International Journal of Clinical and Health Psychology最新文献

{"title":"Association between anti-thyroid peroxidase antibody and insufficient sleep in euthyroid population","authors":"Yuji Shimizu ,&nbsp;Yuko Noguchi ,&nbsp;Nagisa Sasaki ,&nbsp;Mutsumi Matsuu-Matsuyama ,&nbsp;Shin-Ya Kawashiri ,&nbsp;Hirotomo Yamanashi ,&nbsp;Kazuhiko Arima ,&nbsp;Seiko Nakamichi ,&nbsp;Yasuhiro Nagata ,&nbsp;Naomi Hayashida ,&nbsp;Takahiro Maeda","doi":"10.1016/j.ijchp.2025.100565","DOIUrl":"10.1016/j.ijchp.2025.100565","url":null,"abstract":"<div><h3>Background</h3><div>Low sleep quality induces inflammation. Because anti-thyroid peroxidase antibody (TPO-Ab) is an autoantibody that induces inflammation in the thyroid, insufficient sleep may stimulate the production of TPO-Ab. However, the thyroid function is also associated with sleep. Therefore, to evaluate the association between TPO-Ab positivity and insufficient sleep, the target population should be limited to euthyroid individuals whose free triiodothyronine (T3), free thyroxine (T4), and thyroid-stimulating hormone (TSH) are within the normal ranges.</div></div><div><h3>Method</h3><div>This cross-sectional study recruited 1324 euthyroid individuals who participated in annual health checkups. Insufficient sleep was assessed by using a questionnaire. Individuals with free T3, free T4, and TSH levels within the normal ranges were defined as euthyroid.</div></div><div><h3>Results</h3><div>Among the study population, 406 had insufficient sleep, and 242 were TPO-Ab-positive. Insufficient sleep was associated with a higher likelihood of TPO-Ab positivity. Sex and age adjusted odd ratios (95 % confidence intervals, p) of TPO-Ab positive for insufficient sleep was 1.47 (1.08, 2.01, <em>p</em> = 0.014). These associations remained unchanged even after further adjustment for free T4 and TSH, status of body mass index, smoking status, drinking status, mental distress, and physical activity; 1.53 (1.11, 2.10, <em>p</em> = 0.009).</div></div><div><h3>Conclusion</h3><div>Euthyroid individuals with insufficient sleep may be at risk of autoimmune thyroiditis. Although further investigations are necessary, sleep disorder therapy might reduce the risk of the incidence of autoimmune thyroiditis.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100565"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785715","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 effects of transcranial magnetic stimulation on cognitive flexibility among undergraduates with insomnia symptoms: A prospective, single-blind, randomized control trial","authors":"Muyu Chen ,&nbsp;Jun Jiang ,&nbsp;Han Chen ,&nbsp;Xinyu Liu ,&nbsp;Xinpeng Zhang ,&nbsp;Li Peng","doi":"10.1016/j.ijchp.2025.100567","DOIUrl":"10.1016/j.ijchp.2025.100567","url":null,"abstract":"<div><h3>Backgrounds</h3><div>Repetitive transcranial magnetic stimulation(rTMS) has been widely used in the treatment of insomnia, but there is a lack of research on whether this method could enhance the cognitive flexibility(CF) of individuals with insomnia symptoms.</div></div><div><h3>Objectives</h3><div>To investigate the effects of rTMS on the CF of undergraduates with insomnia symptoms.</div></div><div><h3>Methods</h3><div>29 participants were randomly assigned into Active group(<em>n</em> = 15) and Sham group(<em>n</em> = 14), receiving 1 Hz rTMS interventions targeting the left dorsolateral prefrontal cortex for 2 weeks, comprising 10 sessions (active vs sham stimulation). Sleep quality and CF were assessed using the Pittsburgh Sleep Quality Index(PSQI), Insomnia Severity Index(ISI), Cognitive Flexibility Inventory(CFI), and the Number-Letter Task (N-L task) at baseline(T0), post-intervention(T1), and 8 weeks’ follow-up(T2), and event-related potential(ERP) data during the N-L task were recorded.</div></div><div><h3>Results</h3><div>Following the intervention, compared to the Sham group, the ISI and PSQI scores in the Active group were significantly decreased, and the CFI score was significantly increased (<em>P</em> &lt; 0.01); the results of the N-L task indicated that at T1, the switch cost of reaction time and accuracy for the Sham group were significantly higher than those for the Active group(<em>P</em> &lt; 0.05). ERP analysis indicated that at T2, under switch conditions, the amplitude of the frontal area P2 in the Active group was significantly greater than that in the Sham group, and the beta-band ERD at parietal region in the Active group was significantly lower than that in the Sham group (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>rTMS could improve sleep quality and enhance the CF of undergraduates with insomnia symptoms.