Dietary restriction or exercise regimens can promote weight loss or physical fitness among patients with obesity. However, intervention-associated adverse effects may impede patients' motivation to participate in dietary/exercise interventions. We examined the effects of time restricted eating (TRE) with or without resistance training (RT) on body composition, mood profile, and sleep quality in young college adults with overweight or obesity.

Fifty-four young college students with overweight/obesity were randomized into control (CON), TRE, RT, and TRE plus RT (TRE+RT) trials. The TRE trials restricted to an eating window of 10-hour/day for 8-week. The RT trials performed supervised resistance exercise, while the control trial maintained a regular lifestyle. Changes in body composition variables, blood pressure, mood status, and sleep quality were measured before and after the intervention.

TRE intervention alone or in combination with RT significantly (p < 0.01) decreased body weight (>2 kg) and BMI (~1 kg/m2) in adults with overweight/obesity. Both RT alone and combined with TRE substantially decreased fat mass by 1.1 ± 0.5 and 3.2 ± 0.4 kg, respectively. The decreased fat mass was greater in the combination trial than in the RT trial, whereas TRE alone had no effect. In contrast, fat-free mass was significantly (p < 0.01) decreased with TRE (-2.3 ± 06 kg), increased with RT (1.6 ± 0.3 kg), and was stably maintained with combination interventions. The reduced waist and hip circumferences in the TRE (p < 0.01) were similar to those in the TRE+RT trials, however, RT alone had no effect. Time and group interaction showed a large effect size (partial eta squared) for all body composition variables. In addition, RT with or without TRE notably decreased diastolic blood pressure (RT: -5.5 ± 1.9 mmHg, TRE+RT: -4.1 ± 1.5 mmHg, p < 0.05). Mild anxiety levels at baseline in RT (4.8 ± 2.6) and TRE+RT (4.1 ± 3) trials were found to be normal at postintervention in TRE+RT (3.6 ± 1.7) but not in RT (5.6 ± 3.5). No depression or stress was recorded among the participants during the intervention. The reported poor sleep quality among participants at baseline was significantly improved with RT (4.8 ± 2.9; p < 0.05), and tended to improve with TRE+RT interventions (4.5 ± 1.9).

10-hour TRE is beneficial for weight/fat loss without affecting mood status. However, TRE combined with RT might be more effective for weight/fat loss, maintaining muscle mass, and good quality of sleep among young adults with overweight or obesity.

Excessive engagement in counterfactual thinking (CFT), where individuals imagine alternative outcomes to past events, is associated with rumination, a process characterized by repetitive negative self-referential thoughts. Attentional control difficulties are closely linked with rumination, and negative thoughts can negatively impact attentional control among rumination-prone individuals. This study aimed to investigate the relationship between CFT and emotional and non-emotional attentional control among individuals with varying levels of self-critical rumination.

A sample of 100 female participants, characterized by varying levels of self-critical rumination, completed a choice task resulting in goal failure, during which they reported their levels of CFT. Subsequently, participants performed an attentional control task involving eye-tracking measures to assess emotional attentional engagement, emotional attentional disengagement, and emotional and non-emotional attentional shifting.

Among women with high (but not low) self-critical rumination tendencies, increased levels of CFT were associated with slower attentional shifting from emotional stimuli of opposing valence, as well as between non-emotional stimuli.

The correlational design of the study prevents causal interpretations of the findings. Additionally, the exclusive inclusion of female participants may limit the generalizability of the results.

This study underscores the association of CFT with subsequent attentional control among women prone to self-critical rumination, aligning with prior research suggesting a link between negative thoughts and attentional processes. Future research should explore these relationships in diverse populations and consider longitudinal designs to elucidate causal pathways.

Beliefs about losing control over one's thoughts, emotions, behaviours, and/or bodily functions have been shown to cause obsessive-compulsive symptoms. The cognitive model of obsessive-compulsive disorder (OCD) suggests that catastrophic misappraisals of intrusions will lessen if underlying maladaptive beliefs are effectively reduced. The primary aim of this study was to experimentally investigate whether preexisting negative appraisals about losing control could be reduced by reappraising a previous perceived loss of control.

A sample of (n = 52) undergraduate participants underwent either a brief cognitive intervention or a control memory task. Negative appraisals about losing control and anxiety were measured before and after the manipulation.

In comparison to participants in the control condition, participants in the experimental condition reported a significantly greater reduction in negative appraisals about having lost control (F(1, 50) = 10.79, p = .002, ηp2 = .18) and about losing control in the future (F(1, 50) = 7.82, p = .007, ηp2 = .14) but not anxiety F(1, 50) = .81, p = .37, ηp2 = .02).

The absence of an impact on anxiety may be attributed to an underpowered sample size or the lack of a more robust intervention.

Results suggest that pre-existing beliefs about losing control can be reduced via a brief cognitive reappraisal-based intervention. Findings are discussed with respect to clinical and phenomenological implications.

Although previous studies have shown that children from disharmonious families were more likely to exhibit behavioral problems, the underlying pathways remain unclear. This study aimed to assess the associations between family disharmony and behavioral problems among Chinese preschool children and to investigate the potential mediating role of maternal negative emotional states.

A cross-sectional study including 4243 preschool children and their mothers was conducted in Chengdu, China. Mothers reported the level of family disharmony and their negative emotional states, including depression, anxiety, and stress. They also reported their children's behavioral problems using the Conners' Parent Rating Scale-48 items. Generalized structural equation models and bootstrapping methods were used to explore the mediating role of maternal negative emotional states in the associations between family disharmony and children's behavioral problems.

Preschool children from disharmonious families had a significantly higher prevalence of behavioral problems. Family disharmony was positively associated with various behavioral problems across multiple domains. In addition, maternal negative emotional states partially mediated these associations, with mediation proportions ranging from 49.63 % for anxiety to 63.96 % for impulsive-hyperactive.

The cross-sectional design limited causal inferences.

Our study highlighted the significant impact of family disharmony on preschool children's behavioral problems and confirmed the mediating role of maternal negative emotional states. The findings suggested that implementing interventions aimed at improving family harmony and addressing maternal negative emotions may effectively reduce the risk of behavioral problems among Chinese preschool children. Nevertheless, future randomized controlled trials are needed to confirm the conclusions.

This observational longitudinal study examines whether engagement in health behaviours (general health behaviours, sleep hygiene, comfort food snacking) mediate the link between self-compassion and mental health among emerging adults.

Participants were 332 emerging adults recruited from a large U.S. University (Mage = 19.0; SD = 1.8) who completed two electronic surveys 7-10 weeks apart (T1 and T2). The Hayes PROCESS macro model #4 was used to test whether engagement in health behaviours at T2 health mediated the association between T1 self-compassion and T2 mental health (5000 bootstrap samples).

T1 self-compassion was significantly associated with all T2 health behaviours except for comfort food snacking. T2 sleep hygiene behaviours mediated the relationship between T1 self-compassion and both T2 depression and T2 anxiety (bootstrapped 95% CIs [-.085, -.029] and [-.064, -.016], respectively), although the total effect of self-compassion on anxiety was no longer significant when accounting for T1 sleep hygiene and T1 anxiety. Overall T2 health behaviour engagement mediated the relationship between T1 self-compassion and T2 depression only (bootstrapped 95% CI [-.044, -.006]), although the mediation was non-significant after accounting for T1 overall health behaviour engagement and T1 depression.

Findings suggest that individuals with higher self-compassion engage more in overall health behaviours and sleep hygiene practices, and that sleep hygiene and general engagement in health behaviours help to explain the link between self-compassion and mental health symptoms over time. These findings highlight the multiple positive downstream effects of fostering self-compassion and have important implications for mental health care providers utilizing self-compassion to support health behaviour engagement in order to promote mental health.

This study aimed to investigate the relationship between Cognitive Disengagement Syndrome (CDS) symptoms in children/adolescents and their parents within the Turkish population, examining the association with co-occurring ADHD symptoms, peer/social relationships, and total difficulties.

