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Validation of the multidimensional model of the subjective orgasm experience in the context of same-sex relationships 验证同性关系中主观性高潮体验的多维模型
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1016/j.ijchp.2024.100474
Pablo Mangas , Juan Carlos Sierra , Ana Álvarez-Muelas , Oscar Cervilla , Gracia M. Sánchez-Pérez , Reina Granados

Background/objective

The Multidimensional Model of the Subjective Orgasm Experience (MMSOE) has been validated in the context of heterosexual relationships, with no evidence in the context of same-sex relationships. This study aims to examine the association of its dimensions (Affective, Intimacy, Sensory, and Rewards) with the propensity for sexual excitation, rating of sexual arousal, rating of genital sensations, and genital response.

Method

Sixty-eight young adults (34 males and 34 females) who were sexually active with people of the same sex participated in a laboratory task in which they viewed content-neutral and sexually explicit gay films. Regression models were conducted to explain the dimensions of MMSOE from measures of sexual arousal.

Results

In males, the rating of sexual arousal explained the Sensory dimension, while the genital response explained the Affective dimension, with sexual arousal as a state gaining more prominence. In females, however, the propensity for sexual excitation explained the Sensory dimension, with more salience of sexual arousal as a trait.

Conclusions

The MMSOE is shown to be a valid theoretical framework for the study of orgasmic experience in the context of same-sex relationships, with clear implications for clinical practice.

主观高潮体验多维模型(MMSOE)已在异性恋关系中得到验证,但在同性关系中还没有证据。本研究旨在探讨其维度(情感、亲密、感觉和奖励)与性兴奋倾向、性唤起评分、生殖器感觉评分和生殖器反应之间的关联。68 名与同性有性行为的年轻人(34 名男性和 34 名女性)参加了一项实验室任务,观看了内容中立和性露骨的同性恋电影。研究人员建立了回归模型,从性兴奋的测量结果来解释 MMSOE 的各个维度。在男性中,对性唤起的评价解释了感官维度,而生殖器反应则解释了情感维度,性唤起作为一种状态变得更加突出。然而,在女性中,性兴奋倾向解释了感官维度,性兴奋作为一种特质更为突出。研究表明,MMSOE 是研究同性关系中性高潮体验的有效理论框架,对临床实践具有明确的指导意义。
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引用次数: 0
The trial-by-trial fluctuations in primary motor cortex excitability during attentional bias among smokers: A transcranial magnetic stimulation study 吸烟者注意偏差时初级运动皮层兴奋性的逐次波动:经颅磁刺激研究
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1016/j.ijchp.2024.100468
Xue Xia , Dandan Wang , Yansong Li , Xiaoyun Zhu , Xiaoying Tan , Yin Wu

Background

A relatively new computational approach called trial-level bias score (TL-BS) has shown that attentional bias to smoking-related stimuli in smokers fluctuates temporally, trial by trial, during attention tasks. Here, we investigated the reliability of using TL-BS values to assess attentional bias and the electrophysiology mechanisms undergirding fluctuations in attentional bias among smokers.

Method

In total, 26 male smokers and 26 male non-smokers performed a dot-probe task in Experiment 1. In Experiment 2, an additional 23 male smokers and 23 male non-smokers performed the same task while undergoing single-pulse transcranial magnetic stimulation, which was used to investigate corticospinal excitability.

Results

It showed that assessing TL-BS parameters for reaction time (RT) was more reliable than calculating the traditional mean attentional bias score; however, this superior reliability was no longer apparent after controlling for general RT variability. There was a significant difference between smokers and non-smokers in TL-BS parameters calculated for both RT and motor-evoked potential (MEP) amplitude. However, TL-BS parameters for RT and MEP amplitude were strongly correlated with general RT variability and general MEP variability, respectively.

Conclusions

Our findings indicated that TL-BS parameters may not be ideal for measuring attentional bias at either the behavioral or electrophysiology level; however, larger general RT and MEP amplitude variabilities in non-smokers may indicate dysregulation of cognitive processing in smokers.

