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HD-tDCS over prefrontal cortex alleviates the inhibitory control and sleep problems of insomnia with objective short sleep duration 前额叶皮层HD-tDCS可缓解客观短睡眠时间失眠的抑制控制和睡眠问题
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2026.100663
Haobo Zhang , Zhangwei Lv , Zijie Tang , Xue Zeng , Jiayu Feng , Xu Lei

Background

Insomnia disorder with objective short sleep duration (ISSD) is a severe phenotype associated with significant health risks including hypertension, diabetes, and cognitive impairment. It has been found that sleep problems in ISSD can be alleviated by improving inhibitory control (IC) ability. Therefore, there is a need to develop more effective interventions targeting inhibitory control to relief the symptom in ISSD.

Objective

This study aimed to investigate whether high-definition transcranial direct current stimulation (HD-tDCS) targeting the right dorsolateral prefrontal cortex (dlPFC) could improve inhibitory control and sleep quality in ISSD.

Methods

In a randomized, single-blind, sham-controlled trial, 50 ISSD were assigned to real (n = 25) or sham (n = 25) HD-tDCS groups (2 mA, 25 min/day for 7 days). Forty-one participants completed the study (real: 21, sham: 20). Primary outcomes were inhibitory control (accuracy of NoGO trial in Go/NoGo task, NoGo-ACC) and subjective sleep quality (Pittsburgh Sleep Quality Index; PSQI; Insomnia Severity Index, ISI). Secondary outcomes included objective sleep measures (total sleep time, sleep latency) collected via forehead EEG device.

Results

After the intervention, participants who received HD-tDCS had significantly better response inhibition (NoGo-ACC) and sleep quality (ISI, PSQI, sleep latency subdimension of PSQI, and daytime functioning subdimension of PSQI) than the sham group.

Conclusions

These findings establish right dlPFC-targeted HD-tDCS as a potentially safe and effective neuromodulatory approach for ISSD, though optimized protocols may be required for full clinical remission. Future studies should investigate combined interventions and include neurochemical assessments to elucidate underlying mechanisms.

Trial registration

The study was prospectively registered on September 29, 2024, in Chinese Clinical Trials registry (ChiCTR2400090393).
背景:伴有客观短睡眠时间(ISSD)的睡眠障碍是一种严重的表型,与高血压、糖尿病和认知障碍等重大健康风险相关。研究发现,ISSD患者的睡眠问题可以通过提高抑制控制(IC)能力来缓解。因此,有必要开发针对抑制控制的更有效的干预措施来缓解ISSD的症状。目的探讨针对右侧背外侧前额叶皮质(dlPFC)的高清晰度经颅直流电刺激(HD-tDCS)是否能改善ISSD的抑制控制和睡眠质量。方法在随机、单盲、假对照试验中,将50名ISSD患者分为真实(n = 25)或假(n = 25) HD-tDCS组(2 mA, 25分钟/天,连续7天)。41名参与者完成了这项研究(真实的21人,虚假的20人)。主要结果为抑制控制(Go/ NoGO任务中NoGO试验的准确性,NoGO - acc)和主观睡眠质量(匹兹堡睡眠质量指数,PSQI,失眠严重指数,ISI)。次要结果包括通过前额脑电图装置收集的客观睡眠测量(总睡眠时间、睡眠潜伏期)。结果干预后,HD-tDCS组的反应抑制(NoGo-ACC)和睡眠质量(ISI、PSQI、PSQI睡眠潜伏期亚维度和PSQI日间功能亚维度)显著优于假手术组。结论:这些研究结果表明,靶向dlpfc的HD-tDCS是治疗ISSD的一种潜在安全有效的神经调节方法,但可能需要优化方案才能完全缓解临床症状。未来的研究应探讨联合干预措施,并包括神经化学评估,以阐明潜在的机制。试验注册该研究于2024年9月29日在中国临床试验注册中心(ChiCTR2400090393)前瞻性注册。
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引用次数: 0
Adaptive and maladaptive cognitive emotion regulation in child- and adolescent ADHD 儿童和青少年多动症的适应性和非适应性认知情绪调节
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2025.100660
Rebecka Astenvald , Matilda A. Frick , Johan Lundin Kleberg , Johan Isaksson

Background

Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) often experience difficulties with emotion regulation. Specific use of cognitive emotion regulation strategies may contribute to these challenges, albeit research in this area remain limited.

