International Journal of Clinical and Health Psychology最新文献

{"title":"Optimizing pediatric “Mild” traumatic brain injury assessments: A multi-domain random forest analysis of diagnosis and outcomes","authors":"Upasana Nathaniel ,&nbsp;Erik B. Erhardt ,&nbsp;Divyasree Sasi Kumar ,&nbsp;Jingshu Wu ,&nbsp;Samuel D. Miller ,&nbsp;Pawani Chauhan ,&nbsp;Rahsan Keskin ,&nbsp;Tracey V. Wick ,&nbsp;Keith Owen Yeates ,&nbsp;Timothy B. Meier ,&nbsp;Harm J. van der Horn ,&nbsp;John P. Phillips ,&nbsp;Richard A. Campbell ,&nbsp;Robert E. Sapien ,&nbsp;Andrew R. Mayer","doi":"10.1016/j.ijchp.2025.100600","DOIUrl":"10.1016/j.ijchp.2025.100600","url":null,"abstract":"<div><h3>Objective</h3><div>Despite advances in imaging and fluid-based biomarkers, the care for pediatric “mild” traumatic brain injury (pmTBI) remains primarily dependent on clinical evaluation. However, the optimal clinical assessments for diagnosing pmTBI and predicting outcomes remain debated, including which individual test or combinations of assessments are most effective, and how this evolves as a function of time post-injury.</div></div><div><h3>Method</h3><div>Random Forest models were used to identify the most effective assessments for diagnostic (pmTBI vs. healthy controls) and outcome (pmTBI with favorable vs. poor outcomes, based on persisting symptoms) classification accuracy across a comprehensive battery including domains of self-reported clinical-ratings, paper-and-pencil cognitive tests, computerized cognitive tests, symptom provocation during neurosensory tests, and performance-based neurosensory measures. Assessments were conducted within 11-days, at 4-months and 1-year post-injury to examine acute and long-term recovery trajectories. A total of 323 pmTBI (180 males; age 14.5 ± 2.8 years) and 244 HC (134 males, 14.0 ± 2.9 years) were included (∼75 % 1-year retention) in final analyses.</div></div><div><h3>Results</h3><div>Self-reported clinical-ratings outperformed performance-based metrics across all visits in both models, with somatic complaints demonstrating the highest predictive validity. Cognitive tests of memory aided diagnostic classification, while emotional disturbances were predictive of outcome classification up-to 4-months. Retrospective ratings, reflecting trait-like characteristics, were more predictive for identifying individuals at risk of poor outcomes. Computerized cognitive and neurosensory tests had limited predictive value beyond 1-week post-injury.</div></div><div><h3>Conclusions</h3><div>Clinicians should adopt a tailored approach for clinical assessments across different post-injury intervals to enhance clinical care, shorten assessment batteries, and better understand recovery in children with “mild” TBI.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100600"},"PeriodicalIF":5.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490887","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":"Psychological predictors of CPAP therapy adherence in obstructive sleep apnea patients: insights from the predisposing, precipitating, and perpetuating factors model","authors":"Valentina Poletti ,&nbsp;Elvia Battaglia ,&nbsp;Eleonora Volpato","doi":"10.1016/j.ijchp.2025.100602","DOIUrl":"10.1016/j.ijchp.2025.100602","url":null,"abstract":"<div><div>Continuous positive airway pressure is the standard treatment for obstructive sleep apnoea (OSA), a condition marked by recurrent interruptions in breathing during sleep that impairs quality of life. Despite its efficacy, adherence to continuous positive air pressure (CPAP) remains suboptimal and is influenced by various psychological and contextual factors.</div><div>This scoping review adopts the 3P model—predisposing, precipitating, and perpetuating factors—to identify key motivators and barriers impacting CPAP adherence in OSA patients. A systematic search of PubMed, PsycINFO, and Scopus identified 43 relevant studies. Inclusion criteria focused on peer-reviewed, full-text articles investigating psychological aspects influencing CPAP adherence in adults with OSA. Paediatric populations, non-English publications, and studies without an explicit focus on psychological variables were excluded.</div><div>Predisposing factors include psychological comorbidities, low health literacy, and misconceptions about OSA and CPAP. Perpetuating factors include ongoing psychological barriers, inadequate patient education, and suboptimal communication with healthcare providers. Precipitating factors include device-related anxiety, and perceived stigma.