International Journal of Clinical and Health Psychology最新文献

{"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}

{"title":"Interpersonal emotion regulation and mental health among cancer survivors: A systematic review","authors":"Zihao Zeng ,&nbsp;Karen Holtmaat ,&nbsp;Xihan Jia ,&nbsp;George L. Burchell ,&nbsp;Sander L. Koole ,&nbsp;Irma M. Verdonck- de Leeuw","doi":"10.1016/j.ijchp.2025.100592","DOIUrl":"10.1016/j.ijchp.2025.100592","url":null,"abstract":"<div><h3>Objective</h3><div>Cancer and its treatment can cause significant emotional distress, adversely affecting mental health. Interpersonal emotion regulation, the process by which individuals regulate emotions through social interactions, plays a critical role in cancer survivorship. This study systematically reviews evidence on the associations between interpersonal emotion regulation and mental health outcomes among cancer survivors, along with the theoretical models guiding this research.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Embase, Web of Science, and Scopus databases, yielding 6928 records. After applying inclusion and exclusion criteria, 86 studies involving 67,592 cancer survivors were included. Various aspects of interpersonal emotion regulation (e.g., emotional support, social constraints, affectionate support) and mental health indicators (e.g., depression, anxiety, quality of life) were evaluated. Quality assessments and data synthesis were performed in accordance with PRISMA guidelines.</div></div><div><h3>Results</h3><div>Interpersonal emotion regulation was consistently associated with mental health outcomes. Emotional support, affectionate support, and dyadic coping showed small-to-moderate positive associations with improved mental health (e.g., reduced depression, anxiety, and distress, and enhanced quality of life). Conversely, social constraints and ambivalence over emotional expression were negatively associated with mental health. Less than one-third of studies referenced theoretical models, the most frequent being the social-cognitive processing model and the stress-buffering hypothesis.</div></div><div><h3>Conclusion</h3><div>Interpersonal emotion regulation significantly influences mental health among cancer survivors, with distinct strategies yielding varying impacts. Future research should integrate theoretical frameworks and longitudinal designs to better elucidate causal mechanisms and optimize interventions targeting interpersonal dynamics in survivorship care.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100592"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243312","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 disturbances in early adolescents and risk of later suicidality: A national prospective cohort study","authors":"Martin Ekholm Michelsen ,&nbsp;Annette Erlangsen ,&nbsp;Nikolaj Kjær Høier ,&nbsp;Poul Jørgen Jennum ,&nbsp;Merete Nordentoft ,&nbsp;Trine Madsen","doi":"10.1016/j.ijchp.2025.100580","DOIUrl":"10.1016/j.ijchp.2025.100580","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleep disturbances have been linked to later suicidality among adolescents. This study assessed the associations between sleep disturbances experienced at age 11 and the subsequent occurrence of suicide thoughts and suicide attempt measured at age 18.</div></div><div><h3>Methods</h3><div>Self-reported data on sleep disturbances measured at age 11 was obtained from the Danish National Birth Cohort and linked to information on suicidality at age 18 based on self-reports and register-based data on hospital contacts for suicide attempt. Relative risk ratios(RRR) with corresponding 95 % confidence intervals were estimated using multivariable multinomial logistic regressions adjusting for sex, sociodemographic characteristics, psychiatric history, and child risk behaviors and procedures of inverse probability weighting were applied .</div></div><div><h3>Results</h3><div>A total of 28,251 participants were included, of whom 8894 (32.0 %) reported suicide thoughts and 743 (3.3 %) attempted suicide at age 18. Adolescents who at age 11 reported sleeping &lt;8 hours per night had elevated risk of suicide thoughts (aRRR, 1.7; 95 % CI, 1.3–2.1) and suicide attempt (aRRR, 3.7; 95 % CI, 2.6–5.4) when compared with those sleeping ≥9 hours. Going to bed after 10:30PM versus before 9:00PM on weekdays was associated with higher risks of suicide thoughts (aRRR, 1.6; 95 % CI, 1.3–2.0) and suicide attempt (aRRR, 3.3; 95 % CI, 2.3–4.9). Dose-response relationships documented that experiencing difficulties falling asleep more often was associated with higher risks of suicide thoughts and suicide attempts. Adjusting for child psychiatric co-morbidity attenuated results, however associations still showed statistical significance.</div></div><div><h3>Conclusion</h3><div>Sleep disturbances were associated with later suicidality among adolescents. Significant associations suggested that adequate hours of sleep and earlier bedtimes might protect against suicidality in children and adolescents.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100580"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912695","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":"Extended childhood disorder (ECD): Proposal and preliminary empirical support for a new ecologically-based diagnostic category of teen dysfunction","authors":"Robert Epstein,&nbsp;Savannah Aries,&nbsp;Theodore T. Caligiuri,&nbsp;Camille Karner","doi":"10.1016/j.ijchp.2025.100572","DOIUrl":"10.1016/j.ijchp.2025.100572","url":null,"abstract":"<div><h3>Background/Objective</h3><div>Existing diagnostic categories of teen dysfunction often refer to hypothetical biological or developmental factors, even though teen dysfunction is often absent in many non-Western cultures. Diagnostic categories of this sort do not do justice to the social causes of many teen problems in the United States (U.S.) and other Western countries. To put more emphasis on known cultural causes of teen dysfunction, we propose adopting an ecologically-based diagnostic category we call “extended childhood disorder” (ECD), characterized by (1) excessive and sometimes harmful involvement with peers, (2) conflict centering around control issues with authority figures, and (3) mood problems centering around control issues with authority figures.