首页 > 最新文献

International Journal of Clinical and Health Psychology最新文献

英文 中文
Comparing adaptive tablet-based cognitive training and paper-and-pencil cognitive training: a pilot randomized controlled trial with community-dwelling stroke survivors 比较适应性基于平板电脑的认知训练和纸笔认知训练:一项针对社区居住中风幸存者的随机对照试验
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100627
Joana Câmara , Sofia Carlos de Aguiar , Teresa Paulino , Ana Lúcia Faria , Sergi Bermúdez i Badia , Manuela Vilar , Eduardo Fermé

Introduction

This study explored the feasibility and the preliminary efficacy of adaptive tablet-based cognitive training (CT) and paper-and-pencil CT approaches for mitigating multidomain post-stroke cognitive and noncognitive deficits.

Methods

In this two-arm pilot randomized controlled trial, participants were randomly assigned to the NeuroAIreh@b (NAIr; adaptive tablet-based CT inspired by activities of daily living) and the Task Generator (TG; adaptive paper-and-pencil CT). A non-randomized passive control group was recruited for comparative purposes. Interventions comprised 12 bi-weekly 30-minute sessions. Primary outcomes explored training effects on several cognitive (e.g., global cognition, episodic memory), and noncognitive domains (e.g., quality of life, functional abilities).

Results

A total of 20 participants were randomized (NAIr: n = 10; TG = 10). Within-group analysis revealed that the NAIr group presented significant improvements in more cognitive domains than the TG, and reported less functional disability, increased quality of life and greater motivation for rehabilitation at post-intervention. At follow-up, the NAIr group further improved in several cognitive domains and reported greater quality of life, while TG only improved in global cognition. Between-group analysis exhibited a pattern of superior performance in the adaptive CT groups over passive controls.

Conclusions

Findings suggest that adaptive CT interventions are feasible to implement and lead to cognitive and noncognitive improvements in community-dwelling stroke survivors. However, while both training approaches yield different short and medium/long-term benefits, the NAIr – a more ecologically valid method – was the only to promote generalization of training effects to functionality and quality of life at post-intervention and three-month follow-up, respectively.

Trial registration

The trial is registered at ClinicalTrials.gov, number NCT05929287. Registered July 3rd, 2023 (cf. https://classic.clinicaltrials.gov/ct2/show/NCT05929287).
本研究探讨了适应性平板认知训练(CT)和纸笔CT方法缓解脑卒中后多领域认知和非认知缺陷的可行性和初步疗效。方法在这项两组随机对照试验中,参与者被随机分配到NeuroAIreh@b (NAIr,受日常生活活动启发的自适应平板CT)和Task Generator (TG,自适应纸笔CT)。为了进行比较,我们招募了一个非随机的被动对照组。干预措施包括12次每两周30分钟的会议。主要结果探讨了训练对几个认知领域(如整体认知、情景记忆)和非认知领域(如生活质量、功能能力)的影响。结果共纳入20例受试者(NAIr: n = 10; TG = 10)。组内分析显示,与TG相比,NAIr组在更多的认知领域表现出显著的改善,并报告了更少的功能性残疾,提高了生活质量,干预后的康复动力更大。在随访中,NAIr组在几个认知领域进一步改善,并报告了更高的生活质量,而TG仅在整体认知方面有所改善。组间分析显示适应性CT组的表现优于被动对照组。结论适应性CT干预是可行的,可改善社区卒中幸存者的认知和非认知能力。然而,尽管两种训练方法都能产生不同的短期和中期/长期效益,但在干预后和三个月的随访中,NAIr -一种更生态有效的方法-是唯一能促进训练效果对功能和生活质量的推广。试验注册该试验在ClinicalTrials.gov上注册,编号NCT05929287。2023年7月3日注册(参见https://classic.clinicaltrials.gov/ct2/show/NCT05929287)。
{"title":"Comparing adaptive tablet-based cognitive training and paper-and-pencil cognitive training: a pilot randomized controlled trial with community-dwelling stroke survivors","authors":"Joana Câmara ,&nbsp;Sofia Carlos de Aguiar ,&nbsp;Teresa Paulino ,&nbsp;Ana Lúcia Faria ,&nbsp;Sergi Bermúdez i Badia ,&nbsp;Manuela Vilar ,&nbsp;Eduardo Fermé","doi":"10.1016/j.ijchp.2025.100627","DOIUrl":"10.1016/j.ijchp.2025.100627","url":null,"abstract":"<div><h3>Introduction</h3><div>This study explored the feasibility and the preliminary efficacy of adaptive tablet-based cognitive training (CT) and paper-and-pencil CT approaches for mitigating multidomain post-stroke cognitive and noncognitive deficits.</div></div><div><h3>Methods</h3><div>In this two-arm pilot randomized controlled trial, participants were randomly assigned to the NeuroAIreh@b (NAIr; adaptive tablet-based CT inspired by activities of daily living) and the Task Generator (TG; adaptive paper-and-pencil CT). A non-randomized passive control group was recruited for comparative purposes. Interventions comprised 12 bi-weekly 30-minute sessions. Primary outcomes explored training effects on several cognitive (e.g., global cognition, episodic memory), and noncognitive domains (e.g., quality of life, functional abilities).</div></div><div><h3>Results</h3><div>A total of 20 participants were randomized (NAIr: <em>n</em> = 10; TG = 10). Within-group analysis revealed that the NAIr group presented significant improvements in more cognitive domains than the TG, and reported less functional disability, increased quality of life and greater motivation for rehabilitation at post-intervention. At follow-up, the NAIr group further improved in several cognitive domains and reported greater quality of life, while TG only improved in global cognition. Between-group analysis exhibited a pattern of superior performance in the adaptive CT groups over passive controls.</div></div><div><h3>Conclusions</h3><div>Findings suggest that adaptive CT interventions are feasible to implement and lead to cognitive and noncognitive improvements in community-dwelling stroke survivors. However, while both training approaches yield different short and medium/long-term benefits, the NAIr – a more ecologically valid method – was the only to promote generalization of training effects to functionality and quality of life at post-intervention and three-month follow-up, respectively.</div></div><div><h3>Trial registration</h3><div>The trial is registered at ClinicalTrials.gov, number NCT05929287. Registered July 3rd, 2023 (cf. <span><span>https://classic.clinicaltrials.gov/ct2/show/NCT05929287</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100627"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157321","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
Clinical benefits and challenges of ecological momentary assessment in individuals who self-injure and seek mental health treatment 生态瞬间评估在自残和寻求心理健康治疗的个体中的临床益处和挑战
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100618
Rafaël A. Bonnier , Joanne R. Beames , Laurence Claes , Olivia J. Kirtley , Lena de Thurah , Jeroen D.M. Weermeijer , Lotte Uyttebroek , Mirthe Luijsmans , Inez Myin-Germeys , Glenn Kiekens

Introduction

Non-suicidal Self-Injury (NSSI) is a prevalent transdiagnostic behavior. The use of Ecological Momentary Assessment (EMA) shows clinical potential, but the potential utility for individuals who self-injure remains unclear. This prospective study evaluates self-reported benefits (e.g., self-insight and self-efficacy) and challenges (e.g., beep disturbances and emotional discomfort) associated with using EMA among treatment-seeking individuals with past-month NSSI.

