Psychology Research and Behavior Management最新文献

{"title":"Fear-Pleasure Paradox in Recreational Fear: Neural Correlates and Therapeutic Potential in Depression.","authors":"Yuting Zhan, Xu Ding","doi":"10.2147/PRBM.S529004","DOIUrl":"https://doi.org/10.2147/PRBM.S529004","url":null,"abstract":"<p><strong>Background: </strong>Recreational fear, voluntary exposure to frightening stimuli in safe contexts (eg, horror films), elicits both distress and pleasure. Although paradoxical enjoyment of fear has been documented in healthy populations, its neural and psychological mechanisms, and potential therapeutic value for depression, remain unclear.</p><p><strong>Methods: </strong>In a mixed-methods design, Study 1 (<i>N</i> = 216) assessed psychological and physiological responses to standardized fear stimuli across a continuum of depressive symptoms, using heart rate variability, salivary cortisol, and validated self-report measures. Study 2 (<i>N</i> = 84) employed functional MRI to characterize brain activation during and after exposure to the same stimuli in individuals with mild-to-moderate depression.</p><p><strong>Results: </strong>An inverted-U-shaped curve linked fear intensity to enjoyment, with depression severity significantly moderating this relationship (<i>β</i> = -0.42, <i>p</i> <0.001): higher symptom levels required stronger stimuli for peak pleasure. Depressed participants showed greater ventromedial prefrontal cortex activation and attenuated amygdala responses, suggesting enhanced engagement of regulatory circuits. fMRI analyses also revealed transient normalization of default-mode and salience-network connectivity following fear exposure (<i>t</i>(83) = 3.87, <i>p</i> <0.001, <i>d</i> = 0.84).</p><p><strong>Conclusion: </strong>Controlled recreational fear may transiently engage emotion-regulatory networks and modify maladaptive connectivity patterns in depression, offering a novel adjunctive strategy. These findings are preliminary and correlational; future studies should examine causal effects and long-term clinical impact.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1509-1518"},"PeriodicalIF":2.8,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144542057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Post-Traumatic Growth Experience in Family Caregivers of People with Dementia: A Descriptive Qualitative Study.","authors":"Yang Wang, Yanhong Gu, Ruxia Qiu, Dechao Long, Na Sun","doi":"10.2147/PRBM.S525683","DOIUrl":"10.2147/PRBM.S525683","url":null,"abstract":"<p><strong>Purpose: </strong>To explore and illuminate the post-traumatic growth experience among family caregivers of people with dementia.</p><p><strong>Patients and methods: </strong>Descriptive qualitative research was conducted using purposive sampling. Between June and October 2024, 19 family caregivers of dementia patients were selected from an outpatient clinic for memory disorders and a mental health center in Shanghai. The NVivo 20.0 software was used to organize and code the interview data, and the data were analyzed and thematically condensed using the directed content analysis method.</p><p><strong>Results: </strong>Four themes were identified, along with eleven sub-themes associated with them: cognitive-behavioral shift (transitioning family roles, recognizing disease characteristics, focusing on health management, and responding positively and effectively); personal strength enhancement (enhancing coping capacity, increased psychological resilience and increased responsibility); improved relationships with others (harmonizing in family relations and benefiting from social interactions); and changes in life perceptions (reshaping of values, and reconstructing the meaning of life).</p><p><strong>Conclusion: </strong>Family caregivers of people with dementia experience multifaceted post-traumatic growth after a traumatic event of disease diagnosis and patient caregiving. It is necessary to focus on positive psychological resources for family caregivers to improve the burden of caregiving. Future research should take measures to promote family caregivers' positive perceptions, explore their own potential and strengths, and help them make full use of family and social support to enhance their post-traumatic growth.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1495-1507"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Traits of Adult Depression with ADHD Comorbidity.","authors":"Liping Dong, Ting Sun, Ping Tong, Xiaoyan Ke","doi":"10.2147/PRBM.S526615","DOIUrl":"10.2147/PRBM.S526615","url":null,"abstract":"<p><strong>Background: </strong>Comorbidity between attention-deficit/hyperactivity disorder (ADHD) and depression in adults is frequently observed and is associated with more complex clinical presentations and poorer prognoses. Greater emphasis is therefore warranted on identifying the distinguishing clinical characteristics of this comorbid condition.