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Studies comparing the brain functions of major depressive disorder (MDD) and social anxiety disorder (SAD) at the regional and network levels remain scarce. This study aimed to elucidate their pathogenesis using neuroimaging techniques and explore biomarkers that can differentiate these disorders. Resting-state fMRI data were collected from 48 patients with MDD, 41 patients with SAD, and 82 healthy controls. Differences in the amplitude of low-frequency fluctuations (ALFF) among the three groups were examined to identify regions showing abnormal regional spontaneous activity. A seed-based functional connectivity (FC) analysis was conducted using ALFF results as seeds and different connections were identified between regions showing abnormal local spontaneous activity and other regions. The correlation between abnormal brain function and clinical symptoms was analyzed. Patients with MDD and SAD exhibited similar abnormal ALFF and FC in several brain regions; notably, FC between the right superior frontal gyrus (SFG) and the right posterior supramarginal gyrus (pSMG) in patients with SAD was negatively correlated with depressive symptoms. Furthermore, patients with MDD showed higher ALFF in the right SFG than HCs and those with SAD. Potential effects of medications, comorbidities, and data type could not be ignored. MDD and SAD showed common and distinct aberrant brain function patterns at the regional and network levels. At the regional level, we found that the ALFF in the right SFG was different between patients with MDD and those with SAD. At the network level, we did not find any differences between these disorders. [Display omitted] • Local brain activity and its connectivity during rest were compared in MDD and SAD. • MDD and SAD showed similar ALFF and rsFC in several brain regions. • In the right superior frontal gyrus, MDD had increased ALFF than SAD. • Different ALFF and rsFC were significantly correlated with clinical data. [ABSTRACT FROM AUTHOR]

Dimensional frameworks of psychopathology call for multivariate approaches to map co-occurring disorders to index what symptoms emerge when and for whom. Ecological momentary assessment (EMA) offers a method for assessing and differentiating the dynamics of co-occurring symptoms with greater temporal granularity and naturalistic context. The present study used multivariate mixed effects location-scale modeling to characterize the time-varying dynamics of depressed mood and anxiety for women diagnosed with social anxiety disorder (SAD) and major depression (MDD). Women completed five daily EMA surveys over 30 days (150 EMA surveys/woman, T ≈ 5250 total observations) and two clinical diagnostic and retrospective self-report measures administered approximately two months apart. There was evidence of same-symptom lagged effects (bs = 0.08–0.09), but not cross-symptom lagged effects (b s < 0.01) during EMA. Symptoms co-varied such that momentary spikes from one's typical level of anxiety were associated with increases in momentary depressed mood (b = 0.19) and greater variability of depressed mood (b = 0.06). Similarly, spikes from one's typical levels of depressed mood were associated with increases in momentary anxiety (b = 0.19). Furthermore, the presence and magnitude of effects demonstrated person-specific heterogeneity. Our findings are constrained to the dynamics of depressed and anxious mood among cisgender women with primary SAD and current or past MDD. Findings from this work help to characterize how daily experiences of co-occurring mood and anxiety fluctuate and offer insight to aid the development of momentary, person-specific interventions designed to regulate symptom fluctuations. • The nature of covariation in mood and anxiety varies from person to person. • Multivariate mixed effects location-scale modeling was used. • Momentary spikes in one symptom were associated with increases in the other. • The presence and magnitude of effects demonstrated person-specific heterogeneity. • Findings inform the design of momentary, person-specific interventions. [ABSTRACT FROM AUTHOR]

Prior research suggests the elementary school lunchroom is an important context for children's social development. Using a sample of 659 fourth-grade students in 10 public schools (50.7% female; 42.7% Hispanic/Latinx, 30.3% White, 10% Pacific Islander, 7.8% bi/multiracial, 2.2% American Indian, 2.2% Black, 1.9% Asian, and 2.9% other), we examined the association between lunchroom-specific peer acceptance and internalizing symptoms (i.e., depression and social anxiety symptoms). We hypothesized that lunchroom peer acceptance would predict self-rated depression and social anxiety symptoms when controlling for social preference scores. Using hierarchical linear modeling, results indicated self-rated lunchtime peer acceptance scores in December significantly predicted depression symptoms in May when controlling social preference scores and accounted for changes in depression scores across a school year. However, some significant gender differences emerged. Results suggest that elementary school lunchroom interventions should attend to children's perceptions of lunchroom likability and their experiences of depression symptoms. [ABSTRACT FROM AUTHOR]

