International Journal of Clinical and Health Psychology最新文献

{"title":"The co-evolution of social networks and health-related behaviors in university students: A two-year longitudinal network study","authors":"Rui Luo,&nbsp;Yongqiang Li,&nbsp;Jingyu Zhang,&nbsp;Jinming Liu,&nbsp;Chun Hao,&nbsp;Jinghua Li,&nbsp;Jing Gu","doi":"10.1016/j.ijchp.2026.100720","DOIUrl":"10.1016/j.ijchp.2026.100720","url":null,"abstract":"<div><div>Health-related behaviors adopted during emerging adulthood have important implications for long-term health trajectories. While homophily has been widely documented for substance use, less is known about whether behavioral similarity arises from contagion or selection across a broader range of health-related behaviors. Distinguishing between these mechanisms has direct implications for intervention design. We conducted a four-wave longitudinal sociocentric cohort study of undergraduate freshmen at two universities in Guangzhou, China (October 2022–July 2024). Eligible participants from five schools completed online surveys at baseline and three follow-up waves. Measures included physical activity, fruit and vegetable consumption, sleep quality, smoking, drinking, sugar-sweetened beverage (SSB) consumption, and video gaming. Friendship networks were assessed using roster-based nominations. Stochastic Actor-Oriented Models were used to examine the co-evolution of networks and behaviors and to estimate the relative contributions of contagion and selection processes. Parameter estimates were pooled across schools using meta-analytic procedures. The analytic sample included 609 students at baseline (mean age = 18.7 years; 65.2% female). Significant contagion effects were observed for physical activity, fruit consumption, sleep quality, smoking, drinking, and video gaming. In contrast, homophily in SSB consumption was primarily explained by selection processes. Overall, contagion accounted for a larger share of observed homophily than selection, with stronger effects for health-risk behaviors than for health-promoting behaviors. Mechanisms generating peer similarity vary by behavior. These findings suggest that mechanism-informed interventions, network diffusion strategies for influence-sensitive behaviors and structural or individual-level approaches for selection-driven behaviors, may help inform intervention design during the transition to university, although this study did not test network-based interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 3","pages":"Article 100720"},"PeriodicalIF":4.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148947919","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 acceptability and validity of a novel VR paradigm that simulates auditory hallucinations","authors":"Donagh Seaver O'Leary,&nbsp;Pat Mulvaney,&nbsp;Laura Moore,&nbsp;Lera O’Connor,&nbsp;Brendan Rooney,&nbsp;Keith Gaynor","doi":"10.1016/j.ijchp.2026.100694","DOIUrl":"10.1016/j.ijchp.2026.100694","url":null,"abstract":"<div><div>There is a growing use of Virtual Reality (VR) technologies in psychosis research and intervention. Validated VR simulations of psychotic-like experience have the potential to allow controlled manipulation of stimuli, reproducibility, and to isolate mechanisms of change in an ethical research framework. Although initial developments appear to be safe, qualitative reporting of participants’ experiences of VR simulated psychotic-like experiences is lacking. This paper proposes and demonstrates an ethically grounded framework for evaluating the acceptability and validity of an immersive VR experience that simulates auditory hallucinations (VR-sAH) based upon the prototypical content of auditory hallucinations described by people with lived experience. Sixty-eight non-clinical participants undertook an experimental trial involving VR-sAH. Validity of the VR-sAH was assessed by combined assessment of qualitative reports and psychophysiological responses. Non-acceptability was operationalised as drop-outs, indications of distress during the experiment, and self-reported Subjective Units of Distress post-experiment. Following the experiment, a subset of participants (n = 29) undertook semi-structured interviews guided by the Theoretical Framework of Acceptability. Results indicated that the VR-sAH produced a believable and affectively salient analogue of auditory hallucinatory experiences. Statistically significant reductions in heart rate variability validated participants’ self-reported embodied immersion in the VR-sAH. Semi-structured interviews and quantitative acceptability criteria indicated that the VR-sAH was an acceptable research tool. However, this sentiment was subject to important caveats to consider: including participants with psychosis and other mental health issues, and the importance of integrity and transparency on the part of the researcher team. Although VR-sAHs do not replicate the full phenomenology of clinical auditory hallucinations, they may provide ethically manageable and experimentally controllable analogues of perceptual and cognitive processes relevant to psychosis research, particularly during early-stage development in non-clinical populations.