International Journal of Clinical and Health Psychology最新文献

{"title":"Dancing Queen… Only seventy! the short- and long-term effects of older-women group dancing on self-esteem, depression, and self-judgment","authors":"Zahira Ziva Cohen ,&nbsp;Daniela Aisenberg-Shafran","doi":"10.1016/j.ijchp.2025.100604","DOIUrl":"10.1016/j.ijchp.2025.100604","url":null,"abstract":"<div><div>This research examined the short-term and long-term effects of group dancing on self-esteem, depression, and self-judgment in older women participating in the GILA Methodology, a movement and performance art initiative specifically designed for mature women, developed by Galit Liss. The study, conducted from 2019 to 2023, involved 152 participants (mean age 69.98 ± 5.68) who participated in one to five measurements and were categorized as either Experienced (having participated for more than ten months and performed a solo dance) or Beginner dancers. Self-reported measures of depressive symptoms, self-judgment, and self-esteem were collected. This study found that Experienced dancers showed higher self-esteem and lower self-judgment than Beginners, with no difference in depression levels (<em>n</em> = 152). Over two years, depression levels decreased significantly overall (<em>n</em> = 23). This decrease in depression was primarily observed in Experienced dancers. The depression levels of beginner dancers did not change. Over two years, they experienced a notable reduction in self-judgment, eventually reaching the same levels as experienced dancers. Initial self-judgment predicted changes in depression levels after two years, an association that was moderated by self-esteem; specifically, higher self-esteem mitigated the effect of self-judgment on changes in depression. We highlight the program's emphasis on utilizing the body's abilities, promoting acceptance, and building resilience through performance experiences. Given its limitation as an uncontrolled ecological longitudinal study, potentially affected by historical events and dependent on self-reported data, we suggest further replicating the current study.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100604"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The bi-directional influence of social functioning and mental health symptoms during psychological treatment: A cross-lagged analysis in young adults","authors":"Phoebe Barnett ,&nbsp;Joshua EJ Buckman ,&nbsp;Henry Delamain ,&nbsp;Jae won Suh ,&nbsp;Stephen Pilling ,&nbsp;Rob Saunders","doi":"10.1016/j.ijchp.2025.100608","DOIUrl":"10.1016/j.ijchp.2025.100608","url":null,"abstract":"<div><div>Young adults (17–25 years old) are at greater risk of experiencing depression or anxiety, and have worse psychological therapy outcomes compared to working-age and older adults. Social functioning and related constructs are valued as outcomes of treatment, and may be particularly important to young adults, who report loneliness and a lack of social support. The relationship between social functioning and mental health during treatment in this group therefore requires further exploration. Four random intercept cross-lagged panel models were fitted to model the session-by-session change in measures of social functioning and mental health symptoms over the course of treatment among patients of NHS talking therapies for anxiety and depression services. A total of 19,600 young adults who had received at least three sessions of psychological therapy were included. There was evidence of a significant bi-directional relationship between social functioning and mental health symptoms between the third and sixth session of treatment, although associations between earlier sessions were less stable. As both mental health symptoms and social functioning were predictive of later symptom severity, further research into how support to improve social functioning could improve treatment outcomes could improve experiences of, and outcomes of treatment. Such support may also account for contextual factors relating to employment or education in this population, as some differences according to employment status emerged.