首页 > 最新文献

International Journal of Clinical and Health Psychology最新文献

英文 中文
Cognitive training and retest learning effects on theta and alpha power in older and young adults: A perspective on the crunch hypothesis and the STAC-R model 认知训练和重测学习对老年人和年轻人theta和alpha功率的影响:嘎口假说和STAC-R模型的视角
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100568
Ludmiła Zając-Lamparska , Emilia Zabielska-Mendyk , Dariusz Zapała , Paweł Augustynowicz
According to the STAC-R model, scaffolding enhancement is achievable through various interventions. Indicating forms of compensatory scaffolding, the STAC-R model refers to phenomena described in other theoretical models, such as the enhanced fronto-parietal recruitment described in the CRUNCH hypothesis. The presented study investigated whether working memory training can induce compensatory scaffolding in older adults through increased prefrontal and parietal involvement (indicated by changes in theta and alpha power). The sample comprised 90 individuals, including 45 participants from the experimental (22 older and 23 young adults) and 45 from the passive control group (21 older and 24 young adults). The age range was 60–75 years for older adults and 20–35 years for young adults. We assessed the effects of a 12-session working memory training with the use of the adaptive n-back task on theta and alpha power measured in frontal midline and central-parietal areas by EEG in older and young adults during the n-back task performance at three difficulty levels. At the behavioral level, we found a positive, significant improvement in cognitive performance in young adults from experimental group. In contrast, the positive changes in older adults were too small to prove statistically significant. At the level of neuronal activity, we observed not a training effect but a retest effect. It was revealed primarily for theta oscillations in older adults and manifested by increased theta power with higher task demands and equalization of theta power of older and younger persons in the post-test. For alpha oscillations, the retest effect was negligible, and its only manifestation observed in older adults was a reduction in the dependence of alpha power on task difficulty. The study results indicate limited potential for improving WM performance in older adults compared to young adults. The presence of the retest learning effect, instead of the training effect, proved that familiarity with the task was crucial, rather than regular training of its performance. Changes observed in older adults in theta power can be considered positive, and these results are consistent with the CRUNCH hypothesis of a compensatory role for increased executive control involvement. In turn, changes in the alpha power in the same group should be considered rather maladaptive. Nevertheless, given the overall study findings, it can be concluded that although the behavioral effects of training are stronger in young adults, the changes in neuronal activity resulting from the retest learning effect are more marked in older adults.
根据STAC-R模型,通过各种干预措施可以实现脚手架增强。作为代偿性支架的形式,STAC-R模型引用了其他理论模型中描述的现象,例如CRUNCH假说中描述的额顶叶招募增强。本研究调查了工作记忆训练是否可以通过增加前额叶和顶叶受累(通过theta和alpha功率的变化表明)来诱导老年人的代偿性支架。样本由90人组成,其中45人来自实验组(22名老年人和23名年轻人),45人来自被动对照组(21名老年人和24名年轻人)。老年人的年龄范围为60-75岁,年轻人为20-35岁。本研究评估了采用自适应n-back任务的12次工作记忆训练对老年人和年轻人在三个难度水平的n-back任务中额中线和中央顶叶区的脑电图和α功率的影响。在行为层面,我们发现实验组的年轻人在认知表现上有积极的、显著的改善。相比之下,老年人的积极变化太小,不足以证明具有统计学意义。在神经元活动水平上,我们观察到的不是训练效应,而是重测效应。这主要表现在老年人的θ波振荡中,并在后测中表现为随着任务需求的增加而增加的θ波功率以及老年人和年轻人的θ波功率趋于平衡。对于α振荡,重测效应可以忽略不计,其在老年人中观察到的唯一表现是α功率对任务难度的依赖性降低。研究结果表明,与年轻人相比,老年人改善WM表现的潜力有限。重测学习效应的存在,而不是训练效应,证明了对任务的熟悉程度,而不是对其表现的定期训练是至关重要的。在老年人中观察到的θ波功率的变化可以被认为是积极的,这些结果与CRUNCH假说一致,即执行控制参与的代偿作用增加。反过来,在同一群体中,阿尔法权力的变化应该被认为是相当不适应的。尽管如此,从整体研究结果来看,我们可以得出这样的结论:尽管训练的行为效应在年轻人中更强,但由重测学习效应引起的神经元活动变化在老年人中更为明显。
{"title":"Cognitive training and retest learning effects on theta and alpha power in older and young adults: A perspective on the crunch hypothesis and the STAC-R model","authors":"Ludmiła Zając-Lamparska ,&nbsp;Emilia Zabielska-Mendyk ,&nbsp;Dariusz Zapała ,&nbsp;Paweł Augustynowicz","doi":"10.1016/j.ijchp.2025.100568","DOIUrl":"10.1016/j.ijchp.2025.100568","url":null,"abstract":"<div><div>According to the STAC-R model, scaffolding enhancement is achievable through various interventions. Indicating forms of compensatory scaffolding, the STAC-R model refers to phenomena described in other theoretical models, such as the enhanced fronto-parietal recruitment described in the CRUNCH hypothesis. The presented study investigated whether working memory training can induce compensatory scaffolding in older adults through increased prefrontal and parietal involvement (indicated by changes in theta and alpha power). The sample comprised 90 individuals, including 45 participants from the experimental (22 older and 23 young adults) and 45 from the passive control group (21 older and 24 young adults). The age range was 60–75 years for older adults and 20–35 years for young adults. We assessed the effects of a 12-session working memory training with the use of the adaptive n-back task on theta and alpha power measured in frontal midline and central-parietal areas by EEG in older and young adults during the n-back task performance at three difficulty levels. At the behavioral level, we found a positive, significant improvement in cognitive performance in young adults from experimental group. In contrast, the positive changes in older adults were too small to prove statistically significant. At the level of neuronal activity, we observed not a training effect but a retest effect. It was revealed primarily for theta oscillations in older adults and manifested by increased theta power with higher task demands and equalization of theta power of older and younger persons in the post-test. For alpha oscillations, the retest effect was negligible, and its only manifestation observed in older adults was a reduction in the dependence of alpha power on task difficulty. The study results indicate limited potential for improving WM performance in older adults compared to young adults. The presence of the retest learning effect, instead of the training effect, proved that familiarity with the task was crucial, rather than regular training of its performance. Changes observed in older adults in theta power can be considered positive, and these results are consistent with the CRUNCH hypothesis of a compensatory role for increased executive control involvement. In turn, changes in the alpha power in the same group should be considered rather maladaptive. Nevertheless, given the overall study findings, it can be concluded that although the behavioral effects of training are stronger in young adults, the changes in neuronal activity resulting from the retest learning effect are more marked in older adults.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100568"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding body image in adolescents with drunkorexia behaviors: The roles of body image disturbance, coping strategies and gender 青少年醉酒行为中的身体形象:身体形象障碍、应对策略和性别的作用
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100584
Dora Bianchi , Daniele Di Tata , Stefania Sette , Emiddia Longobardi , Fiorenzo Laghi
Drunkorexia consists of any calorie compensation or eating restrictive conduct enacted before, during, or immediately after alcohol intake. These behaviors raise many health concerns, but studies on adolescents are still limited. Specifically, understanding how body image impacts adolescent drunkorexia might be crucial for prevention and treatment. Following the multidimensional body image framework, this study investigated the role of various body image features (i.e., body image disturbance, adaptive and maladaptive body image coping) in explaining two types of drunkorexia behaviors in teenage girls and boys: (1) eating-related restrictive and compensative conducts; and (2) overexercising. The participants were 832 alcohol-drinking adolescents aged 15 to 20 years (48.6 % girls), who completed an online anonymous survey administered at school. A multigroup mediation model was estimated in line with the aims of the study. Body image disturbance symptoms were positively related to eating drunkorexia behaviors via the mediating effects of increasing maladaptive coping (avoidance and appearance fixing). However, the same relation was negative when the mediating effect of increasing adaptive coping (positive rational acceptance) was considered. Moreover, body image disturbance was positively associated with exercise-related drunkorexia behaviors via increasing appearance fixing coping. Finally, the indirect effect of body image disturbance on eating-related drunkorexia via appearance fixing was positive and significant only in girls (not in boys). These findings provide indications for implementing prevention and educational programs for schools, and for identifying core themes to address in clinical treatment and public health policies.
醉酒包括在饮酒之前、期间或之后的任何卡路里补偿或饮食限制行为。这些行为引起了许多健康问题,但对青少年的研究仍然有限。具体地说,了解身体形象如何影响青少年饮酒症可能对预防和治疗至关重要。在多维身体形象框架下,本研究探讨了各种身体形象特征(即身体形象障碍、适应性和非适应性身体形象应对)在解释两类青少年醉酒行为中的作用:(1)与进食相关的限制性和代偿性行为;(2)过度锻炼。参与者是832名15至20岁的酗酒青少年(48.6 %为女孩),他们完成了一项在学校进行的在线匿名调查。估计了符合研究目的的多组中介模型。身体形象障碍症状与暴食行为之间存在正相关,其中介作用是适应不良应对(回避和固定外貌)的增加。然而,当考虑到增加适应性应对(积极理性接受)的中介作用时,同样的关系是负的。此外,身体形象障碍与运动相关的醉酒行为正相关,通过增加外表固定应对。最后,身体形象障碍对饮食相关的醉酒的间接影响是积极的,并且只有在女孩中显著(在男孩中没有)。这些发现为学校实施预防和教育计划提供了指示,并为确定临床治疗和公共卫生政策的核心主题提供了指示。
{"title":"Understanding body image in adolescents with drunkorexia behaviors: The roles of body image disturbance, coping strategies and gender","authors":"Dora Bianchi ,&nbsp;Daniele Di Tata ,&nbsp;Stefania Sette ,&nbsp;Emiddia Longobardi ,&nbsp;Fiorenzo Laghi","doi":"10.1016/j.ijchp.2025.100584","DOIUrl":"10.1016/j.ijchp.2025.100584","url":null,"abstract":"<div><div>Drunkorexia consists of any calorie compensation or eating restrictive conduct enacted before, during, or immediately after alcohol intake. These behaviors raise many health concerns, but studies on adolescents are still limited. Specifically, understanding how body image impacts adolescent drunkorexia might be crucial for prevention and treatment. Following the multidimensional body image framework, this study investigated the role of various body image features (i.e., body image disturbance, adaptive and maladaptive body image coping) in explaining two types of drunkorexia behaviors in teenage girls and boys: (1) eating-related restrictive and compensative conducts; and (2) overexercising. The participants were 832 alcohol-drinking adolescents aged 15 to 20 years (48.6 % girls), who completed an online anonymous survey administered at school. A multigroup mediation model was estimated in line with the aims of the study. Body image disturbance symptoms were positively related to eating drunkorexia behaviors via the mediating effects of increasing maladaptive coping (avoidance and appearance fixing). However, the same relation was negative when the mediating effect of increasing adaptive coping (positive rational acceptance) was considered. Moreover, body image disturbance was positively associated with exercise-related drunkorexia behaviors via increasing appearance fixing coping. Finally, the indirect effect of body image disturbance on eating-related drunkorexia via appearance fixing was positive and significant only in girls (not in boys). These findings provide indications for implementing prevention and educational programs for schools, and for identifying core themes to address in clinical treatment and public health policies.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100584"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Network structures of general, physical and psychological fatigue in patients with metastatic colorectal cancer: Implications for targeted coping strategies 转移性结直肠癌患者一般、生理和心理疲劳的网络结构:对有针对性的应对策略的影响
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100590
Charlotte Grégoire , Florence Cousson-Gélie , Louise Baussard

