International Journal of Clinical and Health Psychology最新文献

{"title":"Comparative efficacy of tDCS and tACS in the context of enhancing executive function under acute stress: A randomized, sham-controlled study","authors":"Zhihua Guo ,&nbsp;Liu Yang ,&nbsp;Yushan Li ,&nbsp;Hongliang Lu ,&nbsp;Rui Qiu ,&nbsp;Xia Zhu","doi":"10.1016/j.ijchp.2026.100669","DOIUrl":"10.1016/j.ijchp.2026.100669","url":null,"abstract":"<div><h3>Background</h3><div>Acute stress impairs executive function and prefrontal cortex (PFC) activity. Transcranial electrical stimulation (tES) is a promising approach to the task of mitigating these deficits. This study directly compared the efficacy of two tES techniques—transcranial direct (tDCS) and alternating current (tACS) stimulation—targeting the left dorsolateral PFC (DLPFC) in terms of protecting executive functions under stress and potential neural mechanisms.</div></div><div><h3>Methods</h3><div>In a randomized, participant-blinded, sham-controlled study, 110 healthy male undergraduates (18–25 years) received active tDCS, tACS, or sham stimulation before stress induction via the Trier Social Stress Test for Groups. Executive function was assessed using 3-back, Go/no-go, Stroop, and task-switching paradigms, and prefrontal hemodynamics were recorded with functional near-infrared spectroscopy (fNIRS).</div></div><div><h3>Results</h3><div>Stress induction was successfully maintained throughout the testing period. Compared with both the tACS and sham groups, the tDCS group exhibited greater working memory (3-back) accuracy. Compared with the sham group, both tES groups exhibited enhanced response inhibition (Go/no-go). Neuroimaging revealed lower left DLPFC activation during the 3-back, Go/no-go, and Stroop tasks in the tES groups, in which context tDCS was characterized by the lowest activation during cognitive inhibition. During task switching, both tES groups exhibited elevated activation in the right pre-supplementary motor area.</div></div><div><h3>Conclusions</h3><div>Both tDCS and tACS enhance performance in specific executive domains (working memory and response inhibition) under acute stress and demonstrate a pattern of lower prefrontal activation, consistent with the concept of improved neural efficiency. Among them, tDCS offers superior benefits. These findings establish a foundation for efforts to optimize tES-based interventions to support cognitive resilience in real-world acute-stress settings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 1","pages":"Article 100669"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286732","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":"Predictors of hope and despair: Resilience, coping indicators, and demographic characteristics – A longitudinal study","authors":"Hadas Marciano ,&nbsp;Shaul Kimhi ,&nbsp;Yohanan Eshel ,&nbsp;Bruria Adini","doi":"10.1016/j.ijchp.2026.100679","DOIUrl":"10.1016/j.ijchp.2026.100679","url":null,"abstract":"<div><div>Hope and despair are often conceptualized as opposing emotional responses following adversity. While traditionally considered as mutually exclusive, contemporary theoretical frameworks and qualitative research suggest that these emotions may coexist or fluctuate over time. This study examines the relationship between hope and despair in the context of protracted war, exploring their connection with three types of resilience, negative coping factors such as distress, sense of danger, and perceived threats, as well as demographic variables, using quantitative methods. The study is a correlational research based on an internet panel sample of 745 Hebrew-speaking adults in Israel, surveyed at two time points during the ongoing war between Israel and Gaza, with data collected in December 2024 and June 2025. A range of established scales was used to assess the various variables. The findings showed that hope and despair predicted each other only in the first measurement, and, contrary to the assumption that they are opposites, both emotions increased simultaneously from the first to the second measurement. Furthermore, they were predicted by different factors: resilience, particularly societal, individual, and community resilience, predicted hope, while negative coping factors, such as distress symptoms, sense of danger, and perceived threats, predicted despair. These findings