Methods

In this cohort study, 124 treatment-seeking adolescents and adults who self-injure completed a 28-day EMA protocol with six daily assessments of emotions, cognitions, and behaviors (including self-injury). After one month, participants completed an EMA feedback survey.

Results

A total of 98 patients completed the feedback survey (Response Rate = 79.03%). Average EMA compliance was 74.87% (SD = 18.78) and decreased linearly across time. Four in five patients (78.57%) reported experiencing at least one benefit. After using EMA, 32.65% reported increased general self-insight, 64.58% reported increased NSSI-specific self-insight, 9.28% reported increased general self-efficacy, and 41.67% reported improved self-efficacy to resist NSSI. Across the sample, 7.29% experienced EMA in treatment as tiring, stressful, at times overwhelming, and not enjoyable. Higher levels of emotional discomfort were significantly associated with lower compliance (r=-0.29, p=.004), higher beep disturbance (r=.37, p < .001), and lower general self-insight (r=-0.28, p=.006). When participants felt more overwhelmed by their emotions than usual, they also reported higher beep disturbance within the same and the next assessment.

Conclusion

Although the use of EMA in treatment may evoke emotional discomfort in patients, it may help promote NSSI-specific self-insight and self-efficacy outside the therapy room in patients who self-injure.
非自杀性自伤(NSSI)是一种普遍的跨诊断行为。生态瞬时评估(EMA)的使用显示了临床潜力,但对自残个体的潜在效用尚不清楚。本前瞻性研究评估了在过去一个月的自伤患者中使用EMA与自我报告的益处(例如,自我洞察力和自我效能)和挑战(例如,蜂鸣声干扰和情绪不适)相关。在这项队列研究中,124名寻求治疗的自伤青少年和成人完成了为期28天的EMA方案,每天对情绪、认知和行为(包括自伤)进行6次评估。一个月后,参与者完成了EMA反馈调查。结果共98例患者完成反馈调查,有效率为79.03%。平均EMA依从性为74.87% (SD = 18.78),随时间线性下降。五分之四的患者(78.57%)报告至少有一种获益。使用EMA后,32.65%的人表示一般自我顿悟提高,64.58%的人表示自伤特异性自我顿悟提高,9.28%的人表示一般自我效能提高,41.67%的人表示抵抗自伤的自我效能提高。在整个样本中,7.29%的患者在治疗过程中感到疲劳、压力大、有时不堪重负、不愉快。较高的情绪不适水平与较低的依从性(r=-0.29, p= 0.004)、较高的蜂鸣声干扰(r= 0.37, p < 0.001)和较低的总体自我洞察力(r=-0.28, p= 0.006)显著相关。当参与者比平时更容易被自己的情绪所压倒时,他们在同一次和下一次评估中也报告了更高的哔哔声干扰。结论虽然在治疗中使用EMA可能会引起患者的情绪不适,但它可能有助于提高自伤患者在治疗室外的自伤特异性自我洞察力和自我效能感。
{"title":"Clinical benefits and challenges of ecological momentary assessment in individuals who self-injure and seek mental health treatment","authors":"Rafaël A. Bonnier ,&nbsp;Joanne R. Beames ,&nbsp;Laurence Claes ,&nbsp;Olivia J. Kirtley ,&nbsp;Lena de Thurah ,&nbsp;Jeroen D.M. Weermeijer ,&nbsp;Lotte Uyttebroek ,&nbsp;Mirthe Luijsmans ,&nbsp;Inez Myin-Germeys ,&nbsp;Glenn Kiekens","doi":"10.1016/j.ijchp.2025.100618","DOIUrl":"10.1016/j.ijchp.2025.100618","url":null,"abstract":"<div><h3>Introduction</h3><div>Non-suicidal Self-Injury (NSSI) is a prevalent transdiagnostic behavior. The use of Ecological Momentary Assessment (EMA) shows clinical potential, but the potential utility for individuals who self-injure remains unclear. This prospective study evaluates self-reported benefits (e.g., self-insight and self-efficacy) and challenges (e.g., beep disturbances and emotional discomfort) associated with using EMA among treatment-seeking individuals with past-month NSSI.</div></div><div><h3>Methods</h3><div>In this cohort study, 124 treatment-seeking adolescents and adults who self-injure completed a 28-day EMA protocol with six daily assessments of emotions, cognitions, and behaviors (including self-injury). After one month, participants completed an EMA feedback survey.</div></div><div><h3>Results</h3><div>A total of 98 patients completed the feedback survey (Response Rate = 79.03%). Average EMA compliance was 74.87% (SD = 18.78) and decreased linearly across time. Four in five patients (78.57%) reported experiencing at least one benefit. After using EMA, 32.65% reported increased general self-insight, 64.58% reported increased NSSI-specific self-insight, 9.28% reported increased general self-efficacy, and 41.67% reported improved self-efficacy to resist NSSI. Across the sample, 7.29% experienced EMA in treatment as tiring, stressful, at times overwhelming, and not enjoyable. Higher levels of emotional discomfort were significantly associated with lower compliance (<em>r</em>=-0.29, <em>p</em>=.004), higher beep disturbance (<em>r</em>=.37, <em>p</em> &lt; .001), and lower general self-insight (<em>r</em>=-0.28, <em>p</em>=.006). When participants felt more overwhelmed by their emotions than usual, they also reported higher beep disturbance within the same and the next assessment.</div></div><div><h3>Conclusion</h3><div>Although the use of EMA in treatment may evoke emotional discomfort in patients, it may help promote NSSI-specific self-insight and self-efficacy outside the therapy room in patients who self-injure.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100618"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117849","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
Examining the reliability and sources of validity evidence of the sexual cognitions checklist 检验性认知量表的信度和效度证据来源
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100605
Carlos Pérez-Amorós , Juan Carlos Sierra , Oscar Cervilla , María del Mar Sánchez-Fuentes

Background/objective

The Sexual Cognitions Checklist (SCC) is the only measure that distinguishes and assesses both positive (PSC) and negative sexual cognitions (NSC). This study aimed to deepen the psychometric properties of its Spanish version by testing invariance, reliability, differences in frequency, associations with sexual functioning in solitary masturbation and sexual relationships and presenting standard scores.

Method

A total of 2004 Spanish cisgender heterosexual adults (48.1% men, 51.9% women) aged 18 to 79 years (M = 38.23; SD = 13.70), distributed across age groups (18–34, 35–49 and 50 or older) participated. Analyses included measurement invariance, McDonald’s omega, MANCOVAs, correlations, partial correlations, and regression models. Norms for positive sexual cognitions were generated by gender and age.

Results

Strict invariance was confirmed across educational level, relationship status, and relationship length, and partial strict invariance for gender on both the SCC-PSC and SCC-NSC scales. Age showed strict invariance in the SCC-PSC scale and configural in the SCC-NSC scale. The subscales showed good internal consistency. Frequency differences emerged, notably by gender, with men scoring higher in positive and women in negative sexual cognitions. Positive sexual cognitions were positively associated with sexual functioning, negative ones showed negative and weaker associations.