Background

Cancer-related fatigue (CRF) is a prevalent and debilitating symptom experienced by many patients, affecting both their physical and psychological well-being. This study aims to explore the network organization of three dimensions of CRF (i.e., general, physical, and psychological) and to examine how patient’s resources such as coping strategies interact with these distinct aspects of fatigue.

Method

This study involves data from a previous observational study on patients with metastatic colorectal cancer undergoing chemotherapy. Participants (N = 169) completed several questionnaires at baseline. Partial correlation network analysis was used to model the relationships between patients’ symptoms (i.e., CRF, emotional distress) and resources (i.e., perceived control of the illness, coping strategies, perceived social support), in three distinct networks, each of them including one dimension of fatigue (i.e., general, physical, or psychological). In each network, a core variable (i.e., a symptom or a resource) was identified based on the highest centrality indices.

Results

Coping strategies emerged as the core variable in the three networks, while depression was the symptom with the strongest association with CRF. These findings underline the interconnection between emotional state and fatigue, but most of all suggest the centrality of the patients’ resources, specifically coping strategies used to manage their symptoms, and their potential role in influencing the symptoms.

Conclusion

Our findings are expected to provide insights into targeted therapeutic approaches and enhance patient care. Understanding the complex interplay between the dimensions of fatigue and the coping strategies employed by patients is crucial for developing effective interventions.
癌症相关疲劳(CRF)是许多患者普遍经历的一种使人衰弱的症状,影响他们的身体和心理健康。本研究旨在探讨慢性疲劳综合症的三个维度(即一般、生理和心理)的网络组织,并研究患者的资源(如应对策略)如何与这些不同的疲劳方面相互作用。方法本研究纳入了先前对转移性结直肠癌化疗患者的观察性研究数据。参与者(N = 169)在基线完成了几份问卷调查。部分相关网络分析用于在三个不同的网络中对患者的症状(即慢性疲劳综合症、情绪困扰)和资源(即对疾病的感知控制、应对策略、感知社会支持)之间的关系进行建模,每个网络都包括一个维度的疲劳(即一般、身体或心理)。在每个网络中,根据最高中心性指数确定一个核心变量(即症状或资源)。结果范围策略是三个网络的核心变量,而抑郁是与CRF相关性最强的症状。这些发现强调了情绪状态和疲劳之间的联系,但最重要的是表明了患者资源的中心地位,特别是用于控制症状的应对策略,以及它们在影响症状方面的潜在作用。结论我们的研究结果有望为有针对性的治疗方法和提高患者的护理提供见解。了解疲劳维度和患者所采用的应对策略之间复杂的相互作用对于制定有效的干预措施至关重要。
{"title":"Network structures of general, physical and psychological fatigue in patients with metastatic colorectal cancer: Implications for targeted coping strategies","authors":"Charlotte Grégoire ,&nbsp;Florence Cousson-Gélie ,&nbsp;Louise Baussard","doi":"10.1016/j.ijchp.2025.100590","DOIUrl":"10.1016/j.ijchp.2025.100590","url":null,"abstract":"<div><h3>Background</h3><div>Cancer-related fatigue (CRF) is a prevalent and debilitating symptom experienced by many patients, affecting both their physical and psychological well-being. This study aims to explore the network organization of three dimensions of CRF (i.e., general, physical, and psychological) and to examine how patient’s resources such as coping strategies interact with these distinct aspects of fatigue.</div></div><div><h3>Method</h3><div>This study involves data from a previous observational study on patients with metastatic colorectal cancer undergoing chemotherapy. Participants (<em>N</em> = 169) completed several questionnaires at baseline. Partial correlation network analysis was used to model the relationships between patients’ symptoms (i.e., CRF, emotional distress) and resources (i.e., perceived control of the illness, coping strategies, perceived social support), in three distinct networks, each of them including one dimension of fatigue (i.e., general, physical, or psychological). In each network, a core variable (i.e., a symptom or a resource) was identified based on the highest centrality indices.</div></div><div><h3>Results</h3><div>Coping strategies emerged as the core variable in the three networks, while depression was the symptom with the strongest association with CRF. These findings underline the interconnection between emotional state and fatigue, but most of all suggest the centrality of the patients’ resources, specifically coping strategies used to manage their symptoms, and their potential role in influencing the symptoms.</div></div><div><h3>Conclusion</h3><div>Our findings are expected to provide insights into targeted therapeutic approaches and enhance patient care. Understanding the complex interplay between the dimensions of fatigue and the coping strategies employed by patients is crucial for developing effective interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100590"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Frequency-specific modulations for subcomponents of executive functions in the infra-slow frequency range —A combined O-tDCS and fNIRS study 在次慢频范围内执行功能子组件的频率特定调制——O-tDCS和fNIRS的联合研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100575
Hang Yu, Xiaolong Liu, Chaojun Zheng, Zhuofan Wang, Miao Wang, Chi Zhang, Qiang Hao, Ronghan Liu, Yifeng Wang

Backgrounding

The executive functions (EFs) involve multiple subcomponents including inhibition, updating, and shifting. These subcomponents are mediated by distinct brain networks, each linked to specific neural oscillations. Frequency-specific stimulation is a key approach to achieving precise intervention on different cognitive functions through affecting specific spatiotemporal organizations of brain networks.

Objective

We aimed to explore the modulation of different brain networks and EFs’ subcomponents by stimulation at frequencies of 0.02 Hz and 0.05 Hz, which are closely linked to whole-brain dynamics.

Method

In a randomized, placebo-controlled, cross-over study, we applied anodal oscillatory transcranial direct current stimulation (O-tDCS) to the left DLPFC to investigate the frequency-specific modulation on oxy-hemoglobin (HbO) and offline EF scores (Experiment 1, N = 54), as well as online EF scores (Experiment 2, N = 48).

Result

Near the stimulation frequency, brain signals were significantly enhanced. Specifically, an increase in power at 0.02 Hz was associated with enhanced inhibitory function, while an increase in power at 0.05 Hz was linked to decreased updating function. Compared to the sham condition, 0.02 Hz stimulation increases PLV within the frontal lobe, whereas 0.05 Hz increases PLV between the frontal and parietal lobes, indicating the presence of distinct spatiotemporal structures within cognitive-related brain networks.