suggest that hope and despair are not merely opposites, but rather distinct emotions influenced by different underlying factors. The results underscore the need for further research on the interplay between these emotions and highlight the importance of understanding the mechanisms influencing them in extreme contexts to inform therapeutic and resilience-building interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 1","pages":"Article 100679"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147612357","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":"Attention-based multi-feature fusion neuromarker for EEG-driven stress classification in learners","authors":"Saliha Ejaz ,&nbsp;Soyiba Javed ,&nbsp;Imran Shafi ,&nbsp;Jamil Ahmad ,&nbsp;Samuel Allende Monje ,&nbsp;Josep Alemany-Iturriaga ,&nbsp;Jin-Ghoo Choi ,&nbsp;Imran Ashraf","doi":"10.1016/j.ijchp.2026.100678","DOIUrl":"10.1016/j.ijchp.2026.100678","url":null,"abstract":"<div><div>With the growing academic pressure and competitive educational environment, students often face mental stress, which can affect their academic performance and mental health. Its accurate and timely detection and prevention is important. Traditionally, mental stress has been reported by self-assessment, which is highly subjective and can be erroneous. With advances in neuroscience, electroencephalogram (EEG) signals have been used to study brain states more objectively. EEG-based features, including time-domain, frequency-domain, and various types of connectivity features, have been used to effectively classify stress signals. However, these individual features are only able to present one aspect of the brain under stress. Several studies have combined a distinct set of features extracted from EEG signals, including time and frequency domain features, with other peripheral signals. Stress is a complex mechanism which leads to alternation in brain dynamics, its connectivity patterns and information flow. This study proposed a feature-fusion model that can effectively combine spatial features, i.e. Microstates (MS), connectivity features like Transfer Entropy (TE) and Granger Causality (GC), which provided a new neuromarker for stress classification. These features are combined with attention fusion, which enhances the discriminant features and mitigates the individual limitations within each modality. We also extracted microstates for stress-based signals. It provided a new set of microstate topomaps to study brain networks when under stress, which was not explored previously. The proposed Attention-fusion based multi-feature set is classified using Support Vector Machine, Linear Discriminant Analysis (LDA) and Multilayer Perceptron (MLP) and gave a reliable accuracy of 95.47%, 98.91%, and 83.49%, respectively. To validate the proposed method, the classification results were compared with individual and binary fusion of MS, TE and GC features, which further confirmed the robustness of the framework. This proposed feature fusion provides a more robust stress classification neuromarker, which can effectively cover the brain dynamics for accurate reporting of the underlying mental state.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"26 1","pages":"Article 100678"},"PeriodicalIF":4.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147612358","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":"Optimism, sleep quality, physical activity, and cancer-related cognitive impairment in middle-to-older aged patients undergoing breast cancer treatment","authors":"Jenna L. Hansen ,&nbsp;Rachel Plotke ,&nbsp;Millan R. Kanaya ,&nbsp;Sarah N. Webster ,&nbsp;Paula J. Popok ,&nbsp;Emily A. Walsh ,&nbsp;Molly Ream ,&nbsp;Mason J. Krueger ,&nbsp;Estefany Saez-Clarke ,&nbsp;Dolores M. Perdomo ,&nbsp;Daniela Frasca ,&nbsp;Susan B. Kesmodel ,&nbsp;Bonnie B. Blomberg ,&nbsp;Michael H. Antoni","doi":"10.1016/j.ijchp.2025.100626","DOIUrl":"10.1016/j.ijchp.2025.100626","url":null,"abstract":"<div><h3>Background</h3><div>Patients with breast cancer (BC) are at risk for cancer-related cognitive impairment (CRCI) due to BC-related stress and cancer treatment. Optimism and positive health behaviors may mitigate CRCI. This study examined relationships between optimism, health behaviors (sleep quality and physical activity) and CRCI in BC patients during the post-surgical period and whether optimism and health behaviors interacted in this relationship.