背景一种名为 "试验水平偏差评分"(trial-level bias score,TL-BS)的相对较新的计算方法表明,在注意力任务中,吸烟者对吸烟相关刺激的注意偏差会随着时间的推移而逐次波动。在此,我们研究了使用 TL-BS 值评估注意偏差的可靠性,以及吸烟者注意偏差波动的电生理机制。方法在实验 1 中,共有 26 名男性吸烟者和 26 名男性非吸烟者执行了点探测任务。结果表明,评估反应时间(RT)的TL-BS参数比计算传统的平均注意偏差得分更可靠;但是,在控制了一般RT变异性后,这种优越的可靠性不再明显。在计算反应时间和运动诱发电位(MEP)振幅的 TL-BS 参数时,吸烟者和非吸烟者之间存在明显差异。结论我们的研究结果表明,TL-BS 参数可能不是在行为学或电生理学水平上测量注意偏差的理想方法;但是,非吸烟者较大的一般 RT 和 MEP 振幅变异性可能表明吸烟者的认知加工失调。
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引用次数: 0
The short version of the Sexual Distress Scale (SDS-3): Measurement invariance across countries, gender identities, and sexual orientations 简版性困扰量表(SDS-3):不同国家、性别认同和性取向的测量不变性
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1016/j.ijchp.2024.100461
Chung-Ying Lin , Meng-Che Tsai , Mónika Koós , Léna Nagy , Shane W. Kraus , Zsolt Demetrovics , Marc N. Potenza , Rafael Ballester-Arnal , Dominik Batthyány , Sophie Bergeron , Joël Billieux , Peer Briken , Georgina Cárdenas-López , Joana Carvalho , Jesús Castro-Calvo , Lijun Chen , Giacomo Ciocca , Ornella Corazza , Rita I. Csako , David P. Fernandez , Beáta Bőthe

Background

The three-item Sexual Distress Scale (SDS-3) has been frequently used to assess distress related to sexuality in public health surveys and research on sexual wellbeing. However, its psychometric properties and measurement invariance across cultural, gender and sexual subgroups have not yet been examined. This multinational study aimed to validate the SDS-3 and test its psychometric properties, including measurement invariance across language, country, gender identity, and sexual orientation groups.

Methods

We used global survey data from 82,243 individuals (Mean age=32.39 years; 40.3 % men, 57.0 % women, 2.8 % non-binary, and 0.6 % other genders) participating in the International Sexual Survey (ISS; https://internationalsexsurvey.org/) across 42 countries and 26 languages. Participants completed the SDS-3, as well as questions regarding sociodemographic characteristics, including gender identity and sexual orientation.

Results

Confirmatory factor analysis (CFA) supported a unidimensional factor structure for the SDS-3, and multi-group CFA (MGCFA) suggested that this factor structure was invariant across countries, languages, gender identities, and sexual orientations. Cronbach's α for the unidimensional score was 0.83 (range between 0.76 and 0.89), and McDonald's ω was 0.84 (range between 0.76 and 0.90). Participants who did not experience sexual problems had significantly lower SDS-3 total scores (M = 2.99; SD=2.54) compared to those who reported sexual problems (M = 5.60; SD=3.00), with a large effect size (Cohen's d = 1.01 [95 % CI=-1.03, -0.98]; p < 0.001).

Conclusion

The SDS-3 has a unidimensional factor structure and appears to be valid and reliable for measuring sexual distress among individuals from different countries, gender identities, and sexual orientations.

背景在公共卫生调查和性健康研究中,三项目性苦恼量表(SDS-3)经常被用来评估与性有关的苦恼。然而,该量表在不同文化、性别和性别亚群中的心理测量特性和测量不变性尚未得到研究。这项多国研究旨在验证 SDS-3 并测试其心理测量特性,包括在不同语言、国家、性别认同和性取向群体间的测量不变性。方法我们使用了来自 42 个国家、26 种语言、82243 名参与国际性调查(ISS;https://internationalsexsurvey.org/)的个体(平均年龄=32.39 岁;男性占 40.3%,女性占 57.0%,非二元性别占 2.8%,其他性别占 0.6%)的全球调查数据。结果确认性因子分析(CFA)支持 SDS-3 的单维因子结构,多组 CFA(MGCFA)表明该因子结构在不同国家、语言、性别认同和性取向之间是不变的。单维得分的 Cronbach's α 为 0.83(范围在 0.76 和 0.89 之间),McDonald's ω 为 0.84(范围在 0.76 和 0.90 之间)。与报告有性问题的受试者(M = 5.60; SD=3.00)相比,没有经历过性问题的受试者的SDS-3总分(M = 2.99; SD=2.54)明显较低,且具有较大的效应大小(Cohen's d = 1.01 [95 % CI=-1.03, -0.98]; p <0.001)。
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引用次数: 0
Dyadic associations and prediction of maternal and paternal sexual satisfaction in couples–Findings from an 18-year longitudinal study 夫妻中母亲和父亲性满意度的相关性和预测--18 年纵向研究的结果
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1016/j.ijchp.2024.100466
Max Supke , Donald H. Baucom , Ann-Katrin Job , Wolfgang Schulz , Kurt Hahlweg

Background

: Sexual satisfaction is one of many crucial factors for the long-term success of romantic relationships. Longitudinal studies examining the dyadic associations between maternal and paternal factors in middle adulthood for predicting sexual satisfaction in later adulthood are scarce.

