International Journal of Clinical and Health Psychology最新文献

{"title":"Executive functions modulate conditioned fear extinction and reinstatement: The differential roles of shifting, updating, and inhibition","authors":"Wenzhao Zhang ,&nbsp;Yixia Huang ,&nbsp;Ying Mei ,&nbsp;Jinxia Wang ,&nbsp;Haoran Dou ,&nbsp;Yi Lei","doi":"10.1016/j.ijchp.2025.100581","DOIUrl":"10.1016/j.ijchp.2025.100581","url":null,"abstract":"<div><div>Conditioned fear learning is crucial for survival, and failure of fear extinction is closely related to the development of anxiety disorders. This study explores how different executive function (EF) subcomponents—shifting, updating, and inhibition—modulate conditioned fear extinction and reinstatement at both behavioral and neural levels. A total of 88 participants (age range: 17–23 years) completed the Stroop Task, Digit Size-Parity Switching Task, and Memory Updating Task to assess their executive function abilities. Participants underwent a classical fear extinction paradigm while their shock expectancy ratings and prefrontal cortical activity were recorded using functional near-infrared spectroscopy (fNIRS). Results indicated that individuals with higher shifting ability exhibited greater fear expectancy during fear acquisition <em>(β = -0.406, p = 0.032)</em> and reinstatement <em>(β = -0.834, p = 0.004)</em>, along with higher prefrontal cortex activity <em>(p &lt; 0.05)</em>, suggesting heightened responses to threatening stimuli. Individuals with higher updating ability showed a slower decrease in fear expectancy during the early extinction phase <em>(β = 0.038, p = 0.002)</em>, but maintained lower expectancy during the extinction recall phase <em>(β = -0.769, p = 0.006)</em>, indicating poorer extinction learning but better extinction memory retention. Individuals with higher updating ability also exhibited more extinction recall in the prefrontal cortex regions <em>(p_s &lt; 0.045)</em>. Individuals with higher inhibitory ability showed higher expectancy for CS+ and lower expectancy for CS− during extinction learning <em>(β = -0.409, p = 0.008)</em>, along with a slower decrease in fear expectancy <em>(β = -0.022, p = 0.055)</em>. Furthermore, individuals with higher inhibition ability showed lower PFC activity in immediate extinction <em>(p_s &lt; 0.0421)</em>, suggesting slower extinction learning but better regulation of safety cues. By clarifying the roles of these executive function components, our study highlights the cognitive mechanisms that could inform interventions aimed at improving fear extinction, offering potential strategies for mitigating anxiety-related disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100581"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurobiological correlates of CBT response in OCD through the analysis of resting state networks","authors":"Mafalda Machado-Sousa ,&nbsp;Sara Bertolín ,&nbsp;Maria Picó-Pérez ,&nbsp;Ana Daniela Costa ,&nbsp;Rita Vieira ,&nbsp;Pino Alonso ,&nbsp;José M. Menchón ,&nbsp;Pedro Morgado ,&nbsp;Carles Soriano-Mas","doi":"10.1016/j.ijchp.2025.100585","DOIUrl":"10.1016/j.ijchp.2025.100585","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) is a psychiatric condition characterized by obsessions and compulsions that cause significant distress and functional impairment. Cognitive-behavioral therapy (CBT), particularly involving exposure and response prevention (ERP), is a first-line treatment for OCD, though patient response varies widely. This study investigates the neurobiological correlates of CBT response in OCD, focusing on resting-state functional connectivity (rsFC) alterations. Twenty-five patients with OCD and 26 matched controls underwent resting-state fMRI at baseline and post-CBT. Results indicated decreased rsFC at baseline in OCD patients compared to controls within the higher visual (HVN), posterior salience (PSN), and language networks (LN). Following CBT, patients showed increased HVN connectivity, suggesting a normalization of the rsFC within this network. Additionally, we found an association between baseline LN rsFC and symptom improvement after CBT (the higher the connectivity, the more the symptom improvement), suggesting that LN connectivity could be a predictor of treatment response. These findings emphasize the role of sensory processing networks in OCD and highlight the ability of CBT to modulate brain connectivity.