International Journal of Clinical and Health Psychology最新文献

{"title":"Understanding individual differences in non-ordinary state of consciousness: Relationship between phenomenological experiences and autonomic nervous system","authors":"Victor Oswald ,&nbsp;Karim Jerbi ,&nbsp;Corine Sombrun ,&nbsp;Annen Jitka ,&nbsp;Charlotte Martial ,&nbsp;Olivia Gosseries ,&nbsp;Audrey Vanhaudenhuyse","doi":"10.1016/j.ijchp.2025.100552","DOIUrl":"10.1016/j.ijchp.2025.100552","url":null,"abstract":"<div><div>Non-ordinary states of consciousness offer a unique opportunity to explore the interplay between phenomenological experiences and physiological processes. This study investigated individual differences in phenomenological and autonomic nervous system changes between a resting state condition and a non-ordinary state of consciousness (auto-induced cognitive trance, AICT). Specifically, it examined the relationship between self-reported experiences (e.g., absorption, visual representations) and heart rate variability (HRV).</div><div>Twenty-seven participants underwent electrocardiography recordings and completed self-report questionnaires during rest and AICT. A machine learning framework distinguished the rest and AICT states based on self-reported measures and HRV metrics. A linear mixed-effects model assessed inter-individual differences in HRV and self-reported phenomenology between the two states. Finally, the relationship between relative change in HRV and self-reported experiences was explored.</div><div>Results showed changes in self-reported phenomenology (accuracy=86 %; <em>p</em>&lt;.001) and HRV (accuracy=73 %; <em>p</em>&lt;.001) characterizing the AICT state compared to rest. The baseline level in phenomenology or HRV was associated with change amplitude during AICT. Moreover, relative change in HRV was associated with change in phenomenology.</div><div>The findings suggest that inter-individual differences at rest revealed a functional mechanism between phenomenology and the autonomic nervous system during non-ordinary states of consciousness, offering a novel perspective on how physiological mechanisms shape subjective experiences.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100552"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421212","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":"Factors affecting treatment adherence among patients with hypertension based on the PRECEDE model: A cross-sectional study from a delay discounting perspective","authors":"Zhiqing Hu ,&nbsp;Huiying Zhang ,&nbsp;Yanjun Sun ,&nbsp;Yiping Wang ,&nbsp;Rui Meng ,&nbsp;Ke Shen ,&nbsp;Jiali Chen ,&nbsp;Yuan He","doi":"10.1016/j.ijchp.2025.100553","DOIUrl":"10.1016/j.ijchp.2025.100553","url":null,"abstract":"<div><h3>Background</h3><div>Hypertension is a significant global public health concern, and research shows that treatment adherence plays an important role in hypertension control. This study incorporated a novel factor in behavioral economics, delay discounting, into the predisposing factors within the PRECEDE model to explore the factors influencing adherence to treatment of patients with hypertension.</div></div><div><h3>Design</h3><div>This cross-sectional study was conducted in Jiangsu Province, China, in 2023 and included 1,123 patients with hypertension.</div></div><div><h3>Methods</h3><div>Data collection tools included demographic variables and predisposing, reinforcing, and enabling factors. Delay discounting was assessed using a self-designed computer program. The collected data were analyzed using descriptive statistics and hierarchical regression. This study used the STROBE Reporting Checklist.</div></div><div><h3>Results</h3><div>The variables accounted for 30.4% of the total variance in adherence to treatment of patients with hypertension. Hierarchical regression analyses revealed that the predisposing (knowledge, delay discounting, and self-efficacy), reinforcing, and enabling factors were significantly associated with treatment adherence.</div></div><div><h3>Conclusions</h3><div>Delay discounting was associated with hypertension treatment adherence. Enhancing the predisposing, enabling, and reinforcing factors may lead to increased adherence among patients with hypertension. It is recommended that hospitals and healthcare providers offer educational lectures and training sessions, and that some simple delayed discount interventions be added to supplement this. Additionally, government and institutional efforts should be made to increase the availability of community-level resources for patients with hypertension.