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Amplitude modulated gamma oscillations as electrophysiological markers for repetitive transcranial magnetic stimulation efficacy in treatment-resistant depression: a randomized sham-controlled study 调幅伽马振荡作为反复经颅磁刺激治疗难治性抑郁症疗效的电生理标记:一项随机假对照研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-16 DOI: 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.

Clinical trials registry number

UMIN000020892.
伽马振荡在认知过程中发挥重要作用,包括人类的情绪处理。异常的伽马振荡可能反映某些精神疾病,如重度抑郁症(MDD)。然而,伽马振荡在难治性抑郁症(TRD)中的作用及其与重复经颅磁刺激(rTMS)反应的关系却很少受到关注。方法共招募61例TRD患者进行为期两周的rTMS治疗,包括10个疗程。治疗前后分别进行临床评估和闭眼静息状态脑电图(EEG)记录。参与者被随机分配到三个治疗组中的一个:延长间歇性θ波爆发刺激(piTBS), 10赫兹rTMS,或假手术组。采用Holo-Hilbert谱分析(HHSA)自适应非线性分析方法从脑电数据中提取非线性信息。结果伽玛振荡与汉密尔顿抑郁评定量表(HDRS-17)得分呈正相关。此外,与两个主动刺激组相比,假手术组α - β调幅(AM)调制的伽马振荡的变化明显更大。此外,在rTMS治疗前,与无应答者相比,应答者的α - β AM调制的γ活性显着降低,与特定的rTMS方案无关。结论伽马振荡可作为TRD患者抑郁程度的电生理指标。此外,α - β AM可能代表对rTMS治疗反应的潜在预测因子,在治疗前可识别。临床试验注册编号为umin000020892。
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引用次数: 0
The longitudinal impact of screen media activities on brain function, architecture and mental health in early adolescence 屏幕媒体活动对青少年早期脑功能、结构和心理健康的纵向影响
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-14 DOI: 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.
屏幕媒体使用的增加对青少年的心理健康产生了未知的影响。本研究旨在探讨屏幕媒体活动(SMA)与心理健康问题之间的相关关系和因果关系,以及大脑功能和结构在这种关系中的中介作用。在青少年脑认知发展(ABCD)研究中,4557名青少年(平均年龄= 9.955±0.164岁)的数据在四个时间点进行了分析:基线、1年、2年和3年随访。线性混合模型分别评估了SMA与心理健康指数和大脑发育模式的关系。交叉滞后面板模型检验了sma -心理健康问题的纵向和因果关系。中介分析探讨了脑功能和脑结构在sma -心理健康相关性中的中介作用。基线SMA与内化、外化和压力问题呈正相关;3年后与脑容量、脑面积、静息状态功能连接(RSFC)呈负相关。较高的基线SMA与三年后内化(β = 0.030, SE= 0.012, pfdr = 0.016)和压力问题(β = 0.026, SE= 0.012, pfdr = 0.037)的增加有关。扣带回-眼窝网络(CON)和脾后颞网络(RTN)之间的RSFC介导SMA对外化(β = 0.002, pfdr = 0.042)和应激问题(β = -0.003, pfdr = 0.022)的影响。看电视预测较高的外化问题(β = 0.054, pfdr <;0.001),而视频观看预测内化增加(β = 0.061, PFDR <;0.001),外化(β = 0.033, PFDR = 0.035)和压力问题(β = 0.060, PFDR <;0.001)。研究结果表明,SMA对青少年心理健康的负面影响,尤其是电视和视频观看,是由CON和RTN功能连通性的变化介导的。未来的研究可以探索与视频流相关的具体风险,并考虑SMA中虚拟现实等新兴技术对青少年心理健康的作用。
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引用次数: 0
Replicating and extending research on sanctification: A cognitive appraisal with implications for behaviors, attitudes, and self-image 复制和扩展成圣研究:对行为、态度和自我形象的认知评价
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100566
Elizabeth J. Krumrei-Mancuso, Janet P. Trammell, Jennifer A. Harriger, Joshua A. Evans
Basic competency in religious and spiritual issues among mental health professionals includes knowledge about the role of religion/spirituality in people's lives, particularly as it relates to mental health. This research focuses on cognitive appraisals of sanctification by which individuals interpret stimuli to be sacred. We examined the extent to which adults in the U.S. (N = 342) perceived the body, physical activity, and nature as sacred, and how these views related to indicators of mental and physical health. The results indicated that sanctification of the body was associated with greater body appreciation and self-esteem. Sanctification of physical activity was associated with more engagement in physical activity and receiving more enjoyment from physical activity. Finally, sanctification of nature was associated with experiencing greater connectedness to nature and pursuing more nature exposure. We observed a number of moderators among these links. We discuss implications for mental health professionals.
