BMC Psychology最新文献

{"title":"More empathy for others, more hurt for oneself? Empathy for pain is related to poor mental health and negative emotion regulation.","authors":"Mengze Li, Bin Liu, Qiannan Jia, Tifei Yuan, Yuting Feng, Hugo Critchley, Qun Yang, Jamie Ward","doi":"10.1186/s40359-025-02585-4","DOIUrl":"10.1186/s40359-025-02585-4","url":null,"abstract":"<p><strong>Background: </strong>Empathy for pain refers to a simulation of pain experiences evoked when seeing others in pain. Empathy for pain (vicarious pain) responders make up 27% of the healthy population, and are divided into two subsets: Sensory/Localized responders who feel localized physical pain and Affective/General responders who experience diffuse emotional pain. Empathy for pain is linked to pro-social behavior but can increase mental health symptoms.</p><p><strong>Methods: </strong>Multivariate analysis of variance and latent variable mediation model were used to investigate the relationship between empathy for pain, mental health, and emotion regulation based on a university student dataset (mainly Caucasian) from 2020 to 2021.</p><p><strong>Results: </strong>(1) Responders express significantly higher anxiety and somatization than non-responders, with Sensory/Localized responders reporting the greatest somatic concerns; (2) Sensory/localized responders show significantly higher depression than non-responders; (3) Two responder groups don't differ from non-responders on most positive emotional regulation strategies, but use more negative strategies (self-blame, rumination, and catastrophizing). (4) negative emotional regulation fully mediates the link between empathy and mental health.</p><p><strong>Conclusions: </strong>These findings reveal a previously unrecognized link between empathy for pain and mental health, mediated by the increased use of negative emotion regulation strategies among responders. Our findings have particular implications for the mental health of empathic individuals or people who are often exposed to the pain of others (counselor or nurse, etc.).</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"240"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626276","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":"Influence of the pandemic on the mental health of professional workers.","authors":"Jelena Atanackovic, Henrietta Akuamoah-Boateng, Jungwee Park, Melissa Corrente, Ivy Lynn Bourgeault","doi":"10.1186/s40359-025-02536-z","DOIUrl":"10.1186/s40359-025-02536-z","url":null,"abstract":"<p><strong>Background: </strong>This study focuses on the influence of the pandemic on professional workers from an explicitly comparative perspective. High levels of stress and burnout have been reported among professional workers pre-pandemic, but the pandemic has had unique consequences for certain professional workers. Gender has emerged as a particularly important factor. While the existing research yields important insights of mental health concerns among professional workers, there is a need for more research that examines these impacts empirically, explicitly from a comparative perspective across professions taking gender more fully into consideration.</p><p><strong>Methods: </strong>This paper undertakes a secondary data analysis of two different pan Canadian sources to address the pandemic impact on professional workers: The Canadian Community Health Survey (2020, 2021) administered by Statistics Canada and the Healthy Professional Worker survey (2021). Across the two datasets, we focused on the following professional workers - academics, accountants, dentists, nurses, physicians and teachers - representing a range of work settings and gender composition. Inferential statistics analyses were conducted to provide prevalence rates of self-perceived worsened mental health since the pandemic and to examine the inter-group differences.</p><p><strong>Results: </strong>Statistical analysis of these two data sources revealed a significant effect of the pandemic on the mental health of professional workers, that there were differences across professional workers and that gender had a notable effect both at the individual and professional level. This included significant differences in self-reported mental health, distress, burnout and presenteeism prior to and during the pandemic, as well as the overall impact of the pandemic on mental health. The high levels of distress and burnout during the pandemic were particularly evident in nursing, teaching, and midwifery - professions where women predominate.</p><p><strong>Conclusions: </strong>Interventions to address the mental health consequences of the pandemic, including their unique gendered and professional dimensions, should consider the intersecting influences and differences revealed through our analysis. In addition to being gender sensitive, interventions need to take into account the unique circumstances of each profession to better respond to the mental health needs of all genders within each professional group.