Psychopathology最新文献

{"title":"More than Meets the \"I\": A Panoramic View of Epistemic Trust in Psychotherapy.","authors":"Shimrit Fisher, Peter Fonagy, Sigal Zilcha-Mano","doi":"10.1159/000541667","DOIUrl":"10.1159/000541667","url":null,"abstract":"<p><strong>Introduction: </strong>Epistemic trust (ET), the authenticity and personal relevance we assign to interpersonally transmitted knowledge, is considered an essential component of any effective therapy. Despite its clinical significance, comprehensive empirical support is still lacking regarding whether ET is an inherent characteristic of the patient or acts as a catalyst for therapeutic change. Consequently, unlike other critical components, a clear distinction between its aspects - the patient's attributes, the therapist's contribution, and their unique therapeutic relationship - remains elusive, leaving our understanding incomplete. The current study examines the constituents of ET in therapy and its related effects through three distinct lenses: a blended snapshot lens, a prognostic lens, and a lens focusing on state-like changes. The constituents of ET were measured as follows: patient attributes were measured using attachment orientation and interpersonal functioning scales; therapist contribution was evaluated through scales assessing the therapist's use of techniques; and the patient-therapist therapeutic relationship was gauged using the working alliance scale.</p><p><strong>Methods: </strong>We collected and analyzed data from 116 patients who participated in manualized psychodynamic psychotherapy sessions to investigate the trait-like and state-like components of ET.</p><p><strong>Results: </strong>The results offer a comprehensive panoramic view with small to medium, but meaningful, correlations between ET and patients' attributes (ranging from 0.18 to -0.26); therapists' contributions (ranging between 0.15 and 0.28); and the patient-therapist therapeutic relationship (ranging between 0.17 and 0.23).</p><p><strong>Conclusion: </strong>While some findings were consistent with our expectations, others were contrary, highlighting the necessity of considering the variations between and within patients as they have distinct theoretical, clinical, and empirical implications. Employing these three distinct lenses helps therapists gain a better understanding of the clinical picture reflected by the patient over different treatment periods. This broad perspective is of prognostic importance and encourages clinicians to adjust the treatment focus to meet the evolving needs of their patients.</p><p><strong>Introduction: </strong>Epistemic trust (ET), the authenticity and personal relevance we assign to interpersonally transmitted knowledge, is considered an essential component of any effective therapy. Despite its clinical significance, comprehensive empirical support is still lacking regarding whether ET is an inherent characteristic of the patient or acts as a catalyst for therapeutic change. Consequently, unlike other critical components, a clear distinction between its aspects - the patient's attributes, the therapist's contribution, and their unique therapeutic relationship - remains elusive, leaving our understanding incomplete. Th","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"80-93"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"How Can I Get Out of This?\": A Qualitative Study of the Phenomenology and Functional Impact of Misophonia in Youth and Families.","authors":"Andrew Giles Guzick, Catherine Elizabeth Rast, Brenna Burns Maddox, Servando Rodriguez Barajas, Jane Clinger, Joseph McGuire, Eric A Storch","doi":"10.1159/000535044","DOIUrl":"10.1159/000535044","url":null,"abstract":"<p><strong>Introduction: </strong>Misophonia is an increasingly recognized disorder characterized by negative emotional and sensory reactions to specific noises. Although misophonia most often begins in childhood, there has been minimal research on its clinical presentation in youth. This qualitative study explored cognitive behavioral processes that are involved in misophonia and its associated functional impairment in young people and their families.</p><p><strong>Methods: </strong>Focused interviews were conducted with 20 youth with misophonia (ages 10-17) and their parents. Thematic analyses of these interviews using a cognitive behavioral theoretical framework were conducted.