Background: A brief, parent-led, transdiagnostic cognitive behavioral therapy (CBT) approach demonstrated utility among youth struggling with emotional problems during the COVID-19 pandemic. Homework completion between sessions is directly associated with psychotherapy treatment outcomes in non-parent-led CBT interventions. The present study sought to examine the relationship between homework completion and treatment response in a parent-led transdiagnostic CBT protocol. Objective: The first aim was to determine if completion of between session CBT homework was associated with change in symptom severity. The second aim was to determine if pre-treatment anxiety severity, social anxiety severity, and depressive symptoms were associated with treatment outcomes. Methods: One-hundred twenty-nine parents of youth (ages 5–13) with significant emotional problems received 6 sessions of telehealth parent-led CBT during the COVID-19 pandemic. Data on children's anxiety symptomology, clinical severity, homework compliance, depression, family relationships, perceptions on the impacts of the pandemic, treatment response, and therapists rating of symptom improvement were collected. Results: Homework completion explained 9% of the variance in symptom improvement at post-treatment. Greater homework completion was associated with a significantly higher odds of treatment response (OR = 1.52, p =.001). Child anxiety severity, depressive symptoms, family relationships, and perceptions on the impacts of the COVID-19 pandemic were not significantly related to treatment outcome. Conclusions: Completion of homework predicted treatment outcomes in parent-led, transdiagnostic CBT for youth with emotional problems during the COVID-19 pandemic, while controlling for parent-rated anxiety, depression, family relationships, and COVID-related distress. Enhancing and targeting homework compliance between CBT sessions should be a central element of parent-led treatment. [ABSTRACT FROM AUTHOR]

The widespread availability of internet access in daily life has resulted in a greater acceptance of online assessment methods. E-assessment platforms offer various features such as randomizing questions and answers, utilizing extensive question banks, setting time limits, and managing access during online exams. Electronic assessment enables real-time monitoring, customization, and scalability of feedback, benefiting students, academic staff, and administrative personnel. However, students encounter specific challenges in the electronic assessment environments. These challenges include limited control over test settings and the isolated nature of taking exams without peers. Furthermore, the technological proficiency of both instructors and students, along with resource constraints (computers, mobile devices, internet), can impede the effective utilization of these assessment tools. Technical issues like slow internet connection or disconnections can have significant consequences, especially in online exams, posing difficulties for corrections. The main goal of this study is to develop a Likert-type scale capable of measuring anxiety related to technical issues, social isolation, and the test interface experienced in e-assessment contexts. The study consists of two separate groups: the first group comprising 359 participants and the second group consisting of 356 participants. Both groups include undergraduate and pedagogical formation certificate program students from a university in the Eastern Anatolia Region of Turkiye. Construct validity was assessed through exploratory and confirmatory factor analyses. Item parameters were examined using item analysis based on classical test theory. As a result of the study, a two-factor scale structure comprising 21 items measuring social and technical anxiety was developed. These two dimensions account for 59.89% of the total variance. The Cronbach's alpha coefficient for the entire scale was 0.93, the McDonald's omega coefficient was 0.93, and the construct reliability was 0.99. [ABSTRACT FROM AUTHOR]

The present study examined the relationships among perceived teacher's autonomy support, four motivational regulations (external, introjected, identified, intrinsic), and four social-emotional outcomes (self-efficacy, resilience, test anxiety, and perceived stress). A total of 130 primary students aged between 10 and 11 (M = 10.36; SD = 0.48) were recruited in Singapore. In particular, the mediating effects of four motivational regulations in the relationship between teacher's autonomy support and social-emotional outcomes were tested using bootstrapping method. Results of the study indicated that external regulation and intrinsic motivation were two mediators between teacher's autonomy support and test anxiety. Surprisingly, introjected regulation was positively associated with test anxiety and perceived stress and functioned as a significant mediator between teacher's autonomy support and test anxiety and perceived stress. Teacher's autonomy support may serve as a potential approach to develop students' positive social-emotional outcomes such as self-efficacy and resilience while reduce negative social-emotional influences such as test anxiety and stress through activating students' motivational resources. The present study provides novel insights into the relationships between SDT and four social-emotional outcomes by considering the four types of motivational regulation as mediators to investigate the effects of perceived teacher's autonomy support on students' SEL-related outcomes. [ABSTRACT FROM AUTHOR]

Environmental sustainability depends highly on our ability to identify the determinants of various types of pro-environmental behaviours (PEBs). However, so far, public sphere pro-environmental behaviours (PBS-PEBs) have received little attention in the scientific literature. This paper aims thus to fill this gap by exploring the role of dispositional (i.e., social anxiety and self-efficacy) and social psychological factors (i.e., environmental concern and global warming awareness) in the prediction of PBS-PEBs. An online questionnaire, including measures of these factors, was administered to residents (N = 199) of various Italian cities. The results indicated that (1) dispositional social anxiety (but not self-efficacy) directly (and negatively) predicts PBS-PEBs and that its effect is comparable to that of the social psychological factors considered (environmental concern and global warming awareness); (2) global warming awareness (positively) predicts PBS-PEBs directly, while (3) environmental concern, measured through the NEP scale, does it indirectly. Implications of the results for modelling the role of dispositional anxiety, environmental concern and global warming awareness in studies on PBS-PEBs are briefly outlined. [ABSTRACT FROM AUTHOR]