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"245"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626269","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":"Pupils' aggressive behaviour towards teachers: identifying protective factors at organizational level examined in a follow-up study.","authors":"Lars Peter S Andersen, Birgit Aust, Trine N Winding","doi":"10.1186/s40359-025-02564-9","DOIUrl":"10.1186/s40359-025-02564-9","url":null,"abstract":"<p><strong>Background: </strong>Teacher's exposure to pupils' aggressive behaviour is an international phenomenon that requires more attention. This study examined if organizational prevention measures are associated with decreased risk of pupils' aggressive behaviour.</p><p><strong>Method: </strong>94 public schools in Denmark participated. Questionnaire data about preventive measures at school level were collected in 2018 and outcome data about pupils' aggressive behaviour in form of harassment, threats and violence towards teachers were collected in 2019. In total, 1198 teachers participated in both rounds. The analyses were performed using multivariate logistic regressions with cluster adjusted standard errors to account for cluster effects.</p><p><strong>Results: </strong>The results were mixed. Violence prevention climate perceptions at the management level decreased the risk of pupils' aggressive behaviour, however when adjusting for baseline harassment, threats, and violence the associations became statistically insignificant. Violence prevention climate perceptions at co-worker level statistically significant decreased the risk of pupils' aggressive behaviour in form of violence even when adjusted for baseline violence. Practice and procedures statistically significantly decreased the risk of harassment. The results for conflict management training were mixed, while supervision in case of challenging pupils decreased the risk of harassment, threats, and violence, but none of the associations were statistically significant. Finally, the registration of threats and violence statistically significantly increased the risk of threats and violence at follow-up.</p><p><strong>Conclusion: </strong>This study shows that implementing organizational prevention measures in public schools may reduce the risk of pupils' aggressive behaviour towards teachers. It is, therefore, recommended to implement organizational prevention measures in public schools to reduce the risk of pupils' aggressive behaviour towards teachers.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"247"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626327","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 relationship between maternal psychopathology and maternal-fetal attachment: a cross-sectional study from the Czech Republic.","authors":"Hana Němcová, Marie Kuklová, Kristýna Hrdličková, Anna Horáková, Antonin Sebela","doi":"10.1186/s40359-024-02308-1","DOIUrl":"10.1186/s40359-024-02308-1","url":null,"abstract":"<p><strong>Background: </strong>Maternal-fetal attachment might be associated with maternal mental health issues, but previous results have been inconsistent, particularly regarding prenatal anxiety. We compared maternal-fetal attachment between pregnant women with and without symptoms of antenatal depression and anxiety. Additionally, we examined the relationships between prenatal depressive and anxiety symptoms, psychosocial stress, and maternal-fetal attachment.</p><p><strong>Methods: </strong>We conducted a cross-sectional study involving a sample of 2,233 pregnant women. The data were collected between March 2021 and March 2023 at outpatient clinics in the Czech Republic. We used self-report questionnaires to assess symptoms of prenatal depression (Edinburgh Postnatal Depression Scale, EPDS), anxiety (Perinatal Anxiety Screening Scale, PASS), psychosocial stress (Prenatal Psychosocial Profile, PPP), and maternal-fetal attachment (Prenatal Attachment Inventory - Revised, PAI-R).</p><p><strong>Results: </strong>Women without symptoms of antenatal depression had higher total scores on the PAI-R (U = 336,357; p = .013) and on the PAI-R Interaction subscale (U = 322,913; p < .001), suggesting a higher quality of maternal-fetal attachment than women with symptoms. No other significant associations were found between antenatal depression, anxiety and the PAI-R subscales scores.</p><p><strong>Conclusions: </strong>Our results suggest that women experiencing increased depressive, but not anxiety, symptoms in pregnancy, have a poorer quality of attachment to their child, although the effect size is small. Consequently, treating prenatal depression in women could have a positive effect on maternal-fetal attachment.