Method

The German longitudinal intervention study "Future Family” followed families with at least one child over 18-years (Pre: N = 477, mothers: M = 35.2 years, fathers: M = 38.8 years, children: M = 4.1 years). At the time of the 18-year follow-up, N = 150 mothers (M = 54.1 years) were still living together with the biological fathers (M = 56.1 years; mean relationship duration: 32 years). Dyadic associations between individual and dyadic factors at Pre were analyzed with Actor-Partner Interdependence models to predict sexual satisfaction 18 years later.

Results

Higher relationship quality was significantly associated with higher levels of one's own sexual satisfaction 18 years later. Higher levels of maternal and paternal mental health problems were linked to lower levels of sexual satisfaction in both the individual themselves and their partner. General life satisfaction of mothers and fathers only predicted their own sexual satisfaction. The model for dysfunctional parenting yielded no significant effects.

Conclusions

The results indicate that relationship quality, mental health problems, and general life satisfaction of both parents could be starting points for preventive and therapeutic interventions to achieve long-term effects in sexual satisfaction in married couples.

背景:性满意度是恋爱关系长期成功的众多关键因素之一。德国纵向干预研究 "未来家庭 "对至少有一个孩子的家庭进行了长达 18 年的跟踪调查(调查前:N = 477,母亲:M = 35.2 岁,父亲:M = 35.2 岁):母亲:男 = 35.2 岁,父亲:男 = 38.8 岁:男 = 38.8 岁,子女:男 = 4.1 岁)。在 18 年的跟踪调查中,有 N = 150 名母亲(男 = 54.1 岁)仍与亲生父亲(男 = 56.1 岁;平均关系持续时间:32 年)生活在一起。研究人员利用行为者-伴侣相互依赖模型分析了婚前个人因素与婚后伴侣因素之间的关系,以预测 18 年后的性生活满意度。结果关系质量越高,18 年后自己的性生活满意度就越高。母亲和父亲较高程度的心理健康问题与个人及其伴侣较低程度的性满意度有关。母亲和父亲的总体生活满意度只预测他们自己的性满意度。结论:研究结果表明,父母双方的关系质量、心理健康问题和一般生活满意度可以作为预防和治疗干预的起点,从而对已婚夫妇的性满意度产生长期影响。
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引用次数: 0
A qualitative metasummary of detransition experiences with recommendations for psychological support 关于分离经验的定性元总结及心理支持建议
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-04-01 DOI: 10.1016/j.ijchp.2024.100467
Pablo Expósito-Campos , José Ignacio Pérez-Fernández , Karmele Salaberria

Objective

The main goal of this article is to identify areas of psychotherapeutic work with detransitioners, that is, individuals who stop or reverse a gender transition, given the scarcity of information and resources.

Methods

We conducted a systematic review and metasummary of qualitative data published until April 2023. Data were extracted, grouped, and refined to conform meta-findings.

Results

The database search yielded 845 records, of which 15 comprising 2689 people who detransitioned were included in the review. A total of 582 findings were extracted, resulting in 34 meta-findings with frequencies ≥ 15 %. Two main thematic areas with several subthemes were identified. The theme “Gender transition” included “Perspectives” and “Emotions.” The theme “Gender detransition” included “Driving factors,” “Challenges” (a. Social and emotional difficulties, b. Lack of support and understanding, c. Negative healthcare experiences, d. Detransphobia, and e. Identity concerns), “Needs,” “Growth and evolution,” and “Identity and future.” Based on these meta-findings, we advance broad recommendations for supporting detransitioners in their various emotional, social, and identity needs.

Conclusions

Detransitioners are diverse in their experiences and perspectives and face significant challenges. Emotional validation with a focus on personal strengths and meanings, treatment of concurrent psychological issues, development of social networks, and support of identity exploration are key aspects of psychotherapeutic work with this population.