Conclusions

The Spanish SCC version demonstrates reliability of its scores and provides sources of validity evidence for the interpretation of its scores, including associations with sexual functioning and measurement invariance across groups, enabling group comparisons. The availability of norms for positive sexual cognitions further supports its application in clinical settings. Future studies should include diverse populations and individuals with diagnosed sexual dysfunctions.
背景/目的性认知检查表(SCC)是区分和评估阳性(PSC)和阴性(NSC)性认知的唯一方法。本研究旨在通过测试其西班牙语版本的不变性、可靠性、频率差异、与单独手淫和性关系中性功能的关联,并提出标准分数来加深其心理测量学特性。方法2004例18 ~ 79岁的西班牙异性恋成年人(男性48.1%,女性51.9%)(M = 38.23;SD = 13.70),分布在18-34岁、35-49岁和50岁及以上的年龄组。分析包括测量不变性、麦当劳ω、mancova、相关性、部分相关性和回归模型。积极性认知的规范是由性别和年龄产生的。结果SCC-PSC和SCC-NSC量表在教育程度、关系状态和关系长度上均存在严格不变性,在性别上存在部分严格不变性。年龄在SCC-PSC量表中表现出严格的不变性,在SCC-NSC量表中表现出构型。各分量表具有良好的内部一致性。频率差异出现了,尤其是性别差异,男性在积极性认知方面得分更高,而女性在消极性认知方面得分更高。积极的性认知与性功能呈正相关,消极的性认知与性功能呈负相关且相关性较弱。结论西班牙语SCC版本证明了其分数的可靠性,并为其分数的解释提供了效度证据来源,包括与性功能和跨组测量不变性的关联,从而实现了组间比较。积极性认知规范的可用性进一步支持其在临床环境中的应用。未来的研究应该包括不同的人群和诊断为性功能障碍的个体。
{"title":"Examining the reliability and sources of validity evidence of the sexual cognitions checklist","authors":"Carlos Pérez-Amorós ,&nbsp;Juan Carlos Sierra ,&nbsp;Oscar Cervilla ,&nbsp;María del Mar Sánchez-Fuentes","doi":"10.1016/j.ijchp.2025.100605","DOIUrl":"10.1016/j.ijchp.2025.100605","url":null,"abstract":"<div><h3>Background/objective</h3><div>The Sexual Cognitions Checklist (SCC) is the only measure that distinguishes and assesses both positive (PSC) and negative sexual cognitions (NSC). This study aimed to deepen the psychometric properties of its Spanish version by testing invariance, reliability, differences in frequency, associations with sexual functioning in solitary masturbation and sexual relationships and presenting standard scores.</div></div><div><h3>Method</h3><div>A total of 2004 Spanish cisgender heterosexual adults (48.1% men, 51.9% women) aged 18 to 79 years (<em>M</em> = 38.23; <em>SD</em> = 13.70), distributed across age groups (18–34, 35–49 and 50 or older) participated. Analyses included measurement invariance, McDonald’s omega, MANCOVAs, correlations, partial correlations, and regression models. Norms for positive sexual cognitions were generated by gender and age.</div></div><div><h3>Results</h3><div>Strict invariance was confirmed across educational level, relationship status, and relationship length, and partial strict invariance for gender on both the SCC-PSC and SCC-NSC scales. Age showed strict invariance in the SCC-PSC scale and configural in the SCC-NSC scale. The subscales showed good internal consistency. Frequency differences emerged, notably by gender, with men scoring higher in positive and women in negative sexual cognitions. Positive sexual cognitions were positively associated with sexual functioning, negative ones showed negative and weaker associations.</div></div><div><h3>Conclusions</h3><div>The Spanish SCC version demonstrates reliability of its scores and provides sources of validity evidence for the interpretation of its scores, including associations with sexual functioning and measurement invariance across groups, enabling group comparisons. The availability of norms for positive sexual cognitions further supports its application in clinical settings. Future studies should include diverse populations and individuals with diagnosed sexual dysfunctions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100605"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570445","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
The acceptability of virtual reality mindfulness for the treatment of insomnia: clinicians and patients’ attitudes 虚拟现实正念治疗失眠的可接受性:临床医生和患者的态度
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100624
Rita Hitching, Murielle G Kluge, Frederick Rohan Walker, Christopher J Gordon, Lisa Lampe
<div><h3>Background</h3><div>Insomnia is a prevalent condition with substantial health, economic, and societal burden. Despite evidence supporting the use of cognitive behavioural therapy for insomnia (CBTi) accessibility remains limited, shows high dropout rates, and is ineffective for 30 % of patients. Virtual reality (VR) mindfulness offers a novel, engaging, and scalable alternative, with the potential for enhanced treatment adherence compared to other digital health interventions (e.g., apps, audio, and online programs). VR has demonstrated efficacy in treating conditions such as chronic pain, anxiety, and depression, disorders often co-occurring with insomnia, its potential for treating insomnia remains underexplored.</div></div><div><h3>Aims</h3><div>This study aimed to (1) assess the acceptability of VR mindfulness for the treatment of insomnia from clinicians and patients with chronic insomnia, and (2) identify barriers and facilitators to its adoption and clinical implementation.</div></div><div><h3>Methods</h3><div>A mixed-methods design was used, including a questionnaire assessing familiarity with digital health technologies (DHTs) and the perceived utility of VR mindfulness for insomnia, followed by a 2-h in-person focus group. Participants explored and evaluated four VR mindfulness applications. The convenience sample included (1) community-dwelling adults with chronic insomnia (ISI > 10, PSQI > 10) and (2) clinicians registered with the Australian Health Practitioner Regulation Agency (AHPRA) familiar with insomnia treatment. Focus group data were analysed using thematic analysis and inductive reasoning</div></div><div><h3>Results</h3><div>19 patients (14 F, 4 M; mean age 46.26 ± 9.19 years) with moderate-to-severe chronic insomnia (mean ISI 17.48 ± 4.29; mean PSQI 14.46 ± 4.22) and 14 clinicians (9 F, 5 M; mean age 43.93 ± 12.01 years) with an average of 15 ± 12.28 years of experience participated. 72.8 % expressed curiosity and 36.4 % excitement at the prospect of trying VR mindfulness; 36.8 % of patients and 57.1 % of clinicians stated prior experience with VR; all welcomed the possibility of a new treatment for insomnia; VR mindfulness was described as <em>“high-tech, futuristic, expensive”</em>, and “<em>complicated to use”.</em> Post-interaction patients and clinicians were enthusiastic about VR mindfulness, describing it described it as <em>“easy to use”</em> and <em>“more engaging</em>” than other approaches to mindfulness. 89.5% of patients became confident of the potential for VR mindfulness to be an effective treatment for insomnia; expressing willingness to use and recommend. Clinicians recognised its clinical utility and scalability after the brief exposure, describing it as an <em>“on-ramp"</em> to traditional mindfulness; and anticipated strong patient interest. 98 % (<em>n</em> = 13) stated that contingent on its feasibility, incorporating VR mindfulness into clinical practice would immediately improve patien
背景:失眠是一种普遍的疾病,具有巨大的健康、经济和社会负担。尽管有证据支持使用认知行为疗法治疗失眠症(CBTi),但可及性仍然有限,辍学率很高,并且对30%的患者无效。虚拟现实(VR)正念提供了一种新颖、引人入胜、可扩展的替代方案,与其他数字健康干预措施(如应用程序、音频和在线程序)相比,它有可能提高治疗依从性。VR在治疗慢性疼痛、焦虑和抑郁等疾病方面已经证明了疗效,这些疾病通常与失眠同时发生,但其治疗失眠的潜力仍未得到充分探索。本研究旨在(1)评估临床医生和慢性失眠患者对VR正念治疗失眠的接受程度,以及(2)确定其采用和临床实施的障碍和促进因素。方法采用混合方法设计,包括评估对数字健康技术(dht)的熟悉程度和VR正念对失眠的感知效用的问卷调查,然后是2小时的面对面焦点小组。参与者探索并评估了四种VR正念应用。方便样本包括:(1)社区居住的慢性失眠症成年人(ISI > 10, PSQI > 10)和(2)在澳大利亚卫生从业人员监管机构(AHPRA)注册的熟悉失眠治疗的临床医生。结果19例中重度慢性失眠症患者(14名F, 4名M,平均年龄46.26±9.19岁)(平均ISI为17.48±4.29;平均PSQI为14.46±4.22)和14名临床医生(9名F, 5名M,平均年龄43.93±12.01岁),平均经验为15±12.28年。72.8%的人表示好奇,36.4%的人对尝试VR正念的前景感到兴奋;36.8%的患者和57.1%的临床医生表示有过VR的经验;所有人都对失眠新疗法的可能性表示欢迎;VR正念被描述为“高科技、未来主义、昂贵”和“使用复杂”。互动后的患者和临床医生对VR正念充满热情,称其“易于使用”,比其他正念方法“更吸引人”。89.5%的患者相信VR正念有可能成为治疗失眠的有效方法;表示愿意使用和推荐。在短暂的接触后,临床医生认识到它的临床实用性和可扩展性,将其描述为传统正念的“入口斜坡”;预计病人会有强烈的兴趣。98% (n = 13)的人表示,视其可行性而定,将VR正念纳入临床实践将立即改善患者护理。费用并不是病人收养的障碍;舒适度和疗效分别为。VR正念的安全性和商业可用性是推动其采用的关键因素。结论vr正念是一种可接受的、有吸引力的、可扩展的失眠治疗方法,具有快速临床应用的潜力。进一步的研究证明其可行性和有效性是整合到临床实践的重要的第一步。
{"title":"The acceptability of virtual reality mindfulness for the treatment of insomnia: clinicians and patients’ attitudes","authors":"Rita Hitching,&nbsp;Murielle G Kluge,&nbsp;Frederick Rohan Walker,&nbsp;Christopher J Gordon,&nbsp;Lisa Lampe","doi":"10.1016/j.ijchp.2025.100624","DOIUrl":"10.1016/j.ijchp.2025.100624","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Insomnia is a prevalent condition with substantial health, economic, and societal burden. Despite evidence supporting the use of cognitive behavioural therapy for insomnia (CBTi) accessibility remains limited, shows high dropout rates, and is ineffective for 30 % of patients. Virtual reality (VR) mindfulness offers a novel, engaging, and scalable alternative, with the potential for enhanced treatment adherence compared to other digital health interventions (e.g., apps, audio, and online programs). VR has demonstrated efficacy in treating conditions such as chronic pain, anxiety, and depression, disorders often co-occurring with insomnia, its potential for treating insomnia remains underexplored.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aims&lt;/h3&gt;&lt;div&gt;This study aimed to (1) assess the acceptability of VR mindfulness for the treatment of insomnia from clinicians and patients with chronic insomnia, and (2) identify barriers and facilitators to its adoption and clinical implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A mixed-methods design was used, including a questionnaire assessing familiarity with digital health technologies (DHTs) and the perceived utility of VR mindfulness for insomnia, followed by a 2-h in-person focus group. Participants explored and evaluated four VR mindfulness applications. The convenience sample included (1) community-dwelling adults with chronic insomnia (ISI &gt; 10, PSQI &gt; 10) and (2) clinicians registered with the Australian Health Practitioner Regulation Agency (AHPRA) familiar with insomnia treatment. Focus group data were analysed using thematic analysis and inductive reasoning&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;19 patients (14 F, 4 M; mean age 46.26 ± 9.19 years) with moderate-to-severe chronic insomnia (mean ISI 17.48 ± 4.29; mean PSQI 14.46 ± 4.22) and 14 clinicians (9 F, 5 M; mean age 43.93 ± 12.01 years) with an average of 15 ± 12.28 years of experience participated. 72.8 % expressed curiosity and 36.4 % excitement at the prospect of trying VR mindfulness; 36.8 % of patients and 57.1 % of clinicians stated prior experience with VR; all welcomed the possibility of a new treatment for insomnia; VR mindfulness was described as &lt;em&gt;“high-tech, futuristic, expensive”&lt;/em&gt;, and “&lt;em&gt;complicated to use”.&lt;/em&gt; Post-interaction patients and clinicians were enthusiastic about VR mindfulness, describing it described it as &lt;em&gt;“easy to use”&lt;/em&gt; and &lt;em&gt;“more engaging&lt;/em&gt;” than other approaches to mindfulness. 89.5% of patients became confident of the potential for VR mindfulness to be an effective treatment for insomnia; expressing willingness to use and recommend. Clinicians recognised its clinical utility and scalability after the brief exposure, describing it as an &lt;em&gt;“on-ramp\"&lt;/em&gt; to traditional mindfulness; and anticipated strong patient interest. 98 % (&lt;em&gt;n&lt;/em&gt; = 13) stated that contingent on its feasibility, incorporating VR mindfulness into clinical practice would immediately improve patien","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100624"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145105008","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
Unravelling symptom interplay of depression, anxiety, insomnia and suicidality in adolescents: A network analysis 青少年抑郁、焦虑、失眠和自杀的症状相互作用:网络分析
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100619
Hao Fong SIT , Forrest Tin Wai CHEUNG , Xiao LI , Ngan Yin CHAN , Joey Wing Yan CHAN , Yun Kwok WING , Shirley Xin LI