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"248"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626339","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":"Depressive symptoms among resettled Bhutanese older adults in Ohio: a cross-sectional study.","authors":"Isha Karmacharya, Bunsi Chapadia, Aman Shrestha, Janardan Subedi, Uday Narayan Yadav, Sabuj Kanti Mistry, Saruna Ghimire","doi":"10.1186/s40359-024-02255-x","DOIUrl":"10.1186/s40359-024-02255-x","url":null,"abstract":"<p><strong>Background: </strong>There has been growing attention given to the mental health challenges faced by older adult populations, particularly among resettled refugee communities. Among these groups, the prevalence of depressive symptoms often remains high due to a multitude of factors associated with displacement, trauma, and acculturation stress. Since 2008, Bhutanese refugees have been resettled in the United States, making them one of the largest refugees in the country. However, mental health issues often remain obscured for this demographic, as they are typically subsumed within largely heterogeneous Asian populations. This study aimed to determine depression symptoms in resettled Bhutanese older adults and analyze the associated factors.</p><p><strong>Methods: </strong>Snowball sampling was used to collect data from 276 55+-year-old adults in Ohio from January to June 2022. The questionnaire covered demographics, lifestyle, social support, life satisfaction, chronic disease, and depression. Binary logistic regression assessed the associations between associated factors and depressive symptoms.</p><p><strong>Results and conclusions: </strong>Approximately one-third (31.8%) of the participants had depressive symptoms. Factors associated with lower odds of having depressive symptoms included better self-reported health, strong social support, life satisfaction, and high resilience. Individuals with chronic diseases were more likely to have depressive symptoms. The high percentage of depressive symptoms among resettled Bhutanese older adults emphasizes the need for a supportive environment in the host country, ensuring access to resources, and comprehensive and tailored interventions to address their mental health needs.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"239"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626259","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 challenges of stillness: a longitudinal study about the associations between mothers' violations of the still-face, infant patterns of regulatory behavior, mother-infant interactive behavior, and infant attachment.","authors":"Marina Fuertes, Miguel Barbosa, Joana Gonçalves, Marjorie Beeghly","doi":"10.1186/s40359-025-02570-x","DOIUrl":"10.1186/s40359-025-02570-x","url":null,"abstract":"<p><strong>Background: </strong>During the still-face (SF) episode of the Face-to-Face Still-Face paradigm (FFSF), mothers are instructed to remain still, unresponsive, and silent. However, some participants do not comply with these instructions, and researchers typically exclude them from their analyses. These mothers report feelings of anxiety and discomfort during SF. However, little is known about maternal SF violations and whether they are associated with other aspects of the mother-infant relationship.</p><p><strong>Aims: </strong>In this experimental and longitudinal study, we compared mothers who violated the SF instructions to mothers who complied with them. We then focused on the group of mothers who violated the SF instructions, to investigate whether the type (i.e., those meant to soothe the infant vs. other violations), intensity (severe vs. mild), and form (verbal and non-verbal) of mothers' SF violations in the FFSF at 3 months postpartum were associated with infant regulatory behavior in FFSF, mother-infant free-play behavior at the same age, infant attachment at 12 months, or other infant or maternal/familial characteristics.</p><p><strong>Methods: </strong>The participants included 54 mothers identified as violating the SF instructions at 3 months and their infants, and 296 mothers who did not violate the SF instructions. At 3 months, mother-infant dyads were videotaped during two successive interaction tasks: an unstructured free-play task followed by the FFSF paradigm. At 12 months, infant attachment was assessed in the Strange Situation.</p><p><strong>Results: </strong>Mothers who violated the SF were less sensitive during mother-infant free play than mothers who complied with the SF instructions, and their infants were more cooperative and less likely to exhibit a disorganized/disoriented attachment. Among mothers who violated the SF instructions, those who did so to soothe their infant exhibited higher sensitivity during free play, and their infants were more likely to exhibit a Social Oriented pattern of regulatory behavior during the FFSF, than mothers who violated the SF for other reasons. Furthermore, their infants were more cooperative during free play, and at 12 months, more likely to have a secure attachment, and less likely to have a disorganized/disoriented attachment.