Method

Self-rated and task-specific use of adaptive and maladaptive cognitive emotion regulation strategies was assessed in children and adolescents with ADHD and typically developing controls (N=176, 10–17 years, 55.1% girls; subsample for self-rated use: N=94, 13–17 years, 61.7% girls). Self-rated use was measured with the short version of the Cognitive Emotion Regulation Questionnaire. Task-specific use was assessed by an experimental task involving viewing emotion-eliciting photos. Regression analyses were utilized to assess associations between ADHD and cognitive emotion regulation. Effects of sex and age were explored. Adjustments were made for co-occurring psychiatric symptoms.

Results

ADHD was associated with lower self-rated (β =-0.21, p = .044) and task-specific (β =-0.09, p = .015) use of adaptive strategies, and greater use of self-rated maladaptive strategies (β =0.27, p = .010). No associations remained after adjusting for co-occurring psychiatric symptoms and multiple comparisons. Rather, depressive symptoms may contribute to the self-rated use of maladaptive strategies. Post-hoc analyses revealed that ADHD was robustly linked to less self-rated use of acceptance (β =-0.38, p = .005).

Conclusion

Lower use of self-rated acceptance may be characteristic for ADHD. Depressive symptoms may play a more vital role for maladaptive cognitive emotion regulation than ADHD. More studies are needed to explore the longitudinal relation between ADHD, emotion regulation and depression.
患有注意力缺陷/多动障碍(ADHD)的儿童和青少年通常在情绪调节方面遇到困难。认知情绪调节策略的具体使用可能有助于这些挑战,尽管这一领域的研究仍然有限。方法对患有ADHD的儿童和青少年及其典型发展对照(N=176, 10-17岁,女孩占55.1%;N=94, 13-17岁,女孩占61.7%)自评和特定任务的适应性和非适应性认知情绪调节策略使用情况进行评估。自评使用用简短版的认知情绪调节问卷进行测量。特定任务的使用是通过一个实验任务来评估的,这个实验任务包括观看引发情绪的照片。回归分析用于评估ADHD与认知情绪调节之间的关联。对性别和年龄的影响进行了探讨。对同时出现的精神症状进行了调整。结果adhd与较低的自评自适应策略(β =-0.21, p = 0.044)和任务特异性(β =-0.09, p = 0.015)使用和较高的自评自适应不良策略(β =0.27, p = 0.010)相关。在调整了同时发生的精神症状和多重比较后,没有任何关联。相反,抑郁症状可能有助于自评使用适应不良策略。事后分析显示,ADHD与自我评价较少的接受性使用密切相关(β =-0.38, p = 0.005)。结论自评接受度较低可能是ADHD的特点。抑郁症状可能在认知情绪调节不良中扮演比多动症更重要的角色。需要更多的研究来探索ADHD、情绪调节和抑郁之间的纵向关系。
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引用次数: 0
Sine Off On It: Sinusoidal waves as models of shame and stress in social anxiety 正弦波在社交焦虑中作为羞耻和压力的模型
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2026.100666
Talia Shechter Strulov, Dani Oshin, Idan M. Aderka
The experiences of shame and stress are associated with social anxiety disorder (SAD). In the present study, we examined a sample of 111 participants (54 with SAD and 57 without SAD) who completed a daily diary measuring stress and shame over the course of 21 days. We modelled the temporal changes in shame and stress using linear and quadratic models as well as sinusoidal models. We found sinusoidal models to be superior to linear and quadratic ones in capturing the temporal dynamics of stress and shame. Specifically, linear models explained 9.91 % and 11.69 % of the changes in shame and stress over time (respectively), whereas sinusoidal models explained 35.76 % and 39.10 % of the changes in shame and stress over time (respectively). The differences in explained variances were statistically significant for both shame and stress. In addition, we examined whether the parameters of the best-fitting sinusoidal models were associated with levels of social anxiety. As expected, we found that the vertical offset parameters (i.e., average levels) of both shame and stress were significantly and positively associated with social anxiety. In addition, we found that fluctuations (sine wave amplitudes) in shame were positively associated with social anxiety whereas fluctuations in stress were negatively associated with social anxiety. Our findings demonstrate that sinusoidal waves can model temporal changes in emotions successfully. Moreover, sine wave parameters of shame and stress can be markers of social anxiety and can have implications for diagnosis and treatment.
羞耻和压力的经历与社交焦虑障碍(SAD)有关。在目前的研究中,我们检查了111名参与者(54名患有SAD, 57名没有SAD)的样本,他们在21天的时间里完成了每天测量压力和羞耻的日记。我们使用线性和二次模型以及正弦模型来模拟羞耻和压力的时间变化。我们发现正弦模型在捕捉压力和羞耻的时间动态方面优于线性模型和二次模型。具体来说,线性模型分别解释了9.91%和11.69%的羞耻和压力随时间的变化,而正弦模型分别解释了35.76%和39.10%的羞耻和压力随时间的变化。在被解释的差异中,羞耻感和压力在统计上都是显著的。此外,我们还检验了最佳拟合正弦模型的参数是否与社交焦虑水平有关。正如预期的那样,我们发现羞耻和压力的垂直偏移参数(即平均水平)与社交焦虑显著正相关。此外,我们发现羞耻的波动(正弦波振幅)与社交焦虑呈正相关,而压力的波动与社交焦虑呈负相关。我们的研究结果表明,正弦波可以成功地模拟情绪的时间变化。此外,羞耻和压力的正弦波参数可以作为社交焦虑的标志,并可能对诊断和治疗产生影响。
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引用次数: 0
The effects of transcranial direct current stimulation techniques to modulate resting-state EEG and reduce SOL: A randomized controlled trial 经颅直流电刺激技术调节静息状态脑电图和减少SOL的作用:一项随机对照试验
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2025.100597
Hao Lian , Wenpeng Cai , Mengyang He , Xin Guo , Junjie Xie , Yanan Zhou , Ruike Zhang , Jingzhou Xu , Hao Wang , Shuyu Xu , Lei Xiao , Tong Su , Yunxiang Tang

