Pub Date : 2025-12-18DOI: 10.1016/j.ijchp.2025.100652
Li Liang , Chris Xie Chen , Ngan Yin Chan , Suk-Yu Yau , Yan Liu , Shirley Xin Li , Yun Kwok Wing , Tatia Mei-Chun Lee , Wai Kai Hou
Previous theoretical and empirical research has highlighted the predictive utility of different physiological reactivity and recovery patterns during acute stress for long-term mental health outcomes. Timely identification of mental health risk can be achieved by integrating these multiple temporal responses to characterize adaptive, dynamic resilience factors and then generating a resilience index. This study aimed to generate a resilience index to characterize the adaptive and dynamic resilient physiological responses and identify the predictors of these responses from a wide array of candidate predictors of psychological resilience in previous studies. Trier Social Stress Test (TSST) was used to induce acute stress responses in a sample of 248 participants (56.0 % female). Principal component analyses (PCA) were employed to integrate cortisol and cardiovascular responses to the TSST. The resilience index, comprising of the PCA reactivity and recovery scores, was related to better mental health. Using the least absolute shrinkage and selection operator regression, 25 of the 48 predictors were identified as critical ones, including baseline physiological activity, coping and emotion regulation strategies (e.g., positive reappraisal and instrumental support seeking), positive affective style and emotional reactivity, cognitive functions (e.g., interference inhibition), and demographic factors (e.g., minor medical conditions) (absolute magnitude of coefficients=0.402–3.865). These findings highlighted the importance of considering stress reactivity and recovery and physiological stress responses to understand the resilience factors, offering significant insight into developing wearable cognitive behavioral adjustment protocols to promote recovery from stress and hence mental well-being.
{"title":"Predicting acute stress recovery: A resilience index of physiological responses to Trier Social Stress Test","authors":"Li Liang , Chris Xie Chen , Ngan Yin Chan , Suk-Yu Yau , Yan Liu , Shirley Xin Li , Yun Kwok Wing , Tatia Mei-Chun Lee , Wai Kai Hou","doi":"10.1016/j.ijchp.2025.100652","DOIUrl":"10.1016/j.ijchp.2025.100652","url":null,"abstract":"<div><div>Previous theoretical and empirical research has highlighted the predictive utility of different physiological reactivity and recovery patterns during acute stress for long-term mental health outcomes. Timely identification of mental health risk can be achieved by integrating these multiple temporal responses to characterize adaptive, dynamic resilience factors and then generating a resilience index. This study aimed to generate a resilience index to characterize the adaptive and dynamic resilient physiological responses and identify the predictors of these responses from a wide array of candidate predictors of psychological resilience in previous studies. Trier Social Stress Test (TSST) was used to induce acute stress responses in a sample of 248 participants (56.0 % female). Principal component analyses (PCA) were employed to integrate cortisol and cardiovascular responses to the TSST. The resilience index, comprising of the PCA reactivity and recovery scores, was related to better mental health. Using the least absolute shrinkage and selection operator regression, 25 of the 48 predictors were identified as critical ones, including baseline physiological activity, coping and emotion regulation strategies (e.g., positive reappraisal and instrumental support seeking), positive affective style and emotional reactivity, cognitive functions (e.g., interference inhibition), and demographic factors (e.g., minor medical conditions) (absolute magnitude of coefficients=0.402–3.865). These findings highlighted the importance of considering stress reactivity and recovery and physiological stress responses to understand the resilience factors, offering significant insight into developing wearable cognitive behavioral adjustment protocols to promote recovery from stress and hence mental well-being.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 1","pages":"Article 100652"},"PeriodicalIF":4.4,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799229","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}
Pub Date : 2025-12-17DOI: 10.1016/j.ijchp.2025.100657
Aida Palacios , Sara Martínez-Gregorio , Catherine Andreu , Desirée Colombo , Ausiàs Cebolla , Rosa Baños , Maja Wrzesien
Although the effectiveness of compassion-based interventions (CBIs) has been widely demonstrated to improve mental health and prosocial behaviors, not all individuals benefit equally from these interventions. Therefore, enhancing specific capacities relevant to compassion practice (i.e., mental imagery and somatosensory perception) could optimize the benefits of CBIs. This randomized controlled trial study explores the efficacy of two tools: virtual reality (VR), to improve mental imagery skills; and a heating pad used as somatosensory priming (SP), to enhance the effectiveness of a compassion practice, as compared to a control group (compassion practice only). We assessed the impact of these tools in 92 participants, randomly assigned to one of the three groups, through self-reported, physiological, and behavioral measures on three time points (before meditation, immediately after, and two weeks after). Moreover, we investigated whether individual differences in mental imagery and interoceptive skills moderate these effects. The results show that all groups benefited from the practice, regardless of the condition. Although all groups benefited from the compassion practice, positive affect increased significantly more in the VR condition, while negative affect decreased significantly less in the SP condition, compared to the control condition. Moreover, one potential moderator was identified: mental imagery skills. Specifically, criticism towards others was significantly reduced in the VR condition but only among participants with low mental imagery skills. This study underscores the importance of enhancement tools for individuals with low mental imagery skills to maximize the benefits of compassion practice.
