International Journal of Clinical and Health Psychology最新文献

{"title":"Exploring dropout in internet-delivered cognitive behavioral therapy for insomnia: A secondary analysis of prevalence, self-reported reasons, and baseline and intervention data as predictors","authors":"Laura Simon ,&nbsp;Lisa Steinmetz ,&nbsp;Eileen Bendig ,&nbsp;Ann-Marie Küchler ,&nbsp;Dieter Riemann ,&nbsp;David Daniel Ebert ,&nbsp;Kai Spiegelhalder ,&nbsp;Harald Baumeister","doi":"10.1016/j.ijchp.2025.100598","DOIUrl":"10.1016/j.ijchp.2025.100598","url":null,"abstract":"<div><h3>Introduction</h3><div>Internet-delivered cognitive behavioral therapy for insomnia (iCBT-I) is an effective treatment. However, dropout is a common challenge in digital therapeutics. This study examines dropout in iCBT-I by analyzing reported reasons for dropout and investigating whether baseline variables and intervention usage data can predict dropout.</div></div><div><h3>Methods</h3><div>This is an exploratory secondary analysis of a clinical trial investigating a stepped care model for insomnia featuring an eight-module iCBT-I. Reasons for dropout from the iCBT-I were assessed via self-developed items in follow-up surveys, and a dropout survey was sent to all patients who had not completed at least seven modules of the iCBT-I within 12 weeks. The proportion of respondents who agreed with the respective items was calculated. Additionally, bivariate models were specified to explore whether baseline variables and intervention usage data can predict dropout.</div></div><div><h3>Results</h3><div>The patients included in this sub-study had a mean age of 49.3 (SD=13.0), with 73.4 % identifying as female. At pre-treatment, their mean insomnia severity was 18.6 (SD=3.9). Among the 233 patients, 103 (44.2 %) were categorized as dropouts. The most frequently reported reasons for dropout were distractions from daily life, the perception of the content not being useful, and difficulties resuming after a break. None of the examined baseline variables significantly predicted dropout, whereas the time needed to complete the first module (OR=1.16; 95 %CI=1.08–1.27) and the number of sleep diary entries in the first week (OR=0.73; 95 %CI=0.65–0.80) significantly predicted dropout.</div></div><div><h3>Discussion</h3><div>This study highlights dropout as a relevant challenge in iCBT-I, affecting over 40 % of patients. Self-reported reasons indicate the importance of compatibility with distractions from daily life and perceived effectiveness. The prediction models suggest that dropout risk profiles can be developed based on first-week treatment data. Future research should focus on validating such models to improve effectiveness and user retention.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100598"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The longitudinal impact of screen media activities on brain function, architecture and mental health in early adolescence","authors":"Na Dong ,&nbsp;Yanyao Zhou ,&nbsp;Letian Lei ,&nbsp;Tatia M.C. Lee ,&nbsp;Charlene L.M. Lam","doi":"10.1016/j.ijchp.2025.100589","DOIUrl":"10.1016/j.ijchp.2025.100589","url":null,"abstract":"<div><div>The increased use of screen media has raised unknown effects on mental health among adolescents. This study aimed to examine the correlational and causal association between screen media activity (SMA) and mental health problems, and the mediating role of brain functions and structures in this relationship.</div><div>Data from 4557 adolescents (mean age = 9.955 ± 0.164 years) in the Adolescent Brain Cognitive Development (ABCD) study were analysed across four time points: baseline, 1-year, 2-year, and 3-year follow-ups. Linear mixed models assessed SMA’s association with mental health indices and the brain's developmental pattern, respectively. Cross-lagged panel models examined the SMA-mental health problems’ longitudinal and causal relationship. Mediation analyses explored brain functions and structures as mediators on the SMA-mental health correlation.</div><div>Baseline SMA positively correlated with internalizing, externalizing, and stress problems; and negatively correlated with brain volume, area and diverse sets of resting-state functional connectivity (RSFC) after three years. Higher baseline SMA associated with increased internalizing (<em>β</em> = 0.030, <em>SE</em>= 0.012, <em>p_fdr</em> = 0.016), and stress problems (<em>β</em> = 0.026, <em>SE</em> = 0.012, <em>p_fdr</em> = 0.037) three years later. The RSFC between the cingulo-opercular network (CON) and the retrosplenial temporal network (RTN) mediated the effects of SMA on externalizing (<em>β</em> = 0.002, <em>p_fdr</em> = 0.042) and stress problems (<em>β</em> = -0.003, <em>p_fdr</em> = 0.022). TV watching predicted higher externalizing problems (β = 0.054, pfdr &lt; 0.001), while video watching predicted increased internalizing (β = 0.061, pfdr &lt; 0.001), externalizing (β = 0.033, pfdr = 0.035), and stress problems (β = 0.060, pfdr &lt; 0.001).