首页 > 最新文献

International Journal of Clinical and Health Psychology最新文献

英文 中文
Decoding ruminative reflection in healthy individuals: The role of triple network connectivity 解码健康人的反刍思考:三重网络连接的作用
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100508
Luqing Wei , Hui Dong , Zijing Zhang , Chris Baeken , Yige Wang , Guo-Rong Wu
Ruminative reflection has been linked to enhanced executive control in processing internally represented emotional information, suggesting it may serve as an adaptive strategy for emotion regulation. Investigating the neural substrates of reflection can deepen our understanding of its adaptive properties. This study used network-based statistic (NBS)-Predict methodology to identify resting state functional connectivity (FC)-based predictors of ruminative reflection in a healthy sample. Our results showed that reflection in healthy subjects was predicted by FC within and between the default mode network (DMN), fronto-parietal network (FPN), and salience network (SN). Notably, FC within the FPN and SN, as well as between the FPN and DMN, contributed more significantly to the predictive model. These results underscore the greater influence of FPN and SN connectivity in predicting reflection, providing empirical evidence that increased executive control over internal emotional representations is integral to adaptive reflective processes. Moreover, the triple-network model, particularly the FPN-DMN coupling, emerges as a crucial predictor of ruminative reflection, highlighting the importance of coordinating self-relevant and goal-directed processing in reflective mechanisms. These identified connectivity fingerprints may offer insights into the role of reflective processes in facilitating recovery from depression.
反刍性反思与在处理内部情绪信息时增强执行控制有关,这表明反刍性反思可能是情绪调节的一种适应性策略。研究反思的神经基质可以加深我们对其适应性的理解。本研究采用基于网络统计(NBS)的预测方法,在健康样本中识别了基于静息状态功能连接(FC)的反思预测因子。结果表明,默认模式网络(DMN)、前顶叶网络(FPN)和显著性网络(SN)内部和之间的功能连接可预测健康受试者的反思。值得注意的是,FPN和SN内部以及FPN和DMN之间的FC对预测模型的贡献更大。这些结果强调了FPN和SN连通性在预测反思中的更大影响,从而提供了实证证据,证明增强对内部情绪表征的执行控制是适应性反思过程不可或缺的一部分。此外,三重网络模型,尤其是FPN-DMN耦合,成为反思性反省的关键预测因素,突出了反思机制中协调自我相关和目标导向加工的重要性。这些已确定的连接指纹可能有助于深入了解反思过程在促进抑郁症康复中的作用。
{"title":"Decoding ruminative reflection in healthy individuals: The role of triple network connectivity","authors":"Luqing Wei ,&nbsp;Hui Dong ,&nbsp;Zijing Zhang ,&nbsp;Chris Baeken ,&nbsp;Yige Wang ,&nbsp;Guo-Rong Wu","doi":"10.1016/j.ijchp.2024.100508","DOIUrl":"10.1016/j.ijchp.2024.100508","url":null,"abstract":"<div><div>Ruminative reflection has been linked to enhanced executive control in processing internally represented emotional information, suggesting it may serve as an adaptive strategy for emotion regulation. Investigating the neural substrates of reflection can deepen our understanding of its adaptive properties. This study used network-based statistic (NBS)-Predict methodology to identify resting state functional connectivity (FC)-based predictors of ruminative reflection in a healthy sample. Our results showed that reflection in healthy subjects was predicted by FC within and between the default mode network (DMN), fronto-parietal network (FPN), and salience network (SN). Notably, FC within the FPN and SN, as well as between the FPN and DMN, contributed more significantly to the predictive model. These results underscore the greater influence of FPN and SN connectivity in predicting reflection, providing empirical evidence that increased executive control over internal emotional representations is integral to adaptive reflective processes. Moreover, the triple-network model, particularly the FPN-DMN coupling, emerges as a crucial predictor of ruminative reflection, highlighting the importance of coordinating self-relevant and goal-directed processing in reflective mechanisms. These identified connectivity fingerprints may offer insights into the role of reflective processes in facilitating recovery from depression.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100508"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trait self-compassion enhances activation in the medial prefrontal cortex during fear extinction: An fNIRS study 特质自怜会增强恐惧消退过程中内侧前额叶皮层的激活:fNIRS 研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100516
Tingyuan Chen , Ying Mei , Siyuan Zhou , Haoran Dou , Yi Lei
Fear acquisition and fear extinction are the most widely used experimental models to study anxiety related disorders, with the medial prefrontal cortex (mPFC) playing an important role in this process. Previous research suggests that trait self-compassion is associated with lower anxiety, but the neural mechanisms underlying this relationship remain unclear. Women generally exhibit lower self-compassion than men, making them more vulnerable to fear and anxiety. In this study, female participants were divided into two groups - high and low trait self-compassion, based on their scores on the Self-Compassion Scale-Short Form (SCS-SF). Both groups completed fear acquisition and fear extinction tasks, during which conditioned responses (CRs) were measured using self-reported unconditioned stimulus (US) expectancy ratings, skin conductance response (SCR), and functional near-infrared spectroscopy (fNIRS). The results showed that in the fear acquisition phase, all participants successfully acquired fear, showing greater responses to threat stimuli than safety stimuli. However, participants with high trait self-compassion exhibited lower SCR than those with low trait self-compassion. In the fear extinction phase, compared to individuals with low trait self-compassion, individuals with high trait self-compassion exhibited more effective fear extinction learning, characterized by lower US expectancy ratings, lower SCR, and higher mPFC activation. Moreover, trait self-compassion was significantly correlated with the behavioral extinction ability and the mPFC activation during the late phase of fear extinction, and behavioral extinction ability was significantly correlated with mPFC activation. The findings of this study suggest individuals with high trait self-compassion have better physiological flexibility during fear acquisition and fear extinction, and may through enhancing mPFC activation to facilitate fear extinction. The results provide new insights into the pathological mechanisms of anxiety.
恐惧获得和恐惧消退是研究焦虑相关疾病最广泛使用的实验模型,而内侧前额叶皮层(mPFC)在这一过程中扮演着重要角色。以往的研究表明,特质自我同情与焦虑降低有关,但这种关系的神经机制仍不清楚。女性通常比男性表现出更低的自我同情,这使她们更容易受到恐惧和焦虑的影响。在这项研究中,我们根据女性参与者在自我同情量表-简表(SCS-SF)上的得分,将她们分为两组--高特质自我同情组和低特质自我同情组。两组均完成了恐惧获得和恐惧消退任务,在此期间,使用自我报告的无条件刺激(US)预期评级、皮肤电导反应(SCR)和功能性近红外光谱(fNIRS)测量了条件反应(CRs)。结果显示,在恐惧获得阶段,所有参与者都成功获得了恐惧,对威胁刺激的反应大于安全刺激。然而,高特质自我同情的参与者比低特质自我同情的参与者表现出更低的SCR。在恐惧消退阶段,与特质自我同情程度低的人相比,特质自我同情程度高的人表现出更有效的恐惧消退学习,其特点是美国预期评分较低、SCR较低和mPFC激活程度较高。此外,特质自我同情与行为熄灭能力和恐惧熄灭后期的mPFC激活显著相关,而行为熄灭能力与mPFC激活显著相关。本研究结果表明,特质自我同情高的个体在恐惧获得和恐惧消退过程中具有更好的生理灵活性,并可能通过增强mPFC激活来促进恐惧消退。这些结果为焦虑的病理机制提供了新的见解。
