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Assessing the effectiveness of emotion-focused online intervention in mitigating compassion fatigue and enhancing compassion satisfaction among helping professionals 评估以情绪为中心的在线干预在帮助专业人员中缓解同情疲劳和提高同情满意度的有效性
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-24 DOI: 10.1111/aphw.70032
Júlia Halamová, Martin Kanovský, Katarína Greškovičová, Katarina Krizova, Bronislava Šoková

This study aimed to assess the effectiveness of a newly developed Emotion-Focused Training for Helping Professions in addressing levels of compassion fatigue, compassion satisfaction and self-criticism, both in the short and long term. A randomized controlled trial was conducted, with 667 participants recruited and randomly assigned to either the experimental active or control passive group ending up with 370 participants at follow-up measurement. The experimental group underwent a 14-day asynchronous online training program delivered via email, while the control group did not engage in any specific task except for the pre-, post- and follow-up assessments. The results from the linear mixed effects model analyses indicated significant group-by-time interactions for The Forms of Self-Criticizing/Attacking & Self-Reassuring Scale, and for The Compassion Satisfaction and Compassion Fatigue Scale. Specifically, participants in the Emotion-Focused Training for Helping Professions group exhibited a notable reduction in self-criticism and a notable increase in self-compassion and compassion satisfaction over time. The participants' scores of compassion fatigue decreased in both intervention as well as control groups; therefore, the group-by-time interaction was not significant. The findings suggest that the novel Emotion-Focused Training for Helping Professions intervention holds promise in effectively mitigating self-criticism while fostering greater compassion satisfaction and self-reassurance/self-compassion among helping professionals.

本研究旨在评估新开发的以情感为中心的助人职业培训在解决短期和长期同情疲劳、同情满足和自我批评水平方面的有效性。研究人员进行了一项随机对照试验,招募了667名参与者,并将他们随机分配到实验积极组和控制被动组,最终在随访测量中有370名参与者。实验组通过电子邮件接受了为期14天的异步在线培训计划,而对照组除了进行前、后和随访评估外,没有参与任何特定任务。线性混合效应模型分析的结果表明,自我批评/攻击的形式存在显著的群体-时间交互作用;自我安慰量表,以及同情满意度和同情疲劳量表。具体来说,随着时间的推移,以情绪为中心的帮助人培训组的参与者表现出自我批评的显著减少,自我同情和同情满意度的显著增加。干预组和对照组的同情疲劳得分均有所下降;因此,按时间分组的交互作用不显著。研究结果表明,新的以情绪为中心的帮助专业人员培训干预有望有效地减轻自我批评,同时培养更多的同情满意度和自我安慰/自我同情的帮助专业人员。
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引用次数: 0
The rise of artificial intelligence for cognitive behavioral therapy: A bibliometric overview 认知行为治疗中人工智能的兴起:文献计量学综述
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-24 DOI: 10.1111/aphw.70033
Loïs Vanhée, Gerhard Andersson, Danilo Garcia, Sverker Sikström

Recent years have seen a sharply rising interest in the scientific area dedicated to the study of the use of Artificial Intelligence (AI) for Cognitive Behavioral Therapy (CBT) research and applications (AI4CBT for brevity). Yet, little is known about how this interest is realized and hence the overall status, prospects, and possible challenges of AI4CBT as a field (e.g. breadth of the field, key topics and methods, key producing countries/institutions/authors, interdisciplinary grounding). This paper addresses this gap by developing a broad-spectrum bibliometric analysis towards acquiring a comprehensive overview of the AI4CBT field. Four key dimensions are analyzed (productivity, producers, productions, and contents) along the array of bibliographic metrics, including production trends over time, leading contributors at various levels, co-authorship, citation, and keywords co-occurrence networks, publication formats, key venues, methodological trends, and disciplinary assessment. The paper concludes by framing the status of AI4CBT as a scientific field, allowing to tie it to scientific and applicative challenges and opportunities that AI4CBT may encounter and offer as it further develops.