{"title":"Enhancing compassion meditation through virtual reality and sensory priming: A focus on individual factors","authors":"Aida Palacios , Sara Martínez-Gregorio , Catherine Andreu , Desirée Colombo , Ausiàs Cebolla , Rosa Baños , Maja Wrzesien","doi":"10.1016/j.ijchp.2025.100657","DOIUrl":"10.1016/j.ijchp.2025.100657","url":null,"abstract":"<div><div>Although the effectiveness of compassion-based interventions (CBIs) has been widely demonstrated to improve mental health and prosocial behaviors, not all individuals benefit equally from these interventions. Therefore, enhancing specific capacities relevant to compassion practice (i.e., mental imagery and somatosensory perception) could optimize the benefits of CBIs. This randomized controlled trial study explores the efficacy of two tools: virtual reality (VR), to improve mental imagery skills; and a heating pad used as somatosensory priming (SP), to enhance the effectiveness of a compassion practice, as compared to a control group (compassion practice only). We assessed the impact of these tools in 92 participants, randomly assigned to one of the three groups, through self-reported, physiological, and behavioral measures on three time points (before meditation, immediately after, and two weeks after). Moreover, we investigated whether individual differences in mental imagery and interoceptive skills moderate these effects. The results show that all groups benefited from the practice, regardless of the condition. Although all groups benefited from the compassion practice, positive affect increased significantly more in the VR condition, while negative affect decreased significantly less in the SP condition, compared to the control condition. Moreover, one potential moderator was identified: mental imagery skills. Specifically, criticism towards others was significantly reduced in the VR condition but only among participants with low mental imagery skills. This study underscores the importance of enhancement tools for individuals with low mental imagery skills to maximize the benefits of compassion practice.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 1","pages":"Article 100657"},"PeriodicalIF":4.4,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799182","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}
Pub Date : 2025-12-15DOI: 10.1016/j.ijchp.2025.100658
Julia MARUANI , Nathan MARTINS , Emmanuelle CLERICI , Michel LEJOYEUX , Pierre A. GEOFFROY
Introduction: Nightmare Disorder characterized by recurrent dysphoric dreams is strongly associated with major depressive episodes (MDE) and suicidal risk. Imagery rehearsal therapy (IRT) is the standard treatment for nightmares, but its effectiveness in individuals with MDE remain understudied. This study evaluated whether IRT is associated with greater improvement in nightmare symptoms compared to sleep education therapy (SET) in patients with MDE. Methods: In this non-randomized controlled study, 53 adults diagnosed with both MDE and Nightmare Disorder (DSM-5-TR criteria) received either four weekly group-based IRT sessions (n = 28) or a single SET session during the baseline interview, followed by a four-week waitlist before IRT (n = 25). Outcomes included the Nightmare Severity Index (NSI), depressive symptoms (QIDS-SR16 and HAD-D), anxiety symptoms (HAD-A and GAD-7) and suicidal ideation (item 12 of the QIDS-SR16). Treatment effects were assessed through change scores and pre- and post-intervention comparisons. Results: IRT was significantly associated with greater reductions in nightmare severity (p < 0.001) with improvements observed across NSI subscales: frequency (p = 0.010), emotional (p = 0.003), diurnal (p = 0.017), and nocturnal impacts (p = 0.002). Associations were also found between IRT and reductions in depressive (ΔHAD-D p < 0.001, ΔQIDS-SR16 p = 0.028), anxiety (ΔHAD-A and ΔGAD-7 p < 0.001) and suicidal symptoms (p = 0.002). Treatment-resistant depression predicted greater improvements in the emotional impact of nightmares (p = 0.007), while nightmare frequency was associated with reduced benefit (p = 0.008). Conclusion: IRT is associated with meaningful reductions in nightmare severity, depressive symptoms, anxiety, and suicidal ideation in individuals with MDE. These findings support the integration of IRT in treatment plans for this high-risk population.
{"title":"Imagery Rehearsal Therapy (IRT) is associated with reduced nightmare severity and depressive, anxiety and suicidal symptoms in adults with Major Depressive Episode","authors":"Julia MARUANI , Nathan MARTINS , Emmanuelle CLERICI , Michel LEJOYEUX , Pierre A. GEOFFROY","doi":"10.1016/j.ijchp.2025.100658","DOIUrl":"10.1016/j.ijchp.2025.100658","url":null,"abstract":"<div><div>Introduction: Nightmare Disorder characterized by recurrent dysphoric dreams is strongly associated with major depressive episodes (MDE) and suicidal risk. Imagery rehearsal therapy (IRT) is the standard treatment for nightmares, but its effectiveness in individuals with MDE remain understudied. This study evaluated whether IRT is associated with greater improvement in nightmare symptoms compared to sleep education therapy (SET) in patients with MDE. Methods: In this non-randomized controlled study, 53 adults diagnosed with both MDE and Nightmare Disorder (DSM-5-TR criteria) received either four weekly group-based IRT sessions (<em>n</em> = 28) or a single SET session during the baseline interview, followed by a four-week waitlist before IRT (<em>n</em> = 25). Outcomes included the Nightmare Severity Index (NSI), depressive symptoms (QIDS-SR16 and HAD-D), anxiety symptoms (HAD-A and GAD-7) and suicidal ideation (item 12 of the QIDS-SR16). Treatment effects were assessed through change scores and pre- and post-intervention comparisons. Results: IRT was significantly associated with greater reductions in nightmare severity (<em>p</em> < 0.001) with improvements observed across NSI subscales: frequency (<em>p</em> = 0.010), emotional (<em>p</em> = 0.003), diurnal (<em>p</em> = 0.017), and nocturnal impacts (<em>p</em> = 0.002). Associations were also found between IRT and reductions in depressive (ΔHAD-D <em>p</em> < 0.001, ΔQIDS-SR16 <em>p</em> = 0.028), anxiety (ΔHAD-A and ΔGAD-7 <em>p</em> < 0.001) and suicidal symptoms (<em>p</em> = 0.002). Treatment-resistant depression predicted greater improvements in the emotional impact of nightmares (<em>p</em> = 0.007), while nightmare frequency was associated with reduced benefit (<em>p</em> = 0.008). Conclusion: IRT is associated with meaningful reductions in nightmare severity, depressive symptoms, anxiety, and suicidal ideation in individuals with MDE. These findings support the integration of IRT in treatment plans for this high-risk population.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 1","pages":"Article 100658"},"PeriodicalIF":4.4,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145750380","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}
Pub Date : 2025-10-01DOI: 10.1016/j.ijchp.2025.100644
Michał Walaszek , Zofia Kachlik , Wojciech Nazar , Monika Sokołowska , Aleksander Karbiak , Eliza Pilarska , Przemysław Waszak , Wiesław Jerzy Cubała
Introduction
Suicidality is a complex, multifaceted issue with significant biopsychosocial causes, ranking as a major cause of death in developed nations. This study aims to leverage machine learning (ML) to predict monthly suicide counts in Poland using Google Trends data, contributing to ongoing efforts to improve public health strategies.
