Pub Date : 2026-01-05DOI: 10.1186/s40359-025-03936-x
Qisheng Gao, Pinghua Zhu, Huimei Hu
{"title":"Factors associated with aggressive behavior in patients with schizophrenia: a systematic review and meta-analysis.","authors":"Qisheng Gao, Pinghua Zhu, Huimei Hu","doi":"10.1186/s40359-025-03936-x","DOIUrl":"https://doi.org/10.1186/s40359-025-03936-x","url":null,"abstract":"","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s40359-025-03892-6
Wei Gao, Dawei Cao, Teng Lyu, Yuehang Yang
{"title":"Revisit intentions of sports tourists: an extended theory of planned behavior approach.","authors":"Wei Gao, Dawei Cao, Teng Lyu, Yuehang Yang","doi":"10.1186/s40359-025-03892-6","DOIUrl":"https://doi.org/10.1186/s40359-025-03892-6","url":null,"abstract":"","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s40359-025-03913-4
Ahmad Pirani, Milad Dodangeh, Nastaran Nasirpour, Behrooz Ghanbari, Ahmad Hajebi, Abbas Motevalian
Background: With the ever-increasing use of smartphones, the reciprocal impact of mental disorders and smartphone overuse has become a novel challenge. This study investigated the association between obsessive-compulsive disorder (OCD) and smartphone addiction (SA) in a large sample of Iranian public sector employees.
Methods: This cross-sectional analysis was conducted based on the baseline data of the Employees' Health Cohort Study of Iran (EHCSIR). The 33-item Smartphone Addiction Scale (SAS) was administered to measure smartphone addiction. The Persian version of the Composite International Diagnostic Interview (CIDI 2.1) was used to identify lifetime OCD in the baseline assessment. Multiple regression analyses were performed to assess the association of OCD with SA and the six dimensions of SAS after adjusting for sociodemographic and job-related variables.
Results: Of the 3,945 participants (mean age = 42.9 years, female = 64.3%), 438 subjects (11.1%) were smartphone-addicted. The prevalence of lifetime OCD was 2.5%. Lifetime OCD was significantly associated with smartphone addiction (OR = 2.27, 95% CI = 1.44-3.58). In addition, lifetime OCD was associated with five dimensions of SAS: daily life disturbance (p-value < 0.05), positive anticipation (p < .05), withdrawal (p < .01), cyberspace-oriented relationship (p < .01), and overuse (p < .01).
Conclusions: OCD was associated with a higher likelihood of smartphone addiction and several dimensions of problematic smartphone use. These findings highlight the relevance of psychiatric disorders in shaping digital behavior and may inform interventions targeting mental health in the workplace. Given the cross-sectional design and reliance on self-reported data, causality cannot be inferred and reporting bias may exist. Future studies incorporating objective usage measures and considering additional psychological factors (e.g., stress, impulsivity) are warranted.
