International Journal of Clinical and Health Psychology最新文献

{"title":"Interpersonal emotion regulation and mental health among cancer survivors: A systematic review","authors":"Zihao Zeng ,&nbsp;Karen Holtmaat ,&nbsp;Xihan Jia ,&nbsp;George L. Burchell ,&nbsp;Sander L. Koole ,&nbsp;Irma M. Verdonck- de Leeuw","doi":"10.1016/j.ijchp.2025.100592","DOIUrl":"10.1016/j.ijchp.2025.100592","url":null,"abstract":"<div><h3>Objective</h3><div>Cancer and its treatment can cause significant emotional distress, adversely affecting mental health. Interpersonal emotion regulation, the process by which individuals regulate emotions through social interactions, plays a critical role in cancer survivorship. This study systematically reviews evidence on the associations between interpersonal emotion regulation and mental health outcomes among cancer survivors, along with the theoretical models guiding this research.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Embase, Web of Science, and Scopus databases, yielding 6928 records. After applying inclusion and exclusion criteria, 86 studies involving 67,592 cancer survivors were included. Various aspects of interpersonal emotion regulation (e.g., emotional support, social constraints, affectionate support) and mental health indicators (e.g., depression, anxiety, quality of life) were evaluated. Quality assessments and data synthesis were performed in accordance with PRISMA guidelines.</div></div><div><h3>Results</h3><div>Interpersonal emotion regulation was consistently associated with mental health outcomes. Emotional support, affectionate support, and dyadic coping showed small-to-moderate positive associations with improved mental health (e.g., reduced depression, anxiety, and distress, and enhanced quality of life). Conversely, social constraints and ambivalence over emotional expression were negatively associated with mental health. Less than one-third of studies referenced theoretical models, the most frequent being the social-cognitive processing model and the stress-buffering hypothesis.</div></div><div><h3>Conclusion</h3><div>Interpersonal emotion regulation significantly influences mental health among cancer survivors, with distinct strategies yielding varying impacts. Future research should integrate theoretical frameworks and longitudinal designs to better elucidate causal mechanisms and optimize interventions targeting interpersonal dynamics in survivorship care.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100592"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243312","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":"Sleep disturbances in early adolescents and risk of later suicidality: A national prospective cohort study","authors":"Martin Ekholm Michelsen ,&nbsp;Annette Erlangsen ,&nbsp;Nikolaj Kjær Høier ,&nbsp;Poul Jørgen Jennum ,&nbsp;Merete Nordentoft ,&nbsp;Trine Madsen","doi":"10.1016/j.ijchp.2025.100580","DOIUrl":"10.1016/j.ijchp.2025.100580","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleep disturbances have been linked to later suicidality among adolescents. This study assessed the associations between sleep disturbances experienced at age 11 and the subsequent occurrence of suicide thoughts and suicide attempt measured at age 18.</div></div><div><h3>Methods</h3><div>Self-reported data on sleep disturbances measured at age 11 was obtained from the Danish National Birth Cohort and linked to information on suicidality at age 18 based on self-reports and register-based data on hospital contacts for suicide attempt. Relative risk ratios(RRR) with corresponding 95 % confidence intervals were estimated using multivariable multinomial logistic regressions adjusting for sex, sociodemographic characteristics, psychiatric history, and child risk behaviors and procedures of inverse probability weighting were applied .</div></div><div><h3>Results</h3><div>A total of 28,251 participants were included, of whom 8894 (32.0 %) reported suicide thoughts and 743 (3.3 %) attempted suicide at age 18. Adolescents who at age 11 reported sleeping &lt;8 hours per night had elevated risk of suicide thoughts (aRRR, 1.7; 95 % CI, 1.3–2.1) and suicide attempt (aRRR, 3.7; 95 % CI, 2.6–5.4) when compared with those sleeping ≥9 hours. Going to bed after 10:30PM versus before 9:00PM on weekdays was associated with higher risks of suicide thoughts (aRRR, 1.6; 95 % CI, 1.3–2.0) and suicide attempt (aRRR, 3.3; 95 % CI, 2.3–4.9). Dose-response relationships documented that experiencing difficulties falling asleep more often was associated with higher risks of suicide thoughts and suicide attempts. Adjusting for child psychiatric co-morbidity attenuated results, however associations still showed statistical significance.