心理健康专业人员在宗教和精神问题方面的基本能力包括了解宗教/精神在人们生活中的作用,特别是与心理健康有关的作用。本研究的重点是对圣化的认知评价,即个体将刺激解释为神圣的。我们调查了美国成年人(N = 342)在多大程度上认为身体、身体活动和自然是神圣的,以及这些观点与心理和身体健康指标的关系。结果表明,对身体的神圣化与更大的身体欣赏和自尊有关。将体育活动神圣化与更多地参与体育活动以及从体育活动中获得更多的享受有关。最后,对自然的神圣化与体验与自然的更大联系和追求更多的自然接触有关。我们在这些链接中观察到一些版主。我们讨论对心理健康专业人员的影响。
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引用次数: 0
Slow-wave sleep, oxygen desaturation, and memory consolidation in sleep-disturbed individuals 睡眠障碍个体的慢波睡眠、氧饱和度降低和记忆巩固
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100574
Yi-Chun Kuan , Hsin-Wei Lin , Cheng-Chang Yang , Jung-Lung Hsu , Wen-Te Liu , Chaur-Jong Hu , Arnab Majumdar , Yi-Chih Lin , Chih-Wei Peng , Cheng-Yu Tsai
Slow-wave sleep (SWS) plays a crucial role in memory consolidation, yet its disruption in obstructive sleep apnea (OSA) remains poorly understood. This study investigates the relationship between SWS characteristics, nocturnal oxygen desaturation, and memory performance in individuals with sleep disturbances. This cross-sectional study included 49 participants with memory complaints and sleep disturbances who underwent overnight polysomnography (PSG) and cognitive assessments to determine the presence and severity of OSA. SWS parameters, including the slow-wave index, amplitude, and duration, were extracted from PSG data alongside the apnea-hypopnea index (AHI) and oxygen desaturation index (ODI-3 %). Memory consolidation was assessed pre- and post-sleep using the Word Sequence Learning Test (WSLT), with the WSLT-Memory Index Score (WSLT-MIS) as the primary outcome measure. Multiple linear regression models adjusted for age, BMI, and education were used to analyze associations between sleep parameters and memory outcomes. Higher ODI-3 % and AHI were significantly associated with poorer memory consolidation, as indicated by lower WSLT-MIS scores (p < 0.05). AHI during NREM sleep was more strongly associated with poorer memory consolidation compared to AHI during REM sleep. Conversely, a higher slow-wave index was positively correlated with better WSLT-MIS scores and retention rates (p < 0.05). These findings highlight the critical role of SWS in memory consolidation and the detrimental effects of OSA-related sleep disturbances. While CPAP therapy remains the standard treatment for improving oxygenation and reducing sleep fragmentation in OSA, additional strategies aimed at enhancing SWS may further support cognitive function. Longitudinal studies and neuroimaging approaches are needed to better understand the mechanisms linking SWS enhancement and cognitive health.
慢波睡眠(SWS)在记忆巩固中起着至关重要的作用,但其在阻塞性睡眠呼吸暂停(OSA)中的破坏作用仍然知之甚少。本研究探讨了睡眠障碍个体的SWS特征、夜间氧饱和度和记忆表现之间的关系。这项横断面研究包括49名有记忆抱怨和睡眠障碍的参与者,他们接受了夜间多导睡眠描记仪(PSG)和认知评估,以确定OSA的存在和严重程度。从PSG数据中提取SWS参数,包括慢波指数、振幅和持续时间,以及呼吸暂停低通气指数(AHI)和氧去饱和指数(odi - 3%)。使用单词序列学习测试(WSLT)评估睡眠前和睡眠后的记忆巩固,以WSLT-记忆指数评分(WSLT- mis)作为主要结果测量。使用调整了年龄、BMI和教育程度的多元线性回归模型来分析睡眠参数与记忆结果之间的关系。较高的odi - 3%和AHI与较差的记忆巩固显著相关,正如较低的WSLT-MIS分数所表明的那样(p <;0.05)。与快速眼动睡眠期间的AHI相比,非快速眼动睡眠期间的AHI与较差的记忆巩固更密切相关。相反,较高的慢波指数与较好的WSLT-MIS分数和保留率呈正相关(p <;0.05)。这些发现强调了SWS在记忆巩固中的关键作用以及osa相关睡眠障碍的有害影响。虽然CPAP治疗仍然是改善OSA患者氧合和减少睡眠碎片的标准治疗方法,但旨在增强SWS的其他策略可能会进一步支持认知功能。需要纵向研究和神经影像学方法来更好地理解连接SWS增强和认知健康的机制。
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引用次数: 0
Association between anti-thyroid peroxidase antibody and insufficient sleep in euthyroid population 甲状腺功能正常人群抗甲状腺过氧化物酶抗体与睡眠不足的关系
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100565
Yuji Shimizu , Yuko Noguchi , Nagisa Sasaki , Mutsumi Matsuu-Matsuyama , Shin-Ya Kawashiri , Hirotomo Yamanashi , Kazuhiko Arima , Seiko Nakamichi , Yasuhiro Nagata , Naomi Hayashida , Takahiro Maeda

