International Journal of Clinical and Health Psychology最新文献

{"title":"A randomized clinical trial of mindfulness training versus a health promotion program: Impact on cognitive and mental health in older immigrants","authors":"Ana C. Teixeira-Santos,&nbsp;Leandro Gomes,&nbsp;Diana R․ Pereira,&nbsp;Fabiana Ribeiro,&nbsp;Joana Carvalheiro,&nbsp;Catarina Godinho,&nbsp;Anabela Silva-Fernandes,&nbsp;Etienne Le Bihan,&nbsp;Carine Federspiel,&nbsp;Jean-Paul Steinmetz,&nbsp;Anja K․ Leist","doi":"10.1016/j.ijchp.2025.100642","DOIUrl":"10.1016/j.ijchp.2025.100642","url":null,"abstract":"<div><h3>Background</h3><div>Mindfulness-based stress reduction (MBSR) has shown benefits for cognition and stress relief. Enhancing these functions may have a protective role in vulnerable populations, particularly older immigrants who face a higher risk of neurodegenerative disease. However, whether MBSR can have positive effects on cognitive and affective functions in these populations remains understudied. This trial compared the effects of MBSR with a health promotion program (HPP) in older immigrants.</div></div><div><h3>Methods</h3><div>In this single-center, randomized, double-blind controlled trial, 151 Portuguese-speaking older immigrants (≥55 years old) residing in Luxembourg were screened and 89 participants (age range: 55–80, <em>M</em> age: 62.58 years ± 6.08, 72 % women) were randomized to 2-month weekly group interventions of either MBSR (<em>n</em> = 44) or HPP (<em>n</em> = 45). Data were collected at three time points: baseline, immediately after the intervention (post-intervention), and at follow-up, conducted one to three months after the intervention. Executive functioning measures, including Letter-Number Sequencing, Trail Making Test, and Stroop color-word, were the main outcomes. Secondary outcomes included general cognitive functioning, cortisol level, heart rate variability, and self-reported affective and mindfulness states.</div></div><div><h3>Results</h3><div>75 % of participants in the MBSR group and 53 % in the HPP group completed at least one post-assessment. Linear mixed model analyses showed significant time effects in Letter-Number Sequencing (<em>p</em> = .04), as well as reductions in anxiety (<em>p</em> &lt; .01) and perceived stress (<em>p</em> &lt; .01), with no significant group differences or group × time interactions. These improvements were observed from baseline to post-intervention and still persisted at follow-up.</div></div><div><h3>Conclusion</h3><div>Both interventions positively influenced attention, with the most notable improvements observed in anxiety and perceived stress. These findings suggest that group interventions may have the potential to improve cognitive and affective indicators, regardless of their specific content. Despite their diverse goals, the interventions shared procedural features, such as the organization and delivery of the sessions, which may have contributed to the outcomes observed. This underscores the potential value of well-designed group-based programs in cognitive and affective indicators among vulnerable older adults. While further research is needed, our findings point to the relevance of including these interventions within the realm of promoting healthy aging and dementia prevention.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100642"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145364126","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 impact of transcranial direct current stimulation combined with virtual reality-based mindfulness on attention and inhibitory control in healthy individuals","authors":"Filipa Freire-Santos ,&nbsp;Dicle Karacadag ,&nbsp;Yasmin Vieira ,&nbsp;Mónica Sobral ,&nbsp;Vera Mateus ,&nbsp;Raquel Guiomar ,&nbsp;Perianen Ramasawmy ,&nbsp;Andrea Antal ,&nbsp;Ana Ganho-Ávila","doi":"10.1016/j.ijchp.2025.100631","DOIUrl":"10.1016/j.ijchp.2025.100631","url":null,"abstract":"<div><div>Combining virtual reality-focused mindfulness (VR-FM) and transcranial direct current stimulation (tDCS) can enhance cognitive performance, offering new insights for scientific research and clinical applications. We aimed to examine the effects of a single session of VR-FM, a single session of tDCS, and their combination on sustained attention, attention control, and inhibitory control.</div><div>We conducted a double-blind, controlled, randomized study (<em>N</em> = 107) with five groups: VR-FM or VR-mind wandering, paired with active (2 mA for 20 min) or sham tDCS with the anode over F3 and cathode over F4, and a no-intervention control group. Non-specific skin conductance response (nsSCR) was collected during virtual reality, and cognitive performance was measured with Sustained Attention to Response Task (SART) and the Emotional Stroop (EST) after intervention. Differences between groups were not statistically significant in cognitive tasks (all <em>p</em>&gt;.05) but we found a main effect of group in nsSCR (<em>F</em> (3, 66) = 4.07, <em>p</em> = .010, η² = 0.156), with significant differences between VR-FM + tDCS active and VR-MW + tDCS sham (<em>p</em> = .014).