</div></div><div><h3>Conclusion</h3><div>Sleep disturbances were associated with later suicidality among adolescents. Significant associations suggested that adequate hours of sleep and earlier bedtimes might protect against suicidality in children and adolescents.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100580"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912695","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 qualitative examination of sanctification: Sources and varieties of appraisals of sacredness","authors":"Elizabeth J. Krumrei-Mancuso,&nbsp;Janet P. Trammell,&nbsp;Jennifer A. Harriger,&nbsp;Joshua A. Evans","doi":"10.1016/j.ijchp.2025.100578","DOIUrl":"10.1016/j.ijchp.2025.100578","url":null,"abstract":"<div><div>Most mental health professionals are expected to have some basic competency in religious and spiritual issues. Such competency includes knowledge about the role of religion/spirituality in people’s lives, particularly as it relates to mental health. The current research explored people’s cognitive appraisals of sanctification, by which individuals interpret stimuli to be sacred. To gain a better understanding of the spontaneous cognitive appraisals of sanctification people form during daily life, we randomly assigned religious and/or spiritual individuals (<em>N</em> = 144) to an event reconstruction of a time they experienced something as sacred, divine, miraculous, spiritual, holy, or blessed. We qualitatively coded 28 features of these event reconstructions. Participants’ most common descriptions involved sanctification of people, relationships, and places that were not considered sacred in and of themselves, but were considered sacred by association to higher powers or transcendent realities. Common features of sacredness reconstructions included emotions and sensory experiences. We also observed differences in the features associated with each sacred adjective (sacred, divine, miraculous, spiritual, holy, or blessed). We discuss implications for mental health professionals and for the advancement of the science of sanctification.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100578"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extended childhood disorder (ECD): Proposal and preliminary empirical support for a new ecologically-based diagnostic category of teen dysfunction","authors":"Robert Epstein,&nbsp;Savannah Aries,&nbsp;Theodore T. Caligiuri,&nbsp;Camille Karner","doi":"10.1016/j.ijchp.2025.100572","DOIUrl":"10.1016/j.ijchp.2025.100572","url":null,"abstract":"<div><h3>Background/Objective</h3><div>Existing diagnostic categories of teen dysfunction often refer to hypothetical biological or developmental factors, even though teen dysfunction is often absent in many non-Western cultures. Diagnostic categories of this sort do not do justice to the social causes of many teen problems in the United States (U.S.) and other Western countries. To put more emphasis on known cultural causes of teen dysfunction, we propose adopting an ecologically-based diagnostic category we call “extended childhood disorder” (ECD), characterized by (1) excessive and sometimes harmful involvement with peers, (2) conflict centering around control issues with authority figures, and (3) mood problems centering around control issues with authority figures.</div></div><div><h3>Method</h3><div>5198 individuals were evaluated, either by themselves or by therapists, counselors, teachers, or parents: a diverse group of 3147 females, 1750 males, and 301 others, mean age 23.4. 54.3 % of the participants were from the U.S., and the remaining 46.7 % were English speakers in 74 other countries.</div></div><div><h3>Results</h3><div>Total scores on a diagnostic test of ECD were negatively correlated with level of happiness and positively correlated with levels of anger, depression, and anxiety, whether reported by self or others (note that higher scores on the ECDI indicate greater dysfunction). Total scores were also predictive of 13 clinically significant criterion variables. Notably, prevalence of ECD in our sample roughly matched the 2010 National Comorbidity Survey estimates of the prevalence of teen disorders in the U.S.