</div></div><div><h3>Clinical Trials Registration</h3><div>The effect of transcranial magnetic stimulation on cognitive flexibility in college students with insomnia (ChiCTR2400081263) URL: <span><span>https://www.chictr.org.cn/showproj.html?proj=202951</span><svg><path></path></svg></span></div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100567"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829169","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":"Replicating and extending research on sanctification: A cognitive appraisal with implications for behaviors, attitudes, and self-image","authors":"Elizabeth J. Krumrei-Mancuso,&nbsp;Janet P. Trammell,&nbsp;Jennifer A. Harriger,&nbsp;Joshua A. Evans","doi":"10.1016/j.ijchp.2025.100566","DOIUrl":"10.1016/j.ijchp.2025.100566","url":null,"abstract":"<div><div>Basic competency in religious and spiritual issues among mental health professionals includes knowledge about the role of religion/spirituality in people's lives, particularly as it relates to mental health. This research focuses on cognitive appraisals of sanctification by which individuals interpret stimuli to be sacred. We examined the extent to which adults in the U.S. (<em>N</em> = 342) perceived the body, physical activity, and nature as sacred, and how these views related to indicators of mental and physical health. The results indicated that sanctification of the body was associated with greater body appreciation and self-esteem. Sanctification of physical activity was associated with more engagement in physical activity and receiving more enjoyment from physical activity. Finally, sanctification of nature was associated with experiencing greater connectedness to nature and pursuing more nature exposure. We observed a number of moderators among these links. We discuss implications for mental health professionals.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100566"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900396","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":"Slow-wave sleep, oxygen desaturation, and memory consolidation in sleep-disturbed individuals","authors":"Yi-Chun Kuan ,&nbsp;Hsin-Wei Lin ,&nbsp;Cheng-Chang Yang ,&nbsp;Jung-Lung Hsu ,&nbsp;Wen-Te Liu ,&nbsp;Chaur-Jong Hu ,&nbsp;Arnab Majumdar ,&nbsp;Yi-Chih Lin ,&nbsp;Chih-Wei Peng ,&nbsp;Cheng-Yu Tsai","doi":"10.1016/j.ijchp.2025.100574","DOIUrl":"10.1016/j.ijchp.2025.100574","url":null,"abstract":"<div><div>Slow-wave sleep (SWS) plays a crucial role in memory consolidation, yet its disruption in obstructive sleep apnea (OSA) remains poorly understood. This study investigates the relationship between SWS characteristics, nocturnal oxygen desaturation, and memory performance in individuals with sleep disturbances. This cross-sectional study included 49 participants with memory complaints and sleep disturbances who underwent overnight polysomnography (PSG) and cognitive assessments to determine the presence and severity of OSA. SWS parameters, including the slow-wave index, amplitude, and duration, were extracted from PSG data alongside the apnea-hypopnea index (AHI) and oxygen desaturation index (ODI-3 %). Memory consolidation was assessed pre- and post-sleep using the Word Sequence Learning Test (WSLT), with the WSLT-Memory Index Score (WSLT-MIS) as the primary outcome measure. Multiple linear regression models adjusted for age, BMI, and education were used to analyze associations between sleep parameters and memory outcomes. Higher ODI-3 % and AHI were significantly associated with poorer memory consolidation, as indicated by lower WSLT-MIS scores (p &lt; 0.05). AHI during NREM sleep was more strongly associated with poorer memory consolidation compared to AHI during REM sleep. Conversely, a higher slow-wave index was positively correlated with better WSLT-MIS scores and retention rates (p &lt; 0.05). These findings highlight the critical role of SWS in memory consolidation and the detrimental effects of OSA-related sleep disturbances. While CPAP therapy remains the standard treatment for improving oxygenation and reducing sleep fragmentation in OSA, additional strategies aimed at enhancing SWS may further support cognitive function. Longitudinal studies and neuroimaging approaches are needed to better understand the mechanisms linking SWS enhancement and cognitive health.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100574"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912694","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":"Cognitive training and retest learning effects on theta and alpha power in older and young adults: A perspective on the crunch hypothesis and the STAC-R model","authors":"Ludmiła Zając-Lamparska ,&nbsp;Emilia Zabielska-Mendyk ,&nbsp;Dariusz Zapała ,&nbsp;Paweł Augustynowicz","doi":"10.1016/j.ijchp.2025.100568","DOIUrl":"10.1016/j.ijchp.2025.100568","url":null,"abstract":"<div><div>According to the STAC-R model, scaffolding enhancement is achievable through various interventions. Indicating forms of compensatory scaffolding, the STAC-R model refers to phenomena