背景:随着智能手机使用的不断增加,精神障碍和智能手机过度使用的相互影响已成为一个新的挑战。本研究调查了伊朗公共部门雇员的大量样本中强迫症(OCD)和智能手机成瘾(SA)之间的关系。方法:基于伊朗雇员健康队列研究(EHCSIR)的基线数据进行横断面分析。采用33项智能手机成瘾量表(SAS)测量智能手机成瘾程度。波斯语版的综合国际诊断访谈(CIDI 2.1)在基线评估中用于识别终生强迫症。在调整了社会人口学和工作相关变量后,采用多元回归分析来评估强迫症与SA的关系以及SAS的六个维度。结果:在3945名参与者(平均年龄42.9岁,女性64.3%)中,有438名(11.1%)是智能手机成瘾者。终生强迫症的患病率为2.5%。终生强迫症与智能手机成瘾显著相关(OR = 2.27, 95% CI = 1.44-3.58)。此外,终生强迫症与SAS的五个维度相关:日常生活障碍(p值)结论:强迫症与智能手机成瘾的可能性较高,以及智能手机使用问题的几个维度相关。这些发现强调了精神疾病在塑造数字行为方面的相关性,并可能为针对工作场所心理健康的干预措施提供信息。考虑到横断面设计和对自我报告数据的依赖,因果关系无法推断,报告偏差可能存在。未来的研究纳入客观使用措施和考虑额外的心理因素(例如,压力,冲动)是有必要的。
{"title":"Obsessive-compulsive disorder and smartphone addiction among public sector employees in Iran.","authors":"Ahmad Pirani, Milad Dodangeh, Nastaran Nasirpour, Behrooz Ghanbari, Ahmad Hajebi, Abbas Motevalian","doi":"10.1186/s40359-025-03913-4","DOIUrl":"https://doi.org/10.1186/s40359-025-03913-4","url":null,"abstract":"<p><strong>Background: </strong>With the ever-increasing use of smartphones, the reciprocal impact of mental disorders and smartphone overuse has become a novel challenge. This study investigated the association between obsessive-compulsive disorder (OCD) and smartphone addiction (SA) in a large sample of Iranian public sector employees.</p><p><strong>Methods: </strong>This cross-sectional analysis was conducted based on the baseline data of the Employees' Health Cohort Study of Iran (EHCSIR). The 33-item Smartphone Addiction Scale (SAS) was administered to measure smartphone addiction. The Persian version of the Composite International Diagnostic Interview (CIDI 2.1) was used to identify lifetime OCD in the baseline assessment. Multiple regression analyses were performed to assess the association of OCD with SA and the six dimensions of SAS after adjusting for sociodemographic and job-related variables.</p><p><strong>Results: </strong>Of the 3,945 participants (mean age = 42.9 years, female = 64.3%), 438 subjects (11.1%) were smartphone-addicted. The prevalence of lifetime OCD was 2.5%. Lifetime OCD was significantly associated with smartphone addiction (OR = 2.27, 95% CI = 1.44-3.58). In addition, lifetime OCD was associated with five dimensions of SAS: daily life disturbance (p-value < 0.05), positive anticipation (p < .05), withdrawal (p < .01), cyberspace-oriented relationship (p < .01), and overuse (p < .01).</p><p><strong>Conclusions: </strong>OCD was associated with a higher likelihood of smartphone addiction and several dimensions of problematic smartphone use. These findings highlight the relevance of psychiatric disorders in shaping digital behavior and may inform interventions targeting mental health in the workplace. Given the cross-sectional design and reliance on self-reported data, causality cannot be inferred and reporting bias may exist. Future studies incorporating objective usage measures and considering additional psychological factors (e.g., stress, impulsivity) are warranted.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s40359-025-03731-8
Burak M Gönültaş, Hakan Sarıçam, Nilüfer Koçtürk
Background: Child sexual abuse perpetrators (CSAPs) differ from the usual criminal stereotype in terms of their modus operandi. This study examines the relationship between emotional intelligence, their expectational trust (i.e., expectational benevolence/malevolence), and awareness of the CSAPs' characteristics and grooming methods.
Method: This study employed a correlational, cross-sectional research design within a quantitative framework. In this correlational study, 1137 senior pre-service teachers enrolled in the faculty of education.
Results: According to the findings, emotional intelligence predicted awareness of CSAPs. Besides, in the relationship between emotional intelligence and awareness of CSAPs, expectational malevolence played a mediating role. Namely, individuals with high emotional intelligence can more easily sense the expectational malevolence of the other party and know more about the characteristics of CSAPs.
Conclusions: This study highlights the importance of emotional intelligence and expectational malevolence in enhancing individuals' awareness and grooming strategies of CSAPs. These psychological capacities may serve as foundational elements in the training of future professionals.