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100585"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143934830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a breath robot intervention to reduce sleep problems in posttraumatic stress disorder: A randomized controlled study","authors":"Annett Lotzin ,&nbsp;Carlotta Reinhardt ,&nbsp;Michael Barthelmäs ,&nbsp;Isabelle Laskowsky","doi":"10.1016/j.ijchp.2025.100594","DOIUrl":"10.1016/j.ijchp.2025.100594","url":null,"abstract":"<div><div>Background: Patients with Posttraumatic stress disorder (PTSD) suffer from sleep problems. Robot interventions offer a novel approach to reducing these problems. However, it is unclear whether patients with PTSD accept and regularly use a robot intervention and whether it is effective. Objective: This randomized controlled study evaluated the feasibility of a novel breath robot intervention in PTSD patients. Methods: Thirty-one adults with PTSD according to DSM-V (PSSI-5) with impaired sleep (PSQI &gt; 5) were randomly assigned to a 4-week robot intervention (Somnox 2) with human breath simulation or to a 4-week robot intervention without human breath simulation. The primary feasibility outcome was the proportion of randomized participants providing outcome data at post-treatment. Secondary feasibility outcomes involved eligibility rate, recruitment speed, uptake, retention, treatment adherence, and dropout, clinical outcomes included sleep quality (PSQI), PTSD symptoms (PSSI-5), distress (PSS-10), and well-being (WHO-5). Results: Outcome data were provided by 96.8 %; eligibility rate was 75.6 %; 31 patients were recruited within 6 months; uptake and retention were 100 %; treatment adherence was 93.8 % in the intervention and 92.9 % in the active control group; dropout was 0 %. Distress decreased significantly more in the intervention group compared to the active control group (<em>SMD =</em> 0.67, 95 % CI 0.39, 0.94), but sleep quality, PTSD symptoms, and well-being did not improve significantly more. Conclusions: The use of a 4-week breath robot intervention was feasible and highly accepted in patients with severe PTSD. The breath robot intervention may reduce distress but may not be superior to a robot intervention without breath simulation for improving sleep and PTSD symptoms. Future trials should further determine the intervention’s clinical benefit.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100594"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altered resting-state functional connectivity in individuals at risk for Alzheimer’s disease: a longitudinal study","authors":"Pamela Chavarría-Elizondo ,&nbsp;Pablo Maturana-Quijada (1) ,&nbsp;Ignacio Martínez-Zalacaín ,&nbsp;Inés del Cerro ,&nbsp;Asier Juaneda-Seguí ,&nbsp;Andrés Guinea-Izquierdo ,&nbsp;Jordi Gascón-Bayarri ,&nbsp;Ramón Reñé-Ramírez ,&nbsp;Mikel Urretavizcaya ,&nbsp;Isidre Ferrer ,&nbsp;José M. Menchón ,&nbsp;Virginia Soria ,&nbsp;Carles Soriano-Mas","doi":"10.1016/j.ijchp.2025.100588","DOIUrl":"10.1016/j.ijchp.2025.100588","url":null,"abstract":"<div><h3>Background</h3><div>Resting-state functional connectivity magnetic resonance imaging (rs-fMRI) is a sensitive tool for detecting early brain changes associated with Alzheimer’s disease, even in its preclinical stages. Amnestic mild cognitive impairment (aMCI) and late-life depression (LLD) are two prevalent conditions in older adults that significantly elevate the risk of cognitive decline and dementia. This study aimed to elucidate the underlying neurobiological substrates by longitudinally identifying and comparing distinct connectivity patterns in aMCI subjects and LLD patients, and by examining the associations between these patterns and clinical measures of cognitive and mood impairments.</div></div><div><h3>Methods</h3><div>The study included three groups: 26 healthy controls (HCs), 15 individuals with aMCI, and 21 patients with LLD. All participants underwent rs-fMRI and neuropsychological assessments at baseline and at a 2-year follow-up. Functional connectivity was analyzed using a group Independent Component Analysis (ICA) model to investigate both group differences and longitudinal changes over time.</div></div><div><h3>Results</h3><div>At baseline, individuals with aMCI exhibited reduced functional connectivity in the precuneus, whereas LLD patients showed decreased connectivity in frontal, insular, and postcentral regions alongside increased connectivity in posterior parietal and cuneal cortices. Correlation analyses revealed that lower baseline insular connectivity predicted higher depressive symptoms at follow-up in aMCI subjects. In LLD, reduced baseline precuneus connectivity was associated with better two‐year outcomes in global cognition and long‐term memory.</div></div><div><h3>Conclusions</h3><div>This study provides evidence of distinct alterations in resting-state functional connectivity in individuals with aMCI and LLD, underscoring region-specific vulnerabilities that may contribute to cognitive decline and depressive symptomatology in older adults.