</div></div><div><h3>Conclusion</h3><div>The ECD diagnostic category should be considered as a viable alternative to current diagnoses of teen problems that emphasize hypothetical endemic or neural deficits.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of extreme physical exercise (28 consecutive marathons) on sleep time and structure","authors":"Gualberto Buela-Casal ,&nbsp;Noelia Ruiz-Herrera ,&nbsp;Alejandro Guillén-Riquelme ,&nbsp;Carlos Zamarrón ,&nbsp;Francisco Gude-Sampedro","doi":"10.1016/j.ijchp.2025.100586","DOIUrl":"10.1016/j.ijchp.2025.100586","url":null,"abstract":"<div><h3>Objective</h3><div>It is known that physical exercise influences sleep, however, the effect in extreme sporting conditions has been less studied. We analyzed the sleep quality and duration of an athlete who ran 28 consecutive marathons (one per day).</div></div><div><h3>Methods</h3><div>We evaluated with three polysomnography recordings to explore the sleep-dependent recovery process: Post-marathons, partial recovery, and baseline.</div></div><div><h3>Results</h3><div>The participant reported a low sleep quality during the challenge, along with short sleep time, several awakenings, and daytime sleepiness. We observed differences in sleep duration, quality, and distribution in all variables evaluated through polysomnography. From baseline to the final condition after the physical test, we observed a progressive decrease in sleep time and sleep efficiency. In addition, we observed an increase in sleep onset and REM sleep latencies, a 45.8 % increase in slow wave sleep, which affects the complete sleep structure after physical exertion. REM decreased by up to 14.4 % because of intense and continuous physical exercise, and with respect to SWS (38.5 %) this represents an increase in SWS of 267 % with respect to REM.</div></div><div><h3>Conclusion</h3><div>sleep is affected by high-intensity physical exercise and is modulated by the recovery process. The results of this study highlight the importance of SWS in the recovery from physical fatigue due to the effect of extreme physical exercise, which is demonstrated by the enormous increase in SWS that accounts for almost 40 % of the Total Sleep Time, surpassing even the stage 2 percentage. It is also shown that REM sleep has no role in the recovery from physical fatigue, as it is in fact considerably decreased by the effect of extreme physical exercise. Previous studies had not reported results with these magnitudes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100586"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178506","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":"Narcolepsy and psychiatric comorbidity: a review of the literature","authors":"Lies Verstraete ,&nbsp;Maarten Van Den Bossche","doi":"10.1016/j.ijchp.2025.100591","DOIUrl":"10.1016/j.ijchp.2025.100591","url":null,"abstract":"<div><h3>Introduction</h3><div>Narcolepsy is a chronic sleep-wake disorder characterized by recurrent episodes of excessive daytime sleepiness, hypnagogic hallucinations, and sleep paralysis. There are two subtypes: narcolepsy type 1 (with cataplexy) and narcolepsy type 2 (without cataplexy). This review aims to investigate the comorbidity of psychiatric disorders in narcolepsy.</div></div><div><h3>Methods</h3><div>We examined this association through a systematic literature review conducted on July 20, 2024. Searches were performed in PubMed and Embase.</div></div><div><h3>Results</h3><div>In general, the prevalence of comorbid psychiatric disorders in patients with narcolepsy varies considerably. Depression, anxiety disorders and ADHD are considerably more prevalent in patients with narcolepsy than in the general population. The prevalence of comorbid psychotic disorders and a formal diagnosis of an eating disorder seems also higher in narcolepsy, albeit to a lesser extent. Neurodegenerative disorders and addictive problems were not more prevalent than in general population. More evidence is needed on bipolar disorder, obsessive compulsive disorder, autism, intellectual disability and personality disorders.</div></div><div><h3>Conclusion</h3><div>Overall psychiatric disorders are more prevalent in patients with narcolepsy, but prevalence rates vary widely across disorders. High prevalence of comorbid depression, anxiety disorders and ADHD is reported in narcolepsy. For other psychiatric disorders, current evidence is less conclusive. It is important that clinicians and patients are aware of the comorbidity of narcolepsy and psychiatric disorders.