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100608"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimodal assessment of acute stress dynamics using an aversive video paradigm (AVP)","authors":"Sumit Roy ,&nbsp;Yan Fan ,&nbsp;Mohsen Mosayebi-Samani ,&nbsp;Maren Claus ,&nbsp;Nilay Mutlu ,&nbsp;Thomas Kleinsorge ,&nbsp;Michael A. Nitsche","doi":"10.1016/j.ijchp.2025.100607","DOIUrl":"10.1016/j.ijchp.2025.100607","url":null,"abstract":"<div><div>This study explored the efficacy of inducing stress through aversive video clips and investigated its impact on psychological processes, brain, and vegetative physiology. This study had a randomized, single-blinded, crossover design, where 78 right-handed male participants were exposed to aversive or neutral video clips in separate sessions. Subjective feelings of stress were assessed via questionnaires. Electroencephalography (EEG) with 62 electrodes was recorded continuously. EEG power and connectivity changes based on coherence were analyzed. Heart rate (HR) and heart rate variability (HRV) data were obtained during the whole experiment, and saliva was collected for cortisol and cytokine analysis at different time intervals. Subjective data showed increased anxiety and negative affect induced by the aversive video clips, accompanied by elevated salivary cortisol levels after exposure to the stressful clips and decreased HRV. Cytokine levels, however, increased over time in both control and stress conditions, which argues against a stress-specific alteration of cytokines in this specific stress protocol. EEG alterations during stress induction suggest a possible disruption of top-down control and increased bottom-up processing, in line with previous literature. These results suggest that the aversive video paradigm (AVP) is a reliable technique to induce psychological stress in a controlled experimental setting and is associated with stress-specific emotional and physiological changes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100607"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144548333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the reliability and sources of validity evidence of the sexual cognitions checklist","authors":"Carlos Pérez-Amorós ,&nbsp;Juan Carlos Sierra ,&nbsp;Oscar Cervilla ,&nbsp;María del Mar Sánchez-Fuentes","doi":"10.1016/j.ijchp.2025.100605","DOIUrl":"10.1016/j.ijchp.2025.100605","url":null,"abstract":"<div><h3>Background/objective</h3><div>The Sexual Cognitions Checklist (SCC) is the only measure that distinguishes and assesses both positive (PSC) and negative sexual cognitions (NSC). This study aimed to deepen the psychometric properties of its Spanish version by testing invariance, reliability, differences in frequency, associations with sexual functioning in solitary masturbation and sexual relationships and presenting standard scores.</div></div><div><h3>Method</h3><div>A total of 2004 Spanish cisgender heterosexual adults (48.1% men, 51.9% women) aged 18 to 79 years (<em>M</em> = 38.23; <em>SD</em> = 13.70), distributed across age groups (18–34, 35–49 and 50 or older) participated. Analyses included measurement invariance, McDonald’s omega, MANCOVAs, correlations, partial correlations, and regression models. Norms for positive sexual cognitions were generated by gender and age.</div></div><div><h3>Results</h3><div>Strict invariance was confirmed across educational level, relationship status, and relationship length, and partial strict invariance for gender on both the SCC-PSC and SCC-NSC scales. Age showed strict invariance in the SCC-PSC scale and configural in the SCC-NSC scale. The subscales showed good internal consistency. Frequency differences emerged, notably by gender, with men scoring higher in positive and women in negative sexual cognitions. Positive sexual cognitions were positively associated with sexual functioning, negative ones showed negative and weaker associations.</div></div><div><h3>Conclusions</h3><div>The Spanish SCC version demonstrates reliability of its scores and provides sources of validity evidence for the interpretation of its scores, including associations with sexual functioning and measurement invariance across groups, enabling group comparisons. The availability of norms for positive sexual cognitions further supports its application in clinical settings. Future studies should include diverse populations and individuals with diagnosed sexual dysfunctions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100605"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness and user preferences of two tactile breathing devices in reducing stress in stressed individuals: A mixed methods study","authors":"E. Honinx ,&nbsp;M. Meys ,&nbsp;S. Broes ,&nbsp;L. Van Langenhoven ,&nbsp;R. Janssens ,&nbsp;I. Huys ,&nbsp;V. Oswald ,&nbsp;J. Annen ,&nbsp;S. Laureys ,&nbsp;C. Martial ,&nbsp;O. Gosseries","doi":"10.1016/j.ijchp.2025.100603","DOIUrl":"10.1016/j.ijchp.2025.100603","url":null,"abstract":"<div><h3>Background</h3><div>Rising stress levels have led to increased interest in stress management tools, particularly tactile breathing devices. Despite their popularity, there is limited evidence on their physiological and psychological effectiveness and user perceptions. This study evaluates the effectiveness of and preferences toward two tactile breathing devices among highly stressed individuals.