, comprising individual rhythmic exercises, paired note call-and-response, group melody composition, and culminating in rehearsals of small ensemble pieces. The control group received supportive group psychoeducation at the same frequency. The primary outcome measures were social avoidance behaviours, assessed using the Social Avoidance and Distress Scale (SAD) and the Social Anxiety Scale (SAS). All scales were administered at baseline (T1), post-intervention (T2), and three months post-intervention (T3). Results The piano intervention group demonstrated significant reductions in both self-reported and observed social avoidance behaviours at T2 and T3 compared to T1 (all p<.001), with the magnitude of reduction significantly greater than that of the control group (all p<.001). A significant interaction effect was also observed for the secondary outcome measure, the SAS, indicating a significant decrease in anxiety levels within the intervention group. Detailed data are presented in Table 1. Discussion Research indicates that structured group piano ensemble interventions yield significant and sustained improvements in social avoidance behaviours and social anxiety levels among patients with avoidant personality disorder, demonstrating markedly superior efficacy compared to conventional supportive interventions. The notable enhancement in objective behavioural observation data is particularly crucial, confirming the intervention's effectiveness in facilitating genuine social interaction. This may stem from the ensemble setting creating a “task-centred” rather than “evaluation-centred” social context. Participants, immersed in musical collaboration, naturally reduced anxiety about social performance while practising non-verbal synchronisation and cooperative s
{"title":"24. Randomised controlled trial of piano ensemble intervention on social behaviour improvement in patients with avoidant personality disorder","authors":"Wanping Zhou","doi":"10.1093/schbul/sbag003.024","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.024","url":null,"abstract":"Background Avoidant Personality Disorder (AvPD) is characterised by pervasive social inhibition, a sense of inadequate self-worth, and excessive sensitivity to negative evaluation, resulting in severely impaired social functioning. Creative arts therapies (such as music interventions) may serve as effective mediators for social rehabilitation by providing patients with non-verbal avenues for expression and emotional regulation. However, empirical research focusing on structured group piano ensemble interventions and systematically evaluating their impact on objective social behaviours in AvPD patients remains unexplored. This study aims to examine whether a 10-week group piano ensemble intervention programme can effectively improve social avoidance behaviours and social anxiety levels in individuals with AvPD. Methods The study employed a randomised controlled trial design, with 72 participants meeting DSM-5 diagnostic criteria for Avoidant Personality Disorder (AvPD) randomly assigned to either a piano intervention group (n = 36) or a routine supportive psychoeducation control group (n = 36). The intervention group received weekly 90-minute group piano ensemble training sessions, comprising individual rhythmic exercises, paired note call-and-response, group melody composition, and culminating in rehearsals of small ensemble pieces. The control group received supportive group psychoeducation at the same frequency. The primary outcome measures were social avoidance behaviours, assessed using the Social Avoidance and Distress Scale (SAD) and the Social Anxiety Scale (SAS). All scales were administered at baseline (T1), post-intervention (T2), and three months post-intervention (T3). Results The piano intervention group demonstrated significant reductions in both self-reported and observed social avoidance behaviours at T2 and T3 compared to T1 (all p&lt;.001), with the magnitude of reduction significantly greater than that of the control group (all p&lt;.001). A significant interaction effect was also observed for the secondary outcome measure, the SAS, indicating a significant decrease in anxiety levels within the intervention group. Detailed data are presented in Table 1. Discussion Research indicates that structured group piano ensemble interventions yield significant and sustained improvements in social avoidance behaviours and social anxiety levels among patients with avoidant personality disorder, demonstrating markedly superior efficacy compared to conventional supportive interventions. The notable enhancement in objective behavioural observation data is particularly crucial, confirming the intervention's effectiveness in facilitating genuine social interaction. This may stem from the ensemble setting creating a “task-centred” rather than “evaluation-centred” social context. Participants, immersed in musical collaboration, naturally reduced anxiety about social performance while practising non-verbal synchronisation and cooperative s","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"92 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.284
Guangmao Li
Background Social anxiety disorder among college students has become a high incidence problem that affects their academic performance, interpersonal development, and mental health. Currently, psychological interventions in universities are mostly limited to individual counseling or group counseling within the school, and the effectiveness of interventions is often limited due to the lack of a generalized and sustained supportive environment. As an important ecosystem, the interaction mode and support level of the family have a profound impact on the social function of college students. Therefore, exploring a collaborative intervention model that integrates school professional resources with family support systems has important theoretical and practical significance for building a long-term and ecological support system. Methods We have developed and implemented a "home school collaboration" joint intervention model. This model consists of three core components: cognitive behavioral group training for students, systematic psychological education workshops for parents, and regular online communication and feedback mechanisms between home and school. The study adopted a quasi experimental design, dividing 72 college students and their main parents diagnosed with moderate or above