{"title":"Trait self-compassion enhances activation in the medial prefrontal cortex during fear extinction: An fNIRS study","authors":"Tingyuan Chen ,&nbsp;Ying Mei ,&nbsp;Siyuan Zhou ,&nbsp;Haoran Dou ,&nbsp;Yi Lei","doi":"10.1016/j.ijchp.2024.100516","DOIUrl":"10.1016/j.ijchp.2024.100516","url":null,"abstract":"<div><div>Fear acquisition and fear extinction are the most widely used experimental models to study anxiety related disorders, with the medial prefrontal cortex (mPFC) playing an important role in this process. Previous research suggests that trait self-compassion is associated with lower anxiety, but the neural mechanisms underlying this relationship remain unclear. Women generally exhibit lower self-compassion than men, making them more vulnerable to fear and anxiety. In this study, female participants were divided into two groups - high and low trait self-compassion, based on their scores on the Self-Compassion Scale-Short Form (SCS-SF). Both groups completed fear acquisition and fear extinction tasks, during which conditioned responses (CRs) were measured using self-reported unconditioned stimulus (US) expectancy ratings, skin conductance response (SCR), and functional near-infrared spectroscopy (fNIRS). The results showed that in the fear acquisition phase, all participants successfully acquired fear, showing greater responses to threat stimuli than safety stimuli. However, participants with high trait self-compassion exhibited lower SCR than those with low trait self-compassion. In the fear extinction phase, compared to individuals with low trait self-compassion, individuals with high trait self-compassion exhibited more effective fear extinction learning, characterized by lower US expectancy ratings, lower SCR, and higher mPFC activation. Moreover, trait self-compassion was significantly correlated with the behavioral extinction ability and the mPFC activation during the late phase of fear extinction, and behavioral extinction ability was significantly correlated with mPFC activation. The findings of this study suggest individuals with high trait self-compassion have better physiological flexibility during fear acquisition and fear extinction, and may through enhancing mPFC activation to facilitate fear extinction. The results provide new insights into the pathological mechanisms of anxiety.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100516"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-efficacy as a mediator of neuroticism and perceived stress: Neural perspectives on healthy aging 自我效能感是神经质和感知压力的中介:从神经角度看健康老龄化
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100521
Lulu Liu , Runyu Huang , Yu-Jung Shang , Laiquan Zou , Anise M.S. Wu
The underlying mechanisms of the interconnections among neuroticism, self-efficacy, and perceived stress in younger and older adults are rarely studied simultaneously. Two hundred fourteen participants (128 younger adults aged 18–34 years and 86 older adults aged 60–89 years) were assessed using scales for neuroticism, self-efficacy, and perceived stress. A subsample (114 younger and 78 older adults) underwent brain magnetic resonance imaging scanning. Psychometric results suggested that older adults exhibited significantly lower levels of neuroticism and perceived stress, along with higher self-efficacy than younger adults. Mediation analyses revealed that self-efficacy significantly mediated the link between neuroticism and perceived stress in both age groups, demonstrating its protective role. Additionally, neuroimaging data suggested that the cortical thicknesses of several brain regions predicted perceived stress through the mediating role of neuroticism and self-efficacy, including the bilateral middle frontal gyrus, bilateral superior frontal gyrus, bilateral middle temporal gyrus, left superior temporal sulcus, bilateral anterior cingulate cortex, and right precuneus. In particular, the relationship between the right precuneus, neuroticism, and perceived stress suggested a reverse pattern across younger and older adults. These findings emphasize the importance of self-efficacy in mediating the impact of neuroticism on perceived stress and highlight the role of the right precuneus in guiding interventions that delay the transition from healthy to abnormal aging.
很少有人同时研究年轻人和老年人的神经质、自我效能感和感知压力之间相互联系的内在机制。研究人员使用神经质、自我效能感和压力感量表对 214 名参与者(128 名年龄在 18-34 岁之间的年轻人和 86 名年龄在 60-89 岁之间的老年人)进行了评估。一个子样本(114 名年轻人和 78 名老年人)接受了脑磁共振成像扫描。心理测量结果表明,与年轻人相比,老年人的神经质和感知压力水平明显较低,自我效能感较高。中介分析表明,自我效能感对两个年龄组的神经质和感知压力之间的联系有显著的中介作用,证明了自我效能感的保护作用。此外,神经影像学数据表明,通过神经质和自我效能感的中介作用,多个大脑区域的皮质厚度可预测压力感知,包括双侧额叶中回、双侧额叶上回、双侧颞叶中回、左侧颞叶上沟、双侧扣带回前皮质和右侧楔前皮质。特别是,右侧楔前叶、神经质和感知压力之间的关系在年轻人和老年人中呈现出相反的模式。这些发现强调了自我效能感在调解神经质对压力感知的影响方面的重要性,并突出了右楔前丘在指导干预措施以延缓从健康老龄化向异常老龄化过渡方面的作用。
{"title":"Self-efficacy as a mediator of neuroticism and perceived stress: Neural perspectives on healthy aging","authors":"Lulu Liu ,&nbsp;Runyu Huang ,&nbsp;Yu-Jung Shang ,&nbsp;Laiquan Zou ,&nbsp;Anise M.S. Wu","doi":"10.1016/j.ijchp.2024.100521","DOIUrl":"10.1016/j.ijchp.2024.100521","url":null,"abstract":"<div><div>The underlying mechanisms of the interconnections among neuroticism, self-efficacy, and perceived stress in younger and older adults are rarely studied simultaneously. Two hundred fourteen participants (128 younger adults aged 18–34 years and 86 older adults aged 60–89 years) were assessed using scales for neuroticism, self-efficacy, and perceived stress. A subsample (114 younger and 78 older adults) underwent brain magnetic resonance imaging scanning. Psychometric results suggested that older adults exhibited significantly lower levels of neuroticism and perceived stress, along with higher self-efficacy than younger adults. Mediation analyses revealed that self-efficacy significantly mediated the link between neuroticism and perceived stress in both age groups, demonstrating its protective role. Additionally, neuroimaging data suggested that the cortical thicknesses of several brain regions predicted perceived stress through the mediating role of neuroticism and self-efficacy, including the bilateral middle frontal gyrus, bilateral superior frontal gyrus, bilateral middle temporal gyrus, left superior temporal sulcus, bilateral anterior cingulate cortex, and right precuneus. In particular, the relationship between the right precuneus, neuroticism, and perceived stress suggested a reverse pattern across younger and older adults. These findings emphasize the importance of self-efficacy in mediating the impact of neuroticism on perceived stress and highlight the role of the right precuneus in guiding interventions that delay the transition from healthy to abnormal aging.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100521"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychological mechanisms and neural correlates of trait mindfulness in emotion regulation: Testing a novel approach to the monitor and acceptance theory 特质正念在情绪调节中的心理机制和神经相关性:测试监控和接受理论的新方法
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100507
Ivana Buric , Lucija Žderić , Adrian Onicas , Maja Kolanovic , Guusje Collin