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100694"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178680","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":"Altered oculomotor signatures of emotional conflict and valence processing in late-life depression","authors":"Yu-Ming Wu,&nbsp;Yao-Tung Lee,&nbsp;Yi-Hsuan Chang,&nbsp;Li-Kai Huang,&nbsp;Kuan-Yu Chen,&nbsp;Chaowen Chen,&nbsp;Ta-Liang Chen,&nbsp;Chin-An Wang","doi":"10.1016/j.ijchp.2026.100711","DOIUrl":"10.1016/j.ijchp.2026.100711","url":null,"abstract":"<div><div>Late-life depression (LLD) is a heterogeneous neuropsychiatric condition characterized by affective, cognitive, and autonomic disturbances, underscoring the need for objective markers that index dysfunction in specific neural control systems. Microsaccades, small fixational eye movements generated through oculomotor circuitry that includes the superior colliculus, provide a temporally precise behavioral measure sensitive to arousal and cognitive control signals, yet their clinical relevance in LLD remains largely unexplored. In this study, we examined whether task-evoked microsaccade dynamics are altered in LLD during emotional conflict and valence processing using an emotional face–word Stroop task. Microsaccade rate and kinematic metrics were analyzed in 26 individuals with LLD and 27 healthy older adults (CTRL). Across groups, microsaccade rates were higher during emotionally incongruent compared with congruent trials, indicating sensitivity to emotional conflict, with a trend toward lower overall rates in LLD. During valence processing, microsaccade rates were higher for fearful than happy faces and were significantly lower in LLD than in CTRL participants. In contrast, microsaccade kinematics were largely preserved across groups. Exploratory inter-individual analyses identified nominal associations with somatic symptom burden and cognitive status, but none survived correction for multiple comparisons. An exploratory multivariate classification analysis combining microsaccade, pupil, eye-blink, and reaction time indices yielded chance-level differentiation between groups. Together, these findings indicate that microsaccade rate and kinematics are sensitive to emotional conflict and valence processing, with selective alterations in these dynamics in LLD, highlighting microsaccades as a potentially informative behavioral index of affective interference control in clinical aging.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100711"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148656902","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":"Navigating digital health: Development and validation of the online health information seeking scale (OHISS)","authors":"Gursheel Kaur,&nbsp;Dinesh Chhabra","doi":"10.1016/j.ijchp.2026.100703","DOIUrl":"10.1016/j.ijchp.2026.100703","url":null,"abstract":"<div><div>The increasing reliance on online platforms for health information establishes the need to understand people’s engagement and attitude towards Online Health Information Seeking (OHIS). The current study aims to develop and validate a comprehensive multidimensional Online Health Information Seeking Scale (OHISS). Items were generated using both inductive and deductive approaches, followed by multiple content and face validity screenings that incorporated qualitative and quantitative evaluations. Data were collected in two stages: Study 1 (N=364) for item development and identifying the preliminary factor structure using Exploratory Factor Analysis (EFA) and Study 2 (N=236) for validating the obtained factor structure using Confirmatory Factor Analysis (CFA). Following the descriptive analysis, EFA using Promax rotation yielded a 20-item scale comprising three dimensions: Perceived Benefits and Engagement (11 items), Perceived Risks (6 items), and Social Influences on OHIS (3 items), collectively accounting for 51.1% of the total variance. This three-factor structure was subsequently confirmed through CFA with DWLS estimator (χ²(167)=271.55, χ²/df=1.63, CFI=0.986, TLI=0.984, RMSEA=0.052, SRMR=0.071, and GFI=0.978). The scale has good internal consistency as demonstrated by Cronbach's alpha (α=.833), McDonald's omega (⍵=.824), Spearman brown split-half (r_xx=.886), Guttman's lambda (λ=.885) and test-retest (ICC_2,1=.728) coefficient. Construct validity was supported by significant correlations with the Attitude towards Online Health Information and Information-Seeking subscales, as well as Average Variance explained, Composite Reliability, and the Heterotrait-Monotrait Ratio. The scale demonstrated measurement invariance across male and female groups. The results conclude that the OHISS is a psychometrically standardized measure. The OHISS may be used by health practitioners to assess individuals’ attitudes toward online health information, identify barriers in accessing digital health content, and support both health-related communication and research.