Psychology Research and Behavior Management最新文献

{"title":"Independent Contributions of Social Functioning Deficits and Internalized Stigma to Quality of Life in Clinically Stable Patients with Schizophrenia: A Hierarchical Regression Analysis.","authors":"Tinghan Fu, QianQian Wang, Shasha Chen, Tiannan Xu, Hongye Wu, Ruimei Ni, Kai Zhang","doi":"10.2147/PRBM.S592366","DOIUrl":"https://doi.org/10.2147/PRBM.S592366","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QoL) is a core outcome in schizophrenia. Guided by the biopsychosocial model, this study examined whether social functional impairment and internalized stigma independently predict QoL and mediate the impact of depressive symptoms on QoL among clinically stable patients in rural China.</p><p><strong>Methods: </strong>In a multicenter cross-sectional survey (Chaohu City, September-October 2022), 796 clinically stable adults with schizophrenia were recruited via stratified random sampling. Participants completed standardized assessments: Patient Health Questionnaire-9 (PHQ-9), Insomnia Severity Index (ISI), Social Disability Screening Schedule (SDSS), Social Impact Scale (SIS), and WHOQOL-BREF. Analyses included hierarchical regression (entering demographics/health, health behaviors, clinical symptoms [PHQ-9, ISI], and psychosocial factors [SDSS, SIS]) and parallel mediation analysis (PROCESS Model 4).</p><p><strong>Results: </strong>PHQ-9, ISI, SDSS, and SIS scores differed significantly across QoL groups (all *p* <0.001). Hierarchical regression showed that explained variance increased from 2.9% (Model 1) to 21.8% (Model 4). After adjusting for all covariates, depressive severity (β = -0.230), social disability (β = -0.161), and stigma (β = -0.153) were robust negative predictors of QoL (all *p* <0.001). Mediation analyses revealed a significant total effect of depression on QoL (-0.037, 95% CI [-0.046, -0.027]). This effect was partially mediated by social disability (indirect effect: -0.005, 95% CI [-0.008, -0.002]; proportion: 13.5%) and stigma (-0.006, 95% CI [-0.009, -0.003]; 16.2%), with a significant total indirect effect accounting for 29.7% of the total effect.</p><p><strong>Conclusion: </strong>Social functional impairment and internalized stigma were independent predictors of QoL and statistically mediated the relationship between depressive symptoms and poorer QoL in clinically stable schizophrenia. Moving beyond symptom control to integrated interventions targeting these psychosocial pathways is crucial for enhancing QoL, especially in resource-limited rural settings.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"592366"},"PeriodicalIF":3.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147841965","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":"Exercise and Adolescent Flourishing: A Gender-Specific Chain Mediation Model Involving Mindfulness and Rumination.","authors":"Yong Wang, Qing Xia","doi":"10.2147/PRBM.S602767","DOIUrl":"https://doi.org/10.2147/PRBM.S602767","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the association between physical exercise and flourishing among adolescents, focusing on the potential mediating roles of mindfulness and rumination.</p><p><strong>Methods: </strong>A total of 1608 adolescents (mean age =16.02 ± 1.16 years) were assessed using the Physical Activity Rating Scale-3, the Mindful Attention Awareness Scale, the Rumination Response Scale, and the Flourishing Scale. Chain mediation analyses were conducted using the SPSS PROCESS macro (Model 6).</p><p><strong>Results: </strong>Physical exercise was positively associated with flourishing in both adolescent boys (r = 0.254) and adolescent girls (r = 0.202). For adolescent boys, the total association between physical exercise and flourishing was 0.220, with a non-significant direct effect (0.031) and significant indirect effects (0.189). Indirect pathways included mindfulness (effect = 0.086; share = 39.09%), rumination (effect = 0.027; share = 12.27%), and the sequential pathway of mindfulness and rumination (effect = 0.076; share = 34.55%). For adolescent girls, the total association was 0.192, with both direct (0.119) and indirect effects (0.073). Significant indirect pathways were observed through mindfulness (effect = 0.041; share = 21.35%) and the sequential pathway of mindfulness and rumination (effect = 0.043; share = 22.40%), whereas rumination alone was not significantly associated.</p><p><strong>Conclusion: </strong>Physical exercise was associated with flourishing among adolescents. For boys, the association was primarily observed through independent pathways involving mindfulness and rumination, as well as their sequential chain mediation. For girls, flourishing was associated with both direct and indirect pathways involving mindfulness and the sequential pathway of mindfulness and rumination.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"602767"},"PeriodicalIF":3.