International Journal of Clinical and Health Psychology最新文献

{"title":"Imaginative absorption in schizophrenia: a phenomenological case series and comparison with maladaptive daydreaming","authors":"Igor J. Pietkiewicz,&nbsp;Radosław Tomalski","doi":"10.1016/j.ijchp.2026.100729","DOIUrl":"10.1016/j.ijchp.2026.100729","url":null,"abstract":"<div><h3>Background</h3><div>Some individuals diagnosed with schizophrenia report vivid, immersive inner scenarios that may resemble maladaptive daydreaming (MD). However, the organisation, psychological functions, and relationships of such experiences with psychotic phenomena remain poorly understood.</div></div><div><h3>Aim</h3><div>This study examined the phenomenology and psychological functions of immersive imaginative experiences in individuals with schizophrenia and compared these experiences with published phenomenological descriptions of MD.</div></div><div><h3>Method</h3><div>A theory-driven comparative case-series design was used. Three individuals with schizophrenia reporting immersive fantasy experiences participated in semi-structured clinical interviews. Cases were analysed across dimensions of agency and control, reality attribution and perceptual qualities, psychological function, and relationships with psychotic phenomena, and then compared across cases and with published descriptions of MD.</div></div><div><h3>Results</h3><div>Prolonged, immersive fantasies differed substantially in their organisation. Patrick and Kate showed limited agency over intrusive, often distressing imaginative content that could unfold autonomously and become intertwined with hallucinations and delusional interpretations. Dominic retained authorship and awareness of the imagined nature of his technical visualisations but had difficulty regulating and disengaging from them. Across cases, content reflected emotionally salient concerns and different psychological functions, including the expression of conflict and emotional compensation. Features overlapping with MD included prolonged absorption and difficulty regulating engagement, whereas reduced agency over content and believing that imagined interactions or communications were genuinely occurring more clearly distinguished Patrick’s and Kate’s experiences.</div></div><div><h3>Conclusions</h3><div>Similarities with MD may coexist with marked differences in agency, reality attribution, and relationships with other psychopathological phenomena, suggesting that their diagnostic significance depends on how these features are configured.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100729"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149252631","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":"Limited prediction of self-rated performance in elite female footballers","authors":"Ailikute Aikeremu,&nbsp;Xiangqin Song,&nbsp;Siyu Pan,&nbsp;Shubo Xu,&nbsp;Vahid Farrahi,&nbsp;David Moreau,&nbsp;Matthew Heath,&nbsp;A. Mark Williams,&nbsp;Markus Raab,&nbsp;Ale Quartiroli,&nbsp;Alyx Taylor,&nbsp;Fred Paas,&nbsp;Gangyan Si,&nbsp;Liye Zou","doi":"10.1016/j.ijchp.2026.100727","DOIUrl":"10.1016/j.ijchp.2026.100727","url":null,"abstract":"<div><h3>Background</h3><div>Routine athlete monitoring captures psychological and physical states across training and match cycles. Whether these indicators distinguish subsequent self-rated match performance below an athlete’s own prior ratings remains uncertain.</div></div><div><h3>Objective</h3><div>This retrospective exploratory prediction study examined whether match-day minus one (MD-1) monitoring indicators identified below-baseline self-ratings of overall team performance and of each player’s own offensive and defensive performance among elite female footballers competing in Norway.</div></div><div><h3>Methods</h3><div>SoccerMon provided 207 player-match records from 30 elite female footballers in two Toppserien clubs during 2020–2021. Requiring at least three strictly earlier match reports retained 124 records from 25 players. Psychological-behavioural, physical-status and joint predictor sets were evaluated using logistic regression and XGBoost. Below-baseline ratings were more than 0.50 points below the historical mean. Player-grouped validation used nested threshold selection. Average precision (AP) was the primary metric.</div></div><div><h3>Results</h3><div>Below-baseline prevalence was 31.5%, 26.6% and 32.3% for team, offensive and defensive ratings. The joint logistic reference model yielded AP values of 0.450 (95% CI 0.346–0.570), 0.308 (0.245–0.409) and 0.280 (0.241–0.363), respectively; ROC-AUCs were 0.590, 0.496 and 0.401. High false-discovery proportions limited classification utility.</div></div><div><h3>Conclusions</h3><div>Discrimination was limited and inconsistent. These findings do not support clinical assessment, athlete selection or applied decision use. Individual historical references provide a transparent exploratory outcome definition; objective performance validity and transportability require direct investigation.