International Journal of Clinical and Health Psychology最新文献

{"title":"Effects of open-skill and closed-skill exercise on subthreshold depression in female adolescents: A randomized controlled trial","authors":"Qian Gu ,&nbsp;Xingzhong Zhao ,&nbsp;Lili Lin ,&nbsp;Wei-Peng Teo ,&nbsp;Libin Liu ,&nbsp;Shiwei Yuan","doi":"10.1016/j.ijchp.2024.100512","DOIUrl":"10.1016/j.ijchp.2024.100512","url":null,"abstract":"<div><h3>Background</h3><div>Subthreshold depression (SD) affects a significant proportion of adolescent females, posing a risk of major depression in later life. This study examines the effects of open-skill exercise (OSE) and closed-skill exercise (CSE) on SD, executive function (EF), and emotional states in female adolescents.</div></div><div><h3>Methods</h3><div>A double-blind randomized controlled trial involved 95 female adolescents (mean age = 16.73 ± 0.42 years) with SD symptoms. Participants were assigned to OSE, CSE, or control (CON) groups and underwent an 8-week exercise program. Primary outcomes were assessed using the Beck Depression Inventory (BDI-13) and the Center for Epidemiological Studies Depression Scale (CES-D), with secondary outcomes including EF tasks and emotional assessments. Differences were examined using generalized linear mixed models with intention-to-treat and multiple imputation.</div></div><div><h3>Results</h3><div>Both OSE and CSE significantly reduced depressive symptoms, with CSE showing greater improvement. EF assessments showed enhanced cognitive flexibility and working memory in both exercise groups at 4 weeks, and superior inhibitory control and cognitive flexibility in the CSE group at 8 weeks. Emotional assessments indicated a notable reduction in negative emotions in the CSE group after 8 weeks.</div></div><div><h3>Conclusions</h3><div>Both OSE and CSE reduce SD symptoms in female adolescents, with CSE providing more sustained benefits for EF and emotional states. Further research on exercise interventions for mental health is warranted.</div><div>Trial registration number: ChiCTR2400081139</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100512"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531705","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":"Midlife heart rate variability and cognitive decline: A large longitudinal cohort study","authors":"Vera K. Jandackova ,&nbsp;Shaun Scholes ,&nbsp;Annie Britton ,&nbsp;Andrew Steptoe","doi":"10.1016/j.ijchp.2024.100518","DOIUrl":"10.1016/j.ijchp.2024.100518","url":null,"abstract":"<div><h3>Background</h3><div>Autonomic dysfunction is common in dementia, yet its contribution to neurocognitive changes remains unknown. We investigated whether midlife cardiac vagal modulation, indexed by heart rate variability, associates with subsequent cognitive decline in adults without prior coronary heart disease or stroke.</div></div><div><h3>Methods</h3><div>The sample comprised 2702 (1924 men) individuals initially aged 44–69 years from the UK Whitehall II cohort. Data from the fifth (1997–1999), seventh (2002–2004) and ninth (2007–2009) phases were analysed. Global cognitive function was ascertained from tests assessing memory, reasoning, vocabulary, and fluency. We used 12-lead-ECG-based heart rate variability measures, that primarily reflect vagal modulation (i.e. RMSSD and HF-HRV). Linear mixed-effects models and logistic regression were employed.</div></div><div><h3>Results</h3><div>Results showed consistent associations between both vagally-mediated HRV measures and faster decline in global cognitive function. Specifically, low RMSSD and HF-HRV (lowest versus upper four quintiles) were associated with 0.07 SD (95% CI: -0.13, -0.01) and 0.06 SD (95% CI: -0.12, -0.004) accelerated 10-year cognitive decline after sociodemographic adjustments and faster decline in older ages. Further adjustments for lifestyle factors, medication use and other cardiometabolic conditions did not change the findings. Cognitive decline in individuals with low RMSSD and HF-HRV was estimated to progress 3 and 3.5 years faster per decade, respectively, compared to their counterparts. Additionally, participants with low RMSSD had 37% higher odds of low cognitive function (lowest quintile) at follow-up (OR 1.37: 95% CI,1.03, 1.80).</div></div><div><h3>Conclusion</h3><div>Our findings support the aetiological significance of the autonomic nervous system, specifically vagal modulation, in the processes of cognitive decline and neurodegeneration. Low heart rate variability emerges as a potential biomarker indicative of acclerated cognitive decline that may extend over decades.