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100588"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep biomarkers of seasonal vulnerability in major depressive episodes: a clinical study using actigraphy and polysomnography","authors":"Julia MARUANI ,&nbsp;Lily VISSOUZE ,&nbsp;Marine AMBAR AKKAOUI ,&nbsp;Feriel ZEHANI ,&nbsp;Justine FRIJA ,&nbsp;Michel LEJOYEUX ,&nbsp;Marie-Pia d’ORTHO ,&nbsp;Pierre A. GEOFFROY","doi":"10.1016/j.ijchp.2025.100595","DOIUrl":"10.1016/j.ijchp.2025.100595","url":null,"abstract":"<div><div>Seasonal affective disorder or major depressive episode (MDE) with winter seasonal pattern is a severe form of recurrent depressive disorder persisting for at least 40 % of the year. This seasonal vulnerability may involve specific chronobiological and sleep regulation disturbances, however, actigraphy and polysomnography studies reported conflicting and inconclusive findings. In this context, we hypothesized that individuals with MDE who exhibit higher vulnerability to seasonal changes display distinct chronobiological and sleep regulation disturbances. We investigated how sleep and circadian rhythms, assessed through subjective markers (<em>N</em> = 254) and objective actigraphic (<em>N</em> = 96) and polysomnographic markers (<em>N</em> = 54)—varied in individuals with MDE according to their vulnerability to seasonal changes. To conduct this dimensional approach, that may be closer to the pathophysiology, we assessed the seasonal vulnerability using the Global Seasonality Score (GSS) from the Seasonal Patterns Assessment Questionnaire (SPAQ). The results revealed that greater seasonal vulnerability was correlated to increased excessive daytime sleepiness (Epworth scale), (<em>r</em> = 0.218, <em>p</em> &lt; 0.001), shorter REM sleep latency (<em>r</em> = -0.381, <em>p</em> = 0.005), (even when controlling for age using the Kupfer index (<em>r</em> = -0.452, <em>p</em> &lt; 0.001)), and shorter N1 sleep latency (<em>r</em> = -0.411, <em>p</em> = 0.002). The regression model retained only the polysomnographic markers—N1 sleep latency, REM sleep latency, Kupfer Index—independently and significantly associated to the GSS. This study confirms a link between seasonal vulnerability and shortened REM sleep latency, emphasizing that light and the photoperiod play a pivotal role in regulating the systems involved in REM sleep dysregulation in depressive disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100595"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of women with postpartum mental disorders in a day clinic mother-baby unit and the effect on child behavioural problems – A 1-year follow-up","authors":"Susann Steudte-Schmiedgen ,&nbsp;Luisa Bergunde ,&nbsp;Julia Frohberg ,&nbsp;Antje Bittner ,&nbsp;Anne Coenen ,&nbsp;Susan Garthus-Niegel ,&nbsp;Juliane Junge-Hoffmeister ,&nbsp;Kerstin Weidner","doi":"10.1016/j.ijchp.2025.100587","DOIUrl":"10.1016/j.ijchp.2025.100587","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum mental disorders are highly prevalent with substantial impact on mother-child bonding and child development. While short-term benefits of an interaction-focused mother-baby treatment for maternal mental health are documented, little is known about the stability of these effects and their influence on child behavioural development.</div></div><div><h3>Method</h3><div>This prospective study included 348 women with postpartum mental disorders who received dyadic treatment at a specialized mother-baby day clinic. Maternal symptoms of depression (EPDS), anxiety (STAI-T), overall psychological distress (BSI-GSI) as well as parenting sense of competence (PSOC) were assessed at admission, discharge, and 1-year follow-up, along with diagnostic classification at admission. At 1-year follow-up, mothers (<em>n</em> = 164) completed the Child Behaviour Checklist (CBCL) to measure child behavioural problems.</div></div><div><h3>Results</h3><div>Maternal psychopathology and PSOC improved significantly from admission to discharge, with clinically meaningful effects. No additional improvements emerged from discharge to 1-year follow-up, except for a tentative reduction in anxiety symptoms. All outcome measures and outcome trajectories regarding anxiety symptoms and overall psychological distress varied by primary clinical diagnosis. Greater maternal symptom improvement from admission to 1-year follow-up was associated with fewer child behavioural problems. However, this effect was not found for symptom changes from admission to discharge when controlling for maternal symptoms at 1-year follow-up.</div></div><div><h3>Conclusions</h3><div>Interaction-focused treatment in a mother-baby day clinic may be associated with clinically meaningful improvements in maternal mental health outcomes up to 1-year follow-up. These long-term improvements may also relate to less child behavioural problems. However, the absence of a waiting list control group warrants cautious interpretation of findings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100587"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical physiology of circadian rhythms: A systematic and hierarchized content analysis of circadian questionnaires","authors":"Julien Coelho ,&nbsp;Vincent P. Martin ,&nbsp;Christophe Gauld ,&nbsp;Emmanuel d'Incau ,&nbsp;Pierre-Alexis Geoffroy ,&nbsp;Patrice Bourgin ,&nbsp;Pierre Philip ,&nbsp;Jacques Taillard ,&nbsp;Jean-Arthur