</p><p><strong>Results: </strong>A number of themes were identified, which included internalizing and externalizing cognitive behavioral processes at the individual level (e.g., hypervigilance, anticipatory anxiety, escape, automatic negative attributions), secondary emotional and functional consequences (e.g., negative perception of self, guilt, anxiety, depression, emotional exhaustion, concentration difficulties at school), as well as significant impacts to school, social life, and particularly to family life (e.g., conflict/tension, anger and resentment, family accommodation). These themes are integrated in a proposed theoretical model.</p><p><strong>Discussion: </strong>Misophonia is characterized by several transdiagnostic cognitive behavioral processes, including avoidance, maladaptive cognitions, emotional reactivity, and family communication difficulties, as well as significant functional impairment. Developing treatments that target these processes has the potential to help youth overcome misophonia and improve the quality of life of youth and their families.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"33-43"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Overall and Specific Dimensions of Schizotypy on Theory of Mind.","authors":"Richard A N Glisker, Nicholas Papouchis, Kevin B Meehan, Matthew J Morrison, David Kimhy","doi":"10.1159/000542499","DOIUrl":"10.1159/000542499","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Impairments in theory of mind (ToM) are highly prevalent among individuals with schizophrenia, resulting in substantial functional deficits. However, research on impairments in individuals with schizotypy has yielded inconsistent findings, with some studies finding ToM deficits in overall schizotypy, other studies finding ToM deficits in only specific schizotypy dimensions, and yet other studies finding no ToM deficits at all. One potential key factor that may account for this discrepancy is the use of schizotypy measures that do not adequately measure specific schizotypy dimensions. Additional limitations are employment of ToM measures that rely heavily on explicit cultural knowledge, verbal/reading comprehension, and/or other cognitive abilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;To address these discrepant findings, we used the Schizotypal Personality Questionnaire-Brief Revised (Updated; SPQ-BRU) and the Multidimensional Schizotypy Scale (MSS) to tap overall schizotypy and specific schizotypy dimensions. To measure ToM, we used the Frith-Happé animations (FHA) and Strange Stories Film Task (SSFT). We examined the hypothesized negative relationship between schizotypy and ToM in a sample of 233 nonclinical individuals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Regression analysis indicated no significant relationship between overall schizotypy and ToM on both the FHA (b = 0.01, t(196) = -0.75, p = 0.46) and SSFT (b = -0.20, t(195) = -1.69, p = 0.09). However, it did find that the negative schizotypy dimension was associated with poorer ToM performance on both the FHA (b = -0.11, t(194) = -2.7, p = 0.008) and SSFT (b = -0.12, t(193) = -3.22, p = 0.001). Also, exploratory analyses employing an extreme-group design approach indicated high schizotypy and high negative schizotypy groups displayed weaker ToM performance within all specific schizotypy dimensions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;These results indicate that ToM impairments are present in schizotypy, especially within the negative schizotypy dimension. The results suggest important methodological implication for studying ToM in schizotypy and conceptualizing the latent structure of schizotypy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Impairments in theory of mind (ToM) are highly prevalent among individuals with schizophrenia, resulting in substantial functional deficits. However, research on impairments in individuals with schizotypy has yielded inconsistent findings, with some studies finding ToM deficits in overall schizotypy, other studies finding ToM deficits in only specific schizotypy dimensions, and yet other studies finding no ToM deficits at all. One potential key factor that may account for this discrepancy is the use of schizotypy measures that do not adequately measure specific schizotypy dimensions. Additional limitations are employment of ToM measures that rely heavily on explicit cultural knowledge, verbal/reading comprehension, and/or other cognitive abil","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"106-118"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identity Cannibalism in Narcissistic Persons: Lessons from Anthropology.","authors":"Milena Mancini, Valentina Urso, Giovanni Stanghellini","doi":"10.1159/000542331","DOIUrl":"10.1159/000542331","url":null,"abstract":"<p><strong>Background: </strong>Cannibalism is a practice based on the assimilation of the enemy, characterized by different ritual phases. The cultural anthropologist Francesco Remotti provides insight into this practice, stating that the Tupinamba tribes - an ethnic group living along the Eastern Atlantic coast of Brazil - use it to demonstrate their superiority over the defeated group. After capturing a prisoner, the assimilation process begins, which prepares the prisoner for the cannibalistic act through a specific sequence of steps.