Psychology Research and Behavior Management最新文献

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Internet Gaming Disorder Among Rural Left-Behind Children in China: A Sociological Qualitative Study. 中国农村留守儿童网络游戏成瘾的社会学定性研究
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S496951
Kaixin Bao, Shujie Wu, Mohamed Oubibi, Lianyu Cai
{"title":"Internet Gaming Disorder Among Rural Left-Behind Children in China: A Sociological Qualitative Study.","authors":"Kaixin Bao, Shujie Wu, Mohamed Oubibi, Lianyu Cai","doi":"10.2147/PRBM.S496951","DOIUrl":"https://doi.org/10.2147/PRBM.S496951","url":null,"abstract":"<p><strong>Purpose: </strong>The rapid process of urbanization in China had led to a large number of laborers migrating from rural areas to cities, leaving their children behind in the rural areas. Internet gaming disorder (IGD) among left - behind children (LBC) had become a prominent social concern. Especially during the COVID-19 pandemic, LBC studied at home and had long-term exposure to electronic devices, which increased the risks and harms of IGD. The research aimed to analyze the formation, damage and factors of IGD among LBC sociologically, and explored its processes, harms and causes in China through data collection and in - depth analysis.</p><p><strong>Patients and methods: </strong>Between August 15, 2022, and March 25, 2023, with the consent of the participants, we conducted in - depth interviews with 21 sixth - grade students, 7 parents, and 7 teachers from 5 primary schools in Chinese rural areas. Employing the Grounded Theory method, we carried out three - level coding to analyze the interview data.</p><p><strong>Results: </strong>The study found that left - behind children's IGD went through four processes: entering - immersing - exiting - re - entering video games. The causes involved the popularization of video game equipment, the deficiency of rural cultural infrastructure, incorrect guidance from parents and peers, as well as children's experiences in video games. Our analysis showed that IGD had a negative impact on children in four key aspects: cognition, physical and mental health, educational outcomes, and parent - child interaction.</p><p><strong>Discussion: </strong>Left - behind children's IGD was a process from initial involvement to recurrence. The negative impacts of left - behind children's IGD interacted with each other. Multiple factors jointly led to left - behind children's IGD. Resolving children's IGD required the joint efforts of families, schools, communities, and the whole society.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"387-403"},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542861","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}
引用次数: 0
Urban-Rural Disparities in Depressive Symptoms Among Employed Individual: Education Plays an Important Role. 就业个体抑郁症状的城乡差异:教育起重要作用
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S499487
Congshang Xie, Zhe Zhao, Lei Gao, Lei Yuan, Lijuan Liu
{"title":"Urban-Rural Disparities in Depressive Symptoms Among Employed Individual: Education Plays an Important Role.","authors":"Congshang Xie, Zhe Zhao, Lei Gao, Lei Yuan, Lijuan Liu","doi":"10.2147/PRBM.S499487","DOIUrl":"https://doi.org/10.2147/PRBM.S499487","url":null,"abstract":"<p><strong>Objective: </strong>Focusing on the relationship between education level and the occurrence of depressive symptoms, the purpose of this study was to investigate the factors influencing urban-rural differences in depressive symptoms among employed Chinese workers and to measure the contribution of relevant influencing factors.</p><p><strong>Measurements: </strong>This study utilized the nationally representative resampled data from the China Family Panel Studies (CFPS) in 2018. A binary logistic regression model was established to explore the major factors influencing depressive symptoms among employed individuals. The Fairlie decomposition method was employed to investigate the impact of education level and other influencing factors on the urban-rural differences in the occurrence of depressive symptoms.</p><p><strong>Results: </strong>The proportion of depressive symptoms among employed persons in China was 14.51%. The results showed that the proportion of depressive symptoms was higher among rural workers (17.09%) than urban workers (11.75%). The Fairlie model was developed with 65.70% explanatory power, and the differences in depressive symptoms between urban and rural employed persons were mainly related to literacy (39.10%), self-rated health (12.39%), life satisfaction (8.36%), job satisfaction (7.60%), marital status (-4.96%), gender (-3.61%), chronic disease status (2.99%) and BMI (1.41%) were related.</p><p><strong>Conclusion: </strong>This study found that the prevalence of depressive symptoms was higher among rural employed persons than among urban employed persons, which was mainly related to the differences between urban and rural residents in factors such as education level, health status and marital status. The Chinese government should pay more attention to the mental health of the working population and take measures to reduce the differences in depressive symptoms between urban and rural areas in China.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"405-418"},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542978","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}