</p><p><strong>Objective: </strong>To examine the clinical differences between adults diagnosed with depression with and without comorbid ADHD.</p><p><strong>Methods: </strong>A cross-sectional comparative analysis was conducted involving patients with MDD, with and without comorbid ADHD. Sociodemographic and clinical variables were collected. Multivariate logistic regression analysis was performed to identify factors independently associated with ADHD comorbidity.</p><p><strong>Results: </strong>A total of 197 patients were included in the final analysis. Significant differences in both sociodemographic and clinical variables were observed between the two groups. Multivariate logistic regression revealed that earlier age of onset (OR = 1.86, 95% CI: 1.25-7.31), lower educational attainment (OR = 0.43, 95% CI: 0.22-0.86), higher PHQ-9 scores (OR = 2.31, 95% CI: 1.58-6.52), poor emotional impulsivity control (OR = 4.55, 95% CI: 2.58-8.01), and maladaptive emotion regulation strategies (OR = 3.24, 95% CI: 2.07-7.45) were significantly associated with the presence of ADHD in patients with depression.</p><p><strong>Conclusion: </strong>Adults with comorbid depression and ADHD demonstrate distinct clinical features compared to those with depression alone. Key predictive factors include earlier onset of depression, lower levels of education, more severe depressive symptoms, greater difficulties in emotional impulsivity control, and the use of maladaptive emotion regulation strategies. These findings underscore the need for comprehensive assessment of emotion regulation in depressive patients, as such difficulties may signal the presence of comorbid ADHD. Interventions targeting emotional regulation may enhance diagnostic accuracy and improve treatment outcomes in this population.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1471-1480"},"PeriodicalIF":2.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intergenerational Transmission of Depressive Symptoms in Chinese Families: The Role of Mothers versus Fathers and Adolescent Perceptual Sensitivity.","authors":"Kexin Sun, Xinting Zhang, Ping Li, Cong Cao","doi":"10.2147/PRBM.S519632","DOIUrl":"10.2147/PRBM.S519632","url":null,"abstract":"<p><strong>Purpose: </strong>Depression is well-known to be transmitted across generations, whereas the focus has often been on mother-child dyads. Little is known about the role of fathers and some inherited temperaments of adolescents, especially in Chinese families. This study is the first to explore the moderated mediation transmission mechanism of depressive symptoms, in which (i) the role of fathers was compared to that of mothers, and (ii) how adolescent perceptual sensitivity worked was particularly elucidated.</p><p><strong>Participants and methods: </strong>A total of 738 Chinese adolescents (<i>M</i> _age = 12.80 ± 1.58 years; 47.2% girls) who were companied with one of their primary caregivers (mothers or fathers) were recruited, constituting two subsamples of mother-child (<i>N</i> = 508) versus father-child dyads (<i>N</i> = 230), respectively. Path models and the regions of significance approach were used to analyze the moderated mediation mechanisms.</p><p><strong>Results: </strong>Mothers and fathers both transmitted depressive symptoms to adolescents via their rejection parenting (indirect effect = 0.14, <i>SE</i> = 0.02, <i>p</i> < 0.001). However, adolescent perceptual sensitivity moderated the second half path of this mediation pathway among mother-child dyads (<i>b</i> = 0.09, <i>SE</i> = 0.04, <i>p</i> = 0.011), but not among father-child dyads (<i>b</i> = -0.05, <i>SE</i> = 0.06, <i>p</i> = 0.348), and worked in a manner of diathesis-stress. Adolescent sex did not moderate this transmission mechanism (<i>χ²</i> = 6.52, <i>df</i> = 3, <i>p</i> = 0.089).</p><p><strong>Conclusion: </strong>These findings suggest similarities and differences in the roles of mothers and fathers in the transmission risk of depressive symptoms in contemporary Chinese families, and highlight a diathesis-stress like moderation effect of adolescent perceptual sensitivity.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1481-1493"},"PeriodicalIF":2.