described in other theoretical models, such as the enhanced fronto-parietal recruitment described in the CRUNCH hypothesis. The presented study investigated whether working memory training can induce compensatory scaffolding in older adults through increased prefrontal and parietal involvement (indicated by changes in theta and alpha power). The sample comprised 90 individuals, including 45 participants from the experimental (22 older and 23 young adults) and 45 from the passive control group (21 older and 24 young adults). The age range was 60–75 years for older adults and 20–35 years for young adults. We assessed the effects of a 12-session working memory training with the use of the adaptive n-back task on theta and alpha power measured in frontal midline and central-parietal areas by EEG in older and young adults during the n-back task performance at three difficulty levels. At the behavioral level, we found a positive, significant improvement in cognitive performance in young adults from experimental group. In contrast, the positive changes in older adults were too small to prove statistically significant. At the level of neuronal activity, we observed not a training effect but a retest effect. It was revealed primarily for theta oscillations in older adults and manifested by increased theta power with higher task demands and equalization of theta power of older and younger persons in the post-test. For alpha oscillations, the retest effect was negligible, and its only manifestation observed in older adults was a reduction in the dependence of alpha power on task difficulty. The study results indicate limited potential for improving WM performance in older adults compared to young adults. The presence of the retest learning effect, instead of the training effect, proved that familiarity with the task was crucial, rather than regular training of its performance. Changes observed in older adults in theta power can be considered positive, and these results are consistent with the CRUNCH hypothesis of a compensatory role for increased executive control involvement. In turn, changes in the alpha power in the same group should be considered rather maladaptive. Nevertheless, given the overall study findings, it can be concluded that although the behavioral effects of training are stronger in young adults, the changes in neuronal activity resulting from the retest learning effect are more marked in older adults.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100568"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844521","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":"Understanding body image in adolescents with drunkorexia behaviors: The roles of body image disturbance, coping strategies and gender","authors":"Dora Bianchi ,&nbsp;Daniele Di Tata ,&nbsp;Stefania Sette ,&nbsp;Emiddia Longobardi ,&nbsp;Fiorenzo Laghi","doi":"10.1016/j.ijchp.2025.100584","DOIUrl":"10.1016/j.ijchp.2025.100584","url":null,"abstract":"<div><div>Drunkorexia consists of any calorie compensation or eating restrictive conduct enacted before, during, or immediately after alcohol intake. These behaviors raise many health concerns, but studies on adolescents are still limited. Specifically, understanding how body image impacts adolescent drunkorexia might be crucial for prevention and treatment. Following the multidimensional body image framework, this study investigated the role of various body image features (i.e., body image disturbance, adaptive and maladaptive body image coping) in explaining two types of drunkorexia behaviors in teenage girls and boys: (1) eating-related restrictive and compensative conducts; and (2) overexercising. The participants were 832 alcohol-drinking adolescents aged 15 to 20 years (48.6 % girls), who completed an online anonymous survey administered at school. A multigroup mediation model was estimated in line with the aims of the study. Body image disturbance symptoms were positively related to eating drunkorexia behaviors via the mediating effects of increasing maladaptive coping (avoidance and appearance fixing). However, the same relation was negative when the mediating effect of increasing adaptive coping (positive rational acceptance) was considered. Moreover, body image disturbance was positively associated with exercise-related drunkorexia behaviors via increasing appearance fixing coping. Finally, the indirect effect of body image disturbance on eating-related drunkorexia via appearance fixing was positive and significant only in girls (not in boys). These findings provide indications for implementing prevention and educational programs for schools, and for identifying core themes to address in clinical treatment and public health policies.