Social anxiety is common in childhood and potentially transitions into clinical disorders including depression. The present study aimed to examine the effectiveness of an indicated prevention program for children screened in routine care. Data came from the PROMPt project, a prospective implementation study (10/2018-09/2022) that explored a novel care chain, starting with screening with the Strengths and Difficulties Questionnaire (SDQ) as part of regular health check-ups, followed by indicated assignment and participation in a prevention program. Questionnaires assessing anxiety and depression symptoms were administered shortly after screening or before program participation (T0), six months after screening or after program participation (T1) and at a follow-up, six months after T1 (T2). Children who participated in a group cognitive-behavioral social skills program (TT; n = 145) were compared using mixed model analyses with non-participating children who were either screened as normal (NOR; n = 894) or refused program participation despite indication (NoTT; n = 67). TT scores improved from T0 to T1 compared to NOR and NoTT (anxiety β = -0.71 and β = -0.71, social anxiety β = -0.46 and β = -0.52, depression β = -0.52 and β = -0.73). Improvement was maintained at T2. Moderation analyses showed a trend toward greater benefit for participants with higher baseline scores. Indicated prevention can improve anxiety and depression symptoms in children identified by screening in routine care. Systematic screening and targeted prevention may positively affect mental health of children on a population level. [ABSTRACT FROM AUTHOR]

Background: This study used data from the Norwegian Mother, Father, and Child Cohort Study (MoBa), and explored the psychological and social challenges of 14-year-olds who report psychotic symptoms. Research on help-seeking youths indicates comorbid symptoms of depression, anxiety, and social deterioration, but less is known about non-help-seeking individuals who may not use healthcare services, possibly skewing comorbidity profiles. Also, findings suggest that adolescents manifesting psychotic symptoms refrain from pursuing help. This gap underscores the necessity of studying non-helpseeking adolescents to better understand their needs and the risks they face without intervention. Methods: We analyzed responses from adolescents who completed the 14-year questionnaire in MoBa (N = 127), identifying those as at risk by their high scores on psychosis-risk items, within the top 0.4% (N = 58). Comparative analyses were conducted against matched controls to assess differences in psychological and social functioning (N = 69). Results: Results indicated that the at-risk adolescents experience significantly more depression and anxiety and have lower self-esteem and poorer social functioning than controls. Social functioning parameters, including leisure activities, social competence, quality of parental relationship, and sense of school belonging, were significantly worse than those observed in controls. The results indicate a pronounced vulnerability among non-help-seeking adolescents at-risk, similar to issues seen in help-seeking youths. Conclusion: These findings highlight the importance of early identification and intervention strategies that reach beyond traditional clinical settings, suggesting the efficacy of population or community-based screenings to prevent longterm adverse outcomes. The study proposes a broader understanding of psychosis risk, stressing the importance of inclusive approaches to support atrisk adolescents effectively. [ABSTRACT FROM AUTHOR]

Several researchers have found that men who have committed sexual aggression have inadequate coping strategies (e.g., paraphilic sexual fantasies, substance abuse). However, very few researchers have empirically examined the factors potentially associated with the development of these strategies. In 2011, Maniglio hypothesized that the inadequate coping strategies of men who have committed sexual aggression are the result of childhood victimization, mediated by internalized psychological problems. The present study therefore empirically tested this hypothesis in a Canadian sample of 205 men who had committed sexual aggression against women, of whom 37 committed sexual murder. Structural equation modeling (SEM) resulted in the identification of several direct and indirect trajectories leading from childhood victimization (psychological, physical, sexual) to the development of inadequate coping strategies (paraphilic sexual fantasies, alcohol and drug use) mediated by internalized psychological problems (e.g., anxiety, depression, social isolation). The theoretical and clinical implications of these developmental trajectories are discussed. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to compare the effectiveness of attachmentbased, brain-based, and mindful parenting training on the parental orientation of mothers of students with social anxiety symptoms. Methods and Materials: The research method was a quasi-experimental design with a pre-test, post-test, and follow-up with three groups. The statistical population consisted of all mothers with elementary school children. The sample included 60 mothers from the city of Felard, selected purposefully based on inclusion and exclusion criteria, and assigned to three training groups and one control group. The research instrument was the Parental Orientation Scale (Yousefi, 2021). While the control group was on a waiting list, the experimental groups received the educational interventions. The collected data were analyzed at two levels: descriptive (mean and standard deviation) and inferential (repeated measures analysis of variance). Calculations were performed using SPSS software. Findings: The results showed that brain-based and attachment-based parenting had a significant effect on parental orientation, but attachment-based parenting did not significantly affect mothers' orientation and could improve it. Conclusion: Thus, it can be concluded that brain-based and mindful parenting methods are effective in improving the mentioned parental constructs. [ABSTRACT FROM AUTHOR]