Conclusion

The frequency-specific modulation of O-tDCS on brain networks and EF subcomponents suggests that different EFs are supported by brain networks with specific spatiotemporal architectures, bolstering the spectral fingerprint hypothesis of cognition. The spatiotemporal structure of cognitive-specific brain networks offers novel insights and targets for non-invasive interventions targeting diverse cognitive functions.
执行功能(EFs)涉及多个子组件,包括抑制、更新和转移。这些子成分由不同的大脑网络调节,每个网络都与特定的神经振荡有关。频率特异性刺激是通过影响大脑网络的特定时空组织来实现对不同认知功能的精确干预的关键方法。目的探讨与全脑动力学密切相关的0.02 Hz和0.05 Hz频率刺激对不同脑网络和电磁场子成分的调制作用。方法在一项随机、安慰剂对照、交叉研究中,我们对左DLPFC应用阳极振荡经颅直流电刺激(O-tDCS)来研究频率特异性调节对氧血红蛋白(HbO)和离线EF评分(实验1,N = 54)以及在线EF评分(实验2,N = 48)的影响。结果在刺激频率附近,脑信号明显增强。具体来说,0.02 Hz功率的增加与抑制功能的增强有关,而0.05 Hz功率的增加与更新功能的下降有关。与假刺激相比,0.02 Hz刺激增加了额叶内的PLV,而0.05 Hz刺激增加了额叶和顶叶之间的PLV,这表明在认知相关的大脑网络中存在不同的时空结构。结论O-tDCS对脑网络和EF子成分的频率特异性调制表明,不同的EF受到具有特定时空结构的脑网络的支持,支持了认知的频谱指纹假说。认知特异性脑网络的时空结构为针对不同认知功能的非侵入性干预提供了新的见解和目标。
{"title":"Frequency-specific modulations for subcomponents of executive functions in the infra-slow frequency range —A combined O-tDCS and fNIRS study","authors":"Hang Yu,&nbsp;Xiaolong Liu,&nbsp;Chaojun Zheng,&nbsp;Zhuofan Wang,&nbsp;Miao Wang,&nbsp;Chi Zhang,&nbsp;Qiang Hao,&nbsp;Ronghan Liu,&nbsp;Yifeng Wang","doi":"10.1016/j.ijchp.2025.100575","DOIUrl":"10.1016/j.ijchp.2025.100575","url":null,"abstract":"<div><h3>Backgrounding</h3><div>The executive functions (EFs) involve multiple subcomponents including inhibition, updating, and shifting. These subcomponents are mediated by distinct brain networks, each linked to specific neural oscillations. Frequency-specific stimulation is a key approach to achieving precise intervention on different cognitive functions through affecting specific spatiotemporal organizations of brain networks.</div></div><div><h3>Objective</h3><div>We aimed to explore the modulation of different brain networks and EFs’ subcomponents by stimulation at frequencies of 0.02 Hz and 0.05 Hz, which are closely linked to whole-brain dynamics.</div></div><div><h3>Method</h3><div>In a randomized, placebo-controlled, cross-over study, we applied anodal oscillatory transcranial direct current stimulation (O-tDCS) to the left DLPFC to investigate the frequency-specific modulation on oxy-hemoglobin (HbO) and offline EF scores (Experiment 1, <em>N</em> = 54), as well as online EF scores (Experiment 2, <em>N</em> = 48).</div></div><div><h3>Result</h3><div>Near the stimulation frequency, brain signals were significantly enhanced. Specifically, an increase in power at 0.02 Hz was associated with enhanced inhibitory function, while an increase in power at 0.05 Hz was linked to decreased updating function. Compared to the sham condition, 0.02 Hz stimulation increases PLV within the frontal lobe, whereas 0.05 Hz increases PLV between the frontal and parietal lobes, indicating the presence of distinct spatiotemporal structures within cognitive-related brain networks.</div></div><div><h3>Conclusion</h3><div>The frequency-specific modulation of O-tDCS on brain networks and EF subcomponents suggests that different EFs are supported by brain networks with specific spatiotemporal architectures, bolstering the spectral fingerprint hypothesis of cognition. The spatiotemporal structure of cognitive-specific brain networks offers novel insights and targets for non-invasive interventions targeting diverse cognitive functions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100575"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Executive functions modulate conditioned fear extinction and reinstatement: The differential roles of shifting, updating, and inhibition 执行功能调节条件恐惧的消退和恢复:转移、更新和抑制的不同作用
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100581
Wenzhao Zhang , Yixia Huang , Ying Mei , Jinxia Wang , Haoran Dou , Yi Lei
Conditioned fear learning is crucial for survival, and failure of fear extinction is closely related to the development of anxiety disorders. This study explores how different executive function (EF) subcomponents—shifting, updating, and inhibition—modulate conditioned fear extinction and reinstatement at both behavioral and neural levels. A total of 88 participants (age range: 17–23 years) completed the Stroop Task, Digit Size-Parity Switching Task, and Memory Updating Task to assess their executive function abilities. Participants underwent a classical fear extinction paradigm while their shock expectancy ratings and prefrontal cortical activity were recorded using functional near-infrared spectroscopy (fNIRS). Results indicated that individuals with higher shifting ability exhibited greater fear expectancy during fear acquisition (β = -0.406, p = 0.032) and reinstatement (β = -0.834, p = 0.004), along with higher prefrontal cortex activity (p < 0.05), suggesting heightened responses to threatening stimuli. Individuals with higher updating ability showed a slower decrease in fear expectancy during the early extinction phase (β = 0.038, p = 0.002), but maintained lower expectancy during the extinction recall phase (β = -0.769, p = 0.006), indicating poorer extinction learning but better extinction memory retention. Individuals with higher updating ability also exhibited more extinction recall in the prefrontal cortex regions (ps < 0.045). Individuals with higher inhibitory ability showed higher expectancy for CS+ and lower expectancy for CS− during extinction learning (β = -0.409, p = 0.008), along with a slower decrease in fear expectancy (β = -0.022, p = 0.055). Furthermore, individuals with higher inhibition ability showed lower PFC activity in immediate extinction (ps < 0.0421), suggesting slower extinction learning but better regulation of safety cues. By clarifying the roles of these executive function components, our study highlights the cognitive mechanisms that could inform interventions aimed at improving fear extinction, offering potential strategies for mitigating anxiety-related disorders.