The study included 229 parents aged 18 to 50 with children aged 6 to 18 from the staff of Karabuk Training and Research Hospital. Data collection occurred from April to September 2022. Participants completed various scales, including the Adult Concentration Inventory (ACI), Adult ADHD Self-Report Scale (ASRS), Depression Anxiety Stress Scale-21 (DASS-21), Conners' Parent Rating Scale-Revised Short Form (CPRS-R), Strengths and Difficulties Questionnaire (SDQ), and Child and Adolescent Behavior Inventory Sluggish Cognitive Tempo Scale (CABI-SCT).

A positive correlation was found between CDS symptoms in children/adolescents and their parents. CDS symptoms in children were also associated with significant comorbidities, such as ADHD, oppositional defiance, peer problems, and internalization problems. In parents, CDS was observed to be associated with levels of depression, anxiety, and stress.

The study highlights the strong relationship between CDS symptoms in children and their parents, suggesting potential genetic and environmental factors. CDS is associated with significant mental health comorbidities across all age groups. The findings underscore the need for interventions to support the mental health of both children and parents with CDS. Further research is needed to elucidate the impact and etiology of CDS on family dynamics and mental health.

Interventions to cope with emotional states (depression, stress, and anxiety) and strengthen attachment are important. This research aims to determine the effect of the Mindfulness-Based Childbirth and Parenting Program (MBCP) on pregnant women's prenatal attachment and their levels of depression, stress, and anxiety.

This randomized controlled trial included 36 participants who were randomly assigned into two groups: the Mindfulness-Based Childbirth and Parenting Program (MBCP) group (18 participants), and the control group (18 participants). The Depression Anxiety Stress Scales-21 (DASS-21) and the Prenatal Attachment Inventory (PAI) were administered at the beginning of the study and again 8 weeks later.

In the follow-up, the MBCP group exhibited significantly higher mean scores on the PAI compared to the control group (p < 0.05). The interaction between group and time was significant for PAI scores (F = 15.979, p < 0.001). When comparing the scores of the DASS-21 between the MBCP and control groups at the follow-up, the MBCP group showed significantly lower median stress scores compared to the control group (p < 0.05). There was no statistical difference between the baseline and follow-up median scores for depression, anxiety, and stress in the control group in terms of within-group comparison (p > 0.05). However, there was a statistical difference between the baseline and follow-up scores for depression, anxiety, and stress in the MBCP group in terms of within-group comparison (p < 0.05).

This study has demonstrated that the MBCP program has positive effects on prenatal attachment, anxiety, depression, and stress. Therefore, it is considered that MBCP could be a tool for nurses, midwifes, child development specialists, and other healthcare professionals.

NCT05866549.

Understanding the neural mechanisms underlying appetitive and aversive conditioning has important clinical implications because maladaptive associative learning processes are thought to contribute to various mental disorders, including anxiety, mood and eating disorders, as well as addiction and chronic pain. Since brain areas related to appetitive and aversive conditioning overlap with one another, but are probably also distinct, it is of interest to directly compare appetitive and aversive conditioning in behavioral and imaging studies. To what extent do behavioral outcome recordings in appetitive and aversive conditioning tasks match? We compared self-reports and physiological responses (skin conductance responses and pupil size) using commonly applied appetitive and aversive unconditioned stimuli (US) in 40 young and healthy participants (20 women). Different to animal studies, secondary reinforcers, particularly monetary rewards, are most commonly used as appetitive US in humans. Therefore, the first study compared self-reports and physiological assessments that were elicited by electric shock and three monetary rewards (one Euro, two Euros and five Euros). In the second study, differential aversive and appetitive conditioning were performed on two consecutive days with order being randomized between participants. Since outcome measures of electric shock best matched the one Euro reward, one Euro was used as US in the appetitive conditioning paradigm. In both studies, physiological responses were significantly lower towards appetitive conditioned stimuli (CS) and US compared to aversive CS and US (all p-values < 0.001). Self-reports, on the other hand, showed much fewer differences in response magnitude and differential CS responding comparing appetitive and aversive CS and US. Overall, self-reports of valence were higher towards monetary rewards compared to the electrical stimulus considering both responses to the US in study 1 and CS in study 2 (p-values < 0.001). Our findings show that full comparability between behavioral outcomes can probably not be achieved in appetitive and aversive conditioning paradigms since outcomes might easily diverge. Future studies comparing the neural responses in processing of aversive and appetitive stimuli using brain imaging, electroencephalography or other neurobiological methods need to control for possible differences in response magnitudes and learning rates.

Psychological safety (PS) is a feeling that individuals are comfortable being themselves and sharing concerns and mistakes without fear of embarrassment, shame, ridicule, or retribution. The purpose of this study was to describe the phenomenon of PS and relationships between PS with general psychological distress, depression, anxiety, stress, and general self-efficacy in the clinical learning environment with physical therapist students.

Psychological safety may influence student engagement and impact learning. During physical therapist student clinical experiences, PS is important for learning and patient safety.

Second-year students from 2 entry-level Doctor of Physical Therapy academic programs were invited to complete a survey before and after their first clinical experience.

This was an explanatory sequential, mixed methods design. The Depression, Anxiety, and Stress Scale-21, General Self-Efficacy Scale, and questions about PS were completed by students before and after their initial clinical experiences. Survey respondents were subsequently invited to participate in a semistructured interview.

Of the 188 students invited, 27 completed both preclinical and postclinical surveys. Nine of those 27 students completed the qualitative portion. All students reported experiencing PS during their clinical experience. General psychological distress, anxiety, and stress all decreased, and general self-efficacy increased significantly during the clinical experience. Themes identified included characteristics of a safe psychological environment and signs of unsafe psychological environment.

Having a sense of PS during clinical rotations has a positive influence on students' perceived ability to fully engage in their learning and may play a role in decreasing stress and anxiety and building self-efficacy. Students and clinical instructors have a shared responsibility for the cocreation of a PS learning environment, which can be established during a preclinical brief and maintained through consistent communication and authentic feedback.

People with higher weight are at greater risk of experiencing loneliness and mental ill-health, in part due to challenging social networks that can be unsupportive of efforts to engage in positive health behaviours and a source of weight-based stigma and discrimination. Targeting this issue is a manualised intervention, Groups 4 Health (G4H), that helps people to optimise social connectedness and group-based belonging for effective support to reduce loneliness and mental ill-health. We evaluated the efficacy of this program for people with higher weight.

We conducted a matched controlled trial (non-randomised) with 98 Australian adults with a body mass index (BMI) ≥ 30 kg/m2 (n = 49 in the intervention group). Retention rates at T2 were comparable to previous trials: intervention group n = 33 (67.3%); matched control group n = 36 (73.5%).

Loneliness, well-being, weight-related social support, depression, and eating disorder symptoms were assessed pre-intervention (T0), post-intervention (T1), and at 4-month follow-up (T2).

Among the intervention group, loneliness (d = -0.66, p < 0.001), depression (d = -0.58, p < 0.001), and eating disorder symptoms (d = -0.77, p < 0.001) all significantly decreased from T0 to T2. Similarly, well-being (d = 0.80, p < 0.001) and experiences of effective weight-related social support (d = 0.68, p < 0.001) significantly increased from T0 to T2. These positive changes were not observed in the matched control group.

The findings provide strong preliminary support for the efficacy of G4H among people with higher weight to address loneliness and challenging social networks, which pose key psychosocial barriers to health.

The Groups 4 Health program has previously undergone a published codesign and consumer feedback process. The materials for this study were co-produced with a member of the research team with lived experience to ensure that the content was non-stigmatising and relevant to the population of the study. The research team member is a representative of a consumer advocacy association, and contributed to the study design, data collection, interpretation of results, and manuscript revisions.