Objective: Social anxiety is characterized by the fear of being observed and judged by others in social situations. Methods and Materials: The present study aimed to investigate the relationships among early maladaptive schemas, behavioral inhibition, and social anxiety, considering the mediating role of social situation evaluation, safety behaviors, emotion regulation, social beliefs and thoughts, and self-related beliefs. This descriptive study was of a correlational type. The statistical population included all female medical students at Jundishapur University of Medical Sciences in Ahvaz. The research sample consisted of 483 female students who were selected through convenience sampling. The research instruments included the Social Phobia Inventory, the Early Maladaptive Schemas Questionnaire, the Social Situations Evaluation Scale, the Safety Behaviors Questionnaire, the Emotion Regulation Questionnaire, the Social Beliefs and Thoughts Scale, the Self-Related Beliefs Scale, and the Behavioral Inhibition Questionnaire. Findings: Data were analyzed using Pearson correlation and structural equation modeling. Fit indices indicated that the hypothetical model of the study had a good fit with the data (CFI = 0.96, IFI = 0.96, RMSEA = 0.07). The results showed that except for emotion regulation, all mediator variables affect social anxiety disorder (SAD). Conclusion: Given the role of the factors proposed in the research model, it can be utilized in designing interventions for SAD among female medical students. [ABSTRACT FROM AUTHOR]

Processing social feedback optimistically may maintain positive self-beliefs and stable social relationships. Conversely, a lack of this optimistic bias in depression and social anxiety may perpetuate negative self-beliefs and maintain symptoms. Research investigating this mechanism is scarce, however, and the mechanisms by which depressed and socially anxious individuals respond to social evaluation may also differ. Using a range of computational approaches in two large datasets (mega-analysis of previous studies, n = 450; pre-registered replication study, n = 807), we investigated how depression (PHQ-9) and social anxiety (BFNE) symptoms related to social evaluation learning in a computerized task. Optimistic bias (better learning of positive relative to negative evaluations) was found to be negatively associated with depression and social anxiety. Structural equation models suggested this reflected a heightened sensitivity to negative social feedback in social anxiety, whereas in depression it co-existed with a blunted response to positive social feedback. Computational belief-based learning models further suggested that reduced optimism was driven by less positive trait-like self-beliefs in both depression and social anxiety, with some evidence for a general blunting in belief updating in depression. Recognizing such transdiagnostic similarities and differences in social evaluation learning across disorders may inform approaches to personalizing treatment. [ABSTRACT FROM AUTHOR]

Non‐suicidal self‐injury (NSSI) is an emerging concern in the field of public health. The objective of this study is to develop a conditional process model to investigate the relationship between social anxiety and NSSI, and the role of impulsiveness and self‐esteem in this relationship. A convenience sample of 2717 university students (Mage = 19.81, 22.49% male) from Southern China was recruited. The age range of the participants is between 18 and 25 years. The data were analysed using Spearman correlation analysis, mediation analysis and moderation analysis. The study revealed a positive correlation between social anxiety and NSSI, with impulsiveness serving as a mediating factor in this association. The relationship between social anxiety and NSSI, impulsiveness and social anxiety, impulsiveness and NSSI were all found to be moderated by self‐esteem. The prevalence of NSSI among college students exhibited a strong association with social anxiety and impulsiveness. The present investigation additionally demonstrated that there was no significant association between social anxiety, impulsivity and NSSI when high self‐esteem was included. This finding implies that self‐esteem plays a crucial role in safeguarding against NSSI. [ABSTRACT FROM AUTHOR]

Parents can influence sons' body image and eating behaviors both directly (e.g., through comments) and/or indirectly (i.e., through modeling). However, available studies still lack in addressing parents' influence on their sons. This study aimed to explore parental indirect influence by investigating the associations between mothers' and fathers' body dissatisfaction, disordered eating, and corresponding dimensions in their sons. Moreover, we examined the relation between mothers' and fathers' social anxiety symptoms, low self-esteem, and perfectionistic traits, and their sons' body dissatisfaction and disordered eating. Group differences (sons, mothers, and fathers) in the above-mentioned variables were also investigated. A hundred and twenty-eight Italian males (Mage = 23.88 years ± 3.13, range 18–31) from various regions of Italy and their parents completed questionnaires investigating the above-mentioned variables. Analyses of Covariances were conducted, controlling for participants' age. Group differences emerged in relation to body dissatisfaction and disordered eating. Multiple regressions showed that sons' drive for thinness and body dissatisfaction were associated with mothers' body dissatisfaction, dysfunctional eating behaviors, and perfectionism, while bulimic symptoms were associated with fathers' perfectionism and with the living condition of sons (i.e., living with their parents). The present findings underscore the significant role that mothers may play in shaping their sons' body- and eating-related behaviors, as mothers' behavioral and cognitive dimensions related to body dissatisfaction and disordered eating are shown to be more strongly associated with their sons' body dissatisfaction and drive for thinness than fathers' dimensions. Moreover, our findings highlighted that fathers' influence might be limited to sons' bulimic symptoms, as fathers' perfectionism and the living condition of sons (i.e., sharing the house with parents) emerged as associated with sons' bulimic symptoms. This study further supports the importance of considering the parental role when addressing men's body image and eating behaviors. [ABSTRACT FROM AUTHOR]