条件恐惧学习对生存至关重要,恐惧消退失败与焦虑障碍的发展密切相关。本研究探讨了不同的执行功能(EF)子组件-转移、更新和抑制-如何在行为和神经水平上调节条件性恐惧的消退和恢复。共有88名参与者(年龄范围:17-23岁)完成了Stroop任务、数字大小奇位转换任务和记忆更新任务,以评估他们的执行功能能力。参与者接受经典的恐惧消退范式,同时使用功能近红外光谱(fNIRS)记录他们的休克预期评分和前额皮质活动。结果表明,转移能力高的个体在恐惧习得期(β = -0.406, p = 0.032)和恢复期(β = -0.834, p = 0.004)表现出更高的恐惧预期,前额叶皮层活动也较高(p <;0.05),表明对威胁刺激的反应增强。更新能力高的个体在消退阶段的恐惧预期下降较慢(β = 0.038, p = 0.002),但在消退回忆阶段的恐惧预期下降较慢(β = -0.769, p = 0.006),表明消退学习较差,消退记忆保持较好。更新能力高的个体在前额叶皮层区域也表现出更多的灭绝记忆(ps <;0.045)。抑制能力高的个体在消失学习过程中对CS+的期望较高,对CS -的期望较低(β = -0.409, p = 0.008),对恐惧的期望降低较慢(β = -0.022, p = 0.055)。此外,抑制能力高的个体在立即消失时PFC活性较低(ps <;0.0421),这表明消退学习较慢,但对安全线索的调节较好。通过澄清这些执行功能成分的作用,我们的研究强调了认知机制,可以为旨在改善恐惧消除的干预提供信息,为减轻焦虑相关障碍提供潜在的策略。
{"title":"Executive functions modulate conditioned fear extinction and reinstatement: The differential roles of shifting, updating, and inhibition","authors":"Wenzhao Zhang ,&nbsp;Yixia Huang ,&nbsp;Ying Mei ,&nbsp;Jinxia Wang ,&nbsp;Haoran Dou ,&nbsp;Yi Lei","doi":"10.1016/j.ijchp.2025.100581","DOIUrl":"10.1016/j.ijchp.2025.100581","url":null,"abstract":"<div><div>Conditioned fear learning is crucial for survival, and failure of fear extinction is closely related to the development of anxiety disorders. This study explores how different executive function (EF) subcomponents—shifting, updating, and inhibition—modulate conditioned fear extinction and reinstatement at both behavioral and neural levels. A total of 88 participants (age range: 17–23 years) completed the Stroop Task, Digit Size-Parity Switching Task, and Memory Updating Task to assess their executive function abilities. Participants underwent a classical fear extinction paradigm while their shock expectancy ratings and prefrontal cortical activity were recorded using functional near-infrared spectroscopy (fNIRS). Results indicated that individuals with higher shifting ability exhibited greater fear expectancy during fear acquisition <em>(β = -0.406, p = 0.032)</em> and reinstatement <em>(β = -0.834, p = 0.004)</em>, along with higher prefrontal cortex activity <em>(p &lt; 0.05)</em>, suggesting heightened responses to threatening stimuli. Individuals with higher updating ability showed a slower decrease in fear expectancy during the early extinction phase <em>(β = 0.038, p = 0.002)</em>, but maintained lower expectancy during the extinction recall phase <em>(β = -0.769, p = 0.006)</em>, indicating poorer extinction learning but better extinction memory retention. Individuals with higher updating ability also exhibited more extinction recall in the prefrontal cortex regions <em>(p<sub>s</sub> &lt; 0.045)</em>. Individuals with higher inhibitory ability showed higher expectancy for CS+ and lower expectancy for CS− during extinction learning <em>(β = -0.409, p = 0.008)</em>, along with a slower decrease in fear expectancy <em>(β = -0.022, p = 0.055)</em>. Furthermore, individuals with higher inhibition ability showed lower PFC activity in immediate extinction <em>(p<sub>s</sub> &lt; 0.0421)</em>, suggesting slower extinction learning but better regulation of safety cues. By clarifying the roles of these executive function components, our study highlights the cognitive mechanisms that could inform interventions aimed at improving fear extinction, offering potential strategies for mitigating anxiety-related disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100581"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurobiological correlates of CBT response in OCD through the analysis of resting state networks 通过静息状态网络分析强迫症患者CBT反应的神经生物学相关性
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100585
Mafalda Machado-Sousa , Sara Bertolín , Maria Picó-Pérez , Ana Daniela Costa , Rita Vieira , Pino Alonso , José M. Menchón , Pedro Morgado , Carles Soriano-Mas
Obsessive-compulsive disorder (OCD) is a psychiatric condition characterized by obsessions and compulsions that cause significant distress and functional impairment. Cognitive-behavioral therapy (CBT), particularly involving exposure and response prevention (ERP), is a first-line treatment for OCD, though patient response varies widely. This study investigates the neurobiological correlates of CBT response in OCD, focusing on resting-state functional connectivity (rsFC) alterations. Twenty-five patients with OCD and 26 matched controls underwent resting-state fMRI at baseline and post-CBT. Results indicated decreased rsFC at baseline in OCD patients compared to controls within the higher visual (HVN), posterior salience (PSN), and language networks (LN). Following CBT, patients showed increased HVN connectivity, suggesting a normalization of the rsFC within this network. Additionally, we found an association between baseline LN rsFC and symptom improvement after CBT (the higher the connectivity, the more the symptom improvement), suggesting that LN connectivity could be a predictor of treatment response. These findings emphasize the role of sensory processing networks in OCD and highlight the ability of CBT to modulate brain connectivity.
强迫症(OCD)是一种精神疾病,以强迫和强迫为特征,导致严重的痛苦和功能障碍。认知行为疗法(CBT),特别是涉及暴露和反应预防(ERP),是强迫症的一线治疗方法,尽管患者的反应差异很大。本研究探讨了强迫症患者CBT反应的神经生物学相关性,重点关注静息状态功能连接(rsFC)的改变。25名强迫症患者和26名匹配的对照组在基线和cbt后接受静息状态功能磁共振成像。结果显示,在高视觉(HVN)、后显性(PSN)和语言网络(LN)范围内,强迫症患者在基线时的rsFC比对照组降低。CBT后,患者HVN连通性增加,表明该网络中的rsFC正常化。此外,我们发现基线LN rsFC与CBT后症状改善之间存在关联(连通性越高,症状改善越多),这表明LN连通性可能是治疗反应的预测因子。这些发现强调了感觉处理网络在强迫症中的作用,并强调了CBT调节大脑连接的能力。
{"title":"Neurobiological correlates of CBT response in OCD through the analysis of resting state networks","authors":"Mafalda Machado-Sousa ,&nbsp;Sara Bertolín ,&nbsp;Maria Picó-Pérez ,&nbsp;Ana Daniela Costa ,&nbsp;Rita Vieira ,&nbsp;Pino Alonso ,&nbsp;José M. Menchón ,&nbsp;Pedro Morgado ,&nbsp;Carles Soriano-Mas","doi":"10.1016/j.ijchp.2025.100585","DOIUrl":"10.1016/j.ijchp.2025.100585","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) is a psychiatric condition characterized by obsessions and compulsions that cause significant distress and functional impairment. Cognitive-behavioral therapy (CBT), particularly involving exposure and response prevention (ERP), is a first-line treatment for OCD, though patient response varies widely. This study investigates the neurobiological correlates of CBT response in OCD, focusing on resting-state functional connectivity (rsFC) alterations. Twenty-five patients with OCD and 26 matched controls underwent resting-state fMRI at baseline and post-CBT. Results indicated decreased rsFC at baseline in OCD patients compared to controls within the higher visual (HVN), posterior salience (PSN), and language networks (LN). Following CBT, patients showed increased HVN connectivity, suggesting a normalization of the rsFC within this network. Additionally, we found an association between baseline LN rsFC and symptom improvement after CBT (the higher the connectivity, the more the symptom improvement), suggesting that LN connectivity could be a predictor of treatment response. These findings emphasize the role of sensory processing networks in OCD and highlight the ability of CBT to modulate brain connectivity.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100585"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143934830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Feasibility of a breath robot intervention to reduce sleep problems in posttraumatic stress disorder: A randomized controlled study 呼吸机器人干预减少创伤后应激障碍患者睡眠问题的可行性:一项随机对照研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100594