Background

Low sleep quality induces inflammation. Because anti-thyroid peroxidase antibody (TPO-Ab) is an autoantibody that induces inflammation in the thyroid, insufficient sleep may stimulate the production of TPO-Ab. However, the thyroid function is also associated with sleep. Therefore, to evaluate the association between TPO-Ab positivity and insufficient sleep, the target population should be limited to euthyroid individuals whose free triiodothyronine (T3), free thyroxine (T4), and thyroid-stimulating hormone (TSH) are within the normal ranges.

Method

This cross-sectional study recruited 1324 euthyroid individuals who participated in annual health checkups. Insufficient sleep was assessed by using a questionnaire. Individuals with free T3, free T4, and TSH levels within the normal ranges were defined as euthyroid.

Results

Among the study population, 406 had insufficient sleep, and 242 were TPO-Ab-positive. Insufficient sleep was associated with a higher likelihood of TPO-Ab positivity. Sex and age adjusted odd ratios (95 % confidence intervals, p) of TPO-Ab positive for insufficient sleep was 1.47 (1.08, 2.01, p = 0.014). These associations remained unchanged even after further adjustment for free T4 and TSH, status of body mass index, smoking status, drinking status, mental distress, and physical activity; 1.53 (1.11, 2.10, p = 0.009).

