International Journal of Clinical and Health Psychology最新文献

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

International Journal of Clinical and Health Psychology

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。

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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

International Journal of Clinical and Health Psychology

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。

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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

International Journal of Clinical and Health Psychology

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。

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引用次数: 0

Magnetoencephalographic correlates of pornography consumption: Associations with indicators of compulsive sexual behaviors 色情消费的脑磁图相关性：与强迫性行为指标的关联

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology

Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100524

Sabine Prantner , Alejandro Espino-Payá , M.Carmen Pastor , Cristina Giménez-García , Thomas Kroker , Rafael Ballester-Arnal , Markus Junghoefer

Pornography consumption is highly prevalent but can develop into problematic sexual behavior with severe negative emotional consequences. Neurobiological studies indicate that compulsive sexual behaviors (CSB) are associated with altered brain structure and function in processing pornography. This study investigated the neuroaffective mechanisms underlying exposure to erotic and explicit pornographic images and their relationship to CSB-relevant symptoms. Whole-head magnetoencephalography (MEG) assessed brain activity during passive viewing of opposite- and same-sex erotic and pornographic images in healthy heterosexual and homosexual women and men (N = 50). Correlations of estimated event-related neural activity with indicators of CSB (hypersexuality, sexual sensation seeking, problematic pornography use, and time spent on pornography use), mood and anxiety, as well as with subjective picture ratings of hedonic valence and emotional arousal were analyzed. Responses of brain regions to sexual content revealed hyper- and hypoactivation and were related to problematic pornography consumption, hypersexuality, time spent on pornography use, and perceived subjective arousal. The neural activation towards erotic and pornographic content revealed further significant associations with depression and anxiety scores. The findings suggest an involvement of prefrontal and temporo-parietal cortex regions in the divergent processing of sexual content in relation to indicators of CSBD. Insight into the neurobiological factors underlying CSB can contribute to a more precise clinical conceptualization of this problem and may promote the development of more effective therapeutic interventions.

色情消费非常普遍，但会发展成为有问题的性行为，造成严重的负面情绪后果。神经生物学研究表明，强迫性性行为（CSB）与处理色情图片时大脑结构和功能的改变有关。本研究调查了暴露于色情和露骨色情图片的神经情感机制及其与 CSB 相关症状的关系。在被动观看异性和同性色情图片时，对健康的异性恋和同性恋男女（50 人）的大脑活动进行了头部脑磁图（MEG）评估。研究分析了估计的事件相关神经活动与 CSB 指标（性欲亢进、性感觉追求、问题色情图片使用和色情图片使用时间）、情绪和焦虑以及享乐价值和情绪唤醒的主观图片评级之间的相关性。大脑区域对性内容的反应显示出过度激活和低度激活，并与问题色情制品消费、性欲亢进、色情制品使用时间和感知到的主观唤醒有关。情色和色情内容的神经激活与抑郁和焦虑评分有进一步的显著关联。研究结果表明，前额叶和颞顶叶皮层区域参与了与 CSBD 指标相关的性内容分歧处理。深入了解 CSB 背后的神经生物学因素有助于对这一问题进行更精确的临床概念化，并可促进开发更有效的治疗干预措施。

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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

International Journal of Clinical and Health Psychology

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。

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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

International Journal of Clinical and Health Psychology

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。

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引用次数: 0

Neural and gaze pattern responses to happy faces in autism: Predictors of adaptive difficulties and re-evaluation of the social motivation hypothesis 自闭症患者对快乐面孔的神经和注视模式反应：适应困难的预测因素和社交动机假说的重新评估

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology

Pub Date : 2024-10-01 DOI: 10.1016/j.ijchp.2024.100527

Mengyuan Yang , Lan Zhang , Zijie Wei , Pingping Zhang , Lei Xu , Lihui Huang , Keith M. Kendrick , Yi Lei , Juan Kou

Background

The “Social Motivation” hypothesis posits that social deficits in autism spectrum disorder (ASD) arise from altered reward perception. However, few studies have examined neural and behavioral responses to social reward-related cues in low functioning ASD children with limited cognitive or language abilities.

Objective

This study investigated if young children with ASD show atypical gaze towards happy faces and its association with altered brain reward responses.

Methods

Eye-tracking was performed in 36 ASD and 36 typically developing (TD) children (2.5–6 years) viewing happy faces of children or emoticons. Functional near infrared spectroscopy was used to record group differences in orbitofrontal cortex (OFC) activation simultaneously.

Results

Children with ASD showed increased pupil diameter and OFC activation compared to TD children when viewing all happy faces and gazed less at the eyes of actual faces and the mouths of emoticons. These atypical responses was associated with lower adaptive behavior scores and greater symptom severity.

Conclusion

Our research reveals distinct neural hyperactivity and viewing patterns in young children with ASD when presented with reward-related facial stimuli. These results contradict the Social Motivation Hypothesis. Children with ASD exhibit heightened levels of arousal and employ less efficient facial processing strategies. This heightened demand for cognitive resources could have long-term effects on children's well-being and may hinder their ability to develop adaptive skills effectively.

背景 "社交动机 "假说认为，自闭症谱系障碍（ASD）的社交障碍源于奖赏感知的改变。本研究调查了患有自闭症谱系障碍的幼儿是否会对快乐的面孔表现出不典型的注视，以及这种注视是否与大脑奖赏反应的改变有关。方法对 36 名患有自闭症谱系障碍的幼儿和 36 名发育正常的幼儿（2.5-6 岁）进行眼球追踪，观察他们观看儿童或表情符号的快乐面孔的情况。结果与TD儿童相比，ASD儿童在观看所有开心面孔时，瞳孔直径和OFC激活程度都有所增加，而在观看真实面孔的眼睛和表情符号的嘴巴时，瞳孔直径和OFC激活程度都有所下降。这些非典型反应与较低的适应行为得分和较严重的症状有关。结论我们的研究揭示了 ASD 幼儿在受到与奖励相关的面部刺激时的独特神经过度活动和观看模式。这些结果与 "社会动机假说 "相矛盾。患有 ASD 的儿童会表现出更高的唤醒水平，并采用效率更低的面部处理策略。这种对认知资源的更高需求可能会对儿童的福祉产生长期影响，并可能阻碍他们有效发展适应技能的能力。

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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

International Journal of Clinical and Health Psychology

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。

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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

International Journal of Clinical and Health Psychology

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。

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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

International Journal of Clinical and Health Psychology

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。

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