Identifying and reporting emotions can be challenging for individuals with persistent physical symptoms (PPS), like tinnitus or tension-type headaches. Photovoice (PV) helps people identify and report their emotions by photographing relevant objects or situations. The aim of our study was to examine whether PV facilitates the report of emotions in individuals with PPS.

We randomly assigned 169 participants with PPS to one of three groups: a PV group, a writing group, or a passive control group. The PV group took daily photographs related to their symptoms and coping, the writing group wrote keywords, and the passive control group had no task. After a week, all participants completed an online writing task about their symptoms and coping, which was analyzed for the number of emotion words used. We also assessed self-reported affect, ability to identify and report emotions, and self-disclosure.

Participants in the PV group used more emotion words in the writing task than the control groups. Specifically, the PV group used significantly more positive emotion words (F(2,166) = 26.86, p < .001) and fewer negative emotion words (F(2,166) = 8.28, p < .001) compared to the writing and control groups. No significant group differences were found for self-reported affect and self-disclosure.

PV promises to facilitate more positive, nuanced, and detailed reporting of emotions and may be therapeutically useful in gathering richer insights from the participant's perspective. Future research should target individuals who respond best to PV and develop tailored treatment to increase treatment effects.

Little research has assessed the efficacy of interdisciplinary pain management programs (IPMPs) for complex regional pain syndrome (CRPS), whereas evidence shows that IPMPs are effective for low back pain (LBP) and chronic widespread pain (CWP). This study aimed to determine whether outcomes following an IPMP differ for people with CRPS compared to LBP and CWP. In addition, we determined whether it is possible to predict IPMP outcomes using baseline characteristics.

People with CRPS (N = 66) who had completed a 3-week IPMP were compared with age- and gender- matched controls with LBP (N = 66) and CWP (N = 66). Measures of pain intensity, pain interference and psychological factors were extracted for pre- and post-program, and at 1, 6, and 12 months. Latent class analysis identified recovery trajectories for pain intensity and pain interference, and χ2 analyses assessed differences between diagnostic groups in recovery trajectories. Machine learning models were implemented to predict recovery trajectories from baseline scores.

Two recovery trajectories for each dependent variable (pain interference and for pain intensity) were identified: Good responders and poorer responders. Following IPMPs, 37% of people belonged to a good responder recovery trajectory for pain interference, and 11% belonged to a good responder recovery trajectory for pain intensity. Recovery trajectories were similar across the three diagnostic groups (CRPS, LBP, CWP) for pain interference (χ2 = 1.8, P = .4) and intensity (χ = 0.2, P = .9). Modeling to predict outcomes correctly classified 69% of cases for pain interference and 88% of cases for pain intensity recovery trajectories using baseline scores.

People with CRPS, LBP, and CWP experience similar benefits following an IPMP. This supports the use of IPMPs for people with CRPS.

The present study was designed to test the hypothesis that interpersonal emotion regulation leads to increased difficulties in intrapersonal emotion regulation, which in turn, leads to general psychological distress utilizing a three-wave cross-lagged panel design. Undergraduate students rated self-report measurements of interpersonal emotion regulation, difficulties in intrapersonal emotion regulation, and psychological distress at baseline (T1, N = 369) and two follow-up waves (T2 and T3), each separated by 3 months. The results indicated that although some lagged correlations between interpersonal emotion regulation strategies and difficulties in intrapersonal emotion regulation were significant, interpersonal emotion regulation strategies did not prospectively predict difficulties in intrapersonal emotion regulation. Notably, difficulties in intrapersonal emotion regulation significantly predicted psychological distress in subsequent waves. Additionally, psychological distress at T1 predicted distress at T3 through difficulties in intrapersonal emotion regulation at T2. This study is significant as it is the first to test the interpersonal emotion regulation model in a longitudinal design. However, the hypothesized pathway where interpersonal emotion regulation contributes to psychological distress through difficulties in intrapersonal emotion regulation, was not supported.

Research has identified neurocognitive and contextual risk factors of externalizing behaviors. However, fewer studies have examined the interaction among neurocognitive and other risk factors in predicting externalizing behaviors. The goal of the current study was to examine the relation between neurocognitive and contextual factors in predicting externalizing behaviors in a community sample of adolescents. Participants were 84 adolescents, aged 11-17 (M = 13.39, SD = 1.82), recruited as part of a larger study. Separate moderated multiple regression models were utilized in which neurocognitive variables (intellectual functioning, short-term memory/attention, disinhibition) were added as predictors and contextual variables (family dysfunction and parental depression, anxiety, and stress) were added as moderators in step 1, and their interaction was added in step 2. Externalizing behaviors served as criterion variables (hyperactivity/impulsivity and oppositional defiant disorder symptom severity, reactive and proactive aggression). Overall, results suggest that higher levels of problematic contextual factors exacerbate the significant negative associations among neurocognitive functioning and externalizing behaviors. Importantly, this pattern was shown across neurocognitive domains and contextual factors. Findings suggest that contextual factors should be targeted for the treatment or prevention of youth externalizing behaviors, particularly for adolescents with neurocognitive vulnerabilities.

Future thinking, mentally projecting oneself into future events, scenarios, and circumstances, is common in everyday life. However, no scale has been developed to explore the functions of future thinking in China. This study aimed to validate the Chinese version of the functions of future thinking scale (FoFTS). Based on a sample of 578 Chinese residents, confirmatory factor analysis results indicated that the 10-factor structure of the Chinese version of FoFTS fit well. The reliability indexes across 10 factors were in an acceptable range. Acceptable convergent validity was reported considering its association with time perspective, future self-continuity, emotion regulation, and intertemporal decision-making. Additionally, the effect of age and the severity of emotional states on FoFTS were found. Overall, the Chinese FoFTS is a reliable and valid tool for examining the diverse purposes and roles of future thinking among Chinese adults, thereby enhancing the cross-cultural study of purposes for future thinking.

Autism diagnostic criteria, and research primarily involving autistic children, highlight verbal and nonverbal behaviors likely to manifest during social interaction that may generate unfavorable impressions of interaction partners (e.g., poor credibility, incompetence). These behaviors are thought to bias evaluations of autistic individuals, particularly within high-stakes contexts (e.g., police or employment interviews). However, the prevalence of those behaviors in autistic adults is unclear. IQ-matched samples of autistic (n = 43) and non-autistic (n = 41) adults participated in a simulated chatroom, exposed to text-based conversations about illegal hacking. Participants were then interviewed about the chatroom in a one-on-one video-recorded online interview with the researcher. We measured the prevalence of 19 verbal and nonverbal behaviors, and memory report characteristics displayed by the interviewees, and investigated differences between the diagnostic groups. Diagnosis had a strong effect on overall behavioral displays but was only associated with minor differences in individual behaviors. Three significant effects indicated greater difficulty interpreting figurative language, longer speech hesitations, and greater verbal intonation for autistic than non-autistic adults. Inter-individual variability within groups and within-individual variability across behaviors highlighted that behaviors were neither ubiquitous nor consistently displayed in combination. There was also a suggestion of more noticeable differences in the behavior of male than female autistic adults. Although minor behavioral differences were detected based on diagnosis, they included behaviors that could lead to negative outcomes for autistic individuals during high-stakes interactions. Whether more pronounced behavioral differences are detected during face-to-face interactions warrants further research.

Although a crucial relationship has been described between resilience and coping with earthquake stress (CES), little is known about the effects of anxiety, and stress, and depression have on this association. This study aims to investigate the indirect effects of anxiety, stress, and depression on the association between resilience and CES among adults who survived the Kahramanmaraş-centered earthquakes. The participants of the study included 415 adults (28.9% male, 71.1% female, Mage = 27.06) who were affected by the earthquakes. We used the Pearson correlation method to examine the associations among variables, and utilized Hayes' bootstrapping for the serial mediation analyses. The results indicate an increase in resilience after the earthquake disaster to also increase CES, with anxiety and stress affecting the resilience-CES relationship through depression. The results highlight the significance of resilience, anxiety, stress, and depression in elevating CES levels among adult earthquake survivors.

