Pub Date : 2025-07-01Epub Date: 2025-08-23DOI: 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.
{"title":"Differential diagnosis between maladaptive daydreaming and ADHD: Immersive daydreaming is not simply inattention","authors":"Nitzan Theodor-Katz, 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}
Pub Date : 2025-07-01Epub Date: 2025-06-16DOI: 10.1016/j.ijchp.2025.100593
Yi-Chun Tsai , Cheng-Ta Li , Wei-Kuang Liang , Chih-Ming Cheng , Jia-Shyun Jeng , Chi-Hung Juan
Background
Gamma oscillations play an important role in cognitive processes, including emotional processing in humans. Abnormal gamma oscillations may reflect certain psychiatric disorders, such as major depressive disorder (MDD). However, less attention has been paid to the role of gamma oscillations in treatment-resistant depression (TRD) and their association with the response to repetitive transcranial magnetic stimulation (rTMS).
Methods
A total of 61 TRD patients were recruited for a two-week rTMS treatment consisting of ten sessions. Clinical assessments and eyes-closed resting-state electroencephalogram (EEG) recordings were conducted before and after treatment. Participants were randomly assigned to one of three treatment groups: prolonged intermittent theta burst stimulation (piTBS), 10-Hz rTMS, or a Sham group. Adaptive nonlinear analysis using Holo–Hilbert spectral analysis (HHSA) was applied to extract nonlinear information from the EEG data.
Results
Gamma oscillations were found to be positively correlated with scores on the Hamilton Depression Rating Scale (HDRS-17). Additionally, changes in alpha-beta amplitude modulation (AM) modulated gamma oscillations were significantly larger in the Sham group compared to the two active stimulation groups. Furthermore, alpha-beta AM modulated gamma activity was significantly lower in responders compared to non-responders prior to rTMS treatment, irrespective of the specific rTMS protocol.
Conclusions
Gamma oscillations may serve as an electrophysiological marker for the severity of depression in TRD. Additionally, alpha-beta AM could represent a potential predictor of response to rTMS treatment, identifiable prior to the treatment.
{"title":"Amplitude modulated gamma oscillations as electrophysiological markers for repetitive transcranial magnetic stimulation efficacy in treatment-resistant depression: a randomized sham-controlled study","authors":"Yi-Chun Tsai , Cheng-Ta Li , Wei-Kuang Liang , Chih-Ming Cheng , Jia-Shyun Jeng , Chi-Hung Juan","doi":"10.1016/j.ijchp.2025.100593","DOIUrl":"10.1016/j.ijchp.2025.100593","url":null,"abstract":"<div><h3>Background</h3><div>Gamma oscillations play an important role in cognitive processes, including emotional processing in humans. Abnormal gamma oscillations may reflect certain psychiatric disorders, such as major depressive disorder (MDD). However, less attention has been paid to the role of gamma oscillations in treatment-resistant depression (TRD) and their association with the response to repetitive transcranial magnetic stimulation (rTMS).</div></div><div><h3>Methods</h3><div>A total of 61 TRD patients were recruited for a two-week rTMS treatment consisting of ten sessions. Clinical assessments and eyes-closed resting-state electroencephalogram (EEG) recordings were conducted before and after treatment. Participants were randomly assigned to one of three treatment groups: prolonged intermittent theta burst stimulation (piTBS), 10-Hz rTMS, or a Sham group. Adaptive nonlinear analysis using Holo–Hilbert spectral analysis (HHSA) was applied to extract nonlinear information from the EEG data.</div></div><div><h3>Results</h3><div>Gamma oscillations were found to be positively correlated with scores on the Hamilton Depression Rating Scale (HDRS-17). Additionally, changes in alpha-beta amplitude modulation (AM) modulated gamma oscillations were significantly larger in the Sham group compared to the two active stimulation groups. Furthermore, alpha-beta AM modulated gamma activity was significantly lower in responders compared to non-responders prior to rTMS treatment, irrespective of the specific rTMS protocol.</div></div><div><h3>Conclusions</h3><div>Gamma oscillations may serve as an electrophysiological marker for the severity of depression in TRD. Additionally, alpha-beta AM could represent a potential predictor of response to rTMS treatment, identifiable prior to the treatment.</div></div><div><h3>Clinical trials registry number</h3><div>UMIN000020892.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100593"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-06-24DOI: 10.1016/j.ijchp.2025.100602
Valentina Poletti , Elvia Battaglia , Eleonora Volpato
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.