Objective

To investigate the effects of repetitive bilateral transcranial direct current stimulation (tDCS) on sleep of latency (SOL) and resting-state electroencephalography (EEG) in individuals.

Methods

Twenty-eight young adults, aged 21–25 years, with a mean of 22.96 ± 0.87 years, were recruited and randomly grouped into an experimental group(13 people) and a control group (15 people). Subjects in the experimental group received five awake-phase resting-state tDCS over a one-week period, with anodes placed bilaterally in the dorsolateral prefrontal cortex (F3, F4) and cathode in the left upper arm. The current intensity was 1.5 mA, and the stimulation time was 15 min. The control subjects received pseudo-stimulation, with only the beginning and end of the stimulation for 30 s to receive a gradual rise and fall of the current. The intermediate current intensity was 0 mA, and the rest of the treatment parameters and processes were the same as those in the experimental group. All subjects filled out a sleep diary every day during the experiment.

Results

Compared with the pre-intervention period, in the subjective scale results, the sleep of latency factor score in the subjective sleep quality assessment scores of the subjects in the experimental group was significantly lower (p = 0.001); in the EEG results, the theta band power in the midline regions of the brains of the subjects in the experimental group (especially in the central Cz location and the prefrontal cortex) was significantly elevated, whereas the control group did not show such a difference.