In the modern digital era, WeChat has risen as a key platform for social engagement and relationship building, extending beyond its initial role as an instant messaging app. Despite numerous studies exploring various psychological aspects, such as social anxiety and belongingness, in relation to WeChat users' liking behavior, a dearth of research exists in establishing a comprehensive framework for thorough investigation. To gain a deeper understanding of this phenomenon, this study is rooted in the Theory of Reasoned Action and the Uses and Gratifications Theory, constructing a research framework to examine how social anxiety and belongingness influence the interactive behavior of WeChat users within the "Moments" feature. The analysis of 345 valid questionnaires led to the following conclusions: heightened user belongingness encourages increased engagement, particularly expressed through actions like liking posts in WeChat Moments, while elevated social anxiety may impede such behaviors. These motivations and subsequent actions not only reflect the intricate psychological dynamics of users in virtual social interactions but also reveal prevalent patterns of online relationship maintenance in the current digital landscape. [ABSTRACT FROM AUTHOR]

Objective: Psychological interventions are pivotal in enhancing the Quality of Life for breast cancer survivors, with a primary focus on addressing affective and cognitive challenges through group discussions among those diagnosed with the disease. While the influence of Body Image on overall well-being is well-documented, research on interventions specifically designed to address Body Image concerns in this demographic remains scarce. The present study aimed to fill this gap by evaluating the outcomes of a psychological intervention focused on fostering a positive Body Image among 25 breast cancer survivors. Method: Participants were divided into an experimental group, which received the intervention (n = 13), and a control group that did not receive any psychological support (n = 12). Results: Our findings highlight significant disparities in emotional regulation strategies, specifically cognitive reappraisal and expressive suppression, with the intervention group reporting enhanced emotional regulation. Contrary to initial hypotheses, the analysis unveiled statistically significant differences in both negative (social physique anxiety) and positive (functionality appreciation) body image dimensions, indicating elevated levels of social physique anxiety and reduced functionality appreciation among intervention participants. Conclusion: The total results may suggest that the intervention, while effective in enhancing emotional regulation, heightened awareness of body image issues, leading to increased social physique anxiety and diminished functionality appreciation. The paper further discusses practical implications arising from these insights. [ABSTRACT FROM AUTHOR]

This study explores the relationship between perceived parental conflict, self‐compassion, shame, and social anxiety and its internal mechanisms through two studies. Study 1 took 612 middle school students (285 women, 327 men, M = 14.18 years, SD = 1.72) as participants, and the Children's Perception of Interparental Conflict Scale, Self‐compassion scale (SCS), shame scale (SS), and Social Anxiety Scale were used for testing. The results showed that perceived parental conflict was significantly correlated with self‐compassion, shame, and social anxiety. Perceived parental conflict affects middle school students' social anxiety through feelings of self‐compassion and shame. In study 2, 106 middle school students (76 women, 30 men, M = 15.47 years, SD = 0.62) were randomly assigned to the self‐compassion group and control group, and students were asked to complete different literacy tasks, and then fill out the SCS, SS and adolescent social anxiety scale in turn. The results found that in the context of parental conflict, inducing the self‐compassion of middle school students can reduce the level of shame and social anxiety. The introduction of the concept of self‐compassion into the field of middle school students' mental health reveals the function of self‐compassion. It expands the relevant research on the intermediary role of self‐compassion, and also provides innovative ideas for the future research of mental health education in primary and secondary schools. [ABSTRACT FROM AUTHOR]

Background Aims Method Results Conclusion Research pooling data from UK university counselling services (UCSs) has allowed UCSs to compare their outcomes and demonstrate their effectiveness in improving student mental health. During the COVID‐19 pandemic, UCSs moved to remote delivery. Consequently, it was necessary to understand how this impacted students' outcomes.This evaluation aimed to (1) understand how the therapeutic outcomes of a UCS compared with established norms in UK UCS literature, and (2) understand whether delivering therapy online affected student outcomes compared with UK norms from in‐person therapy.Sessional outcome data from 627 students who attended the UCS in the 2020/2021 academic year were gathered. Descriptive analyses of students' initial clinical data (determined by the CCAPS‐34) were conducted. Paired sample t‐tests determined differences between the pre‐ and post‐therapy scores. The effect size of this difference was derived.Students presented with high levels of academic distress, social anxiety, generalised anxiety and depression. The initial severity of mental health concerns was lower than that reported in previous literature. The largest improvements were evidenced for depression and general anxiety and 25% (n = 112) of students achieved reliable reductions in distress. Compared with existing literature, the UCS showed similar levels of improvement over therapy. It is suggested that remote therapy increased service accessibility.The delivery of remote therapy produced results consistent with norms in the UK data, highlighting the effectiveness of online therapy for university students. Further large‐scale evaluations of student outcomes from remotely delivered therapy are recommended. [ABSTRACT FROM AUTHOR]