</p><p><strong>Conclusion: </strong>Possibly, mothers who violate the SF to soothe their infants are more empathic and more likely to be a \"safe haven\" in stressful situations, contributing to secure relationships. However, mothers who violated SF for other reasons need further investigation and are linked with disorganized/disoriented infant attachment.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"246"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626331","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":"Correction: Psychological distress among cancer patients in African countries: a systematic review and meta-analysis study.","authors":"Getasew Kibralew, Yilkal Abebaw Wassie, Mulualem Kelebie, Gidey Rtbey, Gebresilassie Tadesse, Mamaru Melkam, Aklile Tsega, Fantahun Andualem, Abebaw Setegn, Techilo Tinsae, Setegn Fentahun, Girum Nakie","doi":"10.1186/s40359-025-02596-1","DOIUrl":"10.1186/s40359-025-02596-1","url":null,"abstract":"","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"244"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626254","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":"Preventing postpartum depression in pregnant women using an app-based health-promoting behaviors program (Pender's health promotion model): a randomized Controlled Trial.","authors":"Nastaran Rafat, Fatemeh Bakouei, Mouloud Agajani Delavar, Hossein-Ali Nikbakht","doi":"10.1186/s40359-025-02547-w","DOIUrl":"10.1186/s40359-025-02547-w","url":null,"abstract":"<p><strong>Background: </strong>Depression is a prevalent mood disorder. Women face a heightened risk of depression during pregnancy and after childbirth, which can have negative consequences for both the mother and her family. It is essential to explore preventive strategies.</p><p><strong>Objective: </strong>To assess the impact of education focused on health-promoting behaviors in preventing postpartum depression (PPD) through social messaging among pregnant women.</p><p><strong>Methods: </strong>This randomized controlled trial study involved 108 non-depressed eligible pregnant women with a gestational age of 28-30 weeks during 2022-2023. Participants were randomly assigned to intervention and control groups using a block randomization method. The intervention group received virtual education based on health-promoting behaviors weekly over six sessions. The Edinburgh Postnatal Depression Scale (EPDS), Patient Health Questionnaire-9 (PHQ-9), and Health Promoting Lifestyle Profile II (HPLP II) questionnaires were utilized to evaluate outcomes. Data analysis was performed using SPSS software version 23, with a significance level set at P < 0.05.</p><p><strong>Results: </strong>The mean differences between the scores of EPDS, PHQ-9 and HPLP II before and after the intervention in two groups were - 4.85 (CI95%= -3.22, -6.48), -6.22 (CI95%= -4.43, -8.00) and 28.22 (CI95%= 23.41, 33.03), respectively, which were statistically significant (P < 0.001). The findings regarding the dimensions of health-promoting behaviors also indicated that all dimensions increased significantly in the intervention group. The greatest and least amount of change was observed in the physical activity dimension at 5.50 (CI95%= 4.31, 6.68) and in interpersonal relations at 3.48 (CI95%= 2.24, 4.72), respectively. The number needed to treat (NNT) for depression, based on the Edinburgh questionnaire six weeks postpartum was approximately 2.571, indicating that nearly one in two mothers who received education benefited.</p><p><strong>Conclusion: </strong>The app-based health-promoting behaviors intervention-benefiting from not requiring in-person referrals and providing a common platform for communication-is effective in enhancing health-promoting behaviors, reducing depression scores and decreasing the frequency of PPD. In other words, this type of intervention led to the prevention of postpartum depression and the promotion of health-promoting behaviors among pregnant women.</p><p><strong>Registration: </strong>The study was retrospectively registered with the IRCT Registry on 31/05/2024 (registration number: IRCT20221109056451N2).</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"243"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626279","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":"Validation of the Chinese version of the perceived medical school stress (PMSS) scale and analysis of the associated factors.","authors":"Chunyan Zhang, Chunguang Liang, Fan Zhang, Qian Zhang, Kaiyan Xu","doi":"10.1186/s40359-025-02604-4","DOIUrl":"10.1186/s40359-025-02604-4","url":null,"abstract":"<p><strong>Background: </strong>In recent decades, mental health and stress among medical students have become a global concern. Currently, China lacks a scale specifically designed to assess stress levels in medical school settings. This study aims to cross-culturally translate and adapt the Perceived Medical School Stress (PMSS) Scale into Chinese, evaluate its psychometric properties in medical schools, and analyze the associated factors of medical students' stress levels.