Conclusion

Transcranial direct current stimulation can significantly reduce the sleep of latency of individuals and enhance theta band power to promote changes in the brain from wakefulness to drowsiness, thus enhancing sleep quality. This enhancement may be due to enhancement of inhibitory executive function. In the future, neuromodulation technology is expected to be applied to insomnia patients, especially those whose main symptom is difficulty falling asleep.
目的探讨重复性双侧经颅直流电刺激(tDCS)对个体睡眠潜伏期(SOL)和静息状态脑电图(EEG)的影响。方法选取年龄21 ~ 25岁的青壮年28人,平均年龄22.96±0.87岁,随机分为实验组(13人)和对照组(15人)。实验组在一周内接受5次清醒期静息状态tDCS,阳极位于双侧前额皮质背外侧(F3, F4),阴极位于左臂上臂。电流强度为1.5 mA,刺激时间为15 min。对照组接受伪刺激,仅在刺激开始和结束的30秒内接受电流的逐渐上升和下降。中间电流强度为0 mA,其余处理参数及工艺与实验组相同。在实验期间,所有受试者每天都要填写一份睡眠日记。结果与干预前比较,在主观量表结果中,实验组被试主观睡眠质量评估得分中潜伏期因子睡眠得分显著低于干预前(p = 0.001);在脑电图结果中,实验组被试大脑中线区域(特别是中央Cz位置和前额皮质)的θ波段功率明显升高,而对照组没有这种差异。结论经颅直流电刺激可显著降低个体的睡眠潜伏期,增强theta波段功率,促进大脑从清醒到困倦的变化,从而提高睡眠质量。这种增强可能是由于抑制性执行功能的增强。未来,神经调节技术有望应用于失眠患者,特别是以难以入睡为主要症状的失眠患者。
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引用次数: 0
Early multimodal behavioral cues in autism: a micro-analytical exploration of actions, gestures and speech during naturalistic parent-child interactions 自闭症的早期多模态行为线索:自然亲子互动中动作、手势和语言的微观分析探索
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2026.100664
M. Mastrogiuseppe , F.I. Famà , R. Bruschetta , E. Leonardi , A. Campisi , S. Aiello , C. Carrozza , A. Ruggeri , S. Baieli , S. Campisi , L. Turriziani , G. Di Rosa , M.V. Lombardo , G. Tartarisco , O. Capirci , G. Pioggia , L. Ruta , the Nest Team
Early signs of autism often emerge through distinct developmental pathways, particularly in communication, social interaction, and play. While naturalistic parent-child interactions during free play are ideal for observing spontaneous social behaviors, few autism studies have adopted this ecological and developmental approach. To address this gap, we used a fine-grained microanalytic method to examine motor, gestural, and vocal behaviors in young children, integrating machine learning to explore how combinations of these traits distinguish early autistic neurodivergence.
We analyzed video recordings of 58 autistic and non-autistic children (aged 13–40 months) engaged in naturalistic parent-child play. A frame-by-frame micro-coding scheme was applied to capture actions, gestures, speech, and their multimodal integration.
Clear differences emerged between neurotypical (NT) and autistic (ASC) children. NT children displayed more gestures, particularly deictic and conventional-interactive, greater gesture–gaze coordination, more functional object play, and more frequent multi-word utterances. In contrast, ASC children showed fewer deictic and conventional-interactive gestures and greater use of instrumental gestures, reduced gesture–gaze coordination, a higher reliance on vocalizations rather than words, and increased object manipulation compared to functional play.
Feature selection using ANOVA F-tests identified a core set of key predictors most frequently and independently selected across folds of cross-validation: Alternate Gaze, Reaching, and Instrumental Gesture. Higher values of Alternate Gaze were associated with NT classification, while elevated frequencies of Reaching and Instrumental Gestures were linked to ASC classification. A logistic regression classifier trained on these features achieved over 85% accuracy in distinguishing the two groups.
These findings underscore the value of an ecologically valid, and developmentally informed approach to identifying early behavioral markers of autism, supporting earlier recognition and the design of more personalized, strengths-based interventions.