Micoulaud-Franchi","doi":"10.1016/j.ijchp.2025.100563","DOIUrl":"10.1016/j.ijchp.2025.100563","url":null,"abstract":"<div><div>Circadian rhythms are near-24 h patterns of physiology and behavior associated with several physical and mental health outcomes. Self-report questionnaires are routinely used and practical tools to assess circadian rhythms. However, the extent to which these questionnaires capture the relevant parameters and can be used interchangeably is unknown. We investigated different types of circadian manifestations using 14 circadian self-report questionnaires for adults. A systematic and hierarchical content analysis was combined with a visualization method. Jaccard indices were calculated to quantify the degree to which the questionnaires overlapped. Content analysis revealed 40 distinct manifestations, which we classified into five dimensions (“circadian phase,” “circadian amplitude and stability,” “nycthemeral timing,” “nycthemeral regularity,” and “circadian complaints\"). The average Jaccard index was 0.150, indicating very weak content overlap. None of the 14 questionnaires explored all five dimensions. The Composite Scale of Morningness and the Morningness-Eveningness Questionnaire exhibited greater, but still limited, overlap with the other questionnaires (Jaccard indices of 0.255 and 0.251, respectively), and are the best instruments for assessing the circadian phase. Nycthemeral timing, which must be analyzed to measure the circadian misalignment in clinical and research settings, is only explored by the Munich Chronotype Questionnaire, but that instrument does not evaluate circadian amplitude and stability and only partially assesses nycthemeral regularity. Based on our preliminary analysis, we make recommendations regarding the circumstances in which some circadian questionnaires could prove more useful than the others. The results might also aid the definition and investigation of circadian health at the crossroads of physiology and behavior.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100563"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767972","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}

{"title":"aVeRsive tension: A new virtual reality paradigm to assess emotional arousal in adolescent and young adult patients with symptoms of borderline personality disorder","authors":"Sabrina Mittermeier ,&nbsp;Klara Gregorova ,&nbsp;Christopher Goettfert ,&nbsp;Christian Merz ,&nbsp;Martin Weiß ,&nbsp;Jana Krauss ,&nbsp;Sarah Franke ,&nbsp;Andrea Reiter ,&nbsp;Carolin Wienrich ,&nbsp;Arne Buerger","doi":"10.1016/j.ijchp.2025.100583","DOIUrl":"10.1016/j.ijchp.2025.100583","url":null,"abstract":"<div><h3>Background</h3><div>High emotional arousal (EA) is a core feature of borderline personality disorder (BPD). While virtual reality (VR) has shown promise in treating emotion-based disorders, research on VR applications for BPD remains limited, especially in adolescence. This study aimed to validate a novel VR-based <em>aVeRsive tension</em> paradigm for assessing EA in adolescents and young adults with BPD symptoms.</div></div><div><h3>Methods</h3><div>In a multimodal study, we investigated the validity of aVeRsive tension: We surveyed 62 patients with BPD symptoms and 62 healthy controls (HC) aged 13–25 years who completed two VR sessions (stress/control condition). Each session included an adapted Trier Social Stress Test (TSST) followed by a cyberball paradigm. Subjective EA ratings and physiological measurements were taken during the sessions.</div></div><div><h3>Results</h3><div>The BPD group showed significantly higher EA levels compared to HC across both conditions. While both groups exhibited peak EA after TSST, HC demonstrated EA reduction during Cyberball in both conditions. The BPD group maintained elevated EA levels in the stress condition. Physiological data partially supported these findings, with the BPD group showing higher heart rates, particularly during Cyberball in the stress condition.</div></div><div><h3>Discussion</h3><div>The <em>aVeRsive tension</em> paradigm successfully discriminated between BPD and HC groups, capturing both subjective and physiological responses. The sustained EA in the BPD group during stress conditions aligns with characteristic emotion dysregulation patterns. While task-specific effects were observed, with TSST eliciting stronger responses than Cyberball, the paradigm effectively simulated real-life stressors in a controlled VR environment.