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A Study of Parent-Reported Internalizing Symptoms in Transgender Youths Before and After Childhood Social Transitions 变性青少年在童年社会转型前后由父母报告的内化症状研究
IF 4.8 2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-30 DOI: 10.1177/21677026231208086
Lily Durwood, Natalie M. Gallagher, Robin Sifre, Kristina R. Olson
Some children socially transition genders by changing their pronouns (and often names, hairstyles, and clothing) from those associated with their assigned sex at birth to those associated with their gender identity. We refer to children who have socially transitioned as transgender children. Using a prospective sample of children who socially transitioned during childhood (at or before the age of 12; age of transition: M = 6.82 years), we tested whether the parent-reported internalizing symptoms of transgender children were different before versus after they socially transitioned. The children were predominantly White (70.6% White) and girls (76.5% transgender girls, 23.5% transgender boys). Their parents tended to have high levels of education (74.5% bachelor’s degree or above) and lived in families with high household incomes (62.7% with household incomes of $75,000 or above). On average, youths showed lower levels of internalizing symptoms after socially transitioning versus before, suggesting a possible mental-health benefit of these transitions.
一些儿童通过改变他们的代词(通常还有名字、发型和服装),从与他们出生时被分配的性别相关的代词转变为与他们的性别认同相关的代词,从而实现社会性别的转变。我们将社会性转变的儿童称为变性儿童。我们使用了一个在童年时期(12 岁或 12 岁之前;变性年龄:M = 6.82 岁)发生社会转变的儿童的前瞻性样本,测试了变性儿童在发生社会转变之前和之后,其家长报告的内化症状是否有所不同。这些儿童主要是白人(70.6% 白人)和女孩(变性女孩占 76.5%,变性男孩占 23.5%)。他们的父母往往受过高等教育(74.5% 的父母拥有学士或以上学位),并且生活在家庭收入较高的家庭中(62.7% 的父母家庭收入在 75,000 美元或以上)。平均而言,与变性前相比,变性后青少年的内化症状水平较低,这表明变性可能对心理健康有益。
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引用次数: 0
Global Well-Being and Mental Health in the Internet Age 互联网时代的全球福祉与心理健康
IF 4.8 2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-27 DOI: 10.1177/21677026231207791
Matti Vuorre, Andrew K. Przybylski
In the last 2 decades, the widespread adoption of Internet technologies has inspired concern that they have negatively affected mental health and psychological well-being. However, research on the topic is contested and hampered by methodological shortcomings, leaving the broader consequences of Internet adoption unknown. We show that the past 2 decades have seen only small and inconsistent changes in global well-being and mental health that are not suggestive of the idea that the adoption of Internet and mobile broadband is consistently linked to negative psychological outcomes. Further investigation of this topic requires transparent study of online behaviors where they occur (i.e., on online platforms). We call for increased collaborative efforts between independent scientists and the Internet-technology sector.
在过去的二十年里,互联网技术的广泛应用引发了人们对其对精神健康和心理健康产生负面影响的担忧。然而,对这一问题的研究却存在争议,并受到方法论缺陷的阻碍,导致人们对互联网应用的更广泛影响一无所知。我们的研究表明,在过去 20 年中,全球幸福感和心理健康方面的变化微小且不一致,这并不能说明互联网和移动宽带的应用与负面心理结果有持续的联系。要进一步调查这个问题,就必须对发生在线行为的地方(即在线平台)进行透明的研究。我们呼吁独立科学家与互联网技术部门加强合作。
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引用次数: 0
Depressive Symptoms and Their Mechanisms: An Investigation of Long-Term Patterns of Interaction Through a Panel-Network Approach 抑郁症状及其机制:通过小组网络方法调查长期互动模式
IF 4.8 2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-15 DOI: 10.1177/21677026231208172
Asle Hoffart, Nora Skjerdingstad, René Freichel, Alessandra C. Mansueto, S. U. Johnson, S. Epskamp, O. Ebrahimi
The dynamic interaction between depressive symptoms, mechanisms proposed in the metacognitive-therapy model, and loneliness across a 9-month period was investigated. Four data waves 2 months apart were delivered by a representative population sample of 4,361 participants during the COVID-19 pandemic in Norway. Networks were estimated using the newly developed panel graphical vector-autoregression method. In the temporal network, use of substance to cope with negative feelings or thoughts positively predicted threat monitoring and depressed mood. In turn, threat monitoring positively predicted suicidal ideation. Metacognitive beliefs that thoughts and feelings are dangerous positively predicted anhedonia. Suicidal ideation positively predicted sleep problems and worthlessness. Loneliness was positively predicted by depressed mood. In turn, more loneliness predicted more control of emotions. The findings point at the theory-derived variables, threat monitoring, beliefs that thoughts and feelings are dangerous, and use of substance to cope, as potential targets for intervention to alleviate long-term depressive symptoms.