social anxiety through a scale screening (Social Avoidance and Distress Scale, SAD) into an experimental group (receiving a combined intervention for 8 weeks) and a waiting control group. We conducted follow-up assessments using the Social Anxiety Scale (LSAS) and the Family Intimacy and Adaptability Scale (FACES II) before, after, and three months after the intervention, and processed the data using repeated measures ANOVA and mediation models. Results Data analysis shows that the home school collaborative intervention model has significant and multidimensional effects. In terms of core symptoms, the total score of LSAS in the experimental group decreased by 36.8% compared to before intervention, significantly better than the 9.2% improvement in the control group (F (1,70) = 31.75, p<.001, η_p2 = 0.31). From a dimensional perspective, the scores of the subscales for "social avoidance" and "fear of negative evaluation" decreased by 42.1% and 33.5%, respectively (both p<.001). At the level of psychological resources, the experimental group showed a significant improvement in social self-efficacy (51.3% increase, d = 1.15), and the FACES II scores for "intimacy" and "adaptability" increased by 28.4% and 24.7%, respectively (both p< .01). More importantly, the mediation model revealed the key path of joint intervention: the improvement of family functioning played a significant partial mediating role in reducing students' social anxiety, with a mediation effect accounting for 34.8% (95% CI [0.12, 0.58]). The three-month follow-up data confirmed the sustainability of the effect, with no significant increase in anxiety scores in the experimental group, while
{"title":"286. The joint intervention model of college students' social anxiety from the perspective of family school collaboration","authors":"Guangmao Li","doi":"10.1093/schbul/sbag003.284","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.284","url":null,"abstract":"Background Social anxiety disorder among college students has become a high incidence problem that affects their academic performance, interpersonal development, and mental health. Currently, psychological interventions in universities are mostly limited to individual counseling or group counseling within the school, and the effectiveness of interventions is often limited due to the lack of a generalized and sustained supportive environment. As an important ecosystem, the interaction mode and support level of the family have a profound impact on the social function of college students. Therefore, exploring a collaborative intervention model that integrates school professional resources with family support systems has important theoretical and practical significance for building a long-term and ecological support system. Methods We have developed and implemented a \"home school collaboration\" joint intervention model. This model consists of three core components: cognitive behavioral group training for students, systematic psychological education workshops for parents, and regular online communication and feedback mechanisms between home and school. The study adopted a quasi experimental design, dividing 72 college students and their main parents diagnosed with moderate or above social anxiety through a scale screening (Social Avoidance and Distress Scale, SAD) into an experimental group (receiving a combined intervention for 8 weeks) and a waiting control group. We conducted follow-up assessments using the Social Anxiety Scale (LSAS) and the Family Intimacy and Adaptability Scale (FACES II) before, after, and three months after the intervention, and processed the data using repeated measures ANOVA and mediation models. Results Data analysis shows that the home school collaborative intervention model has significant and multidimensional effects. In terms of core symptoms, the total score of LSAS in the experimental group decreased by 36.8% compared to before intervention, significantly better than the 9.2% improvement in the control group (F (1,70) = 31.75, p&lt;.001, η_p2 = 0.31). From a dimensional perspective, the scores of the subscales for \"social avoidance\" and \"fear of negative evaluation\" decreased by 42.1% and 33.5%, respectively (both p&lt;.001). At the level of psychological resources, the experimental group showed a significant improvement in social self-efficacy (51.3% increase, d = 1.15), and the FACES II scores for \"intimacy\" and \"adaptability\" increased by 28.4% and 24.7%, respectively (both p&lt; .01). More importantly, the mediation model revealed the key path of joint intervention: the improvement of family functioning played a significant partial mediating role in reducing students' social anxiety, with a mediation effect accounting for 34.8% (95% CI [0.12, 0.58]). The three-month follow-up data confirmed the sustainability of the effect, with no significant increase in anxiety scores in the experimental group, while","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"29 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.079
Yun Zhao, Huanhuan Jia, Dehe Li, Xiaojing Huang
Background Because the traditional medical model has shortcomings such as uneven distribution of resources and uneven quality of medical services, it cannot properly meet the long-term treatment and care needs of patients with mental illness. To this end, the study analyzed the impact of extended nursing intervention under the medical consortium model on community patients with mental illness and depression, aiming to provide new technical directions for the care of mental illness. Methods The study design was a randomized controlled trial, selecting 120 community patients. These patients were all diagnosed with mental illness accompanied by depression in the coverage area of a certain medical consortium from January 2024 to June 2025. The patients were randomly divided into a control group and an intervention group, with 60 cases in each group. Patients in the control group only received conventional treatment, while patients in the intervention group received extended nursing intervention under the medical alliance model on the basis of conventional treatment. Nursing intervention involves nurses formulating personalized care plans based on the patient's condition, including medication management, dietary regulation, exercise planning, and psychological management. The trial period lasted for 10 months, and the patients' depressive symptoms were assessed