</div><div>The findings indicate the negative impact of SMA, particularly TV and video watching, on adolescent mental health, mediated by changes in CON and RTN functional connectivity. Future research can explore the specific risks associated with video streaming and consider the role of emerging technologies such as virtual reality in SMA on adolescent mental health.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100589"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness and user preferences of two tactile breathing devices in reducing stress in stressed individuals: A mixed methods study","authors":"E. Honinx ,&nbsp;M. Meys ,&nbsp;S. Broes ,&nbsp;L. Van Langenhoven ,&nbsp;R. Janssens ,&nbsp;I. Huys ,&nbsp;V. Oswald ,&nbsp;J. Annen ,&nbsp;S. Laureys ,&nbsp;C. Martial ,&nbsp;O. Gosseries","doi":"10.1016/j.ijchp.2025.100603","DOIUrl":"10.1016/j.ijchp.2025.100603","url":null,"abstract":"<div><h3>Background</h3><div>Rising stress levels have led to increased interest in stress management tools, particularly tactile breathing devices. Despite their popularity, there is limited evidence on their physiological and psychological effectiveness and user perceptions. This study evaluates the effectiveness of and preferences toward two tactile breathing devices among highly stressed individuals.</div></div><div><h3>Methods</h3><div>The study involved 36 participants using two breathing devices, moonbird and Core. Physiological data were collected using EEG, ECG, and a breathing belt. User preferences and self-reported experiences were assessed via questionnaires.</div></div><div><h3>Results</h3><div>Moonbird usage was associated with increased delta power and decreased alpha power, while Core did not significantly modify EEG power. ECG analysis indicated no significant differences in mean heart rate between devices. Both devices reduced heart rate variability during use, but no lasting effects were observed post-intervention. Respiratory rates decreased during both devices’ use, with moonbird showing more sustained effects post-intervention. There were no significant differences in self-reported relaxation and energy levels between the devices, though moonbird was preferred overall for its handling and breathing guidance.</div></div><div><h3>Conclusion</h3><div>Both devices demonstrated the ability to lower physiological stress, as indicated by improvements in certain neurophysiological measures during use, with moonbird preferred for its ergonomic design and tactile feedback. These findings underscore the importance of user experience in device effectiveness, highlighting the need for a user-centric approach in device design. Future research should explore long-term effectiveness, real-world user feedback, and the physiological and psychological mechanisms associated with these devices.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100603"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144587904","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":"Maternal electrophysiological response to interactions with their own child: A preliminary study in a sample of same-sex mothers","authors":"Michele Giannotti ,&nbsp;Micol Gemignani ,&nbsp;Alessandra Simonelli ,&nbsp;Simona de Falco ,&nbsp;Arianna Schiano Lomoriello ,&nbsp;Bianca Filippi ,&nbsp;Silvia Perzolli ,&nbsp;Paola Venuti ,&nbsp;Paola Rigo","doi":"10.1016/j.ijchp.2025.100612","DOIUrl":"10.1016/j.ijchp.2025.100612","url":null,"abstract":"<div><div>Past research has examined the link between maternal electrophysiological responses, self-reported measures, and the quality of caregiving. However, these patterns have remained unexplored in same-sex mothers. Furthermore, no study has yet investigated how maternal involvement in childcare is associated with event-related potential (ERP) responses to child stimuli. To address these gaps, a sample of 32 same-sex mothers participated in the study and were videotaped during a 15-minute structured play session with their child (aged 3–11 years). The interactions were coded using the Emotional Availability Scales, and the experimental stimuli for the EEG task were derived from these recordings. Mothers then participated in an EEG task, evaluating videotapes of their own and other mother-child interactions, which displayed successful or unsuccessful exchanges. Maternal involvement in childcare was assessed using an Italian-translated version of the Child Caregiving Involvement Scale. Same-sex mothers exhibited a stronger response to interactions with their own child. Mothers with higher caregiving involvement demonstrated increased LPP activation in response to unsuccessful interactions with their own child, though this result did not remain statistically significant after post-hoc corrections. Mothers who displayed greater sensitivity, non-intrusiveness, and non-hostility showed an amplified LPP response to unsuccessful interactions with their child. This study preliminarily highlights the neural mechanisms underlying sensitive and responsive caregiving in same-sex mothers. Further inclusive research is needed to broaden the understanding of parenting determinants and outcomes, as the diversity of modern families deserves more accurate representation in both social policy and research.