自闭症的早期症状通常通过不同的发展途径出现,特别是在沟通、社会互动和玩耍方面。虽然在自由玩耍过程中自然的亲子互动是观察自发社会行为的理想方法,但很少有自闭症研究采用这种生态和发展方法。为了解决这一差距,我们使用了一种细粒度的微分析方法来检查幼儿的运动、手势和声音行为,并结合机器学习来探索这些特征的组合如何区分早期自闭症神经分化。我们分析了58名自闭症和非自闭症儿童(13-40个月)进行自然亲子游戏的录像。采用逐帧的微编码方案捕捉动作、手势、语音及其多模态集成。神经正常儿童(NT)和自闭症儿童(ASC)之间存在明显差异。NT儿童表现出更多的手势,特别是指示和传统互动,更大的手势-凝视协调,更多的功能性物体游戏,更频繁的多词话语。相比之下,ASC儿童表现出较少的指示和传统互动手势,更多地使用工具性手势,减少手势-凝视协调,更多地依赖于发声而不是言语,与功能游戏相比,增加了对物体的操作。使用方差分析f检验的特征选择确定了交叉验证中最频繁和独立选择的核心关键预测因子:交替凝视、到达和工具性手势。交替凝视的高值与NT分类有关,而伸手和工具性手势的高频率与ASC分类有关。在这些特征上训练的逻辑回归分类器在区分两组方面达到了85%以上的准确率。这些发现强调了一种生态有效的、发育知情的方法在识别自闭症早期行为标志方面的价值,支持早期识别和设计更个性化的、基于优势的干预措施。
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引用次数: 0
Increasing self- and desired psychiatric diagnoses among emerging adults: Mixed-methods insights from clinical psychologists 在新兴成人中增加自我和期望的精神病诊断:临床心理学家的混合方法见解
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2025.100661
Matthias Neumann , Verena Steiner-Hofbauer , Martin Aigner , Anna Höflich , Anita Holzinger , Gloria Mittmann
Anecdotal observations suggest that self-diagnoses and desired psychiatric diagnoses may be increasing among emerging adults, yet systematic evidence from clinical practice is scarce. This mixed-methods study surveyed 93 Austrian clinical psychologists (CPs) regarding their experiences with these phenomena in the context of conducting psychological assessments. CPs rated the frequency of both self-diagnoses and desired diagnoses as significantly higher than the neutral scale midpoint (“no change”), with large effect sizes (both p < .001). ADHD and ASD were most frequently identified as self-diagnosed or desired. Patients presenting with such expectations were commonly described as female, highly educated, and strongly engaged in online activities. CPs, many of whom indicated that they actively inquire about patients’ motives when suspecting a desired diagnosis, explained such pursuits mainly in terms of relief from guilt, identity affirmation, and social recognition, while treatment access was cited less often. Qualitative analyses highlighted three recurring themes: (1) the impact of self- and desired diagnoses on the course of the assessment itself, including diagnosis-driven responding and limited openness to collaborative exploration; (2) strong reactions to diagnostic discrepancies, such as emotional distress, rejection of outcomes, criticism of clinicians, or “diagnosis shopping”; and (3) increased demands on clinical practice, particularly extended assessment time and the challenges of feedback sessions where unexpected outcomes must be communicated with clarity and empathy. These dynamics are discussed in relation to online mental health cultures and the symbolic appeal of neurodivergence, underscoring how digital environments shape both the spread of self-diagnosis and the pursuit of professional confirmation.
轶事观察表明,自我诊断和期望的精神病学诊断可能在新兴成人中有所增加,但来自临床实践的系统证据很少。这项混合方法研究调查了93名奥地利临床心理学家(CPs)关于他们在进行心理评估的背景下对这些现象的经验。CPs认为自我诊断和期望诊断的频率都显著高于中性量表中点(“无变化”),效应量很大(p < .001)。ADHD和ASD最常被认为是自我诊断或期望的。表现出这种期望的患者通常被描述为女性,受过高等教育,积极参与在线活动。他们中的许多人表示,当怀疑患者想要的诊断时,他们会积极询问患者的动机,并将这种追求主要解释为从内疚、身份肯定和社会认可方面的解脱,而治疗途径则较少被引用。定性分析强调了三个反复出现的主题:(1)自我诊断和期望诊断对评估过程本身的影响,包括诊断驱动的响应和对合作探索的有限开放性;(2)对诊断差异的强烈反应,如情绪困扰、拒绝结果、批评临床医生或“诊断购物”;(3)对临床实践的需求增加,特别是评估时间的延长和反馈环节的挑战,在反馈环节中,意外结果必须以清晰和同理心的方式传达。这些动态与在线心理健康文化和神经分化的象征性吸引力有关,强调了数字环境如何塑造自我诊断的传播和对专业确认的追求。
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引用次数: 0
Within-person changes in emotional complexity are associated with concurrent changes in mental health symptoms 个人情绪复杂性的变化与心理健康症状的同步变化有关
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2025.100659
K.D. Petagna , A.L. Ecker , T.E. Reid , K.M. McMullen , K.S. Quigley , J.B. Wormwood