with the Hamilton Depression Rating Scale (HAMD) before and after the experiment. In addition, patients' quality of life was assessed using the World Health Organization Quality of Life Brief version (WHOQOL-BREF), while satisfaction with nursing services was assessed using a self-made service satisfaction questionnaire. Results During the 10-month intervention and follow-up, the results showed that the HAMD score of patients in the intervention group was significantly reduced, from 24.3 ± 5.2 before the experiment to 12.7 ± 4.6 after the end of the experiment. The HAMD score of patients in the control group decreased from 23.8 ± 5.0 before the experiment to 18.9 ± 4.8 after the experiment (p<.05). The WHOQOL-BREF score of patients in the intervention group improved significantly, from 48.6 ± 10.4 before the experiment to 68.2 ± 11.3 after the experiment. The WHOQOL-BREF score of patients in the control group increased from 47.9 ± 10.1 before the experiment to 58.3 ± 10.7 after the experiment (p<.05). After the experiment, the satisfaction scores of the intervention group and the control group were 86.3 ± 7.5 and 74.8 ± 8.2 respectively. The service satisfaction of patients in the intervention group was significantly higher than that in the control group (p<.05). Discussion The results show that extended nursing intervention under the medical consortium model can significantly improve the depressive symptoms of community patients with mental illness and depression, and improve their quality of life and satisfaction with nursing services. This shows that the medical consorti
{"title":"79. The impact of extended nursing intervention In the medical alliance model on patients with mental illness and depression in the community","authors":"Yun Zhao, Huanhuan Jia, Dehe Li, Xiaojing Huang","doi":"10.1093/schbul/sbag003.079","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.079","url":null,"abstract":"Background Because the traditional medical model has shortcomings such as uneven distribution of resources and uneven quality of medical services, it cannot properly meet the long-term treatment and care needs of patients with mental illness. To this end, the study analyzed the impact of extended nursing intervention under the medical consortium model on community patients with mental illness and depression, aiming to provide new technical directions for the care of mental illness. Methods The study design was a randomized controlled trial, selecting 120 community patients. These patients were all diagnosed with mental illness accompanied by depression in the coverage area of a certain medical consortium from January 2024 to June 2025. The patients were randomly divided into a control group and an intervention group, with 60 cases in each group. Patients in the control group only received conventional treatment, while patients in the intervention group received extended nursing intervention under the medical alliance model on the basis of conventional treatment. Nursing intervention involves nurses formulating personalized care plans based on the patient's condition, including medication management, dietary regulation, exercise planning, and psychological management. The trial period lasted for 10 months, and the patients' depressive symptoms were assessed with the Hamilton Depression Rating Scale (HAMD) before and after the experiment. In addition, patients' quality of life was assessed using the World Health Organization Quality of Life Brief version (WHOQOL-BREF), while satisfaction with nursing services was assessed using a self-made service satisfaction questionnaire. Results During the 10-month intervention and follow-up, the results showed that the HAMD score of patients in the intervention group was significantly reduced, from 24.3 ± 5.2 before the experiment to 12.7 ± 4.6 after the end of the experiment. The HAMD score of patients in the control group decreased from 23.8 ± 5.0 before the experiment to 18.9 ± 4.8 after the experiment (p&lt;.05). The WHOQOL-BREF score of patients in the intervention group improved significantly, from 48.6 ± 10.4 before the experiment to 68.2 ± 11.3 after the experiment. The WHOQOL-BREF score of patients in the control group increased from 47.9 ± 10.1 before the experiment to 58.3 ± 10.7 after the experiment (p&lt;.05). After the experiment, the satisfaction scores of the intervention group and the control group were 86.3 ± 7.5 and 74.8 ± 8.2 respectively. The service satisfaction of patients in the intervention group was significantly higher than that in the control group (p&lt;.05). Discussion The results show that extended nursing intervention under the medical consortium model can significantly improve the depressive symptoms of community patients with mental illness and depression, and improve their quality of life and satisfaction with nursing services. This shows that the medical consorti","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"13 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.150
Geni Yue
Background Intercultural language learners commonly face challenges in social interaction, language expression, and learning adaptation in unfamiliar cultural environments. Studies show that approximately 50% of international students experience language anxiety, 35% experience social withdrawal or decreased self-esteem, and over 40% experience limitations in academic and daily life due to communication barriers. Psychologically supportive language courses, as a proactive intervention combining emotion regulation exercises, expressive exposure, and peer interaction, can improve language anxiety and social adaptation through positive feedback, role-playing, and cultural understanding training. Therefore, this study uses psychological scale assessments to analyze the improvement of psychological anxiety and adaptation in intercultural language learners, and evaluates its actual effects on communication anxiety, learning confidence, and social integration experience, providing empirical evidence for intercultural education interventions. Methods This study included 160 international students aged 18-25 years who were entering a target language learning environment for the first time and were receiving Chinese or English language instruction at overseas universities. Participants were randomly assigned to an intervention group (n = 80) and a control group (n = 80). The intervention group received a 10-week psychological support language