</div></div><div><h3>Method</h3><div>5198 individuals were evaluated, either by themselves or by therapists, counselors, teachers, or parents: a diverse group of 3147 females, 1750 males, and 301 others, mean age 23.4. 54.3 % of the participants were from the U.S., and the remaining 46.7 % were English speakers in 74 other countries.</div></div><div><h3>Results</h3><div>Total scores on a diagnostic test of ECD were negatively correlated with level of happiness and positively correlated with levels of anger, depression, and anxiety, whether reported by self or others (note that higher scores on the ECDI indicate greater dysfunction). Total scores were also predictive of 13 clinically significant criterion variables. Notably, prevalence of ECD in our sample roughly matched the 2010 National Comorbidity Survey estimates of the prevalence of teen disorders in the U.S.</div></div><div><h3>Conclusion</h3><div>The ECD diagnostic category should be considered as a viable alternative to current diagnoses of teen problems that emphasize hypothetical endemic or neural deficits.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903557","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":"Impact of extreme physical exercise (28 consecutive marathons) on sleep time and structure","authors":"Gualberto Buela-Casal ,&nbsp;Noelia Ruiz-Herrera ,&nbsp;Alejandro Guillén-Riquelme ,&nbsp;Carlos Zamarrón ,&nbsp;Francisco Gude-Sampedro","doi":"10.1016/j.ijchp.2025.100586","DOIUrl":"10.1016/j.ijchp.2025.100586","url":null,"abstract":"<div><h3>Objective</h3><div>It is known that physical exercise influences sleep, however, the effect in extreme sporting conditions has been less studied. We analyzed the sleep quality and duration of an athlete who ran 28 consecutive marathons (one per day).</div></div><div><h3>Methods</h3><div>We evaluated with three polysomnography recordings to explore the sleep-dependent recovery process: Post-marathons, partial recovery, and baseline.</div></div><div><h3>Results</h3><div>The participant reported a low sleep quality during the challenge, along with short sleep time, several awakenings, and daytime sleepiness. We observed differences in sleep duration, quality, and distribution in all variables evaluated through polysomnography. From baseline to the final condition after the physical test, we observed a progressive decrease in sleep time and sleep efficiency. In addition, we observed an increase in sleep onset and REM sleep latencies, a 45.8 % increase in slow wave sleep, which affects the complete sleep structure after physical exertion. REM decreased by up to 14.4 % because of intense and continuous physical exercise, and with respect to SWS (38.5 %) this represents an increase in SWS of 267 % with respect to REM.</div></div><div><h3>Conclusion</h3><div>sleep is affected by high-intensity physical exercise and is modulated by the recovery process. The results of this study highlight the importance of SWS in the recovery from physical fatigue due to the effect of extreme physical exercise, which is demonstrated by the enormous increase in SWS that accounts for almost 40 % of the Total Sleep Time, surpassing even the stage 2 percentage. It is also shown that REM sleep has no role in the recovery from physical fatigue, as it is in fact considerably decreased by the effect of extreme physical exercise. Previous studies had not reported results with these magnitudes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100586"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178506","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":"A qualitative examination of sanctification: Sources and varieties of appraisals of sacredness","authors":"Elizabeth J. Krumrei-Mancuso,&nbsp;Janet P. Trammell,&nbsp;Jennifer A. Harriger,&nbsp;Joshua A. Evans","doi":"10.1016/j.ijchp.2025.100578","DOIUrl":"10.1016/j.ijchp.2025.100578","url":null,"abstract":"<div><div>Most mental health professionals are expected to have some basic competency in religious and spiritual issues. Such competency includes knowledge about the role of religion/spirituality in people’s lives, particularly as it relates to mental health. The current research explored people’s cognitive appraisals of sanctification, by which individuals interpret stimuli to be sacred. To gain a better understanding of the spontaneous cognitive appraisals of sanctification people form during daily life, we randomly assigned religious and/or spiritual individuals (<em>N</em> = 144) to an event reconstruction of a time they experienced something as sacred, divine, miraculous, spiritual, holy, or blessed. We qualitatively coded 28 features of these event reconstructions. Participants’ most common descriptions involved sanctification of people, relationships, and places that were not considered sacred in and of themselves, but were considered sacred by association to higher powers or transcendent realities. Common features of sacredness reconstructions included emotions and sensory experiences. We also observed differences in the features associated with each sacred adjective (sacred, divine, miraculous, spiritual, holy, or blessed). We discuss implications for mental health professionals and for the advancement of the science of sanctification.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100578"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895514","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}