The study investigates the health-related quality of life (HRQoL) of elementary-aged children with developmental disabilities in Singapore, focusing on the influences of individual and family factors. Data from 113 students from special education schools was examined, with data collected from parents, teachers, and direct assessments of the children. The Pediatric Quality of Life Inventory (PedsQL) was used to measure HRQoL across four domains: physical, emotional, social, and school functioning. Results showed that children with developmental disabilities generally experience lower HRQoL compared to typically developing peers, with the social functioning domain presenting the greatest challenges. Executive functioning difficulties emerged as the most significant predictor of overall HRQoL, affecting all domains, particularly social and school functioning. Parental psychological well-being was also significantly associated with children's emotional functioning, highlighting the broader influence of family factors on children's well-being. This study contributes to the literature by examining a broad-based sample in a multicultural Asian context. Results underscores the importance of addressing both child-specific challenges, such as executive functioning, and family-centered interventions to improve parental mental wellbeing. In the pursuit of positive quality of life for children with developmental disabilities across multiple domains, this study's findings highlight the need for a multi-component approach. Limitations and future directions, including the use of proxy reports and the need for culturally relevant interventions, are discussed.

Artificial intelligence (AI) attitude scales can be used to better evaluate the benefit and drawback cons of AI. This article consists of two different studies examining attitudes towards AI. In Study I (N = 370), the four-item Artificial Intelligence Attitude Scale-4 (AIAS-4) has a one-dimensional structure as a result of confirmatory factor analysis and the fit index values ​​are at an acceptable level [Comparative Fit Index (CFI) = 0.991; Goodness of Fit Index (GFI) = 0.989; Normed Fit Index (NFI) = 0.988; Tucker-Lewis Index (TLI) = 0.973; Standardized Root Mean Square Residual (SRMR) = 0.018]. Additionally, according to the results of the item response analysis conducted to support construct validity at this stage, the scale items have sufficient discrimination (discrimination value range = 2.22-3.80). Later, measurement invariance analysis revealed that the scale measured the same construct in females and males. In Study II (N = 331), the reliability of AIAS-4 was reached by calculating different reliability coefficients. Then, AI attitude was found to be associated with depression, anxiety, and stress, as well as mental health variables such as mental wellbeing and flourishing. Moreover, openness to experience, conscientiousness, extraversion, and neuroticism are significantly related to an AI attitude. Lastly, psychological distress has a significant mediating role in the relationship between AI attitude and mental health. The findings of this pioneering research on AI attitudes were discussed and interpreted in light of the literature.

Compared to their nonautistic peers, lower levels of life satisfaction have been reported by autistic individuals. It is unclear, however, whether autistic individuals with intellectual disability report similar levels of life satisfaction as autistic individuals without intellectual disability or which characteristics are associated with life satisfaction. This study sought to examine differences in levels of self-reported life satisfaction across those with and without intellectual disability and explore correlates of life satisfaction in a sample of 35 autistic youth with intellectual disability and 99 autistic youth without intellectual disability. No difference in self-reported life satisfaction was detected between autistic youth with and without intellectual disability. Greater self-reported life satisfaction was associated with higher self-determination for autistic youth without intellectual disability. For autistic youth with intellectual disability, greater self-reported life satisfaction was related to more frequent social participation, lower parent stress, and fewer unmet service needs. Unmet service needs and parent stress were significantly stronger correlates of life satisfaction for youth with intellectual disability compared to youth without intellectual disability. Although the sample size of autistic youth with intellectual disability was small, these findings suggest the importance of considering heterogeneity among individuals on the autism spectrum when seeking to understand their well-being.Lay abstractAutistic people report lower life satisfaction compared to people without autism. It is unclear whether autistic people with intellectual disability report similar levels of life satisfaction to autistic people without intellectual disability. In this study, we did not find a difference in levels of life satisfaction for autistic youth with intellectual disability compared to autistic youth without intellectual disability. We also identified factors that might promote better life satisfaction. Higher self-determination was related to higher life satisfaction for autistic youth without intellectual disability. For autistic youth with intellectual disability, more frequent social participation, lower parent stress, and fewer unmet service needs were associated with higher life satisfaction. Unmet service needs and parent stress were more strongly related to life satisfaction for youth with intellectual disability compared to youth without intellectual disability. Our findings suggest that taking a more individualized approach to support the well-being of autistic youth is important.

The present study, grounded in the Stress-Adaptation-Growth theory, aims to explore the mental well-being among dental technology students during the post-pandemic period.

A mixed-method approach was employed among undergraduate dental technology students in Malaysia. The Depression, Anxiety, and Stress Scale (DASS-21) was adapted and modified for dental technology students. The content of the questionnaire was validated by two experienced faculty experts. Construct validity and internal consistency were measured. An online survey was created using Google Forms and disseminated to 10 Bachelor of Dental Technology (BDT) students. Meanwhile, qualitative data were obtained through one-on-one semi-structured interviews, employing a phenomenology approach and thematic analysis to explore students' experiences in the new educational landscape.

All students answered the survey, predominantly females. Prevalence of depression (60% normal, 10% mild, 30% moderate), anxiety (30% normal, 30% mild, 10% moderate, 10% severe, 20% extremely severe), and stress (70% normal, 10% mild, 10% moderate, 10% severe) was reported. Qualitatively, three major themes emerged: "Problems with adaptations", "Anxious about returning to campus", and "Concern about the future". The first theme included sub-themes: "Difficulties in transitioning to hybrid learning" and "Disruption in study-life balance". The second theme had four sub-themes: "Fear of being infected", "Fear of being stigmatized", "Increased vigilance in personal safety measures", and "Confusion about standard operating procedure". The third theme included sub-themes: "Fear of another lockdown" and "Concerns about timely completion of academic requirements".

This study highlights the complex mental health challenges dental technology students faced post-pandemic, underscoring the need for flexible academic policies, global collaborations, and targeted strategies to support their resilience and well-being.

Personalized medicine is a data-driven approach that aims to adapt patients' diagnostics and therapies to their characteristics and needs. The availability of patients' data is therefore paramount for the personalization of treatments on the basis of predictive models, and even more so in machine learning-based analyses. Data harmonization is an essential part of the process of data curation. This study presents research on data harmonization for the development of a harmonized retrospective database of patients in Metacognitive Training (MCT) treatment for psychotic disorders. This work is part of the European ERAPERMED 2022-292 research project entitled 'Towards a Personalized Medicine Approach to Psychological Treatment of Psychosis' (PERMEPSY), which focuses on the development of a personalized medicine platform for the treatment of psychosis. The study integrates information from 22 studies into a common format to enable a data analytical approach for personalized treatment. The harmonized database comprises information about 698 patients who underwent MCT and includes a wide range of sociodemographic variables and psychological indicators used to assess a patient's mental health state. The characteristics of patients participating in the study are analyzed using descriptive statistics and exploratory data analysis.

This study investigates the moderating effects of maternal self-efficacy on the association between infant sleep quality and various aspects of maternal mental and emotional health.

Five hundred forty-four mothers (M age = 32.27, SD = 4.29) of infants and toddlers aged 0 to 36 months completed a combination of self-report and parent-report measures: the Brief Infant Sleep Questionnaire-Revised (BISQ-R) for infant sleep quality, the Maternal Self-Efficacy Scale (MSES), the Depression Anxiety Stress Scale-21 (DASS-21), the Pittsburgh Sleep Quality Index (PSQI), the Satisfaction with Life Scale (SWLS), and the Subjective Happiness Scale (SHS).

Mothers with higher self-efficacy reported better well-being across all domains compared to those with lower self-efficacy. Furthermore, maternal self-efficacy scores were found to moderate the relationship between infant sleep and maternal well-being. While poor infant sleep quality was associated with lower well-being scores across all mothers, the positive association between good infant sleep quality and well-being was more pronounced among mothers with higher self-efficacy scores.