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100727"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149361619","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":"Physical function varies according to characteristics of executive dysfunction in patients with stroke","authors":"Katsuya Sakai,&nbsp;Yuichiro Hosoi,&nbsp;Yusuke Harada,&nbsp;Yuichi Kato,&nbsp;Junpei Tanabe,&nbsp;Takayuki Miyauchi","doi":"10.1016/j.ijchp.2026.100725","DOIUrl":"10.1016/j.ijchp.2026.100725","url":null,"abstract":"<div><h3>Introduction</h3><div>While executive dysfunction significantly impacts physical function, most clinical assessments rely on total composite scores, potentially overlooking the heterogeneity of specific subcomponent impairments and their unique contributions to motor recovery. This study aimed to identify distinct profiles of executive dysfunction based on the score distribution of Frontal Assessment Battery (FAB) subitems and clarify their specific associations with motor and balance impairments in patients with stroke.</div></div><div><h3>Methods</h3><div>Seventy-eight patients with subacute stroke were participated in this observational study. Assessments were used the FAB, Brunnstrom Recovery Stage (BRS), Berg Balance Scale (BBS), and Timed Up and Go Test (TUGT). Representational Similarity Analysis (RSA) and k-means clustering were applied to FAB subitem scores to identify patient subgroups based on the similarity of their executive profiles.</div></div><div><h3>Results</h3><div>Three distinct clusters were identified: Cluster 1 (Inhibitory Control Impairment, N = 32), Cluster 2 (Motor Programming Impairment, N = 18), and Cluster 3 (Mild, N = 28). Notably, no significant differences were observed among the clusters in total FAB scores or other global cognitive measures (P &gt; 0.05). However, physical function significantly varied; Cluster 3 demonstrated significantly superior performance in BRS, BBS, and TUGT scores compared to Clusters 1 and 2 (P &lt; 0.05), which exhibited lower physical function despite their different executive profiles.</div></div><div><h3>Conclusions</h3><div>This study suggested that the individual differences in executive dysfunction—which cannot be observed in total scores—and motor dysfunction within clusters are associated with different factors.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100725"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149052352","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":"Investigating the links between sexting patterns, gender, sexual orientation and psychological distress: A cluster analysis","authors":"Edoardo Saija,&nbsp;Alberto Amadori,&nbsp;Giulia Prestera,&nbsp;Antonella Brighi","doi":"10.1016/j.ijchp.2026.100719","DOIUrl":"10.1016/j.ijchp.2026.100719","url":null,"abstract":"<div><div>This study examines sexting patterns, moving beyond traditional unidimensional approaches. Using a person-centered framework, a Two-Step Cluster Analysis was conducted on a sample of 460 Italian university students (age range: 18–45 years-old, <em>M</em> = 23.32, <em>SD</em> = 4.27, 76.3% women). Sexting experiences were operationalized through five indicators distinguishing between consensual or coerced, partner or third-party-mediated exchanges, while anxiety, depression, and stress were assessed as dependent variables. The analysis identified four distinct clusters: Low-Engagement Sexting (60.4%), Sexting with Third Parties (14.4%), Sexting with Partner(s) (13.8%), and High-Engagement and Exposure in Sexting (11.3%). Results from ANCOVAs, controlling for gender and sexual orientation, revealed that the high-engagement and exposure in sexting cluster, characterized by pervasive engagement across all indicators, reported significantly higher levels of anxiety and depression compared to other groups. Furthermore, individuals experiencing unsolicited and third-part-mediated exposure exhibited elevated stress levels. While gender-diverse and sexual minority participants reported overall higher psychological distress, no significant interaction effects were found between cluster membership and sociodemographic factors. These findings highlight that psychological outcomes are contingent upon the configuration of consent, agency, and relational context rather than the frequency of sexting alone. The study underscores the need for targeted interventions and comprehensive digital sexuality education that addresses the nuances of online consensual and non-consensual interactions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100719"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148947918","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":"Distinct value-modulated connectomic signatures during monetary incentive anticipation predict severity and craving in internet gaming disorder","authors":"Zifeng Wang,&nbsp;Guangdong Zhou,&nbsp;Yifan Liu,&nbsp;Yuchen Huang,&nbsp;Taoyu Wu,&nbsp;Shiqiu Meng,&nbsp;Chengyao Qian,&nbsp;Yan Sun","doi":"10.1016/j.ijchp.2026.100724","DOIUrl":"10.1016/j.ijchp.2026.100724","url":null,"abstract":"<div><h3>Background</h3><div>Internet gaming disorder (IGD) involves dysregulated incentive processing, yet precise neural substrates remain inconsistent. While the Monetary Incentive Delay (MID) task assesses reward systems, traditional analyses conflate reward valence (Value) and motivational salience, masking process-specific neural alterations. This study evaluated which neural features—from localized activity to large-scale connectivity—most effectively characterize IGD clinical phenotypes.