Background

The ongoing mental health crisis warrants investigations to understand why trait mindfulness is associated with beneficial mental health outcomes. This study examined attention monitoring and acceptance as psychological mechanisms underlying the relationship between trait mindfulness and emotion regulation and connectivity between the dorsolateral prefrontal cortex (dlPFC) and posterior cingulate cortex (PCC) as a potential neural mechanism.

Methods

A cross-sectional study was conducted with 501 adult participants (age range: 17–79, M = 31, SD = 11.3) representing the general population. To assess emotion regulation and trait mindfulness, participants completed the Difficulties in Emotion Regulation Scale (DERS) and Five Facets Mindfulness Questionnaire (FFMQ). Resting-state functional MRI was acquired in a subsample of 20 participants to explore the role of dlPFC-PCC functional connectivity.

Results

Higher levels of acceptance, as measured using the Non-judging and Non-reactivity subscales of the FFMQ, were significantly associated with fewer overall emotion regulation difficulties and predicted all emotion regulation subscales. In contrast, higher levels of attention monitoring, measured using the Observe subscale, predicted only three DERS subscales and with mixed effects: higher emotional awareness and clarity, but greater difficulties in goal-directed behaviour. The interaction between monitoring and acceptance was not significant, and no correlation was found between these variables and dlPFC-PCC functional connectivity.