Animals may experience early negative (mechanical pain: being retrieved using an incisor by parents or attacked) or positive stimulation (being licked and groomed) that may affect emotional and social behaviors in adulthood. Whether positive tactile stimulation can reverse adverse consequences on emotional and social behaviors in adulthood resulting from chronic mechanical pain and underlying mechanisms remain unclear. This study used a tail‐pinching model during development to simulate mechanical pain experienced by pups in high‐social mandarin voles (Microtus mandarinus). Subsequently, brush‐like positive tactile stimuli were applied to the backs of the mandarin voles. Various behavioral tests were used to measure levels of anxiety, depression, and sociability. The results showed that early tail‐pinching delayed the eye opening of pups, increased levels of anxiety, reduced levels of sociality in male mandarin voles, and impaired social cognition in females during adulthood. Brushing on the back reversed some of these effects. While mandarin voles that were exposed to tail‐pinching during development were exposed to sub‐threshold variable stress as adults, they were more likely to show a stress‐induced increase of anxiety‐like behavior, reduction of sociability, and impairment of social cognition, displaying heightened susceptibility to stress, particularly in males. However, back‐brushing reversed some of these effects, implying that these adults display enhanced stress resilience. In addition, tail‐pinching reduced levels of serum oxytocin and increased corticosterone levels in serum, but back‐brushing reversed these effects. Overall, it was found that positive tactile stimulation reversed increases in anxiety and impairments of social behavior induced by negative stimulation in male mandarin voles via alteration of oxytocin and corticosterone levels. [ABSTRACT FROM AUTHOR]

Socially anxious individuals often have dysfunctional social relationships because they avoid face-to-face interactions. New technology, however, presents them with opportunities to connect virtually. This study examined whether the intensity of social anxiety varies depending on whether interactions occur offline or online and whether the Clark and Wells' (1995) cognitive-behavioral model of social anxiety is applicable to understanding online interactions. Participants in this study were 295 female social media users (Facebook and/or Instagram) aged 18–35 years. An online questionnaire included the Social Anxiety Scale for Social Media Users (SAS-SMU) to explore the intensity of social anxiety both in online and offline contexts. To examine the Clark and Wells' model in online context, we asked participants to report associated assumptions, perceived social danger, safety behaviors, and somatic and cognitive symptoms of social anxiety after imagining themselves in three online situations (posting a status, posting a photo, starting a conversation on chat). Socially anxious individuals reported significantly higher social anxiety levels in offline compared to online interactions. Structural equation modelling used to test a somewhat simplified Clark and Wells' model in online context resulted in a pattern of significant associations that was mostly in line with the conceptual expectations. [ABSTRACT FROM AUTHOR]

Background: Peripersonal Space (PS) is represented as the immediate area surrounding an individual. The extent of PS changes in relation to several factors, including emotional states, type of relationship or psychopathology. Attachment anxiety has an impact on the social adaptability of peripersonal space and anxiety and fear are associated with an expansion of peripersonal space, possibly serving as a mechanism of self-protection. Peripersonal space appears to be intricately linked to various psychiatric conditions like anxiety disorders and converging evidence suggests that social maladjustment may predict or exacerbate eating disorder symptoms expression. Methods: Fifty-eight healthy adolescents (38F, 20M) performed a comfort distance estimation task to assess peripersonal space. The Adolescent/Adult Sensory Profile (AASP) was used to assess sensory profiles and the SAFA protocol to investigate psychopathological aspects. Data was analysed using Network Analysis, estimating a Gaussian Graphical Models with a Bayesian approach. Results: We found that the task related to comfort estimation distance demonstrated a correlation with the visual scale of the Adolescent/Adult Sensory Profile (AASP). Additionally, a correlation was observed with the Eating Disorder scale of the SAFA protocol. The touch scale also was negatively correlated with Eating disorder symptoms but not with the comfort estimation task. Conclusion: Our results demonstrate a relation between peripersonal space and eating disorder symptoms in healthy adolescents in line with previous findings in adults with eating disorders diagnosis. These findings suggest that socio-emotional difficulties may be possible precursors or reinforce for the development of an eating disorder symptoms. [ABSTRACT FROM AUTHOR]

Introduction: As the Myers-Briggs Type Indicator (MBTI) gains popularity among Chinese young people, it has undergone a gradual transition from being perceived as a personality assessment tool to being regarded as a social label. The objective of this study was to ascertain whether the use of the MBTI as a social label has an impact on social anxiety among Chinese youth groups. Methods: A questionnaire survey was conducted on social media platforms to recruit Chinese youth aged 18 to 35. A total of 247 males and 222 females participated in the study, and the data was analyzed quantitatively using SPSS software and the Process macro plugin. Results: The study found no strong correlation between MBTI as a social label and social anxiety. Moreover, this study introduced ego identity, belonging, and impression management as mediating variables and found that, under the influence of ego identity and impression management, the use of MBTI has a significant impact on social anxiety. Discussion: The research reveals the complex role of MBTI among Chinese youth and provides a new perspective for understanding the impact of online social labels on the mental health of youth groups. Of course, this study also has limitations in terms of sample size and variable control. Future research should expand the sample size, introduce more potential influencing factors, and further validate and expand the existing conclusions. [ABSTRACT FROM AUTHOR]