Annett Lotzin , Carlotta Reinhardt , Michael Barthelmäs , Isabelle Laskowsky
Background: Patients with Posttraumatic stress disorder (PTSD) suffer from sleep problems. Robot interventions offer a novel approach to reducing these problems. However, it is unclear whether patients with PTSD accept and regularly use a robot intervention and whether it is effective. Objective: This randomized controlled study evaluated the feasibility of a novel breath robot intervention in PTSD patients. Methods: Thirty-one adults with PTSD according to DSM-V (PSSI-5) with impaired sleep (PSQI > 5) were randomly assigned to a 4-week robot intervention (Somnox 2) with human breath simulation or to a 4-week robot intervention without human breath simulation. The primary feasibility outcome was the proportion of randomized participants providing outcome data at post-treatment. Secondary feasibility outcomes involved eligibility rate, recruitment speed, uptake, retention, treatment adherence, and dropout, clinical outcomes included sleep quality (PSQI), PTSD symptoms (PSSI-5), distress (PSS-10), and well-being (WHO-5). Results: Outcome data were provided by 96.8 %; eligibility rate was 75.6 %; 31 patients were recruited within 6 months; uptake and retention were 100 %; treatment adherence was 93.8 % in the intervention and 92.9 % in the active control group; dropout was 0 %. Distress decreased significantly more in the intervention group compared to the active control group (SMD = 0.67, 95 % CI 0.39, 0.94), but sleep quality, PTSD symptoms, and well-being did not improve significantly more. Conclusions: The use of a 4-week breath robot intervention was feasible and highly accepted in patients with severe PTSD. The breath robot intervention may reduce distress but may not be superior to a robot intervention without breath simulation for improving sleep and PTSD symptoms. Future trials should further determine the intervention’s clinical benefit.
背景:创伤后应激障碍(PTSD)患者存在睡眠问题。机器人干预为减少这些问题提供了一种新的方法。然而,尚不清楚创伤后应激障碍患者是否接受并定期使用机器人干预,以及它是否有效。目的:本随机对照研究评估一种新型呼吸机器人干预PTSD患者的可行性。方法:31例符合DSM-V (PSSI-5)的成人PTSD伴睡眠障碍(PSQI >;5)被随机分配到一个为期4周的机器人干预组(Somnox 2),并进行人类呼吸模拟,或一个为期4周的机器人干预组,不进行人类呼吸模拟。主要可行性结果是在治疗后提供结果数据的随机参与者的比例。次要可行性结局包括合格率、招募速度、吸收、保留、治疗依从性和退出,临床结局包括睡眠质量(PSQI)、PTSD症状(PSSI-5)、痛苦(PSS-10)和幸福感(WHO-5)。结果:结局资料提供率为96.8%;合格率75.6%;6个月内招募31例患者;吸收和保留率均为100%;干预组治疗依从性为93.8%,积极对照组为92.9%;辍学率为0%。与积极对照组相比,干预组的痛苦明显减少(SMD = 0.67, 95% CI 0.39, 0.94),但睡眠质量、PTSD症状和幸福感并没有显著改善。结论:在严重创伤后应激障碍患者中使用4周呼吸机器人干预是可行的,并且被高度接受。呼吸机器人干预可以减少痛苦,但在改善睡眠和PTSD症状方面可能并不优于不进行呼吸模拟的机器人干预。未来的试验应进一步确定干预的临床效益。
{"title":"Feasibility of a breath robot intervention to reduce sleep problems in posttraumatic stress disorder: A randomized controlled study","authors":"Annett Lotzin ,&nbsp;Carlotta Reinhardt ,&nbsp;Michael Barthelmäs ,&nbsp;Isabelle Laskowsky","doi":"10.1016/j.ijchp.2025.100594","DOIUrl":"10.1016/j.ijchp.2025.100594","url":null,"abstract":"<div><div>Background: Patients with Posttraumatic stress disorder (PTSD) suffer from sleep problems. Robot interventions offer a novel approach to reducing these problems. However, it is unclear whether patients with PTSD accept and regularly use a robot intervention and whether it is effective. Objective: This randomized controlled study evaluated the feasibility of a novel breath robot intervention in PTSD patients. Methods: Thirty-one adults with PTSD according to DSM-V (PSSI-5) with impaired sleep (PSQI &gt; 5) were randomly assigned to a 4-week robot intervention (Somnox 2) with human breath simulation or to a 4-week robot intervention without human breath simulation. The primary feasibility outcome was the proportion of randomized participants providing outcome data at post-treatment. Secondary feasibility outcomes involved eligibility rate, recruitment speed, uptake, retention, treatment adherence, and dropout, clinical outcomes included sleep quality (PSQI), PTSD symptoms (PSSI-5), distress (PSS-10), and well-being (WHO-5). Results: Outcome data were provided by 96.8 %; eligibility rate was 75.6 %; 31 patients were recruited within 6 months; uptake and retention were 100 %; treatment adherence was 93.8 % in the intervention and 92.9 % in the active control group; dropout was 0 %. Distress decreased significantly more in the intervention group compared to the active control group (<em>SMD =</em> 0.67, 95 % CI 0.39, 0.94), but sleep quality, PTSD symptoms, and well-being did not improve significantly more. Conclusions: The use of a 4-week breath robot intervention was feasible and highly accepted in patients with severe PTSD. The breath robot intervention may reduce distress but may not be superior to a robot intervention without breath simulation for improving sleep and PTSD symptoms. Future trials should further determine the intervention’s clinical benefit.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100594"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Altered resting-state functional connectivity in individuals at risk for Alzheimer’s disease: a longitudinal study 阿尔茨海默病风险个体静息状态功能连接改变:一项纵向研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100588
Pamela Chavarría-Elizondo , Pablo Maturana-Quijada (1) , Ignacio Martínez-Zalacaín , Inés del Cerro , Asier Juaneda-Seguí , Andrés Guinea-Izquierdo , Jordi Gascón-Bayarri , Ramón Reñé-Ramírez , Mikel Urretavizcaya , Isidre Ferrer , José M. Menchón , Virginia Soria , Carles Soriano-Mas