该研究调查了抑郁症状、元认知疗法模型中提出的机制和孤独感之间在 9 个月时间内的动态相互作用。在挪威 COVID-19 大流行期间,4,361 名有代表性的参与者提供了相隔 2 个月的四波数据。使用新开发的面板图形向量自回归方法对网络进行了估算。在时间网络中,使用药物来应对负面情绪或想法对威胁监测和抑郁情绪有正向预测作用。反过来,威胁监测又会正向预测自杀意念。认为思想和情感是危险的元认知信念对失乐症有正向预测作用。自杀倾向与睡眠问题和无价值感呈正相关。孤独感与抑郁情绪呈正相关。反过来,更多的孤独感也预示着更强的情绪控制能力。研究结果表明,威胁监测、认为思想和情感具有危险性的信念以及使用药物来应对等理论衍生变量是缓解长期抑郁症状的潜在干预目标。
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引用次数: 0
Hooking the Self Onto the Past: How Positive Autobiographical Memory Retrieval Benefits People With Social Anxiety 将自我与过去挂钩:积极的自传体记忆检索如何使社交焦虑症患者受益
IF 4.8 2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-15 DOI: 10.1177/21677026231195792
D. Moscovitch, Kendra White, Taylor Hudd
Do people with social anxiety (SA) benefit from positive memory retrieval that heightens self-relevant meaning? In this preregistered study, an analog sample of 255 participants with self-reported clinically significant symptoms of SA were randomly assigned to retrieve and process a positive social-autobiographical memory by focusing on either its self-relevant meaning (deep processing) or its perceptual features (superficial processing). Participants were then socially excluded and instructed to reimagine their positive memory. Analyses revealed that participants assigned to the deep processing condition experienced significantly greater improvements than participants in the superficial processing condition in positive affect, social safeness, and positive beliefs about others during initial memory retrieval and in negative and positive beliefs about the self following memory reactivation during recovery from exclusion. These novel findings highlight the potential utility of memory-based interventions for SA that work by “hooking” self-meaning onto recollections of positive interpersonal experiences that elicit feelings of social acceptance.