</p><p><strong>Methods: </strong>Data collection for the Chinese version of the PMSS was conducted from October to November 2023, among medical students from selected medical schools in North and East China. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate the underlying factor structure. Content validity was assessed using the Content Validity Index (CVI). Criterion validity was evaluated with the Chinese version of the Perceived Stress Scale (PSS). Internal consistency was assessed by calculating Cronbach's alpha coefficient, McDonald's Omega coefficient, and test-retest reliability. Additionally, relationships between medical school stress and general demographic characteristics, insomnia severity, and self-efficacy were examined.</p><p><strong>Results: </strong>The final Chinese version of the PMSS supports a two-factor structure with 13 items, defined as \"psychological stress and environment\" and \"resilience and expectations.\" The scale's Content Validity Index (CVI) was 0.980, with a criterion validity of 0.767. The Cronbach's alpha coefficient was 0.911, McDonald's Omega coefficient was 0.914, and the test-retest reliability was 0.794. Medical school stress levels showed significant differences based on gender and educational background (P < 0.05). Stress levels were positively correlated with insomnia severity and negatively correlated with self-efficacy.</p><p><strong>Conclusions: </strong>The Chinese version of the PMSS is a reliable and valid tool for assessing stress levels among medical students in Chinese medical schools. Female students and those pursuing graduate degrees report higher levels of medical stress. Insomnia severity and self-efficacy significantly influence stress levels among medical students.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"249"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626355","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":"Assessing emotion regulation difficulties in adolescents: validation and clinical utility of the difficulties in emotion regulation scale, 16-item.","authors":"Kristina Holmqvist Larsson, Erik Aspeqvist, Fredrik Falkenström, Gerhard Andersson, Carl Göran Svedin, Maria Zetterqvist","doi":"10.1186/s40359-025-02540-3","DOIUrl":"10.1186/s40359-025-02540-3","url":null,"abstract":"<p><strong>Background: </strong>Emotion regulation difficulties have been identified as an underlying mechanism in the development and maintenance of psychopathology. The need to improve our understanding of emotion regulation difficulties to accurately assess and treat adolescents in child and adolescent psychiatric settings is essential.</p><p><strong>Method: </strong>In the first part of the study, the psychometric qualities of the Difficulties in Emotion Regulation Scale, 16-item version (DERS-16) were examined in a clinical child and adolescent psychiatric (CAP) sample. In the second part, the DERS-16 was used to examine emotion regulation difficulties in the CAP sample (N = 281, 15-19-year-olds, 77.6% female) and in a community sample of adolescents (N = 3,169, 16-19-year-olds, 55.6% female). Subgroups were further explored in the CAP sample by two-step cluster analysis with log-likelihood distance measures.</p><p><strong>Results: </strong>DERS-16 showed satisfactory psychometric qualities in the CAP sample. DERS-16 successfully distinguished adolescents in the clinical sample from adolescents in the community sample. Results showed significantly higher levels of self-reported emotion regulation difficulties in the CAP sample and in females. The two-step cluster analysis resulted in three clusters, named Minor, Moderate and Severe emotion regulation difficulties. Adolescents with the highest levels of emotion regulation difficulties had significantly more risk behaviors such as nonsuicidal self-injury and drug use, depression and anxiety, exposure to abuse, and higher levels of comorbidity.</p><p><strong>Conclusions: </strong>DERS-16 successfully distinguished clinical from community adolescents. The results illustrate the importance of identifying adolescents with high levels of emotion regulation difficulties in child and adolescent psychiatry due to higher levels of comorbidity and risk behaviors.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"13 1","pages":"237"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617503","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}