International Journal of Clinical and Health Psychology最新文献

{"title":"Decoding ruminative reflection in healthy individuals: The role of triple network connectivity","authors":"","doi":"10.1016/j.ijchp.2024.100508","DOIUrl":"10.1016/j.ijchp.2024.100508","url":null,"abstract":"<div><div>Ruminative reflection has been linked to enhanced executive control in processing internally represented emotional information, suggesting it may serve as an adaptive strategy for emotion regulation. Investigating the neural substrates of reflection can deepen our understanding of its adaptive properties. This study used network-based statistic (NBS)-Predict methodology to identify resting state functional connectivity (FC)-based predictors of ruminative reflection in a healthy sample. Our results showed that reflection in healthy subjects was predicted by FC within and between the default mode network (DMN), fronto-parietal network (FPN), and salience network (SN). Notably, FC within the FPN and SN, as well as between the FPN and DMN, contributed more significantly to the predictive model. These results underscore the greater influence of FPN and SN connectivity in predicting reflection, providing empirical evidence that increased executive control over internal emotional representations is integral to adaptive reflective processes. Moreover, the triple-network model, particularly the FPN-DMN coupling, emerges as a crucial predictor of ruminative reflection, highlighting the importance of coordinating self-relevant and goal-directed processing in reflective mechanisms. These identified connectivity fingerprints may offer insights into the role of reflective processes in facilitating recovery from depression.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trait self-compassion enhances activation in the medial prefrontal cortex during fear extinction: An fNIRS study","authors":"","doi":"10.1016/j.ijchp.2024.100516","DOIUrl":"10.1016/j.ijchp.2024.100516","url":null,"abstract":"<div><div>Fear acquisition and fear extinction are the most widely used experimental models to study anxiety related disorders, with the medial prefrontal cortex (mPFC) playing an important role in this process. Previous research suggests that trait self-compassion is associated with lower anxiety, but the neural mechanisms underlying this relationship remain unclear. Women generally exhibit lower self-compassion than men, making them more vulnerable to fear and anxiety. In this study, female participants were divided into two groups - high and low trait self-compassion, based on their scores on the Self-Compassion Scale-Short Form (SCS-SF). Both groups completed fear acquisition and fear extinction tasks, during which conditioned responses (CRs) were measured using self-reported unconditioned stimulus (US) expectancy ratings, skin conductance response (SCR), and functional near-infrared spectroscopy (fNIRS). The results showed that in the fear acquisition phase, all participants successfully acquired fear, showing greater responses to threat stimuli than safety stimuli. However, participants with high trait self-compassion exhibited lower SCR than those with low trait self-compassion. In the fear extinction phase, compared to individuals with low trait self-compassion, individuals with high trait self-compassion exhibited more effective fear extinction learning, characterized by lower US expectancy ratings, lower SCR, and higher mPFC activation. Moreover, trait self-compassion was significantly correlated with the behavioral extinction ability and the mPFC activation during the late phase of fear extinction, and behavioral extinction ability was significantly correlated with mPFC activation. The findings of this study suggest individuals with high trait self-compassion have better physiological flexibility during fear acquisition and fear extinction, and may through enhancing mPFC activation to facilitate fear extinction. The results provide new insights into the pathological mechanisms of anxiety.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological mechanisms and neural correlates of trait mindfulness in emotion regulation: Testing a novel approach to the monitor and acceptance theory","authors":"","doi":"10.1016/j.ijchp.2024.100507","DOIUrl":"10.1016/j.ijchp.2024.100507","url":null,"abstract":"<div><h3>Background</h3><div>The ongoing mental health crisis warrants investigations to understand why trait mindfulness is associated with beneficial mental health outcomes. This study examined attention monitoring and acceptance as psychological mechanisms underlying the relationship between trait mindfulness and emotion regulation and connectivity between the dorsolateral prefrontal cortex (dlPFC) and posterior cingulate cortex (PCC) as a potential neural mechanism.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 501 adult participants (age range: 17–79, <em>M</em> = 31, SD = 11.3) representing the general population. To assess emotion regulation and trait mindfulness, participants completed the Difficulties in Emotion Regulation Scale (DERS) and Five Facets Mindfulness Questionnaire (FFMQ). Resting-state functional MRI was acquired in a subsample of 20 participants to explore the role of dlPFC-PCC functional connectivity.