近年来,人们对人工智能(AI)用于认知行为治疗(CBT)研究和应用(简称AI4CBT)的科学领域的兴趣急剧上升。然而,很少有人知道这种兴趣是如何实现的,因此AI4CBT作为一个领域的总体状况、前景和可能的挑战(例如,领域的广度、关键主题和方法、主要生产国/机构/作者、跨学科基础)。本文通过开发广谱文献计量学分析来解决这一差距,以获得AI4CBT领域的全面概述。本文分析了四个关键维度(生产力、生产者、产品和内容),以及一系列书目指标,包括随时间推移的生产趋势、不同层次的主要贡献者、合著者、引文和关键词共现网络、出版格式、关键场所、方法趋势和学科评估。本文的结论是将AI4CBT作为一个科学领域,将其与AI4CBT在进一步发展中可能遇到的科学和应用挑战和机遇联系起来。
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引用次数: 0
Correction to “from mere ‘stability’ to ‘durability’—Revisiting intention dynamics from a self-regulatory perspective with intensive longitudinal methods” 修正“从单纯的‘稳定性’到‘持久性’——用密集的纵向方法重新审视自我调节视角下的意向动态”
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-20 DOI: 10.1111/aphw.70003

Jones, C. M., Conner, M., & Schüz, B. (2025). From mere ‘stability’ to ‘durability’—Revisiting intention dynamics from a self-regulatory perspective with intensive longitudinal methods. Applied Psychology: Health and Well-Being, 17(1), e12633. https://doi.org/10.1111/aphw.12633

The link to the sensitivity analyses was left out of the article. The correct sentence should be:

The results of all sensitivity analyses can be explored in an interactive application (as a file in the Supporting information; directly online at https://cjoneshb.github.io/paper_intentiondurability/exploring_indicators.html).

We apologize for the error.

琼斯,c.m.,康纳,m.m., &;sch, B.(2025)。从单纯的“稳定”到“持久”——用密集的纵向方法从自我调节的角度重新审视意图动态。应用心理学杂志,17(1),e12633。https://doi.org/10.1111/aphw.12633敏感性分析的链接在文章中被遗漏了。正确的句子应该是:所有敏感性分析的结果都可以在交互式应用程序中进行探索(作为支持信息中的文件;直接在线:https://cjoneshb.github.io/paper_intentiondurability/exploring_indicators.html).We为错误道歉。
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引用次数: 0
Effectiveness of stage-of-change (SOC)-tailored interventions in increasing uptake of any type of vaccination: A systematic review and meta-analysis 变化阶段(SOC)量身定制的干预措施在增加任何类型疫苗接种方面的有效性:系统回顾和荟萃分析
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-14 DOI: 10.1111/aphw.70022
Siyu Chen, Shuyi Wang, Doug H. Cheung, Yuan Fang, Fenghua Sun, Phoenix K. H. Mo, Zixin Wang

Vaccine hesitancy remains a significant public health challenge globally, requiring innovative, evidence-based approaches to improve uptake. This systematic review and meta-analysis evaluated the effectiveness of stage-of-change (SOC)-tailored interventions, the customized strategies based on an individual's readiness for behavioral changes, in promoting vaccination uptake. Data were synthesized from randomized controlled trials (RCTs), quasi-experimental, and non-experimental studies identified through MEDLINE, PubMed, Web of Science, Embase, Global Health, and APA PsycInfo databases. Five eligible studies published between 2004 and 2023 were included, with three RCTs and one quasi-experimental study contributing to the meta-analysis. The pooled standard mean difference (SMD) for vaccination uptake was 0.54 (95% confidence interval [CI]: 0.49, 0.59, p < .001), indicating a significant medium effect size with no heterogeneity (I2 = 0%, p = .88). Subgroup analyses showed SOC-tailored interventions were particularly effective for older adults (SMD = 0.57, 95% CI: 0.22 to 0.92, p = .03) and for parents or caregivers to increase children's vaccination uptake (SMD = 0.53, 95% CI: 0.32 to 0.74, p = .02). These findings provided preliminary evidence on the effectiveness of SOC-tailored interventions in addressing vaccine hesitancy. Future research should explore geographically diverse settings and cost-effective delivery methods to maximize the impact.