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100553"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349151","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":"Altered hippocampal effective connectivity predicts BMI and food approach behavior in children with obesity","authors":"Wei Li ,&nbsp;Ximei Chen ,&nbsp;Xiao Gao ,&nbsp;Qingge Pang ,&nbsp;Cheng Guo ,&nbsp;Shiqing Song ,&nbsp;Yong Liu ,&nbsp;Pan Shi ,&nbsp;Hong Chen","doi":"10.1016/j.ijchp.2024.100541","DOIUrl":"10.1016/j.ijchp.2024.100541","url":null,"abstract":"<div><h3>Objective</h3><div>The vicious circle model of obesity proposes that the hippocampus plays a crucial role in food reward processing and obesity. However, few studies focused on whether and how pediatric obesity influences the potential direction of information exchange between the hippocampus and key regions, as well as whether these alterations in neural interaction could predict future BMI and eating behaviors.</div></div><div><h3>Methods</h3><div>In this longitudinal study, a total of 39 children with excess weight (overweight/obesity) and 51 children with normal weight, aged 8 to 12, underwent resting-state fMRI. One year later, we conducted follow-up assessments of eating behaviors and BMI. Resting-state functional connectivity and spectral dynamic casual modeling (spDCM) technique were used to examine altered functional and effective connectivity (EC) of the hippocampus in children with overweight/obesity. Linear support vector regression, a machine learning method, was employed to further investigate whether these sensitive hippocampal connections at baseline could predict future BMI and eating behaviors.</div></div><div><h3>Results</h3><div>Compared to controls, children with excess weight displayed abnormal bidirectional inhibitory effects between the right hippocampus and left postcentral gyrus (PoCG), that is, stronger inhibitory hippocampus→PoCG EC but weaker inhibitory PoCG→hippocampus EC, which further predicted BMI and food approach behavior one year later.</div></div><div><h3>Conclusion</h3><div>These findings point to a particularly important role of abnormal information exchange between the hippocampus and somatosensory cortex in pediatric obesity and future food approach behavior, which provide novel insights into the neural hierarchical mechanisms underlying childhood obesity and further expand the spDCM model of adult obesity by identifying the directionality of abnormal influences between crucial circuits associated with appetitive regulation.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100541"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061800","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":"Dissociable ventral and dorsal sensorimotor functional circuits linking the hypomanic personality traits to aggression via behavioral inhibition system","authors":"Wei Ge ,&nbsp;Yuanyuan Gao ,&nbsp;Xiang Li ,&nbsp;Jinlian Wang ,&nbsp;Hohjin Im ,&nbsp;Wenwei Zhu ,&nbsp;Guang Zhao ,&nbsp;Ying Hu ,&nbsp;Pinchun Wang ,&nbsp;Xia Wu ,&nbsp;Qiong Yao ,&nbsp;Xin Niu ,&nbsp;Xiongying Chen ,&nbsp;Qiang Wang","doi":"10.1016/j.ijchp.2024.100537","DOIUrl":"10.1016/j.ijchp.2024.100537","url":null,"abstract":"<div><div>Hypomanic personality traits (HPT) are susceptibility markers for psychiatric disorders, particularly bipolar disorder, and are strongly associated with aggressive behaviors. However, the neuropsychological mechanisms underlying this association remain unclear. This study utilized psychometric network analysis and <em>Inter-Subject Representation Similarity Analysis</em> (IS-RSA) to explore the neuropsychological circuits that link HPT to aggression in a large non-clinical population. Psychometric network analysis (n = 716) identified two key nodes: the Behavioral Inhibition System (BIS) and mood volatility, a core dimension of HPT. We observed a positive correlation between mood volatility and aggression, with BIS serving as a mediating factor. Task-based functional imaging (n = 53) further revealed a double dissociation between the dorsal (dSMC) and ventral (vSMC) sensorimotor cortices to HPT, specifically during the processing of reward magnitude and delay in a delayed reward paradigm. Functional patterns within these regions mediated the relationship between individual differences in mood volatility and aggression, with BIS acting as a mediator through parallel pathways. Resting-state functional imaging (n = 505) replicated this functional segregation and revealed distinct integrative patterns: the dSMC was functionally connected to the frontoparietal network (FPN) and the vSMC to the sensorimotor network (SMN). These circuits collectively mediated the associations among mood volatility, aggression, and BIS. These findings highlight the critical role of sensorimotor circuits and BIS in understanding the neuropsychological pathways linking HPT-related mood volatility to aggression.