</div><div>Single sessions of VR-FM and tDCS did not significantly impact cognitive performance. However, reduced autonomic activation might be associated with mindfulness. Future studies should include several sessions and consider other individual conditions to understand the factors involved.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100631"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145270089","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":"Neurodevelopment of the functional connectivity of the salience network in facial emotion recognition from adolescence to adulthood","authors":"Ji-Won Chun ,&nbsp;Jihye Choi ,&nbsp;Arom Pyeon ,&nbsp;Minkyung Hu ,&nbsp;Hyun Cho ,&nbsp;Jung-Seok Choi ,&nbsp;Kook-Jin Ahn ,&nbsp;Jong-Ho Nam ,&nbsp;Inyoung Choi ,&nbsp;Dai-Jin Kim","doi":"10.1016/j.ijchp.2025.100650","DOIUrl":"10.1016/j.ijchp.2025.100650","url":null,"abstract":"<div><h3>Background</h3><div>Adolescence is characterized by ongoing neurocognitive maturation, particularly in regions that support social–emotional processing and cognitive control. Despite extensive research on emotion regulation, the developmental trajectories of critical neural networks—such as the salience network and the dorsolateral prefrontal cortex (DLPFC)—remain incompletely understood.</div></div><div><h3>Methods</h3><div>We prospectively enrolled 30 adolescents (12–18 years), 35 early adults (19–24 years), and 35 adults (25–34 years). While undergoing functional magnetic resonance imaging, participants performed an emotional discrimination task on facial expressions. The imaging data were analyzed to assess the neural activity across the emotional conditions, and a generalized psychophysiological interaction approach was applied to examine salience network connectivity.</div></div><div><h3>Results</h3><div>Adolescents exhibited lower behavioral performance than adults. Regarding brain activation, the dorsal anterior cingulate cortex (dACC) and bilateral insula—key components of the salience network—seemingly differentiated adolescents from early adults and adults. In contrast, DLPFC activity distinguished adults from the two younger groups. Functional connectivity analyses revealed that adolescents either over-sustained or under-recruited dACC–insula connectivity during emotional transitions, correlating with poorer behavioral performance.</div></div><div><h3>Conclusion</h3><div>These findings underscore distinct developmental trajectories for the salience network and the DLPFC, with adolescents showing heightened vulnerability in social–emotional processing and cognitive control.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100650"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145568206","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":"What comes first: Heart rate variability changes or insomnia? A causal investigation using Mendelian randomization","authors":"Bing Yan ,&nbsp;Xin Cui ,&nbsp;Lei Chen ,&nbsp;Xiangzhen Miao ,&nbsp;Hailin Jiang ,&nbsp;Yu Wang ,&nbsp;Fuchun Wang","doi":"10.1016/j.ijchp.2025.100656","DOIUrl":"10.1016/j.ijchp.2025.100656","url":null,"abstract":"<div><h3>Background</h3><div>Heart rate variability (HRV), a vital indicator of autonomic nervous system function, is frequently altered in patients with insomnia. While substantial evidence suggests a link between HRV changes and insomnia, previous studies have been limited by small sample sizes and cross-sectional designs, making it impossible to determine whether HRV changes are a cause or consequence of insomnia. Understanding this causal relationship is crucial for developing targeted interventions for sleep disorders.</div></div><div><h3>Objective</h3><div>To investigate the potential bidirectional causal relationship between HRV and insomnia using two-sample Mendelian randomization (MR) analysis.</div></div><div><h3>Method</h3><div>We obtained genome-wide association study (GWAS) summary statistics for three HRV traits (pvRSA/HF, RMSSD, and SDNN) from IEU Open GWAS database and insomnia data from FinnGen database (5763 cases and 445,483 controls). Bidirectional MR analyses were performed using multiple methods including inverse variance weighted (IVW), MR-Egger, weighted median, and mode-based approaches. Sensitivity analyses were conducted to assess heterogeneity and horizontal pleiotropy.</div></div><div><h3>Results</h3><div>MR analysis of HRV on insomnia revealed significant causal effects, specifically for pvRSA/HF (OR = 1.437, 95 % CI: 1.147–1.801, <em>p</em> = 0.002) and SDNN (OR = 1.910, 95 % CI: 1.092–3.342, <em>p</em> = 0.022). These associations remained robust across multiple MR methods and sensitivity analyses. In the reverse direction, MR analysis of insomnia on HRV found no significant causal effects on any HRV traits, suggesting unidirectional causality from HRV to insomnia.