intervention, three times a week for 90 minutes each time. The intervention included: ① language communication anxiety management training, ② cultural difference expression and coping exercises, and ③ group collaboration and interaction strategies with immediate teacher feedback. The control group only received regular language classes and assignments. Psychological status was assessed using the Foreign Language Classroom Anxiety Scale (FLCAS) and the Social Adaptation Assessment Scale (SAAS) at pre-intervention (T0), during intervention (week 5, T1), and post-intervention (T2). Independent samples t-tests were used to compare the two groups, with a significance level set at p<.05. Cohen's d effect size was also used to evaluate the magnitude of the intervention effect. Results The total FLCAS score in the intervention group decreased from 71.6 ± 7.8 in stage T0 to 52.3 ± 6.4 in stage T2 (p<.001, d = 2.61), with significant improvements in communication phobia and negative self-evaluation sub-items (p<.01). The intervention group's SAAS score showed a significant improvement in social adaptability, rising from 42.7 ± 5.9 in stage T0 to 57.8 ± 6.2 in stage T2 (p<.001, d = 2.41), which manifested as increased willingness to participate in class, increased peer interaction, and improved learning confidence. In contrast, the FLCAS and SAAS scores of the control group did not change significantly during T0 to T2 (p>.05). Discussion A 10-week psychologically supportive language course sign
跨文化语言学习者在陌生文化环境中普遍面临着社会交往、语言表达和学习适应等方面的挑战。研究表明，大约50%的国际学生经历过语言焦虑，35%的国际学生经历过社交退缩或自尊下降，超过40%的国际学生由于沟通障碍而在学习和日常生活中受到限制。心理支持语言课程作为一种结合情绪调节练习、表达暴露和同伴互动的主动干预，可以通过积极反馈、角色扮演和文化理解训练来改善语言焦虑和社会适应。因此，本研究采用心理量表评估分析跨文化语言学习者心理焦虑和适应的改善情况，并评估其对交际焦虑、学习自信和社会融入体验的实际效果，为跨文化教育干预提供经验证据。方法本研究对象为160名18-25岁首次进入目标语言学习环境，在海外大学接受中文或英文语言教学的留学生。参与者被随机分为干预组（n = 80）和对照组（n = 80）。干预组接受为期10周的心理支持语言干预，每周三次，每次90分钟。干预包括：①语言交际焦虑管理训练；②文化差异表达与应对练习；③教师即时反馈的小组合作与互动策略。对照组只接受常规的语言课程和作业。采用外语课堂焦虑量表（FLCAS）和社会适应评估量表（SAAS）在干预前（T0）、干预期间（第5周，T1）和干预后（T2）进行心理状态评估。采用独立样本t检验对两组进行比较，显著性水平设为p&；lt; 0.05。科恩效应量也被用来评估干预效果的大小。结果干预组FLCAS总分由T0期的71.6±7.8分降至T2期的52.3±6.4分（p < 0.05）。001, d = 2.61)，交流恐惧和消极自我评价子项有显著改善（p<.01）。干预组的SAAS评分在社会适应能力方面有明显改善，从T0期的42.7±5.9分上升到T2期的57.8±6.2分（p<）。001, d = 2.41)，表现为参与课堂的意愿增加，同伴互动增加，学习信心提高。相比之下，对照组的FLCAS和SAAS评分在T0至T2期间无显著变化（p> 0.05）。为期10周的心理支持语言课程显著缓解了跨文化语言学习者的课堂焦虑，提高了他们的社会适应能力和学习参与度。研究结果表明，系统的、情境化的情感支持和协作式语言教学能够有效改善跨文化语言学习者的心理健康，为跨文化教育管理提供可量化的干预数据。未来的研究可以进一步探索干预时间、适应不同文化背景的干预内容组合以及长期随访数据，以优化跨文化学习心理咨询体系，支持制定精准的指导策略。资金没有。XSYXSGG202108;2023号yb53;否。SGH24Y3013;20251793号;否。S202510722055;否。XSYXTT233。
{"title":"151. Psychological adaptation difficulties and anxiety relief in cross-cultural language learning","authors":"Geni Yue","doi":"10.1093/schbul/sbag003.150","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.150","url":null,"abstract":"Background Intercultural language learners commonly face challenges in social interaction, language expression, and learning adaptation in unfamiliar cultural environments. Studies show that approximately 50% of international students experience language anxiety, 35% experience social withdrawal or decreased self-esteem, and over 40% experience limitations in academic and daily life due to communication barriers. Psychologically supportive language courses, as a proactive intervention combining emotion regulation exercises, expressive exposure, and peer interaction, can improve language anxiety and social adaptation through positive feedback, role-playing, and cultural understanding training. Therefore, this study uses psychological scale assessments to analyze the improvement of psychological anxiety and adaptation in intercultural language learners, and evaluates its actual effects on communication anxiety, learning confidence, and social integration experience, providing empirical evidence for intercultural education interventions. Methods This study included 160 international students aged 18-25 years who were entering a target language learning environment for the first time and were receiving Chinese or English language instruction at overseas universities. Participants were randomly assigned to an intervention group (n = 80) and a control group (n = 80). The intervention group received a 10-week psychological support language intervention, three times a week for 90 minutes each time. The intervention included: ① language communication anxiety management training, ② cultural difference expression and coping exercises, and ③ group collaboration and interaction strategies with immediate teacher feedback. The control group only received regular language classes and assignments. Psychological status was assessed using the Foreign Language Classroom Anxiety Scale (FLCAS) and the Social Adaptation Assessment Scale (SAAS) at pre-intervention (T0), during intervention (week 5, T1), and post-intervention (T2). Independent samples t-tests were used to compare the two groups, with a significance level set at p&lt;.05. Cohen's d effect size was also used to evaluate the magnitude of the intervention effect. Results The total FLCAS score in the intervention group decreased from 71.6 ± 7.8 in stage T0 to 52.3 ± 6.4 in stage T2 (p&lt;.001, d = 2.61), with significant improvements in communication phobia and negative self-evaluation sub-items (p&lt;.01). The intervention group's SAAS score showed a significant improvement in social adaptability, rising from 42.7 ± 5.9 in stage T0 to 57.8 ± 6.2 in stage T2 (p&lt;.001, d = 2.41), which manifested as increased willingness to participate in class, increased peer interaction, and improved learning confidence. In contrast, the FLCAS and SAAS scores of the control group did not change significantly during T0 to T2 (p&gt;.05). Discussion A 10-week psychologically supportive language course sign","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"29 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.118
Aijun Wang