Several constructs reflect features of everyday emotional experience that have been theorized to support mental well-being at the between-person level. These include emotional granularity (the ability to identify and label emotions precisely), emotion covariation (the ability to experience positive and negative emotions simultaneously), and emodiversity (the ability to experience a variety and relative abundance of emotions over time). Emerging evidence suggests that these qualities of everyday emotional experience may reflect abilities or skills that could be modified over time. This study examines whether repeated emotion reporting through experience sampling is associated with changes in these features of emotional complexity over time and whether any such changes co-occur with corresponding changes in mental health symptoms. Participants (N = 123) from the general public reported their current emotions multiple times a day for 6 weeks alongside biweekly assessments of self-reported alexithymia and depression, anxiety, and somatic symptom severity. Data were collected between 2022–2023. We found that participants’ emotional granularity and emotion covariation significantly increased while their emodiversity decreased over time. Moreover, increases in emotional granularity corresponded with concurrent decreases in alexithymia and depression symptoms while decreases in negative emodiversity corresponded with lesser alexithymia and anxiety and depression symptoms. Findings support past demonstrations that experience sampling of emotional experience itself can serve as an intervention to promote changes in emotional granularity, emotion covariation, and emodiversity. The findings also offer initial evidence that changes in these constructs over time are associated with concurrent within-person fluctuations in mental health symptoms.
几个构式反映了日常情感体验的特征,这些特征已被理论化,以支持人与人之间的心理健康。这些包括情绪粒度(准确识别和标记情绪的能力),情绪共变(同时体验积极和消极情绪的能力)和表情多样性(随着时间的推移体验各种和相对丰富的情绪的能力)。新出现的证据表明,这些日常情绪体验的品质可能反映了能力或技能,这些能力或技能可以随着时间的推移而改变。本研究考察了通过经验抽样重复的情绪报告是否与这些情绪复杂性特征随时间的变化有关,以及这些变化是否与心理健康症状的相应变化同时发生。来自公众的参与者(N = 123)每天多次报告他们当前的情绪,持续6周,同时每两周评估一次自我报告的述情障碍、抑郁、焦虑和躯体症状严重程度。数据收集于2022-2023年。我们发现,随着时间的推移,参与者的情绪粒度和情绪共变显著增加,而表情多样性则显著降低。此外,情绪粒度的增加与述情障碍和抑郁症状的同时减少相对应,而消极表情多样性的减少与述情障碍和焦虑抑郁症状的减轻相对应。研究结果支持了过去的研究,即情绪体验的经验抽样本身可以作为一种干预手段,促进情绪粒度、情绪共变和表情多样性的变化。研究结果还提供了初步证据,表明这些结构随时间的变化与心理健康症状的个人波动有关。
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引用次数: 0
Social support exchange and relationship satisfaction among couples living with HIV: Actor–partner effects of provided and received emotional support 艾滋病毒感染者的社会支持交换和关系满意度:提供和接受情感支持的行为者-伴侣效应
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2026.100665
Marcin Rzeszutek , Ewa Gruszczyńska , Magdalena Grabowska , Paula Malinowska
This study aimed to examine the associations between both provided and received emotional social support and relationship satisfaction among romantic couples in which at least one partner was HIV positive. In addition, couples’ serostatus concordance and sexual orientation were tested as potential moderators of the effects of social support exchange. A total of 105 couples participated in the study, of whom 46.7% were seroconcordant and 73.3% were same-gender couples. Each partner independently evaluated provided and received emotional social support using the relevant subscales of the Berlin Social Support Scales. Relationship satisfaction was assessed individually using the Relationship Assessment Scale. In the actor–partner interdependence model (APIM), actor and partner effects were comparable for provided support, whereas for received support, the actor effect was slightly stronger than the partner effect. Partners within dyads were empirically classified as indistinguishable. This classification was further supported by the absence of moderating effects of either serostatus concordance or sexual orientation at the dyadic level. The findings suggest that the perceived provision of emotional support functions as a couple-level resource, whereas the perceived receipt of emotional support operates primarily as an individual-level resource for relationship satisfaction. This pattern of support exchange appears consistent across couples, regardless of HIV serostatus or sexual orientation, among our sample of highly functioning people living with HIV who are receiving treatment.