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.
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.
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.
{"title":"Psychological predictors of CPAP therapy adherence in obstructive sleep apnea patients: insights from the predisposing, precipitating, and perpetuating factors model","authors":"Valentina Poletti , Elvia Battaglia , 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":"2025-07-01","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}
Pub Date : 2025-07-01Epub Date: 2025-06-28DOI: 10.1016/j.ijchp.2025.100598
Laura Simon , Lisa Steinmetz , Eileen Bendig , Ann-Marie Küchler , Dieter Riemann , David Daniel Ebert , Kai Spiegelhalder , Harald Baumeister
Introduction
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.
Methods
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.
Results
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.
Discussion
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.
{"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 , Lisa Steinmetz , Eileen Bendig , Ann-Marie Küchler , Dieter Riemann , David Daniel Ebert , Kai Spiegelhalder , 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":"2025-07-01","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}
Pub Date : 2025-07-01Epub Date: 2025-08-05DOI: 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.
{"title":"Correlates of climate change distress: The difference to general distress","authors":"Jil Beckord , Nadja Gebhardt , Christoph Nikendei , Julia Barbara Krakowczyk , Eva-Maria Skoda , Martin Teufel , 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}
Pub Date : 2025-07-01Epub Date: 2025-06-14DOI: 10.1016/j.ijchp.2025.100589
Na Dong , Yanyao Zhou , Letian Lei , Tatia M.C. Lee , Charlene L.M. Lam
The increased use of screen media has raised unknown effects on mental health among adolescents. This study aimed to examine the correlational and causal association between screen media activity (SMA) and mental health problems, and the mediating role of brain functions and structures in this relationship.
Data from 4557 adolescents (mean age = 9.955 ± 0.164 years) in the Adolescent Brain Cognitive Development (ABCD) study were analysed across four time points: baseline, 1-year, 2-year, and 3-year follow-ups. Linear mixed models assessed SMA’s association with mental health indices and the brain's developmental pattern, respectively. Cross-lagged panel models examined the SMA-mental health problems’ longitudinal and causal relationship. Mediation analyses explored brain functions and structures as mediators on the SMA-mental health correlation.
Baseline SMA positively correlated with internalizing, externalizing, and stress problems; and negatively correlated with brain volume, area and diverse sets of resting-state functional connectivity (RSFC) after three years. Higher baseline SMA associated with increased internalizing (β = 0.030, SE= 0.012, pfdr = 0.016), and stress problems (β = 0.026, SE = 0.012, pfdr = 0.037) three years later. The RSFC between the cingulo-opercular network (CON) and the retrosplenial temporal network (RTN) mediated the effects of SMA on externalizing (β = 0.002, pfdr = 0.042) and stress problems (β = -0.003, pfdr = 0.022). TV watching predicted higher externalizing problems (β = 0.054, pfdr < 0.001), while video watching predicted increased internalizing (β = 0.061, pfdr < 0.001), externalizing (β = 0.033, pfdr = 0.035), and stress problems (β = 0.060, pfdr < 0.001).
The findings indicate the negative impact of SMA, particularly TV and video watching, on adolescent mental health, mediated by changes in CON and RTN functional connectivity. Future research can explore the specific risks associated with video streaming and consider the role of emerging technologies such as virtual reality in SMA on adolescent mental health.