Conclusions

These findings challenge previous theories that argue that attention monitoring is crucial for effective emotion regulation. Instead, we conclude that acceptance is the key psychological mechanism, indicating that the traditional focus on attention monitoring in mindfulness training may be less effective than a primary emphasis on acceptance. This study provides a critical review of past research, highlighting issues with operationalising acceptance, and offers recommendations for future studies and practical implications for developing mindfulness interventions.
背景当前的心理健康危机需要我们进行调查,以了解为什么正念特质与有益的心理健康结果有关。本研究探讨了作为特质正念与情绪调节之间关系基础的心理机制的注意力监测和接受,以及作为潜在神经机制的背外侧前额叶皮层(dlPFC)和后扣带回皮层(PCC)之间的连接性。方法本研究对代表普通人群的 501 名成年参与者(年龄范围:17-79 岁,男 = 31,女 = 11.3)进行了横断面研究。为了评估情绪调节和正念特质,参与者填写了情绪调节困难量表(DERS)和五方面正念问卷(FFMQ)。结果用FFMQ的 "非评判 "和 "非反应 "分量表测量的较高的接纳水平与较少的总体情绪调节困难显著相关,并可预测所有情绪调节分量表。相比之下,使用 "观察 "分量表测量的较高水平的注意力监测只预测了三个 DERS 分量表,而且效果参差不齐:情绪意识和清晰度更高,但目标导向行为的困难更大。监控和接受之间的交互作用并不显著,这些变量与 dlPFC-PCC 功能连接之间也未发现相关性。相反,我们得出的结论是,接纳才是关键的心理机制,这表明正念训练中传统的对注意力监控的关注可能不如主要强调接纳来得有效。本研究对过去的研究进行了批判性的回顾,强调了在操作接受方面存在的问题,并对未来的研究提出了建议,对开发正念干预措施具有实际意义。
{"title":"Psychological mechanisms and neural correlates of trait mindfulness in emotion regulation: Testing a novel approach to the monitor and acceptance theory","authors":"Ivana Buric ,&nbsp;Lucija Žderić ,&nbsp;Adrian Onicas ,&nbsp;Maja Kolanovic ,&nbsp;Guusje Collin","doi":"10.1016/j.ijchp.2024.100507","DOIUrl":"10.1016/j.ijchp.2024.100507","url":null,"abstract":"<div><h3>Background</h3><div>The ongoing mental health crisis warrants investigations to understand why trait mindfulness is associated with beneficial mental health outcomes. This study examined attention monitoring and acceptance as psychological mechanisms underlying the relationship between trait mindfulness and emotion regulation and connectivity between the dorsolateral prefrontal cortex (dlPFC) and posterior cingulate cortex (PCC) as a potential neural mechanism.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 501 adult participants (age range: 17–79, <em>M</em> = 31, SD = 11.3) representing the general population. To assess emotion regulation and trait mindfulness, participants completed the Difficulties in Emotion Regulation Scale (DERS) and Five Facets Mindfulness Questionnaire (FFMQ). Resting-state functional MRI was acquired in a subsample of 20 participants to explore the role of dlPFC-PCC functional connectivity.</div></div><div><h3>Results</h3><div>Higher levels of acceptance, as measured using the Non-judging and Non-reactivity subscales of the FFMQ, were significantly associated with fewer overall emotion regulation difficulties and predicted all emotion regulation subscales. In contrast, higher levels of attention monitoring, measured using the Observe subscale, predicted only three DERS subscales and with mixed effects: higher emotional awareness and clarity, but greater difficulties in goal-directed behaviour. The interaction between monitoring and acceptance was not significant, and no correlation was found between these variables and dlPFC-PCC functional connectivity.</div></div><div><h3>Conclusions</h3><div>These findings challenge previous theories that argue that attention monitoring is crucial for effective emotion regulation. Instead, we conclude that acceptance is the key psychological mechanism, indicating that the traditional focus on attention monitoring in mindfulness training may be less effective than a primary emphasis on acceptance. This study provides a critical review of past research, highlighting issues with operationalising acceptance, and offers recommendations for future studies and practical implications for developing mindfulness interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100507"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interoception primes negative emotion processing during cognitive reappraisal: Electroencephalographical evidence 在认知再评价过程中,截获会激发负面情绪处理:脑电图证据
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100515
Lele Chen , Fangmin Chen , Ke Bo , Jingyi Sun , Renlai Zhou
Interoception, which refers to sensing, interpreting, and integrating internal bodily signals, has been suggested to be associated with emotion regulation. Previous research has demonstrated individual differences in interoception and its impact on emotion regulation. However, the priming effect of interoception on emotion regulation and the underlying neural mechanisms remain unknown. This study aims to examine how interoception primes different strategies of cognitive reappraisal, using electroencephalography (EEG). Thirty-seven healthy participants completed an interoceptive priming task. We found that interoception increased the amplitudes of the late positive potential (LPP) during both interpretation and detachment strategies. The priming effect of interoception in enhancing LPP amplitudes lasted longer for interpretation than for detachment. A decrease in alpha power during reinterpretation was observed after interoceptive priming, but not during detachment. The results revealed that interoception enhanced attention to bodily signals associated with negative emotions during cognitive reappraisal. Interoception showed distinct effects on different strategies of cognitive reappraisal, with different underlying neural mechanisms. Interoception-based programs may be an effective way to enhance the capacity for cognitive reappraisal.
内感知是指对身体内部信号的感知、解释和整合,被认为与情绪调节有关。以往的研究已经证明了内感知的个体差异及其对情绪调节的影响。然而,内感知对情绪调节的引物效应及其背后的神经机制仍然未知。本研究旨在利用脑电图(EEG)研究内感知如何激发不同的认知再评价策略。37 名健康参与者完成了互感引物任务。我们发现,在解释和脱离两种策略中,内感知都会增加晚期正电位(LPP)的振幅。在解释过程中,内感知增强 LPP 振幅的引物效应比脱离过程持续时间更长。在互感引物作用下,重新解读时的α功率有所下降,而分离时则没有。结果表明,在认知再评价过程中,互感增强了对与负面情绪相关的身体信号的注意。内感知对不同的认知再评价策略有不同的影响,其潜在的神经机制也不同。基于互感的计划可能是提高认知再评价能力的有效方法。