Methods
Using data from the Polish National Police (2013–2023), monthly suicide attempt counts were analysed alongside relative search volumes (RSVs) of 40 suicide-related and mental health terms. Pearson Correlation Coefficient (PCC) identified the strongest predictors. Four ML models: Linear Regression, Random Forest, Support Vector Regression (SVR), and XGBoost Regression were tested, with PCC and error metrics guiding model selection.
Results
Results showed that 16 terms were the best predictors for the general population and 13 for the adult cohort. Random Forest Regression outperformed the other models, achieving a PCC of 0.909 and a mean absolute percentage error (MAPE) of 6.78% for the general population, compared to SVR's PCC of 0.644 and 14.8% MAPE. For the adult cohort, Random Forest yielded a PCC of 0.853 and MAPE of 7.21%, again outperforming SVR. Key predictors included anxiety disorders and psychiatrist terms for the general population, with also social isolation being significant for adults.
Conclusions
This study presents one of the first ML approaches to predicting suicide attempts at national level, highlighting the utility of Google Trends data. Further research with higher-resolution data is recommended to refine predictive models and enhance suicide prevention strategies.
{"title":"Machine learning prediction of suicide attempt counts in Poland: Insights from Google trends and historical data","authors":"Michał Walaszek , Zofia Kachlik , Wojciech Nazar , Monika Sokołowska , Aleksander Karbiak , Eliza Pilarska , Przemysław Waszak , Wiesław Jerzy Cubała","doi":"10.1016/j.ijchp.2025.100644","DOIUrl":"10.1016/j.ijchp.2025.100644","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidality is a complex, multifaceted issue with significant biopsychosocial causes, ranking as a major cause of death in developed nations. This study aims to leverage machine learning (ML) to predict monthly suicide counts in Poland using Google Trends data, contributing to ongoing efforts to improve public health strategies.</div></div><div><h3>Methods</h3><div>Using data from the Polish National Police (2013–2023), monthly suicide attempt counts were analysed alongside relative search volumes (RSVs) of 40 suicide-related and mental health terms. Pearson Correlation Coefficient (PCC) identified the strongest predictors. Four ML models: Linear Regression, Random Forest, Support Vector Regression (SVR), and XGBoost Regression were tested, with PCC and error metrics guiding model selection.</div></div><div><h3>Results</h3><div>Results showed that 16 terms were the best predictors for the general population and 13 for the adult cohort. Random Forest Regression outperformed the other models, achieving a PCC of 0.909 and a mean absolute percentage error (MAPE) of 6.78% for the general population, compared to SVR's PCC of 0.644 and 14.8% MAPE. For the adult cohort, Random Forest yielded a PCC of 0.853 and MAPE of 7.21%, again outperforming SVR. Key predictors included <em>anxiety disorders</em> and <em>psychiatrist</em> terms for the general population, with also <em>social isolation</em> being significant for adults.</div></div><div><h3>Conclusions</h3><div>This study presents one of the first ML approaches to predicting suicide attempts at national level, highlighting the utility of Google Trends data. Further research with higher-resolution data is recommended to refine predictive models and enhance suicide prevention strategies.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100644"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145322028","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}
Pub Date : 2025-10-01DOI: 10.1016/j.ijchp.2025.100637
Alexandra E. Hernandez , Ibane Aizpurua-Perez , Peter A. Borowsky , Molly Ream , Chloe J. Taub , Millan R. Kanaya , Rachel L. Plotke , Bonnie Blomberg , Michael H. Antoni , Neha Goel
Introduction
Neighborhood disadvantage generates chronic adversity and negatively impacts breast cancer (BCa) survival. Greater social support may correspond with less adversity in BCa patients via physiological stress mechanisms. We evaluated the association between neighborhood disadvantage and serum cortisol, a physiologic marker of stress, and whether social support moderates this relationship in BCa patients.
Methods
Women diagnosed with stage 0-III BCa post-surgery and before adjuvant treatment provided a late afternoon-evening serum cortisol sample and completed the Social Provisions Scale (SPS). Area Deprivation Index (ADI), a validated measure of neighborhood disadvantage, was determined using home addresses. Multivariable regression tested the relationship between SPS scores, ADI, and cortisol controlling for age, surgery type, and receptor status.
Results
Of 178 participants, 24.7 % lived in disadvantaged neighborhoods (ADI 4 -10). High ADI (4–10) predicted greater cortisol (B = 0.417, 95 % CI [0.35, 0.800], p = 0.033). There was a significant interaction effect between ADI and SPS on cortisol levels (B= -1.776, 95 % CI [-2.974, -0.559], p = 0.004). Simple slope test showed the conditional effect of ADI on cortisol was statistically significant at low (M = 0.23; p < 0.001) and middle (M = 0.51; p < 0.05) but not high (M = 0.80; p = 0.901) SPS levels.