本文的主要目的是在信息和资源匮乏的情况下,确定针对脱离性别转变者(即停止或逆转性别转变者)的心理治疗工作领域。方法我们对截至 2023 年 4 月发表的定性数据进行了系统性回顾和元总结。结果数据库搜索共获得 845 条记录,其中 15 条记录包含 2689 名停止性别转换者。共提取了 582 项研究结果,得出 34 项频率≥ 15 % 的元发现。确定了两个主要专题领域和若干副主题。性别转换 "主题包括 "观点 "和 "情感"。性别分离 "主题包括 "驱动因素"、"挑战"(a. 社交和情感困难,b. 缺乏支持和理解,c. 消极的医疗保健经历,d. 性别分离恐惧症,e. 对身份的担忧)、"需求"、"成长和演变 "以及 "身份和未来"。基于这些元发现,我们提出了广泛的建议,以支持离院人员的各种情感、社交和身份需求。结论离院人员的经历和观点多种多样,他们面临着巨大的挑战。以个人优势和意义为重点的情感确认、并发心理问题的治疗、社交网络的发展以及对身份探索的支持,是针对这类人群的心理治疗工作的关键方面。
{"title":"A qualitative metasummary of detransition experiences with recommendations for psychological support","authors":"Pablo Expósito-Campos ,&nbsp;José Ignacio Pérez-Fernández ,&nbsp;Karmele Salaberria","doi":"10.1016/j.ijchp.2024.100467","DOIUrl":"https://doi.org/10.1016/j.ijchp.2024.100467","url":null,"abstract":"<div><h3>Objective</h3><p>The main goal of this article is to identify areas of psychotherapeutic work with detransitioners, that is, individuals who stop or reverse a gender transition, given the scarcity of information and resources.</p></div><div><h3>Methods</h3><p>We conducted a systematic review and metasummary of qualitative data published until April 2023. Data were extracted, grouped, and refined to conform meta-findings.</p></div><div><h3>Results</h3><p>The database search yielded 845 records, of which 15 comprising 2689 people who detransitioned were included in the review. A total of 582 findings were extracted, resulting in 34 meta-findings with frequencies ≥ 15 %. Two main thematic areas with several subthemes were identified. The theme “Gender transition” included “Perspectives” and “Emotions.” The theme “Gender detransition” included “Driving factors,” “Challenges” (a. Social and emotional difficulties, b. Lack of support and understanding, c. Negative healthcare experiences, d. Detransphobia, and e. Identity concerns), “Needs,” “Growth and evolution,” and “Identity and future.” Based on these meta-findings, we advance broad recommendations for supporting detransitioners in their various emotional, social, and identity needs.</p></div><div><h3>Conclusions</h3><p>Detransitioners are diverse in their experiences and perspectives and face significant challenges. Emotional validation with a focus on personal strengths and meanings, treatment of concurrent psychological issues, development of social networks, and support of identity exploration are key aspects of psychotherapeutic work with this population.</p></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 2","pages":"Article 100467"},"PeriodicalIF":8.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1697260024000322/pdfft?md5=1524960334f6f4a41411aa49a6aa6e5e&pid=1-s2.0-S1697260024000322-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140842688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imagine before you leap: Episodic future thinking combined with transcranial direct current stimulation training for impulsive choice in repetitive negative thinking 跳跃之前先想象情节性未来思维与经颅直流电刺激训练相结合,治疗重复性消极思维中的冲动性选择
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-29 DOI: 10.1016/j.ijchp.2024.100455
Yixin Hu , Xiao Wu , Shuyi Li, Peiyao Liu, Dawei Wang

Background

Immediate reward preference in repetitive negative thinking (RNT) has a high clinical correlation with a variety of maladaptive behaviors, whereas episodic future thinking (EFT) may be conducive to dealing with non-adaptive thinking and decision-making.

Objectives

This study aimed to evaluate the efficacy of EFT training combined with transcranial direct current stimulation (tDCS) stimulation over the ventromedial PFC (vmPFC) in inhibiting impulsive choice of RNT individuals.

Method

Study 1 explored the effects of EFT on immediate reward preference of participants with high and low RNT (N = 48). Study 2 conducted a randomized controlled trial (RCT) to examine the treatment effect of the EFT-neural training on impulsive choice of high RNT individuals (N = 103).