</p><p><strong>Summary: </strong>Remotti's research on cannibalism is applicable to the world of narcissism. The way a narcissistic individual relates to others is a paradigmatic example of cannibalistic rituals. This study aimed to catch the structural components of the narcissistic relationship, rooted in Remotti's anthropological perspective, and to explore the associated phenomenological and psychopathological characteristics.</p><p><strong>Key message: </strong>We present a new perspective for understanding the interpersonal relationship characteristic of a narcissistic person, which we have termed \"identity cannibalism.\"</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"134-142"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"I Feel I Remember: The Phenomenology of Autobiographical Recall in Individuals with Alcohol Use Disorder.","authors":"Clara De Groote, Philippe Tison, Stéphanie Bertin, Olivier Cottencin, Jean-Louis Nandrino","doi":"10.1159/000541804","DOIUrl":"10.1159/000541804","url":null,"abstract":"<p><strong>Introduction: </strong>Beyond the memory deficits classically observed in individuals with alcohol use disorder (IwAUD), research has recently focused on the study of autobiographical memory (AM) processes in IwAUD by analysing the content of AM narratives, and the implications for self-conception have been discussed. However, little is known about how IwAUD subjectively experience autobiographical recall.</p><p><strong>Methods: </strong>Thirty-seven IwAUD and 37 control participants were invited to perform an AM task that involved recalling memories for 4 life periods (2 important memories per period). Then, they assessed their subjective experience during AM recall using 6 phenomenological scales evaluating emotional valence, emotional intensity, sensory details, distancing, sharing, and vividness. Anxiety and depression symptoms, interoceptive sensibility, and difficulties in emotion regulation were also measured.</p><p><strong>Results: </strong>The IwAUD experienced greater distancing during AM recall, except during childhood AM recall, indicating that IwAUD are more prone to feeling that the person they are today is different from the person in their retrieved AMs. Very few intergroup differences were observed for AMs from childhood, adolescence-young adulthood, and adulthood, and a greater number of differences were observed for AMs from the last year: the IwAUD experienced AMs with a more negative valence, greater emotional intensity, fewer sensory details, greater distancing, and less sharing. A positive correlation was observed between distancing and interoceptive sensibility in the IwAUD group.</p><p><strong>Conclusion: </strong>Although these results suggest good preservation of autonoetic consciousness in IwAUD, except for more recent AMs, it is insufficient for IwAUD to experience a sense of self-continuity. This difficulty in maintaining a continuous sense of self may constitute a risk for AUD relapse.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"94-105"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autobiographical Memory in Feeding and Eating Disorders: A Systematic Review.","authors":"Fabio Frisone, Giulia Brizzi, Maria Sansoni, Anna Flavia Di Natale, Silvia Francesca Maria Pizzoli, Giovanni Stanghellini, Giuseppe Riva","doi":"10.1159/000540901","DOIUrl":"10.1159/000540901","url":null,"abstract":"<p><strong>Introduction: </strong>Prominent eating disorders (EDs) theories identify a critical relationship between body and self. One of the ways to study this relationship is through autobiographical memories (AMs). The present review aimed to evaluate the studies that investigated AM in patients with EDs.</p><p><strong>Methods: </strong>A search of PubMed, ScienceDirect, and Scopus databases was performed to identify relevant articles. Of the 57,113 studies found, 25,016 were not duplicated. After screening, 27 articles were included.