</div></div><div><h3>Methods</h3><div>Women with recently diagnosed BC enrolled in a stress management trial following BC surgery. At baseline, participants completed questionnaires that measured CRCI, optimism, sleep quality, and physical activity.</div></div><div><h3>Results</h3><div>79 patients were enrolled (<em>M</em> = 61 years; range=50–85). Multiple regression models controlling for patient age, stage, surgery type, body mass index, and comorbidities revealed that optimism was associated with fewer perceived cognitive impairments (<em>β</em>=0.32, <em>p</em>=.01) and greater perceived cognitive abilities (<em>β</em>=0.38, <em>p</em>=.001). Poorer sleep quality was associated with poorer perceived cognitive abilities (<em>β</em> =-0.37, <em>p</em>=.01) and greater impact of cognitive impairments on quality of life (<em>β</em>=-0.39, <em>p</em>=.01). Moderation models revealed an interaction between optimism and sleep quality on perceived cognitive impairments (<em>β</em>=2.06, <em>p</em>=.02), such that among those low in optimism, poorer sleep quality was associated with greater perceived cognitive impairments (<em>b</em>=-2.42, <em>p</em>=.01) but not among those with high optimism (<em>p</em>=.46). No other models were statistically significant.</div></div><div><h3>Conclusions</h3><div>Results suggest that optimism and sleep quality may be associated with better cognitive function in BC patients in the post-surgical period. Interventions that improve optimistic expectancies and sleep quality may help to mitigate CRCI in mid-to-older BC patients initiating treatment.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100626"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145120263","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":"Machine learning prediction of suicide attempt counts in Poland: Insights from Google trends and historical data","authors":"Michał Walaszek ,&nbsp;Zofia Kachlik ,&nbsp;Wojciech Nazar ,&nbsp;Monika Sokołowska ,&nbsp;Aleksander Karbiak ,&nbsp;Eliza Pilarska ,&nbsp;Przemysław Waszak ,&nbsp;Wiesław Jerzy Cubała","doi":"10.1016/j.ijchp.2025.100644","DOIUrl":"10.1016/j.ijchp.2025.100644","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidality is a complex, multifaceted issue with significant biopsychosocial causes, ranking as a major cause of death in developed nations. This study aims to leverage machine learning (ML) to predict monthly suicide counts in Poland using Google Trends data, contributing to ongoing efforts to improve public health strategies.</div></div><div><h3>Methods</h3><div>Using data from the Polish National Police (2013–2023), monthly suicide attempt counts were analysed alongside relative search volumes (RSVs) of 40 suicide-related and mental health terms. Pearson Correlation Coefficient (PCC) identified the strongest predictors. Four ML models: Linear Regression, Random Forest, Support Vector Regression (SVR), and XGBoost Regression were tested, with PCC and error metrics guiding model selection.</div></div><div><h3>Results</h3><div>Results showed that 16 terms were the best predictors for the general population and 13 for the adult cohort. Random Forest Regression outperformed the other models, achieving a PCC of 0.909 and a mean absolute percentage error (MAPE) of 6.78% for the general population, compared to SVR's PCC of 0.644 and 14.8% MAPE. For the adult cohort, Random Forest yielded a PCC of 0.853 and MAPE of 7.21%, again outperforming SVR. Key predictors included <em>anxiety disorders</em> and <em>psychiatrist</em> terms for the general population, with also <em>social isolation</em> being significant for adults.</div></div><div><h3>Conclusions</h3><div>This study presents one of the first ML approaches to predicting suicide attempts at national level, highlighting the utility of Google Trends data. Further research with higher-resolution data is recommended to refine predictive models and enhance suicide prevention strategies.