Results

In study 1, individuals with high RNT were more likely to choose smaller and sooner (SS) rewards, however, there were no significant differences between the high-RNT group and the low-RNT group under the positive EFT condition. In study 2, a significant decrease was shown in the proportion of choosing SS rewards under the 8-week EFT-neural training, and the effect was maintained at 1 month follow-up.

Conclusion

RNT is a vulnerability factor for short-sighted behaviors, and EFT-neural training could be suitable for reducing RNT and improving immediate reward preference.

背景重复性消极思维(RNT)中的即时奖赏偏好与各种适应不良行为具有高度的临床相关性,而外显未来思维(EFT)可能有利于处理非适应性思维和决策。本研究旨在评估外显未来思维训练与经颅直流电刺激(tDCS)相结合对抑制 RNT 患者冲动性选择的疗效。方法研究 1 探讨了 EFT 对高 RNT 和低 RNT 参与者(48 人)即时奖励偏好的影响。结果在研究1中,高RNT个体更倾向于选择较小和较快的奖励(SS),但在积极的EFT条件下,高RNT组和低RNT组之间没有显著差异。在研究 2 中,在为期 8 周的 EFT 神经训练中,选择 SS 奖励的比例出现了明显下降,并且这种效果在 1 个月的随访中保持不变。
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引用次数: 0
Sensitivity to reward and punishment in adolescents with repetitive non-suicidal self-injury: The role of inhibitory control 重复性非自杀性自伤青少年对奖惩的敏感性:抑制控制的作用
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-29 DOI: 10.1016/j.ijchp.2024.100456
Jinmeng Liu , Hui Wang , Shufen Xing , Xia Liu

Background

Repetitive Nonsuicidal Self-Injury (R-NSSI) is complex and prevalent in adolescents. Although the reward system is a promising mechanism to explain R-NSSI, the specific processes of reward and punishment related to R-NSSI remain unclear. This study examined whether adolescents with R-NSSI displayed difficulties in both reward and punishment contexts, and further explored the role of inhibitory control in processing monetary reward and punishment.

Methods

Within a cohort from two middle schools (N = 3,475, 48.6 % female, Mage = 12.95), a total of 187 adolescents completed three novel behavioral tasks. Specifically, in Study 1, 36 adolescents with R-NSSI and 28 without NSSI completed adapted incentive-delay tasks to evaluate sensitivity to reward and punishment. In Study 2, 27 adolescents with R-NSSI and 21 without NSSI were given novel incentive delay-two choice oddball task to evaluate the interaction between reward and inhibitory control. In Study 3, 38 adolescents with R-NSSI and 35 without NSSI completed similar task to assess the interaction between punishment and inhibitory control.

Results

Adolescents with R-NSSI were characterized by higher levels of behavioral reward and punishment sensitivity than adolescents without NSSI. More importantly, the difference between reward and punishment in inhibitory control of R-NSSI was found. Compared to adolescents without NSSI, adolescents with R-NSSI showed lower levels of inhibitory control in response to cues depicting punishment content but not to those depicting reward content.

Conclusions

This study provides novel experimental evidence that heightened behavioral sensitivity to both reward and punishment may be relevant trait marker in R-NSSI among adolescents, and emphasizes that punishment not reward interact with inhibitory control in the R-NSSI.

背景重复性非自杀性自伤(R-NSSI)是一种复杂且普遍存在于青少年中的行为。尽管奖赏系统是解释R-NSSI的一种有希望的机制,但与R-NSSI相关的奖赏和惩罚的具体过程仍不清楚。本研究考察了患有 R-NSSI 的青少年是否在奖励和惩罚情境中都表现出困难,并进一步探讨了抑制控制在处理金钱奖励和惩罚时的作用。具体来说,在研究 1 中,36 名有 R-NSSI 行为的青少年和 28 名无 NSSI 行为的青少年完成了经调整的激励-延迟任务,以评估对奖惩的敏感性。在研究 2 中,27 名有 R-NSSI 症状的青少年和 21 名无 NSSI 症状的青少年接受了新颖的激励延迟--两个选择奇球任务,以评估奖励和抑制控制之间的相互作用。在研究 3 中,38 名有 R-NSSI 行为的青少年和 35 名没有 NSSI 行为的青少年完成了类似的任务,以评估惩罚和抑制控制之间的相互作用。更重要的是,在 R-NSSI 的抑制控制中发现了奖惩之间的差异。与没有 NSSI 的青少年相比,有 R-NSSI 的青少年对描述惩罚内容的线索的抑制控制水平较低,但对描述奖励内容的线索的抑制控制水平却不低。结论 本研究提供了新的实验证据,证明对奖励和惩罚的行为敏感性提高可能是青少年 R-NSSI 的相关特质标记,并强调在 R-NSSI 中,惩罚而非奖励会与抑制控制相互作用。
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引用次数: 0
Associations between muscular strength and mental health in cognitively normal older adults: a cross-sectional study from the AGUEDA trial 认知正常的老年人肌肉力量与心理健康之间的关系:AGUEDA 试验的横断面研究
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-19 DOI: 10.1016/j.ijchp.2024.100450
Darío Bellón , María Rodriguez-Ayllon , Patricio Solis-Urra , Beatriz Fernandez-Gamez , Marcos Olvera-Rojas , Andrea Coca-Pulido , Angel Toval , Isabel Martín-Fuentes , Esmée A. Bakker , Alessandro Sclafani , Javier Fernández-Ortega , Verónica Cabanas-Sánchez , Jose Mora-Gonzalez , Manuel Gómez-Río , David R Lubans , Francisco B. Ortega , Irene Esteban-Cornejo