Background

Resting-state functional connectivity magnetic resonance imaging (rs-fMRI) is a sensitive tool for detecting early brain changes associated with Alzheimer’s disease, even in its preclinical stages. Amnestic mild cognitive impairment (aMCI) and late-life depression (LLD) are two prevalent conditions in older adults that significantly elevate the risk of cognitive decline and dementia. This study aimed to elucidate the underlying neurobiological substrates by longitudinally identifying and comparing distinct connectivity patterns in aMCI subjects and LLD patients, and by examining the associations between these patterns and clinical measures of cognitive and mood impairments.

Methods

The study included three groups: 26 healthy controls (HCs), 15 individuals with aMCI, and 21 patients with LLD. All participants underwent rs-fMRI and neuropsychological assessments at baseline and at a 2-year follow-up. Functional connectivity was analyzed using a group Independent Component Analysis (ICA) model to investigate both group differences and longitudinal changes over time.

Results

At baseline, individuals with aMCI exhibited reduced functional connectivity in the precuneus, whereas LLD patients showed decreased connectivity in frontal, insular, and postcentral regions alongside increased connectivity in posterior parietal and cuneal cortices. Correlation analyses revealed that lower baseline insular connectivity predicted higher depressive symptoms at follow-up in aMCI subjects. In LLD, reduced baseline precuneus connectivity was associated with better two‐year outcomes in global cognition and long‐term memory.