</div></div><div><h3>Results</h3><div>Higher levels of acceptance, as measured using the Non-judging and Non-reactivity subscales of the FFMQ, were significantly associated with fewer overall emotion regulation difficulties and predicted all emotion regulation subscales. In contrast, higher levels of attention monitoring, measured using the Observe subscale, predicted only three DERS subscales and with mixed effects: higher emotional awareness and clarity, but greater difficulties in goal-directed behaviour. The interaction between monitoring and acceptance was not significant, and no correlation was found between these variables and dlPFC-PCC functional connectivity.</div></div><div><h3>Conclusions</h3><div>These findings challenge previous theories that argue that attention monitoring is crucial for effective emotion regulation. Instead, we conclude that acceptance is the key psychological mechanism, indicating that the traditional focus on attention monitoring in mindfulness training may be less effective than a primary emphasis on acceptance. This study provides a critical review of past research, highlighting issues with operationalising acceptance, and offers recommendations for future studies and practical implications for developing mindfulness interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superhero in a skirt: Psychological resilience of Ukrainian refugee women in Poland. A thematic analysis","authors":"","doi":"10.1016/j.ijchp.2024.100506","DOIUrl":"10.1016/j.ijchp.2024.100506","url":null,"abstract":"<div><div>This study delves into the diverse experiences of Ukrainian refugee women in Poland amid the ongoing Russian war, employing a community-based participatory action research approach in collaboration with a Polish foundation aiding Ukrainian war refugees. With the practical aim of formulating recommendations for the third sector assisting refugees, 33 semi-structured interviews (<em>M</em> = 40.29; <em>SD</em> = 11.41) were conducted between December 2022 and February 2023, seeking to understand and identify factors building and hindering psychological resilience. Our study unveiled the complexity and diversity of refugees' situations, revealing various coping strategies and distinct resources coexisting with psychological distress. Despite this diversity, certain common and often unmet needs (stability and safety, basic needs) were identified. The study also highlights refugees' agency, the need to prioritize current needs. The findings emphasize the significance of natural social support and varied coping strategies for fostering psychological resilience. Ongoing research is recommended to track the evolving well-being of Ukrainian refugee women in post-2022 Poland.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interoception primes negative emotion processing during cognitive reappraisal: Electroencephalographical evidence","authors":"","doi":"10.1016/j.ijchp.2024.100515","DOIUrl":"10.1016/j.ijchp.2024.100515","url":null,"abstract":"<div><div>Interoception, which refers to sensing, interpreting, and integrating internal bodily signals, has been suggested to be associated with emotion regulation. Previous research has demonstrated individual differences in interoception and its impact on emotion regulation. However, the priming effect of interoception on emotion regulation and the underlying neural mechanisms remain unknown. This study aims to examine how interoception primes different strategies of cognitive reappraisal, using electroencephalography (EEG). Thirty-seven healthy participants completed an interoceptive priming task. We found that interoception increased the amplitudes of the late positive potential (LPP) during both interpretation and detachment strategies. The priming effect of interoception in enhancing LPP amplitudes lasted longer for interpretation than for detachment. A decrease in alpha power during reinterpretation was observed after interoceptive priming, but not during detachment. The results revealed that interoception enhanced attention to bodily signals associated with negative emotions during cognitive reappraisal. Interoception showed distinct effects on different strategies of cognitive reappraisal, with different underlying neural mechanisms. Interoception-based programs may be an effective way to enhance the capacity for cognitive reappraisal.