Background

Depression, anxiety, and insomnia have been identified as risk factors for suicidality. However, limited research has explored the interplay among these mental health problems at a symptom level and how they relate to suicidality, especially in adolescents - a group undergoing substantial developmental changes, such as intrinsic circadian delay. This study aimed to examine the symptom networks of depression, anxiety, and insomnia in relation to suicidality and chronotype, and to identify potential bridge symptoms linking these symptom clusters.

Methods

A total of 3037 adolescents (Mean age = 14.56 ± 1.77; 35.40 % male) were recruited. Symptoms of depression, anxiety, and insomnia were assessed using the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7) and Insomnia Severity Index (ISI). Network estimation methods were employed to identify central and bridge symptoms and to compare the network models across gender and chronotype groups.

Results

The prevalence of probable depression (PHQ-9 ≥ 10), anxiety (GAD-7 ≥ 10), and insomnia (ISI ≥ 9) was 32.6 %, 23.1 %, and 30.5 %, respectively. About 27.7 % of adolescents reported suicidality within the past two weeks. Within the network, difficulty maintaining sleep emerged as the most influential node, followed by uncontrollable worry, distress caused by sleep disturbances, trouble relaxing, and sad mood. Additionally, sad mood, sleep disturbances, fatigue, and guilt from the depression cluster, and uncontrollable worry from the anxiety cluster were identified as the strongest bridge symptoms in the network. The symptom networks did not differ in global edge strength and network structure across genders and chronotypes (ps > 0.10). Notably, all identified bridge symptoms, except fatigue, were directly linked to suicidality.