</div></div><div><h3>Conclusion</h3><div>This study validates the <em>aVeRsive tension</em> protocol as a promising tool for assessing EA in adolescents and young adults with BPD symptoms. The VR-based approach offers advantages in experimental control and ecological validity, showing potential for both diagnostic assessment and therapeutic intervention in clinical settings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100583"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of mindfulness-based interventions on cognitive impairment in patients with cancer: A systematic review and meta-analysis","authors":"Shuqin Jiang ,&nbsp;Yaoyao Sun ,&nbsp;Lixiang Yu ,&nbsp;Xinjie Hu ,&nbsp;Jie Li","doi":"10.1016/j.ijchp.2025.100576","DOIUrl":"10.1016/j.ijchp.2025.100576","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive impairment has been widely reported among cancer survivors, significantly impacting their quality of life. Mindfulness interventions are increasingly used to alleviate cognitive impairment in patients with cancer. This study aimed to assess the effects of mindfulness interventions on cognitive impairment in patients with cancer post-intervention and at follow-up.</div></div><div><h3>Methods</h3><div>Up until February 2024, five English databases (PubMed, Web of Science, Embase, Cochrane, and PsycINFO) and three Chinese databases (CNKI, Wan Fang, and CBM) were searched to identify relevant studies. To determine the effect size, we used random effects model to compute the standardized mean difference and 95 % confidence intervals.</div></div><div><h3>Results</h3><div>We included 23 randomized controlled trials and seven non-randomized controlled trials. Mindfulness interventions significantly improved patients’ subjective cognitive function post-intervention (SMD_{between-group}=0.81, <em>95 %CI</em>: 0.58 to 1.03; SMD_within-group=1.12, <em>95 %CI</em>: 0.71 to 1.52) and at follow-up (SMD_{between-group}=0.39, <em>95 %CI</em>: 0.09 to 0.68; SMD_within-group=0.59, <em>95 %CI</em>: 0.35 to 0.82). Subgroup analysis indicated significantly larger effect of the interventions in developing countries than those in developed countries (<em>p</em>_{between-group}=0.014; <em>p</em>_within-group=0.008), and of the interventions without additional home practice than those with home practice in within-group comparisons (<em>p</em>_{between-group}=0.217; <em>p</em>_within-group=0.018). There were no significant differences in the effects between interventions lasting ≥eight weeks and &lt; eight weeks (<em>p</em>_{between-group}=0.093; <em>p</em>_{between-group}=0.303). However, no significant effects were observed on objective cognitive function.</div></div><div><h3>Conclusions</h3><div>Mindfulness-based interventions can effectively improve the subjective cognitive function in cancer patients both post-intervention and at follow-up. Future intervention research should take into account regions, home practice, and intervention duration.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100576"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of psychological resilience with macro- and microstructures in NREM and REM sleep in adolescents","authors":"Chris Xie Chen ,&nbsp;Shirley Xin Li ,&nbsp;Chung Shun Ho ,&nbsp;Joey Wing Yan Chan ,&nbsp;Leo King Wai Chan ,&nbsp;Tatia Mei-Chun Lee ,&nbsp;Yun Kwok Wing ,&nbsp;Ngan Yin Chan","doi":"10.1016/j.ijchp.2025.100570","DOIUrl":"10.1016/j.ijchp.2025.100570","url":null,"abstract":"<div><h3>Study objectives</h3><div>Previous evidence suggest that sleep contributed to resilience. However, specific sleep markers for resilience in adolescents remain unknown. This study aimed to examine the associations between macro- and microstructures of sleep with resilience in healthy adolescents. This study hypothesized that specific features of both NREM and REM sleep were associated with resilience in healthy adolescents.</div></div><div><h3>Methods</h3><div>Forty-two healthy adolescents (Mean age: 15.98 years, SD: 2.16 years; female: 57.1 %) were included in this study. Adolescents with any diagnosed sleep or psychiatric disorders were excluded. Participants completed questionnaires that assessed resilience capacity and outcome, childhood trauma, and mental well-being, and underwent polysomnography. Resilience capacity was defined using the score of the Resilience Scale for Chinese Adolescents (RSCA). Resilience outcome was calculated by the residual approach in a linear model using mental well-being (KIDSCREEN) as dependent variable and childhood trauma (Childhood Trauma Questionnaire) as independent variable. NREM and REM sleep macrostructures and microstructures were calculated.</div></div><div><h3>Results</h3><div>The results showed that higher fast beta power (24–32 Hz) in REM sleep and longer spindle duration in NREM sleep were significantly associated with higher resilience capacity. However, slow wave sleep properties were not associated with either resilience capacity or resilience outcome. In addition, macrostructures of sleep did not differ across resilience groups.</div></div><div><h3>Conclusions</h3><div>The findings suggest that microstructures of both REM and NREM sleep could serve as biomarkers for resilience. This study could potentially pave the way for prevention and intervention strategies of stress-related disorders in adolescents.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100570"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900393","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}