Objective

To examine the associations between muscular strength and mental health.

Design

We used baseline data of 91 cognitively healthy older adults (71.69 ± 3.91 years old, 57 % women) participating in the AGUEDA randomized controlled trial.

Methods

Muscular strength was assessed using both objective (i.e., handgrip strength, biceps curl, squats, and isokinetic test) and perceived (i.e., International Fitness Scale) indicators. Psychological ill-being indicators: anxiety, depression, stress, and loneliness; and psychological well-being indicators: satisfaction with life, self-esteem, and emotional well-being) were assessed using a set of valid and reliable self-reported questionnaires. Linear regression analyses were performed adjusting for sex, age, years of education, body mass index , alcohol, diet, and smoking (model 1), and additionally by cardiorespiratory fitness (model 2).

Results

Elbow extension was positively associated with stress in model 1 (β = 0.252, 95 % Confidence Interval [95 % CI] = 0.007 to 0.497, p = 0.044), and even after further adjustment for cardiorespiratory fitness (β = 0.282, 95 % CI = 0.032 to 0.532, p = 0.028). Perceived strength was negatively associated with depressive symptoms in model 1 (β = -0.271, 95 % CI = -0.491 to -0.049, p = 0.017) and model 2 reported associations tending towards significant (β = -0.220, 95 % CI = -0.445 to 0.005, p = 0.055). Handgrip strength was positively associated with self-esteem in model 1 (β = 0.558, 95 % CI = 0.168 to 0.949, p = 0.006) and model 2 (β = 0.546, 95 % CI = 0.135 to 0.956, p = 0.010). No further associations were found among other muscular strength and mental health variables.

Conclusion

Handgrip had a moderate association with self-esteem and there was a small association between perceived strength with depressive symptoms and elbow extension with stress. No other associations were observed between muscular strength and mental health outcomes in cognitively normal older adults.

方法使用客观指标(即手握力、肱二头肌卷曲、深蹲和等动测试)和感知指标(即国际体适能量表)评估肌肉力量。心理健康指标包括:焦虑、抑郁、压力和孤独感;心理幸福指标包括:生活满意度、自尊和情感幸福感。在对性别、年龄、受教育年限、体重指数、酒精、饮食和吸烟(模型 1)以及心肺功能(模型 2)进行调整后,进行了线性回归分析。结果在模型 1 中,伸肘与压力呈正相关(β = 0.252,95 % 置信区间 [95 % CI] = 0.007 至 0.497,p = 0.044),甚至在进一步调整心肺功能后也是如此(β = 0.282,95 % CI = 0.032 至 0.532,p = 0.028)。在模型 1 中,感知力量与抑郁症状呈负相关(β = -0.271,95 % CI = -0.491 至 -0.049,p = 0.017),而模型 2 则趋于显著相关(β = -0.220,95 % CI = -0.445 至 0.005,p = 0.055)。在模型 1(β = 0.558,95 % CI = 0.168 至 0.949,p = 0.006)和模型 2(β = 0.546,95 % CI = 0.135 至 0.956,p = 0.010)中,手握力与自尊呈正相关。结论:握力与自尊有一定关系,感知力量与抑郁症状和伸肘与压力之间有微小关系。在认知正常的老年人中,没有观察到肌肉力量与心理健康结果之间存在其他关联。
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引用次数: 0
Heart Rate Variability (HRV) serves as an objective correlate of distress and symptom burden in multiple sclerosis 心率变异(HRV)是多发性硬化症患者痛苦和症状负担的客观相关因素
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-16 DOI: 10.1016/j.ijchp.2024.100454
Giuseppina Pilloni, Pamela Best, Ilya Kister, Leigh Charvet

