International Journal of Clinical and Health Psychology最新文献

{"title":"A qualitative examination of sanctification: Sources and varieties of appraisals of sacredness","authors":"Elizabeth J. Krumrei-Mancuso,&nbsp;Janet P. Trammell,&nbsp;Jennifer A. Harriger,&nbsp;Joshua A. Evans","doi":"10.1016/j.ijchp.2025.100578","DOIUrl":"10.1016/j.ijchp.2025.100578","url":null,"abstract":"<div><div>Most mental health professionals are expected to have some basic competency in religious and spiritual issues. Such competency includes knowledge about the role of religion/spirituality in people’s lives, particularly as it relates to mental health. The current research explored people’s cognitive appraisals of sanctification, by which individuals interpret stimuli to be sacred. To gain a better understanding of the spontaneous cognitive appraisals of sanctification people form during daily life, we randomly assigned religious and/or spiritual individuals (<em>N</em> = 144) to an event reconstruction of a time they experienced something as sacred, divine, miraculous, spiritual, holy, or blessed. We qualitatively coded 28 features of these event reconstructions. Participants’ most common descriptions involved sanctification of people, relationships, and places that were not considered sacred in and of themselves, but were considered sacred by association to higher powers or transcendent realities. Common features of sacredness reconstructions included emotions and sensory experiences. We also observed differences in the features associated with each sacred adjective (sacred, divine, miraculous, spiritual, holy, or blessed). We discuss implications for mental health professionals and for the advancement of the science of sanctification.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100578"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895514","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":"Extended childhood disorder (ECD): Proposal and preliminary empirical support for a new ecologically-based diagnostic category of teen dysfunction","authors":"Robert Epstein,&nbsp;Savannah Aries,&nbsp;Theodore T. Caligiuri,&nbsp;Camille Karner","doi":"10.1016/j.ijchp.2025.100572","DOIUrl":"10.1016/j.ijchp.2025.100572","url":null,"abstract":"<div><h3>Background/Objective</h3><div>Existing diagnostic categories of teen dysfunction often refer to hypothetical biological or developmental factors, even though teen dysfunction is often absent in many non-Western cultures. Diagnostic categories of this sort do not do justice to the social causes of many teen problems in the United States (U.S.) and other Western countries. To put more emphasis on known cultural causes of teen dysfunction, we propose adopting an ecologically-based diagnostic category we call “extended childhood disorder” (ECD), characterized by (1) excessive and sometimes harmful involvement with peers, (2) conflict centering around control issues with authority figures, and (3) mood problems centering around control issues with authority figures.</div></div><div><h3>Method</h3><div>5198 individuals were evaluated, either by themselves or by therapists, counselors, teachers, or parents: a diverse group of 3147 females, 1750 males, and 301 others, mean age 23.4. 54.3 % of the participants were from the U.S., and the remaining 46.7 % were English speakers in 74 other countries.</div></div><div><h3>Results</h3><div>Total scores on a diagnostic test of ECD were negatively correlated with level of happiness and positively correlated with levels of anger, depression, and anxiety, whether reported by self or others (note that higher scores on the ECDI indicate greater dysfunction). Total scores were also predictive of 13 clinically significant criterion variables. Notably, prevalence of ECD in our sample roughly matched the 2010 National Comorbidity Survey estimates of the prevalence of teen disorders in the U.S.</div></div><div><h3>Conclusion</h3><div>The ECD diagnostic category should be considered as a viable alternative to current diagnoses of teen problems that emphasize hypothetical endemic or neural deficits.