</div></div><div><h3>Methods</h3><div>We analyzed fMRI data from 90 regular gamers, including 45 participants in the IGD group and 45 matched recreational game users (RGU), who performed a MID task with five reward/loss levels. Applying the Orthogonal-Decoding (DeCoP) framework, we dissociated anticipation BOLD signals into independent Value and Salience components. We compared localized activation (GLM), multivariate spatial patterns (Searchlight MVPA), and task-modulated functional connectivity (gPPI). Connectome-based Predictive Modeling (CPM) identified neural signatures predicting symptom severity and craving. An exploratory subsample (<em>n</em> = 15; 3 IGD and 12 RGU) completed clinical assessments approximately 12 months later.</div></div><div><h3>Results</h3><div>Localized activation and spatial patterns showed no significant group differences across either anticipation or feedback. However, positive Value-modulated connectivity during anticipation significantly predicted IGD symptom severity (66 stable edges, <em>ρ</em> = .317, <em>p</em> = .002) and craving (37 stable edges, <em>ρ</em> = .348, <em>p</em> &lt; .001). The intersection of these positive connectome models revealed a shared Value network (16 stable edges) anchored in a medial frontal–cerebellar circuit. Exploratory follow-up analysis showed that baseline shared-network strength was associated with 12-month craving (<em>ρ</em> = .724, <em>p</em> = .002).</div></div><div><h3>Conclusions</h3><div>Our findings suggest the neurobiological core of IGD is linked to aberrant network-level coordination during reward anticipation, rather than regional hyper-reactivity or feedback processing deficits. We identify anticipatory valuation dysregulation as a key feature of IGD, offering a process-specific connectomic signature of IGD symptomatology.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100724"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148996917","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":"Integrating screening and clinical interviews to assess clinically relevant addictive exercise behaviour in athletes","authors":"Maria Geisler,&nbsp;Alexandra Arnold,&nbsp;Oliver Stoll,&nbsp;Birgitta Schiller,&nbsp;Eva Wimmer,&nbsp;Marco Herbsleb,&nbsp;Feliberto de la Cruz,&nbsp;Andy Schumann,&nbsp;Karl-Jürgen Bär","doi":"10.1016/j.ijchp.2026.100718","DOIUrl":"10.1016/j.ijchp.2026.100718","url":null,"abstract":"<div><h3>Background and aims</h3><div>Questionnaire-based tools such as the Exercise Dependence Scale (EDS) are widely used to identify athletes exhibiting dependence-like features, but it remains unclear how these classifications relate to clinically relevant addictive exercise behaviour. This study combined quantitative screening with semi-structured, study-specific clinical interviews to (1) examine the proportion of athletes showing high EDS scores who meet ICD-11 criteria for a disorder due to addictive behaviour (6C5Y), (2) characterize psychological and motivational differences between athletes meeting versus not meeting ICD-11-based criteria for clinically relevant addictive exercise behaviour, and (3) identify the most discriminative candidate features of this classification.</div></div><div><h3>Methods</h3><div>A total of 342 endurance athletes (159 female, 183 male) completed an online survey including the EDS, life satisfaction, and motivational factors. Athletes exceeding the EDS cut-off (&gt;77; n = 63) and consenting to re-contact were invited to semi-structured, study-specific clinical interviews based on ICD-11 criteria for disorders due to addictive behaviors and additionally completed the SCL-90-R; 34 athletes participated in the interview phase (attrition rate: 46.0%).</div></div><div><h3>Results</h3><div>Among the 34 EDS-positive athletes who completed the clinical interview, 24 (70.6 %, 95 % CI: 52.5–84.9 %) met ICD-11-based criteria for clinically relevant addictive exercise behaviour. Compared to athletes not meeting these criteria, those meeting ICD-11-based criteria reported greater withdrawal-related symptoms, more comorbidities, lower life satisfaction, and higher weight-related exercise motivation, while training volume did not differ. In an exploratory LASSO model, withdrawal symptoms and past comorbidities emerged as preliminary candidate discriminative features of ICD-11-based classification status.</div></div><div><h3>Conclusions</h3><div>High EDS scores may reflect elevated exercise dependence features in endurance athletes, whereas not all meet ICD-11 criteria for clinically relevant addictive exercise behaviour. These findings highlight the importance of withdrawal-related symptoms and comorbidities for differential assessment and support a multi-method approach to distinguish high involvement or dependence from clinically relevant addictive exercise behaviour. However, findings from the interview phase should be interpreted cautiously given the small sample size and exploratory nature of the analyses.