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100584"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916846","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":"Executive functions modulate conditioned fear extinction and reinstatement: The differential roles of shifting, updating, and inhibition","authors":"Wenzhao Zhang ,&nbsp;Yixia Huang ,&nbsp;Ying Mei ,&nbsp;Jinxia Wang ,&nbsp;Haoran Dou ,&nbsp;Yi Lei","doi":"10.1016/j.ijchp.2025.100581","DOIUrl":"10.1016/j.ijchp.2025.100581","url":null,"abstract":"<div><div>Conditioned fear learning is crucial for survival, and failure of fear extinction is closely related to the development of anxiety disorders. This study explores how different executive function (EF) subcomponents—shifting, updating, and inhibition—modulate conditioned fear extinction and reinstatement at both behavioral and neural levels. A total of 88 participants (age range: 17–23 years) completed the Stroop Task, Digit Size-Parity Switching Task, and Memory Updating Task to assess their executive function abilities. Participants underwent a classical fear extinction paradigm while their shock expectancy ratings and prefrontal cortical activity were recorded using functional near-infrared spectroscopy (fNIRS). Results indicated that individuals with higher shifting ability exhibited greater fear expectancy during fear acquisition <em>(β = -0.406, p = 0.032)</em> and reinstatement <em>(β = -0.834, p = 0.004)</em>, along with higher prefrontal cortex activity <em>(p &lt; 0.05)</em>, suggesting heightened responses to threatening stimuli. Individuals with higher updating ability showed a slower decrease in fear expectancy during the early extinction phase <em>(β = 0.038, p = 0.002)</em>, but maintained lower expectancy during the extinction recall phase <em>(β = -0.769, p = 0.006)</em>, indicating poorer extinction learning but better extinction memory retention. Individuals with higher updating ability also exhibited more extinction recall in the prefrontal cortex regions <em>(p_s &lt; 0.045)</em>. Individuals with higher inhibitory ability showed higher expectancy for CS+ and lower expectancy for CS− during extinction learning <em>(β = -0.409, p = 0.008)</em>, along with a slower decrease in fear expectancy <em>(β = -0.022, p = 0.055)</em>. Furthermore, individuals with higher inhibition ability showed lower PFC activity in immediate extinction <em>(p_s &lt; 0.0421)</em>, suggesting slower extinction learning but better regulation of safety cues. By clarifying the roles of these executive function components, our study highlights the cognitive mechanisms that could inform interventions aimed at improving fear extinction, offering potential strategies for mitigating anxiety-related disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100581"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924576","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":"Frequency-specific modulations for subcomponents of executive functions in the infra-slow frequency range —A combined O-tDCS and fNIRS study","authors":"Hang Yu,&nbsp;Xiaolong Liu,&nbsp;Chaojun Zheng,&nbsp;Zhuofan Wang,&nbsp;Miao Wang,&nbsp;Chi Zhang,&nbsp;Qiang Hao,&nbsp;Ronghan Liu,&nbsp;Yifeng Wang","doi":"10.1016/j.ijchp.2025.100575","DOIUrl":"10.1016/j.ijchp.2025.100575","url":null,"abstract":"<div><h3>Backgrounding</h3><div>The executive functions (EFs) involve multiple subcomponents including inhibition, updating, and shifting. These subcomponents are mediated by distinct brain networks, each linked to specific neural oscillations. Frequency-specific stimulation is a key approach to achieving precise intervention on different cognitive functions through affecting specific spatiotemporal organizations of brain networks.</div></div><div><h3>Objective</h3><div>We aimed to explore the modulation of different brain networks and EFs’ subcomponents by stimulation at frequencies of 0.02 Hz and 0.05 Hz, which are closely linked to whole-brain dynamics.</div></div><div><h3>Method</h3><div>In a randomized, placebo-controlled, cross-over study, we applied anodal oscillatory transcranial direct current stimulation (O-tDCS) to the left DLPFC to investigate the frequency-specific modulation on oxy-hemoglobin (HbO) and offline EF scores (Experiment 1, <em>N</em> = 54), as well as online EF scores (Experiment 2, <em>N</em> = 48).</div></div><div><h3>Result</h3><div>Near the stimulation frequency, brain signals were significantly enhanced. Specifically, an increase in power at 0.02 Hz was associated with enhanced inhibitory function, while an increase in power at 0.05 Hz was linked to decreased updating function. Compared to the sham condition, 0.02 Hz stimulation increases PLV within the frontal lobe, whereas 0.05 Hz increases PLV between the frontal and parietal lobes, indicating the presence of distinct spatiotemporal structures within cognitive-related brain networks.