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903557","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":"Should we worry about how we measure worry? Insights from an updated version of the Italian Penn State Worry Questionnaire","authors":"Gioia Bottesi ,&nbsp;Andrea Spoto","doi":"10.1016/j.ijchp.2025.100579","DOIUrl":"10.1016/j.ijchp.2025.100579","url":null,"abstract":"<div><h3>Background</h3><div>Research indicates a rise in self-reported worry, highlighting the need for updated psychometric tools. The Penn State Worry Questionnaire (PSWQ) assesses excessive worry and there is debate over whether only its 11 positively worded items should be used. This study aimed to clarify the factor structure and psychometric properties of the PSWQ and to explore worry features in two diverse Italian community samples from the 2010s and 2020s.</div></div><div><h3>Methods</h3><div>The 2020s sample included 674 participants (44.5 % female; Mage = 29.44 ± 13.20), while the 2010s sample comprised 411 individuals (61.6 % female; Mage = 36.64 ± 13.73). Methods from Classical Test Theory (CTT) were used to compare alternative PSWQ factor structures, assess the best-fitting model’s reliability and validity, and evaluate measurement invariance (MI) across sexes in the 2020s sample. Item Response Theory (IRT) was applied to refine and confirm the best-fitting factor structure and to compare item and individual locations across samples.</div></div><div><h3>Results</h3><div>The 11-item one-factor model was the best fit and it showed excellent reliability and concurrent validity. MI across sexes was supported. IRT analyses suggested that items were slightly more difficult for the 2010s sample.</div></div><div><h3>Conclusions</h3><div>The PSWQ-11 is a valid and reliable tool for assessing worry in the Italian community. The findings suggest that societal issues as well as socio-demographic characteristics may contribute shaping differences in worry features across diverse historical contexts.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100579"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900397","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":"Modulating prefrontal cortex activity to alleviate stress-induced working memory deficits: A transcranial direct current (tDCS) study","authors":"Sumit Roy ,&nbsp;Yan Fan ,&nbsp;Mohsen Mosayebi-Samani ,&nbsp;Maren Claus ,&nbsp;Fatemeh Yavari ,&nbsp;Thomas Kleinsorge ,&nbsp;Michael A. Nitsche","doi":"10.1016/j.ijchp.2025.100569","DOIUrl":"10.1016/j.ijchp.2025.100569","url":null,"abstract":"<div><div>This study explores the impact of stress on working memory (WM) performance, and the potential mitigating effects of transcranial direct current stimulation (tDCS) over the left dorsolateral prefrontal cortex (dlPFC) and ventromedial prefrontal cortex (vmPFC). The study had a mixed, randomized, single-blind, sham-controlled design, with stress induction as within-subject and stimulation condition as between-subject factors. We assessed stress-induced WM deficits using aversive video clips to induce stress and a verbal n-back task to assess WM performance. We analyzed physiological (cortisol and heart rate), behavioral, and electroencephalographic (EEG) changes due to stress before, during, and after WM task performance and their modulation by tDCS. Stress impaired WM performance in the sham stimulation condition for the 3-back load, but not for 2-back or 4-back loads in the WM task and was associated with elevated physiological stress markers. tDCS over the vmPFC led to better WM task performance while stimulation over the dlPFC did not. Active tDCS with both dlPFC and vmPFC stimulation blunted cortisol release in stress conditions compared to sham. The EEG analysis revealed potential mechanisms explaining the behavioral effects of vmPFC stimulation. vmPFC stimulation led to a decreased P200 event-related potential (ERP) component compared to the sham stimulation condition and resulted in higher task-related alpha desynchronization, indicating reduced distractions and better focus during task performance. This study thus shows that the vmPFC might be a potential target for mitigating the effects of stress on WM performance and contributes to the development of targeted interventions for stress-related cognitive impairments.