Background First-time offending among adolescents is often influenced by multiple factors, including insufficient emotional management skills, weak impulse control, negative peer influence, and poor family communication. Traditional correctional approaches mainly rely on disciplinary constraints and behavioral punishment, which fail to address the underlying psychological causes of misconduct, leading to behavioral relapse or poor post-intervention adjustment. In recent years, mental health–oriented intervention models centered on emotional regulation training, cognitive-behavioral correction, and family system support have shown increasing feasibility and sustainability; however, evidence regarding their effectiveness specifically for first-time adolescent offenders remains limited. This study evaluated the effectiveness of an integrated mental health intervention in improving behavioral outcomes among adolescents with first-time offenses, aiming to examine its impact on emotional regulation, impulse control, and family functioning. Methods A total of 120 adolescents documented for their first illegal or rule-violating behavior were recruited from a juvenile correctional institution and randomly assigned to the mental health intervention group (n = 60) and the control group (n = 60). The intervention group received an 8-week integrated program, including emotional regulation training, impulse control training, cognitive-behavioral restructuring, family communication counseling, and peer-support workshops. The control group received routine safety education and disciplinary instruction. Before and after the intervention, participants were assessed on behavioral problem severity (Youth Self-Report, YSR), impulse control (Barratt Impulsiveness Scale-11th Edition, BIS-11), emotional regulation ability (Difficulties in Emotion Regulation Scale-Short Form, DERS-SF), and family functioning (Family Assessment Device, FAD). Recidivism within 6 months after the intervention was also recorded. Statistical analyses included paired t-tests, between-group comparisons, and logistic regression. Results After 8 weeks, the YSR behavioral problem score in the intervention group decreased from 63.42 ± 7.15 to 51.87 ± 6.32, an 18.2% reduction, markedly greater than the 5.7% reduction in the control group (p<.001), indicating better improvement in impulsive behaviors, aggression, and rule-breaking. BIS-11 scores decreased from 72.63 ± 8.04 to 58.94 ± 7.28 in the intervention group (p<.001), achieving 2.6 times the improvement observed in the control group, suggesting that strengthened emotional and cognitive training directly contributed to the reduction of impulsive actions. DERS-SF scores decreased by 21.5% (p=.002), and FAD scores improved by 17.3% (p<.01), showing positive effects on emotional regulation and family communication. Follow-up results indicated that the 6-month recidivism rate in the intervention group was 8.3%, significantly low
{"title":"119. Effectiveness of a mental health-based intervention program for correcting first-time offenses among adolescents","authors":"Aijun Wang","doi":"10.1093/schbul/sbag003.118","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.118","url":null,"abstract":"Background First-time offending among adolescents is often influenced by multiple factors, including insufficient emotional management skills, weak impulse control, negative peer influence, and poor family communication. Traditional correctional approaches mainly rely on disciplinary constraints and behavioral punishment, which fail to address the underlying psychological causes of misconduct, leading to behavioral relapse or poor post-intervention adjustment. In recent years, mental health–oriented intervention models centered on emotional regulation training, cognitive-behavioral correction, and family system support have shown increasing feasibility and sustainability; however, evidence regarding their effectiveness specifically for first-time adolescent offenders remains limited. This study evaluated the effectiveness of an integrated mental health intervention in improving behavioral outcomes among adolescents with first-time offenses, aiming to examine its impact on emotional regulation, impulse control, and family functioning. Methods A total of 120 adolescents documented for their first illegal or rule-violating behavior were recruited from a juvenile correctional institution and randomly assigned to the mental health intervention group (n = 60) and the control group (n = 60). The intervention group received an 8-week integrated program, including emotional regulation training, impulse control training, cognitive-behavioral restructuring, family communication counseling, and peer-support workshops. The control group received routine safety education and disciplinary instruction. Before and after the intervention, participants were assessed on behavioral problem severity (Youth Self-Report, YSR), impulse control (Barratt Impulsiveness Scale-11th Edition, BIS-11), emotional regulation ability (Difficulties in Emotion Regulation Scale-Short Form, DERS-SF), and family functioning (Family Assessment Device, FAD). Recidivism within 6 months after the intervention was also recorded. Statistical analyses included paired t-tests, between-group comparisons, and logistic regression. Results After 8 weeks, the YSR behavioral problem score in the intervention group decreased from 63.42 ± 7.15 to 51.87 ± 6.32, an 18.2% reduction, markedly greater than the 5.7% reduction in the control group (p&lt;.001), indicating better improvement in impulsive behaviors, aggression, and rule-breaking. BIS-11 scores decreased from 72.63 ± 8.04 to 58.94 ± 7.28 in the intervention group (p&lt;.001), achieving 2.6 times the improvement observed in the control group, suggesting that strengthened emotional and cognitive training directly contributed to the reduction of impulsive actions. DERS-SF scores decreased by 21.5% (p=.002), and FAD scores improved by 17.3% (p&lt;.01), showing positive effects on emotional regulation and family communication. Follow-up results indicated that the 6-month recidivism rate in the intervention group was 8.3%, significantly low","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"7 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.095
Xin Chen, Yuansheng Pei