{"title":"The longitudinal impact of screen media activities on brain function, architecture and mental health in early adolescence","authors":"Na Dong , Yanyao Zhou , Letian Lei , Tatia M.C. Lee , Charlene L.M. Lam","doi":"10.1016/j.ijchp.2025.100589","DOIUrl":"10.1016/j.ijchp.2025.100589","url":null,"abstract":"<div><div>The increased use of screen media has raised unknown effects on mental health among adolescents. This study aimed to examine the correlational and causal association between screen media activity (SMA) and mental health problems, and the mediating role of brain functions and structures in this relationship.</div><div>Data from 4557 adolescents (mean age = 9.955 ± 0.164 years) in the Adolescent Brain Cognitive Development (ABCD) study were analysed across four time points: baseline, 1-year, 2-year, and 3-year follow-ups. Linear mixed models assessed SMA’s association with mental health indices and the brain's developmental pattern, respectively. Cross-lagged panel models examined the SMA-mental health problems’ longitudinal and causal relationship. Mediation analyses explored brain functions and structures as mediators on the SMA-mental health correlation.</div><div>Baseline SMA positively correlated with internalizing, externalizing, and stress problems; and negatively correlated with brain volume, area and diverse sets of resting-state functional connectivity (RSFC) after three years. Higher baseline SMA associated with increased internalizing (<em>β</em> = 0.030, <em>SE</em>= 0.012, <em>p<sub>fdr</sub></em> = 0.016), and stress problems (<em>β</em> = 0.026, <em>SE</em> = 0.012, <em>p<sub>fdr</sub></em> = 0.037) three years later. The RSFC between the cingulo-opercular network (CON) and the retrosplenial temporal network (RTN) mediated the effects of SMA on externalizing (<em>β</em> = 0.002, <em>p<sub>fdr</sub></em> = 0.042) and stress problems (<em>β</em> = -0.003, <em>p<sub>fdr</sub></em> = 0.022). TV watching predicted higher externalizing problems (β = 0.054, pfdr < 0.001), while video watching predicted increased internalizing (β = 0.061, pfdr < 0.001), externalizing (β = 0.033, pfdr = 0.035), and stress problems (β = 0.060, pfdr < 0.001).</div><div>The findings indicate the negative impact of SMA, particularly TV and video watching, on adolescent mental health, mediated by changes in CON and RTN functional connectivity. Future research can explore the specific risks associated with video streaming and consider the role of emerging technologies such as virtual reality in SMA on adolescent mental health.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100589"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-07-09DOI: 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.
{"title":"The effectiveness and user preferences of two tactile breathing devices in reducing stress in stressed individuals: A mixed methods study","authors":"E. Honinx , M. Meys , S. Broes , L. Van Langenhoven , R. Janssens , I. Huys , V. Oswald , J. Annen , S. Laureys , C. Martial , 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}
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.
{"title":"Maternal electrophysiological response to interactions with their own child: A preliminary study in a sample of same-sex mothers","authors":"Michele Giannotti , Micol Gemignani , Alessandra Simonelli , Simona de Falco , Arianna Schiano Lomoriello , Bianca Filippi , Silvia Perzolli , Paola Venuti , 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}
Pub Date : 2025-07-01Epub Date: 2025-06-24DOI: 10.1016/j.ijchp.2025.100599
Shuqin Jiang , Yaoyao Sun , Lixiang Yu , Xinjie Hu , Jie Li
{"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 , Yaoyao Sun , Lixiang Yu , Xinjie Hu , 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":"2025-07-01","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}
Pub Date : 2025-07-01Epub Date: 2025-06-28DOI: 10.1016/j.ijchp.2025.100601
Sophie Komenda-Schned , Sarah Jasmin Landskron , Paula Moritz , Nicole Braunstein , Josef Hochmeister , Karin Riegler , Robert Saugspier , Brigitte Lueger-Schuster , Luis Salvador-Carulla , Elisabeth Lucia Zeilinger
Background
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.
Methods
The Delphi study comprised a total of N = 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.
Results
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.
Conclusions
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.
{"title":"Conceptualising good mental health for people with intellectual disabilities: An inclusive delphi study","authors":"Sophie Komenda-Schned , Sarah Jasmin Landskron , Paula Moritz , Nicole Braunstein , Josef Hochmeister , Karin Riegler , Robert Saugspier , Brigitte Lueger-Schuster , Luis Salvador-Carulla , 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":"2025-07-01","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}
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