Conclusion

Euthyroid individuals with insufficient sleep may be at risk of autoimmune thyroiditis. Although further investigations are necessary, sleep disorder therapy might reduce the risk of the incidence of autoimmune thyroiditis.
低睡眠质量会诱发炎症。由于抗甲状腺过氧化物酶抗体(TPO-Ab)是一种诱导甲状腺炎症的自身抗体,睡眠不足可能会刺激TPO-Ab的产生。然而,甲状腺功能也与睡眠有关。因此,为了评估TPO-Ab阳性与睡眠不足之间的关系,目标人群应限于游离三碘甲状腺原氨酸(T3)、游离甲状腺素(T4)和促甲状腺激素(TSH)在正常范围内的甲状腺功能正常的个体。方法本横断面研究招募1324名参加年度健康检查的甲状腺功能正常的个体。通过问卷调查来评估睡眠不足。游离T3、游离T4和TSH水平在正常范围内的个体被定义为甲状腺功能正常。结果406例睡眠不足,242例tpo - ab阳性。睡眠不足与TPO-Ab阳性的可能性较高有关。睡眠不足患者TPO-Ab阳性的性别和年龄校正奇数比(95%可信区间,p)为1.47 (1.08,2.01,p = 0.014)。即使在进一步调整游离T4和TSH、体重指数、吸烟状况、饮酒状况、精神困扰和身体活动状况后,这些关联仍未改变;1.53 (1.11, 2.10, p = 0.009)。结论睡眠不足的甲状腺功能正常者有发生自身免疫性甲状腺炎的危险。虽然需要进一步的研究,但睡眠障碍治疗可能会降低自身免疫性甲状腺炎的发病率。
{"title":"Association between anti-thyroid peroxidase antibody and insufficient sleep in euthyroid population","authors":"Yuji Shimizu ,&nbsp;Yuko Noguchi ,&nbsp;Nagisa Sasaki ,&nbsp;Mutsumi Matsuu-Matsuyama ,&nbsp;Shin-Ya Kawashiri ,&nbsp;Hirotomo Yamanashi ,&nbsp;Kazuhiko Arima ,&nbsp;Seiko Nakamichi ,&nbsp;Yasuhiro Nagata ,&nbsp;Naomi Hayashida ,&nbsp;Takahiro Maeda","doi":"10.1016/j.ijchp.2025.100565","DOIUrl":"10.1016/j.ijchp.2025.100565","url":null,"abstract":"<div><h3>Background</h3><div>Low sleep quality induces inflammation. Because anti-thyroid peroxidase antibody (TPO-Ab) is an autoantibody that induces inflammation in the thyroid, insufficient sleep may stimulate the production of TPO-Ab. However, the thyroid function is also associated with sleep. Therefore, to evaluate the association between TPO-Ab positivity and insufficient sleep, the target population should be limited to euthyroid individuals whose free triiodothyronine (T3), free thyroxine (T4), and thyroid-stimulating hormone (TSH) are within the normal ranges.</div></div><div><h3>Method</h3><div>This cross-sectional study recruited 1324 euthyroid individuals who participated in annual health checkups. Insufficient sleep was assessed by using a questionnaire. Individuals with free T3, free T4, and TSH levels within the normal ranges were defined as euthyroid.</div></div><div><h3>Results</h3><div>Among the study population, 406 had insufficient sleep, and 242 were TPO-Ab-positive. Insufficient sleep was associated with a higher likelihood of TPO-Ab positivity. Sex and age adjusted odd ratios (95 % confidence intervals, p) of TPO-Ab positive for insufficient sleep was 1.47 (1.08, 2.01, <em>p</em> = 0.014). These associations remained unchanged even after further adjustment for free T4 and TSH, status of body mass index, smoking status, drinking status, mental distress, and physical activity; 1.53 (1.11, 2.10, <em>p</em> = 0.009).</div></div><div><h3>Conclusion</h3><div>Euthyroid individuals with insufficient sleep may be at risk of autoimmune thyroiditis. Although further investigations are necessary, sleep disorder therapy might reduce the risk of the incidence of autoimmune thyroiditis.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100565"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785715","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
The effects of transcranial magnetic stimulation on cognitive flexibility among undergraduates with insomnia symptoms: A prospective, single-blind, randomized control trial 经颅磁刺激对有失眠症状的大学生认知灵活性的影响:一项前瞻性、单盲、随机对照试验
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100567
Muyu Chen , Jun Jiang , Han Chen , Xinyu Liu , Xinpeng Zhang , Li Peng

Backgrounds

Repetitive transcranial magnetic stimulation(rTMS) has been widely used in the treatment of insomnia, but there is a lack of research on whether this method could enhance the cognitive flexibility(CF) of individuals with insomnia symptoms.

Objectives

To investigate the effects of rTMS on the CF of undergraduates with insomnia symptoms.

Methods

29 participants were randomly assigned into Active group(n = 15) and Sham group(n = 14), receiving 1 Hz rTMS interventions targeting the left dorsolateral prefrontal cortex for 2 weeks, comprising 10 sessions (active vs sham stimulation). Sleep quality and CF were assessed using the Pittsburgh Sleep Quality Index(PSQI), Insomnia Severity Index(ISI), Cognitive Flexibility Inventory(CFI), and the Number-Letter Task (N-L task) at baseline(T0), post-intervention(T1), and 8 weeks’ follow-up(T2), and event-related potential(ERP) data during the N-L task were recorded.