{"title":"The mediating role of expectational trust in the relationship between emotional intelligence and awareness about child sexual abuse perpetrators.","authors":"Burak M Gönültaş, Hakan Sarıçam, Nilüfer Koçtürk","doi":"10.1186/s40359-025-03731-8","DOIUrl":"https://doi.org/10.1186/s40359-025-03731-8","url":null,"abstract":"<p><strong>Background: </strong>Child sexual abuse perpetrators (CSAPs) differ from the usual criminal stereotype in terms of their modus operandi. This study examines the relationship between emotional intelligence, their expectational trust (i.e., expectational benevolence/malevolence), and awareness of the CSAPs' characteristics and grooming methods.</p><p><strong>Method: </strong>This study employed a correlational, cross-sectional research design within a quantitative framework. In this correlational study, 1137 senior pre-service teachers enrolled in the faculty of education.</p><p><strong>Results: </strong>According to the findings, emotional intelligence predicted awareness of CSAPs. Besides, in the relationship between emotional intelligence and awareness of CSAPs, expectational malevolence played a mediating role. Namely, individuals with high emotional intelligence can more easily sense the expectational malevolence of the other party and know more about the characteristics of CSAPs.</p><p><strong>Conclusions: </strong>This study highlights the importance of emotional intelligence and expectational malevolence in enhancing individuals' awareness and grooming strategies of CSAPs. These psychological capacities may serve as foundational elements in the training of future professionals.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1186/s40359-025-03888-2
Lai Jiang, Xue Zeng, Hongbo He, Shi-Bin Wang
Background: Adolescence is a formative yet vulnerable developmental period, marked by heightened emotional volatility and risk for depression and anxiety. Meaning in life (MiL)-the sense that one's existence is purposeful, significant, and coherent-has been proposed as a key psychological resource, but its mechanisms affecting mental health in non-Western youth remain under-examined. This study investigated associations between MiL and psychological outcomes, and tested whether life satisfaction and resilience mediated these relationships.
Methods: Data in this study were drawn from the Guangdong Adolescents Mental Health Survey conducted between September and December 2023, which included 5,759 adolescents. Spearman's rank correlation analysis was used to investigate the relationships among the research variables. Mediation analysis was employed to examine the mechanism through which MiL influences mental health.
Results: The presence of meaning was strongly associated with lower depression and anxiety and higher life satisfaction and resilience. Mediation analyses showed that life satisfaction and resilience partially accounted for these effects, with life satisfaction emerging as the dominant pathway. In contrast, search for meaning exhibited mixed associations, predicting greater distress once indirect effects were controlled, suggesting that existential exploration may entail short-term costs during identity formation.
Conclusions: Meaning in life functions as both a stabilising and developmental force in adolescent mental health-buffering distress through satisfaction and resilience while reflecting normative struggles for identity and coherence. Cultivating meaning may thus represent a culturally adaptable, evidence-based avenue for youth mental-health promotion in China.
{"title":"Meaning in life and adolescent depression and anxiety in China: a large-scale study of dual pathways through life satisfaction and resilience.","authors":"Lai Jiang, Xue Zeng, Hongbo He, Shi-Bin Wang","doi":"10.1186/s40359-025-03888-2","DOIUrl":"https://doi.org/10.1186/s40359-025-03888-2","url":null,"abstract":"<p><strong>Background: </strong>Adolescence is a formative yet vulnerable developmental period, marked by heightened emotional volatility and risk for depression and anxiety. Meaning in life (MiL)-the sense that one's existence is purposeful, significant, and coherent-has been proposed as a key psychological resource, but its mechanisms affecting mental health in non-Western youth remain under-examined. This study investigated associations between MiL and psychological outcomes, and tested whether life satisfaction and resilience mediated these relationships.</p><p><strong>Methods: </strong>Data in this study were drawn from the Guangdong Adolescents Mental Health Survey conducted between September and December 2023, which included 5,759 adolescents. Spearman's rank correlation analysis was used to investigate the relationships among the research variables. Mediation analysis was employed to examine the mechanism through which MiL influences mental health.</p><p><strong>Results: </strong>The presence of meaning was strongly associated with lower depression and anxiety and higher life satisfaction and resilience. Mediation analyses showed that life satisfaction and resilience partially accounted for these effects, with life satisfaction emerging as the dominant pathway. In contrast, search for meaning exhibited mixed associations, predicting greater distress once indirect effects were controlled, suggesting that existential exploration may entail short-term costs during identity formation.</p><p><strong>Conclusions: </strong>Meaning in life functions as both a stabilising and developmental force in adolescent mental health-buffering distress through satisfaction and resilience while reflecting normative struggles for identity and coherence. Cultivating meaning may thus represent a culturally adaptable, evidence-based avenue for youth mental-health promotion in China.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aims to investigate the depression status of the MSM population, explore the depression characteristics associated with different HIV statuses within this group, and determine the key factors influencing depression in this population.