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100518"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697747","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":"A longitudinal study on the change of eating disorder-specific and nonspecific habits during weight rehabilitation in anorexia nervosa","authors":"Maria Seidel ,&nbsp;Marie-Louis Wronski ,&nbsp;Fabio Bernardoni ,&nbsp;Julius Hennig ,&nbsp;Nico Poller ,&nbsp;Annekatrin Locke ,&nbsp;Evelina Stender ,&nbsp;Susanne Heckel ,&nbsp;Veit Roessner ,&nbsp;Stefan Ehrlich","doi":"10.1016/j.ijchp.2024.100522","DOIUrl":"10.1016/j.ijchp.2024.100522","url":null,"abstract":"<div><h3>Background</h3><div>Patients with Anorexia Nervosa (AN) are characterized by rigid behavioral patterns and habit-like routines, especially regarding food intake. It has been hypothesized that habits contribute to the maintenance of AN-related symptoms. Therefore, it is crucial to understand the role of disorder-specific and nonspecific habits during weight-restoration treatment</div></div><div><h3>Method</h3><div>In this longitudinal study, we examined the frequency of habits using ecological momentary assessment in 44 adolescent patients with AN who were undergoing inpatient nutritional rehabilitation. All patients had two data collection periods: baseline at admission, and follow-up shortly before discharge from treatment. An age-matched healthy control group was included to assess normalization at follow-up</div></div><div><h3>Results</h3><div>Analyses revealed a significant decrease in food-intake and hygiene-related habit frequency from baseline to follow-up. Furthermore, at follow-up habit frequency of both categories no longer differed between AN and controls. Moreover, the degree of reduction of food intake habits was predictive of weight gain at follow-up</div></div><div><h3>Conclusion</h3><div>These findings may suggest that habitual behaviors are state factors, mainly present during the acute phase of the disorder, which advances our understanding of the habit hypothesis in AN. Changing such behaviors may be important for weight restoration, highlighting the potential value of interventions targeting habits.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100522"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656413","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":"Social anxiety undermines prosocial behaviors when required effort","authors":"Ye Yang ,&nbsp;Yan Zhou ,&nbsp;Huijuan Zhang ,&nbsp;Hui Kou ,&nbsp;Jia Zhao ,&nbsp;Jiangli Tian ,&nbsp;Cheng Guo","doi":"10.1016/j.ijchp.2024.100533","DOIUrl":"10.1016/j.ijchp.2024.100533","url":null,"abstract":"<div><div>Social anxiety impairs interpersonal relationships, which rely heavily on prosocial behaviors essential for healthy social interactions. The influence of social anxiety on the dynamics of helping others, through stages of prosocial choice stimulus presentation and effort, is not well understood. This study combines two experiments that integrate effort-based decision-making tasks with electroencephalography to distinguish between the choice stimulus presentation and effort phases of prosocial behavior. We examined the prosocial intention and motivation of 36 individuals with high social anxiety (HSAs) and 36 with low social anxiety (LSAs). Participants exerted effort for personal or others’ gain, as well as to avoid losses. Participants chose whether to exert effort and then completed a designated number of key presses within a time limit, either to accumulate rewards or to avoid losses for themselves or others. Findings reveal that social anxiety indeed diminishes prosocial intention and effort motivation for gain. Interestingly, once HSAs decide to engage in prosocial efforts for gain, evaluative anxiety helps them reduce prosocial apathy and redirect their attentional resources from threatening stimuli to the task at hand, bringing their level of prosocial effort on par with LSAs. Moreover, HSAs exhibit prosocial apathy toward both gains and losses, with more pronounced prosocial apathy observed in loss tasks. However, evaluative anxiety does not help reduce HSAs’ prosocial apathy in loss tasks. Notably, when striving to avoid losses for others, even without evaluative anxiety, HSAs demonstrated prosocial behavior indistinguishable from that of LSAs, suggesting that the goal of avoiding loss promotes prosociality among HSAs. Overall, while social anxiety diminishes individual prosocial behavior, evaluative anxiety and sensitive action goals can mitigate its impact to some extent. These findings are critical for developing strategies to enhance psychological health and promote healthier social interactions.