{"title":"Interoception primes negative emotion processing during cognitive reappraisal: Electroencephalographical evidence","authors":"Lele Chen ,&nbsp;Fangmin Chen ,&nbsp;Ke Bo ,&nbsp;Jingyi Sun ,&nbsp;Renlai Zhou","doi":"10.1016/j.ijchp.2024.100515","DOIUrl":"10.1016/j.ijchp.2024.100515","url":null,"abstract":"<div><div>Interoception, which refers to sensing, interpreting, and integrating internal bodily signals, has been suggested to be associated with emotion regulation. Previous research has demonstrated individual differences in interoception and its impact on emotion regulation. However, the priming effect of interoception on emotion regulation and the underlying neural mechanisms remain unknown. This study aims to examine how interoception primes different strategies of cognitive reappraisal, using electroencephalography (EEG). Thirty-seven healthy participants completed an interoceptive priming task. We found that interoception increased the amplitudes of the late positive potential (LPP) during both interpretation and detachment strategies. The priming effect of interoception in enhancing LPP amplitudes lasted longer for interpretation than for detachment. A decrease in alpha power during reinterpretation was observed after interoceptive priming, but not during detachment. The results revealed that interoception enhanced attention to bodily signals associated with negative emotions during cognitive reappraisal. Interoception showed distinct effects on different strategies of cognitive reappraisal, with different underlying neural mechanisms. Interoception-based programs may be an effective way to enhance the capacity for cognitive reappraisal.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100515"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Superhero in a skirt: Psychological resilience of Ukrainian refugee women in Poland. A thematic analysis 穿裙子的超级英雄:在波兰的乌克兰难民妇女的心理复原力。专题分析
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100506
Maria Baran , Halina Grzymała-Moszczyńska , Marcelina Zjawińska , Larysa Sugay , Irena Pujszo , Yuliia Ovsiienko , Viktoriia Naritsa , Julia Niedziałek , Marta Boczkowska
This study delves into the diverse experiences of Ukrainian refugee women in Poland amid the ongoing Russian war, employing a community-based participatory action research approach in collaboration with a Polish foundation aiding Ukrainian war refugees. With the practical aim of formulating recommendations for the third sector assisting refugees, 33 semi-structured interviews (M = 40.29; SD = 11.41) were conducted between December 2022 and February 2023, seeking to understand and identify factors building and hindering psychological resilience. Our study unveiled the complexity and diversity of refugees' situations, revealing various coping strategies and distinct resources coexisting with psychological distress. Despite this diversity, certain common and often unmet needs (stability and safety, basic needs) were identified. The study also highlights refugees' agency, the need to prioritize current needs. The findings emphasize the significance of natural social support and varied coping strategies for fostering psychological resilience. Ongoing research is recommended to track the evolving well-being of Ukrainian refugee women in post-2022 Poland.
本研究采用基于社区的参与式行动研究方法,与波兰一家援助乌克兰战争难民的基金会合作,深入探讨了俄罗斯战争持续期间波兰境内乌克兰难民妇女的各种经历。为了给援助难民的第三部门提出建议,我们在 2022 年 12 月至 2023 年 2 月期间进行了 33 次半结构式访谈(中=40.29;标清=11.41),试图了解并确定增强和阻碍心理复原力的因素。我们的研究揭示了难民处境的复杂性和多样性,揭示了与心理困扰共存的各种应对策略和独特资源。尽管存在这种多样性,但我们还是发现了某些共同的、经常得不到满足的需求(稳定和安全、基本需求)。研究还强调了难民的能动性以及优先满足当前需求的必要性。研究结果强调了自然社会支持和各种应对策略对培养心理复原力的重要性。建议持续开展研究,跟踪 2022 年后波兰乌克兰难民妇女不断变化的福祉。
{"title":"Superhero in a skirt: Psychological resilience of Ukrainian refugee women in Poland. A thematic analysis","authors":"Maria Baran ,&nbsp;Halina Grzymała-Moszczyńska ,&nbsp;Marcelina Zjawińska ,&nbsp;Larysa Sugay ,&nbsp;Irena Pujszo ,&nbsp;Yuliia Ovsiienko ,&nbsp;Viktoriia Naritsa ,&nbsp;Julia Niedziałek ,&nbsp;Marta Boczkowska","doi":"10.1016/j.ijchp.2024.100506","DOIUrl":"10.1016/j.ijchp.2024.100506","url":null,"abstract":"<div><div>This study delves into the diverse experiences of Ukrainian refugee women in Poland amid the ongoing Russian war, employing a community-based participatory action research approach in collaboration with a Polish foundation aiding Ukrainian war refugees. With the practical aim of formulating recommendations for the third sector assisting refugees, 33 semi-structured interviews (<em>M</em> = 40.29; <em>SD</em> = 11.41) were conducted between December 2022 and February 2023, seeking to understand and identify factors building and hindering psychological resilience. Our study unveiled the complexity and diversity of refugees' situations, revealing various coping strategies and distinct resources coexisting with psychological distress. Despite this diversity, certain common and often unmet needs (stability and safety, basic needs) were identified. The study also highlights refugees' agency, the need to prioritize current needs. The findings emphasize the significance of natural social support and varied coping strategies for fostering psychological resilience. Ongoing research is recommended to track the evolving well-being of Ukrainian refugee women in post-2022 Poland.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100506"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of narrative therapy for depressive symptoms in adults with somatic disorders: A systematic review and meta-analysis 叙事疗法对躯体疾病成人抑郁症状的疗效:系统回顾和荟萃分析
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100520
Guannan Hu , Bingyue Han , Hayley Gains , Yong Jia