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819925","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":"Development and Validation of a Nomogram for Estimating the Risk of Suicide Tendencies Among Chinese Middle School Students: A Cross-Sectional Study.","authors":"Peiyun Zhang, Tingting Jin, Jie Chen, Renjie Yu, Shuhao Wu, Ping Yang, Wei Zhou, Mei Xu, Tingting Tan, Chen You, Yong Yang","doi":"10.2147/PRBM.S593384","DOIUrl":"https://doi.org/10.2147/PRBM.S593384","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to develop and validate a risk estimation model for identifying suicidal tendencies among middle school students. The effectiveness of the model is evaluated, offering insights for preventing and managing student suicides in educational institutions.</p><p><strong>Methods: </strong>This study employed a cross-sectional design. From December 2018 to January 2019, a total of 12,798 middle school students from all 18 public schools in an urban district of Suzhou were surveyed. After data cleaning, 12,063 valid questionnaires were included and randomly divided into a training set (n=8,444) and a validation set (n=3,619) in a 7:3 ratio for model development and internal validation, respectively. Predictors were selected through univariate analysis and LASSO regression, with independent associated factors subsequently identified by multivariable logistic regression. Based on these factors, a nomogram risk estimation model was constructed using R software. To assess generalizability, external validation was performed using data from 6,262 valid questionnaires collected from 11 public middle schools in Changshu, Suzhou, in 2023.</p><p><strong>Results: </strong>The nomogram incorporated nine selected factors: trouble asking for help, parents' marital relationship, gender, school bullying, nightmares, depressive mood (PHQ02), sleep disturbance (PHQ03), feelings of worthlessness (PHQ06), and psychomotor changes (PHQ08). The model demonstrated good discrimination in the internal validation set area under the curve (AUC) 0.807 (95% CI [0.790, 0.824]) and in a temporal external validation cohort AUC 0.764 (95% CI [0.751, 0.778]). Calibration was satisfactory internally but required adjustment in the external cohort.</p><p><strong>Conclusion: </strong>This study developed and validated a multidimensional nomogram that effectively discriminates middle school students at risk of suicide, providing a framework for initial risk stratification. For application in new settings, local calibration of the model's risk estimates is mandatory. This tool holds potential to aid early identification in school and primary care contexts.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"593384"},"PeriodicalIF":3.2,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13127449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147819947","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":"Beyond the Physical Demands: Loneliness and Social Isolation Among Female Spousal Caregivers of Persons with Alzheimer's Disease.","authors":"Magdalena Leszko","doi":"10.2147/PRBM.S534558","DOIUrl":"10.2147/PRBM.S534558","url":null,"abstract":"<p><strong>Background: </strong>Adjusting to Alzheimer's disease diagnosis is a complex process. Caregivers tend to experience feelings of loneliness and isolation, which in turn may have adverse effects on their well-being. The purpose of this study was to explore and describe the perspectives of female older adult caregivers of individuals with AD concerning the social isolation and loneliness.</p><p><strong>Methods: </strong>The study uses a mixed methods design (N = 48), combining qualitative and quantitative research components to provide a more comprehensive understanding of the phenomenon.</p><p><strong>Results: </strong>Based on the analysis, three main themes were derived: \"social isolation due to caregiving responsibilities\", \"changes in social circle\" and \"balancing caregiving and social connection\". There were significant negative associations between loneliness and depression.</p><p><strong>Conclusion: </strong>While the detrimental effects of caregiving on psychological and physical health are well-documented, further research is needed to fully understand the multifaceted nature of the caregiving experience, particularly regarding loneliness and social isolation. This study addresses this gap by exploring the often-neglected aspect of loneliness among caregivers. The findings provide valuable insights for psychologists and healthcare professionals, enhancing their understanding of the challenges and needs of this population.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"534558"},"PeriodicalIF":3.2,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723486","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":"Hidden Shields: How Parental Resilience and Social Intelligence Shape Behavioral Profiles in Children with Autism Spectrum Disorder.","authors":"Nada Alqarawi, Huda Gaber Hamzaa, Mona Metwally El-Sayed, Mahmoud Abdelwahab Khedr, Abdelaziz Hendy, Shaimaa Mohamed Amin, Zainab Eid Kamal Klila","doi":"10.2147/PRBM.S598638","DOIUrl":"https://doi.org/10.2147/PRBM.S598638","url":null,"abstract":"<p><strong>Background: </strong>Parents of autistic children face significant stress, which can impact their child's behavioral outcomes. Parental psychological resources, specifically resilience and social intelligence, are theorized to be protective factors, yet their combined influence and interplay require further investigation.