International Journal of Clinical and Health Psychology最新文献

{"title":"Do expectations shape interoceptive perceptions across body domains? A sham EMF study to test the predictive processing theory","authors":"Natalie Schmitz ,&nbsp;Carolin Wolters ,&nbsp;Antonia Rahrbach ,&nbsp;Friederike Kälke ,&nbsp;Michael Witthöft ,&nbsp;Alexander L. Gerlach ,&nbsp;Anna Pohl","doi":"10.1016/j.ijchp.2025.100609","DOIUrl":"10.1016/j.ijchp.2025.100609","url":null,"abstract":"<div><h3>Objective</h3><div>According to the principles of predictive processing theory, persistent symptom perception is largely determined by central nervous predictions on somatosensory input. Here, we examine how threat-related expectations shape predictions and interoceptive perceptions across body domains using sham EMF (electromagnetic field) exposure.</div></div><div><h3>Methods</h3><div>Participants (<em>n</em> = 113) were recruited via announcements at the university. Most participants were female (76.1 %) with a mean age of 25.12 years. Participants were divided into two groups (sham EMF on/off). Both groups completed a somatic and a cardiovascular signal detection task (SSDT, cvSDT) in pseudo-randomized order. Sensitivities and response biases were calculated. Self-reports (symptom distress, anxiety) were completed. Group effects were analysed with (M)AN(C)OVAs. In four exploratory regression models response bias and anxiety (state/trait) served as predictors for somatic symptom distress.</div></div><div><h3>Results</h3><div>Participants in the sham EMF group reported significantly higher levels of state anxiety (<em>p</em> = .021, <em>d</em> = 0.44) and, trend-wise, more symptoms during the experiment (<em>p</em> = .065, <em>d</em> = 0.35). Response biases did not differ significantly between the groups (SSDT<em>: p</em> = .782; cvSDT: <em>p</em> = .743). However, higher somatic symptom distress was significantly associated with a more liberal interoceptive response tendency in both tasks in the sham EMF group (two significant models, one trend: (-0.209 ≤ <em>β</em>s ≤ -0.325, adjusted 0.232 ≤ <em>R</em>² ≤ 0.330).</div></div><div><h3>Conclusions</h3><div>A liberal approach was associated with elevated symptom experience across bodily domains and might be considered a transdiagnostic psychopathological risk factor. As research is still scarce, replication studies with valid context manipulations are essential.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100609"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653958","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}

{"title":"Individuals with autism have difficulties learning implicit sequences of social interactions that require mentalizing","authors":"Justin L. Abu Hoof ,&nbsp;Ines Argoub ,&nbsp;Youssra Kendil ,&nbsp;Styliani Kassiani Tsantzalou ,&nbsp;Rocío Martínez-Regueiro ,&nbsp;Frank Van Overwalle","doi":"10.1016/j.ijchp.2025.100617","DOIUrl":"10.1016/j.ijchp.2025.100617","url":null,"abstract":"<div><h3>Purpose</h3><div>This research investigated implicit social sequencing in adults with Autism Spectrum Disorder. Previous research emphasized the role of the cerebellum in autism, and in processing action sequences within social contexts requiring mental state attribution (mentalizing). We therefore hypothesized that individuals with autism would show reduced implicit sequencing in an interactive negotiation game that involves mentalizing.</div></div><div><h3>Methods</h3><div>Participants included 20 adults with autism and 20 matched healthy controls. Using a novel ultimatum serial reaction time task, participants received offers for a division of 10 points from multiple proposers and responded as quickly as possible. Unbeknownst to the participants, offers were presented in repeated or random sequences. Additionally, the proposers’ implied traits (egocentric versus generous offers) and the volatility of their offers (variable versus stable) were varied to assess context effects on implicit sequencing.</div></div><div><h3>Results</h3><div>As expected, autistic participants revealed no significant speed differences between repeated and random sequences, while controls were faster in repeated sequences. Considering context effects, both groups were faster in repeated sequences when offers were stable (i.e., identical across trials). Conversely, when offers were volatile, responses slowed down under repeated sequences.</div></div><div><h3>Conclusion</h3><div>Findings suggest reduced implicit social sequencing capacities in adults with autism. Social context factors influenced learning in both groups, indicating that autistic individuals may either perform at typical social levels when statistically controlling for their reduced sequencing capacities, or may sufficiently compensate under explicit task instructions. These results highlight social sequence learning as a promising target for intervention in training programs for autistic individuals.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100617"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886317","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}