引用次数: 0
Cultural Adaptation and Psychometric Evaluation of the Chinese Version of the Perceived Stress Reactivity Scale. 文化适应与中文版应激反应量表的心理测量评价。
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-22 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S508457
Xinlei Qu, Yu Luo, Yuanyi Liu, Xiangcai He, Yu Zhang
{"title":"Cultural Adaptation and Psychometric Evaluation of the Chinese Version of the Perceived Stress Reactivity Scale.","authors":"Xinlei Qu, Yu Luo, Yuanyi Liu, Xiangcai He, Yu Zhang","doi":"10.2147/PRBM.S508457","DOIUrl":"10.2147/PRBM.S508457","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the cultural adaptation and psychometric properties of the Perceived Stress Reactivity Scale (PSRS) in the Chinese population.</p><p><strong>Methods: </strong>A total of 3560 Chinese participants aged 18-60 years from various provinces and cities in mainland China were included. Sample 1 (n = 3316) was used for CFA, MI, internal consistency, convergent, criterion-related validity, and difference analysis. Sample 2 (n = 244) was employed to evaluate test-retest reliability over a four-week interval.</p><p><strong>Results: </strong>The study validated a robust 23-item, five-factor structure for the Chinese PSRS, demonstrating strong reliability with a Cronbach's α of 0.90 and a test-retest reliability of 0.83. The PSRS and its subscales were significantly correlated with measures of depression, stress, anxiety, and self-efficacy. Strict invariance was observed across gender and age groups (18-40 and 41-60 years). Women and young adults scored higher on the overall scale and most subscales compared with their counterparts.</p><p><strong>Conclusion: </strong>The PSRS is a reliable instrument for assessing perceived stress reactivity within the Chinese population. By validating its cultural adaptation and psychometric properties, this study lays a foundation for its cross-cultural application. The findings contribute to a deeper understanding of perceived stress reactivity differences across gender and age groups and provide practical insights for future interventions and stress management research in the Chinese population.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"375-385"},"PeriodicalIF":2.8,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516484","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}
引用次数: 0
Personality in Type 1 Diabetes and the Impact of Personality Traits on the Effects of Introducing Diabetes Technology. 1型糖尿病患者的人格特征及人格特征对引进糖尿病技术效果的影响
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-21 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S492084
Anna Lilja Secher, Mette Andersen Nexø, Erik Lykke Mortensen, Kirsten Nørgaard
{"title":"Personality in Type 1 Diabetes and the Impact of Personality Traits on the Effects of Introducing Diabetes Technology.","authors":"Anna Lilja Secher, Mette Andersen Nexø, Erik Lykke Mortensen, Kirsten Nørgaard","doi":"10.2147/PRBM.S492084","DOIUrl":"10.2147/PRBM.S492084","url":null,"abstract":"<p><strong>Aim: </strong>How well new technology is applied to the daily management of type 1 diabetes (T1D) may be highly influenced by personality traits. The number of studies examining how personality traits influence diabetes self-management technologies such as continuous glucose monitoring and carbohydrate counting with automated insulin bolus calculation based on carbohydrate ratios and insulin sensitivity is scarce. Derived from a randomized controlled trial, we aimed to examine the association between personality traits and glycemic and patient-reported outcomes in adults with T1D on multiple daily insulin injections initiating flash glucose monitoring and carbohydrate counting with automated bolus calculation.</p><p><strong>Methods: </strong>Personality trait scores from The Five-Factor Inventory-3 were analyzed in 170 individuals. We assessed baseline (n = 168) and changes (n = 34) in HbA1c, and patient-reported outcomes (validated questionnaires on diabetes distress, diabetes treatment satisfaction, diabetes psychosocial self-efficacy, diabetes quality of life) in bivariate and partial correlation analyses with personality traits (neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness).</p><p><strong>Results: </strong>Adjusted for sex, age, and diabetes debut age, higher agreeableness correlated negatively with baseline HbA1c (partial correlation -0.20, p < 0.05) but positively with HbA1c change over time (0.36, p < 0.05). Higher neuroticism score was associated with higher baseline distress (0.39, p < 0.001) and lower baseline psychosocial self-efficacy (-0.43, p < 0.001), quality of life (-0.32, p < 0.001) and treatment satisfaction (-0.18, p < 0.05).</p><p><strong>Conclusion: </strong>This study confirms that personality traits are associated with glycemia and patient-reported outcomes in adults with T1D. Consequently, tailored diabetes management approaches are likely to enhance overall outcomes, especially when incorporating diabetes technology.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"353-360"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503871","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}