Conclusions

This study provides evidence of distinct alterations in resting-state functional connectivity in individuals with aMCI and LLD, underscoring region-specific vulnerabilities that may contribute to cognitive decline and depressive symptomatology in older adults.
睡眠状态功能连接磁共振成像(rs-fMRI)是一种灵敏的工具,可以检测与阿尔茨海默病相关的早期大脑变化,甚至在其临床前阶段。遗忘性轻度认知障碍(aMCI)和晚年抑郁症(LLD)是老年人中两种普遍存在的疾病,可显著提高认知能力下降和痴呆的风险。本研究旨在通过纵向识别和比较aMCI受试者和LLD患者的不同连接模式,并通过检查这些模式与认知和情绪障碍的临床测量之间的关联,阐明潜在的神经生物学基础。方法将健康对照(hc) 26例、aMCI患者15例、LLD患者21例分为3组。所有参与者在基线和2年随访时均接受了核磁共振成像和神经心理学评估。使用群体独立成分分析(ICA)模型分析功能连通性,以调查群体差异和随时间的纵向变化。结果在基线时,aMCI患者表现出楔前叶功能连通性降低,而LLD患者表现出额叶、岛叶和后中央区域的连通性降低,后顶叶和楔叶皮质的连通性增加。相关分析显示,较低的基线岛连通性预测aMCI受试者随访时较高的抑郁症状。在LLD中,减少的基线楔前叶连通性与更好的2年全球认知和长期记忆结果相关。本研究提供了aMCI和LLD患者静息状态功能连通性明显改变的证据,强调了可能导致老年人认知能力下降和抑郁症状的区域特异性脆弱性。
{"title":"Altered resting-state functional connectivity in individuals at risk for Alzheimer’s disease: a longitudinal study","authors":"Pamela Chavarría-Elizondo ,&nbsp;Pablo Maturana-Quijada (1) ,&nbsp;Ignacio Martínez-Zalacaín ,&nbsp;Inés del Cerro ,&nbsp;Asier Juaneda-Seguí ,&nbsp;Andrés Guinea-Izquierdo ,&nbsp;Jordi Gascón-Bayarri ,&nbsp;Ramón Reñé-Ramírez ,&nbsp;Mikel Urretavizcaya ,&nbsp;Isidre Ferrer ,&nbsp;José M. Menchón ,&nbsp;Virginia Soria ,&nbsp;Carles Soriano-Mas","doi":"10.1016/j.ijchp.2025.100588","DOIUrl":"10.1016/j.ijchp.2025.100588","url":null,"abstract":"<div><h3>Background</h3><div>Resting-state functional connectivity magnetic resonance imaging (rs-fMRI) is a sensitive tool for detecting early brain changes associated with Alzheimer’s disease, even in its preclinical stages. Amnestic mild cognitive impairment (aMCI) and late-life depression (LLD) are two prevalent conditions in older adults that significantly elevate the risk of cognitive decline and dementia. This study aimed to elucidate the underlying neurobiological substrates by longitudinally identifying and comparing distinct connectivity patterns in aMCI subjects and LLD patients, and by examining the associations between these patterns and clinical measures of cognitive and mood impairments.</div></div><div><h3>Methods</h3><div>The study included three groups: 26 healthy controls (HCs), 15 individuals with aMCI, and 21 patients with LLD. All participants underwent rs-fMRI and neuropsychological assessments at baseline and at a 2-year follow-up. Functional connectivity was analyzed using a group Independent Component Analysis (ICA) model to investigate both group differences and longitudinal changes over time.</div></div><div><h3>Results</h3><div>At baseline, individuals with aMCI exhibited reduced functional connectivity in the precuneus, whereas LLD patients showed decreased connectivity in frontal, insular, and postcentral regions alongside increased connectivity in posterior parietal and cuneal cortices. Correlation analyses revealed that lower baseline insular connectivity predicted higher depressive symptoms at follow-up in aMCI subjects. In LLD, reduced baseline precuneus connectivity was associated with better two‐year outcomes in global cognition and long‐term memory.</div></div><div><h3>Conclusions</h3><div>This study provides evidence of distinct alterations in resting-state functional connectivity in individuals with aMCI and LLD, underscoring region-specific vulnerabilities that may contribute to cognitive decline and depressive symptomatology in older adults.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100588"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep biomarkers of seasonal vulnerability in major depressive episodes: a clinical study using actigraphy and polysomnography 重度抑郁发作季节性易感性的睡眠生物标志物:一项使用活动描记和多导睡眠描记仪的临床研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100595
Julia MARUANI , Lily VISSOUZE , Marine AMBAR AKKAOUI , Feriel ZEHANI , Justine FRIJA , Michel LEJOYEUX , Marie-Pia d’ORTHO , Pierre A. GEOFFROY
Seasonal affective disorder or major depressive episode (MDE) with winter seasonal pattern is a severe form of recurrent depressive disorder persisting for at least 40 % of the year. This seasonal vulnerability may involve specific chronobiological and sleep regulation disturbances, however, actigraphy and polysomnography studies reported conflicting and inconclusive findings. In this context, we hypothesized that individuals with MDE who exhibit higher vulnerability to seasonal changes display distinct chronobiological and sleep regulation disturbances. We investigated how sleep and circadian rhythms, assessed through subjective markers (N = 254) and objective actigraphic (N = 96) and polysomnographic markers (N = 54)—varied in individuals with MDE according to their vulnerability to seasonal changes. To conduct this dimensional approach, that may be closer to the pathophysiology, we assessed the seasonal vulnerability using the Global Seasonality Score (GSS) from the Seasonal Patterns Assessment Questionnaire (SPAQ). The results revealed that greater seasonal vulnerability was correlated to increased excessive daytime sleepiness (Epworth scale), (r = 0.218, p < 0.001), shorter REM sleep latency (r = -0.381, p = 0.005), (even when controlling for age using the Kupfer index (r = -0.452, p < 0.001)), and shorter N1 sleep latency (r = -0.411, p = 0.002). The regression model retained only the polysomnographic markers—N1 sleep latency, REM sleep latency, Kupfer Index—independently and significantly associated to the GSS. This study confirms a link between seasonal vulnerability and shortened REM sleep latency, emphasizing that light and the photoperiod play a pivotal role in regulating the systems involved in REM sleep dysregulation in depressive disorders.
冬季季节性模式的季节性情感障碍或重性抑郁发作(MDE)是一种严重形式的复发性抑郁症,持续时间至少为一年的40%。这种季节性脆弱性可能涉及特定的时间生物学和睡眠调节障碍,然而,活动描记和多导睡眠描记研究报告了相互矛盾和不确定的结果。在这种情况下,我们假设MDE患者对季节变化表现出更高的脆弱性,表现出明显的时间生物学和睡眠调节障碍。我们通过主观标记物(N = 254)、客观活动图(N = 96)和多道睡眠图标记物(N = 54)评估了MDE患者的睡眠和昼夜节律如何根据他们对季节变化的易感性而变化。为了实施这种可能更接近病理生理学的维度方法,我们使用来自季节模式评估问卷(SPAQ)的全球季节性评分(GSS)来评估季节性脆弱性。结果显示,季节性脆弱性越大,白天过度嗜睡增加(Epworth量表),(r = 0.218, p <;0.001),更短的快速眼动睡眠潜伏期(r = -0.381, p = 0.005),(即使使用Kupfer指数控制年龄(r = -0.452, p <;0.001)), N1睡眠潜伏期较短(r = -0.411, p = 0.002)。回归模型仅保留了与GSS独立且显著相关的多导睡眠图标记- n1睡眠潜伏期、REM睡眠潜伏期、Kupfer指数。这项研究证实了季节性易感性与快速眼动睡眠潜伏期缩短之间的联系,强调光和光周期在调节抑郁症快速眼动睡眠失调的系统中起着关键作用。
{"title":"Sleep biomarkers of seasonal vulnerability in major depressive episodes: a clinical study using actigraphy and polysomnography","authors":"Julia MARUANI ,&nbsp;Lily VISSOUZE ,&nbsp;Marine AMBAR AKKAOUI ,&nbsp;Feriel ZEHANI ,&nbsp;Justine FRIJA ,&nbsp;Michel LEJOYEUX ,&nbsp;Marie-Pia d’ORTHO ,&nbsp;Pierre A. GEOFFROY","doi":"10.1016/j.ijchp.2025.100595","DOIUrl":"10.1016/j.ijchp.2025.100595","url":null,"abstract":"<div><div>Seasonal affective disorder or major depressive episode (MDE) with winter seasonal pattern is a severe form of recurrent depressive disorder persisting for at least 40 % of the year. This seasonal vulnerability may involve specific chronobiological and sleep regulation disturbances, however, actigraphy and polysomnography studies reported conflicting and inconclusive findings. In this context, we hypothesized that individuals with MDE who exhibit higher vulnerability to seasonal changes display distinct chronobiological and sleep regulation disturbances. We investigated how sleep and circadian rhythms, assessed through subjective markers (<em>N</em> = 254) and objective actigraphic (<em>N</em> = 96) and polysomnographic markers (<em>N</em> = 54)—varied in individuals with MDE according to their vulnerability to seasonal changes. To conduct this dimensional approach, that may be closer to the pathophysiology, we assessed the seasonal vulnerability using the Global Seasonality Score (GSS) from the Seasonal Patterns Assessment Questionnaire (SPAQ). The results revealed that greater seasonal vulnerability was correlated to increased excessive daytime sleepiness (Epworth scale), (<em>r</em> = 0.218, <em>p</em> &lt; 0.001), shorter REM sleep latency (<em>r</em> = -0.381, <em>p</em> = 0.005), (even when controlling for age using the Kupfer index (<em>r</em> = -0.452, <em>p</em> &lt; 0.001)), and shorter N1 sleep latency (<em>r</em> = -0.411, <em>p</em> = 0.002). The regression model retained only the polysomnographic markers—N1 sleep latency, REM sleep latency, Kupfer Index—independently and significantly associated to the GSS. This study confirms a link between seasonal vulnerability and shortened REM sleep latency, emphasizing that light and the photoperiod play a pivotal role in regulating the systems involved in REM sleep dysregulation in depressive disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100595"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of women with postpartum mental disorders in a day clinic mother-baby unit and the effect on child behavioural problems – A 1-year follow-up 产后精神障碍妇女在日间门诊母婴部的治疗及其对儿童行为问题的影响- 1年随访
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100587
Susann Steudte-Schmiedgen , Luisa Bergunde , Julia Frohberg , Antje Bittner , Anne Coenen , Susan Garthus-Niegel , Juliane Junge-Hoffmeister , Kerstin Weidner