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Age Stereotype in Elderly Adults with the Mediation Role of Self-Esteem and Sense of Coherence.","authors":"Abida Rasool, Barno Abdullaeva, Akmal Nazarov, Dilfuzakhon Kozokboeva, Rustam Abdullaev, Iroda Baydjanova, Nargiza Nuralieva","doi":"10.2147/PRBM.S508557","DOIUrl":"10.2147/PRBM.S508557","url":null,"abstract":"<p><p>This systematic review article considers the intertwinement of sense of coherence, self-esteem, and age stereotype among the heterogeneous aging population. Aging is multifaceted and complex, and older persons are a mosaic of values, experience, and psychological responses to society's perception of their age. Underpinning this portrayal is the understanding that aging is not unidimensional but rather a complex aggregate of processes, challenges, and psychological processes. The first half describes the interdependence between age stereotypes and age discrimination and calls for the struggle against ageism at the social, institutional, and individual levels. The second half explores the influence of negative aging stereotypes on the self-concept of the elderly in Poland. It is necessary to investigate these processes to develop interventions and support systems suitable for the specific needs of the aging population. The third part deals with the complex cluster of self-concepts of self-esteem. The variability of self-esteem of the elderly ranging from high self-worth and confidence to low self-esteem and doubtfulness and low self-worth. Intervention must be specialized in trying to construct self-esteem, considering the variability of values of the elderly. In the fourth part, we deal with resilience continuum and the connection with age. Sense of coherence, a construct of Antonovsky's psychology, is the centerpiece of resilience research on older individuals. Optimal sense of coherence enables individuals to manage old-age adversity and how lack of sense of coherence exposes them to the psychological impacts of stereotypes on old age. The dynamics of the aging population on the continuum, discussed in the problems of the fifth section, illustrate the response to age stereotypes and resilience and how these affect overall well-being.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1435-1447"},"PeriodicalIF":2.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Workforce Inequities Across Income Levels: Aligning Global Health Indicators, Policy Readiness, and Disease Burden.","authors":"Mónica Patricia Acuña-Rodríguez, Ornella Fiorillo-Moreno, Kevin Fernando Montoya-Quintero, Foday Tejan Mansaray","doi":"10.2147/PRBM.S532912","DOIUrl":"10.2147/PRBM.S532912","url":null,"abstract":"<p><p>Despite growing recognition of mental health as a global priority, a critical knowledge gap persists regarding how workforce availability aligns with the burden of mental disorders across income levels. This perspective addresses that gap by comparing mental health workforce indicators and disease burden metrics from the World Health Organization and United Nations datasets, stratified by country income level. The findings reveal a striking misalignment: low- and lower-middle-income countries report the highest disability-adjusted life years due to depression, bipolar disorder, and suicide, yet possess the lowest density of psychiatrists, psychologists, nurses, and social workers per 100,000 population. Conversely, high-income countries demonstrate stronger alignment between disease burden and workforce capacity, supported by greater policy readiness and financial allocation. Importantly, this analysis identifies not only a quantitative shortfall in human resources but also a qualitative gap in policy implementation, including limited enforcement, weak integration into primary care systems, and insufficient accountability mechanisms. Even where national mental health plans exist, compliance and execution remain limited, particularly in low-income settings. These inequities compromise efforts toward universal health coverage and Sustainable Development Goal 3.4 on mental well-being. These findings highlight urgent global priorities for mental health investment and system reform to close the persistent treatment gap and advance the Sustainable Development Goals. This evidence may guide investment decisions, inform global health diplomacy, and support policy reforms aimed at closing the persistent mental health treatment gap.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1449-1454"},"PeriodicalIF":2.