Atrial fibrillation (AF) is the most common sustained arrhythmia in adults. The prevalence of both AF and dementia is steadily rising and is expected to rise further in the coming decades. There is increasing evidence to suggest an association between AF and various degrees of cognitive dysfunction, from mild cognitive impairment to severe dementia. In this review, we aimed to discuss the epidemiological aspects, pathophysiological mechanisms, role of neuroimaging, impact of treatment modalities, and clinical and socioeconomic impact of this association. Numerous observational studies and meta-analyses have revealed this association to exist in AF patients with and without a history of stroke, and the association also persists after adjusting for shared risk factors such as hypertension and diabetes mellitus. Various pathophysiological mechanisms have been proposed for this association, including silent cerebral infarcts, cerebral microbleeds, cerebral hypoperfusion, inflammation, and atherosclerosis. While neuroimaging findings have been utilized to suggest some of these pathophysiological mechanisms, more studies are needed to further elucidate this and to determine the potential role of neuroimaging in altering anticoagulation and other treatment decisions. Anticoagulants have shown effectiveness in reducing the rate of cognitive decline in AF patients; however, their role in low-risk AF patients remains under investigation. Even though AF patients receiving catheter ablation may have post-operative cognitive dysfunction in the short term, long-term follow-up studies have shown an improvement in cognitive function following ablation. Cognitive decline in AF patients often occurs with greater functional decline and other psychosocial impairments such as depression and anxiety and future research on this association must incorporate aspects of social determinants of health and associated outcomes. [ABSTRACT FROM AUTHOR]

Background: Although patients with differentiated thyroid cancer (DTC) have a good prognosis, their long-term clinical course can influence their mental health and their health-related quality of life (HRQoL). However, few studies have evaluated the psychological factors that influence subsequent HRQoL in this population, particularly during the initial treatment stage. Methods: In this 1-month cohort study, we evaluated depressive and anxiety symptoms and HRQoL of patients with DTC and examined possible predictors of further HRQoL impairment. Results: In total, 181 patients completed questionnaires where they self-rated their psychological status (the Chinese Health Questionnaire [CHQ], Taiwanese Depression Questionnaire [TDQ]) and HRQoL (the 36-item Short Form Health Survey [SF-36]) at baseline and 1 month after radioactive iodine (RAI) therapy. Compared with the general Taiwanese population, patients with DTC reported a worse HRQoL in all dimensions of the SF-36. Multivariate regression models indicated that anxiety and depressive symptoms were inversely correlated with some dimensions (physical functioning, bodily pain, and general health perceptions for the CHQ; role limitations due to physical problems and social functioning for the TDQ). However, psychiatric follow-up and treatment history were significantly associated with physical functioning and role limitations owing to the physical problem dimensions of HRQoL. Conclusions: In conclusion, although anxiety and depressive symptoms may negatively affect certain HRQoL domains, psychiatric follow-up can improve the physical dimensions. [ABSTRACT FROM AUTHOR]

Social media has afforded its users more convenience than ever in accessing, sharing, and preserving information. However, one problematic outcome, digital hoarding, has become a phenomenon of concern nowadays in hedonic social media use. This study aims to investigate the causes of digital hoarding and how it is exacerbated in the hedonic social media context. We divide the digital hoarding of information into two dimensions (ie, accumulating and difficulty deleting) and draw on the conceptual lens of fear of missing out (FoMO) to understand separately the generative mechanism of these two dimensions in social media. In addition, we consider the causes of FoMO and the moderating effect of social media affordances (ie, the recommending affordance, and the content-sharing affordance) between FoMO and the two dimensions of digital hoarding. For this study, we collected 330 valid questionnaires and tested the hypotheses by partial least squares structural equation modeling. The results show that FoMO significantly positively affects accumulating and difficulty deleting. Furthermore, the recommending affordance positively moderated the influence of FoMO on difficulty deleting; the content-sharing affordance positively moderated the influence of FoMO on accumulating. In addition, information anxiety and attachment anxiety can strongly predict FoMO. Finally, we discuss the theoretical and practical implications of this work. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusion The positive valence system (PVS) is increasingly recognised as an important target in facilitating recovery from anxiety and depression. Amplification of positivity (AMP), a cognitive and behavioural intervention, targets the PVS through repeated and intentional activities (e.g. savouring positive experiences, gratitude and acts of kindness). Initial data demonstrate that AMP engages positive valence targets (e.g. positive affect) and outcomes (e.g. social connectedness) in people seeking treatment for anxiety or depression; however, client perspectives on AMP are not well understood. This study aimed to qualitatively explore clients' experiences to better understand post‐treatment client changes and advance the development and effectiveness of AMP and other emerging positive valence‐focussed interventions.Transcripts were analysed from 11 participants who completed an optional qualitative interview after completing AMP treatment in a randomised controlled trial (NCT04945239).Two superordinate themes with several subthemes emerged. The first theme, Changes in Self, revealed common changes consistent with the core targets of AMP, as well as changes less explicitly targeted by AMP. The second theme, The Positivity Pivot, uncovered clients' perceptions on the emphasis of positive emotions in treatment. Overall, clients enjoyed and reaped benefits from amplifying positivity; some clients also reported wanting more time and space to discuss negative valence symptoms.People seeking treatment for anxiety or depression are receptive to amplifying positivity and experience the mental and social benefits of doing so. Positive valence‐centred treatments may therefore be valuable for some clients. Treatment protocols that integrate positive valence‐ and negative valence‐targeted approaches may be preferred by some clients. [ABSTRACT FROM AUTHOR]