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100644"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145322028","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":"Social support moderates the impact of neighborhood disadvantage on serum cortisol levels in post-surgical breast cancer patients","authors":"Alexandra E. Hernandez ,&nbsp;Ibane Aizpurua-Perez ,&nbsp;Peter A. Borowsky ,&nbsp;Molly Ream ,&nbsp;Chloe J. Taub ,&nbsp;Millan R. Kanaya ,&nbsp;Rachel L. Plotke ,&nbsp;Bonnie Blomberg ,&nbsp;Michael H. Antoni ,&nbsp;Neha Goel","doi":"10.1016/j.ijchp.2025.100637","DOIUrl":"10.1016/j.ijchp.2025.100637","url":null,"abstract":"<div><h3>Introduction</h3><div>Neighborhood disadvantage generates chronic adversity and negatively impacts breast cancer (BCa) survival. Greater social support may correspond with less adversity in BCa patients via physiological stress mechanisms. We evaluated the association between neighborhood disadvantage and serum cortisol, a physiologic marker of stress, and whether social support moderates this relationship in BCa patients.</div></div><div><h3>Methods</h3><div>Women diagnosed with stage 0-III BCa post-surgery and before adjuvant treatment provided a late afternoon-evening serum cortisol sample and completed the Social Provisions Scale (SPS). Area Deprivation Index (ADI), a validated measure of neighborhood disadvantage, was determined using home addresses. Multivariable regression tested the relationship between SPS scores, ADI, and cortisol controlling for age, surgery type, and receptor status.</div></div><div><h3>Results</h3><div>Of 178 participants, 24.7 % lived in disadvantaged neighborhoods (ADI 4 -10). High ADI (4–10) predicted greater cortisol (<em>B</em> = 0.417, 95 % CI [0.35, 0.800], <em>p</em> = 0.033). There was a significant interaction effect between ADI and SPS on cortisol levels (<em>B</em>= -1.776, 95 % CI [-2.974, -0.559], <em>p</em> = 0.004). Simple slope test showed the conditional effect of ADI on cortisol was statistically significant at low (<em>M</em> = 0.23; <em>p</em> &lt; 0.001) and middle (<em>M</em> = 0.51; <em>p</em> &lt; 0.05) but not high (<em>M</em> = 0.80; <em>p</em> = 0.901) SPS levels.</div></div><div><h3>Conclusion</h3><div>Social support moderates the relationship between neighborhood disadvantage and serum cortisol levels in women with BCa undergoing treatment. While the neighborhood may generate elevated stress, social support is a modifiable element that may be protective. Secondary analyses indicated that perceiving higher levels of social attachment may confer this protective effect, suggesting future targets for interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100637"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325498","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":"Virtual reality eye movement training for neglect rehabilitation","authors":"Julia Belger ,&nbsp;Lisa Patricia Peters ,&nbsp;Jorik Jakober ,&nbsp;Sebastian Wagner ,&nbsp;Bernhard Preim ,&nbsp;Arno Villringer ,&nbsp;Angelika Thöne-Otto","doi":"10.1016/j.ijchp.2025.100630","DOIUrl":"10.1016/j.ijchp.2025.100630","url":null,"abstract":"<div><h3>Background</h3><div>Smooth pursuit training (SPT) is recognized as an effective intervention for spatial neglect by guiding patients’ attention toward the contralesional hemifield through repetitive tracking of moving visual stimuli. However, traditional SPT approaches lack standardized, real-time feedback on gaze and head position and patient motivation, limiting therapists' ability to monitor attention and patients' engagement effectively. Combining immersive virtual reality (VR) with eye tracking may overcome these limitations by providing immediate automated feedback, enhancing therapeutic outcomes and being associated with increased awareness of deficits.</div></div><div><h3>Methods</h3><div>We developed and evaluated an immersive Virtual Reality Eye Movement Training (VR-EMT) paradigm integrating eye tracking and real-time automated feedback on gaze and head orientation. Twelve chronic post-stroke patients with left-sided neglect completed 10 VR-EMT sessions (each lasting 18 min). We assessed performance in a spatially lateralized object transport task, head rotation behavior, gaze distribution, usability, and patient preferences in comparison to traditional SPT.</div></div><div><h3>Results</h3><div>VR-EMT was independently executable and highly accepted by patients. Real-time feedback improved patients' head orientation awareness and adjustments. Task accuracy decreased with increasing task difficulty, indicating effective demand modulation. A persistent ipsilesional gaze bias was found during breaks. Patients preferred VR-EMT over traditional SPT due to enhanced feedback, motivation, and challenge. Cybersickness was minimal and did not impair performance.