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100533"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11713502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960708","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":"Social support and cognitive reappraisal in adolescent females: The moderating role of lifetime stressor exposure","authors":"Leela Mohan ,&nbsp;Lydia G. Roos ,&nbsp;Theresa Q. Bui ,&nbsp;Stassja Sichko ,&nbsp;George M. Slavich","doi":"10.1016/j.ijchp.2024.100525","DOIUrl":"10.1016/j.ijchp.2024.100525","url":null,"abstract":"<div><div>Although social support is known to shape how individuals use emotion regulation strategies such as cognitive reappraisal, little is known about the specific dimensions of social support that facilitate such use and whether this use is moderated by lifetime stressor exposure. To investigate, we harnessed data from 47 adolescent females who participated in the Psychobiology of Stress and Adolescent Depression (PSY SAD) study to examine how six dimensions of social support related to youths’ use of cognitive reappraisal. In addition, we investigated whether lifetime stressor exposure moderated the association between social support and cognitive reappraisal use in this sample. Results revealed that lifetime stressor exposure moderated the association between social support and cognitive reappraisal. Contrary to hypotheses, however, overall social support and the reassurance of worth dimension of social support were positively associated with reappraisal use, but only for youth exposed to <em>fewer</em> lifetime stressors. Marginally significant associations were also found for the reliable alliance dimension and attachment. In contrast, neither overall social support nor any sub-dimension of social support alone was significantly associated with habitual reappraisal use. Together, these findings highlight the potential importance of fostering social support in youth and in considering youths’ lifetime stressor exposure when studying risk and resilience processes in adolescent females.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100525"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11719375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974080","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":"Gender disparities in attitudes, norms, and perceived control related to intentional condomless sexual intercourse: A psychosocial theory-driven comparison among cisgender heterosexual male and female college varsity athletes in Taiwan","authors":"Jiun-Hau Huang ,&nbsp;Fang-Yu Li ,&nbsp;Chia-Hsien Hsu","doi":"10.1016/j.ijchp.2024.100504","DOIUrl":"10.1016/j.ijchp.2024.100504","url":null,"abstract":"<div><h3>Background</h3><div>While condom use has been extensively studied as a protective behavior, research directly focusing on condomless sexual intercourse (CSI) as a distinct and intentional risk behavior, particularly regarding gender differences, remains scarce.</div></div><div><h3>Methods</h3><div>Building upon the Theory of Planned Behavior (TPB), this study addresses this gap by comparing TPB factors and individual TPB items regarding intentional CSI among cisgender heterosexual college varsity athletes in Taiwan (<em>N</em> = 1348).</div></div><div><h3>Results</h3><div>High CSI intention was more prevalent among men (53.6 %) than women (31.7 %). Our expanded TPB framework identified five distinct TPB factors pertaining to attitudes, norms, and perceived control. Multivariate logistic regression analysis demonstrated that all five TPB factors were significantly associated with CSI intention among men, but only three among women. Notably, our factor analysis differentiated attitudes toward positive/negative outcomes of CSI and perceived control under facilitating/constraining conditions, revealing attitudes toward positive outcomes of CSI as the strongest driver of CSI intention among both men (AOR = 2.51–4.09) and women (AOR = 3.79–5.71). Further analysis of TPB items disclosed that men prioritized psychological pleasure (AOR = 2.18), whereas women exhibited a “partner-centered” tendency, emphasizing trust by sex partners (AOR = 3.43).</div></div><div><h3>Conclusions</h3><div>Overall, men exhibited more favorable views toward CSI than women, with gender differences evident in the differential associations of varying TPB factors and items with CSI intention. Future research could explore the development of these differential attitudes, norms, and perceived control concerning CSI. Given the modifiable nature of TPB variables, our study’s insights can inform actionable strategies and targeted interventions tailored for young men and women.