</p><p><strong>Objective: </strong>This study aimed to examine the relationships between parental resilience, parental social intelligence, and concerning behaviors in autistic children, and to test whether social intelligence mediates the link between parental resilience and child behavior.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 300 parents of children diagnosed with ASD at a mental health outpatient clinic. Participants completed the Arabic versions of the Brief Resilience Scale, the Tromsø Social Intelligence Scale, and the Assessment of Concerning Behavior scale. Data were analyzed using descriptive statistics, Pearson's correlations, multiple linear regression (controlling for child age, level of needs, parental income, and rehabilitation participation), and mediation analysis with the PROCESS macro.</p><p><strong>Results: </strong>Both parental resilience and social intelligence were negatively correlated with children's internalizing problems (r = -0.38 and -0.33), externalizing problems (r = -0.23 and -0.27), and total concerning behavior (r = -0.36 and -0.36; all p<0.001). After controlling for covariates, regression analysis indicated both factors remained significant predictors, explaining 25.8% of the variance in concerning behavior <i>(R²</i> =0.258, p <0.001). Mediation analysis confirmed a significant partial mediation, where social intelligence accounted for 17.1% of the association between resilience and child behavior (Sobel z = -3.08, p =0.002).</p><p><strong>Conclusion: </strong>Parental resilience and social intelligence are significant, interrelated protective factors associated with reduced behavioral problems in children with ASD. Interventions that simultaneously enhance both parental resources may be most effective in improving family well-being and child outcomes.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"598638"},"PeriodicalIF":3.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13077460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691908","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":"Mapping the Cognitive Constructs Assessed by the Allen Cognitive Level Screen: A Scoping Review.","authors":"Guang-Hsing Liu, Loren Pordage, Tzu-Chi Pan, Li-Wei Chou, Wei-Fen Ma","doi":"10.2147/PRBM.S593468","DOIUrl":"https://doi.org/10.2147/PRBM.S593468","url":null,"abstract":"<p><strong>Purpose: </strong>Despite widespread clinical use for over four decades, the precise cognitive constructs assessed by the Allen Cognitive Level Screen (ACLS) remain unresolved. This scoping review examines quantitative relationships between ACLS scores and standardized cognitive assessments to clarify which cognitive abilities the ACLS captures and inform its integration alongside traditional cognitive evaluations.</p><p><strong>Methods: </strong>Following Arksey and O'Malley's framework, we searched five databases (PubMed, Embase, Web of Science, CINAHL, PsycINFO) from inception through December 2025. Studies were included if they reported empirical data from clinical populations, used any ACLS version, included standardized cognitive measures, and reported correlation analyses. Two independent reviewers screened 222 records. Cognitive measures were classified into nine domains based on Lezak's neuropsychological taxonomy. Correlation strength was categorized according to Cohen's conventions: weak (r < 0.30), moderate (0.30 ≤ r < 0.50), or strong (r ≥ 0.50).</p><p><strong>Results: </strong>Twenty-four studies, encompassing 1951 participants across six diagnostic groups, met the inclusion criteria. Of 117 quantitative relationships examined, 73.5% were statistically significant. The ACLS showed the strongest associations with global cognition, social cognition, and executive function, with significance rates ranging from 81.5% to 94.7%. Associations were comparatively weaker across memory, visuospatial, and orientation domains, ranging from 33.3% to 50.0%. Correlation patterns varied across populations and ACLS versions, with only one study examining the current ACLS-6.</p><p><strong>Conclusion: </strong>The ACLS demonstrates reliable associations with integrated cognitive processes, particularly global functioning, executive abilities, and attention-processing capacities, rather than discrete cognitive components. These findings suggest the ACLS may reflect observable patterns of sensorimotor information processing during purposeful activity. Clinicians should therefore interpret ACLS results as a complement to, rather than a substitute for, traditional domain-specific cognitive assessments, particularly when precise differentiation of cognitive deficits is required for treatment planning. Critical gaps in structural validity research and ACLS-6 which currently constrain definitive conclusions regarding the instrument's construct validity.