</div></div><div><h3>Methods</h3><div>The study involved 36 participants using two breathing devices, moonbird and Core. Physiological data were collected using EEG, ECG, and a breathing belt. User preferences and self-reported experiences were assessed via questionnaires.</div></div><div><h3>Results</h3><div>Moonbird usage was associated with increased delta power and decreased alpha power, while Core did not significantly modify EEG power. ECG analysis indicated no significant differences in mean heart rate between devices. Both devices reduced heart rate variability during use, but no lasting effects were observed post-intervention. Respiratory rates decreased during both devices’ use, with moonbird showing more sustained effects post-intervention. There were no significant differences in self-reported relaxation and energy levels between the devices, though moonbird was preferred overall for its handling and breathing guidance.</div></div><div><h3>Conclusion</h3><div>Both devices demonstrated the ability to lower physiological stress, as indicated by improvements in certain neurophysiological measures during use, with moonbird preferred for its ergonomic design and tactile feedback. These findings underscore the importance of user experience in device effectiveness, highlighting the need for a user-centric approach in device design. Future research should explore long-term effectiveness, real-world user feedback, and the physiological and psychological mechanisms associated with these devices.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100603"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Boosting your mood: How exercise and the amygdala dance together","authors":"Li-Kun Ge ,&nbsp;Shu Zhang ,&nbsp;Li-Zhen Chen ,&nbsp;Ke Zhou ,&nbsp;Li Zhang ,&nbsp;Xi-Nian Zuo ,&nbsp;Gao-Xia Wei ,&nbsp;Jingang Dai","doi":"10.1016/j.ijchp.2025.100610","DOIUrl":"10.1016/j.ijchp.2025.100610","url":null,"abstract":"<div><div>Accumulative evidence has shown that functional heterogeneity exists in subregions of amygdala. Recently, exercise serving as automatic emotion regulation has been observed to induce the altered activation of amygdala associated with mood change. However, the specific role of subregions of amygdala underlying these effects are not fully understood. By using resting-state functional magnetic resonance imaging (rs-fMRI), this study examined whether the subregions of amygdala play distinct roles in mood improvement induced by acute exercise.</div><div>Participants (<em>n</em> = 76) aged 18–22 were recruited and randomly divided into the exercise group and the control group. The exercise group received a 30-minute intervention with moderate-intensity exercise while the control group completed a reading control task at resting state. Whole-brain rs-fMRI scans were conducted before and after the interventions. Moreover, participants’ moods were also assessed using the Positive and Negative Affect Schedule (PANAS) and Abbreviated Profile of Mood States. A mixed-effect model was used to analyze the Group × Time interaction on functional connectivity (FC) seeded from medial amygdala (mAmyg) and lateral amygdala (lAmyg) subregions in each hemisphere.</div><div>Results revealed that exercise-induced mood improvements were correlated with significant Group × Time interaction effects on FC, showing a notable right-hemispheric predominance. Specifically, enhanced connectivity of the right mAmyg with orbitofrontal cortex, parietal, and cerebellar regions was associated with reduced negative affect and increased self-esteem. Concurrently, enhanced connectivity of the right lAmyg with the orbitofrontal cortex and striatum was linked to a broad spectrum of improvements, including reduced tension and anger, and increased vigor.</div><div>These findings suggest that acute exercise improves mood via distinct, lateralized neural pathways centered on different amygdala subregions. The mAmyg and lAmyg play complementary roles in automatic emotion regulation, with the right mAmyg modulating affective valence and self-evaluation, while the right lAmyg appears to regulate a broad spectrum of mood states and enhance positive arousal. This work provides a more nuanced neurobiological model for the therapeutic effects of exercise.