Study design: This was a cross-sectional web-based survey.
Methods: This study was conducted through a web-based comprehensive HIV service platform for the MSM population. The questionnaire included basic socio-demographic information of the respondents, HIV-related information and the Patient Health Questionnaire (PHQ-9). A decision tree model combined with logistic regression was used to assess the factors influencing depression in the MSM population.
Results: Among the 1070 MSM in this study, the depression prevalence was 28.9%, the overall HIV prevalence among MSM was 3.4%, the depression prevalence among HIV-positive MSM was 44.4%, and that among HIV-negative MSM was 26.3%. Decision tree modelling combined with logistic regression analysis showed that marital status, age and employment status were the factors significantly influencing depression in the MSM population.
Conclusions: The prevalence of depression is high in the MSM population. Marital status, age and employment status are influential factors for depression in the MSM population. Decision tree modelling combined with logistic regression could be considered as an assessment tool for the relationship between HIV infection and depression and their correlates in the MSM population.
{"title":"The relationship between HIV infection and depression and their determinants in the MSM population in Eastern China: an analysis based on decision tree modelling and logistic regression.","authors":"Yiwei Zhou, Zejie Zhang, Wancang Li, Lite Zeng, Chunyan Shan, Tianquan Chen, Zu-Mu Zhou","doi":"10.1186/s40359-025-03881-9","DOIUrl":"https://doi.org/10.1186/s40359-025-03881-9","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the depression status of the MSM population, explore the depression characteristics associated with different HIV statuses within this group, and determine the key factors influencing depression in this population.</p><p><strong>Study design: </strong>This was a cross-sectional web-based survey.</p><p><strong>Methods: </strong>This study was conducted through a web-based comprehensive HIV service platform for the MSM population. The questionnaire included basic socio-demographic information of the respondents, HIV-related information and the Patient Health Questionnaire (PHQ-9). A decision tree model combined with logistic regression was used to assess the factors influencing depression in the MSM population.</p><p><strong>Results: </strong>Among the 1070 MSM in this study, the depression prevalence was 28.9%, the overall HIV prevalence among MSM was 3.4%, the depression prevalence among HIV-positive MSM was 44.4%, and that among HIV-negative MSM was 26.3%. Decision tree modelling combined with logistic regression analysis showed that marital status, age and employment status were the factors significantly influencing depression in the MSM population.</p><p><strong>Conclusions: </strong>The prevalence of depression is high in the MSM population. Marital status, age and employment status are influential factors for depression in the MSM population. Decision tree modelling combined with logistic regression could be considered as an assessment tool for the relationship between HIV infection and depression and their correlates in the MSM population.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to examine how athletes' perceptions of supportive and controlling coaching behaviours influence their perceived performance through the mediating effects of psychological safety, self-efficacy, and psychological resilience. Unlike previous work, this study integrates these three psychological factors into a single structural model, offering a comprehensive understanding of the mechanisms linking coaching behaviours to performance perceptions. Data were collected from 369 Turkish athletes representing different sports and competitive levels using validated self-report questionnaires. Structural equation modelling (SEM) was employed to analyse the direct and indirect relationships among variables. The results revealed that supportive coaching behaviours positively predicted perceived performance through increased psychological safety, self-efficacy, and resilience, whereas controlling coaching behaviours had the opposite effect. Among the mediators, self-efficacy emerged as the strongest predictor of performance perception. These findings provide novel evidence that psychological safety and resilience strengthen this relationship by fostering adaptive and confident athlete functioning. The study contributes to the literature by demonstrating the integrative role of psychological resources within the frameworks of self-determination and social cognitive theories. Practically, it underscores the importance of supportive coaching practices that enhance psychological resources essential for sustained motivation, well-being, and optimal performance.