Our findings highlight the moderating role of maternal self-efficacy in the relationship between maternal well-being and infant/toddler sleep. These results suggest that interventions for enhancing maternal self-efficacy may offer a promising avenue for improving maternal well-being, potentially in conjunction with behavioral interventions targeting child sleep problems.

Hong Kong's 3-year dynamic zero-COVID policy has caused prolonged exposure to stringent, pervasive anti-epidemic measures, which poses additional stressors on emotional well-being through pandemic fatigue, beyond the incumbent fear of the pandemic.

To investigate how major policy shifts in the zero-COVID strategy have corresponded with changing relationships between emotional well-being, pandemic fatigue from policy adherence, and pandemic fear, following the pandemic peak to a living-with-COVID policy.

A three-wave repeated cross-sectional study (N = 2266) was conducted on the Chinese working-age population (18-64 years) during the peak outbreak (Wave 1), and subsequent policy shifts towards a living-with-COVID policy during the initial relaxation (Wave 2) and full relaxation (Wave 3) of anti-epidemic measures from March 2022 to March 2023. Non-parametric tests, consisting of robust analysis of covariance tests and quantile regression analysis, were performed.

The severity of all measures was lowered after Wave 1; however, extreme pandemic fears reported in Wave 2 (n = 38, 7.7%) were associated with worse emotional well-being than the pandemic peak (Wave 1), which then subsided in Wave 3. Pandemic fatigue posed greater negative emotional well-being in Wave 1, whereas pandemic fear was the dominant predictor in Waves 2 and 3.

Pandemic fatigue and pandemic fear together robustly highlight the psychological cost of prolonged pandemic responses, expanding on a framework for monitoring and minimising the unintended mental health ramifications of anti-epidemic policies.

Alzheimer's disease (AD) places a profound global challenge, driven by its escalating prevalence and the multifaceted strain it places on individuals, families, and societies. Family caregivers (FCs), who are pivotal in supporting family members with AD, frequently endure substantial emotional, physical, and psychological demands. To better understand the determinants of family caregiving strain, this study employed machine learning (ML) to develop predictive models identifying factors that contribute to caregiver burden over time. Participants were evaluated across sociodemographic clinical, psychophysiological, and psychological domains at baseline (T1; N = 130), six months (T2; N = 114), and twelve months (T3; N = 92). Results revealed three distinct risk profiles, with the first focusing on T2 data, highlighting the importance of distress, forgiveness, age, and heart rate variability. The second profile integrated T1 and T2 data, emphasizing additional factors like family stress. The third profile combined T1 and T2 data with sociodemographic and clinical features, underscoring the importance of both assessment moments on distress at T2 and forgiveness at T1 and T2, as well as family stress at T1. By employing computational methods, this research uncovers nuanced patterns in caregiver burden that conventional statistical approaches might overlook. Key drivers include psychological factors (distress, forgiveness), physiological markers (heart rate variability), contextual stressors (familial dynamics, sociodemographic disparities). The insights revealed enable early identification of FCs at higher risk of burden, paving the way for personalized interventions. Such strategies are urgently needed as AD rates rise globally, underscoring the imperative to safeguard both patients and the caregivers who support them.

This paper aims to describe the development and validation of the Prison Fellowship Well-being index (PF-WBI), a new quantitative tool for assessing prisoner and staff well-being within prison cultures.

The PF-WBI was developed through an iterative process of item creation, administration alongside established well-being measures and a series of data analyses. Data was collected from both staff and prisoners (n = 989) across four North Dakota prisons.

Analysis supported a four-factor structure for the PF-WBI measuring motivation/self-esteem, relationships/community functioning, hope/mood and stress-related detriments. The PF-WBI demonstrated excellent internal consistency reliability, convergent validity with established well-being measures and criterion-related validity for both staff and prisoners. Measurement invariance across staff and prisoners was also confirmed.

The PF-WBI offers a new and versatile tool for researchers and practitioners to assess staff and prisoner well-being in correctional settings. It can be used to evaluate prison cultures and the effectiveness of culture improvement efforts.

Childhood trauma can have a long-lasting influence on individuals and contribute to mental disorders, including depression and anxiety. Depression, anxiety, and stress are highly comorbid among adolescents with the trauma experience. Yet, the evolution of comorbidity remains unclear. To fill this gap, the current study aimed to explore the symptomatic and changing patterns of depression, anxiety, and stress among adolescents exposed to childhood trauma.

A total of 1548 college students (females = 782 (50.98%), Meanage = 19.59, SDage = 1.14) in China completed the Childhood Trauma Questionnaire (CTQ) and the Depression, Anxiety, and Stress Scales (DASS-21), and 942 students (Females = 516 (54.78%), Meanage = 19.57, SDage = 1.16) met the selection standard based on the cut-off scores of the CTQ. The symptomatic network and directed acyclic graph (DAG) network approaches were used.

The results revealed that males reported experiencing significantly more physical abuse, physical neglect, emotional neglect, and sexual abuse compared to females. However, females scored significantly higher than males on "Worried" (DASS9), "Agitated" (DASS11), "Panic" (DASS15), and "Scared" (DASS20). No significant difference between genders was observed in the network structure and global strength. Meanwhile, among all participants, "Down-hearted" and "Agitated" appeared to be the most interconnected symptoms, the bridge symptoms in the symptom network, as well as the most vital symptoms in the directed acyclic graph network. Apart from that, "Panic" also served as the most prominent symptom in the directed acyclic graph network.

The results suggested that intervention targeted at assisting adolescents in developing more adaptive coping strategies with stress and regulating emotion could benefit the alleviation of comorbid depression, anxiety, and stress.

In recent years, the increasing challenges faced by families have led to the emergence of psychological issues that have particularly negative effects on young family members. These negative effects influence young individuals' life satisfaction and social media usage habits. The aim of the study is to examine the relationships between family cohesion, social media addiction, depression, anxiety levels, and life satisfaction among university students.

A quantitative research method was employed. A sample of 812 students studying in Turkey was selected.

The analyses revealed a significant positive relationship between depression and social media addiction (p < .05), while a significant negative relationship was found between depression and anxiety severity, life satisfaction, and family cohesion (p < .05). Additionally, a positive relationship was identified between anxiety severity and social media addiction, whereas negative relationships were observed between anxiety severity and the other variables (p < .05). A negative relationship was found between life satisfaction and social media addiction, while life satisfaction exhibited a positive relationship with the other variables (p < .05). Furthermore, a strong correlation was identified between age and income with all variables. The structural equation modeling results indicated that the CMIN/DF, CFI, SRMR, RMSEA, NFI, and GFI values met the criteria for goodness of fit, and significant effects were observed for all values.

Based on the study's findings, recommendations were provided for experts, researchers, and social policymakers. In this context, proposed solutions include increasing individual therapy sessions by specialists to reduce social media addiction and alleviate anxiety severity, as well as encouraging policymakers to expand projects in this field.

Digital mental health interventions (DMHIs) provide a promising avenue for addressing the mental health needs of adults with chronic health conditions (CHCs). Transdiagnostic DMHIs, which apply to a range of conditions by focusing on common core processes of change (e.g., acceptance and commitment therapy; ACT), are particularly needed to address the various ways a wide range of CHCs impact quality of life. The present study evaluated an ACT DMHI designed to improve quality of life and mental health transdiagnostically for adults with CHCs. A sample of 100 adults with CHCs were randomized to ACT or waitlist, with baseline, 6-week, and 10-week assessment points. Recruitment (100 participants in 3 months with a wide range of CHCs), retention (84% at follow-up), and adherence rates (M = 4 of 6 sessions) indicated feasibility, with high program satisfaction ratings for acceptability. Only psychological flexibility improved more in ACT versus waitlist at post-intervention (6-week follow-up), with no differences on other outcomes until 10-week follow-up. Participants in ACT improved significantly more than waitlist at 10-week follow-up on the primary outcome of quality of life as well as functional impairment from CHCs and psychological flexibility. An exploratory moderation test suggested participants with elevated mental health symptoms at baseline improved more on these symptoms in ACT relative to waitlist at 10-week follow-up. Overall, results support the feasibility, acceptability, and efficacy of a transdiagnostic ACT DMHI to improve quality of life and mental health for adults with a wide range of CHCs. CLINICALTRIALSGOV IDENTIFIER: NCT06179264.