疫苗犹豫仍然是全球公共卫生面临的一项重大挑战,需要采用创新的、基于证据的方法来提高接种率。本系统综述和荟萃分析评估了改变阶段(SOC)量身定制的干预措施,即基于个人对行为改变的准备程度的定制策略,在促进疫苗接种方面的有效性。数据来自随机对照试验(rct)、准实验研究和非实验研究,这些研究来自MEDLINE、PubMed、Web of Science、Embase、Global Health和APA PsycInfo数据库。2004年至2023年间发表的5项符合条件的研究被纳入meta分析,其中包括3项随机对照试验和1项准实验研究。疫苗接种率的合并标准均差(SMD)为0.54(95%可信区间[CI]: 0.49, 0.59, p < .001),表明具有显著的中等效应大小,无异质性(I2 = 0%, p = .88)。亚组分析显示,针对soc的干预措施对老年人特别有效(SMD = 0.57, 95% CI: 0.22至0.92,p = 0.03),对父母或照顾者提高儿童疫苗接种率特别有效(SMD = 0.53, 95% CI: 0.32至0.74,p = 0.02)。这些发现为针对soc的干预措施在解决疫苗犹豫问题方面的有效性提供了初步证据。未来的研究应该探索地理上不同的环境和具有成本效益的交付方法,以最大限度地发挥影响。
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引用次数: 0
Correction to “The effectiveness and acceptability of formal versus informal mindfulness among university students with and without recent self-injury: A randomized controlled trial” 对“最近有和没有自伤的大学生正式正念和非正式正念的有效性和可接受性:一项随机对照试验”的更正
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-14 DOI: 10.1111/aphw.70029

Petrovic, J., Mettler, J., Böke, B. N., Rogers, M. A., Hamza, C. A., Bloom, E., Di Genova, L., Romano, R., & Heath, N. L. (2024). The effectiveness and acceptability of formal versus informal mindfulness among university students with and without recent self-injury: A randomized controlled trial. Applied Psychology: Health and Well-Being, 17(1), e12613. https://doi.org/10.1111/aphw.12613

Within the “Pre-post state well-being (VAS)” subsection of the Results, there is a sentence that reads, “There was also a significant main effect of time, whereby state well-being decreased for all from pre-post-intervention, ….”

This should have read: “There was also a significant main effect of time, whereby state well-being increased for all from pre-post-intervention, ….”

Petrovic, J., Mettler, J., Böke, b.n ., Rogers, m.a, Hamza, c.a, Bloom, E., Di Genova, L., Romano, R., &;希思,n.l.(2024)。最近有和没有自伤的大学生中正式正念与非正式正念的有效性和可接受性:一项随机对照试验。应用心理学杂志,17(1),e12613。https://doi.org/10.1111/aphw.12613在结果的“前后状态幸福感(VAS)”小节中,有一句话是这样写的:“时间也有显著的主要影响,即所有人的状态幸福感都比干预前和干预后有所下降,....”这应该是:“时间也有显著的主要影响,即从干预前到干预后,所有人的幸福感都有所增加,....”
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引用次数: 0
Physical activity, health, and life satisfaction: Four panel studies demonstrate reciprocal effects 体育活动、健康和生活满意度:四个小组研究证明了相互作用
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-14 DOI: 10.1111/aphw.70027
Daniel Groß, Carl-Walter Kohlmann

We examined the between-person correlations and within-person reciprocal effects of physical activity, long-standing health issues, self-rated health, and life satisfaction across four panels using random intercept cross-lagged panel models. Data were analyzed from the Household, Income and Labour Dynamics in Australia Survey (HILDA, N = 32,913, 21 waves, 1-year intervals), the German Socio-Economic Panel (SOEP, N = 83,844, 14 waves, 2-year intervals), the Dutch Longitudinal Internet Studies for the Social Sciences Panel (LISS, N = 14,778, 11 waves, 1-year intervals), and the United Kingdom Household Longitudinal Study (UKHLS, N = 50,032, 4 waves, 2-year intervals). The analysis of the first two panels focused on moderate-to-vigorous physical activity and sports participation in leisure time, whereas the latter two examined physical activity intensities (light, moderate, and vigorous). Across all panels, physical activity and its intensities were positively correlated with long-standing health issues, self-rated health, and life satisfaction. Within-person analyses revealed primarily positive bidirectional effects between physical activity and self-rated health and between physical activity and life satisfaction, with self-rated health effects more pronounced at higher physical activity intensities and life satisfaction at lower intensities. Effects between physical activity and long-standing health issues were less consistent, appearing mainly for moderate-to-vigorous physical activity intensities in 1-year intervals. Physical activity intensities had different effects on self-rated health and life satisfaction, and the effects were bidirectional in nature. These results suggest that physical activity interventions should be tailored to intensity: Light activity may enhance more effective life satisfaction, while higher intensities better support health. The existing bidirectional effects may further trigger an upward spiral, reinforcing improvements in both health and well-being.