引用次数: 0
The Impact of Physical Exercise on Sleep Quality Among College Students: The Chain Mediating Effects of Perceived Stress and Ruminative Thinking. 体育锻炼对大学生睡眠质量的影响:应激感知与反刍思维的连锁中介作用。
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-21 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S510207
Deyan Liu, Yuge Tian, Min Liu, Shangjian Yang
{"title":"The Impact of Physical Exercise on Sleep Quality Among College Students: The Chain Mediating Effects of Perceived Stress and Ruminative Thinking.","authors":"Deyan Liu, Yuge Tian, Min Liu, Shangjian Yang","doi":"10.2147/PRBM.S510207","DOIUrl":"10.2147/PRBM.S510207","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the relationship between physical exercise and sleep quality among college students, focusing on the chain mediating roles of perceived stress and ruminative thinking.</p><p><strong>Participants and methods: </strong>A total of 955 college students completed questionnaires, including the Physical Activity Rating Scale (PARS-3), the Pittsburgh Sleep Quality Index (PSQI), the Perceived Stress Scale (PSS), and the Ruminative Thinking Response Scale (RRS). The PROCESS macro Model 6 and Bootstrap methods were used to analyze the mediating effects of perceived stress and ruminative thinking.</p><p><strong>Results: </strong>(1) Negative correlations were found between physical exercise and sleep quality (r = -0.361, p < 0.01), perceived stress (r = -0.393, p < 0.01), and ruminative thinking (r = -0.503, p < 0.01). Positive correlations existed between sleep quality and perceived stress (r = 0.477, p < 0.01), as well as between sleep quality and ruminative thinking (r = 0.549, p < 0.01), and perceived stress and ruminative thinking (r = 0.550, p < 0.01). (2) Physical exercise significantly impacted college students' sleep quality directly, with an effect size of -0.074. The relative proportion of indirect effects mediated by perceived stress and ruminative thinking was 20.59%, with individual effect sizes of -0.085 and -0.135 respectively, accounting for 23.89% and 37.93% of the total effect. (3) Additionally, there was a chain mediation effect with an effect size of -0.063, representing 17.59% of the total effect.</p><p><strong>Conclusion: </strong>Physical exercise can reduce perceived stress to alleviate ruminative thinking, thereby improving sleep quality. The findings of this study provide a scientific basis for the development of mental health education and intervention strategies in colleges. Colleges should offer diverse physical activities and improve facilities to encourage student participation in exercise. College students should recognize the importance of physical exercise in enhancing sleep quality, actively engage in physical activities, learn psychological adjustment techniques, and cultivate healthy lifestyle habits.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"361-373"},"PeriodicalIF":2.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503889","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}
引用次数: 0
Bridging Emotional Trauma and Future Success: Integrating Psychological Support and Talent Management to Address the Impact of Childhood Emotional Abuse on University Students [Letter]. 架起情感创伤与未来成功的桥梁:整合心理支持和人才管理,解决童年情感虐待对大学生的影响[信]。
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S515044
Zehao Wang, Xizhe Wang
{"title":"Bridging Emotional Trauma and Future Success: Integrating Psychological Support and Talent Management to Address the Impact of Childhood Emotional Abuse on University Students [Letter].","authors":"Zehao Wang, Xizhe Wang","doi":"10.2147/PRBM.S515044","DOIUrl":"10.2147/PRBM.S515044","url":null,"abstract":"","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"341-342"},"PeriodicalIF":2.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483986","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}
引用次数: 0
How Self-Other Overlap Shapes Online Altruism in Adolescents: The Role of Empathy and Moral Identity. 自我-他人重叠如何塑造青少年的网络利他主义:共情和道德认同的作用。
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S492811
Zexu Dong, Ruixin Wang, Zhenyu Zhao, Kunhang Xie, Anan Li, Hongge Luo, Lina Li