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100703"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altered pain-related attention engagement in individuals with chronic musculoskeletal pain: Evidence from EM-ERP","authors":"Zhou Yang,&nbsp;Jiehong Liao,&nbsp;Xingyu Zhang,&nbsp;Yong Liu,&nbsp;Xing Kang,&nbsp;Todd Jackson","doi":"10.1016/j.ijchp.2026.100717","DOIUrl":"10.1016/j.ijchp.2026.100717","url":null,"abstract":"<div><h3>Objectives</h3><div>We investigated neurocognitive mechanisms of pain-related attentional control in individuals with chronic musculoskeletal pain.</div></div><div><h3>Methods</h3><div>By simultaneously recording eye movements and event-related potentials (ERPs), we examined pain-related attentional control in a sample with chronic musculoskeletal pain (N = 26) and a matched pain-free control group (N = 26). Using an adapted go/no-go paradigm, the go condition required participants to focus on pain or neutral images to measure attention engagement while the no-go condition required inhibiting attention toward these images to measure attention inhibition.</div></div><div><h3>Results</h3><div>In the go condition, participants with chronic musculoskeletal pain exhibited shorter first fixation latencies and longer dwell times on pain images than neutral images, indicating enhanced attentional vigilance and maintained attention engagement. These behavioral effects were fully mediated by enhanced pain image-evoked N2 amplitude biases and partially mediated by pain image-evoked P3 amplitude biases, respectively. N2 amplitudes reflected initial top-down attentional capture, and P3 amplitudes reflected maintained attention engagement regulation. No differences in eye movements or ERPs were observed during the no-go condition in either group.</div></div><div><h3>Discussion</h3><div>People with chronic musculoskeletal pain display enhanced pain-related attention engagement that suggests pain-related attention control deficits. Future research that aims to improve pain-related attentional control by targeting maladaptive patterns of attention engagement may lead to better chronic pain outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100717"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148843424","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":"Challenges and needs among pediatric oncology providers in caring for pediatric brain tumor patients and survivors: A qualitative study","authors":"Clara Lefebvre ,&nbsp;Géraldine Gazzo ,&nbsp;Anne-Sophie Defachelles ,&nbsp;Cléa El Hakim ,&nbsp;Malika Mezloy-Destracque ,&nbsp;Leandra Desjardins ,&nbsp;Natacha Entz-Werlé ,&nbsp;Sandra Raimbault ,&nbsp;William Gehin ,&nbsp;Kristopher Lamore","doi":"10.1016/j.ijchp.2026.100698","DOIUrl":"10.1016/j.ijchp.2026.100698","url":null,"abstract":"<div><h3>Context</h3><div>Children with pediatric brain tumors (PBT) follow a unique clinical course as diverse morbidities may emerge during treatment and may even persist into survivorship. Effectively addressing their needs requires joined efforts from various providers in order to provide optimal support.</div></div><div><h3>Aims</h3><div>To investigate the challenges and needs of providers working in pediatric oncology with PBT patients and survivors.</div></div><div><h3>Method</h3><div>Providers with experience working with PBT patients were recruited throughout France to participate in a semi-structured interview. Data were analyzed following a reflexive thematic analysis method.</div></div><div><h3>Results</h3><div>48 providers were interviewed, with a total of 46 participants included in the final study. Main challenges and needs were identified through 6 themes addressing the strained care environment, the triangular relationship with patients and their family, the complex needs of PBT patients, the emotional burden of care, the long journey of the care pathway, and coordination aspects. Main challenges encompassed poor communication among care teams, as well as patient-provider communication. Repeatedly facing poor prognoses and end-of-life situations were also identified as emotional challenges by providers. Participants also mentioned the necessity to decrease administrative task load, to increase the development of multidisciplinary care, and that training regarding specific PBT care needs is essential for providing optimal care.</div></div><div><h3>Conclusion</h3><div>Pediatric neuro-oncology represents a unique and emotionally demanding field. Despite persistent communication and coordination challenges, findings highlight the critical importance of dedicated, well-coordinated multidisciplinary teams and long-term follow-up care to meet the complex needs of PBT patients and their families<em>.