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Utility of Long-Acting Injectable Risperidone in Schizophrenia and Bipolar I Disorder: A Review of Clinical Studies.","authors":"Francesco Bartoli, Daniele Cavaleri, Ilaria Riboldi, Chiara Alessandra Capogrosso, Giuseppe Carrà","doi":"10.2147/PRBM.S474513","DOIUrl":"10.2147/PRBM.S474513","url":null,"abstract":"<p><p>Risperidone was the first second-generation antipsychotic to be developed as a long-acting injectable (LAI). In the early 2000s, a risperidone microsphere formulation, intramuscularly administered every 2 weeks (BW-RLAI), was introduced. To date, five different risperidone LAI formulations have been marketed - including a second biweekly microsphere injection (LY03004), a newer monthly intramuscular formulation using in situ microparticles (ISM) technology that does not require an oral risperidone run-in, and two subcutaneous formulations (RBP-7000 and TV-46000). Understanding the advantages and limitations of each option is essential for tailoring treatment regimens based on clinical needs and patient preferences. In this review, with the aim of offering insights for clinical practice and future research, we provide a comprehensive synthesis of the currently available risperidone LAI formulations, examining their efficacy and safety for the treatment of schizophrenia and bipolar I disorder. While evidence supporting the efficacy, tolerability, and safety of risperidone LAI for schizophrenia is available for all marketed formulations to date, advantages for newer formulations, such as longer dosing intervals without oral supplementation, are also reviewed. In addition, although the Food and Drug Administration approved the biweekly LAIs for bipolar I disorder, there is no data on effectiveness of the other risperidone LAI formulations for this indication so far. The variety of the available risperidone LAI options is likely to enable a more personalized treatment approach. To facilitate this, healthcare providers should develop a comprehensive understanding of these formulations to select the most suitable option. While risperidone ISM, RBP-7000, and TV-46000 may enhance treatment feasibility and adherence, further research is needed to build an evidence base comparable to that available for BW-RLAI, particularly in the treatment of BD.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1455-1469"},"PeriodicalIF":2.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sense of Coherence and Caregiver Burden Among Informal Caregivers of People with Dementia in China: The Mediating Role of Coping Strategies.","authors":"Dechao Long, Yanhong Gu, Yang Wang","doi":"10.2147/PRBM.S518799","DOIUrl":"10.2147/PRBM.S518799","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the relationship between SOC, coping strategies, and caregiver burden, and analyze the mediating role of coping strategies in the relationship between SOC and caregiver burden.</p><p><strong>Methods: </strong>A cross-sectional study was carried out, involving 230 informal caregivers of people with dementia in Shanghai, China. The data collection period is May 21, 2024, to December 31, 2024. This study involved participants who filled out various questionnaires, encompassing demographic data, Sense of Coherence Scale (SOC-13), Brief COPE inventory, and Zarit Burden Interview (ZBI). Adoption of SPSS 27.0 for statistical analysis and Hayes' PROCESS (Model 4), and the mediating effect was validated by the bias-corrected nonparametric percentile bootstrap method.</p><p><strong>Results: </strong>The caregiver burden was found at a moderate to severe level with the average score of 58.14(12.84). There was a negative correlation between SOC and caregiver burden (r = -0.655, P<0.05), a positive correlation between SOC and emotion-focused coping strategies (r = 0.397, P<0.05), and a negative correlation between SOC and dysfunctional coping strategies (r = -0.513, P<0.05). However, there was no significant correlation between SOC and problem-focused coping strategies. The relationship between SOC and caregiver burden was partially mediated by emotion-focused strategies and dysfunctional coping strategies.</p><p><strong>Conclusion: </strong>Significant relationship was found that SOC correlated with caregiver burden; To some extent, emotion-focused and dysfunctional coping strategies moderated the relationship between SOC and caregiver burden. Future interventions could focus on adapting and optimizing the coping behaviors of informal caregivers, using mediating mechanisms as entry points, with the aim of achieving more precise and effective care support.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1423-1433"},"PeriodicalIF":2.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Cross-Generational Coalitions and Depression Among Chinese College Students: The Chain Mediating Roles of Self-Differentiation and Interpersonal Adaptation.","authors":"Cong Peng, Yan Shen, Zhenyun Zhang, Hongqun Chen, Shasha Ye, Yuanyuan Li, Ying Zhang, Qingqing Ren","doi":"10.2147/PRBM.S525764","DOIUrl":"10.2147/PRBM.S525764","url":null,"abstract":"<p><strong>Background: </strong>Research has demonstrated a significant association between cross-generational coalitions and children's emotional well-being. However, the mechanisms underlying this relationship remain unclear, and prior studies have predominantly treated cross-generational coalitions as a singular construct, neglecting the varied impacts and pathways of different types of cross-generational coalitions on college students' depression.