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100569"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844420","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":"Symptom networks and working memory in schizophrenia: a multi-methodological cross-sectional study from phenotype to endophenotype","authors":"Peng Cheng ,&nbsp;Zhening Liu ,&nbsp;Feiwen Wang ,&nbsp;Jun Yang ,&nbsp;Fuping Sun ,&nbsp;Zebin Fan ,&nbsp;Jie Yang ,&nbsp;Lena Palaniyappan","doi":"10.1016/j.ijchp.2025.100577","DOIUrl":"10.1016/j.ijchp.2025.100577","url":null,"abstract":"<div><h3>Background</h3><div>A notable deficit in working memory (WM) is well established in schizophrenia. Nevertheless, the intricate relationship between various symptoms and WM impairment is still not fully understood. We use three distinct methodologies—symptom network analysis (SNA), Connectome-Based Predictive Modeling (CPM), and brain gene annotation enrichment analysis—to explore the connectome patterns that link WM deficits and symptoms, and their related gene expression.</div></div><div><h3>Methods</h3><div>255 patients with schizophrenia were recruited as two distinct samples. SNA was used to pinpoint the core psychiatric symptoms influenced by WM performance. CPM identified the subnetwork of the functional connectome that was recruited under the 2-back load of the N-back WM task, and predicted the severity of the SNA-based key symptoms. Gene annotation enrichment analysis explored the likely molecular biological processes underlying the symptom-predictive functional WM network.</div></div><div><h3>Results</h3><div>SNA revealed that disorganized attention (G11 of PANSS) is most closely linked to WM performance in schizophrenia. The WM-based connectome significantly predicted disorganized attention (<em>r</em> = 0.278, <em>p</em> = 0.001, permutation-<em>p</em> = 0.046), and this model was validated in the second dataset (<em>r</em> = 0.274, <em>p</em> = 0.014). The predictive network primarily involved the frontoparietal and frontolimbic networks. Gene enrichment analysis revealed a preferential role for cytoplasmic protein binding, indicating a potential molecular basis for the WM-related, symptom-predictive functional connectivity.</div></div><div><h3>Conclusions</h3><div>Impaired WM performance in schizophrenia relates to frontoparietal and frontolimbic connectivity and preferentially influences the severity of disorganized attention, a clinically observable phenomenon. The potential role of cytoplasmic protein binding in WM deficits and attentional disorganization in schizophrenia warrants further investigation.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100577"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895513","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":"Physical performance, health-related quality of life and sleepiness severity of an adult outpatient population with narcolepsy: A cross-sectional analysis","authors":"R. Tadrous ,&nbsp;D. O’ Rourke ,&nbsp;N. Murphy ,&nbsp;G. Quinn ,&nbsp;L. Slattery ,&nbsp;J. Broderick","doi":"10.1016/j.ijchp.2025.100573","DOIUrl":"10.1016/j.ijchp.2025.100573","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to profile and explore the correlation between health-related quality of life (HRQoL), sleepiness severity and physical performance in a sample of people with narcolepsy type 1 (NT1).</div></div><div><h3>Methods</h3><div>This cross-sectional study took place in a dedicated outpatient narcolepsy clinic. The following variables were evaluated: cardiopulmonary fitness, physical activity, muscle strength, muscle endurance, power. HRQoL was assessed using the Short Form-36 (SF-36) and the Functional Outcome of Sleep Questionnaire (FOSQ). Sleepiness Severity was measured by the Epworth Sleepiness Scale (ESS), and symptom severity was assessed using the Narcolepsy Severity Scale (NSS).</div></div><div><h3>Results</h3><div>A total of 22 participants (31.53 ± 13.17 years, 56.52 % female) completed the test battery. Physical performance was low across all measures. With the exception of accelerometery (54.17 % compliance), there was full compliance (100 %) with the test battery, indicating its feasibility for people with narcolepsy. Results showed that physical performance and HRQoL were markedly reduced compared to normative values in this sample of people with narcolepsy. Self-reported physical activity was associated with higher health-related quality of life (ρ = 0.41; <em>p</em> = 0.05), and greater moderate-vigorous physical activity was associated with higher physical wellbeing (ρ = 0.58; <em>p</em> = 0.04). Higher BMI was associated with significantly lower predicted VO₂ Max (0.001), and wall sit duration (<em>p</em> = 0.039).