Conclusion
Social support moderates the relationship between neighborhood disadvantage and serum cortisol levels in women with BCa undergoing treatment. While the neighborhood may generate elevated stress, social support is a modifiable element that may be protective. Secondary analyses indicated that perceiving higher levels of social attachment may confer this protective effect, suggesting future targets for interventions.
邻里劣势产生慢性逆境并对乳腺癌（BCa）的生存产生负面影响。通过生理应激机制，BCa患者的社会支持越大，逆境越少。我们评估了邻里劣势与血清皮质醇（应激的生理标志）之间的关系，以及社会支持是否在BCa患者中调节了这种关系。方法对诊断为0-III期BCa的妇女在手术后和辅助治疗前进行傍晚血清皮质醇检测，并完成社会保障量表（SPS）。区域剥夺指数（ADI）是一种有效的衡量邻里劣势的方法，使用家庭住址来确定。多变量回归检验了SPS评分、ADI和皮质醇控制年龄、手术类型和受体状态之间的关系。结果178名参与者中，24.7%的人生活在弱势社区（ADI 4 -10）。高ADI（4-10）预测较高的皮质醇（B = 0.417, 95% CI [0.35, 0.800], p = 0.033）。ADI和SPS对皮质醇水平有显著的交互作用（B= -1.776, 95% CI [-2.974, -0.559], p = 0.004）。简单斜率检验显示，ADI对皮质醇的条件效应在低（M = 0.23; p < 0.001）和中（M = 0.51; p < 0.05） SPS水平上有统计学意义，而在高（M = 0.80; p = 0.901） SPS水平上无统计学意义。结论社会支持调节了BCa治疗妇女邻里劣势与血清皮质醇水平的关系。虽然邻里关系可能会增加压力，但社会支持是一个可以改变的因素，可能具有保护作用。二次分析表明，感知到更高水平的社会依恋可能会产生这种保护作用，这表明了未来干预的目标。
{"title":"Social support moderates the impact of neighborhood disadvantage on serum cortisol levels in post-surgical breast cancer patients","authors":"Alexandra E. Hernandez , Ibane Aizpurua-Perez , Peter A. Borowsky , Molly Ream , Chloe J. Taub , Millan R. Kanaya , Rachel L. Plotke , Bonnie Blomberg , Michael H. Antoni , Neha Goel","doi":"10.1016/j.ijchp.2025.100637","DOIUrl":"10.1016/j.ijchp.2025.100637","url":null,"abstract":"<div><h3>Introduction</h3><div>Neighborhood disadvantage generates chronic adversity and negatively impacts breast cancer (BCa) survival. Greater social support may correspond with less adversity in BCa patients via physiological stress mechanisms. We evaluated the association between neighborhood disadvantage and serum cortisol, a physiologic marker of stress, and whether social support moderates this relationship in BCa patients.</div></div><div><h3>Methods</h3><div>Women diagnosed with stage 0-III BCa post-surgery and before adjuvant treatment provided a late afternoon-evening serum cortisol sample and completed the Social Provisions Scale (SPS). Area Deprivation Index (ADI), a validated measure of neighborhood disadvantage, was determined using home addresses. Multivariable regression tested the relationship between SPS scores, ADI, and cortisol controlling for age, surgery type, and receptor status.</div></div><div><h3>Results</h3><div>Of 178 participants, 24.7 % lived in disadvantaged neighborhoods (ADI 4 -10). High ADI (4–10) predicted greater cortisol (<em>B</em> = 0.417, 95 % CI [0.35, 0.800], <em>p</em> = 0.033). There was a significant interaction effect between ADI and SPS on cortisol levels (<em>B</em>= -1.776, 95 % CI [-2.974, -0.559], <em>p</em> = 0.004). Simple slope test showed the conditional effect of ADI on cortisol was statistically significant at low (<em>M</em> = 0.23; <em>p</em> < 0.001) and middle (<em>M</em> = 0.51; <em>p</em> < 0.05) but not high (<em>M</em> = 0.80; <em>p</em> = 0.901) SPS levels.</div></div><div><h3>Conclusion</h3><div>Social support moderates the relationship between neighborhood disadvantage and serum cortisol levels in women with BCa undergoing treatment. While the neighborhood may generate elevated stress, social support is a modifiable element that may be protective. Secondary analyses indicated that perceiving higher levels of social attachment may confer this protective effect, suggesting future targets for interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100637"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325498","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}
Pub Date : 2025-10-01DOI: 10.1016/j.ijchp.2025.100630
Julia Belger , Lisa Patricia Peters , Jorik Jakober , Sebastian Wagner , Bernhard Preim , Arno Villringer , Angelika Thöne-Otto
Background
Smooth pursuit training (SPT) is recognized as an effective intervention for spatial neglect by guiding patients’ attention toward the contralesional hemifield through repetitive tracking of moving visual stimuli. However, traditional SPT approaches lack standardized, real-time feedback on gaze and head position and patient motivation, limiting therapists' ability to monitor attention and patients' engagement effectively. Combining immersive virtual reality (VR) with eye tracking may overcome these limitations by providing immediate automated feedback, enhancing therapeutic outcomes and being associated with increased awareness of deficits.
Methods
We developed and evaluated an immersive Virtual Reality Eye Movement Training (VR-EMT) paradigm integrating eye tracking and real-time automated feedback on gaze and head orientation. Twelve chronic post-stroke patients with left-sided neglect completed 10 VR-EMT sessions (each lasting 18 min). We assessed performance in a spatially lateralized object transport task, head rotation behavior, gaze distribution, usability, and patient preferences in comparison to traditional SPT.