Background

Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.

Methods

A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.

Results

The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (SMD=-1.64; 95% CI, -1.95 to -1.32; p<.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.

Discussion

This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.
背景抑郁症是一种常见的精神疾病,也是自杀的主要风险因素。叙事疗法旨在通过讲故事来重塑信念。尽管有证据表明叙事疗法是有效的,但缺乏针对特定成人群体的评估。这项荟萃分析评估了叙事疗法对患有躯体疾病的成年人抑郁症状的影响。方法 2024 年 4 月,对 PubMed、Web of Science(所有数据库)、Cochrane Library、CINAHL、CNKI 和 CBMdisc 进行了全面检索。研究选择和数据提取由两名研究人员独立完成。利用 Cochrane 工具和 GRADEPro GDT 工具确定纳入研究的偏倚风险和方法学质量。结果结果显示,叙事疗法对躯体障碍成人的抑郁症状有显著效果(SMD=-1.64;95% CI,-1.95 至-1.32;p<.001;4879 名参与者;低质量证据)。讨论这项荟萃分析发现,叙事疗法似乎对患有躯体障碍的成年人的抑郁症状有显著效果。然而,这项研究受到了中国研究居多和证据质量较低的限制。未来的研究需要证实这些发现。
{"title":"Effectiveness of narrative therapy for depressive symptoms in adults with somatic disorders: A systematic review and meta-analysis","authors":"Guannan Hu ,&nbsp;Bingyue Han ,&nbsp;Hayley Gains ,&nbsp;Yong Jia","doi":"10.1016/j.ijchp.2024.100520","DOIUrl":"10.1016/j.ijchp.2024.100520","url":null,"abstract":"<div><h3>Background</h3><div>Depression is a common mental health condition and a main risk factor for suicide. Narrative therapy aims to reframe beliefs through storytelling. Despite evidence of effectiveness, there is a lack of evaluation for specific adult populations. This meta-analysis evaluated the effect of narrative therapy on depressive symptoms in adults with somatic disorders. Only 2 of the included studies examined patients with depression, highlighting the need for further research on this specific population.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Web of Science (all databases), the Cochrane Library, CINAHL, CNKI, and CBMdisc was conducted in April 2024. Study selection and data extraction were conducted by two researchers independently. The Cochrane tool and GRADEPro GDT tool were utilised to determine risk of bias and methodological quality of included studies. Stata17.0 was used for statistical analysis.</div></div><div><h3>Results</h3><div>The results showed that narrative therapy had a significant effect on depressive symptoms in adults with somatic disorders (<em>SMD</em>=-1.64; <em>95% CI</em>, -1.95 to -1.32; <em>p</em>&lt;.001; 4,879 participants; low-quality evidence). Sensitivity analysis showed that the results were robust and reliable.</div></div><div><h3>Discussion</h3><div>This meta-analysis found that narrative therapy appears to have a significant effect on depressive symptoms in adults with somatic disorders. However, the study is limited by a predominance of Chinese studies and low quality of evidence. Future research is needed to confirm these findings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100520"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding the impact of extreme terrorist events on evacuees and non-evacuees: A study on child aggression and social problems 了解极端恐怖事件对疏散人员和非疏散人员的影响:关于儿童攻击行为和社会问题的研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100513
Mally Shechory-Bitton , Avital Laufer , Liza Zvi
This study aimed to examine differences between evacuee and non-evacuee parents regarding their experiences following the October 7th terror attack in Israel, and to assess how parental factors—such as exposure, PTS, functioning, resilience, and trust in authorities—were related to perceived behavioral problems in children. The study included 221 evacuee parents and 262 non-evacuee parents, recruited online through a professional survey company. We hypothesized that perceived child aggression and social problems would increase following the terrorist events, with evacuee parents reporting a greater increase in symptoms due to heightened instability and stress. Additionally, we expected higher levels of parental exposure, PTS, impaired functioning, lower resilience, and lower trust in authorities to be associated with increased child aggression and social problems. Results indicated that evacuee parents reported significantly more perceived aggression and social problems in their children, along with lower functioning, higher PTS, and lower trust in authorities. However, regression analysis revealed that higher parental exposure, PTS, and lower functioning were associated with increased perceived child aggression and social problems, regardless of evacuee status. These findings highlight the need for targeted interventions to support evacuated families, rebuild trust in authorities, and strengthen community resilience to mitigate long-term impacts.
本研究旨在探讨以色列 10 月 7 日恐怖袭击事件发生后,疏散父母与非疏散父母在经历上的差异,并评估父母的因素(如暴露、创伤后应激障碍、功能、复原力和对当局的信任)与所感知的儿童行为问题之间的关系。这项研究通过一家专业调查公司在线招募了 221 名疏散家长和 262 名非疏散家长。我们假设,在恐怖事件发生后,儿童的攻击性和社会问题会增加,而由于不稳定性和压力的增加,撤离人员的父母报告的症状会增加更多。此外,我们还预计,父母暴露程度越高、创伤后应激障碍越严重、功能受损越严重、复原力越差以及对当局的信任度越低,儿童攻击性和社会问题就越严重。结果表明,撤离者父母报告其子女的攻击行为和社会问题明显增多,同时功能受损、创伤后应激障碍程度较高以及对当局的信任度较低。然而,回归分析表明,无论疏散人员身份如何,父母暴露程度越高、创伤后应激障碍越严重、功能越低下,都与感知到的儿童攻击性和社会问题越多有关。这些研究结果突出表明,有必要采取有针对性的干预措施,为疏散家庭提供支持,重建对当局的信任,并加强社区复原力,以减轻长期影响。
{"title":"Understanding the impact of extreme terrorist events on evacuees and non-evacuees: A study on child aggression and social problems","authors":"Mally Shechory-Bitton ,&nbsp;Avital Laufer ,&nbsp;Liza Zvi","doi":"10.1016/j.ijchp.2024.100513","DOIUrl":"10.1016/j.ijchp.2024.100513","url":null,"abstract":"<div><div>This study aimed to examine differences between evacuee and non-evacuee parents regarding their experiences following the October 7th terror attack in Israel, and to assess how parental factors—such as exposure, PTS, functioning, resilience, and trust in authorities—were related to perceived behavioral problems in children. The study included 221 evacuee parents and 262 non-evacuee parents, recruited online through a professional survey company. We hypothesized that perceived child aggression and social problems would increase following the terrorist events, with evacuee parents reporting a greater increase in symptoms due to heightened instability and stress. Additionally, we expected higher levels of parental exposure, PTS, impaired functioning, lower resilience, and lower trust in authorities to be associated with increased child aggression and social problems. Results indicated that evacuee parents reported significantly more perceived aggression and social problems in their children, along with lower functioning, higher PTS, and lower trust in authorities. However, regression analysis revealed that higher parental exposure, PTS, and lower functioning were associated with increased perceived child aggression and social problems, regardless of evacuee status. These findings highlight the need for targeted interventions to support evacuated families, rebuild trust in authorities, and strengthen community resilience to mitigate long-term impacts.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100513"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neural impacts of personality on deception for applications of deception detection 个性对欺骗的神经影响在欺骗检测中的应用
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100511
Xiaoling Zhang , Xinyue Zhang , Xiumei Chen , Qianjin Feng , Meiyan Huang