我们使用随机截距交叉滞后面板模型,在四个面板中研究了体育锻炼、长期健康问题、自评健康和生活满意度的人际相关性和人内互惠效应。分析数据来自澳大利亚家庭、收入和劳动力动态调查(HILDA,样本数=32,913,21 波,间隔 1 年)、德国社会经济小组(SOEP,样本数=83,844,14 波,间隔 2 年)、荷兰社会科学纵向互联网研究小组(LISS,样本数=14,778,11 波,间隔 1 年)和英国家庭纵向研究(UKHLS,样本数=50,032,4 波,间隔 2 年)。前两个研究小组的分析重点是闲暇时间的中强度体力活动和体育运动参与情况,而后两个研究小组则对体力活动强度(轻度、中度和强度)进行了研究。在所有面板中,体育活动及其强度与长期存在的健康问题、自评健康和生活满意度呈正相关。人内分析显示,体育锻炼与自我健康评价之间以及体育锻炼与生活满意度之间主要存在正向双向效应,体育锻炼强度越高,自我健康评价效应越明显,而体育锻炼强度越低,生活满意度效应越明显。体育锻炼与长期健康问题之间的影响不那么一致,主要出现在中等强度到高强度的体育锻炼中,时间间隔为 1 年。体育锻炼强度对自我健康评价和生活满意度有不同的影响,而且这些影响具有双向性。这些结果表明,体育锻炼干预措施应根据强度而定:轻度活动可以更有效地提高生活满意度,而高强度活动则能更好地促进健康。现有的双向效应可能会进一步引发螺旋式上升,加强健康和幸福感的改善。
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引用次数: 0
The more resilient students are, the sooner they recover from examination stress: A daily diary study 学生适应能力越强,从考试压力中恢复得越快:每日日记研究
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-10 DOI: 10.1111/aphw.70025
Xin Yu, Jiaxu Zhao, Ningzhe Zhu

Resilience, particularly under stressful circumstances, is essential for well-being. Prior research has shown the positive effects of resilience on overall self-esteem and emotional balance, but the dynamic nature of these attributes has consistently been overlooked. This study investigated how resilience influences state self-esteem and emotional balance during periods of examination stress. To this end, we utilized a 13-day daily diary design to collect data once a day from 212 participants (160 females; Mage = 18.30; SDage = 1.03). A multilevel linear model was constructed using Hierarchical Linear Modeling (HLM) to examine the effects of resilience on state self-esteem and emotional balance during daily stressful situations. Our findings revealed that resilience predicted higher levels of both state self-esteem and emotional balance, confirming previous studies. Notably, students with higher resilience demonstrated quicker recovery in these areas, underscoring resilience's role in sustaining well-being. This study contributes to the expanding literature on resilience by highlighting its value in maintaining self-esteem and emotional stability.