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100504"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142424898","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":"Dating app users: Differences between middle-aged men and women","authors":"Adriana Jiménez-Muro,&nbsp;Pedro J. Ramos-Villagrasa,&nbsp;Ángel Castro","doi":"10.1016/j.ijchp.2024.100505","DOIUrl":"10.1016/j.ijchp.2024.100505","url":null,"abstract":"<div><div>The scientific literature generated as a result of the appearance and popularization of the use of dating apps still has some important limitations. Among them, the one that has focused particularly on some groups (men who have sex with men, university students) while ignoring others, stands out. Therefore, this study aimed to analyze the characteristics of dating app usage in middle-aged heterosexual people, paying special attention to the differences between men and women. A total of 298 heterosexual current dating app users (41.3 % women, 58.7 % men), aged between 25 and 50 years (<em>M</em> = 37.67, <em>SD</em> = 6.99), completed a battery of online questionnaires. Regular and intense use of dating apps was found in middle-aged people. Compared to women, men use more dating apps, have used them for a longer time, use them to a greater extent for casual sex, and for more time per day. It was also found that the time spent on dating apps and having a partner allowed for predicting some behaviors and relationships that arose in the apps. Knowing middle-aged people's dating app usage profiles and the differences between men and women will have relevant implications when designing and implementing preventive strategies and promoting these apps' recreational and responsible use from a gender perspective.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":""},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442547","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":"Abnormalities of cortical and subcortical spontaneous brain activity unveil mechanisms of disorders of consciousness and prognosis in patients with severe traumatic brain injury","authors":"Chang Li ,&nbsp;Peng Chen ,&nbsp;Yongbing Deng ,&nbsp;Lei Xia ,&nbsp;Xiaodong Wang ,&nbsp;Min Wei ,&nbsp;Xingdong Wang ,&nbsp;Lun Dong ,&nbsp;Jun Zhang","doi":"10.1016/j.ijchp.2024.100528","DOIUrl":"10.1016/j.ijchp.2024.100528","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the spatial distribution characteristics of alterations in spontaneous brain activity in severe traumatic brain injury (sTBI) patients with disorders of consciousness (DOC), based on the mesocircuit theoretical framework, and to establish models for predicting recovery of consciousness.</div></div><div><h3>Methods</h3><div>Resting-state functional magnetic resonance imaging was employed to measure the mean fractional amplitude of low-frequency fluctuations (mfALFF) in sTBI patients with DOC and healthy controls, identifying differential brain regions for conducting gene and functional decoding analyses. Patients were classified into wake and DOC groups according to Extended Glasgow Outcome Score at 6 months. Furthermore, predictive models for consciousness recovery were developed using Nomogram and Linear Support Vector Machine (LSVM) based on mfALFF.</div></div><div><h3>Results</h3><div>In total, 28 sTBI patients with DOC and 30 healthy controls were included, with no significant baseline differences between groups (<em>P</em> &gt; 0.05). The results revealed increased mfALFF of subcortical Ascending Reticular Activating System and decreased cortical mfALFF (default mode network) in DOC patients within the framework of the mesocircuit model (FDR_<em>P</em> &lt; 0.001, Clusters &gt; 100). The study identified 2080 differentially expressed genes associated with reduced brain activity regions, indicating mechanisms involving synaptic function, the oxytocin signaling pathway, and GABAergic processes in DOC formation. In addition, significantly higher mfALFF values were observed in the left angular gyrus, supramarginal gyrus, and inferior parietal lobule of DOC group compared to the wake group (AlphaSim_<em>P</em> &lt; 0.01, Cluster &gt; 19). The Nomogram prediction model highlighted the pivotal role of these regions' activity levels in prognosis (AUC = 0.90). Validation using LSVM demonstrated robust predictive performance with an AUC of 0.90 and positive predictive values of 80% for wake and 83% for DOC.