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100612"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Effects of mindfulness-based interventions on cognitive impairment in patients with cancer: A systematic review and meta-analysis” [Int J Clin Health Psychol. 2025 Apr-Jun;25(2):100576]","authors":"Shuqin Jiang ,&nbsp;Yaoyao Sun ,&nbsp;Lixiang Yu ,&nbsp;Xinjie Hu ,&nbsp;Jie Li","doi":"10.1016/j.ijchp.2025.100599","DOIUrl":"10.1016/j.ijchp.2025.100599","url":null,"abstract":"","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100599"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualising good mental health for people with intellectual disabilities: An inclusive delphi study","authors":"Sophie Komenda-Schned ,&nbsp;Sarah Jasmin Landskron ,&nbsp;Paula Moritz ,&nbsp;Nicole Braunstein ,&nbsp;Josef Hochmeister ,&nbsp;Karin Riegler ,&nbsp;Robert Saugspier ,&nbsp;Brigitte Lueger-Schuster ,&nbsp;Luis Salvador-Carulla ,&nbsp;Elisabeth Lucia Zeilinger","doi":"10.1016/j.ijchp.2025.100601","DOIUrl":"10.1016/j.ijchp.2025.100601","url":null,"abstract":"<div><h3>Background</h3><div>Currently, there is no conceptualisation of good mental health for people with intellectual disabilities (ID). To develop an initial shared understanding of good mental health in this population, an inclusive Delphi study with two survey rounds was conducted.</div></div><div><h3>Methods</h3><div>The Delphi study comprised a total of <em>N</em> = 60 participants in the first round, and 53 in the second round. In sum, 23 experts with ID and 37 mental health experts were included. The Delphi questionnaire applied a universal design, maximising accessibility for experts with and without ID. Participants were asked to rate the relevance of each item for good mental health of people with ID. People with ID served as co-researchers throughout the research process.</div></div><div><h3>Results</h3><div>In both survey rounds, all items were rated as important for good mental health of people with ID (weighted median ≥ 3 out of 5). In a structural synthesis, the following factors were found to be important: (1) being part of the community, (2) adequate support, (3) social contacts, (4) communication, (5) working and living environment, (6) keeping the body healthy, (7) no mental disorders, (8) healthcare, (9) psychosocial functioning. As the broadest theme, psychosocial functioning included six subthemes, such as emotions, autonomy and self-concept, and doing something meaningful.</div></div><div><h3>Conclusions</h3><div>This study provides a foundational step towards developing a more inclusive understanding of good mental health for people with ID. The active involvement of co-researchers underscores the value of participatory methods in shaping research outcomes.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100601"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501696","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":"Optimizing pediatric “Mild” traumatic brain injury assessments: A multi-domain random forest analysis of diagnosis and outcomes","authors":"Upasana Nathaniel ,&nbsp;Erik B. Erhardt ,&nbsp;Divyasree Sasi Kumar ,&nbsp;Jingshu Wu ,&nbsp;Samuel D. Miller ,&nbsp;Pawani Chauhan ,&nbsp;Rahsan Keskin ,&nbsp;Tracey V. Wick ,&nbsp;Keith Owen Yeates ,&nbsp;Timothy B. Meier ,&nbsp;Harm J. van der Horn ,&nbsp;John P. Phillips ,&nbsp;Richard A. Campbell ,&nbsp;Robert E. Sapien ,&nbsp;Andrew R. Mayer","doi":"10.1016/j.ijchp.2025.100600","DOIUrl":"10.1016/j.ijchp.2025.100600","url":null,"abstract":"<div><h3>Objective</h3><div>Despite advances in imaging and fluid-based biomarkers, the care for pediatric “mild” traumatic brain injury (pmTBI) remains primarily dependent on clinical evaluation. However, the optimal clinical assessments for diagnosing pmTBI and predicting outcomes remain debated, including which individual test or combinations of assessments are most effective, and how this evolves as a function of time post-injury.