Chronic musculoskeletal pain conditions affect millions of people worldwide and place a significant burden on individuals and the healthcare systems. Managing chronic musculoskeletal pain requires a multidisciplinary approach that considers biological, psychological, and social factors. However, access to multidisciplinary pain care is challenging, and long wait times can lead to increased stress and health deterioration. Mindfulness-based stress reduction (MBSR) is a mind-body approach developed specifically to reduce the distress of living with chronic conditions, such as chronic musculoskeletal pain. This study proposed a novel approach by offering an online MBSR program to patients on waitlists to attend a multidisciplinary pain clinic in Australia's public healthcare system that could improve health outcomes. The study aims to assess the feasibility, acceptability, and potential efficacy of this approach using a pilot study design with a mixed-methods approach.

This is a mixed-methods pilot randomised controlled trial with an embedded qualitative study. Participants will be recruited from waitlists at two multidisciplinary pain management centres within the Sydney Local Health District in New South Wales, Australia. This pilot trial will randomly assign 32 individuals with chronic musculoskeletal pain to either an online MBSR group or a usual care control group. Feasibility outcomes, patient-reported outcomes, adherence to mindfulness practice, and adverse events will be assessed using validated questionnaires. Semi-structured interviews will be conducted with participants in the MBSR group to explore their experiences and evaluate acceptability, and barriers and facilitators of engagement with the intervention.

This pilot study will evaluate a novel approach to integrating MBSR into the Australian public healthcare system as a mechanism for providing support to individuals with chronic musculoskeletal pain who are waitlisted for a multidisciplinary pain management program. Findings from this study will indicate the feasibility, acceptability, safety, and preliminary efficacy of this approach in terms of patient-reported outcomes to guide the design of future large-scale clinical trials.

This trial was prospectively registered in the Australian New Zealand Clinical Trials Registry (ACTRN12622000822785).

Traumatic physical injuries can lead to psychological distress and increased risk of psychiatric disorders, often reflected in dysregulated autonomic responses measurable through heart rate variability (HRV). Slow-paced breathing has shown potential in enhancing HRV, but its effectiveness in injured survivors remains unexplored. This study investigates the effect of slow-paced breathing on HRV among injured survivors compared to non-injured individuals and explores the influence of psychological distress and spontaneous respiratory rate on this effect.

The study involved 120 injured individuals and 112 non-injured controls with similar age, sex, and education levels. Injured participants with minor-to-moderate injuries from traffic crashes were assessed 3-6 weeks post-injury. Psychological distress was defined as the risk of post-traumatic stress disorder and/or major depression. Physiological assessment (HRV) included a 2-min resting baseline and a 2-min slow-paced breathing session (6 breaths/min). Repeated measure MANCOVA assessed HRV changes between groups, while correlation analyses examined the relationship between these changes.

Injured survivors had significantly lower HRV than non-injured controls. Both groups showed notable HRV increases during slow-paced breathing. Among injured individuals, those with higher psychological distress exhibited greater HRV increases, particularly in parasympathetic activity and overall variability. Higher spontaneous respiratory rates were associated with greater HRV changes, especially in non-injured individuals.

Slow-paced breathing demonstrated significant physiological effects for injured survivors, particularly those with higher psychological distress, and supports its potential in improving stress regulation post-injury. Future research should examine the long-term effects of sustained breathing practice and clinical applicability in reducing psychological distress and disability post-injury.

Tonic (i.e., irritable mood) and phasic (i.e., temper outbursts) irritability are distinct constructs in childhood, yet there has been little work investigating their relations in adulthood. In particular, no study has examined the relations between these symptoms in the daily lives of adults. The present study seeks to address these gaps by applying a Bayesian Gaussian graphical model to daily diary data of tonic and phasic irritability in adults.

A total of 122 participants (Mage = 34.94 [SD = 12.3] years, 52 % female) completed up to 18 days of daily diary, with questions on both tonic and phasic irritability. Contemporaneous, temporal, and between-person networks were constructed using 5 items of tonic and 11 items of phasic irritability. Predictability, centrality, density, and network loadings were also calculated.

Five main findings emerged. First, phasic and tonic irritability were connected in our contemporaneous and temporal networks but distinct in our between-person network. Second, phasic irritability symptoms demonstrated the most importance and influence across networks. Third, tonic irritability symptoms best connected the two subnetworks. Fourth, phasic irritability symptoms appeared to have the potential to be more responsive to interventions. Fifth, tonic irritability demonstrated robust associations with daily functional impairment.

Tonic and phasic irritability symptoms demonstrate unique associations in the daily lives of adults. Future work should examine the differential potential of these symptoms to respond to targeted interventions.

This study assessed the effect of an 8-week home-based neurofeedback intervention in chronic neuropathic pain patients.

A cohort of eleven individuals with chronic neuropathic pain receiving treatment within the NHS framework.

Participants were trained to operate a home-based neurofeedback system. Each received a portable Axon system for one week of electroencephalogram (EEG) baselines, followed by an 8-week neurofeedback intervention, and subsequent 12 weeks of follow-up EEG baselines. Primary outcome measures included changes in the Brief Pain Inventory and Visual Analogue Pain Scale at post-intervention, and follow-ups compared with the baseline. Secondary outcomes included changes in depression, anxiety, stress, pain catastrophizing, central sensitization, sleep quality, and quality of life. EEG activities were monitored throughout the trial.

Significant improvements were noted in pain scores, with all participants experiencing overall pain reduction. Clinically significant pain improvement (≥30%) was reported by 5 participants (56%). Mood scores showed a significant decrease in depression (p < 0.05), and pain catastrophizing (p < 0.05) scores improved significantly at post-intervention, with continued improvement at the first-month follow-up.

The findings indicate that an 8-week home-based neurofeedback intervention improved pain and psychological well-being in this sample of chronic neuropathic pain patients. A randomized controlled trial is required to replicate these results in a larger cohort. Clinical Trial Registration: https://clinicaltrials.gov/study/NCT05464199, identifier: (NCT05464199).

The ability to consider the long-term implications of emotional events is integral to mental health and adaptive psychological functioning. However, it remains unclear whether flexibly synchronizing emotion regulation strategies to the long-term implications of emotional events is associated with adaptive outcomes.

This ecological momentary assessment study examined how emotion regulation flexibility concerning contextual long-term implications is linked to daily emotional experiences and mental health outcomes. Ninety-eight participants provided 1705 real-time assessments of their perceived long-term implications of ongoing emotional events and reported their use of cognitive change (i.e., reappraisal, benefit-finding, perspective-taking) and attentional deployment strategies (i.e., distraction, refocusing, cognitive avoidance). The adaptiveness of adjusting these strategies based on contextual long-term implications was examined using momentary emotional experiences and measures of psychopathology and well-being as outcomes.

Consistent with models of emotion regulation flexibility, participants who aligned their use of cognitive change and attentional deployment strategies with the perceived long-term significance of events reported more positive daily emotional experiences and lower levels of psychopathology.

Future work should use experimental and longitudinal designs to establish causal pathways.

These findings underscore the importance of accounting for situational long-term implications when evaluating the adaptiveness of regulatory strategies, thereby adding to the growing body of evidence supporting the contextual nature of emotion regulation.

Extensive research has established the association between parental absence and adolescent psychological well-being, particularly in the Chinese context. However, studies specifically examining the dual impact of parental separation and migration on psychological outcomes among adolescents in Western China remain relatively limited.

This study aims to systematically examine the association between various parental absence situations and mental health outcomes in early adolescence, with the objective of informing targeted interventions and policy formulations to optimize psychosocial support systems for vulnerable youth population.