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100718"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859108","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":"The future seen: Does episodic future thinking influence health decision-making in adolescents?","authors":"Haide Chen,&nbsp;Zixuan Liu,&nbsp;Enjin Zheng,&nbsp;Yu Liu","doi":"10.1016/j.ijchp.2026.100721","DOIUrl":"10.1016/j.ijchp.2026.100721","url":null,"abstract":"<div><div>Although prior research has clearly demonstrated the general impact of episodic future thinking (EFT) on behavioral decision-making, there has been a scarcity of studies investigating how different features of EFT might variably affect health-related intertemporal choices in adolescents. This lack of research hinders our comprehension of the functional specificity of EFT. The present research aimed to examine how three specific characteristics of EFT (i.e., temporal distance, health relevance, and simulation perspective) influence health-related intertemporal decision-making in adolescent populations. Three experiments were designed and conducted with 248 adolescents aged 15 to 17 years. The decision-making was measured by health-related intertemporal decision-making task. Study 1 experimentally manipulated temporal distance through an episodic thinking imagination task, comparing intertemporal choice between a near-term EFT condition and a long-term EFT condition. Study 2 manipulated the content of EFT (specifically for long-term EFT), comparing intertemporal choice between a health-relevant EFT condition and a health-irrelevant EFT condition. Study 3 manipulated the perspective adopted during EFT simulation (specifically for long-term EFT within health-relevant content), comparing intertemporal choice between a first-person perspective EFT condition and a third-person perspective EFT condition. Study 1 found that ‌long-term‌ EFT was more conducive to health decisions than near-term‌ EFT. Study 2 found that ‌health-relevant‌ EFT was more effective than ‌health-irrelevant‌ EFT. Study 3 found that ‌third-person‌ perspective simulation promoted better health decisions compared to ‌first-person‌ perspective simulation. These findings highlight the functional specificity of EFT and suggest that its impact on intertemporal decision-making can be optimized by manipulating temporal distance, content relevance, and simulation perspective.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100721"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148947917","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":"Parenting style profiles in families of children with ADHD using a person-centred approach","authors":"Marisol Cueli,&nbsp;Natalia Martín,&nbsp;Nerea Quiroga,&nbsp;Ada Mesa-Prado,&nbsp;Paloma González-Castro","doi":"10.1016/j.ijchp.2026.100722","DOIUrl":"10.1016/j.ijchp.2026.100722","url":null,"abstract":"<div><div>Attention-deficit/hyperactivity disorder (ADHD) has been linked to problematic parent-child interactions in the family setting, which can influence the development of the disorder in terms of how it progresses and the types and severity of symptoms. The present study aims to determine parenting style profiles in a sample of families of children with ADHD and the relationship between those profiles and ADHD-severity and type of presentation (both reported by parents). A total of 189 parents of children with ADHD aged 6 to 16 years old participated in the study. Profiles of parenting styles were produced by considering a combination of variables associated with the two dimensions of parent–child interactions, responsiveness and demandingness (through the variables: warmth-communication, criticism-rejection, inductive, rigid, and indulgent discipline). We conducted Latent Profile Analysis and identified four parenting style profiles: authoritarian, authoritative, permissive-neglectful and mixed. The most common parenting style was an authoritative style. In contrast, the least common profiles were the authoritarian and the mixed styles characterized by higher levels of criticism-rejection. Profiles were examined with an exploratory and descriptive approach in terms of ADHD-Severity and ADHD-Type of presentation. In conclusion, we highlight the importance of defining the distinct parenting practices based on the dimensions of responsiveness and demandingness, and the importance of analysing family interactions in relation to ADHD in children, although more research is still needed related to the type, and especially the severity, of ADHD symptoms.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100722"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148948133","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":"Impact of CAVE automatic virtual environment (CAVE) on user experience and health outcomes: A systematic review","authors":"Courtney Song En TAN,&nbsp;Wei Ting CHEN,&nbsp;Ying JIANG,&nbsp;Shawn Leng Hsien SOH,&nbsp;Celestine Wei Yu LOH,&nbsp;Joanne TAY,&nbsp;Mei Sin CHONG,&nbsp;Sok Ying LIAW","doi":"10.1016/j.ijchp.2026.100716","DOIUrl":"10.1016/j.ijchp.2026.100716","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Many virtual reality systems, including the fully immersive Cave Automatic Virtual Environment (CAVE), have been developed over the years. Although CAVE has been used primarily in domains such as research, training, and visualisation, its application in therapeutic