Background Mental health issues among high-stress occupational groups are becoming increasingly prominent, with chronic stress leading to anxiety, depression, and reduced work efficiency. As the physical environment where employees spend over eight hours daily, office spaces exert a significant influence on psychological well-being through their color design. Existing studies are largely theoretical and lack validation through randomized controlled trials (RCTs). To address this gap, this study focuses on high-stress individuals and employs an RCT to investigate the mechanisms by which specific color schemes alleviate stress, improve mood, and enhance job satisfaction, thereby providing empirical evidence for human-centered office space design. Methods This parallel-group RCT was conducted from March 2024 to January 2025, recruiting 120 high-stress employees (PSS-10 ≥ 22) from five large metropolitan corporations. Participants were randomized via computer-generated sequences to intervention (n = 60) and control (n = 60) groups with no significant baseline differences in demographics or psychological indicators (p>.05). Intervention offices underwent systematic renovation featuring low-saturation blue-green walls (lightness 65-75, saturation 20%-30%), warm yellow rest-area accents (lightness 75-85), and standardized 4000 K work lighting. Controls maintained conventional gray-white tones. Comprehensive assessments using the Perceived Stress Scale-10 (PSS-10), State–Trait Anxiety Inventory (STAI), Minnesota Satisfaction Questionnaire (MSQ), and salivary cortisol as an objective biomarker were performed at baseline, 4, 8, 12 weeks, and 6-month follow-up. SPSS 26.0 conducted repeated measures ANOVA, independent samples t-tests, and chi-square tests, with p<.05 indicating statistical significance. Results After 4 weeks, intervention PSS-10 scores fell significantly from 26.8 ± 3.2 to 21.4 ± 2.9 (p<.001) and cortisol dropped 18.7% (8.2 ± 1.6 vs 6.7 ± 1.3 nmol/L, p<.01), while controls exhibited minimal changes. At 8 weeks, improvements continued deepening (PSS-10: 19.1 ± 2.6; STAI: 42.3 ± 4.5). By 12 weeks, intervention PSS-10 reached 17.2 ± 2.5, STAI state anxiety decreased from 48.6 ± 5.8 to 38.1 ± 4.2 (t = 11.23, p<.001), and MSQ scores rose 23.4% to 84.6 ± 5.9 (t = 9.67, p<.001). In contrast, control PSS-10 only marginally decreased to 23.1 ± 3.0, with highly significant between-group differences (t = 8.45, p<.001). At 6-month follow-up, intervention clinical response rate (PSS-10 reduction ≥30%) remained robust at 81.7% versus 45.0% for controls (χ2 = 19.68, p<.001). Subgroup analysis revealed blue-green tones particularly benefited technical staff stress relief (effect size d = 1.02), while warm yellow accents enhanced administrative satisfaction more significantly (d = 0.89). Discussion This study confirms that color psychology-based office design produces significant and durable reductions
{"title":"96. The role of color psychology in alleviating workplace stress through office space design: a randomized controlled trial","authors":"Xin Chen, Yuansheng Pei","doi":"10.1093/schbul/sbag003.095","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.095","url":null,"abstract":"Background Mental health issues among high-stress occupational groups are becoming increasingly prominent, with chronic stress leading to anxiety, depression, and reduced work efficiency. As the physical environment where employees spend over eight hours daily, office spaces exert a significant influence on psychological well-being through their color design. Existing studies are largely theoretical and lack validation through randomized controlled trials (RCTs). To address this gap, this study focuses on high-stress individuals and employs an RCT to investigate the mechanisms by which specific color schemes alleviate stress, improve mood, and enhance job satisfaction, thereby providing empirical evidence for human-centered office space design. Methods This parallel-group RCT was conducted from March 2024 to January 2025, recruiting 120 high-stress employees (PSS-10 ≥ 22) from five large metropolitan corporations. Participants were randomized via computer-generated sequences to intervention (n = 60) and control (n = 60) groups with no significant baseline differences in demographics or psychological indicators (p&gt;.05). Intervention offices underwent systematic renovation featuring low-saturation blue-green walls (lightness 65-75, saturation 20%-30%), warm yellow rest-area accents (lightness 75-85), and standardized 4000 K work lighting. Controls maintained conventional gray-white tones. Comprehensive assessments using the Perceived Stress Scale-10 (PSS-10), State–Trait Anxiety Inventory (STAI), Minnesota Satisfaction Questionnaire (MSQ), and salivary cortisol as an objective biomarker were performed at baseline, 4, 8, 12 weeks, and 6-month follow-up. SPSS 26.0 conducted repeated measures ANOVA, independent samples t-tests, and chi-square tests, with p&lt;.05 indicating statistical significance. Results After 4 weeks, intervention PSS-10 scores fell significantly from 26.8 ± 3.2 to 21.4 ± 2.9 (p&lt;.001) and cortisol dropped 18.7% (8.2 ± 1.6 vs 6.7 ± 1.3 nmol/L, p&lt;.01), while controls exhibited minimal changes. At 8 weeks, improvements continued deepening (PSS-10: 19.1 ± 2.6; STAI: 42.3 ± 4.5). By 12 weeks, intervention PSS-10 reached 17.2 ± 2.5, STAI state anxiety decreased from 48.6 ± 5.8 to 38.1 ± 4.2 (t = 11.23, p&lt;.001), and MSQ scores rose 23.4% to 84.6 ± 5.9 (t = 9.67, p&lt;.001). In contrast, control PSS-10 only marginally decreased to 23.1 ± 3.0, with highly significant between-group differences (t = 8.45, p&lt;.001). At 6-month follow-up, intervention clinical response rate (PSS-10 reduction ≥30%) remained robust at 81.7% versus 45.0% for controls (χ2 = 19.68, p&lt;.001). Subgroup analysis revealed blue-green tones particularly benefited technical staff stress relief (effect size d = 1.02), while warm yellow accents enhanced administrative satisfaction more significantly (d = 0.89). Discussion This study confirms that color psychology-based office design produces significant and durable reductions ","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"105 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.185
Zhong Wei, Genlei Zhang, Yiwen Ma