</div></div><div><h3>Conclusion</h3><div>The influence of physical performance on sleepiness severity and quality of life warrants further investigation, including the possible physical rehabilitation strategies to target physical performance deficits.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100573"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900395","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-paced breathing enhancing emotional control accompanied with the change of the ∼0.1 Hz heartbeat evoked EEG","authors":"Siwei Xiong ,&nbsp;Maoqin Peng ,&nbsp;Wei Zhao ,&nbsp;Junru Ren ,&nbsp;Dezhong Yao ,&nbsp;Yun Qin ,&nbsp;Tiejun Liu","doi":"10.1016/j.ijchp.2025.100571","DOIUrl":"10.1016/j.ijchp.2025.100571","url":null,"abstract":"<div><div>Cardiac interoception exhibits tight coupling with brain activity, deeply engaging in emotional behavior. However, the neural mechanisms underlying how heart activity influences brain emotional processing remain poorly understood. This study introduced the heartbeat oscillatory potential (HOP), a novel EEG-based index time-locked to ∼0.1 Hz heartbeat oscillations, and examined the change of HOP during 0.1 Hz slow-paced breathing (SPB). Resting-state data from 108 healthy adults revealed that HOP was involved in the frontal and parietal cortices. Data collected from 37 subjects showed that SPB increased HOP in a spatial- and phase-dependent manner, with increased HOP in the right prefrontal cortex around the peak of the ∼0.1 Hz heartbeat oscillations, mediated the association between the heartbeat oscillations and enhanced emotional control. These findings underscore the pivotal role of the right prefrontal cortex in linking cardiac interoception, providing insights into the benefits of SPB on emotional control from a heart-brain interaction perspective.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100571"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900394","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":"Lower functional connectivity state transitions during affective processing correlate with subsequent impairment in sustaining positive affect in subthreshold depression","authors":"Xiaoqi Song ,&nbsp;Lijing Niu ,&nbsp;Jonathan P. Roiser ,&nbsp;Xiayan Chen ,&nbsp;Zini Chen ,&nbsp;Haowei Dai ,&nbsp;Jiayuan Zhang ,&nbsp;Keyin Chen ,&nbsp;Delong Zhang ,&nbsp;Tatia M.C. Lee ,&nbsp;Ruibin Zhang","doi":"10.1016/j.ijchp.2025.100560","DOIUrl":"10.1016/j.ijchp.2025.100560","url":null,"abstract":"<div><h3>Background</h3><div>Diminished capacity for maintaining positive affect (PA) has been identified in subthreshold depression (StD). While recent studies have explored affective dynamics among StD, the relationship between early emotional processing impairments and the capacity to prolong PA remains uncertain. Furthermore, it is unclear how brain connectivity patterns observed in StD are associated with PA maintenance.</div></div><div><h3>Methods</h3><div>The experimental procedure comprised a baseline rs-fMRI scan, followed by a PA-inducing movie viewing task, and three further rs-fMRI sessions. Participants provided PA ratings following each session. PA maintenance was quantified through the slope of mood change between each session after movie viewing. We performed a dynamic functional connectivity analysis on movie viewing data, as well as a series of static functional connectivity (FC), analyses on data of all rs-fMRI sessions from 25 StD and 25 healthy controls (HC). Correlations between brain-related measures and slope of mood change were calculated.</div></div><div><h3>Results</h3><div>Individuals with StD exhibited reduced capacity in sustaining PA, reflected in a decrease in PA in the early maintenance stage. StD also had a lower number of transitions between four brain states during movie viewing, which was related to subsequent impairment in sustaining PA. In addition, StD had weaker static FC between left inferior frontal gyrus and right middle occipital gyrus during the first resting-state session following movie viewing, which in turn was related to a steeper decline in PA.</div></div><div><h3>Conclusions</h3><div>These results highlight the brain features driving PA dysregulation in StD and provide a potential avenue for the development of future interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 1","pages":"Article 100560"},"PeriodicalIF":5.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding 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}