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100610"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing comparisons: A transdiagnostic investigation of social and temporal comparisons and their differential effects on mental health outcomes and well-being","authors":"Pascal Schlechter,&nbsp;Dana Churbaji,&nbsp;Thole H. Hoppen,&nbsp;Nexhmedin Morina","doi":"10.1016/j.ijchp.2025.100611","DOIUrl":"10.1016/j.ijchp.2025.100611","url":null,"abstract":"<div><h3>Background</h3><div>While the association of social comparisons and mental health has been frequently researched, the role of temporal comparisons (evaluating oneself over time) and their distinct associations with mental health outcomes are understudied. Here, we aimed to elucidate the distinct associations of social and temporal comparisons with a range of mental health outcomes, as well as previously identified predictors of these outcomes. We specifically examined the differential relationships of comparison frequency, discrepancy, and affective impact with depression, anxiety, posttraumatic stress, well-being, life satisfaction, self-esteem, metacognitions, rumination, and self-efficacy.</div></div><div><h3>Methods</h3><div>To this end, we conducted a thorough reanalysis of data from one longitudinal and five cross-sectional studies sourced from Prolific Researcher with English speaking participants. One of these studies involved participants with elevated depressive symptoms. Additionally, we included one study with Syrian refugees in Germany recruited via social media.</div></div><div><h3>Results</h3><div>Across the seven studies (<em>N</em>s = 306 to 1121), regression models revealed consistent and mainly moderate associations between both social and temporal comparisons and our outcomes. Additionally, our findings suggested only a weak trend for social (vs. temporal) comparisons to exhibit stronger associations with mental health variables.</div></div><div><h3>Conclusions</h3><div>Our results offer insights into the role of social and temporal comparisons in mental health, providing a foundation for follow-up research that may ultimately inform psychological interventions.<em>Keywords.</em> Social comparison, temporal comparison, transdiagnostic, depression, comparison theory.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100611"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do expectations shape interoceptive perceptions across body domains? A sham EMF study to test the predictive processing theory","authors":"Natalie Schmitz ,&nbsp;Carolin Wolters ,&nbsp;Antonia Rahrbach ,&nbsp;Friederike Kälke ,&nbsp;Michael Witthöft ,&nbsp;Alexander L. Gerlach ,&nbsp;Anna Pohl","doi":"10.1016/j.ijchp.2025.100609","DOIUrl":"10.1016/j.ijchp.2025.100609","url":null,"abstract":"<div><h3>Objective</h3><div>According to the principles of predictive processing theory, persistent symptom perception is largely determined by central nervous predictions on somatosensory input. Here, we examine how threat-related expectations shape predictions and interoceptive perceptions across body domains using sham EMF (electromagnetic field) exposure.</div></div><div><h3>Methods</h3><div>Participants (<em>n</em> = 113) were recruited via announcements at the university. Most participants were female (76.1 %) with a mean age of 25.12 years. Participants were divided into two groups (sham EMF on/off). Both groups completed a somatic and a cardiovascular signal detection task (SSDT, cvSDT) in pseudo-randomized order. Sensitivities and response biases were calculated. Self-reports (symptom distress, anxiety) were completed. Group effects were analysed with (M)AN(C)OVAs. In four exploratory regression models response bias and anxiety (state/trait) served as predictors for somatic symptom distress.</div></div><div><h3>Results</h3><div>Participants in the sham EMF group reported significantly higher levels of state anxiety (<em>p</em> = .021, <em>d</em> = 0.44) and, trend-wise, more symptoms during the experiment (<em>p</em> = .065, <em>d</em> = 0.35). Response biases did not differ significantly between the groups (SSDT<em>: p</em> = .782; cvSDT: <em>p</em> = .743). However, higher somatic symptom distress was significantly associated with a more liberal interoceptive response tendency in both tasks in the sham EMF group (two significant models, one trend: (-0.209 ≤ <em>β</em>s ≤ -0.325, adjusted 0.232 ≤ <em>R</em>² ≤ 0.330).</div></div><div><h3>Conclusions</h3><div>A liberal approach was associated with elevated symptom experience across bodily domains and might be considered a transdiagnostic psychopathological risk factor. As research is still scarce, replication studies with valid context manipulations are essential.