{"title":"Enhancing treatment outcomes of Alcohol Use Disorder patients through ICT-based cognitive training tools: a randomized controlled trial","authors":"Rita Costa ,&nbsp;Sérgio Lima ,&nbsp;Mónica S․ Cameirão ,&nbsp;Sergi Bermúdez i Badia ,&nbsp;Ana Lúcia Faria","doi":"10.1016/j.ijchp.2025.100623","DOIUrl":"10.1016/j.ijchp.2025.100623","url":null,"abstract":"<div><div>Individuals with alcohol use disorders (AUD) often face cognitive impairments that hinder long-term abstinence. While structured AUD interventions are effective, they don't guarantee abstinence maintenance, and cognitive training (CT) is rarely integrated. CT could be crucial for rehabilitating these deficits and preventing relapse, especially if personalized.</div><div>This randomized controlled trial assessed the impact of adding personalized CT to standard AUD treatment. Sixty participants were randomized into three groups: 1) Virtual Reality (VR) CT using activity-of-daily-living simulations (Reh@City - RC), 2) paper-and-pencil CT via a web platform (Task Generator - TG), and 3) time-matched treatment as usual (TAU). The intervention included 12, 30-minute sessions, with pre-, post-intervention, and follow-up neuropsychological assessments.</div><div>At post-intervention, experimental groups showed broader cognitive improvements. The RC group improved in naming, executive functions, fluency, inhibitory control, processing speed, attention, and visual memory. The TG group showed gains in general cognitive functioning, executive functions, abstraction, sensitivity to interference, processing speed, attention, and visual memory. The TAU group's improvements were observed in executive functions, abstraction, processing speed, attention, and visual memory.</div><div>Personalized cognitive training is effective for AUD-related cognitive deficits. The VR approach (RC) particularly impacted inhibitory control, processing speed, and sustained attention—domains critically affected in this population. Future research should explore the CT role in preventing relapse.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100623"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117850","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}

{"title":"Boosting your mood: How exercise and the amygdala dance together","authors":"Li-Kun Ge ,&nbsp;Shu Zhang ,&nbsp;Li-Zhen Chen ,&nbsp;Ke Zhou ,&nbsp;Li Zhang ,&nbsp;Xi-Nian Zuo ,&nbsp;Gao-Xia Wei ,&nbsp;Jingang Dai","doi":"10.1016/j.ijchp.2025.100610","DOIUrl":"10.1016/j.ijchp.2025.100610","url":null,"abstract":"<div><div>Accumulative evidence has shown that functional heterogeneity exists in subregions of amygdala. Recently, exercise serving as automatic emotion regulation has been observed to induce the altered activation of amygdala associated with mood change. However, the specific role of subregions of amygdala underlying these effects are not fully understood. By using resting-state functional magnetic resonance imaging (rs-fMRI), this study examined whether the subregions of amygdala play distinct roles in mood improvement induced by acute exercise.</div><div>Participants (<em>n</em> = 76) aged 18–22 were recruited and randomly divided into the exercise group and the control group. The exercise group received a 30-minute intervention with moderate-intensity exercise while the control group completed a reading control task at resting state. Whole-brain rs-fMRI scans were conducted before and after the interventions. Moreover, participants’ moods were also assessed using the Positive and Negative Affect Schedule (PANAS) and Abbreviated Profile of Mood States. A mixed-effect model was used to analyze the Group × Time interaction on functional connectivity (FC) seeded from medial amygdala (mAmyg) and lateral amygdala (lAmyg) subregions in each hemisphere.</div><div>Results revealed that exercise-induced mood improvements were correlated with significant Group × Time interaction effects on FC, showing a notable right-hemispheric predominance. Specifically, enhanced connectivity of the right mAmyg with orbitofrontal cortex, parietal, and cerebellar regions was associated with reduced negative affect and increased self-esteem. Concurrently, enhanced connectivity of the right lAmyg with the orbitofrontal cortex and striatum was linked to a broad spectrum of improvements, including reduced tension and anger, and increased vigor.</div><div>These findings suggest that acute exercise improves mood via distinct, lateralized neural pathways centered on different amygdala subregions. The mAmyg and lAmyg play complementary roles in automatic emotion regulation, with the right mAmyg modulating affective valence and self-evaluation, while the right lAmyg appears to regulate a broad spectrum of mood states and enhance positive arousal. This work provides a more nuanced neurobiological model for the therapeutic effects of exercise.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100610"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695172","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}