</div><div>In addition, motivators that support adherence have been identified, such as perceived improvements in quality of life, bed partners’ support, and tailored educational programmes highlighting the benefits of CPAP. Interventions such as cognitive behavioural therapy and psychological patient support show promise in improving adherence. Introducing a novel application of the 3P model, this scoping review underscores the complexity of psychological and behavioral determinants of CPAP adherence, highlighting the need of a multifaceted, patient-centered approach. Future research should evaluate the effectiveness of personalized interventions through longitudinal studies to assess their impact on treatment adherence and clinical outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100602"},"PeriodicalIF":5.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144471927","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":"Corrigendum to “Effects of mindfulness-based interventions on cognitive impairment in patients with cancer: A systematic review and meta-analysis” [Int J Clin Health Psychol. 2025 Apr-Jun;25(2):100576]","authors":"Shuqin Jiang ,&nbsp;Yaoyao Sun ,&nbsp;Lixiang Yu ,&nbsp;Xinjie Hu ,&nbsp;Jie Li","doi":"10.1016/j.ijchp.2025.100599","DOIUrl":"10.1016/j.ijchp.2025.100599","url":null,"abstract":"","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100599"},"PeriodicalIF":5.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365073","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":"Tired of war: Changes in the sleep of the Israeli civilian population in the wake of the Israel-Hamas war","authors":"Uri Zak ,&nbsp;Shoham Choshen-Hillel ,&nbsp;Hagit Hochner ,&nbsp;Alex Gileles-Hillel","doi":"10.1016/j.ijchp.2025.100596","DOIUrl":"10.1016/j.ijchp.2025.100596","url":null,"abstract":"<div><h3>Study Objectives</h3><div>War profoundly impacts various aspects of human life. The effects of war on sleep have been mainly studied among military personnel who are directly exposed to combat. The present work studies changes in sleep patterns of the civilian population following a war, assessing sleep before and during the 2023-2024 Israel–Hamas war.</div></div><div><h3>Methods</h3><div>Study 1 compared the national prevalence of insomnia before and during the war by analyzing data from the 2023 Israeli Central Bureau of Statistics survey (<em>N</em> = 6,474). Studies 2 and 3 comprehensively assessed reports on sleep before the war and 2-3 months into the war through validated tools, and also measured psychological distress and demographics. These studies included two independent samples (<em>N</em> = 1,706), one of which was representative of the Israeli population. Study 4 re-surveyed the representative sample of Study 3 six months into the war (<em>N</em> = 273).</div></div><div><h3>Results</h3><div>In Study 1, the incidence of insomnia symptoms rose markedly during the war. In Studies 2 and 3, participants reported a 19-22 % increase in the prevalence of short sleep (&lt; 6 hours/night), a 16-19 % increase in clinical insomnia, and a 4-5 % increase in sleep medication usage compared to before the war. In Study 4, 6 months into the war, the majority of sleep impairments persisted despite reduced psychological distress. Across studies, women and individuals with greater exposure to trauma were more strongly affected.</div></div><div><h3>Conclusions</h3><div>The findings of four studies demonstrate the detrimental effects of warfare on civilians’ sleep, indicating that these effects are likely long-lasting. The findings identify precursors for sleep problems and underscore the relationships between sleep, trauma, and psychological distress.</div><div><strong>Brief Summary</strong></div></div><div><h3>Current knowledge</h3><div>War is an event of profound magnitude that alters the lives of many. The effects of war on people’s sleep have been mainly studied among combat-exposed military personnel. How does war impact the sleep patterns of the civilian population?</div></div><div><h3>Study Impact</h3><div>This comprehensive population-based study, conducted in 2023-2024 before and during the Israel–Hamas war, found that the Israeli civilian population experienced increased clinical insomnia, a significant reduction in sleep duration, and greater use of sleep medications, accompanied by high levels of psychological distress. The effects on sleep persisted 6 months into the war. The sleep of women and individuals with greater exposure to trauma was particularly affected. These findings call for sleep-targeted interventions in the context of war-related trauma and psychological distress.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100596"},"PeriodicalIF":5.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290917","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":"Amplitude modulated gamma oscillations as electrophysiological markers for repetitive transcranial magnetic stimulation efficacy in treatment-resistant depression: a randomized sham-controlled study","authors":"Yi-Chun Tsai ,&nbsp;Cheng-Ta Li ,&nbsp;Wei-Kuang Liang ,&nbsp;Chih-Ming Cheng ,&nbsp;Jia-Shyun Jeng ,&nbsp;Chi-Hung Juan","doi":"10.1016/j.ijchp.2025.100593","DOIUrl":"10.1016/j.ijchp.2025.100593","url":null,"abstract":"<div><h3>Background</h3><div>Gamma oscillations play an important role in cognitive processes, including emotional processing in humans. Abnormal gamma oscillations may reflect certain psychiatric disorders, such as major depressive disorder (MDD). However, less attention has been paid to the role of gamma oscillations in treatment-resistant depression (TRD) and their association with the response to repetitive transcranial magnetic stimulation (rTMS).