The Wilcoxon rank-sum test was employed to analyze continuous and ordinal variables that exhibited non-normal distributions. To investigate the associations between various patterns of parental absence and psychological outcomes (depression, anxiety, and stress) among middle school students, binary logistic regression analysis was performed, while the model's goodness-of-fit was evaluated by using the Hosmer-Lemeshow test, with a p > 0.05 indicating satisfactory model fit.

This cross-sectional study investigated mental health outcomes among a cohort of 8,606 middle school students, revealing notable prevalence rates of depressive symptoms (6.7%), anxiety (6.1%), and stress-related symptoms (8.1%). Multivariate analysis demonstrated that different forms of parental absence exerted substantial effects on mental health severity, with statistically significant associations for depression, anxiety, and stress (all p < 0.001). The results revealed that various forms of parental absence had a significant impact on depression, anxiety, and stress. Specifically, the combined impact of divorce and left-behind children (DLC) creates a synergistic effect, resulting in psychological risks (OR = 1.623-1.725, all p < 0.001), that are significantly higher than those associated with either factor individually (LBC/DC). Further analysis identified additional risk factors, including senior high school (OR = 1.486, p < 0.001), boarding school (OR = 1.155, p = 0.037), and girls (anxiety OR = 1.213, p < 0.001), all showing significant associations with adverse mental health outcomes.

Our study underscores significant mental health risks associated with diverse patterns of parental absence among adolescents in the Sichuan region. By fostering stronger parent-child bonds and providing targeted emotional support, it may be possible to mitigate the adverse psychological effects of parental absence and help adolescents better navigate these mental health challenges.

The relationships between temporomandibular disorders (TMDs) and negative affectivity/emotions across cultures and the emotional predictors for TMDs in Southeast Asian youths were investigated.

The presence of TMDs and negative affectivity/emotions were determined with the Fonseca Anamnestic Index (FAI) and Depression, Anxiety, Stress Scales-21 (DASS-21). Statistical evaluations were done with non-parametric and logistic regression analyses (α.

The total sample comprised 400 Singaporean and 501 Indonesian youths (mean age 19.30 ± 1.48 years; 65.0% women) of whom 47.0% and 59.3% had mild-to-severe TMDs, respectively. For both cultures, participants with TMDs had significantly greater negative affectivity, depression, anxiety, and stress than those with no TMDs. Indonesian youths also presented higher levels of emotional distress than their Singaporean counterparts. Correlations between FAI and anxiety/stress scores were moderately strong.

Cultural variations can influence the expression of TMDs and emotional distress. Being female and anxious increased the risk of TMDs.

The current study aimed to examine how video presence in a simulated virtual socialization meeting would affect younger (n = 60) and older adults' (n = 65) associative and source memory. Participants were instructed to watch a simulated virtual meeting where speakers introduced themselves with a name and an occupation, half with their video on and the other half with their video off. Participants completed a recognition test of intact, rearranged, and new name-occupation pairs. For pairs recognized as old, participants were asked to identify whether the pair was presented with their video on or off. The associative memory accuracy (i.e., hit rate - false alarm rate) results showed a better performance in younger relative to older adults, but both age groups benefited equally from video presence. Source memory (i.e., video-on vs. video-off) results showed a significant benefit of video presence in older but not younger adults.

Data collection in community organizations can be challenging, but important for evaluative initiatives as well as for therapeutic purposes, such as for organizations engaged in measurement-based care. This study tested the impact of an online measurement data management platform (OMDMP) on mental health assessment response rates at a community-based sexual assault crisis center. We examined whether implementing the OMDMP improved client assessment participation in mental health assessment questionnaires compared to manual data collection methods. Materials and Methods: Using a pre-post design, we analyzed data from two time periods: pre-pandemic (manual assessments) and mid-pandemic (OMDMP assessments). Data included clients' mental health assessments, using standardized tools such as the DASS-21 and IES-R.

Our analysis revealed a significant increase in the rate of clients completing at least one mental health assessment, rising from 45% (manual) to 71% after the introduction of the OMDMP. We also found that the OMDMP prompted clients to complete their assessments generally on time, contributing to effective use of assessments as a component of measurement-based care.

Although this improvement demonstrates clear benefits for data collection in a community setting, challenges remain in ensuring both pre- and posttest completion. While online tools can enhance organizational capacity for self-evaluation and improve client participation in measurement-based care, attention is still needed to address gaps in the data collection process.

We discuss the successes and barriers encountered during the implementation of the OMDMP and its potential implications for social work practice.

Autistic children experience high rates of mental health challenges, and links have been found between child mental health and the parent-child relationship. As parents of autistic children are often actively involved in their child's treatment, it is important to consider aspects of the parent-child relationship within this context. The present study investigated changes in a component of the parent-child relationship, the coherence of parental representations, following participation in a 10-week cognitive behavioural therapy intervention designed to address autistic children's mental health challenges. Relationships were examined between coherence and child characteristics (i.e., autism symptoms, mental health), and associations with child treatment outcomes (i.e., mental health). Participants included 81 children (89% boys) aged 8 to 13 years and their parents (85% mothers) aged 35 to 54 years. Baseline levels of coherence were related to children's mental health symptoms but not autism symptoms. Although there were no significant changes in overall coherence across therapy, subscale-level improvements (i.e., concern, acceptance) emerged. Changes in coherence across therapy were linked with children's post-intervention behavioural symptoms and were approaching significance for internalizing problems, but were not associated with externalizing problems. It is critical to investigate factors that shape the coherence of parents' representations of their children, as this may provide insight into potential targets for intervention. Ascertaining whether participation in therapy improves parental coherence, and consequently child treatment outcomes, can advocate for parent-involved therapy, which will ultimately benefit the well-being of autistic children.

Anxiety is highly prevalent among adults. Evidence suggests that perceived stress controllability and emotional growth mindsets are associated with decreased anxiety. However, whether these positive factors synergistically contribute to reducing the impact of stress on anxiety remains unclear, especially within everyday stress contexts. Multilevel models were used to investigate how perceived stress controllability and emotional growth mindsets interacted to mitigate the adverse impact of daily stress on anxiety, differentiating within- and between-person effects. Overall, 198 participants completed ecological momentary assessments of perceived stress intensity and controllability, emotional growth mindsets, and anxiety four times daily over 10-12 consecutive days. The within-person analyses showed that high emotional growth mindsets buffer the link between perceived stress intensity and anxiety. More importantly, the between-person and cross-level results suggested that the synergistic effect of emotional growth mindsets and perceived stress controllability maximally buffered the correlation between perceived stress intensity and anxiety. Additionally, these results highlighted that the positive association between perceived stress intensity and anxiety was most pronounced among participants with low emotional growth mindsets and perceived stress controllability. These findings further support a synergistic intervention approach that emphasizes anxiety alleviation through enhanced perceived stress controllability and the development of emotional growth mindsets.

Numerous studies have described that women's sexual desire is lower than men's desire. Within a heterosexual couple, a sexual desire discrepancy can be associated with sexual and relationship dissatisfaction. The factors that negatively influence women's sexual desire are biological, psychological, relational, cognitive and sociocultural. The present study aimed to determine the extent to which adherence to sexual norms predicted sexual desire in women engaged in a romantic relationship (min. 6 months). These norms were addressed by Simon and Gagnon's (1984) notion of sexual scripts, which designate the sociocultural norms governing the sexual behaviors of men and women. A sample of women (N = 829, M age = 32 years, SD = 12.20, range = 18-72) completed a questionnaire about sexual desire and heterosexual scripts. The results showed that the more women in relationships say they felt desire, the less they subscribed to heterosexual scripts and particularly the conception that a man's sex drive is higher than a woman's. This conception seems to be the most determinant of women's sexual desire in relationships. The results attest also to the persistence and strength of heterosexual scripts which, despite greater equality between men and women, continue to negatively influence women's sexual desire. By becoming aware of these conditionings, women suffering from low sexual desire and sexual desire discrepancy within their couple can break free from them and experience a more fulfilling sexuality. Lastly, some interesting contradictory results are addressed in discussion.