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"593468"},"PeriodicalIF":3.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13077467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691987","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":"Divergent Trajectories of Youth Mental Health in Emerging Economies: A Global Burden of Disease Analysis of Anxiety and Autism Spectrum Disorders in BRICS Nations (1990-2030).","authors":"Jing Wen","doi":"10.2147/PRBM.S598402","DOIUrl":"https://doi.org/10.2147/PRBM.S598402","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent mental wellbeing in newly industrializing regions represents a pivotal yet underexplored frontier in public health. The BRICS bloc-encompassing Brazil, Russia, India, China, and South Africa-confronts a distinct \"double burden\" of disease amidst accelerated socioeconomic stratification. This investigation quantified the disease burden and delineated forecasting trajectories for anxiety disorders and autism spectrum disorders (ASD) within the 5-24 age cohort across these nations.</p><p><strong>Patients and methods: </strong>Using data derived from the Global Burden of Disease (GBD) Study 2021, the study evaluated Age-standardized rates (ASR) of prevalence alongside disability-adjusted life years (DALYs). Temporal evolution from 1990 through 2021 was gauged via Estimated Annual Percentage Change (EAPC). Future burden dynamics up to 2030 were extrapolated employing linear regression models rooted in historical epidemiological patterns.</p><p><strong>Results: </strong>In 2021, Brazil registered the highest age-standardized anxiety prevalence (7661.9 per 100,000), whereas the Russian Federation dominated in ASD prevalence (996.2 per 100,000). A pronounced divergence in temporal trends emerged: India witnessed the steepest surge in anxiety prevalence (EAPC = +0.91%, 95% CI 0.46 to 1.35), contrasting sharply with China, which exhibited a significant secular decline (EAPC = -0.26%). Projections indicate that anxiety rates in Brazil and India may remain elevated through 2030. ASD prevalence remained relatively stable across nations, with cross-national variations likely reflecting differences in diagnostic capacity and awareness rather than true epidemiological shifts. Demographic stratification corroborated a female preponderance in anxiety, identifying young adulthood (20-24 years) as the critical risk window.</p><p><strong>Conclusion: </strong>The escalating anxiety trajectory in India, paralleled by persistent high burdens in Brazil, is associated with rapid urbanization and multifactorial societal stressors that may amplify youth mental vulnerabilities. Projections to 2030 should be interpreted as scenario-based estimates rather than definitive predictions, given the inherent uncertainty of linear extrapolation. Tailored, culturally specific interventions targeting young adults and addressing within-country disparities are warranted.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"598402"},"PeriodicalIF":3.2,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676425","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":"Association Between Sleep Quality and Cognitive Function in Patients with Hypertension in Rural Areas of Shanxi Province, China: The Chain Mediating Role of Anxiety and Depression.","authors":"Siyi Li, Ruifeng Liang, Jiawei Liu, Wenhua Sun, Jue Wang, Simin Li, Shuhong Zhao, Qiao Niu, Hongmei Yu, Hongmei Zhang, Xiaojiang Qin, Runshan Bai, Yanjie Li","doi":"10.2147/PRBM.S593258","DOIUrl":"https://doi.org/10.2147/PRBM.S593258","url":null,"abstract":"<p><strong>Background: </strong>Many studies have found that sleep quality is associated with cognitive function, but how sleep quality is related to cognitive function indirectly through anxiety and depression is still unclear. This study aims to investigate the association between sleep quality and cognitive function among patients with hypertension in rural areas of Shanxi Province and to analyze the potential mediating role of anxiety and depression.</p><p><strong>Methods: </strong>325 patients with primary hypertension were selected as the research subjects from Daning County and Yonghe County of Shanxi Province using the multistage cluster random sampling method. The Pittsburgh Sleep Quality Index, Montreal Cognitive Assessment, Generalized Anxiety Disorder-7, and Patient Health Questionnaire-9 were used to assess their sleep quality, cognitive function, anxiety, and depression levels, respectively. Structural equation modeling was employed to analyze the mediating effects of anxiety and depression.