{"title":"Psychological dynamics shaping performance perception in athletes: the influence of coaching behaviours, psychological safety, self-efficacy, and resilience.","authors":"Derya Sakallı, Ender Şenel, Görkem Menteş, Kaan Salman","doi":"10.1186/s40359-025-03853-z","DOIUrl":"https://doi.org/10.1186/s40359-025-03853-z","url":null,"abstract":"<p><p>This study aimed to examine how athletes' perceptions of supportive and controlling coaching behaviours influence their perceived performance through the mediating effects of psychological safety, self-efficacy, and psychological resilience. Unlike previous work, this study integrates these three psychological factors into a single structural model, offering a comprehensive understanding of the mechanisms linking coaching behaviours to performance perceptions. Data were collected from 369 Turkish athletes representing different sports and competitive levels using validated self-report questionnaires. Structural equation modelling (SEM) was employed to analyse the direct and indirect relationships among variables. The results revealed that supportive coaching behaviours positively predicted perceived performance through increased psychological safety, self-efficacy, and resilience, whereas controlling coaching behaviours had the opposite effect. Among the mediators, self-efficacy emerged as the strongest predictor of performance perception. These findings provide novel evidence that psychological safety and resilience strengthen this relationship by fostering adaptive and confident athlete functioning. The study contributes to the literature by demonstrating the integrative role of psychological resources within the frameworks of self-determination and social cognitive theories. Practically, it underscores the importance of supportive coaching practices that enhance psychological resources essential for sustained motivation, well-being, and optimal performance.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1186/s40359-025-03818-2
Ezgi Atalay
In Türkiye, earthquakes have painfully reminded us in the recent past, and as a result, earthquake anxiety is widespread. Determining the impact of earthquake resilience (ER), which is thought to alleviate this situation, on earthquake anxiety (EA) and understanding the moderating role of being female and male in this relationship is important for improving preparedness for earthquakes. The aim of this study is to examine the moderating role of gender in the effect of individuals' ER on EA. The study was conducted within Turkish society after the earthquake that left deep scars on February 6, 2023. 582 participants (55% of whom were female) included in the sample completed a demographic information form, an online survey on earthquake resilience, and earthquake anxiety. The results showed a significant but weak negative relationship between ER and EA, with resilience increasing as anxiety decreased. Neither earthquake resilience nor gender had an effect on earthquake anxiety. More importantly, gender did not have any moderating role in the effect of ER on EA. These results may be an important guide for conducting research with different subtypes of earthquake resilience that may be effective for earthquake anxiety.