本研究旨在研究在至少有一方是HIV阳性的浪漫伴侣中,提供和接受情感社会支持与关系满意度之间的关系。此外,夫妻血清状态一致性和性取向作为社会支持交换效应的潜在调节因子进行了测试。共有105对夫妻参与研究,其中46.7%为血清型,73.3%为同性伴侣。每个伴侣使用柏林社会支持量表的相关子量表独立评估提供和接受的情感社会支持。使用关系评估量表对关系满意度进行单独评估。在行动者-伙伴相互依赖模型(APIM)中,行动者效应和伙伴效应在提供支持方面具有可比性,而在获得支持方面,行动者效应略强于伙伴效应。二人组中的伴侣在经验上被归类为难以区分。这种分类进一步得到了血清状态一致性或性取向在双元水平上没有调节作用的支持。研究结果表明,情感支持的感知提供是一种夫妻层面的资源,而情感支持的感知接收主要是一种个人层面的关系满意度资源。在我们接受治疗的高功能艾滋病毒感染者样本中,这种支持交换模式在夫妻之间似乎是一致的,无论艾滋病毒血清状况或性取向如何。
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引用次数: 0
Targeting self-reported and neural error sensitivity: Short- and long-term effects of a one-week online intervention 以自我报告和神经错误敏感性为目标:一周在线干预的短期和长期影响
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2026.100667
Kai Härpfer , Franziska M. Kausche , Alexandria Meyer , Norman B. Schmidt , Anja Riesel
Elevated error-related brain potentials such as the error-related negativity (ERN) and error positivity (Pe) have been discussed as neural markers of error sensitivity and are thought to reflect increased risk for anxiety and obsessive-compulsive disorders. Consequently, targeting error sensitivity with precise interventions has been found a promising avenue of recent mechanism-based research aiming to reduce this risk. In this preregistered, randomized-controlled trial, we tested the efficacy of a one-week, online intervention designed to reduce error sensitivity. A sample of 237 individuals was randomly assigned to either the intervention or a waitlist control group. Participants completed self-report measures of error sensitivity as well as worry, obsessive-compulsive, and depressive symptoms at pre- and post-intervention, and at an eight-week follow-up. Additionally, neural measures (ERN and Pe) were assessed in a subsample of 69 participants before and after the intervention. Intent-to-treat analyses revealed a medium-sized reduction of self-reported error sensitivity and worry symptoms in the intervention group, with effects persisting at follow-up. Moreover, greater baseline severity and higher intervention adherence were associated with larger reductions of self-reported error sensitivity. In the subsample, no evidence was found for an ERN reduction. However, a reduction in the Pe was observed, indicating diminished error significance and decreased allocation of cognitive resources to erroneous actions. These results suggest that the online intervention reduces both self-reported and neural error sensitivity (Pe but not ERN), offering a low‑threshold, easily disseminable approach with promise as an early prevention tool and as an adjunct to established cognitive‑behavioral treatments.
错误相关脑电位的升高,如错误相关负性(ERN)和错误正性(Pe),被认为是错误敏感性的神经标记,并被认为反映了焦虑和强迫症的风险增加。因此,针对误差敏感性的精确干预已被发现是最近基于机制的研究的一个有希望的途径,旨在降低这种风险。在这项预先注册的随机对照试验中,我们测试了为期一周的在线干预的有效性,该干预旨在降低错误敏感性。237人的样本被随机分配到干预组或候补对照组。参与者在干预前后和8周的随访中完成了错误敏感性、焦虑、强迫症和抑郁症状的自我报告测量。此外,在干预前后对69名参与者的子样本进行神经测量(ERN和Pe)评估。意向治疗分析显示,干预组自我报告的错误敏感性和担忧症状有中等程度的降低,这种效果在随访中持续存在。此外,更大的基线严重程度和更高的干预依从性与自我报告错误敏感性的更大降低相关。在子样本中,没有发现ERN减少的证据。然而,观察到Pe的减少,表明错误显著性降低,错误行为的认知资源分配减少。这些结果表明,在线干预降低了自我报告和神经错误敏感性(Pe但不是ERN),提供了一种低阈值,易于传播的方法,有望作为早期预防工具,并作为既定认知行为治疗的辅助手段。
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引用次数: 0
Validation of masturbation parameters: A laboratory study measuring psychophysiological and subjective sexual arousal 手淫参数的验证:一项测量心理生理和主观性唤起的实验室研究
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-01 DOI: 10.1016/j.ijchp.2025.100662
Gracia M. Sánchez-Pérez , Reina Granados , Pablo Mangas , Oscar Cervilla , Juan Carlos Sierra