</div></div><div><h3>Conclusions</h3><div>This study provides genetic evidence that altered HRV may causally increase insomnia risk, while insomnia does not appear to causally affect HRV. These findings suggest that regulating HRV might help alleviate insomnia symptoms and improve sleep quality, and highlight the potential of HRV as a therapeutic target in sleep disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100656"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736101","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":"Peripheral pro-inflammatory cytokine levels are associated with brain structural atrophies in patients with anxious depression","authors":"Zhihui Lan ,&nbsp;Ji-Tao Li ,&nbsp;Lin-lin Zhu,&nbsp;Yankun Wu,&nbsp;Tian Shen,&nbsp;Youran Dai,&nbsp;Yun-Ai Su,&nbsp;Tianmei Si","doi":"10.1016/j.ijchp.2025.100629","DOIUrl":"10.1016/j.ijchp.2025.100629","url":null,"abstract":"<div><h3>Background</h3><div>Anxious depression (AD), a common neurophysiological subtype of major depressive disorder (MDD), is often accompanied by immune dysregulation and volumetric alterations in brain structures. However, the intrinsic relationships between inflammatory markers and brain structural changes in AD patients remain unclear.</div></div><div><h3>Methods</h3><div>Participants were categorized into three groups: the AD group (<em>n</em> = 43), the non-anxious depression group (NAD, <em>n</em> = 68), and healthy controls (HC, <em>n</em> = 53), matched for age, sex, and education level. Serum levels of interleukin-1 beta (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor alpha (TNF-α) were measured across the groups. All participants underwent T1-weighted magnetic resonance imaging (MRI) scans, and voxel-based morphometry (VBM) analysis was performed to assess gray matter volume (GMV). Correlation analyses were conducted to investigate potential associations between inflammatory markers and GMV in the AD group.</div></div><div><h3>Results</h3><div>Compared to HCs, patients with MDD exhibited significantly elevated serum IL-6 levels. Additionally, AD patients demonstrated reduced GMV in the right putamen, right superior temporal gyrus (STG), and right cuneus compared to both NAD and HC groups. Notably, reduced GMV in the right STG was significantly correlated with serum IL-1β levels and depression severity within the AD group.</div></div><div><h3>Conclusions</h3><div>These findings provide preliminary psychoradiological evidence for the pathophysiological mechanisms underlying this MDD subtype and possible explanations for the differences in clinical features and prognosis between AD and NAD.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100629"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222891","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":"Structural brain changes in people with dementia receiving Cognitive Stimulation Therapy: Preliminary findings","authors":"Lucas M. Loureiro ,&nbsp;Elodie Bertrand ,&nbsp;Eelco van Duinkerken ,&nbsp;Jerson Laks ,&nbsp;Valeska Marinho ,&nbsp;Iris Bomilcar ,&nbsp;Renata Naylor ,&nbsp;Gloria Wong ,&nbsp;Aimee Spector ,&nbsp;Daniel C. Mograbi","doi":"10.1016/j.ijchp.2025.100643","DOIUrl":"10.1016/j.ijchp.2025.100643","url":null,"abstract":"<div><h3>Background</h3><div>There are growing numbers of people with dementia (PwD) globally, a syndrome with well documented impact on brain structure and connectivity that lead to cognitive impairment. Cognitive Stimulation Therapy (CST) is a non-pharmacological intervention for dementia with a strong evidence-base indicating positive effects on cognition and mood. There is, however, a lack of data on the effects of CST on brain structural and functional changes. This study aimed to analyze the impact of CST on brain cortical differences through the symmetrized percentage change (SPC) of surface area, thickness and volume measured through magnetic resonance imaging (MRI).</div></div><div><h3>Methods</h3><div>Structural MRI was collected from 17 PwD who received CST and 11 treatment as usual (TAU) controls pre- and pos-intervention. The SPC of cortical structure was calculated for each participant. Freesurfer’s general linear model was used, and the resulting statistical maps were thresholded at <em>p</em> &lt; .01. The maps were then corrected for multiple comparisons using Monte Carlo Z simulation with 10.000 iterations. The family wise error cluster-level correction for multiple comparisons threshold was set at <em>p</em> &lt; .05 and p-values were further corrected using the Bonferroni method to correct for both hemispheres.</div></div><div><h3>Results</h3><div>There were no statistically significant differences between CST and TAU groups regarding age, sex or years of education. Relative to TAU, the CST group exhibited a decrease in surface area in the left rostral middle frontal region (P_FWE = 0.019, Cohen’s δ of 1.764), in addition to an increase in thickness in the right supramarginal (P_FWE = 0.012, Cohen’s δ of -2.063) and postcentral regions (P_FWE = 0.038, Cohen’s δ of -2.11). No differences in volume SPC were found between groups. A statistically significant correlation was also found between cognition and the right supramarginal gyrus thickness (<em>p</em> = .017).