</div></div><div><h3>Conclusions</h3><div>This feasibility study demonstrated that VR-EMT integrating eye tracking and immediate feedback is technically feasible, clinically applicable, well-accepted, and subjectively preferred over traditional methods in chronic post-stroke neglect patients. Eye tracking functioned reliably, even as the sole interaction modality. Real-time feedback facilitated rapid behavioral adjustments, highlighting the potential for individualized interventions and remote application. Future studies should evaluate clinical efficacy and the benefits of eye-tracking-based attentional assessment.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100630"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325957","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":"“It’s just crucial to deal with emotions as well as the pain” A qualitative acceptability study of an online emotion regulation skills-focused intervention for people with chronic pain","authors":"Nell Norman-Nott ,&nbsp;Rodrigo R.N. Rizzo ,&nbsp;Negin Hesam-Shariati ,&nbsp;Jessica Schroeder ,&nbsp;Jina Suh ,&nbsp;James H. McAuley ,&nbsp;Yann Quidé ,&nbsp;Sylvia M. Gustin","doi":"10.1016/j.ijchp.2025.100638","DOIUrl":"10.1016/j.ijchp.2025.100638","url":null,"abstract":"<div><h3>Objectives</h3><div>Psychological interventions for people with chronic pain increasingly target emotion dysregulation as a contributing factor in psychological comorbidity and pain intensity. The acceptability of these interventions remains uncertain. This qualitative study examined the acceptability of internet-delivered dialectical behavioural therapy for chronic pain (iDBT-Pain), an emotion regulation skills-focused (ERSF) intervention aimed at enhancing emotion dysregulation. iDBT-Pain integrates DBT skills training, and pain science education, in a hybrid guided and self-directed online format.</div></div><div><h3>Methods</h3><div>We conducted 18 semi-structured interviews with participants enrolled in a Randomised Controlled trial which showed iDBT-Pain significantly improves emotion dysregulation, depression symptoms and pain intensity. Interviews were recorded, transcribed, and deductively analysed according to a theoretical framework of acceptability.</div></div><div><h3>Results</h3><div>Participants perspectives supported the integration of emotion regulation skills within holistic chronic pain treatment, identifying their efficacy to enhance emotion regulation capabilities and reduce pain intensity. There was also acceptance of the online group-based delivery, and hybrid therapist-guided/self-directed approach.</div></div><div><h3>Discussion</h3><div>Findings highlight the need for clinical assessment to gauge client readiness for an emotionally focused approach, assess sensitivity to others’ emotions in a group setting, and ensure personalisation of digital components to enhance engagement. These findings have implications for developing iDBT-Pain and for ERSF interventions, particularly those delivered online and to groups. The findings also underscore the role of emotion regulation as a key mechanism in chronic pain, supporting research that advocates for its deeper exploration as a central psychological target in chronic pain mental health treatment.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100638"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325496","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":"Self-efficacy in long-term prostate cancer survivors","authors":"Lilly J. Schmalbrock ,&nbsp;Nils Kager ,&nbsp;Florian Kirchhoff ,&nbsp;Stefan Schiele ,&nbsp;Andreas Dinkel ,&nbsp;Jürgen E. Gschwend ,&nbsp;Kathleen Herkommer","doi":"10.1016/j.ijchp.2025.100634","DOIUrl":"10.1016/j.ijchp.2025.100634","url":null,"abstract":"<div><h3>Purpose</h3><div>This study assessed self-efficacy (SE) among long-term prostate cancer survivors after radical prostatectomy and explored associated factors.</div></div><div><h3>Methods</h3><div>As part of the nationwide project “Familial Prostate Cancer”, long-term prostate cancer survivors completed a follow-up survey, which included the validated General Self-Efficacy Short Scale (GSE-3). Sociodemographic, clinical, and psychosocial data were collected, including quality of life (QoL), symptoms of depression or anxiety, benefit finding, happiness, and perceived disease severity. Variables independently associated with SE were identified using a multiple linear regression analysis.