{"title":"Exploring the moderating role of gender in the effect of earthquake resilience on earthquake anxiety.","authors":"Ezgi Atalay","doi":"10.1186/s40359-025-03818-2","DOIUrl":"https://doi.org/10.1186/s40359-025-03818-2","url":null,"abstract":"<p><p>In Türkiye, earthquakes have painfully reminded us in the recent past, and as a result, earthquake anxiety is widespread. Determining the impact of earthquake resilience (ER), which is thought to alleviate this situation, on earthquake anxiety (EA) and understanding the moderating role of being female and male in this relationship is important for improving preparedness for earthquakes. The aim of this study is to examine the moderating role of gender in the effect of individuals' ER on EA. The study was conducted within Turkish society after the earthquake that left deep scars on February 6, 2023. 582 participants (55% of whom were female) included in the sample completed a demographic information form, an online survey on earthquake resilience, and earthquake anxiety. The results showed a significant but weak negative relationship between ER and EA, with resilience increasing as anxiety decreased. Neither earthquake resilience nor gender had an effect on earthquake anxiety. More importantly, gender did not have any moderating role in the effect of ER on EA. These results may be an important guide for conducting research with different subtypes of earthquake resilience that may be effective for earthquake anxiety.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-02DOI: 10.1186/s40359-025-03935-y
Reza Moshfeghinia, Sara Mostafavi, Kimia Jazi, Amir Reza Ghasemi, Yasamin Khosravaninezhad, Santhosshi Narayanan, Jamshid Ahmadi, Mehdi Pasalar
Introduction: Psilocybin may effectively treat psychological distress in cancer patients. A meta-analysis assessed its safety and effectiveness in this context.
Methods: A comprehensive search across six databases (Scopus, PsycINFO, PubMed, Cochrane, CINAHL Complete, and Web of Science) was conducted to identify studies on psilocybin's effects on mental health in cancer patients up to November 2024. Both randomized and non-randomized trials were included, assessing anxiety, depression, and other mental outcomes at short-term (2-5 weeks) and long-term (6 months) follow-ups. Study quality was assessed using Cochrane tools, and statistical analyses were performed with Stata version 17.
Results: In randomized controlled trials (RCTs), psilocybin significantly reduced depressive symptoms, with the Beck Depression Inventory (BDI) (standardized mean difference [SMD] = - 2.87, 95% confidence interval [CI]: - 3.99 to - 1.76, p < 0.001) and the Hospital Anxiety and Depression Scale-Depression subscale (HADS-D) (SMD = - 2.97, 95% CI: - 3.60 to - 2.33, p < 0.001) showing strong effects. Anxiety outcomes were mixed: the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) was not significant (SMD = - 3.63, p = 0.11), while the State-Trait Anxiety Inventory (STAI) also showed inconsistent results. Short-term analyses (2-5 weeks) revealed significant improvements in the BDI (SMD = - 1.17), HADS-D (SMD = - 1.58), and HADS-A (SMD = - 1.99), all p < 0.001. Long-term analyses (6 months) demonstrated sustained benefits on the BDI (SMD = - 2.60, p = 0.04) and HADS-D (SMD = - 3.56, p = 0.01). Measures of quality of life (QOL) and spiritual well-being using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) scale also improved significantly after psilocybin treatment.
Conclusion: Psilocybin may reduce depressive symptoms in cancer patients, with mixed effects on anxiety and time-dependent improvements in spiritual well-being and (in single-arm data) quality of life. Given the small number of studies, high heterogeneity, challenges with blinding/expectancy, and frequent co-intervention with psychotherapy, these findings are preliminary. Larger, rigorously blinded trials are needed to determine clinical effectiveness and safety.