Background

Autonomic nervous system (ANS) dysfunction is frequently seen in people living with multiple sclerosis (MS). Heart rate variability (HRV) is an easy and objective index for evaluating ANS functioning, and it has been previously used to explore the association between ANS and the experience of symptom burden in other chronic diseases. Given ANS functioning can be influenced by physical and psychological factors, this study investigated whether emotional distress and/or the presence of ANS dysfunction is associated with symptom severity in people living with MS.

Methods

Participants with MS and healthy controls (HC) with no history of cardiac conditions were recruited to self-collect HR data sampled from a chest strap HR monitor (PolarH10). Short-term HR signal was collected for five minutes, and time and frequency HRV analyses were performed and compared between groups. HRV values were then compared to self-reported distress (Kessler Psychological Distress Scale) and MS participants’ self-reported measures of symptom burden (SymptoMScreen).

Results

A total of n = 23 adults with MS (51 ± 12 years, 65 % female, median Patient Determined Disease Steps [PDDS]: 3.0) and n = 23 HCs (43 ± 18 years, 40 % female) completed the study procedures. All participants were able to complete the chest strap placement and HR data capture independently. Participants with MS, compared to the HC participants, had a significantly lower parasympathetic activation as shown by lower values of the root mean square of successive differences between normal heartbeats (RMSSD: 21.86 ± 9.84 vs. 43.13 ± 20.98 ms, p = 0.002) and of high-frequency (HF) power band (HF-HRV: 32.69 ± 12.01 vs. 42.39 ± 7.96 nu, p = 0.016), indicating an overall lower HRV in the MS group. Among individuals with MS, HF-HRV was significantly correlated with the severity of self-reported MS symptoms (r = -0.548, p = 0.010). Participants with MS also reported higher levels of distress compared to HC participants (18.32 ± 6.05 vs. 15.00 ± 4.61, p = 0.050), and HRV correlated with the severity of distress in MS participants (r = -0.569, p = 0.007). A significant mediation effect was also observed, with emotional distress fully mediating the association between HRV and symptom burden.

Conclusions

These findings suggest the potential for ANS dysfunction, as measured by HRV (i.e., lower value of HF power), to be utilized as an objective marker of symptom burden in people living with MS. Moreover, it is apparent that the relationship between HRV and symptom burden is mediated by emotional distress.

背景多发性硬化症(MS)患者经常出现自律神经系统(ANS)功能障碍。心率变异性(HRV)是评估自律神经系统功能的一个简单而客观的指标,以前曾被用于探讨自律神经系统与其他慢性疾病症状负担之间的关系。鉴于自律神经系统功能会受到生理和心理因素的影响,本研究调查了情绪困扰和/或自律神经系统功能障碍是否与多发性硬化症患者的症状严重程度有关。方法招募多发性硬化症患者和无心脏病史的健康对照组(HC),让他们自行收集胸带心率监测仪(PolarH10)的心率数据。采集了五分钟的短期心率信号,进行了时间和频率心率变异分析,并进行了组间比较。然后将心率变异值与自我报告的困扰(凯斯勒心理困扰量表)和多发性硬化症患者自我报告的症状负担测量值(SymptoMScreen)进行比较。结果共有 n = 23 名多发性硬化症成人患者(51 ± 12 岁,65 % 为女性,患者自定疾病分级[PDDS]中位数为 3.0)和 n = 23 名多发性硬化症成人患者(51 ± 12 岁,65 % 为女性,患者自定疾病分级[PDDS]中位数为 3.0):3.0)和 n = 23 名成人多发性硬化症患者(43 ± 18 岁,女性占 40%)完成了研究程序。所有参与者都能独立完成胸带佩戴和心率数据采集。与 HC 参试者相比,MS 参试者的副交感神经激活程度明显较低,表现为正常心跳间连续差值的均方根值(RMSSD:21.86 ± 9.84 vs. 43.13 ± 20.98 ms,p = 0.002)和高频(HF)功率带(HF-HRV:32.69 ± 12.01 vs. 42.39 ± 7.96 nu,p = 0.016)较低,表明 MS 组的 HRV 整体较低。在多发性硬化症患者中,HF-HRV 与自我报告的多发性硬化症症状严重程度显著相关(r = -0.548,p = 0.010)。与 HC 参与者相比,MS 参与者也报告了更高程度的困扰(18.32 ± 6.05 vs. 15.00 ± 4.61,p = 0.050),心率变异与 MS 参与者困扰的严重程度相关(r = -0.569,p = 0.007)。这些研究结果表明,通过心率变异(即较低的高频功率值)测量的自律神经系统功能障碍有可能被用作多发性硬化症患者症状负担的客观标记。此外,心率变异与症状负担之间的关系显然受情绪困扰的影响。
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引用次数: 0
The impact of past temporal discounting on mental health: Opposite effects of positive and negative event aftertastes over time 过去的时间折扣对心理健康的影响:随着时间的推移,积极和消极事件余味的影响截然相反
IF 8.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-03-03 DOI: 10.1016/j.ijchp.2024.100453
Bowen Hu , Shunmin Zhang , Peiwei Liu , Feng Zhou , Tingyong Feng