Results

Following the intervention, compared to the Sham group, the ISI and PSQI scores in the Active group were significantly decreased, and the CFI score was significantly increased (P < 0.01); the results of the N-L task indicated that at T1, the switch cost of reaction time and accuracy for the Sham group were significantly higher than those for the Active group(P < 0.05). ERP analysis indicated that at T2, under switch conditions, the amplitude of the frontal area P2 in the Active group was significantly greater than that in the Sham group, and the beta-band ERD at parietal region in the Active group was significantly lower than that in the Sham group (P < 0.05).

Conclusions

rTMS could improve sleep quality and enhance the CF of undergraduates with insomnia symptoms.

Clinical Trials Registration

The effect of transcranial magnetic stimulation on cognitive flexibility in college students with insomnia (ChiCTR2400081263) URL: https://www.chictr.org.cn/showproj.html?proj=202951
背景重复经颅磁刺激(rTMS)已被广泛应用于失眠的治疗,但该方法是否能提高失眠患者的认知灵活性(CF),目前还缺乏研究。目的探讨rTMS对有失眠症状的大学生CF的影响。方法29名参与者随机分为活跃组(n = 15)和假手术组(n = 14),接受针对左背外侧前额叶皮层的1 Hz rTMS干预,为期2周,包括10个疗程(活跃和假手术刺激)。采用匹兹堡睡眠质量指数(PSQI)、失眠严重程度指数(ISI)、认知灵活性量表(CFI)和基线(T0)、干预后(T1)和8周随访(T2)时的数字-字母任务(N-L任务)评估睡眠质量和CF,并记录N-L任务期间的事件相关电位(ERP)数据。结果干预后,与Sham组比较,Active组ISI、PSQI评分显著降低,CFI评分显著升高(P <;0.01);N-L任务结果显示,在T1时,假手术组的反应时间转换成本和准确性显著高于手术组(P <;0.05)。ERP分析显示,在T2时,开关条件下,Active组脑额区P2振幅显著大于Sham组,顶叶区β带ERD显著低于Sham组(P <;0.05)。结论srtms可改善大学生失眠症状患者的睡眠质量,增强CF。经颅磁刺激对大学生失眠症患者认知灵活性的影响(ChiCTR2400081263) URL: https://www.chictr.org.cn/showproj.html?proj=202951
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引用次数: 0
Cognitive training and retest learning effects on theta and alpha power in older and young adults: A perspective on the crunch hypothesis and the STAC-R model 认知训练和重测学习对老年人和年轻人theta和alpha功率的影响:嘎口假说和STAC-R模型的视角
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100568
Ludmiła Zając-Lamparska , Emilia Zabielska-Mendyk , Dariusz Zapała , Paweł Augustynowicz
According to the STAC-R model, scaffolding enhancement is achievable through various interventions. Indicating forms of compensatory scaffolding, the STAC-R model refers to phenomena described in other theoretical models, such as the enhanced fronto-parietal recruitment described in the CRUNCH hypothesis. The presented study investigated whether working memory training can induce compensatory scaffolding in older adults through increased prefrontal and parietal involvement (indicated by changes in theta and alpha power). The sample comprised 90 individuals, including 45 participants from the experimental (22 older and 23 young adults) and 45 from the passive control group (21 older and 24 young adults). The age range was 60–75 years for older adults and 20–35 years for young adults. We assessed the effects of a 12-session working memory training with the use of the adaptive n-back task on theta and alpha power measured in frontal midline and central-parietal areas by EEG in older and young adults during the n-back task performance at three difficulty levels. At the behavioral level, we found a positive, significant improvement in cognitive performance in young adults from experimental group. In contrast, the positive changes in older adults were too small to prove statistically significant. At the level of neuronal activity, we observed not a training effect but a retest effect. It was revealed primarily for theta oscillations in older adults and manifested by increased theta power with higher task demands and equalization of theta power of older and younger persons in the post-test. For alpha oscillations, the retest effect was negligible, and its only manifestation observed in older adults was a reduction in the dependence of alpha power on task difficulty. The study results indicate limited potential for improving WM performance in older adults compared to young adults. The presence of the retest learning effect, instead of the training effect, proved that familiarity with the task was crucial, rather than regular training of its performance. Changes observed in older adults in theta power can be considered positive, and these results are consistent with the CRUNCH hypothesis of a compensatory role for increased executive control involvement. In turn, changes in the alpha power in the same group should be considered rather maladaptive. Nevertheless, given the overall study findings, it can be concluded that although the behavioral effects of training are stronger in young adults, the changes in neuronal activity resulting from the retest learning effect are more marked in older adults.