</p><p><strong>Results: </strong>The studies had some methodological flaws: none of the articles was a randomized control trial and the sample sizes were small. Nevertheless, important evidence emerged because all studies showed that patients with EDs have impaired AM function. This is because the way patients with EDs remember and define themselves is through an allocentric perspective associated with the gazes of others whose role has an impact on AM, body shape, and self.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first systematic review to examine AM in patients with EDs. Future research is needed in EDs to expand knowledge about the relationship between the body and the self.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"44-68"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Associations of Somatic Symptom Disorder with Personality Dysfunction and Specific Maladaptive Traits.","authors":"Victoria von Schrottenberg, André Kerber, Philipp Sterner, Clara Teusen, Pauline Beigel, Klaus Linde, Peter Henningsen, Sabine C Herpertz, Jochen Gensichen, Antonius Schneider","doi":"10.1159/000540161","DOIUrl":"10.1159/000540161","url":null,"abstract":"<p><strong>Introduction: </strong>According to ICD-11, personality disorders (PDs) are defined by the severity of self and interpersonal dysfunction in terms of personality functioning (PF) and an optional assessment of specific maladaptive personality trait expressions. Also, somatoform disorders are replaced by somatic symptom disorder (SSD). This study examines associations using the novel diagnostic criteria of SSD in an unselected primary care sample, PF, and maladaptive traits in patients with and without SSD.</p><p><strong>Methods: </strong>An anonymized cross-sectional study was conducted. A questionnaire including SSD-12 (Somatic Symptom Disorder B Criteria Scale-12) and PHQ-15 (Patient Health Questionnaire-15), LPFS-BF 2.0 (Level of Personality Functioning Scale - Brief Form) and PID-5BF+M (Modified Personality Inventory for DSM-5 - Brief Form Plus) was used. A bifactor (S-1) model was calculated with PF (reference for general factor) and personality traits (specific factors) to estimate associations between PF, specific maladaptive personality traits, and SSD. Differences in personality scales between SSD and non-SSD patients were calculated with the Mann-Whitney U test.</p><p><strong>Results: </strong>A total of 624 patients in six general practices participated (mean age 47 years; 60.4% female). SSD-12 and PHQ-15, respectively, showed significant associations with PF (γ = 0.51; γ = 0.48; p < 0.001), negative affectivity (γ = 0.50; γ = 0.38, p < 0.001) and psychoticism (γ = 0.29; γ = 0.28; p < 0.010). Besides, SSD-12 was significantly associated with disinhibition (γ = -0.38; p < 0.010) and anankastia (γ = -0.16; p < 0.010). Patients with SSD showed significantly impaired PF and maladaptive traits in all scales (p < 0.001).</p><p><strong>Conclusion: </strong>Impaired PF explains moderate to large amounts of the SSD symptoms and maladaptive personality traits negative affectivity, psychoticism, disinhibition, and anankastia show specific associations beyond PF. An in-depth understanding of these relations might be helpful to improve doctor-patient communication and treatment in SSD.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Negativity Biases in Facial Emotion Reactions in Young Persons First Presenting with Borderline Personality Disorder.","authors":"Siobhan Korbut, Andrew M Chanen, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Elizabeth Pizarro-Campagna","doi":"10.1159/000542743","DOIUrl":"10.1159/000542743","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with borderline personality disorder (BPD) are thought to experience specific biosocial vulnerabilities that give rise to a maladaptive negativity bias in the perception and expression of emotions. However, while this negative bias has been identified in adults with full threshold BPD or high BPD features, it is unclear whether it is evident earlier in the course of the disorder - that being, young persons with first-presentation BPD meeting three or more BPD features, as defined by early intervention models.</p><p><strong>Methods: </strong>The current study compared patterns of facial responding in individuals aged 15-25 years first presenting to a specialist outpatient service with three or more BPD features (n = 32) to age-matched healthy controls (n = 46). Facial electromyography was used to assess muscle activity associated with positive (zygomaticus major) and negative (corrugator supercilii) expression while participants viewed happy, angry, and neutral facial expressions.