There is evidence that attachment, trauma, and voice appraisals individually impact voice hearing in psychosis, but their intersectional relationship has not been examined. The aim of this study was to identify subgroups of individuals from the intersectional relationship between these factors and examine differences between subgroups on clinical outcomes.

A latent profile analysis was conducted on baseline data from the AVATAR2 trial (n = 345), to identify statistically distinct subgroups of individuals with psychosis who hear distressing voices based on co-occurring patterns of trauma, fearful attachment, and voice appraisals. The association between profile membership and demographic characteristics, voice severity, posttraumatic stress disorder symptoms, emotional distress, and difficulties with motivation and pleasure was then examined. Experts by experience were consulted throughout the process.

Four profiles were identified: 'adverse voices and relational trauma', 'low malevolent and omnipotent voices', 'adverse voices yet low relational trauma', and 'high benevolent voices'. Negative voice appraisals occurred in the presence of high and low trauma and attachment adversities. The first profile was associated with being female and/or other non-male genders and had worse voice severity and emotional distress. High adversities and worse emotional distress occurred in the presence of voice benevolence and engagement. Black and South Asian ethnicities were not associated with specific profiles.

The identified profiles had negative and positive voice appraisals associated with higher and lower occurrence of adversities, and different clinical outcomes. These profiles could inform detailed case formulations that could tailor interventions for voice hearers.

Osteonecrosis of the femoral head (ONFH) is characterised by progressive bone death, leading to joint incongruity and eventual osteoarthritis. Various interventions have been explored to forestall disease progression and delay total hip arthroplasty (THA). Free vascularised fibula grafting (FVFG) has shown promise, particularly in the precollapse stages of ONFH. However, the potential benefits of combining synovectomy with FVFG to address synovitis in ONFH have not been systematically studied. This trial seeks to compare outcomes between patients undergoing FVFG with and without synovectomy.

The trial is a randomised, single-centre, parallel-group trial comparing FVFG with synovectomy versus FVFG alone in patients with ONFH and synovitis. 90 participants will be randomised into two groups: synovectomy (n=45) and non-synovectomy (n=45). The primary outcome is the Harris Hip Score (HHS) change at 12 months post surgery. Secondary outcomes include HHS, Numeric Rating Scale (NRS) for pain, Depression Anxiety Stress Scales-21 (DASS-21), and EQ-5D scale assessments at intervals up to 12 months post randomisation.

This trial was approved by the Human Research Ethics Committee of Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine prior to patient recruitment (approval number: 2023-076). Results from this trial will be published in peer-reviewed journals. Results will also be presented at international conferences.

Chinese Clinical Trial Registry (ChiCTR) Identifier: ChiCTR2300073385. Prospectively registered on 10 July 2023.

With the rapid development of the internet, smartphones have become an indispensable part of our lives. However, prolonged, excessive and uncontrolled use may lead to the hidden danger of smartphone addiction, posing a threat to users' physical and mental health. Previous studies have shown that social support may be a factor in alleviating smartphone addiction. However, its specific mechanism needs further exploration. The purpose of this study is to examine the chain mediating effects of negative emotions and self-control on the relationship between social support and smartphone addiction.

A cross-sectional survey was conducted from January 2022 to April 2023 in Sichuan Province, China, with 5,188 respondents aged 15 years or older. Spearman's correlation analysis was used to determine correlations between social support, negative emotions, self-control, and smartphone addiction. We construct a Structural Equation Model (SEM) to explore the pathways of smartphone addiction across different age groups.

Social support, negative emotions, self-control, and smartphone addiction were found to be significantly related (p < 0.01).In the population aged 15-44, a complete SEM pathway analysis was achieved, while for the population aged 45-64, a simplified version of the pathway analysis was obtained. Among the population aged 65 and above, multiple pathways were found to be nonsignificant. For the full sample, social support not only exhibited a negative correlation with smartphone addiction (β = -0.410; 95% CI: -0.534 to -0.320) but also influenced smartphone addiction through three specific pathways: via negative emotions (β = -0.041; 95% CI: -0.066 to -0.021), via self-control (β = -0.087; 95% CI: -0.119 to -0.063), and via a sequential effect of negative emotions and self-control (β = -0.047; 95% CI: -0.062 to -0.036). The 15-44 age group demonstrated similar pathways to the full sample, whereas the 45-64 age group lost the pathway mediated solely by negative emotions.

Our study shows that high social support reduces smartphone addiction by diminishing negative emotions and improving self-control.The effect is more pronounced in the 15-44 age group.We suggest strengthening the social support system through more activities and urge relevant departments to improve the mental health education, enhance self-control training, and promote mental well-being to help avoid smartphone addiction.

Clinical trial number: not applicable.

People living with tuberculosis have been reported to encounter greater distress than normal population, and this distress is known to impact their quality of life adversely. However, studies examining the mechanisms that could mitigate this adverse impact of distress are sparse, hence this study. We investigated whether perceived social support (including emotional and instrumental support from family, friends, and significant others) plays a buffering role in the link between psychological distress and health-related quality of life (HRQoL) among people living with tuberculosis (PLWTB). We utilized a cross-sectional design to conveniently sample 200 tuberculosis patients drawn from a health facility in South-Eastern Nigeria. These participants completed measures of relevant variables. Results showed that psychological distress was negatively associated with HRQoL. Perceived social support (from family, friends, and significant others) significantly predicted HRQoL. Perceived social support moderated the link between psychological distress and HRQoL, but did not buffer against the association. Management of psychological distress associated with tuberculosis health condition should therefore be a major focus in efforts to improve the health and well-being of TB patients.

Background: Refugees face numerous challenges, including conflict, displacement, family separation, human rights violations, limited access to basic needs, and exposure to violence and torture. These experiences significantly impact their psychological well-being, leading to increased stress, anxiety, and depression. Syrian refugees in Jordan may experience higher levels of depression and anxiety than those in Spain due to harsher living conditions, limited economic opportunities, uncertain legal status, inadequate mental health services, and ongoing proximity to the Syrian conflict, whereas refugees in Spain benefit from better integration, stronger support systems, and greater stability. Objective: This study aimed to assess and compare the psychological symptoms experienced by Syrian refugees in Jordan and Spain. Methods: A cross-sectional correlational design was employed to evaluate the psychological impact on Syrian refugees in both developed (Spain) and developing (Jordan) country. A sample of 200 refugees from camps, residences, and refugee centers was recruited. Psychological symptoms were measured using the Depression Anxiety Stress Scale (DASS-21). Results: The majority of participants had low income, secondary education, and were unemployed. Overall, 55.5% reported stress, 63.5% anxiety, and 68.5% depression. Higher levels of stress and depression were observed among females, unemployed individuals, and low-income groups. Age also played a critical role, with individuals aged 40-49 reporting elevated stress, anxiety, and depression compared with other age groups. Discrimination and living arrangements further influenced mental health, with low-social-connectivity communities and rural areas associated with higher anxiety and depression. Higher levels of stress and depression were observed among females in Spain and significant mental health disparities across age and income groups in Jordan. These findings underscore the need for targeted interventions addressing sociodemographic vulnerabilities to improve refugee mental health outcomes. Refugees in Jordan reported significantly higher levels of depression and anxiety compared with those in Spain. Conclusions: The findings highlight the profound psychological burden faced by Syrian refugees, particularly in Jordan, where living conditions and systemic challenges exacerbate mental health issues. Factors such as age, gender, marital status, low education, and low income were strongly associated with higher stress levels in both countries. These results underscore the need for targeted mental health interventions, improved access to psychological support, and policies that address the socioeconomic and legal challenges faced by refugees. Enhancing integration, reducing discrimination, and providing comprehensive mental health services are critical steps toward improving the well-being of this vulnerable population.