根据STAC-R模型,通过各种干预措施可以实现脚手架增强。作为代偿性支架的形式,STAC-R模型引用了其他理论模型中描述的现象,例如CRUNCH假说中描述的额顶叶招募增强。本研究调查了工作记忆训练是否可以通过增加前额叶和顶叶受累(通过theta和alpha功率的变化表明)来诱导老年人的代偿性支架。样本由90人组成,其中45人来自实验组(22名老年人和23名年轻人),45人来自被动对照组(21名老年人和24名年轻人)。老年人的年龄范围为60-75岁,年轻人为20-35岁。本研究评估了采用自适应n-back任务的12次工作记忆训练对老年人和年轻人在三个难度水平的n-back任务中额中线和中央顶叶区的脑电图和α功率的影响。在行为层面,我们发现实验组的年轻人在认知表现上有积极的、显著的改善。相比之下,老年人的积极变化太小,不足以证明具有统计学意义。在神经元活动水平上,我们观察到的不是训练效应,而是重测效应。这主要表现在老年人的θ波振荡中,并在后测中表现为随着任务需求的增加而增加的θ波功率以及老年人和年轻人的θ波功率趋于平衡。对于α振荡,重测效应可以忽略不计,其在老年人中观察到的唯一表现是α功率对任务难度的依赖性降低。研究结果表明,与年轻人相比,老年人改善WM表现的潜力有限。重测学习效应的存在,而不是训练效应,证明了对任务的熟悉程度,而不是对其表现的定期训练是至关重要的。在老年人中观察到的θ波功率的变化可以被认为是积极的,这些结果与CRUNCH假说一致,即执行控制参与的代偿作用增加。反过来,在同一群体中,阿尔法权力的变化应该被认为是相当不适应的。尽管如此,从整体研究结果来看,我们可以得出这样的结论:尽管训练的行为效应在年轻人中更强,但由重测学习效应引起的神经元活动变化在老年人中更为明显。
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引用次数: 0
Understanding body image in adolescents with drunkorexia behaviors: The roles of body image disturbance, coping strategies and gender 青少年醉酒行为中的身体形象:身体形象障碍、应对策略和性别的作用
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100584
Dora Bianchi , Daniele Di Tata , Stefania Sette , Emiddia Longobardi , Fiorenzo Laghi
Drunkorexia consists of any calorie compensation or eating restrictive conduct enacted before, during, or immediately after alcohol intake. These behaviors raise many health concerns, but studies on adolescents are still limited. Specifically, understanding how body image impacts adolescent drunkorexia might be crucial for prevention and treatment. Following the multidimensional body image framework, this study investigated the role of various body image features (i.e., body image disturbance, adaptive and maladaptive body image coping) in explaining two types of drunkorexia behaviors in teenage girls and boys: (1) eating-related restrictive and compensative conducts; and (2) overexercising. The participants were 832 alcohol-drinking adolescents aged 15 to 20 years (48.6 % girls), who completed an online anonymous survey administered at school. A multigroup mediation model was estimated in line with the aims of the study. Body image disturbance symptoms were positively related to eating drunkorexia behaviors via the mediating effects of increasing maladaptive coping (avoidance and appearance fixing). However, the same relation was negative when the mediating effect of increasing adaptive coping (positive rational acceptance) was considered. Moreover, body image disturbance was positively associated with exercise-related drunkorexia behaviors via increasing appearance fixing coping. Finally, the indirect effect of body image disturbance on eating-related drunkorexia via appearance fixing was positive and significant only in girls (not in boys). These findings provide indications for implementing prevention and educational programs for schools, and for identifying core themes to address in clinical treatment and public health policies.
醉酒包括在饮酒之前、期间或之后的任何卡路里补偿或饮食限制行为。这些行为引起了许多健康问题,但对青少年的研究仍然有限。具体地说,了解身体形象如何影响青少年饮酒症可能对预防和治疗至关重要。在多维身体形象框架下,本研究探讨了各种身体形象特征(即身体形象障碍、适应性和非适应性身体形象应对)在解释两类青少年醉酒行为中的作用:(1)与进食相关的限制性和代偿性行为;(2)过度锻炼。参与者是832名15至20岁的酗酒青少年(48.6 %为女孩),他们完成了一项在学校进行的在线匿名调查。估计了符合研究目的的多组中介模型。身体形象障碍症状与暴食行为之间存在正相关,其中介作用是适应不良应对(回避和固定外貌)的增加。然而,当考虑到增加适应性应对(积极理性接受)的中介作用时,同样的关系是负的。此外,身体形象障碍与运动相关的醉酒行为正相关,通过增加外表固定应对。最后,身体形象障碍对饮食相关的醉酒的间接影响是积极的,并且只有在女孩中显著(在男孩中没有)。这些发现为学校实施预防和教育计划提供了指示,并为确定临床治疗和公共卫生政策的核心主题提供了指示。
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引用次数: 0
Network structures of general, physical and psychological fatigue in patients with metastatic colorectal cancer: Implications for targeted coping strategies 转移性结直肠癌患者一般、生理和心理疲劳的网络结构:对有针对性的应对策略的影响
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100590
Charlotte Grégoire , Florence Cousson-Gélie , Louise Baussard