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100609"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring dropout in internet-delivered cognitive behavioral therapy for insomnia: A secondary analysis of prevalence, self-reported reasons, and baseline and intervention data as predictors","authors":"Laura Simon ,&nbsp;Lisa Steinmetz ,&nbsp;Eileen Bendig ,&nbsp;Ann-Marie Küchler ,&nbsp;Dieter Riemann ,&nbsp;David Daniel Ebert ,&nbsp;Kai Spiegelhalder ,&nbsp;Harald Baumeister","doi":"10.1016/j.ijchp.2025.100598","DOIUrl":"10.1016/j.ijchp.2025.100598","url":null,"abstract":"<div><h3>Introduction</h3><div>Internet-delivered cognitive behavioral therapy for insomnia (iCBT-I) is an effective treatment. However, dropout is a common challenge in digital therapeutics. This study examines dropout in iCBT-I by analyzing reported reasons for dropout and investigating whether baseline variables and intervention usage data can predict dropout.</div></div><div><h3>Methods</h3><div>This is an exploratory secondary analysis of a clinical trial investigating a stepped care model for insomnia featuring an eight-module iCBT-I. Reasons for dropout from the iCBT-I were assessed via self-developed items in follow-up surveys, and a dropout survey was sent to all patients who had not completed at least seven modules of the iCBT-I within 12 weeks. The proportion of respondents who agreed with the respective items was calculated. Additionally, bivariate models were specified to explore whether baseline variables and intervention usage data can predict dropout.</div></div><div><h3>Results</h3><div>The patients included in this sub-study had a mean age of 49.3 (SD=13.0), with 73.4 % identifying as female. At pre-treatment, their mean insomnia severity was 18.6 (SD=3.9). Among the 233 patients, 103 (44.2 %) were categorized as dropouts. The most frequently reported reasons for dropout were distractions from daily life, the perception of the content not being useful, and difficulties resuming after a break. None of the examined baseline variables significantly predicted dropout, whereas the time needed to complete the first module (OR=1.16; 95 %CI=1.08–1.27) and the number of sleep diary entries in the first week (OR=0.73; 95 %CI=0.65–0.80) significantly predicted dropout.</div></div><div><h3>Discussion</h3><div>This study highlights dropout as a relevant challenge in iCBT-I, affecting over 40 % of patients. Self-reported reasons indicate the importance of compatibility with distractions from daily life and perceived effectiveness. The prediction models suggest that dropout risk profiles can be developed based on first-week treatment data. Future research should focus on validating such models to improve effectiveness and user retention.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100598"},"PeriodicalIF":5.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualising good mental health for people with intellectual disabilities: An inclusive delphi study","authors":"Sophie Komenda-Schned ,&nbsp;Sarah Jasmin Landskron ,&nbsp;Paula Moritz ,&nbsp;Nicole Braunstein ,&nbsp;Josef Hochmeister ,&nbsp;Karin Riegler ,&nbsp;Robert Saugspier ,&nbsp;Brigitte Lueger-Schuster ,&nbsp;Luis Salvador-Carulla ,&nbsp;Elisabeth Lucia Zeilinger","doi":"10.1016/j.ijchp.2025.100601","DOIUrl":"10.1016/j.ijchp.2025.100601","url":null,"abstract":"<div><h3>Background</h3><div>Currently, there is no conceptualisation of good mental health for people with intellectual disabilities (ID). To develop an initial shared understanding of good mental health in this population, an inclusive Delphi study with two survey rounds was conducted.</div></div><div><h3>Methods</h3><div>The Delphi study comprised a total of <em>N</em> = 60 participants in the first round, and 53 in the second round. In sum, 23 experts with ID and 37 mental health experts were included. The Delphi questionnaire applied a universal design, maximising accessibility for experts with and without ID. Participants were asked to rate the relevance of each item for good mental health of people with ID. People with ID served as co-researchers throughout the research process.</div></div><div><h3>Results</h3><div>In both survey rounds, all items were rated as important for good mental health of people with ID (weighted median ≥ 3 out of 5). In a structural synthesis, the following factors were found to be important: (1) being part of the community, (2) adequate support, (3) social contacts, (4) communication, (5) working and living environment, (6) keeping the body healthy, (7) no mental disorders, (8) healthcare, (9) psychosocial functioning. As the broadest theme, psychosocial functioning included six subthemes, such as emotions, autonomy and self-concept, and doing something meaningful.</div></div><div><h3>Conclusions</h3><div>This study provides a foundational step towards developing a more inclusive understanding of good mental health for people with ID. The active involvement of co-researchers underscores the value of participatory methods in shaping research outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100601"},"PeriodicalIF":5.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}