{"title":"Exploring dropout in internet-delivered cognitive behavioral therapy for insomnia: A secondary analysis of prevalence, self-reported reasons, and baseline and intervention data as predictors","authors":"Laura Simon ,&nbsp;Lisa Steinmetz ,&nbsp;Eileen Bendig ,&nbsp;Ann-Marie Küchler ,&nbsp;Dieter Riemann ,&nbsp;David Daniel Ebert ,&nbsp;Kai Spiegelhalder ,&nbsp;Harald Baumeister","doi":"10.1016/j.ijchp.2025.100598","DOIUrl":"10.1016/j.ijchp.2025.100598","url":null,"abstract":"<div><h3>Introduction</h3><div>Internet-delivered cognitive behavioral therapy for insomnia (iCBT-I) is an effective treatment. However, dropout is a common challenge in digital therapeutics. This study examines dropout in iCBT-I by analyzing reported reasons for dropout and investigating whether baseline variables and intervention usage data can predict dropout.</div></div><div><h3>Methods</h3><div>This is an exploratory secondary analysis of a clinical trial investigating a stepped care model for insomnia featuring an eight-module iCBT-I. Reasons for dropout from the iCBT-I were assessed via self-developed items in follow-up surveys, and a dropout survey was sent to all patients who had not completed at least seven modules of the iCBT-I within 12 weeks. The proportion of respondents who agreed with the respective items was calculated. Additionally, bivariate models were specified to explore whether baseline variables and intervention usage data can predict dropout.</div></div><div><h3>Results</h3><div>The patients included in this sub-study had a mean age of 49.3 (SD=13.0), with 73.4 % identifying as female. At pre-treatment, their mean insomnia severity was 18.6 (SD=3.9). Among the 233 patients, 103 (44.2 %) were categorized as dropouts. The most frequently reported reasons for dropout were distractions from daily life, the perception of the content not being useful, and difficulties resuming after a break. None of the examined baseline variables significantly predicted dropout, whereas the time needed to complete the first module (OR=1.16; 95 %CI=1.08–1.27) and the number of sleep diary entries in the first week (OR=0.73; 95 %CI=0.65–0.80) significantly predicted dropout.</div></div><div><h3>Discussion</h3><div>This study highlights dropout as a relevant challenge in iCBT-I, affecting over 40 % of patients. Self-reported reasons indicate the importance of compatibility with distractions from daily life and perceived effectiveness. The prediction models suggest that dropout risk profiles can be developed based on first-week treatment data. Future research should focus on validating such models to improve effectiveness and user retention.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100598"},"PeriodicalIF":5.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502190","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}

{"title":"Conceptualising good mental health for people with intellectual disabilities: An inclusive delphi study","authors":"Sophie Komenda-Schned ,&nbsp;Sarah Jasmin Landskron ,&nbsp;Paula Moritz ,&nbsp;Nicole Braunstein ,&nbsp;Josef Hochmeister ,&nbsp;Karin Riegler ,&nbsp;Robert Saugspier ,&nbsp;Brigitte Lueger-Schuster ,&nbsp;Luis Salvador-Carulla ,&nbsp;Elisabeth Lucia Zeilinger","doi":"10.1016/j.ijchp.2025.100601","DOIUrl":"10.1016/j.ijchp.2025.100601","url":null,"abstract":"<div><h3>Background</h3><div>Currently, there is no conceptualisation of good mental health for people with intellectual disabilities (ID). To develop an initial shared understanding of good mental health in this population, an inclusive Delphi study with two survey rounds was conducted.</div></div><div><h3>Methods</h3><div>The Delphi study comprised a total of <em>N</em> = 60 participants in the first round, and 53 in the second round. In sum, 23 experts with ID and 37 mental health experts were included. The Delphi questionnaire applied a universal design, maximising accessibility for experts with and without ID. Participants were asked to rate the relevance of each item for good mental health of people with ID. People with ID served as co-researchers throughout the research process.</div></div><div><h3>Results</h3><div>In both survey rounds, all items were rated as important for good mental health of people with ID (weighted median ≥ 3 out of 5). In a structural synthesis, the following factors were found to be important: (1) being part of the community, (2) adequate support, (3) social contacts, (4) communication, (5) working and living environment, (6) keeping the body healthy, (7) no mental disorders, (8) healthcare, (9) psychosocial functioning. As the broadest theme, psychosocial functioning included six subthemes, such as emotions, autonomy and self-concept, and doing something meaningful.</div></div><div><h3>Conclusions</h3><div>This study provides a foundational step towards developing a more inclusive understanding of good mental health for people with ID. The active involvement of co-researchers underscores the value of participatory methods in shaping research outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100601"},"PeriodicalIF":5.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501696","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}