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100591"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Should we worry about how we measure worry? Insights from an updated version of the Italian Penn State Worry Questionnaire","authors":"Gioia Bottesi ,&nbsp;Andrea Spoto","doi":"10.1016/j.ijchp.2025.100579","DOIUrl":"10.1016/j.ijchp.2025.100579","url":null,"abstract":"<div><h3>Background</h3><div>Research indicates a rise in self-reported worry, highlighting the need for updated psychometric tools. The Penn State Worry Questionnaire (PSWQ) assesses excessive worry and there is debate over whether only its 11 positively worded items should be used. This study aimed to clarify the factor structure and psychometric properties of the PSWQ and to explore worry features in two diverse Italian community samples from the 2010s and 2020s.</div></div><div><h3>Methods</h3><div>The 2020s sample included 674 participants (44.5 % female; Mage = 29.44 ± 13.20), while the 2010s sample comprised 411 individuals (61.6 % female; Mage = 36.64 ± 13.73). Methods from Classical Test Theory (CTT) were used to compare alternative PSWQ factor structures, assess the best-fitting model’s reliability and validity, and evaluate measurement invariance (MI) across sexes in the 2020s sample. Item Response Theory (IRT) was applied to refine and confirm the best-fitting factor structure and to compare item and individual locations across samples.</div></div><div><h3>Results</h3><div>The 11-item one-factor model was the best fit and it showed excellent reliability and concurrent validity. MI across sexes was supported. IRT analyses suggested that items were slightly more difficult for the 2010s sample.</div></div><div><h3>Conclusions</h3><div>The PSWQ-11 is a valid and reliable tool for assessing worry in the Italian community. The findings suggest that societal issues as well as socio-demographic characteristics may contribute shaping differences in worry features across diverse historical contexts.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100579"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily perceived stress and sexual health in couples with sexual interest/arousal disorder","authors":"A. Girouard ,&nbsp;S. Bergeron ,&nbsp;J.S. Huberman ,&nbsp;N.O. Rosen","doi":"10.1016/j.ijchp.2025.100582","DOIUrl":"10.1016/j.ijchp.2025.100582","url":null,"abstract":"<div><h3>Objective</h3><div>Sexual Interest/Arousal Disorder (SIAD) is a common and distressing sexual health concern that may add stress to couple’s daily lives and maintain the low sexual desire/arousal. While stress has been linked to lower sexual desire, sexual satisfaction, and higher sexual distress in cross-sectional studies with community couples, dyadic research at the intersection of stress and sexual health is scarce. We examined the daily associations between perceived stress and sexual health among couples coping with SIAD.</div></div><div><h3>Methods</h3><div>Women and gender diverse individuals with SIAD, and their partners, (<em>N</em> = 229, <em>M</em>_age = 34.94) completed online validated measures of perceived stress, sexual desire, satisfaction, and distress for 56 days. Data were analyzed with residual dynamic structural equation modeling guided by the Actor-Partner Independence Model.</div></div><div><h3>Results</h3><div>On days when individuals with SIAD perceived more stress than usual, they and their partners reported lower sexual satisfaction and desire, and higher sexual distress. On days when partners perceived more stress, they and individuals with SIAD reported lower sexual satisfaction and desire, and partners also reported higher sexual distress. Between-person results across the diary period showed similar patterns, though fewer effects overall.</div></div><div><h3>Conclusion</h3><div>Findings highlight dyadic processes in sexual health whereby one partner’s daily stress was associated with lower sexual health for both partners. Stress might orient partners away from sensitive support provision and interfere with intimacy, which is crucial to sexual health. Interventions fostering sexual health in couples with SIAD should include a focus on stress management.