Results
VR-EMT was independently executable and highly accepted by patients. Real-time feedback improved patients' head orientation awareness and adjustments. Task accuracy decreased with increasing task difficulty, indicating effective demand modulation. A persistent ipsilesional gaze bias was found during breaks. Patients preferred VR-EMT over traditional SPT due to enhanced feedback, motivation, and challenge. Cybersickness was minimal and did not impair performance.
Conclusions
This feasibility study demonstrated that VR-EMT integrating eye tracking and immediate feedback is technically feasible, clinically applicable, well-accepted, and subjectively preferred over traditional methods in chronic post-stroke neglect patients. Eye tracking functioned reliably, even as the sole interaction modality. Real-time feedback facilitated rapid behavioral adjustments, highlighting the potential for individualized interventions and remote application. Future studies should evaluate clinical efficacy and the benefits of eye-tracking-based attentional assessment.
{"title":"Virtual reality eye movement training for neglect rehabilitation","authors":"Julia Belger , Lisa Patricia Peters , Jorik Jakober , Sebastian Wagner , Bernhard Preim , Arno Villringer , Angelika Thöne-Otto","doi":"10.1016/j.ijchp.2025.100630","DOIUrl":"10.1016/j.ijchp.2025.100630","url":null,"abstract":"<div><h3>Background</h3><div>Smooth pursuit training (SPT) is recognized as an effective intervention for spatial neglect by guiding patients’ attention toward the contralesional hemifield through repetitive tracking of moving visual stimuli. However, traditional SPT approaches lack standardized, real-time feedback on gaze and head position and patient motivation, limiting therapists' ability to monitor attention and patients' engagement effectively. Combining immersive virtual reality (VR) with eye tracking may overcome these limitations by providing immediate automated feedback, enhancing therapeutic outcomes and being associated with increased awareness of deficits.</div></div><div><h3>Methods</h3><div>We developed and evaluated an immersive Virtual Reality Eye Movement Training (VR-EMT) paradigm integrating eye tracking and real-time automated feedback on gaze and head orientation. Twelve chronic post-stroke patients with left-sided neglect completed 10 VR-EMT sessions (each lasting 18 min). We assessed performance in a spatially lateralized object transport task, head rotation behavior, gaze distribution, usability, and patient preferences in comparison to traditional SPT.</div></div><div><h3>Results</h3><div>VR-EMT was independently executable and highly accepted by patients. Real-time feedback improved patients' head orientation awareness and adjustments. Task accuracy decreased with increasing task difficulty, indicating effective demand modulation. A persistent ipsilesional gaze bias was found during breaks. Patients preferred VR-EMT over traditional SPT due to enhanced feedback, motivation, and challenge. Cybersickness was minimal and did not impair performance.</div></div><div><h3>Conclusions</h3><div>This feasibility study demonstrated that VR-EMT integrating eye tracking and immediate feedback is technically feasible, clinically applicable, well-accepted, and subjectively preferred over traditional methods in chronic post-stroke neglect patients. Eye tracking functioned reliably, even as the sole interaction modality. Real-time feedback facilitated rapid behavioral adjustments, highlighting the potential for individualized interventions and remote application. Future studies should evaluate clinical efficacy and the benefits of eye-tracking-based attentional assessment.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100630"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325957","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}
Pub Date : 2025-10-01DOI: 10.1016/j.ijchp.2025.100642
Ana C. Teixeira-Santos, Leandro Gomes, Diana R․ Pereira, Fabiana Ribeiro, Joana Carvalheiro, Catarina Godinho, Anabela Silva-Fernandes, Etienne Le Bihan, Carine Federspiel, Jean-Paul Steinmetz, Anja K․ Leist
Background
Mindfulness-based stress reduction (MBSR) has shown benefits for cognition and stress relief. Enhancing these functions may have a protective role in vulnerable populations, particularly older immigrants who face a higher risk of neurodegenerative disease. However, whether MBSR can have positive effects on cognitive and affective functions in these populations remains understudied. This trial compared the effects of MBSR with a health promotion program (HPP) in older immigrants.
Methods
In this single-center, randomized, double-blind controlled trial, 151 Portuguese-speaking older immigrants (≥55 years old) residing in Luxembourg were screened and 89 participants (age range: 55–80, M age: 62.58 years ± 6.08, 72 % women) were randomized to 2-month weekly group interventions of either MBSR (n = 44) or HPP (n = 45). Data were collected at three time points: baseline, immediately after the intervention (post-intervention), and at follow-up, conducted one to three months after the intervention. Executive functioning measures, including Letter-Number Sequencing, Trail Making Test, and Stroop color-word, were the main outcomes. Secondary outcomes included general cognitive functioning, cortisol level, heart rate variability, and self-reported affective and mindfulness states.
Results
75 % of participants in the MBSR group and 53 % in the HPP group completed at least one post-assessment. Linear mixed model analyses showed significant time effects in Letter-Number Sequencing (p = .04), as well as reductions in anxiety (p < .01) and perceived stress (p < .01), with no significant group differences or group × time interactions. These improvements were observed from baseline to post-intervention and still persisted at follow-up.
Conclusion
Both interventions positively influenced attention, with the most notable improvements observed in anxiety and perceived stress. These findings suggest that group interventions may have the potential to improve cognitive and affective indicators, regardless of their specific content. Despite their diverse goals, the interventions shared procedural features, such as the organization and delivery of the sessions, which may have contributed to the outcomes observed. This underscores the potential value of well-designed group-based programs in cognitive and affective indicators among vulnerable older adults. While further research is needed, our findings point to the relevance of including these interventions within the realm of promoting healthy aging and dementia prevention.