{"title":"How Self-Other Overlap Shapes Online Altruism in Adolescents: The Role of Empathy and Moral Identity.","authors":"Zexu Dong, Ruixin Wang, Zhenyu Zhao, Kunhang Xie, Anan Li, Hongge Luo, Lina Li","doi":"10.2147/PRBM.S492811","DOIUrl":"10.2147/PRBM.S492811","url":null,"abstract":"<p><strong>Purpose: </strong>Although adolescent online behavior has become a research hotspot in recent years, most studies focus on the risks in online life, lacking research on positive phenomena online and even more so on the exploration of their internal mechanisms. This study explores the relationship between self-other overlap, empathy, moral identity, and adolescent online altruistic behavior, and discusses whether empathy and moral identity play a serial mediating role between self-other overlap and adolescent online altruistic behavior.</p><p><strong>Patients and methods: </strong>This study conducted a questionnaire survey on 392 adolescents. Descriptive analysis and correlation analysis were performed using SPSS 23.0, and model construction and bias-adjusted bootstrap mediation effect testing were conducted using Mplus 8.3.</p><p><strong>Results: </strong>There were significant positive correlations between self-other overlap, empathy, moral identity and internet altruistic behavior (r=0.168~0.412, all p<0.01). Self-other overlap can directly predict internet altruistic behavior, and can also indirectly predict internet altruistic behavior through chain mediating effects of empathy and moral identity.</p><p><strong>Conclusion: </strong>This study has discovered the internal mechanism by which self-other overlap affects online altruistic behavior, demonstrating that empathy and moral identity play a chain mediating role in this process. This finding can guide people to view the impact of network development more dialectically, calling for a focus on how to leverage the positive effects of the internet rather than simply blaming its negative impacts. It also provides new theoretical basis for guiding adolescents on how to use the internet healthily, contributing to the construction of a more harmonious online environment.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"331-340"},"PeriodicalIF":2.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483998","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}
引用次数: 0
The Grief of Peer Loss Among Adolescents: A Narrative Review. 青少年同伴丧失的悲伤:一个叙事回顾。
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S504117
Xiao-Xue Chen, Jing Chen, Bao-Liang Zhong
{"title":"The Grief of Peer Loss Among Adolescents: A Narrative Review.","authors":"Xiao-Xue Chen, Jing Chen, Bao-Liang Zhong","doi":"10.2147/PRBM.S504117","DOIUrl":"10.2147/PRBM.S504117","url":null,"abstract":"<p><p>Peer death is not uncommon during adolescence. Unlike the loss of family members, grief following the peer loss is often unrecognized and unsupported by society, making it difficult for adolescents to handle their grief. This may result in prolonged and intense reactions, negatively affecting academic performance and physical and mental health. In this article, we review the manifestations of, associated factors with, and interventions for grief after peer loss and discuss unaddressed questions. A literature search was conducted within three electronic databases (Web of Science, PubMed, and ScienceDirect) from January 1, 2014 to December 29, 2024. Finally, 13 English studies focusing on peer loss and grief among adolescents were identified and included. Grief over the death of a friend in adolescents could be intense, lasting up to 8.5 years, with symptoms such as post-traumatic stress disorder and sleep disturbances. The prolonged grief could impair mental health and social functioning. Girls tend to exhibit more complicated grief reactions and experience a longer duration of grief compared to boys. Personality traits also play a critical role: adolescents with high agreeableness tend to recover more quickly, while those with high neuroticism are less resilient. The quality of the friendship with the deceased and exposure to negative information also influence the grief intensity. Raising professional awareness, providing targeted interventions, and establishing effective social support are essential for grief recovery. Significant gaps still remain in understanding adolescent grief following peer loss, particularly in the mechanisms between different factors and grief, and the feasibility and effectiveness of specific treatment plans. Addressing these limitations is essential for advancing theoretical frameworks and developing targeted interventions. This review provides a foundational basis for future research and clinical practices, with the potential to inform therapeutic approaches and interventions that better support the healing and recovery processes of grieving adolescents.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"343-352"},"PeriodicalIF":2.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483999","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}
引用次数: 0
Development and Validation of a Predictive Model for Anxiety Trajectories in Patients with Breast Cancer: A Retrospective Study. 乳腺癌患者焦虑轨迹预测模型的建立和验证:一项回顾性研究。
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-15 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S501127
Xia Li, Ben-Kai Wei, Fan Li, Huan-Huan Yan, Jun Shen