{"title":"Optimizing pediatric “Mild” traumatic brain injury assessments: A multi-domain random forest analysis of diagnosis and outcomes","authors":"Upasana Nathaniel ,&nbsp;Erik B. Erhardt ,&nbsp;Divyasree Sasi Kumar ,&nbsp;Jingshu Wu ,&nbsp;Samuel D. Miller ,&nbsp;Pawani Chauhan ,&nbsp;Rahsan Keskin ,&nbsp;Tracey V. Wick ,&nbsp;Keith Owen Yeates ,&nbsp;Timothy B. Meier ,&nbsp;Harm J. van der Horn ,&nbsp;John P. Phillips ,&nbsp;Richard A. Campbell ,&nbsp;Robert E. Sapien ,&nbsp;Andrew R. Mayer","doi":"10.1016/j.ijchp.2025.100600","DOIUrl":"10.1016/j.ijchp.2025.100600","url":null,"abstract":"<div><h3>Objective</h3><div>Despite advances in imaging and fluid-based biomarkers, the care for pediatric “mild” traumatic brain injury (pmTBI) remains primarily dependent on clinical evaluation. However, the optimal clinical assessments for diagnosing pmTBI and predicting outcomes remain debated, including which individual test or combinations of assessments are most effective, and how this evolves as a function of time post-injury.</div></div><div><h3>Method</h3><div>Random Forest models were used to identify the most effective assessments for diagnostic (pmTBI vs. healthy controls) and outcome (pmTBI with favorable vs. poor outcomes, based on persisting symptoms) classification accuracy across a comprehensive battery including domains of self-reported clinical-ratings, paper-and-pencil cognitive tests, computerized cognitive tests, symptom provocation during neurosensory tests, and performance-based neurosensory measures. Assessments were conducted within 11-days, at 4-months and 1-year post-injury to examine acute and long-term recovery trajectories. A total of 323 pmTBI (180 males; age 14.5 ± 2.8 years) and 244 HC (134 males, 14.0 ± 2.9 years) were included (∼75 % 1-year retention) in final analyses.</div></div><div><h3>Results</h3><div>Self-reported clinical-ratings outperformed performance-based metrics across all visits in both models, with somatic complaints demonstrating the highest predictive validity. Cognitive tests of memory aided diagnostic classification, while emotional disturbances were predictive of outcome classification up-to 4-months. Retrospective ratings, reflecting trait-like characteristics, were more predictive for identifying individuals at risk of poor outcomes. Computerized cognitive and neurosensory tests had limited predictive value beyond 1-week post-injury.</div></div><div><h3>Conclusions</h3><div>Clinicians should adopt a tailored approach for clinical assessments across different post-injury intervals to enhance clinical care, shorten assessment batteries, and better understand recovery in children with “mild” TBI.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100600"},"PeriodicalIF":5.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490887","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}

{"title":"Psychological predictors of CPAP therapy adherence in obstructive sleep apnea patients: insights from the predisposing, precipitating, and perpetuating factors model","authors":"Valentina Poletti ,&nbsp;Elvia Battaglia ,&nbsp;Eleonora Volpato","doi":"10.1016/j.ijchp.2025.100602","DOIUrl":"10.1016/j.ijchp.2025.100602","url":null,"abstract":"<div><div>Continuous positive airway pressure is the standard treatment for obstructive sleep apnoea (OSA), a condition marked by recurrent interruptions in breathing during sleep that impairs quality of life. Despite its efficacy, adherence to continuous positive air pressure (CPAP) remains suboptimal and is influenced by various psychological and contextual factors.</div><div>This scoping review adopts the 3P model—predisposing, precipitating, and perpetuating factors—to identify key motivators and barriers impacting CPAP adherence in OSA patients. A systematic search of PubMed, PsycINFO, and Scopus identified 43 relevant studies. Inclusion criteria focused on peer-reviewed, full-text articles investigating psychological aspects influencing CPAP adherence in adults with OSA. Paediatric populations, non-English publications, and studies without an explicit focus on psychological variables were excluded.</div><div>Predisposing factors include psychological comorbidities, low health literacy, and misconceptions about OSA and CPAP. Perpetuating factors include ongoing psychological barriers, inadequate patient education, and suboptimal communication with healthcare providers. Precipitating factors include device-related anxiety, and perceived stigma.</div><div>In addition, motivators that support adherence have been identified, such as perceived improvements in quality of life, bed partners’ support, and tailored educational programmes highlighting the benefits of CPAP. Interventions such as cognitive behavioural therapy and psychological patient support show promise in improving adherence. Introducing a novel application of the 3P model, this scoping review underscores the complexity of psychological and behavioral determinants of CPAP adherence, highlighting the need of a multifaceted, patient-centered approach. Future research should evaluate the effectiveness of personalized interventions through longitudinal studies to assess their impact on treatment adherence and clinical outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100602"},"PeriodicalIF":5.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471927","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}