Background

Cancer-related fatigue (CRF) is a prevalent and debilitating symptom experienced by many patients, affecting both their physical and psychological well-being. This study aims to explore the network organization of three dimensions of CRF (i.e., general, physical, and psychological) and to examine how patient’s resources such as coping strategies interact with these distinct aspects of fatigue.

Method

This study involves data from a previous observational study on patients with metastatic colorectal cancer undergoing chemotherapy. Participants (N = 169) completed several questionnaires at baseline. Partial correlation network analysis was used to model the relationships between patients’ symptoms (i.e., CRF, emotional distress) and resources (i.e., perceived control of the illness, coping strategies, perceived social support), in three distinct networks, each of them including one dimension of fatigue (i.e., general, physical, or psychological). In each network, a core variable (i.e., a symptom or a resource) was identified based on the highest centrality indices.

Results

Coping strategies emerged as the core variable in the three networks, while depression was the symptom with the strongest association with CRF. These findings underline the interconnection between emotional state and fatigue, but most of all suggest the centrality of the patients’ resources, specifically coping strategies used to manage their symptoms, and their potential role in influencing the symptoms.

Conclusion

Our findings are expected to provide insights into targeted therapeutic approaches and enhance patient care. Understanding the complex interplay between the dimensions of fatigue and the coping strategies employed by patients is crucial for developing effective interventions.
癌症相关疲劳(CRF)是许多患者普遍经历的一种使人衰弱的症状,影响他们的身体和心理健康。本研究旨在探讨慢性疲劳综合症的三个维度(即一般、生理和心理)的网络组织,并研究患者的资源(如应对策略)如何与这些不同的疲劳方面相互作用。方法本研究纳入了先前对转移性结直肠癌化疗患者的观察性研究数据。参与者(N = 169)在基线完成了几份问卷调查。部分相关网络分析用于在三个不同的网络中对患者的症状(即慢性疲劳综合症、情绪困扰)和资源(即对疾病的感知控制、应对策略、感知社会支持)之间的关系进行建模,每个网络都包括一个维度的疲劳(即一般、身体或心理)。在每个网络中,根据最高中心性指数确定一个核心变量(即症状或资源)。结果范围策略是三个网络的核心变量,而抑郁是与CRF相关性最强的症状。这些发现强调了情绪状态和疲劳之间的联系,但最重要的是表明了患者资源的中心地位,特别是用于控制症状的应对策略,以及它们在影响症状方面的潜在作用。结论我们的研究结果有望为有针对性的治疗方法和提高患者的护理提供见解。了解疲劳维度和患者所采用的应对策略之间复杂的相互作用对于制定有效的干预措施至关重要。
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引用次数: 0
Frequency-specific modulations for subcomponents of executive functions in the infra-slow frequency range —A combined O-tDCS and fNIRS study 在次慢频范围内执行功能子组件的频率特定调制——O-tDCS和fNIRS的联合研究
IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-04-01 DOI: 10.1016/j.ijchp.2025.100575
Hang Yu, Xiaolong Liu, Chaojun Zheng, Zhuofan Wang, Miao Wang, Chi Zhang, Qiang Hao, Ronghan Liu, Yifeng Wang