社交焦虑症(SA)患者是否能从提高自我相关意义的积极记忆检索中获益?在这项预先登记的研究中,255 名自述有明显临床 SA 症状的参与者被随机分配到一个模拟样本中,通过关注其自我相关意义(深度加工)或其感知特征(肤浅加工)来检索和处理积极的社交自传式记忆。然后,参与者被排除在社会之外,并被要求重新想象他们的积极记忆。分析表明,在最初的记忆检索过程中,被分配到深度加工条件下的参与者在积极情绪、社会安全感和对他人的积极信念方面,以及在从排斥中恢复记忆后重新激活时对自我的消极和积极信念方面,都比被分配到肤浅加工条件下的参与者有明显的改善。这些新发现凸显了基于记忆的自闭症干预的潜在作用,这种干预通过将自我意义 "勾连 "到对积极人际关系经历的回忆上,从而激发社会接纳感。
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引用次数: 0
Executive Function and Impulsivity Predict Distinct Genetic Variance in Internalizing Problems, Externalizing Problems, Thought Disorders, and Compulsive Disorders: A Genomic Structural Equation Modeling Study 执行功能和冲动性在内化问题、外化问题、思维障碍和强迫症中预测明显的遗传变异:一项基因组结构方程模型研究
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-09 DOI: 10.1177/21677026231207845
Daniel E. Gustavson, Claire L. Morrison, Travis T. Mallard, Mariela V. Jennings, Pierre Fontanillas, Sarah L. Elson, Abraham A. Palmer, Naomi P. Friedman, Sandra Sanchez-Roige
Individual differences in self-control predict many health and life outcomes. Building on twin literature, we used genomic structural equation modeling to test the hypothesis that genetic influences on executive function and impulsivity predict independent variance in mental health and other outcomes. The impulsivity factor (comprising urgency, lack of premeditation, and other facets) was only modestly genetically correlated with low executive function ( r = .13). Controlling for impulsivity, we found that low executive function was genetically associated with increased internalizing (β = 0.15), externalizing (β = 0.13), thought disorders (β = 0.38), compulsive disorders (β = 0.22), and chronotype (β = .011). Controlling for executive function, we found that impulsivity was positively genetically associated with internalizing (β = 0.36), externalizing (β = 0.55), body mass index (β = 0.26), and insomnia (β = 0.35) and negatively genetically associated with compulsive disorders (β = −0.17). Executive function and impulsivity were both genetically correlated with general cognitive ability and educational attainment. This work suggests that executive function and impulsivity are genetically separable and show independent associations with mental health.
自我控制的个体差异预示着许多健康和生活结果。在双胞胎文献的基础上,我们使用基因组结构方程模型来检验基因对执行功能和冲动的影响预测心理健康和其他结果的独立方差的假设。冲动因素(包括紧迫感、缺乏预谋和其他方面)与低执行功能只有轻微的基因相关性(r = 0.13)。控制冲动,我们发现低执行功能与内化(β = 0.15)、外化(β = 0.13)、思维障碍(β = 0.38)、强迫性障碍(β = 0.22)和睡眠类型(β = 0.011)增加有关。在控制执行功能的情况下,我们发现冲动性与内化(β = 0.36)、外化(β = 0.55)、体重指数(β = 0.26)和失眠(β = 0.35)呈正相关,与强迫症(β = - 0.17)负相关。执行功能和冲动在基因上都与一般认知能力和受教育程度相关。这项研究表明,执行功能和冲动在基因上是可分离的,并且与心理健康有独立的联系。
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引用次数: 1
Does Major Depression Differentially Affect Daily Affect in Adults From Six Middle-Income Countries: China, Ghana, India, Mexico, Russian Federation, and South Africa? 来自六个中等收入国家:中国、加纳、印度、墨西哥、俄罗斯联邦和南非的成年人,重度抑郁症对日常生活的影响有差异吗?
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-11-06 DOI: 10.1177/21677026231194601
Vanessa Panaite, Nathan Cohen
Much of the research on how depression affects daily emotional functioning comes from Western, Educated, Industrialized, Rich, and Democratic (WEIRD) countries. In the current study, we investigated daily positive affect (PA) and negative affect (NA) and PA and NA variability in a cross-cultural sample of adults with a depression diagnosis ( N = 2,487) and without a depression diagnosis ( N = 31,764) from six middle-income non-WEIRD countries: China, Ghana, India, Mexico, Russian Federation, and South Africa. Across countries, adults with depression relative to adults without depression reported higher average NA and NA variability and lower average PA but higher PA variability. Findings varied between countries. Observations are discussed within the context of new theories and evidence. Implications for current knowledge and for future efforts to grow cross-cultural and non-WEIRD affective science are discussed.