适应力,尤其是在压力环境下,对健康至关重要。先前的研究表明,弹性对整体自尊和情绪平衡有积极影响,但这些属性的动态性质一直被忽视。本研究探讨考试压力下心理弹性对状态自尊和情绪平衡的影响。为此,我们采用了为期13天的每日日记设计,每天从212名参与者(160名女性;法师= 18.30;SDage = 1.03)。本研究采用层次线性模型(HLM)构建多层次线性模型,探讨心理弹性对日常压力情境下状态自尊和情绪平衡的影响。我们的研究结果表明,弹性预示着更高水平的状态自尊和情绪平衡,证实了之前的研究。值得注意的是,适应力较高的学生在这些方面恢复得更快,强调了适应力在维持幸福感方面的作用。本研究通过强调弹性在维持自尊和情绪稳定方面的价值,有助于扩充有关弹性的文献。
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引用次数: 0
Spreading stress: Time poverty diffusion in close relationships—A dyadic analysis 扩散压力:亲密关系中的时间贫困扩散——二元分析
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-09 DOI: 10.1111/aphw.70024
Nan Zhang, Xiaomin Sun, Yongya Qi

Time poverty—the pervasive feeling of insufficient time to manage daily activities—has profound implications for individuals, organizations, and society. Drawing on the theory of dyadic coping, the current study investigates the transmission of time poverty within close relationships, focusing on whether and how one partner's experience of time poverty exacerbates the other's. Additionally, potential gender differences in this effect are explored. Data were collected from 163 full-time employed couples (326 participants, 978 responses) in China using a three-wave panel survey conducted at one-month intervals. Hypotheses were tested using the actor-partner interdependence model and cross-lagged panel model. Results indicate that an individual's time poverty is positively associated with their partner's subsequent time poverty, with family engagement serving as a mediating factor. Notably, this transmission effect was consistent across genders. These findings add an interpersonal perspective to the study of time poverty, highlighting its cumulative nature and reinforcing the importance of policy and organizational interventions to alleviate time poverty.

时间贫困——普遍存在的没有足够时间管理日常活动的感觉——对个人、组织和社会都有着深远的影响。根据二元应对理论,本研究探讨了亲密关系中时间匮乏的传播,重点关注伴侣一方的时间匮乏体验是否以及如何加剧了另一方的时间匮乏体验。此外,还探讨了这种影响的潜在性别差异。数据收集自163对全职夫妇(326名参与者,978份回复),采用三波面板调查,每隔一个月进行一次。采用行动者-伙伴相互依赖模型和交叉滞后面板模型对假设进行检验。结果表明,个体的时间贫困与其伴侣的后续时间贫困呈正相关,家庭参与是一个中介因素。值得注意的是,这种传播效应在性别之间是一致的。这些发现为时间贫困的研究增加了人际关系的视角,突出了时间贫困的累积性,并强调了政策和组织干预对缓解时间贫困的重要性。
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引用次数: 0
Future coping self-efficacy as proxy for resilience 未来应对自我效能作为弹性的代表
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-09 DOI: 10.1111/aphw.70028
Krzysztof Kaniasty, Charles C. Benight, Erik van der Meulen

Ample evidence has documented the importance of coping self-efficacy (CSE) in predicting psychological adaptation following adversity. Prior research has shown that greater exposure to negative consequences associated with major collective traumas diminishes the perceived ability to cope. However, the impact of exposure to stressors on future CSE projections remains unknown. This longitudinal study examined individuals' self-appraisals of their coping capabilities with future adversities (future coping self-efficacy [FUTURE-CSE]) in a sample of adult Poles (N = 1245). Participants were interviewed three times from July 2021 to August 2022, during the later stages of the COVID-19 pandemic. COVID-19 hardships, operationalized as pandemic-related stressors and the extent of direct virus exposure, resulted in greater confidence in individuals' ability to manage future adversities effectively. These effects were observed while controlling for sociodemographic factors, psychological distress symptoms, and prior levels of the pandemic-specific CSE. Additionally, FUTURE-CSE beliefs were associated with lower levels of concurrently assessed symptoms of psychological distress. This protective function of FUTURE-CSE remained statistically significant even after controlling for prior levels of distress, pandemic-specific CSE, sociodemographic factors, COVID-19 hardships, other life challenges, and additional measures of thriving in adversity and future expectations. Many familiar maxims, such as “what doesn't kill me makes me stronger,” suggest that the painful and conflicting dynamics of accepting and learning from the past can enhance resilience and preparedness for future challenges. The results of this study provide empirical support for these notions.