Background

Although universal, deception may be a sign of certain mental disorders and may impede the effectiveness of clinical intervention. However, individual difference exists in deception, and its underlying neural mechanisms remain unclear, thereby limiting the applicability of deception detection for clinical diagnosis.

Method

Functional near-infrared spectroscopy and multiple aspects of personality assessments [the Behavioral Approach System and the Behavioral Inhibition System (BIS) scale, and the Neuroticism–Extroversion–Openness Five–Factor Inventory scale] were applied to explore the neural mechanisms underlying individual differences in deception. Furthermore, a transformer-based model considering personality traits was developed to help people detect deception.

Results

Results showed that personality traits influenced deception primarily through activity in the frontopolar area, dorsolateral prefrontal cortex, and temporoparietal junction area. Moreover, personality traits from different aspects jointly influenced deception, which may vary with behavioral changes. Specifically, extroversion is one of the personality traits partially mediating the effect of BIS on the frontopolar area during deception while being masked during honesty. Additionally, the deception-detection model was found to obtained good classification performance (area under curve: 0.93 ± 0.047), where personality variables contributed to improving the performance.

Conclusions

These findings demonstrated the potential neural impacts of personality in deception for explaining individual differences, which holds great promise in improving the applicability of deception detection for clinical diagnosis.
背景尽管欺骗具有普遍性,但它可能是某些精神障碍的征兆,并可能阻碍临床干预的有效性。方法应用功能性近红外光谱和多方面的人格评估[行为接近系统和行为抑制系统(BIS)量表,以及神经质-外向-开放五因素量表]来探索欺骗行为个体差异的神经机制。结果表明,人格特质主要通过前额叶区、背外侧前额叶皮层和颞顶交界区的活动影响欺骗行为。此外,不同方面的人格特质会共同影响欺骗行为,这可能会随着行为变化而变化。具体地说,外向性是人格特质之一,它部分介导了欺骗时 BIS 对前额叶区的影响,而诚实时则被掩盖。此外,研究还发现欺骗检测模型获得了良好的分类性能(曲线下面积:0.93 ± 0.047),其中人格变量对提高分类性能做出了贡献。
{"title":"Neural impacts of personality on deception for applications of deception detection","authors":"Xiaoling Zhang ,&nbsp;Xinyue Zhang ,&nbsp;Xiumei Chen ,&nbsp;Qianjin Feng ,&nbsp;Meiyan Huang","doi":"10.1016/j.ijchp.2024.100511","DOIUrl":"10.1016/j.ijchp.2024.100511","url":null,"abstract":"<div><h3>Background</h3><div>Although universal, deception may be a sign of certain mental disorders and may impede the effectiveness of clinical intervention. However, individual difference exists in deception, and its underlying neural mechanisms remain unclear, thereby limiting the applicability of deception detection for clinical diagnosis.</div></div><div><h3>Method</h3><div>Functional near-infrared spectroscopy and multiple aspects of personality assessments [the Behavioral Approach System and the Behavioral Inhibition System (BIS) scale, and the Neuroticism–Extroversion–Openness Five–Factor Inventory scale] were applied to explore the neural mechanisms underlying individual differences in deception. Furthermore, a transformer-based model considering personality traits was developed to help people detect deception.</div></div><div><h3>Results</h3><div>Results showed that personality traits influenced deception primarily through activity in the frontopolar area, dorsolateral prefrontal cortex, and temporoparietal junction area. Moreover, personality traits from different aspects jointly influenced deception, which may vary with behavioral changes. Specifically, extroversion is one of the personality traits partially mediating the effect of BIS on the frontopolar area during deception while being masked during honesty. Additionally, the deception-detection model was found to obtained good classification performance (area under curve: 0.93 ± 0.047), where personality variables contributed to improving the performance.</div></div><div><h3>Conclusions</h3><div>These findings demonstrated the potential neural impacts of personality in deception for explaining individual differences, which holds great promise in improving the applicability of deception detection for clinical diagnosis.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100511"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Cognitive Stimulation Therapy show similar efficacy in individuals with mild-to-moderate dementia from varying etiologies? An examination comparing its effectiveness in Alzheimer's disease and vascular dementia 认知刺激疗法对不同病因导致的轻度至中度痴呆症患者是否具有相似的疗效?比较认知刺激疗法对阿尔茨海默病和血管性痴呆症的疗效
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100510
Federica Piras , Elena Carbone , Riccardo Domenicucci , Enrico Sella , Erika Borella

Objective

The effectiveness of the Cognitive Stimulation Therapy (CST) is well-documented. Nevertheless, the question of whether specific subgroups of individuals with dementia are more or less likely to benefit from this cognitive stimulation intervention remains unaddressed. Here, we directly compared the effectiveness of the Italian CST (CST-IT), delivered in a previous multicenter controlled clinical trial, across two distinct cohorts of individuals clinically diagnosed with Alzheimer's Disease (AD, N = 30) and vascular dementia (VaD, N = 27) in the mild-to-moderate stage.