Conclusion

Our findings highlighted the potential transdiagnostic significance of sad mood, sleep disturbances, fatigue, guilt, and uncontrollable worry in the development and maintenance of the comorbidity of depression, anxiety, insomnia, and suicidality in adolescents. Targeting these symptoms may inform more effective intervention strategies to manage psychopathology and reduce suicidality in this population.
背景:抑郁、焦虑和失眠已被确定为自杀的危险因素。然而,有限的研究已经在症状水平上探索了这些心理健康问题之间的相互作用,以及它们与自杀的关系,特别是在青少年中-一个经历重大发展变化的群体,如内在的昼夜节律延迟。本研究旨在研究抑郁、焦虑和失眠的症状网络与自杀和睡眠类型的关系,并确定连接这些症状群的潜在桥梁症状。方法共招募青少年3037人,平均年龄为14.56±1.77岁,男性占35.40%。采用患者健康问卷-9 (PHQ-9)、一般焦虑障碍-7 (GAD-7)和失眠严重程度指数(ISI)评估抑郁、焦虑和失眠症状。采用网络估计方法来识别中心症状和桥梁症状,并比较跨性别和不同时型组的网络模型。结果抑郁(PHQ-9≥10)、焦虑(GAD-7≥10)和失眠(ISI≥9)的发生率分别为32.6%、23.1%和30.5%。约27.7%的青少年在过去两周内有自杀倾向。在网络中,睡眠困难是影响最大的节点,其次是无法控制的担忧、睡眠障碍引起的痛苦、难以放松和悲伤情绪。此外,抑郁集群中的悲伤情绪、睡眠障碍、疲劳和内疚,以及焦虑集群中的无法控制的担忧被确定为网络中最强的桥梁症状。症状网络的整体边缘强度和网络结构在性别和时间类型上没有差异(ps > 0.10)。值得注意的是,除疲劳外,所有确定的过桥症状都与自杀直接相关。结论悲伤情绪、睡眠障碍、疲劳、内疚和无法控制的担忧在青少年抑郁、焦虑、失眠和自杀共病的发展和维持中具有潜在的跨诊断意义。针对这些症状可以告知更有效的干预策略来管理精神病理和减少这一人群的自杀率。
{"title":"Unravelling symptom interplay of depression, anxiety, insomnia and suicidality in adolescents: A network analysis","authors":"Hao Fong SIT ,&nbsp;Forrest Tin Wai CHEUNG ,&nbsp;Xiao LI ,&nbsp;Ngan Yin CHAN ,&nbsp;Joey Wing Yan CHAN ,&nbsp;Yun Kwok WING ,&nbsp;Shirley Xin LI","doi":"10.1016/j.ijchp.2025.100619","DOIUrl":"10.1016/j.ijchp.2025.100619","url":null,"abstract":"<div><h3>Background</h3><div>Depression, anxiety, and insomnia have been identified as risk factors for suicidality. However, limited research has explored the interplay among these mental health problems at a symptom level and how they relate to suicidality, especially in adolescents - a group undergoing substantial developmental changes, such as intrinsic circadian delay. This study aimed to examine the symptom networks of depression, anxiety, and insomnia in relation to suicidality and chronotype, and to identify potential bridge symptoms linking these symptom clusters.</div></div><div><h3>Methods</h3><div>A total of 3037 adolescents (Mean age = 14.56 ± 1.77; 35.40 % male) were recruited. Symptoms of depression, anxiety, and insomnia were assessed using the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7) and Insomnia Severity Index (ISI). Network estimation methods were employed to identify central and bridge symptoms and to compare the network models across gender and chronotype groups.</div></div><div><h3>Results</h3><div>The prevalence of probable depression (PHQ-9 ≥ 10), anxiety (GAD-7 ≥ 10), and insomnia (ISI ≥ 9) was 32.6 %, 23.1 %, and 30.5 %, respectively. About 27.7 % of adolescents reported suicidality within the past two weeks. Within the network, <em>difficulty maintaining sleep</em> emerged as the most influential node, followed by <em>uncontrollable worry, distress caused by sleep disturbances, trouble relaxing, and sad mood</em>. Additionally, <em>sad mood, sleep disturbances, fatigue, and guilt</em> from the depression cluster, and <em>uncontrollable worry</em> from the anxiety cluster were identified as the strongest bridge symptoms in the network. The symptom networks did not differ in global edge strength and network structure across genders and chronotypes (<em>p</em>s &gt; 0.10). Notably, all identified bridge symptoms, except <em>fatigue</em>, were directly linked to <em>suicidality</em>.</div></div><div><h3>Conclusion</h3><div>Our findings highlighted the potential transdiagnostic significance of sad mood, sleep disturbances, fatigue, guilt, and uncontrollable worry in the development and maintenance of the comorbidity of depression, anxiety, insomnia, and suicidality in adolescents. Targeting these symptoms may inform more effective intervention strategies to manage psychopathology and reduce suicidality in this population.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100619"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931563","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
Differential diagnosis between maladaptive daydreaming and ADHD: Immersive daydreaming is not simply inattention 不适应白日梦与多动症的鉴别诊断:沉浸式白日梦并不仅仅是注意力不集中
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100616
Nitzan Theodor-Katz, Nirit Soffer-Dudek
Maladaptive daydreaming (MD), a syndrome considered by dissociation researchers to represent a dissociative disorder, entails excessive, addictive immersion into narrative and emotional fantasies, impairing functioning and increasing distress. People with MD often meet the criteria for attention-deficit/hyperactivity disorder (ADHD), as addictive and immersive daydreaming causes inattention. Conversely, most people with ADHD do not suffer from MD, yet commonly score highly on the MD self-report screener, questioning the reliability of MD and ADHD symptom checklists. We examined whether assessing a mental pattern of immersive daydreaming improves the reliability of MD classification. A sample of 156 adults comprising four groups: ADHD (n = 38), MD (n = 49), Both (n = 34), and Controls (n = 35), underwent clinical interviews and completed self-report scales assessing symptoms and immersive daydreaming. As hypothesized, the MD self-report screener was compromised in the face of ADHD. Immersive daydreaming self-reports counteracted that by adding significant unique predictive value for MD identification in the context of ADHD. This indicates that immersive daydreams are distinct mentation not necessarily characterizing ADHD. We suggest a practical cutoff score for identifying high immersive daydreaming which complements MD screening, improving correct MD identification in the context of ADHD.
不适应白日梦症(MD)是一种被解离研究人员认为代表解离性障碍的综合征,它导致过度、成瘾地沉浸在叙事和情感幻想中,损害功能并增加痛苦。MD患者通常符合注意力缺陷/多动障碍(ADHD)的标准,因为成瘾性和沉浸式白日梦会导致注意力不集中。相反,大多数ADHD患者没有MD,但通常在MD自我报告筛查中得分很高,质疑MD和ADHD症状检查表的可靠性。我们研究了评估沉浸式白日梦的心理模式是否能提高MD分类的可靠性。156名成人样本包括四组:ADHD (n = 38), MD (n = 49),两者(n = 34)和对照组(n = 35),接受临床访谈并完成评估症状和沉浸式白日梦的自我报告量表。正如假设的那样,MD自我报告筛选在面对ADHD时受到了损害。沉浸式白日梦自我报告通过增加ADHD背景下MD识别的显著独特预测价值来抵消这一影响。这表明沉浸式白日梦是一种独特的精神状态,不一定是多动症的特征。我们建议一个实用的临界值来识别高度沉浸式白日梦,补充MD筛查,提高ADHD背景下MD的正确识别。
{"title":"Differential diagnosis between maladaptive daydreaming and ADHD: Immersive daydreaming is not simply inattention","authors":"Nitzan Theodor-Katz,&nbsp;Nirit Soffer-Dudek","doi":"10.1016/j.ijchp.2025.100616","DOIUrl":"10.1016/j.ijchp.2025.100616","url":null,"abstract":"<div><div>Maladaptive daydreaming (MD), a syndrome considered by dissociation researchers to represent a dissociative disorder, entails excessive, addictive immersion into narrative and emotional fantasies, impairing functioning and increasing distress. People with MD often meet the criteria for attention-deficit/hyperactivity disorder (ADHD), as addictive and immersive daydreaming causes inattention. Conversely, most people with ADHD do not suffer from MD, yet commonly score highly on the MD self-report screener, questioning the reliability of MD and ADHD symptom checklists. We examined whether assessing a mental pattern of immersive daydreaming improves the reliability of MD classification. A sample of 156 adults comprising four groups: ADHD (<em>n</em> = 38), MD (<em>n</em> = 49), Both (<em>n</em> = 34), and Controls (<em>n</em> = 35), underwent clinical interviews and completed self-report scales assessing symptoms and immersive daydreaming. As hypothesized, the MD self-report screener was compromised in the face of ADHD. Immersive daydreaming self-reports counteracted that by adding significant unique predictive value for MD identification in the context of ADHD. This indicates that immersive daydreams are distinct mentation not necessarily characterizing ADHD. We suggest a practical cutoff score for identifying high immersive daydreaming which complements MD screening, improving correct MD identification in the context of ADHD.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100616"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889724","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
Correlates of climate change distress: The difference to general distress 气候变化痛苦的相关因素:与一般痛苦的区别
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100613
Jil Beckord , Nadja Gebhardt , Christoph Nikendei , Julia Barbara Krakowczyk , Eva-Maria Skoda , Martin Teufel , Alexander Bäuerle