{"title":"Development and Validation of a Predictive Model for Anxiety Trajectories in Patients with Breast Cancer: A Retrospective Study.","authors":"Xia Li, Ben-Kai Wei, Fan Li, Huan-Huan Yan, Jun Shen","doi":"10.2147/PRBM.S501127","DOIUrl":"10.2147/PRBM.S501127","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to develop and validate a predictive model for short-term post-treatment anxiety trajectories in patients with breast cancer, utilizing baseline patient characteristics and initial anxiety scores to inform precise clinical interventions.</p><p><strong>Methods: </strong>Baseline characteristics were collected from 424 patients diagnosed with breast cancer who underwent surgical treatment at our hospital between January 1, 2021, and December 30, 2022. Anxiety levels were assessed using the Self-Rating Anxiety Scale (SAS) scores at admission and at 3-, 6-, 9-, and 12-months post-treatment. Distinct trajectories of SAS score changes were identified and categorized. Variables were screened, and multiple models were developed. The optimal model was identified through comparative analysis, and a nomogram was generated following model simplification.</p><p><strong>Results: </strong>We found three distinct trends in the trajectory of anxiety, but we grouped them into two broad categories: gradual reduction of anxiety and persistent anxiety. LM Model was established by logistic regression, and Model 1 and Model 2 were established by Random Forest (RF) and eXtreme Gradient Boosting (Xgboost) screening variables. The ROC curve areas in the validation set were 0.822 (0.757-0.887), 0.757 (0.680-0.834) and 0.781 (0.710-0.851), respectively. Model comparison, using Net Reclassification Improvement (NRI) and Integrated Discrimination Improvement (IDI), identified the Lm model as optimal, which underwent further simplification and value assignment. Decision Curve Analysis (DCA) and Clinical Impact Curve (CIC) analyses confirmed the superiority of model-based interventions over general interventions.</p><p><strong>Conclusion: </strong>Distinct anxiety trajectories are observed in patients diagnosed with breast cancer during the first 12 months post-treatment. Predictive modeling based on baseline characteristics is feasible although though further research is warranted.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"315-329"},"PeriodicalIF":2.8,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468964","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}
引用次数: 0
Dynamic Impact of the Sleep Disorder, Depression and Anxiety on the Cognitive Function in the First-Episode Depressive Patients. 睡眠障碍、抑郁和焦虑对首发抑郁症患者认知功能的动态影响
IF 2.8 3区 心理学
Psychology Research and Behavior Management Pub Date : 2025-02-07 eCollection Date: 2025-01-01 DOI: 10.2147/PRBM.S489690
Wenqiong Zhang, Nan Zhou, Jie Li
{"title":"Dynamic Impact of the Sleep Disorder, Depression and Anxiety on the Cognitive Function in the First-Episode Depressive Patients.","authors":"Wenqiong Zhang, Nan Zhou, Jie Li","doi":"10.2147/PRBM.S489690","DOIUrl":"10.2147/PRBM.S489690","url":null,"abstract":"<p><strong>Background: </strong>Sleep disorder is closely related to depressive and anxious status as well as cognitive symptoms.</p><p><strong>Materials and methods: </strong>A total of 173 cases with the first-episode major depressive disorder (MDD) were involved in this study. The Hamilton Depression Scale (HAMD-17), Hamilton Anxiety Scale (HAMA), Pittsburgh Sleep Quality Index (PSQI), and Repeatable battery for the Assessment of Neuropsychological Status (RBANS) were used to assess the patients. Three visits were set at baseline at the 4<sup>th</sup> and the 8<sup>th</sup> weeks. Latent Growth Curve Models (LGCM) were used to analyze the changing tendency and correlation between sleep disorder, depression, anxiety status, and cognitive function in patients with MDD.</p><p><strong>Results: </strong>Baseline sleep status in patients with MDD could predict cognitive function (<i>p</i>=0.043) and changes in cognitive function (<i>p</i>=0.016), and changes in depressive symptoms could negatively predict cognitive function (<i>p</i>=0.021). Changes in depressive status negatively predictability of its cognitive function (<i>p</i>=0.005). Changes in sleep status negatively predict cognitive function (<i>p</i>=0.099). Sex, age, educational duration, and nature of work were included in the LGCM. The comparison among the subgroups in the LGCM indicated that these four dimensions showed consistency in dynamic tendency, demonstrating that cognitive function changes with sleep status.</p><p><strong>Conclusion: </strong>The more severe the sleep disorder in patients with first-episode MDD, the more obvious was the damage to cognition. The dynamic impact of sleep quality on cognitive function is positively correlated, and over time, there is an association between the remission speed of depressive or anxiety symptoms and improving the speed of cognitive function in patients with MDD.</p>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":"18 ","pages":"299-314"},"PeriodicalIF":2.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399826","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}
引用次数: 0
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