</div></div><div><h3>Conclusion</h3><div>This is the first study on the effects of CST on brain surface area, thickness, and volume. Our results indicate a change in cortical structure associated with CST. Reduced cortical thickness in the rostral middle frontal region may be related to the effects of CST on mood and stress. Increased thickness in the right supramarginal and postcentral regions may be due to increased abilities of phonological processing, verbal working memory, and somatosensory processing. More data, with larger samples, are needed to support these findings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100643"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145364127","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":"A novel brain functional-structural hybrid analysis to explain the effect of a 6-month psychosocial intervention on resilience in breast cancer","authors":"Muzi Liang ,&nbsp;Jin Zhou ,&nbsp;Peng Chen ,&nbsp;Wenjing Wu ,&nbsp;Yalan Song ,&nbsp;Guangyun Hu ,&nbsp;Qu Hu ,&nbsp;Zhe Sun ,&nbsp;Yuanliang Yu ,&nbsp;Yuyan Liang ,&nbsp;Alex Molassiotis ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ijchp.2025.100639","DOIUrl":"10.1016/j.ijchp.2025.100639","url":null,"abstract":"<div><h3>Purposes</h3><div>To explore if pretreatment brain function/structure connectome could explain the response to a psychosocial intervention on resilience in breast cancer.</div></div><div><h3>Methods</h3><div>Between February 2018 and October 2021, women newly diagnosed with breast cancer were retrospectively enrolled from the <em>Be Resilient to Breast Cancer</em> (BRBC) trial and received a supportive-expressive therapy intervention. Baseline Resting-state Functional Magnetic Resonance Imaging (rs-fMRI) combined with Diffusion Tensor Imaging (DTI) were administered and resilience was scored by 10-item Resilience Scale specific to Cancer (RS-SC-10) at baseline and after the intervention (6 months). Response to the supportive intervention on resilience was defined as &gt; 0.5 standard deviation (SD) improvement at 6 months compared to baseline mean resilience score.</div></div><div><h3>Results</h3><div>A total of 105 patients received intervention. At 6 months, the resilience score improved in 62.9 % (<em>N</em> = 66), defined as the Response group. Amygdala (53 %) and Hippocampus (15 %) in rs-fMRI and CorpusCallosum_ForcepsMinor (96 %) in DTI were recognized as the main significant brain regions associated with treatment response.</div></div><div><h3>Conclusion</h3><div>These preliminary data suggest that neuro-markers of brain function/structure connectome from MR imaging might be useful in evaluating response to behavioral interventions on resilience.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100639"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145325955","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":"Effect of resistance exercise on attentional bias toward food in overweight female college students: An event-related potential study","authors":"Jifu Wang ,&nbsp;Feng Ding ,&nbsp;Shuailei Lian ,&nbsp;Lin Yu","doi":"10.1016/j.ijchp.2025.100632","DOIUrl":"10.1016/j.ijchp.2025.100632","url":null,"abstract":"<div><h3>Background</h3><div>Attentional bias toward high-energy foods may increase appetite, leading to overconsumption and overweight. Physical exercise has been shown to reduce such bias, however, limited research has investigated its effects and underlying mechanisms.</div><div>The present study aimed to explore whether acute resistance exercise modulates attentional bias toward food-related stimuli among young overweight women.</div></div><div><h3>Methods</h3><div>Forty-three overweight female college students were randomly assigned to either an experimental group (<em>n</em> = 20; BMI = 25.25 ± 0.84) that performed 41 min of moderate-intensity resistance exercise or a control group (<em>n</em> = 23; BMI = 25.52 ± 1.01) that completed a reading task. Attentional bias was assessed using a dot-probe task with high- and low-energy food images after the exercise or control session, with the behavioral (reaction time, accuracy, attentional engagement/disengagement index) and neurophysiological (N2, P3) measures.</div></div><div><h3>Results</h3><div>Compared to the control group, the exercise group had a significantly lower attentional engagement index for the low-energy food cues and significantly shorter peak latency of N2 and P3 during the dot probe task. Within the experimental group, the N2 peak amplitude was significantly lower in the high-energy vs. low-energy condition when there were incongruent food cues.