</div></div><div><h3>Method</h3><div>Random Forest models were used to identify the most effective assessments for diagnostic (pmTBI vs. healthy controls) and outcome (pmTBI with favorable vs. poor outcomes, based on persisting symptoms) classification accuracy across a comprehensive battery including domains of self-reported clinical-ratings, paper-and-pencil cognitive tests, computerized cognitive tests, symptom provocation during neurosensory tests, and performance-based neurosensory measures. Assessments were conducted within 11-days, at 4-months and 1-year post-injury to examine acute and long-term recovery trajectories. A total of 323 pmTBI (180 males; age 14.5 ± 2.8 years) and 244 HC (134 males, 14.0 ± 2.9 years) were included (∼75 % 1-year retention) in final analyses.</div></div><div><h3>Results</h3><div>Self-reported clinical-ratings outperformed performance-based metrics across all visits in both models, with somatic complaints demonstrating the highest predictive validity. Cognitive tests of memory aided diagnostic classification, while emotional disturbances were predictive of outcome classification up-to 4-months. Retrospective ratings, reflecting trait-like characteristics, were more predictive for identifying individuals at risk of poor outcomes. Computerized cognitive and neurosensory tests had limited predictive value beyond 1-week post-injury.</div></div><div><h3>Conclusions</h3><div>Clinicians should adopt a tailored approach for clinical assessments across different post-injury intervals to enhance clinical care, shorten assessment batteries, and better understand recovery in children with “mild” TBI.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100600"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144490887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Individuals with autism have difficulties learning implicit sequences of social interactions that require mentalizing","authors":"Justin L. Abu Hoof ,&nbsp;Ines Argoub ,&nbsp;Youssra Kendil ,&nbsp;Styliani Kassiani Tsantzalou ,&nbsp;Rocío Martínez-Regueiro ,&nbsp;Frank Van Overwalle","doi":"10.1016/j.ijchp.2025.100617","DOIUrl":"10.1016/j.ijchp.2025.100617","url":null,"abstract":"<div><h3>Purpose</h3><div>This research investigated implicit social sequencing in adults with Autism Spectrum Disorder. Previous research emphasized the role of the cerebellum in autism, and in processing action sequences within social contexts requiring mental state attribution (mentalizing). We therefore hypothesized that individuals with autism would show reduced implicit sequencing in an interactive negotiation game that involves mentalizing.</div></div><div><h3>Methods</h3><div>Participants included 20 adults with autism and 20 matched healthy controls. Using a novel ultimatum serial reaction time task, participants received offers for a division of 10 points from multiple proposers and responded as quickly as possible. Unbeknownst to the participants, offers were presented in repeated or random sequences. Additionally, the proposers’ implied traits (egocentric versus generous offers) and the volatility of their offers (variable versus stable) were varied to assess context effects on implicit sequencing.</div></div><div><h3>Results</h3><div>As expected, autistic participants revealed no significant speed differences between repeated and random sequences, while controls were faster in repeated sequences. Considering context effects, both groups were faster in repeated sequences when offers were stable (i.e., identical across trials). Conversely, when offers were volatile, responses slowed down under repeated sequences.</div></div><div><h3>Conclusion</h3><div>Findings suggest reduced implicit social sequencing capacities in adults with autism. Social context factors influenced learning in both groups, indicating that autistic individuals may either perform at typical social levels when statistically controlling for their reduced sequencing capacities, or may sufficiently compensate under explicit task instructions. These results highlight social sequence learning as a promising target for intervention in training programs for autistic individuals.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100617"},"PeriodicalIF":4.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886317","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":"Do expectations shape interoceptive perceptions across body domains? A sham EMF study to test the predictive processing theory","authors":"Natalie Schmitz ,&nbsp;Carolin Wolters ,&nbsp;Antonia Rahrbach ,&nbsp;Friederike Kälke ,&nbsp;Michael Witthöft ,&nbsp;Alexander L. Gerlach ,&nbsp;Anna Pohl","doi":"10.1016/j.ijchp.2025.100609","DOIUrl":"10.1016/j.ijchp.2025.100609","url":null,"abstract":"<div><h3>Objective</h3><div>According to the principles of predictive processing theory, persistent symptom perception is largely determined by central nervous predictions on somatosensory input. Here, we examine how threat-related expectations shape predictions and interoceptive perceptions across body domains using sham EMF (electromagnetic field) exposure.