Background

Time frees people from bereavement, but also fades childhood happiness, these dynamics can be understood through the framework of past temporal discounting (PTD), which refers to the gradual decrease in affect intensity elicited by recalling positive or negative events over time. Despite its importance, measuring PTD has been challenging, and its impact on real-life outcomes, such as mental health remains unknown.

Method

Here, we employed a longitudinal tracking approach to measure PTD in healthy participants (N = 210) across eight time points. We recorded changes in affect intensity for positive and negative events and examined the impact of PTD on mental health outcomes, including general mental well-being, depression, stress sensitivity, and etc.

Results

The results of Bayesian multilevel modeling indicated that the affect intensity for positive and negative events discounted over time at a gradually decelerating rate. Furthermore, we found that maintaining good mental health heavily depended on rapid PTD of negative events and slow PTD of positive events.

Conclusions

These results provide a comprehensive characterization PTD and demonstrate its importance in maintaining mental health.

背景时间会让人们从丧亲之痛中解脱出来,但也会让童年的幸福感逐渐消失,这些动态变化可以通过过去时间折扣(PTD)框架来理解,PTD 是指随着时间的推移,人们在回忆积极或消极事件时引起的情感强度逐渐降低。尽管 PTD 非常重要,但对其进行测量却一直是个难题,而且它对心理健康等现实生活结果的影响仍不为人所知。结果贝叶斯多层次建模的结果表明,随着时间的推移,积极和消极事件的情感强度会逐渐减弱。此外,我们还发现保持良好的心理健康在很大程度上取决于消极事件的快速PTD和积极事件的缓慢PTD。
{"title":"The impact of past temporal discounting on mental health: Opposite effects of positive and negative event aftertastes over time","authors":"Bowen Hu ,&nbsp;Shunmin Zhang ,&nbsp;Peiwei Liu ,&nbsp;Feng Zhou ,&nbsp;Tingyong Feng","doi":"10.1016/j.ijchp.2024.100453","DOIUrl":"https://doi.org/10.1016/j.ijchp.2024.100453","url":null,"abstract":"<div><h3>Background</h3><p>Time frees people from bereavement, but also fades childhood happiness, these dynamics can be understood through the framework of past temporal discounting (PTD), which refers to the gradual decrease in affect intensity elicited by recalling positive or negative events over time. Despite its importance, measuring PTD has been challenging, and its impact on real-life outcomes, such as mental health remains unknown.</p></div><div><h3>Method</h3><p>Here, we employed a longitudinal tracking approach to measure PTD in healthy participants (<em>N</em> = 210) across eight time points. We recorded changes in affect intensity for positive and negative events and examined the impact of PTD on mental health outcomes, including general mental well-being, depression, stress sensitivity, and etc.</p></div><div><h3>Results</h3><p>The results of Bayesian multilevel modeling indicated that the affect intensity for positive and negative events discounted over time at a gradually decelerating rate. Furthermore, we found that maintaining good mental health heavily depended on rapid PTD of negative events and slow PTD of positive events.</p></div><div><h3>Conclusions</h3><p>These results provide a comprehensive characterization PTD and demonstrate its importance in maintaining mental health.</p></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 2","pages":"Article 100453"},"PeriodicalIF":8.8,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1697260024000188/pdfft?md5=acd176dc94a80f4737b356b4f94b4d78&pid=1-s2.0-S1697260024000188-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140015737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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
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