Introduction

Climate change has significant consequences on mental health, which are summarized under concepts like eco-anxiety or climate change distress. However, these recently developed concepts still suffer from a lack of clarity.

Aim

The aim of this study is to improve the conceptual clarity of climate change distress through analysing its’ correlations with various psychological and demographic factors. In this context, the specific associations of climate change distress are compared to those of general distress.

Methods

In a cross-sectional study N = 1000 participants completed an online questionnaire. Climate change distress was assessed using the ‘Climate Change - Man-Made Disaster-Related Distress Scale’. General distress was assessed using the Distress Thermometer, the Generalized Anxiety Disorder scale, and the Patient Health Questionnaire. Several measurement instruments were examined as possible correlates. The outcomes were investigated using multiple linear regression models.

Results

Relevant correlates of climate change distress included trust in government to handle climate change and several emotion regulation strategies. The associated factors of general distress were distinct from those of climate change distress, such as gender and sense of coherence.

Discussion

The results suggest that the correlates of climate change distress differ from those of general distress. This implies that climate change distress and general distress are two related, however distinct constructs. The associated factors can be promising targets for psychotherapy and intervention strategies.
气候变化对心理健康有重大影响,这可以归纳为生态焦虑或气候变化困扰等概念。然而,这些最近发展起来的概念仍然缺乏明确性。本研究的目的是通过分析其与各种心理和人口因素的相关性来提高气候变化困扰的概念清晰度。在这种情况下,将气候变化困扰的具体关联与一般困扰进行比较。方法在横断面研究中,N = 1000名参与者完成在线问卷调查。使用“气候变化-与人为灾害有关的痛苦量表”评估气候变化的痛苦。使用焦虑温度计、广泛性焦虑障碍量表和患者健康问卷评估一般焦虑。对几种测量仪器进行了可能相关的检查。研究结果采用多元线性回归模型。结果对政府应对气候变化能力的信任和多种情绪调节策略是影响气候变化焦虑的相关因素。一般焦虑的相关因素与气候变化焦虑的相关因素不同,如性别和一致性。结果表明,气候变化痛苦的相关因素与一般痛苦的相关因素有所不同。这意味着气候变化的痛苦和一般的痛苦是两个相关的,但不同的结构。相关因素可能是心理治疗和干预策略的有希望的目标。
{"title":"Correlates of climate change distress: The difference to general distress","authors":"Jil Beckord ,&nbsp;Nadja Gebhardt ,&nbsp;Christoph Nikendei ,&nbsp;Julia Barbara Krakowczyk ,&nbsp;Eva-Maria Skoda ,&nbsp;Martin Teufel ,&nbsp;Alexander Bäuerle","doi":"10.1016/j.ijchp.2025.100613","DOIUrl":"10.1016/j.ijchp.2025.100613","url":null,"abstract":"<div><h3>Introduction</h3><div>Climate change has significant consequences on mental health, which are summarized under concepts like eco-anxiety or climate change distress. However, these recently developed concepts still suffer from a lack of clarity.</div></div><div><h3>Aim</h3><div>The aim of this study is to improve the conceptual clarity of climate change distress through analysing its’ correlations with various psychological and demographic factors. In this context, the specific associations of climate change distress are compared to those of general distress.</div></div><div><h3>Methods</h3><div>In a cross-sectional study <em>N</em> = 1000 participants completed an online questionnaire. Climate change distress was assessed using the ‘Climate Change - Man-Made Disaster-Related Distress Scale’. General distress was assessed using the Distress Thermometer, the Generalized Anxiety Disorder scale, and the Patient Health Questionnaire. Several measurement instruments were examined as possible correlates. The outcomes were investigated using multiple linear regression models.</div></div><div><h3>Results</h3><div>Relevant correlates of climate change distress included trust in government to handle climate change and several emotion regulation strategies. The associated factors of general distress were distinct from those of climate change distress, such as gender and sense of coherence.</div></div><div><h3>Discussion</h3><div>The results suggest that the correlates of climate change distress differ from those of general distress. This implies that climate change distress and general distress are two related, however distinct constructs. The associated factors can be promising targets for psychotherapy and intervention strategies.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100613"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780868","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
The effectiveness and user preferences of two tactile breathing devices in reducing stress in stressed individuals: A mixed methods study 两种触觉呼吸装置在减轻压力个体压力方面的有效性和用户偏好:一项混合方法研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100603
E. Honinx , M. Meys , S. Broes , L. Van Langenhoven , R. Janssens , I. Huys , V. Oswald , J. Annen , S. Laureys , C. Martial , O. Gosseries

Background

Rising stress levels have led to increased interest in stress management tools, particularly tactile breathing devices. Despite their popularity, there is limited evidence on their physiological and psychological effectiveness and user perceptions. This study evaluates the effectiveness of and preferences toward two tactile breathing devices among highly stressed individuals.