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100537"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061807","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":"Restless nights, cold hearts: Poor sleep causally blunts empathy","authors":"Tom Gordon-Hecker ,&nbsp;Shoham Choshen-Hillel ,&nbsp;Eti Ben-Simon ,&nbsp;Matthew P. Walker ,&nbsp;Anat Perry ,&nbsp;Alex Gileles-Hillel","doi":"10.1016/j.ijchp.2025.100548","DOIUrl":"10.1016/j.ijchp.2025.100548","url":null,"abstract":"<div><div>Poor sleep is pervasive in modern society. Poor sleep is associated with major physical and mental health consequences, as well as with impaired cognitive function. Less is known about the relationship between sleep and emotional and interpersonal behavior. In this work, we investigate whether poor sleep impairs empathy, an important building block of human interaction and prosocial behavior. We aimed to capture the effects of poor sleep on the various aspects of empathy: trait and state, affect and cognition.</div><div>Study 1 (n = 155) assessed daily habitual sleep over several days, and global sleep quality in the past month. Participants who reported worse sleep quality exhibited lower empathic caring and perspective-taking traits. Study 2 (n = 347) induced a one-night disruption of sleep continuity to test a causal relationship between sleep and empathy. Participants in the sleep disrupted condition had to briefly wake up five times over the night, whereas the sleep-rested controls slept normally. In the next morning, participants’ empathy and prosocial intentions were assessed. Participants in the sleep disruption condition exhibited lower empathic sensitivity and less prosocial decision-making than sleep-rested controls.</div><div>The main contribution of this work is in providing a robust demonstration of the multi-faceted detrimental effects of poor sleep on trait and state empathy. Our findings demonstrate that poor sleep causally impairs empathic response to the suffering of others. These findings highlight the need for greater public attention to adequate sleep, which may impact empathy on a societal level.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100548"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143290519","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":"Unveiling the cognitive burden: The impact of stigma on distorted thinking among individuals living with hepatitis B","authors":"Xi Wang ,&nbsp;Yujia Zhou ,&nbsp;Guangyu Zhou","doi":"10.1016/j.ijchp.2025.100556","DOIUrl":"10.1016/j.ijchp.2025.100556","url":null,"abstract":"<div><div>Hepatitis B (HBV) is a prevalent chronic illness affecting approximately 254 million individuals worldwide, with China accounting for nearly one-third of cases. Despite its widespread impact, stigma associated with HBV significantly hinders access to testing, diagnosis, and treatment. This study investigates the relationship between HBV stigma and cognitive distortions among individuals living with HBV by analyzing 35,697 posts from Yiyou Forum, China's largest HBV online community. Utilizing a large language model (LLM) for stigma classification, posts were categorized into stigma-related (S-posts) and non-stigma-related (N-posts). A schema comprising 235 n-grams was employed to identify 12 types of cognitive distortions within these posts. Statistical analyses revealed that S-posts had a prevalence ratio (PR) of 1.824 (95%CI [1.636, 2.074]) for cognitive distortions compared to N-posts, indicating that distorted thinking patterns were approximately 1.8 times more common in stigma-related discussions. Specific distortions such as disqualifying the positive, labeling and mislabeling, mental filtering, and should statements were significantly more prevalent in S-posts. User-level analysis confirmed that individuals engaging in stigma-related posts consistently displayed higher levels of cognitive distortions. These insights underscore the potential of targeted cognitive-behavioral therapy (CBT) interventions to address and mitigate cognitive distortions, thereby alleviating the psychological burden of HBV stigma. Additionally, this study demonstrates the efficacy of advanced computational methods in psychological research.