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 the impact of extreme terrorist events on evacuees and non-evacuees: A study on child aggression and social problems","authors":"","doi":"10.1016/j.ijchp.2024.100513","DOIUrl":"10.1016/j.ijchp.2024.100513","url":null,"abstract":"<div><div>This study aimed to examine differences between evacuee and non-evacuee parents regarding their experiences following the October 7th terror attack in Israel, and to assess how parental factors—such as exposure, PTS, functioning, resilience, and trust in authorities—were related to perceived behavioral problems in children. The study included 221 evacuee parents and 262 non-evacuee parents, recruited online through a professional survey company. We hypothesized that perceived child aggression and social problems would increase following the terrorist events, with evacuee parents reporting a greater increase in symptoms due to heightened instability and stress. Additionally, we expected higher levels of parental exposure, PTS, impaired functioning, lower resilience, and lower trust in authorities to be associated with increased child aggression and social problems. Results indicated that evacuee parents reported significantly more perceived aggression and social problems in their children, along with lower functioning, higher PTS, and lower trust in authorities. However, regression analysis revealed that higher parental exposure, PTS, and lower functioning were associated with increased perceived child aggression and social problems, regardless of evacuee status. These findings highlight the need for targeted interventions to support evacuated families, rebuild trust in authorities, and strengthen community resilience to mitigate long-term impacts.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural impacts of personality on deception for applications of deception detection","authors":"","doi":"10.1016/j.ijchp.2024.100511","DOIUrl":"10.1016/j.ijchp.2024.100511","url":null,"abstract":"<div><h3>Background</h3><div>Although universal, deception may be a sign of certain mental disorders and may impede the effectiveness of clinical intervention. However, individual difference exists in deception, and its underlying neural mechanisms remain unclear, thereby limiting the applicability of deception detection for clinical diagnosis.</div></div><div><h3>Method</h3><div>Functional near-infrared spectroscopy and multiple aspects of personality assessments [the Behavioral Approach System and the Behavioral Inhibition System (BIS) scale, and the Neuroticism–Extroversion–Openness Five–Factor Inventory scale] were applied to explore the neural mechanisms underlying individual differences in deception. Furthermore, a transformer-based model considering personality traits was developed to help people detect deception.</div></div><div><h3>Results</h3><div>Results showed that personality traits influenced deception primarily through activity in the frontopolar area, dorsolateral prefrontal cortex, and temporoparietal junction area. Moreover, personality traits from different aspects jointly influenced deception, which may vary with behavioral changes. Specifically, extroversion is one of the personality traits partially mediating the effect of BIS on the frontopolar area during deception while being masked during honesty. Additionally, the deception-detection model was found to obtained good classification performance (area under curve: 0.93 ± 0.047), where personality variables contributed to improving the performance.</div></div><div><h3>Conclusions</h3><div>These findings demonstrated the potential neural impacts of personality in deception for explaining individual differences, which holds great promise in improving the applicability of deception detection for clinical diagnosis.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural underpinnings of a two-phase memory suppression process in the neural response to self-related and observed perspective views","authors":"","doi":"10.1016/j.ijchp.2024.100509","DOIUrl":"10.1016/j.ijchp.2024.100509","url":null,"abstract":"<div><div>Individuals often actively suppress intrusive memories to alleviate the distress they cause and maintain mental well-being. However, those with post-traumatic stress disorder (PTSD) often exhibit difficulties particularly in inhibiting or suppressing negative memories compared to individuals without PTSD. These memories can involve a physical threat either to the individual themselves or to others. Unfortunately, there is still limited understanding of the cognitive and neural mechanisms that underlie how suppression differs for self-related versus other-related memories. Here we capitalized on multivariate pattern analyses in combination with fMRI data acquired during a two-phase memory suppression paradigm where participants volitionally suppressed and subsequently recognized self-related and other-related stimuli. The results suggested that the recognition process following memory suppression demands more cognitive engagement for self-related stimuli than other-related stimuli, manifesting in increased activity in the dorsal anterior cingulate cortex (dACC). Furthermore, after memory suppression, we observed a stronger functional coupling between dACC identified during memory suppression, and both the middle frontal gyrus and the insula during self-related recognition compared to other-related recognition. An advanced multivariate pattern analysis substantiated that the limbic system and empathy network particularly contributed to accurately distinguishing between self-related and other-related recognition following memory suppression. Our findings demonstrated distinct neural representations of memory suppression related to self and others, suggesting that different strategies may be employed for suppressing intrusive memories originating from different sources.