许多关于抑郁如何影响日常情绪功能的研究来自西方、受过教育、工业化、富裕和民主(WEIRD)的国家。在当前的研究中,我们调查了来自六个中等收入非weird国家(中国、加纳、印度、墨西哥、俄罗斯联邦和南非)的有抑郁症诊断(N = 2487)和无抑郁症诊断(N = 31764)的成年人的跨文化样本的日常积极情绪(PA)和消极情绪(NA)以及PA和NA的变异性。在各个国家,与没有抑郁症的成年人相比,患有抑郁症的成年人报告的平均NA和NA变异性更高,平均PA更低,但PA变异性更高。调查结果因国家而异。在新的理论和证据的背景下讨论观察结果。讨论了对当前知识和未来发展跨文化和非怪异情感科学的影响。
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引用次数: 0
The Association Between the Selection and Effectiveness of Emotion-Regulation Strategies and Psychopathological Features: A Daily Life Study 情绪调节策略的选择和有效性与心理病理特征的关系:一项日常生活研究
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-27 DOI: 10.1177/21677026231203662
Marlies Houben, Elise K. Kalokerinos, Peter Koval, Yasemin Erbas, Jardine Mitchell, Madeline Pe, Peter Kuppens
Emotion dysregulation is central to psychopathological conditions, including borderline personality disorder (BPD) and depression. However, the nature of emotion-regulation (ER) difficulties in the daily life of people with BPD or depressive features is still unclear. Therefore, in this study, we aimed to disentangle two different ER subprocesses in daily life, (a) selection of ER strategies and (b) the effectiveness of implementing strategies, in terms of their associations with subsequent emotional experience. We analyzed data from a three-wave, longitudinal, experience-sampling study of young adults with varying levels of psychopathological features ( N = 202). BPD features were uniquely linked to the use but not altered effectiveness of several putatively adaptive and maladaptive ER strategies. Depressive features were uniquely associated with the use of putatively maladaptive strategies. These findings suggest that ER deficits in people with more BPD or depressive features may be primarily located in strategy selection rather than the implementation of those strategies.
情绪失调是精神病理状况的核心,包括边缘性人格障碍(BPD)和抑郁症。然而,BPD或抑郁特征患者日常生活中情绪调节(ER)困难的性质尚不清楚。因此,在本研究中,我们旨在从日常生活中两个不同的内质反应子过程(a)内质反应策略的选择和(b)实施策略的有效性这两个过程与随后的情绪体验的关联方面来厘清它们之间的关系。我们分析了来自三波、纵向、经验抽样研究的数据,这些研究对象是具有不同程度精神病理特征的年轻人(N = 202)。BPD特征与几种假定的适应性和非适应性ER策略的使用有独特的联系,但不改变其有效性。抑郁特征与假定的适应不良策略的使用是唯一相关的。这些发现表明,具有更多BPD或抑郁特征的人的内质网缺陷可能主要位于策略选择而不是这些策略的实施。
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引用次数: 0
Neuroticism Is Prospectively Associated With 30-Month Changes in Broadband Internalizing Symptoms, but Not Narrowband Positive Affect or Anxious Arousal, in Emerging Adulthood 在成年初期,神经质与宽频内化症状的30个月变化有关,但与窄带积极情绪或焦虑唤醒无关
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-24 DOI: 10.1177/21677026231205270
Christopher C. Conway, Shannon E. Grogans, Allegra S. Anderson, Samiha Islam, Logan E. Craig, Jazmine Wedlock, Juyoen Hur, Kathryn A. DeYoung, Alexander J. Shackman
Elevated levels of Neuroticism/Negative Emotionality (N/NE) and, less consistently, lower levels of Extraversion/Positive Emotionality (E/PE) confer risk for pathological depression and anxiety. To date, most prospective-longitudinal research has narrowly focused on traditional diagnostic categories, creating uncertainty about the precise nature of these prospective associations. Adopting an explicitly hierarchical-dimensional approach, we examined the association between baseline variation in personality and longitudinal changes in broad and narrow internalizing-symptom dimensions in 234 emerging adults followed for 2.5 years, during the transition from older adolescence to early adulthood. N/NE was uniquely associated with increases in broadband internalizing—the core cognitive and affective symptoms that cut across the emotional disorders—and unrelated to the narrower dimensions of positive affect and anxious arousal that differentiate specific internalizing presentations. Variation in E/PE and several other Big Five traits was cross-sectionally but not prospectively related to longitudinal changes in specific internalizing symptoms. Exploratory personality-facet-level analyses provided preliminary evidence of more granular associations between personality and longitudinal changes in internalizing symptoms. These observations enhance the precision of models linking personality to internalizing illness, highlight the centrality of N/NE to increases in transdiagnostic internalizing symptoms during a key developmental chapter, and set the stage for developing more effective prevention and treatment strategies.