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100582"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modulating prefrontal cortex activity to alleviate stress-induced working memory deficits: A transcranial direct current (tDCS) study","authors":"Sumit Roy ,&nbsp;Yan Fan ,&nbsp;Mohsen Mosayebi-Samani ,&nbsp;Maren Claus ,&nbsp;Fatemeh Yavari ,&nbsp;Thomas Kleinsorge ,&nbsp;Michael A. Nitsche","doi":"10.1016/j.ijchp.2025.100569","DOIUrl":"10.1016/j.ijchp.2025.100569","url":null,"abstract":"<div><div>This study explores the impact of stress on working memory (WM) performance, and the potential mitigating effects of transcranial direct current stimulation (tDCS) over the left dorsolateral prefrontal cortex (dlPFC) and ventromedial prefrontal cortex (vmPFC). The study had a mixed, randomized, single-blind, sham-controlled design, with stress induction as within-subject and stimulation condition as between-subject factors. We assessed stress-induced WM deficits using aversive video clips to induce stress and a verbal n-back task to assess WM performance. We analyzed physiological (cortisol and heart rate), behavioral, and electroencephalographic (EEG) changes due to stress before, during, and after WM task performance and their modulation by tDCS. Stress impaired WM performance in the sham stimulation condition for the 3-back load, but not for 2-back or 4-back loads in the WM task and was associated with elevated physiological stress markers. tDCS over the vmPFC led to better WM task performance while stimulation over the dlPFC did not. Active tDCS with both dlPFC and vmPFC stimulation blunted cortisol release in stress conditions compared to sham. The EEG analysis revealed potential mechanisms explaining the behavioral effects of vmPFC stimulation. vmPFC stimulation led to a decreased P200 event-related potential (ERP) component compared to the sham stimulation condition and resulted in higher task-related alpha desynchronization, indicating reduced distractions and better focus during task performance. This study thus shows that the vmPFC might be a potential target for mitigating the effects of stress on WM performance and contributes to the development of targeted interventions for stress-related cognitive impairments.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100569"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical performance, health-related quality of life and sleepiness severity of an adult outpatient population with narcolepsy: A cross-sectional analysis","authors":"R. Tadrous ,&nbsp;D. O’ Rourke ,&nbsp;N. Murphy ,&nbsp;G. Quinn ,&nbsp;L. Slattery ,&nbsp;J. Broderick","doi":"10.1016/j.ijchp.2025.100573","DOIUrl":"10.1016/j.ijchp.2025.100573","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to profile and explore the correlation between health-related quality of life (HRQoL), sleepiness severity and physical performance in a sample of people with narcolepsy type 1 (NT1).</div></div><div><h3>Methods</h3><div>This cross-sectional study took place in a dedicated outpatient narcolepsy clinic. The following variables were evaluated: cardiopulmonary fitness, physical activity, muscle strength, muscle endurance, power. HRQoL was assessed using the Short Form-36 (SF-36) and the Functional Outcome of Sleep Questionnaire (FOSQ). Sleepiness Severity was measured by the Epworth Sleepiness Scale (ESS), and symptom severity was assessed using the Narcolepsy Severity Scale (NSS).</div></div><div><h3>Results</h3><div>A total of 22 participants (31.53 ± 13.17 years, 56.52 % female) completed the test battery. Physical performance was low across all measures. With the exception of accelerometery (54.17 % compliance), there was full compliance (100 %) with the test battery, indicating its feasibility for people with narcolepsy. Results showed that physical performance and HRQoL were markedly reduced compared to normative values in this sample of people with narcolepsy. Self-reported physical activity was associated with higher health-related quality of life (ρ = 0.41; <em>p</em> = 0.05), and greater moderate-vigorous physical activity was associated with higher physical wellbeing (ρ = 0.58; <em>p</em> = 0.04). Higher BMI was associated with significantly lower predicted VO₂ Max (0.001), and wall sit duration (<em>p</em> = 0.039).</div></div><div><h3>Conclusion</h3><div>The influence of physical performance on sleepiness severity and quality of life warrants further investigation, including the possible physical rehabilitation strategies to target physical performance deficits.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 2","pages":"Article 100573"},"PeriodicalIF":5.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}