</p><p><strong>Purpose: </strong>Grounded in family systems theory, this study investigates the relationships and distinct underlying mechanisms linking three forms of cross-generational coalitions (coalition with fathers, coalition with mothers, and unstable coalition) to depression among college students, focusing on the chain mediating roles of self-differentiation and interpersonal adaptation.</p><p><strong>Methods: </strong>A total of 493 Chinese college students aged 17-25 years (55.2% male) completed anonymous questionnaires. The PROCESS macro Model 6 and bootstrap methods were employed to analyze the chain mediating effects of self-differentiation and interpersonal adaptation between cross-generational coalitions and college students' depression.</p><p><strong>Results: </strong>Each type of cross-generational coalition exhibited a significant indirect association with depression via the chain mediation of self-differentiation and interpersonal adaptation. Moreover, while all coalition types impacted college students' depression through the mediating effect of self-differentiation, only stable coalition with fathers influenced depression through the mediating effect of interpersonal adaptation.</p><p><strong>Conclusion: </strong>This study highlights that three types of cross-generational coalitions can affect college students' depression through the chain mediation of self-differentiation and interpersonal adaptation. Notably, in comparison to coalition with mothers and unstable coalitions, coalition with fathers reveal distinct indirect pathways influencing depression. The study revealed the differential impacts of father-child and mother-child coalitions in a collectivist society, which significantly extend Bowenian family systems theory and attachment theory by elucidating the nuanced pathways through which cross-generational coalitions influence depression in college students. These findings deepen our understanding of how various forms of cross-generational coalitions serve as familial factors impacting the emotional well-being of Chinese college students.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1403-1422"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Pathways from Cognitive Biases to the Risk of Psychosis: A Network Analysis Approach.","authors":"Chang Xi, Song Wang","doi":"10.2147/PRBM.S523666","DOIUrl":"10.2147/PRBM.S523666","url":null,"abstract":"<p><strong>Purpose: </strong>Although the linkage between cognitive biases and psychotic-like experiences (PLEs) is well established, the knowledge of potential mechanisms of this relationship is still unknown. The aim of the present study was to better understand the structure of connections between cognitive biases and PLEs by considering at the same time the role of childhood trauma and depressive symptoms in a non-clinical adolescent sample (aged 14-19 years).</p><p><strong>Methods: </strong>PLEs were measured using the Community Assessment of Psychic Experiences (CAPE-P15), cognitive biases were assessed with the Davos Assessment of Cognitive Biases Scale-42 (DACOBS-42), depressive symptoms were evaluated using the Patient Health Questionnaire-9 (PHQ-9) and exposure to childhood traumatic life events was measured using the Childhood Trauma Questionnaire (CTQ-SF). A network analysis was conducted to examine the interrelationships between these variables.</p><p><strong>Results: </strong>The most central nodes in the network were the cognitive bias items \"belief inflexibility\", \"safety behaviors\", and \"subjective cognitive problems\". Shortest path analyses revealed that depressive symptoms played a significant mediating role between cognitive biases and PLEs. Specifically, the shortest pathways from cognitive biases item \"subjective cognitive problems\" to PLEs items P7 (subjective cognitive problems), P8 (thought own), and P11 (control force) involved depressive symptoms, including items related to \"guilt\", \"concentration\", \"motor\", and \" suicide\".</p><p><strong>Conclusion: </strong>Our findings highlight the central role of cognitive distortions and emotional symptoms within the psychosis-risk network. Depressive symptom nodes serve as critical mediators between subjective cognitive problems and PLEs, underscoring their pivotal function in driving the development of PLEs among adolescents with cognitive biases. These results suggest a tight interconnection between emotional and cognitive processes in psychosis vulnerability, emphasizing the need for integrated interventions targeting both domains.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"1391-1401"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}