</div></div><div><h3>Conclusion</h3><div>These results indicate that the onset of attentional engagement and attentional orientation toward food cues occurred significantly earlier after resistance exercise. This study provides novel insights into the neurocognitive mechanisms underlying resistance exercise-induced modulations of attentional processing of food-related stimuli in overweight females, offering both theoretical contributions to exercise cognition and practical implications for weight management interventions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100632"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145270091","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":"Continuous sleep tracking in digital CBT-I: Efficacy and insights from a naturalistic-environment study","authors":"Alexandra Hinterberger ,&nbsp;Esther-Sevil Eigl ,&nbsp;Aniko Szeko ,&nbsp;Pavlos I Topalidis ,&nbsp;Manuel Schabus","doi":"10.1016/j.ijchp.2025.100646","DOIUrl":"10.1016/j.ijchp.2025.100646","url":null,"abstract":"<div><h3>Background</h3><div>Insomnia is highly prevalent, yet few receive cognitive behavioral therapy for insomnia (CBT-I) due to limited treatment availability. Unguided digital CBT-I offers an accessible alternative to traditional face-to-face therapy. Research in this area often relies on either subjective sleep measurements (e.g., sleep diaries) or controlled single-night lab studies. This study examines the effectiveness of a novel app-based CBT-I program combining therapy with continuous subjective and objective sleep tracking via a heart rate (HR) sensor in a naturalistic setting.</div></div><div><h3>Methods</h3><div>Eighty-eight participants (56.8 % female) aged 20–85 years (M = 49.9 ± 13.10) completed an 8-week app-based CBT-I intervention with continuous sleep tracking (sleep diaries and HR sensor), followed by a 2-week follow-up. Assessments at baseline, post-intervention, and follow-up included sleep related problems, psychological strain, quality of life, and dysfunctional beliefs.</div></div><div><h3>Results</h3><div>Insomnia prevalence dropped from 92 % at pre-intervention to 67 % at follow-up. Improvements were observed in subjective sleep quality (p &lt; .001, r = 0.59), dysfunctional beliefs (p &lt; .001, r = 0.48), quality of life (p’s &lt; .002, r’s &gt; 0.33), psychological strain (p &lt; .001, r = 0.43), depression (p = .010, r = 0.27), and anxiety (p = .003, r = 0.32). While sleep diary data showed improvements in various sleep parameters, objective data revealed statistical trends towards a reduced total sleep time (TST; p = .083, r = 0.19), driven by sleep restriction, and light sleep (p = .089, r = 0.18). Using continuous sleep monitoring we additionally found relevant changes during the intervention levels for subjective wake after sleep onset, sleep efficiency as well as objective TST.</div></div><div><h3>Conclusion</h3><div>Findings support the effectiveness of app-based CBT-I and suggest that continuous objective sleep tracking over weeks can reveal previously undetected sleep and well-being improvements in real-world settings.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100646"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145467337","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":"Exploring the bidirectional within-subject relationship between sleep and affective wellbeing: Insights from an intensive longitudinal study","authors":"Justin Hachenberger ,&nbsp;Maia ten Brink ,&nbsp;Denny Kerkhoff ,&nbsp;Sebastian Baron ,&nbsp;Manuel Schabus ,&nbsp;Sakari Lemola","doi":"10.1016/j.ijchp.2025.100648","DOIUrl":"10.1016/j.ijchp.2025.100648","url":null,"abstract":"<div><div>This study aimed to investigate the bidirectional relationships between affective wellbeing and sleep, and to explore the moderating effects of depressive and insomnia symptoms. Data from two studies, involving 178 participants in total aged 18–29 years, were analyzed. Over 14 days, participants completed daily surveys assessing affective wellbeing and wore ECG chest belts for heart rate variability monitoring to derive objective sleep indices. Multilevel models were used to examine within-subject associations between affective states and subsequent sleep, and vice versa, while considering depressive and insomnia symptoms as moderators. Higher positive affect than usual in the evening was associated with shorter total sleep time, shorter rapid eye movement sleep, and lower number of awakenings and stage shifts than usual in the following night. Regarding sleep predicting morning’s affective wellbeing, longer slow-wave sleep was linked to higher positive affect than usual, while longer rapid eye movement sleep and higher sleep efficiency than usual predicted lower negative affect than usual. Also, higher subjective sleep quality than usual was associated with higher positive and lower negative affect than usual the next morning. No evidence for moderation effects of insomnia and depressive symptoms for the bidirectional within-subject associations between sleep and affect was found. The findings underscore the complex interplay between sleep and affective wellbeing, particularly highlighting that the subjective perception of one’s sleep appears to be relevant for the next morning’s affective states.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 4","pages":"Article 100648"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520114","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}