前言:裸盖菇素可有效治疗癌症患者的心理困扰。一项荟萃分析评估了其在这种情况下的安全性和有效性。方法:对六个数据库(Scopus、PsycINFO、PubMed、Cochrane、CINAHL Complete和Web of Science)进行综合检索,以确定截至2024年11月裸盖菇素对癌症患者心理健康影响的研究。包括随机和非随机试验,在短期(2-5周)和长期(6个月)随访中评估焦虑、抑郁和其他心理结果。使用Cochrane工具评估研究质量,使用Stata version 17进行统计分析。结果:在随机对照试验(RCTs)中,裸盖菇素显著减轻抑郁症状,贝克抑郁量表(BDI)(标准化平均差[SMD] = - 2.87, 95%可信区间[CI]: - 3.99至- 1.76,p)结论:裸盖菇素可能减轻癌症患者的抑郁症状,对焦虑和时间依赖性的精神幸福感和(单臂数据)生活质量的改善有混合作用。鉴于研究数量少,异质性高,盲法/期望的挑战,以及频繁与心理治疗联合干预,这些发现是初步的。需要更大规模的严格盲法试验来确定临床有效性和安全性。
{"title":"The effects of psilocybin on psychological distress in cancer patients: a systematic review and meta-analysis.","authors":"Reza Moshfeghinia, Sara Mostafavi, Kimia Jazi, Amir Reza Ghasemi, Yasamin Khosravaninezhad, Santhosshi Narayanan, Jamshid Ahmadi, Mehdi Pasalar","doi":"10.1186/s40359-025-03935-y","DOIUrl":"https://doi.org/10.1186/s40359-025-03935-y","url":null,"abstract":"<p><strong>Introduction: </strong>Psilocybin may effectively treat psychological distress in cancer patients. A meta-analysis assessed its safety and effectiveness in this context.</p><p><strong>Methods: </strong>A comprehensive search across six databases (Scopus, PsycINFO, PubMed, Cochrane, CINAHL Complete, and Web of Science) was conducted to identify studies on psilocybin's effects on mental health in cancer patients up to November 2024. Both randomized and non-randomized trials were included, assessing anxiety, depression, and other mental outcomes at short-term (2-5 weeks) and long-term (6 months) follow-ups. Study quality was assessed using Cochrane tools, and statistical analyses were performed with Stata version 17.</p><p><strong>Results: </strong>In randomized controlled trials (RCTs), psilocybin significantly reduced depressive symptoms, with the Beck Depression Inventory (BDI) (standardized mean difference [SMD] = - 2.87, 95% confidence interval [CI]: - 3.99 to - 1.76, p < 0.001) and the Hospital Anxiety and Depression Scale-Depression subscale (HADS-D) (SMD = - 2.97, 95% CI: - 3.60 to - 2.33, p < 0.001) showing strong effects. Anxiety outcomes were mixed: the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) was not significant (SMD = - 3.63, p = 0.11), while the State-Trait Anxiety Inventory (STAI) also showed inconsistent results. Short-term analyses (2-5 weeks) revealed significant improvements in the BDI (SMD = - 1.17), HADS-D (SMD = - 1.58), and HADS-A (SMD = - 1.99), all p < 0.001. Long-term analyses (6 months) demonstrated sustained benefits on the BDI (SMD = - 2.60, p = 0.04) and HADS-D (SMD = - 3.56, p = 0.01). Measures of quality of life (QOL) and spiritual well-being using the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) scale also improved significantly after psilocybin treatment.</p><p><strong>Conclusion: </strong>Psilocybin may reduce depressive symptoms in cancer patients, with mixed effects on anxiety and time-dependent improvements in spiritual well-being and (in single-arm data) quality of life. Given the small number of studies, high heterogeneity, challenges with blinding/expectancy, and frequent co-intervention with psychotherapy, these findings are preliminary. Larger, rigorously blinded trials are needed to determine clinical effectiveness and safety.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-30DOI: 10.1186/s40359-025-03889-1
Wen-Hao Zhang, Shan-Shan Han, Hu Lou, Yu-Yan Qian, Bo Li, Ling-Li Xu
{"title":"The dual links of health literacy in driving exercise adherence: the interactive effects of emotional management ability and life satisfaction.","authors":"Wen-Hao Zhang, Shan-Shan Han, Hu Lou, Yu-Yan Qian, Bo Li, Ling-Li Xu","doi":"10.1186/s40359-025-03889-1","DOIUrl":"https://doi.org/10.1186/s40359-025-03889-1","url":null,"abstract":"","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}