Background

Postpartum mental disorders are highly prevalent with substantial impact on mother-child bonding and child development. While short-term benefits of an interaction-focused mother-baby treatment for maternal mental health are documented, little is known about the stability of these effects and their influence on child behavioural development.

Method

This prospective study included 348 women with postpartum mental disorders who received dyadic treatment at a specialized mother-baby day clinic. Maternal symptoms of depression (EPDS), anxiety (STAI-T), overall psychological distress (BSI-GSI) as well as parenting sense of competence (PSOC) were assessed at admission, discharge, and 1-year follow-up, along with diagnostic classification at admission. At 1-year follow-up, mothers (n = 164) completed the Child Behaviour Checklist (CBCL) to measure child behavioural problems.

Results

Maternal psychopathology and PSOC improved significantly from admission to discharge, with clinically meaningful effects. No additional improvements emerged from discharge to 1-year follow-up, except for a tentative reduction in anxiety symptoms. All outcome measures and outcome trajectories regarding anxiety symptoms and overall psychological distress varied by primary clinical diagnosis. Greater maternal symptom improvement from admission to 1-year follow-up was associated with fewer child behavioural problems. However, this effect was not found for symptom changes from admission to discharge when controlling for maternal symptoms at 1-year follow-up.

Conclusions

Interaction-focused treatment in a mother-baby day clinic may be associated with clinically meaningful improvements in maternal mental health outcomes up to 1-year follow-up. These long-term improvements may also relate to less child behavioural problems. However, the absence of a waiting list control group warrants cautious interpretation of findings.
产后精神障碍非常普遍,对母子关系和儿童发育有重大影响。虽然以互动为重点的母婴治疗对产妇心理健康的短期效益有文献记载,但对这些效果的稳定性及其对儿童行为发展的影响知之甚少。方法本前瞻性研究纳入348名产后精神障碍妇女,她们在一家专门的母婴日间诊所接受了双重治疗。在入院、出院和1年随访时评估母亲的抑郁症状(EPDS)、焦虑症状(STAI-T)、整体心理困扰症状(BSI-GSI)以及育儿能力感(PSOC),并在入院时进行诊断分类。在1年的随访中,母亲(n = 164)完成了儿童行为检查表(CBCL)来测量儿童的行为问题。结果从入院到出院,产妇精神病理和PSOC均有明显改善,临床效果显著。从出院到1年随访,除了焦虑症状暂时减轻外,没有其他改善。所有关于焦虑症状和整体心理困扰的结果测量和结果轨迹因初步临床诊断而异。从入院到1年随访,母亲症状改善程度越高,儿童行为问题越少。然而,在1年的随访中,当控制母亲症状时,从入院到出院的症状变化没有发现这种影响。结论在母婴日间诊所进行以互动为重点的治疗可能与随访1年的产妇心理健康结果的临床有意义的改善有关。这些长期的改善也可能与儿童行为问题的减少有关。然而,由于没有等候名单控制组,对研究结果的解释需要谨慎。
{"title":"Treatment of women with postpartum mental disorders in a day clinic mother-baby unit and the effect on child behavioural problems – A 1-year follow-up","authors":"Susann Steudte-Schmiedgen ,&nbsp;Luisa Bergunde ,&nbsp;Julia Frohberg ,&nbsp;Antje Bittner ,&nbsp;Anne Coenen ,&nbsp;Susan Garthus-Niegel ,&nbsp;Juliane Junge-Hoffmeister ,&nbsp;Kerstin Weidner","doi":"10.1016/j.ijchp.2025.100587","DOIUrl":"10.1016/j.ijchp.2025.100587","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum mental disorders are highly prevalent with substantial impact on mother-child bonding and child development. While short-term benefits of an interaction-focused mother-baby treatment for maternal mental health are documented, little is known about the stability of these effects and their influence on child behavioural development.</div></div><div><h3>Method</h3><div>This prospective study included 348 women with postpartum mental disorders who received dyadic treatment at a specialized mother-baby day clinic. Maternal symptoms of depression (EPDS), anxiety (STAI-T), overall psychological distress (BSI-GSI) as well as parenting sense of competence (PSOC) were assessed at admission, discharge, and 1-year follow-up, along with diagnostic classification at admission. At 1-year follow-up, mothers (<em>n</em> = 164) completed the Child Behaviour Checklist (CBCL) to measure child behavioural problems.</div></div><div><h3>Results</h3><div>Maternal psychopathology and PSOC improved significantly from admission to discharge, with clinically meaningful effects. No additional improvements emerged from discharge to 1-year follow-up, except for a tentative reduction in anxiety symptoms. All outcome measures and outcome trajectories regarding anxiety symptoms and overall psychological distress varied by primary clinical diagnosis. Greater maternal symptom improvement from admission to 1-year follow-up was associated with fewer child behavioural problems. However, this effect was not found for symptom changes from admission to discharge when controlling for maternal symptoms at 1-year follow-up.</div></div><div><h3>Conclusions</h3><div>Interaction-focused treatment in a mother-baby day clinic may be associated with clinically meaningful improvements in maternal mental health outcomes up to 1-year follow-up. These long-term improvements may also relate to less child behavioural problems. However, the absence of a waiting list control group warrants cautious interpretation of findings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100587"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","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:604180095
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