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Cognitive Stimulation Therapy show similar efficacy in individuals with mild-to-moderate dementia from varying etiologies? An examination comparing its effectiveness in Alzheimer's disease and vascular dementia","authors":"","doi":"10.1016/j.ijchp.2024.100510","DOIUrl":"10.1016/j.ijchp.2024.100510","url":null,"abstract":"<div><h3>Objective</h3><div>The effectiveness of the Cognitive Stimulation Therapy (CST) is well-documented. Nevertheless, the question of whether specific subgroups of individuals with dementia are more or less likely to benefit from this cognitive stimulation intervention remains unaddressed. Here, we directly compared the effectiveness of the Italian CST (CST-IT), delivered in a previous multicenter controlled clinical trial, across two distinct cohorts of individuals clinically diagnosed with Alzheimer's Disease (AD, <em>N</em> = 30) and vascular dementia (VaD, <em>N</em> = 27) in the mild-to-moderate stage.</div></div><div><h3>Method</h3><div>The impact of dementia subtype (AD vs VaD) on immediate (at intervention completion) benefits of CST-IT in general cognitive functioning, communicative abilities, mood, behavior and perceived quality of life was evaluated through linear mixed effects models. The frequency and severity of neuropsychiatric symptoms at baseline was inserted as a covariate due to the different behavioral profile in the two groups. Exploratory analyses also investigated the potential differential effect of dementia subtype on long-term benefits (three months after intervention).</div></div><div><h3>Results</h3><div>The CST-IT determined comparable immediate, clinically significant improvements in general cognition and communicative abilities. Dementia subtype influenced short-term benefits in depressive symptoms (with a greater decrease in AD patients) and quality of life (no significant impact in AD, and a small improvement in VaD). Such effects depended on diagnosis-related differences in neuropsychiatric symptoms. At long-term, benefits persisted in general cognition (though depending on the outcome considered). Improvements in narratives were seen in VaD, whereas communicative abilities in AD returned to baseline. Post-intervention gains in depressive symptoms persisted in AD, but not in VaD, although benefits in quality of life remained stable in the latter.</div></div><div><h3>Conclusions</h3><div>Different mechanisms of neuropsychological change after CST-IT were hypothesized for the different forms of dementia, particularly with respect to crucial outcomes such as language, mood and quality of life, with implications toward the delivery of such psychosocial intervention in clinical contexts.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining efficacy and potential mechanisms of mindfulness-based cognitive therapy for anxiety and stress reduction among college students in a cluster-randomized controlled trial","authors":"","doi":"10.1016/j.ijchp.2024.100514","DOIUrl":"10.1016/j.ijchp.2024.100514","url":null,"abstract":"<div><div>The pervasiveness of anxiety and stress among college students necessitates the investigation of potential alternative and accessible interventions which can be implemented into existing curricular and student-support programming to improve students' mental health. Mindfulness based cognitive therapy (MBCT) smartphone applications have shown promising outcomes in alleviating anxiety and stress. However, it is essential to gain insight into the feasibility and efficacy of such an interventional approach in a collegiate population, as well as explore potential underlying mechanisms, which could be better targeted to enhance the efficacy of future interventions for promoting mental health and well-being. The aims for this study were (1) to assess the efficacy of a 4-week MBCT intervention using the Sanvello smartphone application in reducing trait-level anxiety and chronic stress in college-aged young adults (<em>n</em> = 150) compared to a positive control group (<em>n</em> = 139), and (2) to examine potential mediators of this effect. Participants completed assessments of trait anxiety, chronic stress, cognitive reappraisal, cognitive refocusing, distractive refocusing, and negative automatic thoughts at pretest and following 4 weeks of the interventions. Analysis of primary outcomes revealed greater reductions in trait anxiety and chronic stress for the MBCT group, relative to the positive control group with small to moderate effect sizes. The anxiolytic and stress-reducing effects of the MBCT intervention were observed to be mediated by changes in negative automatic thoughts but not by changes in cognitive reappraisal, constructive refocusing, or distractive refocusing. Given the efficacy of the Sanvello smartphone application and the overwhelmingly strong assessments of the appropriateness and feasibility of it use; student support initiatives may be well served by adopting such a platform within the context of first-line treatment and prevention of high anxiety and chronic stress within first year college students. Registered at ClinicalTrials.gov [number NCT06019299].</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}