Background Due to the occupational particularities, digital artists suffer from high work pressure, circadian rhythm disorders and creative exhaustion, resulting in a significantly higher incidence of nightmare disorder than the general population, which seriously impairs their cognitive function and artistic output. As an interdisciplinary practice integrating technological innovation and cultural inheritance, cultural heritage digitization can serve as a potential intervention to alleviate artists’ psychological stress by providing structured creative tasks and enhancing cultural identity as well as community belonging. However, systematic empirical research to support this is currently lacking. Therefore, this study adopted standardized psychological and sleep scales to assess the effect of structured cultural heritage digitization projects on relieving nightmare disorder and related psychological indicators among digital artists, aiming to provide empirical evidence for the mental health support system of the creative industry. Methods A total of 100 full-time digital artists who met the screening criteria for nightmare disorder and had more than 2 years of professional experience were enrolled and randomly divided into an intervention group (n = 50) and a control group (n = 50). On the basis of maintaining their original work rhythm, the intervention group participated in a 12-week structured cultural heritage digitization workshop, with two 90-minute sessions per week. The workshop included digital restoration and re-creation of designated cultural heritage via 3D scanning, digital modeling and other technologies, incorporating cultural background learning, group collaboration and achievement display. The control group maintained their regular work and life routines. Assessments were conducted at baseline (T0), the 6th week (T1) and the 12th week (T2) using the Pittsburgh Sleep Quality Index (PSQI), Nightmare Frequency Scale (NFS), Generalized Anxiety Disorder 7-item scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Data analysis was performed using repeated measures analysis of variance (p<.05) and Cohen’s d effect size was calculated. Results In the intervention group, the total PSQI score decreased significantly from 12.8 ± 2.6 at T0 to 8.4 ± 2.2 at T2 (p<.001, d = 1.82), with significant improvements in the subscales of sleep quality, sleep onset latency and daytime dysfunction (p<.01). The NFS score dropped from 3.5 ± 1.2 episodes per week to 1.6 ± 0.9 episodes (p<.001, d = 1.78). Meanwhile, the levels of anxiety and depression in the intervention group decreased significantly (p<.001). No significant changes were observed in all indicators of the control group (p>.05). Repeated measures analysis of variance showed significant interaction effects between time and group on PSQI, NFS, GAD-7, PHQ-9 and WMS scores (p<.001). Discussion After 12 weeks of intervention with the cultural
数字艺术家由于职业的特殊性，工作压力大，昼夜节律紊乱，创作疲惫，噩梦障碍的发生率明显高于一般人群，严重影响了他们的认知功能和艺术产出。作为技术创新与文化传承相结合的跨学科实践，文化遗产数字化可以作为一种潜在的干预手段，通过提供结构化的创作任务，增强文化认同和社区归属感，缓解艺术家的心理压力。然而，目前还缺乏系统的实证研究来支持这一观点。因此，本研究采用标准化的心理和睡眠量表，评估结构化文化遗产数字化项目对数字艺术家噩梦障碍及相关心理指标的缓解效果，旨在为创意产业心理健康支持体系提供实证依据。方法选取100名符合噩梦障碍筛查标准且具有2年以上从业经验的专职数字艺术家，随机分为干预组（n = 50）和对照组（n = 50）。干预组在保持原有工作节奏的基础上，参加了为期12周的结构化文化遗产数字化工作坊，每周两次90分钟的工作坊。工作坊内容包括通过3D扫描、数字建模等技术对指定文化遗产进行数字化修复和再创造，并结合文化背景学习、小组合作和成果展示。对照组保持正常的工作和生活习惯。采用匹兹堡睡眠质量指数（PSQI）、噩梦频率量表（NFS）、广泛性焦虑障碍7项量表（GAD-7）和患者健康问卷-9 （PHQ-9）在基线（T0）、第6周（T1）和第12周（T2）进行评估。数据分析采用重复测量方差分析（p<.05），计算Cohen 's d效应量。结果干预组PSQI总分由T0时的12.8±2.6分降至T2时的8.4±2.2分（p < 0.05）。0.001, d = 1.82)，睡眠质量、睡眠发作潜伏期和日间功能障碍的亚量表均有显著改善（p<.01）。NFS评分从每周3.5±1.2集下降到1.6±0.9集（p<）。001, d = 1.78)。干预组焦虑、抑郁水平显著降低（p<.001）。对照组的各项指标均无显著变化（p> 0.05）。重复测量方差分析显示，时间和组对PSQI、NFS、GAD-7、PHQ-9和WMS评分有显著的交互作用（p<.001）。文物数字化项目干预12周后，数字艺术家在睡眠质量、噩梦频率和情绪指标上均有显著改善，干预组表现优于对照组。研究结果表明，文化传承与技术创新相结合的结构化工作坊能有效缓解数字艺术家的职业心理困扰，为创意产业心理健康支持提供实证依据。未来的研究可以进一步探索不同文化遗产类型、技术形式和干预强度的差异影响，并通过长期随访优化干预方案，从而制定更完善的适合数字创意人才的心理健康促进方案。
{"title":"187. Research on the mitigating effect of cultural heritage digitization on nightmare disorder among digital artists","authors":"Zhong Wei, Genlei Zhang, Yiwen Ma","doi":"10.1093/schbul/sbag003.185","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.185","url":null,"abstract":"Background Due to the occupational particularities, digital artists suffer from high work pressure, circadian rhythm disorders and creative exhaustion, resulting in a significantly higher incidence of nightmare disorder than the general population, which seriously impairs their cognitive function and artistic output. As an interdisciplinary practice integrating technological innovation and cultural inheritance, cultural heritage digitization can serve as a potential intervention to alleviate artists’ psychological stress by providing structured creative tasks and enhancing cultural identity as well as community belonging. However, systematic empirical research to support this is currently lacking. Therefore, this study adopted standardized psychological and sleep scales to assess the effect of structured cultural heritage digitization projects on relieving nightmare disorder and related psychological indicators among digital artists, aiming to provide empirical evidence for the mental health support system of the creative industry. Methods A total of 100 full-time digital artists who met the screening criteria for nightmare disorder and had more than 2 years of professional experience were enrolled and randomly divided into an intervention group (n = 50) and a control group (n = 50). On the basis of maintaining their original work rhythm, the intervention group participated in a 12-week structured cultural heritage digitization workshop, with two 90-minute sessions per week. The workshop included digital restoration and re-creation of designated cultural heritage via 3D scanning, digital modeling and other technologies, incorporating cultural background learning, group collaboration and achievement display. The control group maintained their regular work and life routines. Assessments were conducted at baseline (T0), the 6th week (T1) and the 12th week (T2) using the Pittsburgh Sleep Quality Index (PSQI), Nightmare Frequency Scale (NFS), Generalized Anxiety Disorder 7-item scale (GAD-7) and Patient Health Questionnaire-9 (PHQ-9). Data analysis was performed using repeated measures analysis of variance (p&lt;.05) and Cohen’s d effect size was calculated. Results In the intervention group, the total PSQI score decreased significantly from 12.8 ± 2.6 at T0 to 8.4 ± 2.2 at T2 (p&lt;.001, d = 1.82), with significant improvements in the subscales of sleep quality, sleep onset latency and daytime dysfunction (p&lt;.01). The NFS score dropped from 3.5 ± 1.2 episodes per week to 1.6 ± 0.9 episodes (p&lt;.001, d = 1.78). Meanwhile, the levels of anxiety and depression in the intervention group decreased significantly (p&lt;.001). No significant changes were observed in all indicators of the control group (p&gt;.05). Repeated measures analysis of variance showed significant interaction effects between time and group on PSQI, NFS, GAD-7, PHQ-9 and WMS scores (p&lt;.001). Discussion After 12 weeks of intervention with the cultural ","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"277 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-13DOI: 10.1093/schbul/sbag003.026