Method

The impact of dementia subtype (AD vs VaD) on immediate (at intervention completion) benefits of CST-IT in general cognitive functioning, communicative abilities, mood, behavior and perceived quality of life was evaluated through linear mixed effects models. The frequency and severity of neuropsychiatric symptoms at baseline was inserted as a covariate due to the different behavioral profile in the two groups. Exploratory analyses also investigated the potential differential effect of dementia subtype on long-term benefits (three months after intervention).

Results

The CST-IT determined comparable immediate, clinically significant improvements in general cognition and communicative abilities. Dementia subtype influenced short-term benefits in depressive symptoms (with a greater decrease in AD patients) and quality of life (no significant impact in AD, and a small improvement in VaD). Such effects depended on diagnosis-related differences in neuropsychiatric symptoms. At long-term, benefits persisted in general cognition (though depending on the outcome considered). Improvements in narratives were seen in VaD, whereas communicative abilities in AD returned to baseline. Post-intervention gains in depressive symptoms persisted in AD, but not in VaD, although benefits in quality of life remained stable in the latter.

Conclusions

Different mechanisms of neuropsychological change after CST-IT were hypothesized for the different forms of dementia, particularly with respect to crucial outcomes such as language, mood and quality of life, with implications toward the delivery of such psychosocial intervention in clinical contexts.
目的认知刺激疗法(CST)的有效性已得到充分证实。然而,特定痴呆症患者亚群是否更容易或更不容易从这种认知刺激干预中获益的问题仍未得到解决。在此,我们直接比较了意大利认知刺激疗法(CST-IT)的有效性,该疗法是在之前的一项多中心对照临床试验中,针对临床诊断为阿尔茨海默病(AD,N = 30)和血管性痴呆(VaD,N = 27)轻度至中度阶段的两个不同人群实施的。方法通过线性混合效应模型评估痴呆亚型(阿尔茨海默病与血管性痴呆)对 CST-IT 在一般认知功能、交流能力、情绪、行为和生活质量感知方面的即时(干预完成时)益处的影响。由于两组患者的行为特征不同,因此将基线时神经精神症状的频率和严重程度作为协变量。探索性分析还调查了痴呆亚型对长期获益(干预三个月后)的潜在不同影响。痴呆症亚型影响了抑郁症状(注意力缺失症患者的抑郁症状下降幅度更大)和生活质量(注意力缺失症患者的生活质量没有明显改善,而失智症患者的生活质量略有改善)方面的短期疗效。这种影响取决于神经精神症状的诊断相关差异。从长期来看,一般认知方面的益处依然存在(但取决于所考虑的结果)。VaD患者的叙述能力有所改善,而AD患者的交流能力则恢复到基线水平。结论:针对不同形式的痴呆症,特别是在语言、情绪和生活质量等关键结果方面,我们假设了CST-IT治疗后神经心理学变化的不同机制,这对在临床环境中提供此类社会心理干预具有重要意义。
{"title":"Does Cognitive Stimulation Therapy show similar efficacy in individuals with mild-to-moderate dementia from varying etiologies? An examination comparing its effectiveness in Alzheimer's disease and vascular dementia","authors":"Federica Piras ,&nbsp;Elena Carbone ,&nbsp;Riccardo Domenicucci ,&nbsp;Enrico Sella ,&nbsp;Erika Borella","doi":"10.1016/j.ijchp.2024.100510","DOIUrl":"10.1016/j.ijchp.2024.100510","url":null,"abstract":"<div><h3>Objective</h3><div>The effectiveness of the Cognitive Stimulation Therapy (CST) is well-documented. Nevertheless, the question of whether specific subgroups of individuals with dementia are more or less likely to benefit from this cognitive stimulation intervention remains unaddressed. Here, we directly compared the effectiveness of the Italian CST (CST-IT), delivered in a previous multicenter controlled clinical trial, across two distinct cohorts of individuals clinically diagnosed with Alzheimer's Disease (AD, <em>N</em> = 30) and vascular dementia (VaD, <em>N</em> = 27) in the mild-to-moderate stage.</div></div><div><h3>Method</h3><div>The impact of dementia subtype (AD vs VaD) on immediate (at intervention completion) benefits of CST-IT in general cognitive functioning, communicative abilities, mood, behavior and perceived quality of life was evaluated through linear mixed effects models. The frequency and severity of neuropsychiatric symptoms at baseline was inserted as a covariate due to the different behavioral profile in the two groups. Exploratory analyses also investigated the potential differential effect of dementia subtype on long-term benefits (three months after intervention).</div></div><div><h3>Results</h3><div>The CST-IT determined comparable immediate, clinically significant improvements in general cognition and communicative abilities. Dementia subtype influenced short-term benefits in depressive symptoms (with a greater decrease in AD patients) and quality of life (no significant impact in AD, and a small improvement in VaD). Such effects depended on diagnosis-related differences in neuropsychiatric symptoms. At long-term, benefits persisted in general cognition (though depending on the outcome considered). Improvements in narratives were seen in VaD, whereas communicative abilities in AD returned to baseline. Post-intervention gains in depressive symptoms persisted in AD, but not in VaD, although benefits in quality of life remained stable in the latter.</div></div><div><h3>Conclusions</h3><div>Different mechanisms of neuropsychological change after CST-IT were hypothesized for the different forms of dementia, particularly with respect to crucial outcomes such as language, mood and quality of life, with implications toward the delivery of such psychosocial intervention in clinical contexts.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100510"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Clinical and Health Psychology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1