Methods

The study involved 36 participants using two breathing devices, moonbird and Core. Physiological data were collected using EEG, ECG, and a breathing belt. User preferences and self-reported experiences were assessed via questionnaires.

Results

Moonbird usage was associated with increased delta power and decreased alpha power, while Core did not significantly modify EEG power. ECG analysis indicated no significant differences in mean heart rate between devices. Both devices reduced heart rate variability during use, but no lasting effects were observed post-intervention. Respiratory rates decreased during both devices’ use, with moonbird showing more sustained effects post-intervention. There were no significant differences in self-reported relaxation and energy levels between the devices, though moonbird was preferred overall for its handling and breathing guidance.

Conclusion

Both devices demonstrated the ability to lower physiological stress, as indicated by improvements in certain neurophysiological measures during use, with moonbird preferred for its ergonomic design and tactile feedback. These findings underscore the importance of user experience in device effectiveness, highlighting the need for a user-centric approach in device design. Future research should explore long-term effectiveness, real-world user feedback, and the physiological and psychological mechanisms associated with these devices.
不断上升的压力水平导致人们对压力管理工具的兴趣增加,尤其是触觉呼吸设备。尽管它们很受欢迎,但关于它们的生理和心理效果以及用户感知的证据有限。本研究评估了高压力个体对两种触觉呼吸装置的有效性和偏好。方法采用moonbird和Core两种呼吸装置对36名参与者进行研究。生理数据通过脑电图、心电图和呼吸带收集。用户偏好和自我报告的体验通过问卷进行评估。结果使用smoonbird会增加δ功率,降低α功率,而Core对脑电图功率无显著影响。心电图分析显示两种设备的平均心率无显著差异。两种装置在使用过程中都降低了心率变异性,但干预后没有观察到持久的影响。在两种设备的使用过程中,呼吸频率都有所下降,而moonbird在干预后表现出更持久的效果。两种设备在自我报告的放松和能量水平上没有显著差异,尽管moonbird在操作和呼吸指导方面总体上更受欢迎。结论这两种设备都显示出降低生理应激的能力,这表明在使用过程中某些神经生理指标得到改善,moonbird因其符合人体工程学的设计和触觉反馈而受到青睐。这些发现强调了用户体验在设备有效性中的重要性,强调了在设备设计中以用户为中心的方法的必要性。未来的研究应该探索这些设备的长期有效性、实际用户反馈以及与这些设备相关的生理和心理机制。
{"title":"The effectiveness and user preferences of two tactile breathing devices in reducing stress in stressed individuals: A mixed methods study","authors":"E. Honinx ,&nbsp;M. Meys ,&nbsp;S. Broes ,&nbsp;L. Van Langenhoven ,&nbsp;R. Janssens ,&nbsp;I. Huys ,&nbsp;V. Oswald ,&nbsp;J. Annen ,&nbsp;S. Laureys ,&nbsp;C. Martial ,&nbsp;O. Gosseries","doi":"10.1016/j.ijchp.2025.100603","DOIUrl":"10.1016/j.ijchp.2025.100603","url":null,"abstract":"<div><h3>Background</h3><div>Rising stress levels have led to increased interest in stress management tools, particularly tactile breathing devices. Despite their popularity, there is limited evidence on their physiological and psychological effectiveness and user perceptions. This study evaluates the effectiveness of and preferences toward two tactile breathing devices among highly stressed individuals.</div></div><div><h3>Methods</h3><div>The study involved 36 participants using two breathing devices, moonbird and Core. Physiological data were collected using EEG, ECG, and a breathing belt. User preferences and self-reported experiences were assessed via questionnaires.</div></div><div><h3>Results</h3><div>Moonbird usage was associated with increased delta power and decreased alpha power, while Core did not significantly modify EEG power. ECG analysis indicated no significant differences in mean heart rate between devices. Both devices reduced heart rate variability during use, but no lasting effects were observed post-intervention. Respiratory rates decreased during both devices’ use, with moonbird showing more sustained effects post-intervention. There were no significant differences in self-reported relaxation and energy levels between the devices, though moonbird was preferred overall for its handling and breathing guidance.</div></div><div><h3>Conclusion</h3><div>Both devices demonstrated the ability to lower physiological stress, as indicated by improvements in certain neurophysiological measures during use, with moonbird preferred for its ergonomic design and tactile feedback. These findings underscore the importance of user experience in device effectiveness, highlighting the need for a user-centric approach in device design. Future research should explore long-term effectiveness, real-world user feedback, and the physiological and psychological mechanisms associated with these devices.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100603"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587904","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
Maternal electrophysiological response to interactions with their own child: A preliminary study in a sample of same-sex mothers 母亲与自己的孩子互动时的电生理反应:对同性母亲样本的初步研究
IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100612
Michele Giannotti , Micol Gemignani , Alessandra Simonelli , Simona de Falco , Arianna Schiano Lomoriello , Bianca Filippi , Silvia Perzolli , Paola Venuti , Paola Rigo
Past research has examined the link between maternal electrophysiological responses, self-reported measures, and the quality of caregiving. However, these patterns have remained unexplored in same-sex mothers. Furthermore, no study has yet investigated how maternal involvement in childcare is associated with event-related potential (ERP) responses to child stimuli. To address these gaps, a sample of 32 same-sex mothers participated in the study and were videotaped during a 15-minute structured play session with their child (aged 3–11 years). The interactions were coded using the Emotional Availability Scales, and the experimental stimuli for the EEG task were derived from these recordings. Mothers then participated in an EEG task, evaluating videotapes of their own and other mother-child interactions, which displayed successful or unsuccessful exchanges. Maternal involvement in childcare was assessed using an Italian-translated version of the Child Caregiving Involvement Scale. Same-sex mothers exhibited a stronger response to interactions with their own child. Mothers with higher caregiving involvement demonstrated increased LPP activation in response to unsuccessful interactions with their own child, though this result did not remain statistically significant after post-hoc corrections. Mothers who displayed greater sensitivity, non-intrusiveness, and non-hostility showed an amplified LPP response to unsuccessful interactions with their child. This study preliminarily highlights the neural mechanisms underlying sensitive and responsive caregiving in same-sex mothers. Further inclusive research is needed to broaden the understanding of parenting determinants and outcomes, as the diversity of modern families deserves more accurate representation in both social policy and research.
过去的研究已经检查了母亲的电生理反应、自我报告的测量和护理质量之间的联系。然而,这些模式在同性母亲中仍未被探索。此外,还没有研究调查母亲参与育儿与事件相关电位(ERP)对儿童刺激的反应之间的关系。为了解决这些差距,32位同性母亲参与了这项研究,并在与孩子(3-11岁)15分钟的游戏过程中进行了录像。这些相互作用用情绪可得性量表编码,脑电图任务的实验刺激来源于这些记录。然后,母亲们参与了一项脑电图任务,评估自己和其他母亲与孩子互动的录像带,其中显示了成功或不成功的交流。使用意大利语翻译版的儿童照顾参与量表来评估母亲对儿童照顾的参与。同性母亲在与自己的孩子互动时表现出更强烈的反应。在与自己的孩子不成功的互动中,参与较多的母亲表现出LPP激活的增加,尽管这一结果在事后纠正后没有统计学意义。表现出更敏感、非侵入性和非敌意的母亲对与孩子不成功的互动表现出放大的LPP反应。本研究初步揭示了同性母亲敏感和反应性照料的神经机制。需要进一步的包容性研究来扩大对养育决定因素和结果的理解,因为现代家庭的多样性在社会政策和研究中都应该得到更准确的体现。
{"title":"Maternal electrophysiological response to interactions with their own child: A preliminary study in a sample of same-sex mothers","authors":"Michele Giannotti ,&nbsp;Micol Gemignani ,&nbsp;Alessandra Simonelli ,&nbsp;Simona de Falco ,&nbsp;Arianna Schiano Lomoriello ,&nbsp;Bianca Filippi ,&nbsp;Silvia Perzolli ,&nbsp;Paola Venuti ,&nbsp;Paola Rigo","doi":"10.1016/j.ijchp.2025.100612","DOIUrl":"10.1016/j.ijchp.2025.100612","url":null,"abstract":"<div><div>Past research has examined the link between maternal electrophysiological responses, self-reported measures, and the quality of caregiving. However, these patterns have remained unexplored in same-sex mothers. Furthermore, no study has yet investigated how maternal involvement in childcare is associated with event-related potential (ERP) responses to child stimuli. To address these gaps, a sample of 32 same-sex mothers participated in the study and were videotaped during a 15-minute structured play session with their child (aged 3–11 years). The interactions were coded using the Emotional Availability Scales, and the experimental stimuli for the EEG task were derived from these recordings. Mothers then participated in an EEG task, evaluating videotapes of their own and other mother-child interactions, which displayed successful or unsuccessful exchanges. Maternal involvement in childcare was assessed using an Italian-translated version of the Child Caregiving Involvement Scale. Same-sex mothers exhibited a stronger response to interactions with their own child. Mothers with higher caregiving involvement demonstrated increased LPP activation in response to unsuccessful interactions with their own child, though this result did not remain statistically significant after post-hoc corrections. Mothers who displayed greater sensitivity, non-intrusiveness, and non-hostility showed an amplified LPP response to unsuccessful interactions with their child. This study preliminarily highlights the neural mechanisms underlying sensitive and responsive caregiving in same-sex mothers. Further inclusive research is needed to broaden the understanding of parenting determinants and outcomes, as the diversity of modern families deserves more accurate representation in both social policy and research.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100612"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770940","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
Comparing comparisons: A transdiagnostic investigation of social and temporal comparisons and their differential effects on mental health outcomes and well-being 比较比较:社会和时间比较的跨诊断调查及其对心理健康结果和福祉的差异影响
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-01 DOI: 10.1016/j.ijchp.2025.100611
Pascal Schlechter, Dana Churbaji, Thole H. Hoppen, Nexhmedin Morina