{"title":"A randomized clinical trial of mindfulness training versus a health promotion program: Impact on cognitive and mental health in older immigrants","authors":"Ana C. Teixeira-Santos, Leandro Gomes, Diana R․ Pereira, Fabiana Ribeiro, Joana Carvalheiro, Catarina Godinho, Anabela Silva-Fernandes, Etienne Le Bihan, Carine Federspiel, Jean-Paul Steinmetz, Anja K․ Leist","doi":"10.1016/j.ijchp.2025.100642","DOIUrl":"10.1016/j.ijchp.2025.100642","url":null,"abstract":"<div><h3>Background</h3><div>Mindfulness-based stress reduction (MBSR) has shown benefits for cognition and stress relief. Enhancing these functions may have a protective role in vulnerable populations, particularly older immigrants who face a higher risk of neurodegenerative disease. However, whether MBSR can have positive effects on cognitive and affective functions in these populations remains understudied. This trial compared the effects of MBSR with a health promotion program (HPP) in older immigrants.</div></div><div><h3>Methods</h3><div>In this single-center, randomized, double-blind controlled trial, 151 Portuguese-speaking older immigrants (≥55 years old) residing in Luxembourg were screened and 89 participants (age range: 55–80, <em>M</em> age: 62.58 years ± 6.08, 72 % women) were randomized to 2-month weekly group interventions of either MBSR (<em>n</em> = 44) or HPP (<em>n</em> = 45). Data were collected at three time points: baseline, immediately after the intervention (post-intervention), and at follow-up, conducted one to three months after the intervention. Executive functioning measures, including Letter-Number Sequencing, Trail Making Test, and Stroop color-word, were the main outcomes. Secondary outcomes included general cognitive functioning, cortisol level, heart rate variability, and self-reported affective and mindfulness states.</div></div><div><h3>Results</h3><div>75 % of participants in the MBSR group and 53 % in the HPP group completed at least one post-assessment. Linear mixed model analyses showed significant time effects in Letter-Number Sequencing (<em>p</em> = .04), as well as reductions in anxiety (<em>p</em> < .01) and perceived stress (<em>p</em> < .01), with no significant group differences or group × time interactions. These improvements were observed from baseline to post-intervention and still persisted at follow-up.</div></div><div><h3>Conclusion</h3><div>Both interventions positively influenced attention, with the most notable improvements observed in anxiety and perceived stress. These findings suggest that group interventions may have the potential to improve cognitive and affective indicators, regardless of their specific content. Despite their diverse goals, the interventions shared procedural features, such as the organization and delivery of the sessions, which may have contributed to the outcomes observed. This underscores the potential value of well-designed group-based programs in cognitive and affective indicators among vulnerable older adults. While further research is needed, our findings point to the relevance of including these interventions within the realm of promoting healthy aging and dementia prevention.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100642"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145364126","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}
Pub Date : 2025-10-01DOI: 10.1016/j.ijchp.2025.100634
Lilly J. Schmalbrock , Nils Kager , Florian Kirchhoff , Stefan Schiele , Andreas Dinkel , Jürgen E. Gschwend , Kathleen Herkommer
Purpose
This study assessed self-efficacy (SE) among long-term prostate cancer survivors after radical prostatectomy and explored associated factors.
Methods
As part of the nationwide project “Familial Prostate Cancer”, long-term prostate cancer survivors completed a follow-up survey, which included the validated General Self-Efficacy Short Scale (GSE-3). Sociodemographic, clinical, and psychosocial data were collected, including quality of life (QoL), symptoms of depression or anxiety, benefit finding, happiness, and perceived disease severity. Variables independently associated with SE were identified using a multiple linear regression analysis.
Results
2534 prostate cancer survivors (mean age: 79.9 ± 6.4 years; mean follow-up: 18.3 ± 3.8 years post-RP) were included. The majority of men (97.0 %) were still undergoing regular follow-up. The mean SE score was 4.0 ± 0.7 (possible range 1–5). Lower SE was observed in men who were older, had lower educational level, poorer subjective economic status, another malignancy during lifetime, and were currently under treatment (all p < 0.05). Additionally, lower SE was associated with poorer QoL, reduced benefit finding, lower happiness, higher levels of depression and anxiety symptoms, and higher perceived disease severity (all p < 0.01). The regression model revealed independent associations between lower SE and older age, lower educational status, lower QoL, lower happiness and higher level of anxiety (all p < 0.05).
Conclusions
General self-efficacy was rather high among long-term prostate cancer survivors. Sociodemographic and psychological variables, but no clinical parameters, were independently associated with SE.
Implications for Cancer Survivors
Implementing interventions aimed at enhancing SE during follow-up care – particularly among older survivors, those with lower educational level, and symptoms of anxiety – could improve SE and thus positively affect QoL.