Backgrounding

The executive functions (EFs) involve multiple subcomponents including inhibition, updating, and shifting. These subcomponents are mediated by distinct brain networks, each linked to specific neural oscillations. Frequency-specific stimulation is a key approach to achieving precise intervention on different cognitive functions through affecting specific spatiotemporal organizations of brain networks.

Objective

We aimed to explore the modulation of different brain networks and EFs’ subcomponents by stimulation at frequencies of 0.02 Hz and 0.05 Hz, which are closely linked to whole-brain dynamics.

Method

In a randomized, placebo-controlled, cross-over study, we applied anodal oscillatory transcranial direct current stimulation (O-tDCS) to the left DLPFC to investigate the frequency-specific modulation on oxy-hemoglobin (HbO) and offline EF scores (Experiment 1, N = 54), as well as online EF scores (Experiment 2, N = 48).

Result

Near the stimulation frequency, brain signals were significantly enhanced. Specifically, an increase in power at 0.02 Hz was associated with enhanced inhibitory function, while an increase in power at 0.05 Hz was linked to decreased updating function. Compared to the sham condition, 0.02 Hz stimulation increases PLV within the frontal lobe, whereas 0.05 Hz increases PLV between the frontal and parietal lobes, indicating the presence of distinct spatiotemporal structures within cognitive-related brain networks.

Conclusion

The frequency-specific modulation of O-tDCS on brain networks and EF subcomponents suggests that different EFs are supported by brain networks with specific spatiotemporal architectures, bolstering the spectral fingerprint hypothesis of cognition. The spatiotemporal structure of cognitive-specific brain networks offers novel insights and targets for non-invasive interventions targeting diverse cognitive functions.
执行功能(EFs)涉及多个子组件,包括抑制、更新和转移。这些子成分由不同的大脑网络调节,每个网络都与特定的神经振荡有关。频率特异性刺激是通过影响大脑网络的特定时空组织来实现对不同认知功能的精确干预的关键方法。目的探讨与全脑动力学密切相关的0.02 Hz和0.05 Hz频率刺激对不同脑网络和电磁场子成分的调制作用。方法在一项随机、安慰剂对照、交叉研究中,我们对左DLPFC应用阳极振荡经颅直流电刺激(O-tDCS)来研究频率特异性调节对氧血红蛋白(HbO)和离线EF评分(实验1,N = 54)以及在线EF评分(实验2,N = 48)的影响。结果在刺激频率附近,脑信号明显增强。具体来说,0.02 Hz功率的增加与抑制功能的增强有关,而0.05 Hz功率的增加与更新功能的下降有关。与假刺激相比,0.02 Hz刺激增加了额叶内的PLV,而0.05 Hz刺激增加了额叶和顶叶之间的PLV,这表明在认知相关的大脑网络中存在不同的时空结构。结论O-tDCS对脑网络和EF子成分的频率特异性调制表明,不同的EF受到具有特定时空结构的脑网络的支持,支持了认知的频谱指纹假说。认知特异性脑网络的时空结构为针对不同认知功能的非侵入性干预提供了新的见解和目标。
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引用次数: 0
期刊
International Journal of Clinical and Health Psychology
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