</div></div><div><h3>Methods</h3><div>Participants (<em>n</em> = 113) were recruited via announcements at the university. Most participants were female (76.1 %) with a mean age of 25.12 years. Participants were divided into two groups (sham EMF on/off). Both groups completed a somatic and a cardiovascular signal detection task (SSDT, cvSDT) in pseudo-randomized order. Sensitivities and response biases were calculated. Self-reports (symptom distress, anxiety) were completed. Group effects were analysed with (M)AN(C)OVAs. In four exploratory regression models response bias and anxiety (state/trait) served as predictors for somatic symptom distress.</div></div><div><h3>Results</h3><div>Participants in the sham EMF group reported significantly higher levels of state anxiety (<em>p</em> = .021, <em>d</em> = 0.44) and, trend-wise, more symptoms during the experiment (<em>p</em> = .065, <em>d</em> = 0.35). Response biases did not differ significantly between the groups (SSDT<em>: p</em> = .782; cvSDT: <em>p</em> = .743). However, higher somatic symptom distress was significantly associated with a more liberal interoceptive response tendency in both tasks in the sham EMF group (two significant models, one trend: (-0.209 ≤ <em>β</em>s ≤ -0.325, adjusted 0.232 ≤ <em>R</em>² ≤ 0.330).</div></div><div><h3>Conclusions</h3><div>A liberal approach was associated with elevated symptom experience across bodily domains and might be considered a transdiagnostic psychopathological risk factor. As research is still scarce, replication studies with valid context manipulations are essential.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100609"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653958","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":"Boosting your mood: How exercise and the amygdala dance together","authors":"Li-Kun Ge ,&nbsp;Shu Zhang ,&nbsp;Li-Zhen Chen ,&nbsp;Ke Zhou ,&nbsp;Li Zhang ,&nbsp;Xi-Nian Zuo ,&nbsp;Gao-Xia Wei ,&nbsp;Jingang Dai","doi":"10.1016/j.ijchp.2025.100610","DOIUrl":"10.1016/j.ijchp.2025.100610","url":null,"abstract":"<div><div>Accumulative evidence has shown that functional heterogeneity exists in subregions of amygdala. Recently, exercise serving as automatic emotion regulation has been observed to induce the altered activation of amygdala associated with mood change. However, the specific role of subregions of amygdala underlying these effects are not fully understood. By using resting-state functional magnetic resonance imaging (rs-fMRI), this study examined whether the subregions of amygdala play distinct roles in mood improvement induced by acute exercise.</div><div>Participants (<em>n</em> = 76) aged 18–22 were recruited and randomly divided into the exercise group and the control group. The exercise group received a 30-minute intervention with moderate-intensity exercise while the control group completed a reading control task at resting state. Whole-brain rs-fMRI scans were conducted before and after the interventions. Moreover, participants’ moods were also assessed using the Positive and Negative Affect Schedule (PANAS) and Abbreviated Profile of Mood States. A mixed-effect model was used to analyze the Group × Time interaction on functional connectivity (FC) seeded from medial amygdala (mAmyg) and lateral amygdala (lAmyg) subregions in each hemisphere.</div><div>Results revealed that exercise-induced mood improvements were correlated with significant Group × Time interaction effects on FC, showing a notable right-hemispheric predominance. Specifically, enhanced connectivity of the right mAmyg with orbitofrontal cortex, parietal, and cerebellar regions was associated with reduced negative affect and increased self-esteem. Concurrently, enhanced connectivity of the right lAmyg with the orbitofrontal cortex and striatum was linked to a broad spectrum of improvements, including reduced tension and anger, and increased vigor.</div><div>These findings suggest that acute exercise improves mood via distinct, lateralized neural pathways centered on different amygdala subregions. The mAmyg and lAmyg play complementary roles in automatic emotion regulation, with the right mAmyg modulating affective valence and self-evaluation, while the right lAmyg appears to regulate a broad spectrum of mood states and enhance positive arousal. This work provides a more nuanced neurobiological model for the therapeutic effects of exercise.</div></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"25 3","pages":"Article 100610"},"PeriodicalIF":5.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695172","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}