{"title":"Self-efficacy in long-term prostate cancer survivors","authors":"Lilly J. Schmalbrock , Nils Kager , Florian Kirchhoff , Stefan Schiele , Andreas Dinkel , Jürgen E. Gschwend , Kathleen Herkommer","doi":"10.1016/j.ijchp.2025.100634","DOIUrl":"10.1016/j.ijchp.2025.100634","url":null,"abstract":"<div><h3>Purpose</h3><div>This study assessed self-efficacy (SE) among long-term prostate cancer survivors after radical prostatectomy and explored associated factors.</div></div><div><h3>Methods</h3><div>As part of the nationwide project “Familial Prostate Cancer”, long-term prostate cancer survivors completed a follow-up survey, which included the validated General Self-Efficacy Short Scale (GSE-3). Sociodemographic, clinical, and psychosocial data were collected, including quality of life (QoL), symptoms of depression or anxiety, benefit finding, happiness, and perceived disease severity. Variables independently associated with SE were identified using a multiple linear regression analysis.</div></div><div><h3>Results</h3><div>2534 prostate cancer survivors (mean age: 79.9 ± 6.4 years; mean follow-up: 18.3 ± 3.8 years post-RP) were included. The majority of men (97.0 %) were still undergoing regular follow-up. The mean SE score was 4.0 ± 0.7 (possible range 1–5). Lower SE was observed in men who were older, had lower educational level, poorer subjective economic status, another malignancy during lifetime, and were currently under treatment (all <em>p</em> < 0.05). Additionally, lower SE was associated with poorer QoL, reduced benefit finding, lower happiness, higher levels of depression and anxiety symptoms, and higher perceived disease severity (all <em>p</em> < 0.01). The regression model revealed independent associations between lower SE and older age, lower educational status, lower QoL, lower happiness and higher level of anxiety (all <em>p</em> < 0.05).</div></div><div><h3>Conclusions</h3><div>General self-efficacy was rather high among long-term prostate cancer survivors. Sociodemographic and psychological variables, but no clinical parameters, were independently associated with SE.</div></div><div><h3>Implications for Cancer Survivors</h3><div>Implementing interventions aimed at enhancing SE during follow-up care – particularly among older survivors, those with lower educational level, and symptoms of anxiety – could improve SE and thus positively affect QoL.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100634"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325497","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}
Pub Date : 2025-10-01DOI: 10.1016/j.ijchp.2025.100638
Nell Norman-Nott , Rodrigo R.N. Rizzo , Negin Hesam-Shariati , Jessica Schroeder , Jina Suh , James H. McAuley , Yann Quidé , Sylvia M. Gustin
Objectives
Psychological interventions for people with chronic pain increasingly target emotion dysregulation as a contributing factor in psychological comorbidity and pain intensity. The acceptability of these interventions remains uncertain. This qualitative study examined the acceptability of internet-delivered dialectical behavioural therapy for chronic pain (iDBT-Pain), an emotion regulation skills-focused (ERSF) intervention aimed at enhancing emotion dysregulation. iDBT-Pain integrates DBT skills training, and pain science education, in a hybrid guided and self-directed online format.
Methods
We conducted 18 semi-structured interviews with participants enrolled in a Randomised Controlled trial which showed iDBT-Pain significantly improves emotion dysregulation, depression symptoms and pain intensity. Interviews were recorded, transcribed, and deductively analysed according to a theoretical framework of acceptability.
Results
Participants perspectives supported the integration of emotion regulation skills within holistic chronic pain treatment, identifying their efficacy to enhance emotion regulation capabilities and reduce pain intensity. There was also acceptance of the online group-based delivery, and hybrid therapist-guided/self-directed approach.
Discussion
Findings highlight the need for clinical assessment to gauge client readiness for an emotionally focused approach, assess sensitivity to others’ emotions in a group setting, and ensure personalisation of digital components to enhance engagement. These findings have implications for developing iDBT-Pain and for ERSF interventions, particularly those delivered online and to groups. The findings also underscore the role of emotion regulation as a key mechanism in chronic pain, supporting research that advocates for its deeper exploration as a central psychological target in chronic pain mental health treatment.
{"title":"“It’s just crucial to deal with emotions as well as the pain” A qualitative acceptability study of an online emotion regulation skills-focused intervention for people with chronic pain","authors":"Nell Norman-Nott , Rodrigo R.N. Rizzo , Negin Hesam-Shariati , Jessica Schroeder , Jina Suh , James H. McAuley , Yann Quidé , Sylvia M. Gustin","doi":"10.1016/j.ijchp.2025.100638","DOIUrl":"10.1016/j.ijchp.2025.100638","url":null,"abstract":"<div><h3>Objectives</h3><div>Psychological interventions for people with chronic pain increasingly target emotion dysregulation as a contributing factor in psychological comorbidity and pain intensity. The acceptability of these interventions remains uncertain. This qualitative study examined the acceptability of internet-delivered dialectical behavioural therapy for chronic pain (iDBT-Pain), an emotion regulation skills-focused (ERSF) intervention aimed at enhancing emotion dysregulation. iDBT-Pain integrates DBT skills training, and pain science education, in a hybrid guided and self-directed online format.</div></div><div><h3>Methods</h3><div>We conducted 18 semi-structured interviews with participants enrolled in a Randomised Controlled trial which showed iDBT-Pain significantly improves emotion dysregulation, depression symptoms and pain intensity. Interviews were recorded, transcribed, and deductively analysed according to a theoretical framework of acceptability.