充分的证据表明,应对自我效能(CSE)在预测逆境后心理适应方面的重要性。先前的研究表明,更多地暴露于与重大集体创伤相关的负面后果会降低人们的应对能力。然而,暴露于压力源对未来CSE预测的影响仍然未知。本研究以波兰人(N = 1245)为样本,考察了个体对未来逆境应对能力的自我评价(未来应对自我效能[future - cse])。从2021年7月至2022年8月,在COVID-19大流行的后期阶段,对参与者进行了三次访谈。COVID-19的困难,作为大流行相关的压力因素和直接接触病毒的程度,使个人对有效应对未来逆境的能力更有信心。这些影响是在控制社会人口因素、心理困扰症状和以前的流行病特异性CSE水平的情况下观察到的。此外,FUTURE-CSE信念与较低水平的同时评估的心理困扰症状相关。即使在控制了先前的痛苦水平、流行病特异性CSE、社会人口因素、COVID-19困难、其他生活挑战以及逆境中茁壮成长和未来期望的其他措施之后,future -CSE的这种保护功能在统计上仍然显着。许多熟悉的格言,如“杀不死我的,让我更强大”,表明接受和从过去学习的痛苦和冲突的动力可以增强韧性,为未来的挑战做好准备。本研究的结果为这些观点提供了实证支持。
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引用次数: 0
Is virtue its own reward? Moral identity, empathy, and volunteering during adolescence as predictors of subsequent epigenetic aging 美德是自己的报酬吗?青少年时期的道德认同、同理心和志愿活动是随后的表观遗传衰老的预测因子
IF 3.6 2区 心理学 Q1 PSYCHOLOGY, APPLIED Pub Date : 2025-04-05 DOI: 10.1111/aphw.70026
Carlos N. Espinoza, Marlon Goering, Alison E. Dahlman, Amit Patki, Hemant K. Tiwari, Caroline G. Richter, Sylvie Mrug

Higher levels of moral identity, empathy, and volunteering (virtues) are associated with increased self-esteem and psychological well-being, which, in turn, are predictive of fewer health problems. Epigenetic aging, a marker of health, reflects the rate at which individuals age biologically relative to their chronological age. Epigenetic aging is shaped by behavioral factors and environmental stressors, but the effects of moral identity, empathy, and volunteering on epigenetic aging are underexplored. Thus, this study examined if these three dimensions of virtue predict epigenetic aging during adolescence and if these relationships are mediated by self-esteem and psychological well-being. The sample included 1,213 adolescents (51% female; 62% Black, 34% Non-Hispanic White, 4% Other race/ethnicity) that participated at three time points between 2004 and 2017 (Mage 13, 16, 19 years). Results revealed that higher moral identity and empathy were associated with higher self-esteem and psychological well-being during early adolescence. Moreover, higher empathy during early adolescence was associated with slower epigenetic aging on the GrimAge clock during late adolescence. Path analyses adjusting for covariates showed that higher self-esteem during middle adolescence predicted slower epigenetic aging in late adolescence, but none of the three virtues in early adolescence predicted self-esteem, psychological well-being, or epigenetic aging over time.

更高水平的道德认同、同理心和志愿服务(美德)与更高的自尊和心理健康有关,而这反过来又预示着更少的健康问题。表观遗传衰老是健康的一个标志,它反映了个体相对于实际年龄的生理衰老速度。表观遗传衰老受行为因素和环境压力因素的影响,但道德认同、共情和志愿活动对表观遗传衰老的影响尚未得到充分探讨。因此,本研究考察了美德的这三个维度是否预测了青春期的表观遗传衰老,以及这些关系是否由自尊和心理健康介导。样本包括1213名青少年(51%为女性;62%的黑人,34%的非西班牙裔白人,4%的其他种族/民族)在2004年至2017年(Mage 13,16,19年)的三个时间点参加。结果显示,在青春期早期,较高的道德认同和同理心与较高的自尊和心理健康有关。此外,青春期早期较高的同理心与青春期后期较慢的表观遗传老化有关。调整协变量的通径分析显示,青春期中期较高的自尊预示着青春期后期较慢的表观遗传衰老,但青春期早期的三种美德都不能预测自尊、心理健康或随时间推移的表观遗传衰老。
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引用次数: 0
期刊
Applied psychology. Health and well-being
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