Fan Rao
Background Adolescent depression refers to a mental disorder characterized by persistent low mood and loss of interest in adolescents aged 13 to 19 years old, which belongs to the category of mental illness. With the current increase in study pressure and changes in social patterns and other factors, the incidence of depression among teenagers is increasing. Virtual Reality (VR) technology can help patients with depression due to its immersive, customizable and sensory interactive features. Intelligent sports games based on VR may enhance users' sense of participation and fun in sports through immersive experiences and intelligent interaction. This study aims to explore the therapeutic effect of VR-based intelligent sports games on adolescent patients with depression. Through comparative experiments, the changes in the therapeutic effects of adolescents under different treatment methods were analyzed to explore the clinical application potential of this technology. Methods The study randomly selected 100 adolescent patients with depression aged 13 to 19 years old as research subjects, with a male to female ratio of 1:1, and excluded patients with severe suicidal tendencies and contraindications to the use of VR equipment. They were randomly divided into experimental group and control group, with 50 patients in each group. In addition to using traditional treatment methods, patients in the experimental group also need to wear VR equipment, enter intelligent sports games according to the VR equipment, and follow the voice in the VR equipment to complete various sports such as light yoga, breathing training, and morning jogging. Virtual rewards will be issued to patients who complete the sports to stimulate the patients' intrinsic motivation. The control group used traditional treatment methods without any other intervention. The cycle is 3 months, with intervention twice a week, 30 minutes each time. Children's Depression Inventory (CDI), Beck Depression Inventory (BDI) scores, and Social Anxiety Scale for Adolescents (SAS) were used to record the patient's situation before and after the intervention to evaluate the patient's depression relief. Results The results showed that after 3 months of intervention, the average decrease in CDI scores of the 50 patients in the experimental group was significantly higher than that of the control group (p<.01). The CDI scores of the experimental group decreased by an average of 4.2 points, while the CDI scores of the control group only decreased by 2.3 points. And the mean decreases in the BDI score and SAS score of the experimental group were 5.2 points and 4.8 points respectively, which were significantly better than the 3.1 points and 2.9 points of the control group (p<.01). Discussion Research results show that after using VR intelligent sports games for intervention, the depressive symptoms of adolescent depression patients are significantly relieved, which can provide support for ensuring t
{"title":"26. Evaluation of the efficacy of VR-based intelligent sports games on adolescent patients with depression","authors":"Fan Rao","doi":"10.1093/schbul/sbag003.026","DOIUrl":"https://doi.org/10.1093/schbul/sbag003.026","url":null,"abstract":"Background Adolescent depression refers to a mental disorder characterized by persistent low mood and loss of interest in adolescents aged 13 to 19 years old, which belongs to the category of mental illness. With the current increase in study pressure and changes in social patterns and other factors, the incidence of depression among teenagers is increasing. Virtual Reality (VR) technology can help patients with depression due to its immersive, customizable and sensory interactive features. Intelligent sports games based on VR may enhance users' sense of participation and fun in sports through immersive experiences and intelligent interaction. This study aims to explore the therapeutic effect of VR-based intelligent sports games on adolescent patients with depression. Through comparative experiments, the changes in the therapeutic effects of adolescents under different treatment methods were analyzed to explore the clinical application potential of this technology. Methods The study randomly selected 100 adolescent patients with depression aged 13 to 19 years old as research subjects, with a male to female ratio of 1:1, and excluded patients with severe suicidal tendencies and contraindications to the use of VR equipment. They were randomly divided into experimental group and control group, with 50 patients in each group. In addition to using traditional treatment methods, patients in the experimental group also need to wear VR equipment, enter intelligent sports games according to the VR equipment, and follow the voice in the VR equipment to complete various sports such as light yoga, breathing training, and morning jogging. Virtual rewards will be issued to patients who complete the sports to stimulate the patients' intrinsic motivation. The control group used traditional treatment methods without any other intervention. The cycle is 3 months, with intervention twice a week, 30 minutes each time. Children's Depression Inventory (CDI), Beck Depression Inventory (BDI) scores, and Social Anxiety Scale for Adolescents (SAS) were used to record the patient's situation before and after the intervention to evaluate the patient's depression relief. Results The results showed that after 3 months of intervention, the average decrease in CDI scores of the 50 patients in the experimental group was significantly higher than that of the control group (p&lt;.01). The CDI scores of the experimental group decreased by an average of 4.2 points, while the CDI scores of the control group only decreased by 2.3 points. And the mean decreases in the BDI score and SAS score of the experimental group were 5.2 points and 4.8 points respectively, which were significantly better than the 3.1 points and 2.9 points of the control group (p&lt;.01). Discussion Research results show that after using VR intelligent sports games for intervention, the depressive symptoms of adolescent depression patients are significantly relieved, which can provide support for ensuring t","PeriodicalId":21530,"journal":{"name":"Schizophrenia Bulletin","volume":"92 1","pages":""},"PeriodicalIF":6.6,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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