Background

While the association of social comparisons and mental health has been frequently researched, the role of temporal comparisons (evaluating oneself over time) and their distinct associations with mental health outcomes are understudied. Here, we aimed to elucidate the distinct associations of social and temporal comparisons with a range of mental health outcomes, as well as previously identified predictors of these outcomes. We specifically examined the differential relationships of comparison frequency, discrepancy, and affective impact with depression, anxiety, posttraumatic stress, well-being, life satisfaction, self-esteem, metacognitions, rumination, and self-efficacy.

Methods

To this end, we conducted a thorough reanalysis of data from one longitudinal and five cross-sectional studies sourced from Prolific Researcher with English speaking participants. One of these studies involved participants with elevated depressive symptoms. Additionally, we included one study with Syrian refugees in Germany recruited via social media.

Results

Across the seven studies (Ns = 306 to 1121), regression models revealed consistent and mainly moderate associations between both social and temporal comparisons and our outcomes. Additionally, our findings suggested only a weak trend for social (vs. temporal) comparisons to exhibit stronger associations with mental health variables.

Conclusions

Our results offer insights into the role of social and temporal comparisons in mental health, providing a foundation for follow-up research that may ultimately inform psychological interventions.Keywords. Social comparison, temporal comparison, transdiagnostic, depression, comparison theory.
虽然社会比较与心理健康之间的关系已被广泛研究,但时间比较(随着时间的推移评估自己)的作用及其与心理健康结果的明显关联尚未得到充分研究。在这里,我们的目的是阐明社会和时间比较与一系列心理健康结果的独特关联,以及先前确定的这些结果的预测因子。我们特别研究了比较频率、差异和情感影响与抑郁、焦虑、创伤后应激、幸福感、生活满意度、自尊、元认知、反刍和自我效能的差异关系。为此,我们对来自多产研究者的一项纵向研究和五项横断面研究的数据进行了彻底的重新分析,这些研究的参与者都是说英语的。其中一项研究涉及抑郁症状加重的参与者。此外,我们还纳入了一项通过社交媒体招募的德国叙利亚难民的研究。在7项研究(Ns = 306至1121)中,回归模型显示社会和时间比较与我们的结果之间存在一致且主要是适度的关联。此外,我们的研究结果表明,社会(相对于时间)比较与心理健康变量之间的联系只有微弱的趋势。结论研究结果揭示了社会比较和时间比较在心理健康中的作用,为后续研究提供基础,最终为心理干预提供依据。社会比较,时间比较,跨诊断,抑郁,比较理论。
{"title":"Comparing comparisons: A transdiagnostic investigation of social and temporal comparisons and their differential effects on mental health outcomes and well-being","authors":"Pascal Schlechter,&nbsp;Dana Churbaji,&nbsp;Thole H. Hoppen,&nbsp;Nexhmedin Morina","doi":"10.1016/j.ijchp.2025.100611","DOIUrl":"10.1016/j.ijchp.2025.100611","url":null,"abstract":"<div><h3>Background</h3><div>While the association of social comparisons and mental health has been frequently researched, the role of temporal comparisons (evaluating oneself over time) and their distinct associations with mental health outcomes are understudied. Here, we aimed to elucidate the distinct associations of social and temporal comparisons with a range of mental health outcomes, as well as previously identified predictors of these outcomes. We specifically examined the differential relationships of comparison frequency, discrepancy, and affective impact with depression, anxiety, posttraumatic stress, well-being, life satisfaction, self-esteem, metacognitions, rumination, and self-efficacy.</div></div><div><h3>Methods</h3><div>To this end, we conducted a thorough reanalysis of data from one longitudinal and five cross-sectional studies sourced from Prolific Researcher with English speaking participants. One of these studies involved participants with elevated depressive symptoms. Additionally, we included one study with Syrian refugees in Germany recruited via social media.</div></div><div><h3>Results</h3><div>Across the seven studies (<em>N</em>s = 306 to 1121), regression models revealed consistent and mainly moderate associations between both social and temporal comparisons and our outcomes. Additionally, our findings suggested only a weak trend for social (vs. temporal) comparisons to exhibit stronger associations with mental health variables.</div></div><div><h3>Conclusions</h3><div>Our results offer insights into the role of social and temporal comparisons in mental health, providing a foundation for follow-up research that may ultimately inform psychological interventions.<em>Keywords.</em> Social comparison, temporal comparison, transdiagnostic, depression, comparison theory.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100611"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670453","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