神经质/消极情绪(N/NE)水平的升高和外向性/积极情绪(E/PE)水平的降低(不太一致)会增加病理性抑郁和焦虑的风险。迄今为止,大多数前瞻性纵向研究都狭隘地集中在传统的诊断类别上,造成了这些前瞻性关联的确切性质的不确定性。采用明确的层次维度方法,我们对234名新生成人进行了为期2.5年的随访,从青春期过渡到成年早期,研究了人格基线变化与广义和狭义内化症状维度纵向变化之间的关系。N/NE与宽频内化(跨越情绪障碍的核心认知和情感症状)的增加有独特的联系,与区分特定内化表现的积极情感和焦虑唤醒的狭窄维度无关。E/PE和其他几个大五特征的变化是横断面的,但与特定内化症状的纵向变化没有前瞻性关系。探索性人格层面分析提供了初步证据,证明人格与内化症状的纵向变化之间存在更细粒度的关联。这些观察结果提高了将人格与内化疾病联系起来的模型的准确性,强调了在关键的发育阶段,N/NE对跨诊断内化症状增加的中心作用,并为制定更有效的预防和治疗策略奠定了基础。
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引用次数: 0
Corrigendum: “The Memory Wars Then and Now: The Contributions of Scott O. Lilienfeld” 勘误表:“过去和现在的记忆战争:斯科特·o·利连菲尔德的贡献”
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-18 DOI: 10.1177/21677026231198800
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引用次数: 0
Investigating a Common Structure of Personality Pathology and Attachment 调查人格病理和依恋的共同结构
2区 医学 Q1 PSYCHIATRY Pub Date : 2023-10-13 DOI: 10.1177/21677026231200018
Madison Shea Smith, Susan C. South
Critical theoretical intersections between adult insecure attachment and personality disorders (PDs) suggest that they may overlap, but a lack of empirical analysis to date has limited further interpretation. The current study used a large sample ( N = 812) of undergraduates ( N = 355) and adults receiving psychological treatment ( N = 457) to test whether a joint hierarchical factor structure of personality pathology and insecure attachment is tenable. Results suggested that attachment and PD indicators load together on latent domains of emotional lability, detachment, and vulnerability, but antagonistic, impulsigenic, and psychosis-spectrum factors do not subsume attachment indicators. This solution was relatively consistent across treatment status but varied across gender, potentially suggesting divergent socialization of interpersonal problems. Although further tests are needed, if attachment and PDs prove to be unitary, combining them has exciting potential for providing an etiologic-developmental substrate to the classification of interpersonal dysfunction.
成人不安全依恋和人格障碍(pd)之间的关键理论交叉点表明它们可能重叠,但迄今为止缺乏实证分析,限制了进一步的解释。本研究采用大样本(N = 812)的大学生(N = 355)和接受心理治疗的成人(N = 457)来检验人格病理与不安全依恋的联合层次因素结构是否成立。结果表明,依恋和PD指标共同作用于情绪不稳定、脱离和脆弱的潜在域,而对抗性、冲动性和精神病谱系因素不包含在依恋指标中。这种解决方案在不同的治疗状态下相对一致,但在性别上有所不同,可能表明人际问题的社会化存在差异。虽然需要进一步的测试,如果依恋和pd被证明是单一的,那么将它们结合起来就有可能为人际功能障碍的分类提供一个病因发育基础。
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引用次数: 0
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Clinical Psychological Science
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