</div></div><div><h3>Methods</h3><div>A total of 61 TRD patients were recruited for a two-week rTMS treatment consisting of ten sessions. Clinical assessments and eyes-closed resting-state electroencephalogram (EEG) recordings were conducted before and after treatment. Participants were randomly assigned to one of three treatment groups: prolonged intermittent theta burst stimulation (piTBS), 10-Hz rTMS, or a Sham group. Adaptive nonlinear analysis using Holo–Hilbert spectral analysis (HHSA) was applied to extract nonlinear information from the EEG data.</div></div><div><h3>Results</h3><div>Gamma oscillations were found to be positively correlated with scores on the Hamilton Depression Rating Scale (HDRS-17). Additionally, changes in alpha-beta amplitude modulation (AM) modulated gamma oscillations were significantly larger in the Sham group compared to the two active stimulation groups. Furthermore, alpha-beta AM modulated gamma activity was significantly lower in responders compared to non-responders prior to rTMS treatment, irrespective of the specific rTMS protocol.</div></div><div><h3>Conclusions</h3><div>Gamma oscillations may serve as an electrophysiological marker for the severity of depression in TRD. Additionally, alpha-beta AM could represent a potential predictor of response to rTMS treatment, identifiable prior to the treatment.</div></div><div><h3>Clinical trials registry number</h3><div>UMIN000020892.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100593"},"PeriodicalIF":5.3,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290918","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 longitudinal impact of screen media activities on brain function, architecture and mental health in early adolescence","authors":"Na Dong ,&nbsp;Yanyao Zhou ,&nbsp;Letian Lei ,&nbsp;Tatia M.C. Lee ,&nbsp;Charlene L.M. Lam","doi":"10.1016/j.ijchp.2025.100589","DOIUrl":"10.1016/j.ijchp.2025.100589","url":null,"abstract":"<div><div>The increased use of screen media has raised unknown effects on mental health among adolescents. This study aimed to examine the correlational and causal association between screen media activity (SMA) and mental health problems, and the mediating role of brain functions and structures in this relationship.</div><div>Data from 4557 adolescents (mean age = 9.955 ± 0.164 years) in the Adolescent Brain Cognitive Development (ABCD) study were analysed across four time points: baseline, 1-year, 2-year, and 3-year follow-ups. Linear mixed models assessed SMA’s association with mental health indices and the brain's developmental pattern, respectively. Cross-lagged panel models examined the SMA-mental health problems’ longitudinal and causal relationship. Mediation analyses explored brain functions and structures as mediators on the SMA-mental health correlation.</div><div>Baseline SMA positively correlated with internalizing, externalizing, and stress problems; and negatively correlated with brain volume, area and diverse sets of resting-state functional connectivity (RSFC) after three years. Higher baseline SMA associated with increased internalizing (<em>β</em> = 0.030, <em>SE</em>= 0.012, <em>p_fdr</em> = 0.016), and stress problems (<em>β</em> = 0.026, <em>SE</em> = 0.012, <em>p_fdr</em> = 0.037) three years later. The RSFC between the cingulo-opercular network (CON) and the retrosplenial temporal network (RTN) mediated the effects of SMA on externalizing (<em>β</em> = 0.002, <em>p_fdr</em> = 0.042) and stress problems (<em>β</em> = -0.003, <em>p_fdr</em> = 0.022). TV watching predicted higher externalizing problems (β = 0.054, pfdr &lt; 0.001), while video watching predicted increased internalizing (β = 0.061, pfdr &lt; 0.001), externalizing (β = 0.033, pfdr = 0.035), and stress problems (β = 0.060, pfdr &lt; 0.001).</div><div>The findings indicate the negative impact of SMA, particularly TV and video watching, on adolescent mental health, mediated by changes in CON and RTN functional connectivity. Future research can explore the specific risks associated with video streaming and consider the role of emerging technologies such as virtual reality in SMA on adolescent mental health.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100589"},"PeriodicalIF":5.3,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279796","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":"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}