</em></div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100698"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178678","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":"Dyadic coping in couples experiencing mild cognitive impairment","authors":"Chase Virta-Steel ,&nbsp;Lucille J Carriere ,&nbsp;Dona EC Locke ,&nbsp;Anne L. Shandera-Ochsner ,&nbsp;Andrea Cuc ,&nbsp;Melanie J. Chandler","doi":"10.1016/j.ijchp.2026.100696","DOIUrl":"10.1016/j.ijchp.2026.100696","url":null,"abstract":"<div><h3>Background</h3><div>The diagnosis of Mild Cognitive Impairment (MCI) can create stress for patients and their care partners (dyads). This study aimed to understand how dyadic coping (DC; how well couples feel they cope together in the face of a stressor) is related to the psychological health and overall well-being of couples coping with an MCI diagnosis. Additionally, this study attempted to characterize the impact of the HABIT Healthy Action to Benefit Independence &amp; Thinking® program as a novel approach for improving DC.</div></div><div><h3>Methods</h3><div>We analyzed DC in 213 people with MCI (pwMCI) and 205 care partners using the Dyadic Coping Inventory (Bodenmann, 2005). We compared DC scores to outcome measures of psychological health and well-being. We also analyzed DC in a subset of 135 pwMCI and 138 care partners with 3-month post HABIT DC scores to look for evidence of change.</div></div><div><h3>Results</h3><div>pwMCI and care partner DC significantly affected their own perception of emotional functioning on other measures [quality of life (QoL) and mood for pwMCI and QoL, mood, anxiety, and sense of burden for care partners]. pwMCI DC also predicted care partner anxiety. In all cases, better DC predicted better emotional functioning. Care partner DC was also found to significantly relate to how they rated the pwMCI’s cognitive and daily functioning as well as the pwMCI’s adherence with a cognitive rehabilitation intervention. pwMCI and care partners with low baseline DC showed an increase in DC scores after completing HABIT, as did pwMCI in the medium baseline DC group. Care partners with medium baseline DC did not experience change post HABIT. High copers in both the pwMCI and care partner groups experienced a decline in DC, although scores remained average to above average.</div></div><div><h3>Conclusion</h3><div>These results suggest that DC is an important part of a couple’s psychological health and well-being in MCI. Care partner DC may be particularly important in how partners rate their loved one’s cognitive and functional status and how they respond to cognitive rehabilitation intervention. The HABIT program may also represent a novel way to improve DC for low and medium coping couples.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100696"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178679","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":"Emotion dysregulation as a pathway linking adversity and temperament to general psychopathology in childhood","authors":"Maria Àngels Ollers-Adrover,&nbsp;Alejandro de la Torre-Luque,&nbsp;Núria González-Bennasar,&nbsp;Raül López-Penadés,&nbsp;Alfonso Morillas-Romero,&nbsp;Jordi Llabrés,&nbsp;Maria Balle","doi":"10.1016/j.ijchp.2026.100702","DOIUrl":"10.1016/j.ijchp.2026.100702","url":null,"abstract":"<div><div>The general psychopathology factor (<em>p</em> factor) reflects a common liability underlying a broad range of emotional and behavioural problems in childhood. Although adverse childhood experiences (ACEs) and temperament are established vulnerability dimensions, the mechanisms through which contextual and dispositional influences converge on general psychopathology remain unclear. Emotion regulation may represent a key transdiagnostic process linking early vulnerability to broad psychopathological risk.</div><div>In a community sample of 241 children aged 6–12 years (57.7% girls), a path model examined associations among cumulative ACEs, temperament dimensions (negative affectivity, effortful control, behavioural inhibition, and surgency), emotion regulation processes (emotional lability and adaptive regulation), and the <em>p</em> factor. The model was estimated using WLSMV and adjusted for age and sex.</div><div>The model explained 45% of the variance in the <em>p</em> factor. Emotion dysregulation was positively associated with general psychopathology (β = 0.510, <em>p</em> &lt; .001), whereas adaptive regulation was not significant. ACEs (β = 0.201, <em>p</em> &lt; .001), behavioural inhibition (β = 0.152, <em>p</em> = .003), and surgency (β = −.100, <em>p</em> = .023) showed direct associations with the <em>p</em> factor. Significant indirect effects through emotional lability were observed for adversity, negative affectivity, effortful control, behavioural inhibition, and surgency.