</div></div><div><h3>Results</h3><div>2534 prostate cancer survivors (mean age: 79.9 ± 6.4 years; mean follow-up: 18.3 ± 3.8 years post-RP) were included. The majority of men (97.0 %) were still undergoing regular follow-up. The mean SE score was 4.0 ± 0.7 (possible range 1–5). Lower SE was observed in men who were older, had lower educational level, poorer subjective economic status, another malignancy during lifetime, and were currently under treatment (all <em>p</em> &lt; 0.05). Additionally, lower SE was associated with poorer QoL, reduced benefit finding, lower happiness, higher levels of depression and anxiety symptoms, and higher perceived disease severity (all <em>p</em> &lt; 0.01). The regression model revealed independent associations between lower SE and older age, lower educational status, lower QoL, lower happiness and higher level of anxiety (all <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>General self-efficacy was rather high among long-term prostate cancer survivors. Sociodemographic and psychological variables, but no clinical parameters, were independently associated with SE.</div></div><div><h3>Implications for Cancer Survivors</h3><div>Implementing interventions aimed at enhancing SE during follow-up care – particularly among older survivors, those with lower educational level, and symptoms of anxiety – could improve SE and thus positively affect QoL.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100634"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325497","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":"When good news are not enough: Predicting trauma-related symptoms and non-specific distress after negative and positive breast biopsy results","authors":"Justine Fortin ,&nbsp;Ariane Paquin ,&nbsp;Alexe Bilodeau-Houle ,&nbsp;Roxanne Leblanc ,&nbsp;Marie-Claude Lefebvre ,&nbsp;Clarisse Defer ,&nbsp;Irma Horna Perez ,&nbsp;Alain Brunet ,&nbsp;Marie-France Marin","doi":"10.1016/j.ijchp.2025.100649","DOIUrl":"10.1016/j.ijchp.2025.100649","url":null,"abstract":"<div><div>The disclosure of breast biopsy results, whether indicating cancer (positive) or not (negative), can be experienced as a psychologically distressing event and could involve perceived threat to life. As peritraumatic distress is a predictor of post-event psychological symptoms, its investigation in the context of breast cancer screening could improve early identification of individuals at risk for persistent distress. This study first examined the proportion of individuals exceeding the clinical threshold for post-traumatic stress symptoms (PTSS) and non-specific distress (DT) at 7 days and 1-month post-biopsy results. It then tested whether peritraumatic distress experienced at the time of the result disclosure predicted PTSS and DT at both timepoints. An exploratory objective assessed whether perceived life threat at disclosure predicted distress outcomes differently based on biopsy results. In a sample of 191 participants, 85.9% exceeded the PTSS threshold at 7 days and 73.6% at 1 month. In contrast, 12.3% exceeded the DT threshold at 7 days, and 8.5% at 1 month. Peritraumatic distress significantly predicted PTSS at 7 days (<em>B</em> = 0.44, SE = 0.16, <em>t</em> = 2.80, <em>p</em> = .006) and 1 month (<em>B</em> = 0.76, SE = 0.18, <em>t</em> = 4.26, <em>p</em> &lt; .001), and DT at only 7 days (<em>B</em> = 0.08, SE = 0.03, <em>t</em> = 2.60, <em>p</em> = .010), regardless of diagnosis outcome. Exploratory analyses showed that perceived life threat at disclosure predicted PTSS at both timepoints, only among individuals with negative results (<em>B</em> = 6.59, SE = 2.03, 95% CI [2.58, 10.59], <em>p</em> &lt; .001). These findings highlight that the screening process itself can be perceived as life-threatening, and that assessing peritraumatic distress at the time of biopsy results may help prevent lasting symptoms, even without a cancer diagnosis.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100649"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145568207","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}