</p><p><strong>Results: </strong>The scores of sleep quality and cognitive function of patients with hypertension were 7.0 (4.0, 8.0) and 19.0 (15.0, 25.0), respectively. The results of the structural equation model analysis demonstrated that sleep quality was directly associated with cognitive function in patients with hypertension, with a path coefficient of -0.544, accounting for 59.85% of the total association. Anxiety and depressive symptoms showed a mediating role in the relationship between sleep quality and cognitive function, with indirect effects of -0.190 and -0.069, accounting for 20.90% and 7.59% of the total association, respectively. The chain mediating role of anxiety and depressive symptoms in the relationship between sleep quality and cognitive function among patients with hypertension was -0.105, accounting for 11.55% of the total association.</p><p><strong>Conclusion: </strong>These findings underscore the necessity of improving sleep quality and mitigating anxiety and depression as potential strategies for addressing cognitive deterioration. It is also of great importance for screening and comprehensive management of sleep and mental health in hypertension care.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"593258"},"PeriodicalIF":3.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676418","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":"Erratum: Association of Pain Intensity and Sensitivity with Childhood Trauma in Adolescents with Depressive Disorder: A Multicenter Study [Corrigendum].","authors":"","doi":"10.2147/PRBM.S612447","DOIUrl":"https://doi.org/10.2147/PRBM.S612447","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.2147/PRBM.S564172.].</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"612447"},"PeriodicalIF":3.2,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639701","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":"Effects of Cognitive Reappraisal Training on Psychological Resilience, Depression Symptoms, and Emotional State.","authors":"Chong Gao, Xiaolong Zhao, Shuang Li","doi":"10.2147/PRBM.S550385","DOIUrl":"https://doi.org/10.2147/PRBM.S550385","url":null,"abstract":"<p><strong>Purpose: </strong>Cognitive reappraisal can improve mental state by reinterpreting events and thoughts. This study investigated the effects of a five-day cognitive reappraisal training program on mental resilience, depression level, and emotional state in 63 Chinese individuals with depressive disorder.</p><p><strong>Patients and methods: </strong>This pre-post intervention study recruited participants through verified online depression support groups. Training was conducted daily over five consecutive days (each session lasting 60 minutes). A total of 63 individuals participated (age range 16-42 years, M=24, SD=5), including 26 males and 37 females. Based on baseline SDS scores, 27.0% met criteria for minor depression, 31.7% for moderate depression, and 41.3% for major depression. A 5-day intervention comprising daily 30-40-minute sessions of cognitive reappraisal training using IAPS images was implemented. Patient-generated reappraisal strategies were collected as written responses and systematically coded by researchers for analysis. Participants completed the Reappraisal Inventiveness Test (RIT), Brief Resilience Scale (BRS), Self-Rating Depression Scale (SDS), and Positive and Negative Affect Scale (PANAS) before training, on day 2 and day 5 during training, and 10 days post-training. Data were analyzed using SPSS 27.0, including paired-sample t-tests, Wilcoxon signed-rank tests, Spearman correlation, and independent-sample t-tests with Bonferroni correction.</p><p><strong>Results: </strong>Cognitive reappraisal ability (CR1: mean increase from 2.349 to 3.365, <i>P</i><0.05), mental resilience (mean increase from 12.333 to 13.540, <i>P</i><0.05), and emotional state improved during training (ES: mean increase from 29.825 to 40.095, <i>P</i><0.05), while depression level declined, though changes in depression were not statistically significant. Improvements persisted to 10 days after training, albeit slightly diminished. Cognitive reappraisal ability correlated positively with mental resilience (<i>P</i><0.05) and negatively with depression level (<i>P</i><0.05). The strategy of \"humor interpretation\" significantly enhanced mental resilience and reduced depression (<i>P</i><0.05), while \"generating positive aspects\" only significantly enhanced mental resilience (<i>P</i><0.05). The differences in emotional state across strategies were not significant. Demographic analyses indicated a larger reduction in depression levels among younger participants (16-25 years)(<i>P</i><0.05) and those with minor depression (p<0.01), while gender and regional differences were nonsignificant.</p><p><strong>Conclusion: </strong>Cognitive reappraisal training can improve mental well-being in the short-term in individuals with depressive disorder. Extended training may enhance these effects.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"19 ","pages":"550385"},"PeriodicalIF":3.2,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13037524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594214","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}