</div></div><div><h3>Conclusions</h3><div>This study offered crucial insights underlying DOC in sTBI patients, demonstrating the dissociation between cortical and subcortical brain activities. The findings supported the use of mfALFF as a robust and non-invasive biomarker for evaluating brain function and predicting recovery outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100528"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721328","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":"Functional brain hubs are related to age: A primer study with rs-fMRI","authors":"María D. Figueroa-Jiménez ,&nbsp;Cristina Cañete-Massé ,&nbsp;Esteve Gudayol-Ferre ,&nbsp;Geisa B. Gallardo-Moreno ,&nbsp;Maribel Peró-Cebollero ,&nbsp;Joan Guàrdia-Olmos","doi":"10.1016/j.ijchp.2024.100517","DOIUrl":"10.1016/j.ijchp.2024.100517","url":null,"abstract":"<div><h3>Background/Objective</h3><div>Research on the ontogenetic development of brain networks using resting state has shown to be useful for understanding age-associated changes in brain connectivity. This work aimed to analyze the relationship between brain connectivity, age and intelligence.</div></div><div><h3>Methods</h3><div>A sample of 26 children and adolescents between 6 and 18 years of both sexes underwent a resting-state functional magnetic resonance imaging study. We estimated the values of fractional Amplitude low-frequency fluctuations (fALFF) and the values of Regional homogeneity (ReHo) in a voxelwise analysis to later correlate them with age and intelligence quotient (IQ).</div></div><div><h3>Results</h3><div>No significant correlations were found with IQ, but it was found that the fALFF values of the left precentral cortex (premotor cortex and supplementary motor area), as well as the ReHo values of the medial frontal gyrus, and the precentral cortex of the left hemisphere, correlate with age. Conclusions: Hubs related to various “task positive” networks closely related to cognitive functioning would present a development more related to age and relatively independent of individual differences in intelligence. These findings suggest that the premotor cortex and supplementary motor cortex could be a cortical hub that develops earlier than previously reported and that it would be more related to age than to intelligence level.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100517"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142551991","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":"Virtual individual cognitive stimulation therapy (V-iCST): Mixed methods feasibility randomised controlled trial","authors":"Esther K. Hui ,&nbsp;Victoria Tischler ,&nbsp;Gloria H.Y. Wong ,&nbsp;Luke Gibbor ,&nbsp;Chiara Lousley ,&nbsp;Georgia Bell ,&nbsp;Maria Jelen ,&nbsp;Tiffeny James ,&nbsp;Rob Saunders ,&nbsp;Charlotte Stoner ,&nbsp;Elizabeth Sampson ,&nbsp;Aimee Spector","doi":"10.1016/j.ijchp.2024.100523","DOIUrl":"10.1016/j.ijchp.2024.100523","url":null,"abstract":"<div><h3>Objective</h3><div>Cognitive Stimulation Therapy (CST) is a dementia intervention shown to improve cognition and quality of life (QoL). Previous research on individual CST delivered by family carers showed no significant improvements in people with dementia. We aimed to evaluate the feasibility and acceptability of Virtual Individual Cognitive Stimulation Therapy (V-iCST) delivered by healthcare personnel.</div></div><div><h3>Methods</h3><div>Mixed methods feasibility randomised controlled trial. Thirty-four participants were randomly allocated to either 14 sessions of twice-weekly V-iCST (<em>n</em> = 17) or treatment as usual (<em>n</em> = 17) delivered over seven weeks. We assessed cognition, QoL, communication, and depressive symptoms pre/post-treatment. We conducted semi-structured qualitative interviews with participants and carers (<em>n</em> = 15) following V-iCST, analysed with thematic analysis.</div></div><div><h3>Results</h3><div>High levels of attendance, adherence, completion of outcomes, and moderate fidelity. There were no significant between-group changes, but there was a positive trend in cognition. Qualitative findings suggested that V-iCST was valued and convenient but can evoke negative emotions.</div></div><div><h3>Conclusions</h3><div>V-iCST was feasible and acceptable. Preliminary data indicate that V-iCST delivered by healthcare personnel might meet a critical gap through increasing access to those who cannot or prefer not to attend in-person CST/groups. The need for remote treatments and CST being the main psychosocial intervention emphasizes the need for definitive trial.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 4","pages":"Article 100523"},"PeriodicalIF":5.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697752","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}