interventions has also been explored. However, the extent to which specific characteristics of CAVE shape user experience and contribute to measurable health outcomes, including motor function, psychological well-being, and cognitive performance, in neurological, developmental and psychiatric conditions requires further review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This review aims to identify CAVE's characteristics and to synthesise the user experience and health outcomes reported for interventions delivered through these systems in neurological, developmental, and psychiatric conditions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;Eligible studies were sourced across six electronic databases, grey literature, trial registries, and hand-searching from 2014 to October 2024. Randomised controlled trials and quasi-experimental studies were eligible. Because of substantial heterogeneity in populations, system configurations, intervention content, and outcome measures, meta-analysis was not appropriate and a narrative synthesis was conducted. A narrative synthesis was conducted. Quality appraisal was conducted using Cochrane's Risk of Bias (RoB) tool and Joanna Briggs Institute (JBI) Checklist for Quasi-Experimental Studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Fifteen studies (552 participants) were analysed, and most were appraised as moderate quality. Interventions were delivered through CAVE systems for diverse age groups, including children aged 6 months to 14 years, adults aged 18 and older, and older adults over 60. Interventions delivered through CAVE were associated with improvements in gait and balance in most studies, whereas findings for psychological well-being and cognitive function were drawn from a small number of small, heterogeneous studies and were inconsistent. Where user experience was assessed (four studies), participants generally described the environment as enjoyable and reported few side effects such as cybersickness, although one study rated presence and involvement lower than with a head-mounted display (HMD).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Interventions delivered through CAVE systems have demonstrated preliminary evidence of improving clinical outcomes in users with neurological, developmental, and psychiatric conditions. However, the current evidence base is small, heterogeneous in system configuration and intervention content, and largely of moderate quality. Compared to HMDs, CAVE systems may offer a less isolating experience due to their open, projection-based design. However, evidence on relative immersion is mixed. The risk of cybersickness appeared low across most included studies, though this varied by system design and pa","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100716"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148947920","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":"Revisiting the longitudinal relationships among depressive symptoms, emotion regulation, and perceived social support: evidence from a random intercept cross-lagged panel model","authors":"Xiang Che,&nbsp;Xuanyu Yao,&nbsp;Miao Hou,&nbsp;Yongtai Huang,&nbsp;Xianglei Wu,&nbsp;Weichao Wang,&nbsp;Qi Hui,&nbsp;Jijun Lan","doi":"10.1016/j.ijchp.2026.100733","DOIUrl":"10.1016/j.ijchp.2026.100733","url":null,"abstract":"<div><h3>Background</h3><div>The bidirectional relationship between depressive symptoms and perceived social support has been widely reported, and emotion regulation is considered an important mediating mechanism between the two. However, prior studies have not rigorously distinguished stable between-person differences from within-person dynamic changes. The present study applied a Random Intercept Cross-Lagged Panel Model (RI-CLPM) to examine the bidirectional relationship between depressive symptoms and perceived social support at the within-person level, as well as the mediating roles of cognitive reappraisal and expressive suppression.</div></div><div><h3>Methods</h3><div>A total of 1,390 Chinese college students contributed data to a three-wave study with three-month intervals. RI-CLPM was used to separate between-person and within-person effects.</div></div><div><h3>Results</h3><div>After controlling for between-person differences, one indirect pathway was significant at the within-person level: elevated depressive symptoms at T1 predicted decreased cognitive reappraisal at T2, which in turn predicted reduced perceived social support at T3. Cognitive reappraisal at T2 also negatively predicted depressive symptoms at T3. The direct bidirectional paths between depressive symptoms and perceived social support, as well as all indirect paths through expressive suppression, were not significant.</div></div><div><h3>Conclusions</h3><div>Cognitive reappraisal may play a role in the erosion of perceived social support associated with depressive symptoms. These findings support further testing of whether reappraisal training can help preserve perceived social support among individuals with elevated depressive symptoms.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100733"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149361620","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}