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100556"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527077","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":"A short screen for lifetime sexual victimization experiences: Expanding research on the Sexual Abuse History Questionnaire (SAHQ) across cultures, genders, and sexual identities","authors":"Léna Nagy ,&nbsp;Sophie Bergeron ,&nbsp;Mónika Koós ,&nbsp;Ateret Gewirtz-Meydan ,&nbsp;Marie-Pier Vaillancourt-Morel ,&nbsp;Shane W. Kraus ,&nbsp;Marc N. Potenza ,&nbsp;Zsolt Demetrovics ,&nbsp;Félix Dupuis-Fortier ,&nbsp;Beáta Bőthe ,&nbsp;International Sex Survey Consortium","doi":"10.1016/j.ijchp.2024.100535","DOIUrl":"10.1016/j.ijchp.2024.100535","url":null,"abstract":"<div><div>The Sexual Abuse History Questionnaire (SAHQ), a widely used screening tool for childhood sexual abuse (CSA) and adolescent/adult sexual assault (AASA) experiences, has limited examination of its psychometric properties in diverse populations. Our study assessed the SAHQ's psychometric properties (i.e., structural validity and measurement invariance across demographic groups, know-group validity, and internal consistency) and estimated the frequencies of various types of sexual victimization across 42 countries and in diverse gender-, trans-status-, and sexual-identity-based groups that were previously missing from measurement-focused studies. We used a large, non-representative sample (<em>N</em> = 81,465; 57 % women, 3.4 % gender-diverse individuals, <em>M_age</em>=32.34 years, <em>SD</em>=12.48) from the International Sex Survey, a 42-country cross-sectional, multi-language, online survey. The SAHQ demonstrated excellent structural validity in all country-, gender-, sexual-identity-, and trans-status-based groups, as well as acceptable reliability and known-group validity. Occurrence estimates for six CSA and AASA types were reported across sociodemographic groups, corroborating previous evidence that women and gender- and sexual-minority individuals are at greater risk of CSA and AASA. Pansexual and queer individuals emerged as a particularly vulnerable group. Associations between different types of CSA and AASA revealed that participants who experienced any form of CSA were at least twice as likely to experience AASA. The findings have significant implications for policy and interventions, especially for marginalized groups.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100535"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061761","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":"Emotion suppression differentially moderates the link between stress and cardiovascular disease risk in Japanese and Americans","authors":"Darcianne K. Watanabe ,&nbsp;Shinobu Kitayama ,&nbsp;DeWayne P. Williams ,&nbsp;Julian F. Thayer","doi":"10.1016/j.ijchp.2025.100555","DOIUrl":"10.1016/j.ijchp.2025.100555","url":null,"abstract":"<div><h3>Background</h3><div>Cardiovascular disease (CVD) remains a key cause of mortality worldwide. Prior work has found that the association between stress and cardiovascular outcomes is moderated by emotion regulation (ER) and expressive suppression (i.e., emotion inhibition), which is linked with adverse outcomes (i.e., inflammation) in Western (Americans) but not Eastern (Japanese) populations. Existing cultural differences in biological stress responses and suppression use suggest that these factors may have different implications for CV outcomes.</div></div><div><h3>Objective</h3><div>We address this gap in the literature by examining if ER differentially moderates the relationship between stress and CVD risk between Japanese and American adults.</div></div><div><h3>Method</h3><div>Participants were from the Midlife in Japan and Midlife in the United States studies and had complete biomarker and psychological data (Japanese: <em>N</em> = 315, <em>M</em>_age = 59.22, 149 females; Americans: <em>N</em> = 524, <em>M</em>_age = 51.98, 291 females). Stress was indexed using the perceived stress scale. Trait suppression and reappraisal were indexed using the Emotion Regulation Questionnaire. CVD risk was indexed using a composite score of body mass index, C-reactive protein, interleukin-6, systolic blood pressure, and high-density lipoprotein cholesterol ratio.</div></div><div><h3>Results</h3><div>Adjusting for age, sex, education, tobacco, alcohol, and prescription medication use, linear regressions revealed robust cultural differences among those with high suppression (<em>r =</em> -0.10 [-0.19, -0.01]). Higher stress was linked with higher CVD risk in Americans regardless of the level of reappraisal or suppression (r's &gt; 0.11, p's &lt; 0.07). In contrast, among Japanese with high suppression, higher stress was associated with lower CVD risk (<em>r</em> <em>=</em> -0.09 [-0.23, 0.05]). Higher stress was associated with greater inflammation among Japanese with lower suppression (<em>r</em> <em>=</em> 0.10 [-0.07, 0.28]).</div></div><div><h3>Conclusions</h3><div>Consistent with prior work, these findings suggest that adaptive ER moderates the association between stress and CVD risk, and that suppression may not be universally ‘maladaptive.’ Results emphasize the importance of considering cultural context when assessing the impact of emotion suppression on health, which may help explain differences in CVD outcomes between individuals from Eastern and Western populations.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100555"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512467","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":"Greater neural delay discounting on reward evaluation in anhedonia","authors":"Chenlu Guan ,&nbsp;Shiyu Zhou ,&nbsp;Zhao Wang ,&nbsp;Bo Gao ,&nbsp;Ya Zheng","doi":"10.1016/j.ijchp.2024.100542","DOIUrl":"10.1016/j.ijchp.2024.100542","url":null,"abstract":"<div><h3>Background/objective</h3><div>Recent years have witnessed a surge of interest in dissecting the anticipatory and the consummatory aspects of anhedonia in terms of temporal dynamics. However, few research has directly examined reward valuation as a function of time in anhedonia.</div></div><div><h3>Method</h3><div>Using a delay discounting task, this event-related potential study examined the neural representation of rewards available immediately or in six months in a high-anhedonia group (<em>N</em> = 40) and a low-anhedonia group (<em>N</em> = 40) recruited from a nonclinical sample.</div></div><div><h3>Results</h3><div>We found that anhedonia was associated with greater neural delay discounting during reward evaluation. This was evidenced by a blunted effect of reward magnitude on the reward positivity (RewP) in the high-anhedonia compared to the low-anhedonia group when the rewards would be delivered six months later. Representation similarity analysis revealed that the aberration in processing delayed rewards is further corroborated by enhanced neural coding of reward time during the RewP period in the high-anhedonia versus low-anhedonia group.</div></div><div><h3>Conclusions</h3><div>These findings provide empirical evidence to show that anhedonia is driven by a blunted neural representation of future rewards instead of immediate rewards, suggesting an inability to form mental representations of future positive experiences in anhedonia.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100542"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061809","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":"Longitudinal relationship between posttraumatic growth and distress in lung cancer patients during neoadjuvant immunotherapy","authors":"Qiao Chu ,&nbsp;Fenghuan Sun ,&nbsp;Xinsheng Zhu ,&nbsp;Haoran Xia ,&nbsp;Dongliang Bian ,&nbsp;Gan He ,&nbsp;Jinhuan Yang ,&nbsp;Peng Zhang ,&nbsp;Yaping He","doi":"10.1016/j.ijchp.2025.100549","DOIUrl":"10.1016/j.ijchp.2025.100549","url":null,"abstract":"<div><h3>Purpose</h3><div>Posttraumatic growth (PTG) has been recognized as beneficial for the emotional well-being of cancer patients. However, the longitudinal relationship between PTG and emotional distress remains unclear and has rarely been investigated among patients undergoing neoadjuvant therapy. We investigated the linear and quadratic longitudinal associations between distress (depression, anxiety, and negative affect) and PTG in lung cancer patients undergoing neoadjuvant immunotherapy. We also tested individual variations in the longitudinal associations.</div></div><div><h3>Methods</h3><div>Data were pooled from three clinical trials (<em>n</em> = 231) evaluating the efficacy of neoadjuvant immunotherapy in lung cancer patients. At the beginning of each treatment cycle, patients completed questionnaires assessing PTG and distress. Cross-lagged panel analysis was used to evaluate longitudinal associations, and multi-group structural equation modeling was conducted to examine individual variations in these relationships.</div></div><div><h3>Results</h3><div>A unidirectional linear relationship was observed, with lower levels of distress predicting greater PTG over time. The impact of anxiety on PTG was more pronounced in patients with higher education or lower financial burdens, while the effect of negative affect was more salient in older patients. No significant quadratic effects of distress on PTG were observed.</div></div><div><h3>Conclusions</h3><div>Lower emotional distress may facilitate the development of PTG over time. The longitudinal effect of distress on PTG varied on age, education, and financial burdens.</div></div><div><h3>Implications</h3><div>Psychosocial interventions to promote PTG may be more effective by incorporating stress management and emotion regulation strategies, and need to be tailored to patients’ socioeconomic characteristics.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100549"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143152673","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}