</div></div><div><h3>Results</h3><div>Participants perspectives supported the integration of emotion regulation skills within holistic chronic pain treatment, identifying their efficacy to enhance emotion regulation capabilities and reduce pain intensity. There was also acceptance of the online group-based delivery, and hybrid therapist-guided/self-directed approach.</div></div><div><h3>Discussion</h3><div>Findings highlight the need for clinical assessment to gauge client readiness for an emotionally focused approach, assess sensitivity to others’ emotions in a group setting, and ensure personalisation of digital components to enhance engagement. These findings have implications for developing iDBT-Pain and for ERSF interventions, particularly those delivered online and to groups. The findings also underscore the role of emotion regulation as a key mechanism in chronic pain, supporting research that advocates for its deeper exploration as a central psychological target in chronic pain mental health treatment.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100638"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325496","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}
The disclosure of breast biopsy results, whether indicating cancer (positive) or not (negative), can be experienced as a psychologically distressing event and could involve perceived threat to life. As peritraumatic distress is a predictor of post-event psychological symptoms, its investigation in the context of breast cancer screening could improve early identification of individuals at risk for persistent distress. This study first examined the proportion of individuals exceeding the clinical threshold for post-traumatic stress symptoms (PTSS) and non-specific distress (DT) at 7 days and 1-month post-biopsy results. It then tested whether peritraumatic distress experienced at the time of the result disclosure predicted PTSS and DT at both timepoints. An exploratory objective assessed whether perceived life threat at disclosure predicted distress outcomes differently based on biopsy results. In a sample of 191 participants, 85.9% exceeded the PTSS threshold at 7 days and 73.6% at 1 month. In contrast, 12.3% exceeded the DT threshold at 7 days, and 8.5% at 1 month. Peritraumatic distress significantly predicted PTSS at 7 days (B = 0.44, SE = 0.16, t = 2.80, p = .006) and 1 month (B = 0.76, SE = 0.18, t = 4.26, p < .001), and DT at only 7 days (B = 0.08, SE = 0.03, t = 2.60, p = .010), regardless of diagnosis outcome. Exploratory analyses showed that perceived life threat at disclosure predicted PTSS at both timepoints, only among individuals with negative results (B = 6.59, SE = 2.03, 95% CI [2.58, 10.59], p < .001). These findings highlight that the screening process itself can be perceived as life-threatening, and that assessing peritraumatic distress at the time of biopsy results may help prevent lasting symptoms, even without a cancer diagnosis.
乳房活检结果的披露，无论是否显示癌症（阳性）（阴性），都可能是一种心理上的痛苦事件，可能涉及到对生命的威胁。由于创伤后应激是事件后心理症状的预测因子，在乳腺癌筛查的背景下对其进行调查可以提高对有持续应激风险的个体的早期识别。本研究首先在活检后7天和1个月检查了超过创伤后应激症状（PTSS）和非特异性痛苦（DT）临床阈值的个体比例。然后测试在结果披露时经历的创伤周围窘迫是否预测两个时间点的PTSS和DT。一个探索性的目标评估是否感知生命威胁的披露预测痛苦的结果不同基于活检结果。在191名参与者的样本中，85.9%在7天超过PTSS阈值，73.6%在1个月超过PTSS阈值。相比之下，12.3%在7天超过DT阈值，8.5%在1个月。无论诊断结果如何，创伤周围窘迫显著预测7天（B = 0.44, SE = 0.16, t = 2.80, p = 0.006）和1个月（B = 0.76, SE = 0.18, t = 4.26, p < 001）的PTSS和仅7天的DT （B = 0.08, SE = 0.03, t = 2.60, p = 0.010）。探索性分析显示，只有在结果为阴性的个体中，披露时的生命威胁感知能预测两个时间点的创伤后应激障碍（B = 6.59, SE = 2.03, 95% CI [2.58, 10.59], p < 0.001）。这些发现强调，筛查过程本身可能被认为是危及生命的，在活检结果时评估创伤周围窘迫可能有助于预防持续症状，即使没有癌症诊断。
{"title":"When good news are not enough: Predicting trauma-related symptoms and non-specific distress after negative and positive breast biopsy results","authors":"Justine Fortin , Ariane Paquin , Alexe Bilodeau-Houle , Roxanne Leblanc , Marie-Claude Lefebvre , Clarisse Defer , Irma Horna Perez , Alain Brunet , Marie-France Marin","doi":"10.1016/j.ijchp.2025.100649","DOIUrl":"10.1016/j.ijchp.2025.100649","url":null,"abstract":"<div><div>The disclosure of breast biopsy results, whether indicating cancer (positive) or not (negative), can be experienced as a psychologically distressing event and could involve perceived threat to life. As peritraumatic distress is a predictor of post-event psychological symptoms, its investigation in the context of breast cancer screening could improve early identification of individuals at risk for persistent distress. This study first examined the proportion of individuals exceeding the clinical threshold for post-traumatic stress symptoms (PTSS) and non-specific distress (DT) at 7 days and 1-month post-biopsy results. It then tested whether peritraumatic distress experienced at the time of the result disclosure predicted PTSS and DT at both timepoints. An exploratory objective assessed whether perceived life threat at disclosure predicted distress outcomes differently based on biopsy results. In a sample of 191 participants, 85.9% exceeded the PTSS threshold at 7 days and 73.6% at 1 month. In contrast, 12.3% exceeded the DT threshold at 7 days, and 8.5% at 1 month. Peritraumatic distress significantly predicted PTSS at 7 days (<em>B</em> = 0.44, SE = 0.16, <em>t</em> = 2.80, <em>p</em> = .006) and 1 month (<em>B</em> = 0.76, SE = 0.18, <em>t</em> = 4.26, <em>p</em> < .001), and DT at only 7 days (<em>B</em> = 0.08, SE = 0.03, <em>t</em> = 2.60, <em>p</em> = .010), regardless of diagnosis outcome. Exploratory analyses showed that perceived life threat at disclosure predicted PTSS at both timepoints, only among individuals with negative results (<em>B</em> = 6.59, SE = 2.03, 95% CI [2.58, 10.59], <em>p</em> < .001). These findings highlight that the screening process itself can be perceived as life-threatening, and that assessing peritraumatic distress at the time of biopsy results may help prevent lasting symptoms, even without a cancer diagnosis.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100649"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145568207","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}
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