</div><div>Emotion dysregulation emerged as a key intermediary process linking adversity and temperament with broad psychopathology in middle childhood. These findings highlight emotion dysregulation as a clinically relevant transdiagnostic target that may help identify children vulnerable to broad psychopathology and guide early preventive interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100702"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13320033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371497","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":"Differential P3 reactivity to pornographic versus natural rewards as a neural marker of reward imbalance in problematic pornography use in young heterosexual men","authors":"Yuanyuan Liu,&nbsp;Siying Zhong,&nbsp;Jianfeng Wang","doi":"10.1016/j.ijchp.2026.100710","DOIUrl":"10.1016/j.ijchp.2026.100710","url":null,"abstract":"<div><div>Problematic pornography use (PPU) has been increasingly recognized as a behavioral addiction involving aberrant reward processing. However, few studies have examined reward imbalance—the co-occurrence of heightened reactivity to pornographic cues and reduced responsiveness to natural rewards—as a putative mechanism underlying PPU. The present study investigated whether the differential P3 component (ΔP3; pornographic minus natural reward P3) could serve as a neural index of individual differences in PPU risk in a sample of young heterosexual men. A total of 139 participants (aged 18–25 years, <em>M</em> = 20.54, <em>SD</em> = 1.53) completed an ERP oddball task and questionnaires assessing both pornography use and PPU symptoms. Results showed that ΔP3 was positively associated with both pornography use and PPU severity and demonstrated moderate discriminative performance in distinguishing high- versus low-risk participants (AUC = 0.71). In contrast, pornographic reward P3 (PR-P3) and natural reward P3 (NR-P3) alone showed weak and non-significant associations with outcome measures. These findings suggest that reward dysregulation indexed by ΔP3 may reflect a neural signature of altered reward processing in PPU, providing preliminary support for reward imbalance models of addictive behaviors. More broadly, the results highlight the potential value of comparative neural indices over single-cue reactivity measures in characterizing individual differences in PPU.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100710"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641225","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":"Synergising latent profile analysis and network analysis to elucidate the relationships among emotion dysregulation, post-traumatic stress disorder, dissociation, psychosis, and affective symptoms in individuals with trauma and severe mental illness","authors":"Jianlin Liu,&nbsp;Celeste Minn Tan,&nbsp;Adela-Maria Isvoranu,&nbsp;Sacha Epskamp,&nbsp;Yoke Boon Tan,&nbsp;Rachel Hsiao Shen Tan,&nbsp;Sherilyn Shi Hui Chang,&nbsp;Vanessa Ai Ling Seet,&nbsp;Phern Chern Tor,&nbsp;Yu Wei Lee,&nbsp;Charmaine Tang,&nbsp;Nisha Chandwani,&nbsp;Swapna Verma,&nbsp;Mythily Subramaniam","doi":"10.1016/j.ijchp.2026.100714","DOIUrl":"10.1016/j.ijchp.2026.100714","url":null,"abstract":"<div><h3>Background</h3><div>Trauma exposure and emotion dysregulation are transdiagnostic risk factors for post-traumatic stress disorder (PTSD) and severe mental disorders (e.g., depression, and schizophrenia spectrum disorders). The present study elucidated the latent profiles and interrelationships between emotion dysregulation and psychopathology (PTSD, dissociation, psychosis, and affective symptoms) in a trauma-exposed severe mental illness population.</div></div><div><h3>Methods</h3><div>We recruited a large sample of trauma-exposed outpatients with mood disorders and schizophrenia spectrum disorders in Singapore (N = 461; M<em>_age</em> = 35.47). PTSD and dissociation were assessed with the Clinician Administered PTSD Scale for DSM-5. Psychosis and affective symptoms were assessed with the Brief Psychiatric Rating Scale-Expanded. Emotion regulation ability deficits were assessed with the Difficulties with Emotion Regulation Scale. Maladaptive emotion regulation strategies were assessed with the Ruminative Response Scale (rumination), Penn State Worry Questionnaire (worry), and Emotion Regulation Questionnaire (expressive suppression).</div></div><div><h3>Results</h3><div>Latent profile analysis identified three distinct risk profiles: severe emotion dysregulation and psychopathology (Profile 3; 19.1 %), moderate emotion dysregulation and psychopathology (Profile 2; 37.5 %), and low emotion dysregulation and psychopathology (Profile 1; 43.4 %). Network analysis identified distinct emotion dysregulation and psychopathology networks for each latent profile. Profile 3 had the highest network density and the strongest bridge connections between emotion dysregulation (poor emotional clarity) and psychopathology (PTSD symptoms of negative alterations in cognitions and mood and positive psychotic symptoms).</div></div><div><h3>Conclusions</h3><div>We synergised both latent profile analysis and network analysis to identify subgroups of at-risk patients and elucidate interrelationships between emotion dysregulation and psychopathology within each subgroup to inform personalized assessments and interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 2","pages":"Article 100714"},"PeriodicalIF":4.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148843425","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}