</div></div><div><h3>Conclusion</h3><div>The frequency-specific modulation of O-tDCS on brain networks and EF subcomponents suggests that different EFs are supported by brain networks with specific spatiotemporal architectures, bolstering the spectral fingerprint hypothesis of cognition. The spatiotemporal structure of cognitive-specific brain networks offers novel insights and targets for non-invasive interventions targeting diverse cognitive functions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100575"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912696","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":"Neurobiological correlates of CBT response in OCD through the analysis of resting state networks","authors":"Mafalda Machado-Sousa ,&nbsp;Sara Bertolín ,&nbsp;Maria Picó-Pérez ,&nbsp;Ana Daniela Costa ,&nbsp;Rita Vieira ,&nbsp;Pino Alonso ,&nbsp;José M. Menchón ,&nbsp;Pedro Morgado ,&nbsp;Carles Soriano-Mas","doi":"10.1016/j.ijchp.2025.100585","DOIUrl":"10.1016/j.ijchp.2025.100585","url":null,"abstract":"<div><div>Obsessive-compulsive disorder (OCD) is a psychiatric condition characterized by obsessions and compulsions that cause significant distress and functional impairment. Cognitive-behavioral therapy (CBT), particularly involving exposure and response prevention (ERP), is a first-line treatment for OCD, though patient response varies widely. This study investigates the neurobiological correlates of CBT response in OCD, focusing on resting-state functional connectivity (rsFC) alterations. Twenty-five patients with OCD and 26 matched controls underwent resting-state fMRI at baseline and post-CBT. Results indicated decreased rsFC at baseline in OCD patients compared to controls within the higher visual (HVN), posterior salience (PSN), and language networks (LN). Following CBT, patients showed increased HVN connectivity, suggesting a normalization of the rsFC within this network. Additionally, we found an association between baseline LN rsFC and symptom improvement after CBT (the higher the connectivity, the more the symptom improvement), suggesting that LN connectivity could be a predictor of treatment response. These findings emphasize the role of sensory processing networks in OCD and highlight the ability of CBT to modulate brain connectivity.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100585"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143934830","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":"Clinical physiology of circadian rhythms: A systematic and hierarchized content analysis of circadian questionnaires","authors":"Julien Coelho ,&nbsp;Vincent P. Martin ,&nbsp;Christophe Gauld ,&nbsp;Emmanuel d'Incau ,&nbsp;Pierre-Alexis Geoffroy ,&nbsp;Patrice Bourgin ,&nbsp;Pierre Philip ,&nbsp;Jacques Taillard ,&nbsp;Jean-Arthur Micoulaud-Franchi","doi":"10.1016/j.ijchp.2025.100563","DOIUrl":"10.1016/j.ijchp.2025.100563","url":null,"abstract":"<div><div>Circadian rhythms are near-24 h patterns of physiology and behavior associated with several physical and mental health outcomes. Self-report questionnaires are routinely used and practical tools to assess circadian rhythms. However, the extent to which these questionnaires capture the relevant parameters and can be used interchangeably is unknown. We investigated different types of circadian manifestations using 14 circadian self-report questionnaires for adults. A systematic and hierarchical content analysis was combined with a visualization method. Jaccard indices were calculated to quantify the degree to which the questionnaires overlapped. Content analysis revealed 40 distinct manifestations, which we classified into five dimensions (“circadian phase,” “circadian amplitude and stability,” “nycthemeral timing,” “nycthemeral regularity,” and “circadian complaints\"). The average Jaccard index was 0.150, indicating very weak content overlap. None of the 14 questionnaires explored all five dimensions. The Composite Scale of Morningness and the Morningness-Eveningness Questionnaire exhibited greater, but still limited, overlap with the other questionnaires (Jaccard indices of 0.255 and 0.251, respectively), and are the best instruments for assessing the circadian phase. Nycthemeral timing, which must be analyzed to measure the circadian misalignment in clinical and research settings, is only explored by the Munich Chronotype Questionnaire, but that instrument does not evaluate circadian amplitude and stability and only partially assesses nycthemeral regularity. Based on our preliminary analysis, we make recommendations regarding the circumstances in which some circadian questionnaires could prove more useful than the others. The results might also aid the definition and investigation of circadian health at the crossroads of physiology and behavior.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100563"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767972","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}