Background/Objective

Considering masturbation parameters other than frequency provides a more holistic view of this sexual behavior. This study aims to provide validity evidence for masturbation parameters (i.e., negative attitudes toward masturbation, solitary sexual desire, current masturbation frequency, and subjective orgasm experience) through their relationship with different measures of sexual arousal (i.e., genital response, rating of sexual arousal, and rating of genital sensations).

Method

Eighty young cisgender adults (40 men and 40 women) aged 18 to 30 years, who engaged in heterosexual sexual relationships, participated in a laboratory task in which their sexual arousal was recorded in response to neutral and sexual videos. Regression models were conducted to examine the association between masturbation parameters and sexual arousal measures.

Results

In men, solitary sexual desire (β = .72) and current masturbation frequency (β = -0.49) were related to the rating of genital sensations. In women, current masturbation frequency was related to genital response (β = .33), the rating of sexual arousal (β = .43), and the rating of genital sensations (β = .44); this last measure of sexual arousal was also related to the rewards dimension of subjective orgasm experience (β = .37).

Conclusions

These results provide validity evidence of masturbation parameters in individuals who engaged in heterosexual sexual relationships. The importance of considering these parameters in the induction of sexual arousal, taking gender into account, is discussed.
背景/目的考虑自慰参数而不是频率可以提供对这种性行为更全面的看法。本研究旨在通过自慰参数(即对自慰的消极态度、孤独的性欲、当前自慰频率和主观高潮体验)与性唤起的不同测量(即生殖器反应、性唤起评分和生殖器感觉评分)的关系,为自慰参数(即对自慰的消极态度、孤独的性欲、当前自慰频率和主观高潮体验)提供有效性证据。方法80名年龄在18到30岁之间的异性恋青年(40男40女)参加了一项实验室任务,在这项任务中,他们对中性和性视频的反应被记录下来。回归模型被用来检验自慰参数和性唤起测量之间的关系。结果男性孤独性欲(β = 0.72)和当前手淫频率(β = -0.49)与生殖器感觉评分相关。在女性中,当前自慰频率与生殖器反应(β = 0.33)、性唤起等级(β = 0.43)和生殖器感觉等级(β = 0.44)相关;性唤起的最后一项测量也与主观高潮体验的奖励维度有关(β = 0.37)。结论本研究结果为异性性行为个体的自慰参数提供了有效性证据。在考虑性别因素的情况下,讨论了在性唤起诱导中考虑这些参数的重要性。
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引用次数: 0
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International Journal of Clinical and Health Psychology
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