{"title":"Corrigendum to “Effects of mindfulness-based interventions on cognitive impairment in patients with cancer: A systematic review and meta-analysis” [Int J Clin Health Psychol. 2025 Apr-Jun;25(2):100576]","authors":"Shuqin Jiang ,&nbsp;Yaoyao Sun ,&nbsp;Lixiang Yu ,&nbsp;Xinjie Hu ,&nbsp;Jie Li","doi":"10.1016/j.ijchp.2025.100599","DOIUrl":"10.1016/j.ijchp.2025.100599","url":null,"abstract":"","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100599"},"PeriodicalIF":5.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365073","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}

{"title":"Tired of war: Changes in the sleep of the Israeli civilian population in the wake of the Israel-Hamas war","authors":"Uri Zak ,&nbsp;Shoham Choshen-Hillel ,&nbsp;Hagit Hochner ,&nbsp;Alex Gileles-Hillel","doi":"10.1016/j.ijchp.2025.100596","DOIUrl":"10.1016/j.ijchp.2025.100596","url":null,"abstract":"<div><h3>Study Objectives</h3><div>War profoundly impacts various aspects of human life. The effects of war on sleep have been mainly studied among military personnel who are directly exposed to combat. The present work studies changes in sleep patterns of the civilian population following a war, assessing sleep before and during the 2023-2024 Israel–Hamas war.</div></div><div><h3>Methods</h3><div>Study 1 compared the national prevalence of insomnia before and during the war by analyzing data from the 2023 Israeli Central Bureau of Statistics survey (<em>N</em> = 6,474). Studies 2 and 3 comprehensively assessed reports on sleep before the war and 2-3 months into the war through validated tools, and also measured psychological distress and demographics. These studies included two independent samples (<em>N</em> = 1,706), one of which was representative of the Israeli population. Study 4 re-surveyed the representative sample of Study 3 six months into the war (<em>N</em> = 273).</div></div><div><h3>Results</h3><div>In Study 1, the incidence of insomnia symptoms rose markedly during the war. In Studies 2 and 3, participants reported a 19-22 % increase in the prevalence of short sleep (&lt; 6 hours/night), a 16-19 % increase in clinical insomnia, and a 4-5 % increase in sleep medication usage compared to before the war. In Study 4, 6 months into the war, the majority of sleep impairments persisted despite reduced psychological distress. Across studies, women and individuals with greater exposure to trauma were more strongly affected.</div></div><div><h3>Conclusions</h3><div>The findings of four studies demonstrate the detrimental effects of warfare on civilians’ sleep, indicating that these effects are likely long-lasting. The findings identify precursors for sleep problems and underscore the relationships between sleep, trauma, and psychological distress.</div><div><strong>Brief Summary</strong></div></div><div><h3>Current knowledge</h3><div>War is an event of profound magnitude that alters the lives of many. The effects of war on people’s sleep have been mainly studied among combat-exposed military personnel. How does war impact the sleep patterns of the civilian population?</div></div><div><h3>Study Impact</h3><div>This comprehensive population-based study, conducted in 2023-2024 before and during the Israel–Hamas war, found that the Israeli civilian population experienced increased clinical insomnia, a significant reduction in sleep duration, and greater use of sleep medications, accompanied by high levels of psychological distress. The effects on sleep persisted 6 months into the war. The sleep of women and individuals with greater exposure to trauma was particularly affected. These findings call for sleep-targeted interventions in the context of war-related trauma and psychological distress.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100596"},"PeriodicalIF":5.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290917","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}