</p><p><strong>Results: </strong>The data revealed that negative facial emotional reactivity for the BPD group did not significantly differ from the control group. However, the results for positive emotional reactivity were more nuanced, indicating that while there was not an overall between-group difference, there might be an effect of time suggestive of a slower positive emotional reaction to happy faces by the BPD group.</p><p><strong>Conclusions: </strong>These data provide initial evidence that negatively biased emotional expression, when responding with negative facial expressions to neutral, happy, or angry faces, is not evident in young persons first presenting to a specialist outpatient service for treatment of BPD. However, a bias may be demonstrated by what appears to be a slower positive affective response to happy faces. The implications of these findings are discussed, particularly in relation to factors associated with chronicity of illness that might potentially contribute to the development of a more pronounced negativity bias later in the course of the illness. We encourage further examination of negativity biases in the developmental sequelae of BPD via longitudinal design or cross-sectional designs that include BPD participants across the course of illness, as well as further research to explore the possibility that positive affective reactions in this group might not be grossly blunted but rather delayed.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Values-Based Psychopathology of Antoni Kępiński (1918-1972).","authors":"Marcin Moskalewicz, Andrzej Kapusta, Marcin Rządeczka, Giovanni Stanghellini","doi":"10.1159/000541688","DOIUrl":"10.1159/000541688","url":null,"abstract":"<p><strong>Background: </strong>The question of the role of personal values in the constitution of and recovery from mental illness is a divisive subject discussed in contemporary psychopathology. This article critically examines the psychopathological theories and contributions of Antoni Kępiński - a seminal yet internationally under-recognized Polish psychiatrist.</p><p><strong>Summary: </strong>Drawing upon a multilayered framework incorporating biological, affective-emotional, and sociocultural dimensions, Kępiński posited mental disorders as disturbances in the energy and information metabolism with the environment leading to an increase in entropy. Kępiński's work also contributes to a richer understanding of schizophrenia (whose essence he metaphorically described as the plasma membrane rupture) and the complexities inherent in the decision-making processes of patients. In a quasi-phenomenological vein, Kępiński encouraged to re-evaluate delusions and hallucinations as opportunities to access unfiltered insights into reality. He also argued for the potential for moral growth within psychiatric treatment.</p><p><strong>Key messages: </strong>Kępiński's theories anticipated many concepts now foundational in neuroscientific research and clinical psychiatry, showcasing his role as a forward-thinking figure in the history of the profession.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diurnal Profiles of the Endocrine Stress Response in Internet Gaming Disorder.","authors":"Alina Killer, Patrick Köck, Johanna Klar, Stefan Lerch, Julian Koenig, Marialuisa Cavelti, Jochen Kindler, Michael Kaess","doi":"10.1159/000541292","DOIUrl":"10.1159/000541292","url":null,"abstract":"<p><strong>Background: </strong>Differences in subjective stress perception and acute response of the hypothalamic-pituitary-adrenal axis have been reported in internet gaming disorder (IGD). The present study aimed to further investigate alterations in diurnal profiles of the endocrine stress response system in IGD compared to healthy controls (HCs).</p><p><strong>Methods: </strong>The diurnal course of endocrine markers (salivary cortisol and α-amylase) was investigated in a clinical sample of n = 29 adolescents with IGD compared to n = 26 HC. Further, the effect of unrestricted gaming versus restricted gaming was examined within the IGD group.</p><p><strong>Results: </strong>No significant differences in salivary cortisol and α-amylase were observed comparing adolescents with IGD and HC. In addition, in the IGD group, there were no significant differences in salivary cortisol and α-amylase between conditions of unrestricted gaming versus restricted gaming. Compared to the HC group, the IGD group showed a significantly higher body mass index.</p><p><strong>Conclusions: </strong>Our results indicate no alteration in diurnal profiles of the endocrine stress response in IGD.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-8"},"PeriodicalIF":1.9,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}