Objective Method Results Conclusion Social anxiety is characterized by maladaptive self‐schemas about being socially undesirable. Self‐schemas are deeply held beliefs which are derived from negative autobiographical memories of painful social experiences. In contrast to the plethora of past research on negative memories in social anxiety, almost no research has investigated objectively positive social autobiographical memories. In this preregistered study, we examined the effects of social anxiety and self‐schemas on the appraised impact and meaningfulness of retrieved positive versus negative social autobiographical memories.Participants recruited via Prolific (final n = 343) were randomized to one of two conditions in which they were instructed to retrieve, orally narrate, and appraise a positive or negative social autobiographical memory of a specific experience from their personal past where they felt either valued or unvalued, respectively.Results demonstrated that participants rated their positive memories as more impactful and meaningful than negative memories overall, but this effect was reversed for participants who endorsed having either stronger negative self‐schemas or greater social anxiety symptoms, for whom negative memories were more impactful. Additionally, participants who endorsed having stronger positive self‐schemas rated their negative memories as significantly less impactful and their positive memories as nearly more impactful.Together, these results elucidate how self‐schemas and social anxiety are related to autobiographical memory appraisals, paving the way for future research on memory‐based therapeutic interventions for social anxiety disorder. [ABSTRACT FROM AUTHOR]

Pregnancy can be experienced as a significant transition for many women with associated body dissatisfaction, depression, pregnancy-related anxiety, and disordered eating attitudes. Problematic Social Media Use (PSMU) creates abundant opportunities for women to compare themselves with others and expose themselves to sociocultural influences which may increase body dissatisfaction and psychological distress. This study examined whether the relationship between PSMU and psychological distress (defined as depression, pregnancy-related anxiety and disordered eating attitudes) was mediated by negative social comparisons and body dissatisfaction. A sample of 225 pregnant Australian women (M age = 31.91 years, SD age = 4.39) recruited online, completed self-report measures related to the variables of interest. Results: PSMU was associated with higher levels of depression, pregnancy-related anxiety, and disordered eating attitudes. Negative social comparisons and body dissatisfaction partially mediated the relationship between PSMU and pregnancy-related anxiety and depression, and fully mediated the relationship between PSMU and disordered eating attitudes. Cross-sectional nature of the study limited our ability to determine the direction of the relationships. Moreover, the recruitment method via social media led to high rates of non-completion. The findings of this study suggest that problematic social media usage during pregnancy may increase depression, pregnancy-related anxiety and disordered eating attitudes. This study identified potential pathways that may explain this relationship, (via social comparisons and body dissatisfaction). This study highlights the potentially negative impact of social media use amongst expectant mothers and the importance of screening for body dissatisfaction in routine antenatal care. • Problematic social media use linked to negative psychological outcomes in pregnancy. • Social comparisons a potential mechanism linking social media to negative outcomes. • Body dissatisfaction a potential mechanism linking social media to negative outcomes. [ABSTRACT FROM AUTHOR]

Compared to monetary rewards, depressive symptoms are specifically associated with abnormal social reward processing. In addition, individuals with melancholic depression may exhibit more significant reward-related impairments. However, there is still limited understanding of the specific alterations in social reward processing in individuals with melancholic depression. Forty patients with melancholic major depressive disorder (MDD), forty patients with non-melancholic MDD, and fifty healthy controls participated in the social incentive delay (SID) tasks with event-related potential (ERP) recording. We measured one anticipatory ERP(cue-N2) and two consummatory ERPs (FRN, fb-P3). Furthermore, we examined correlation between FRN and consummatory anhedonia. Melancholic MDD patients showed less anticipation of social rewards (cue-N2). Concurrently, melancholic individuals demonstrated diminished reception of social rewards, as evidenced by reduced amplitudes of FRN. Notably, the group x condition interaction effect on FRN was significant (F (2, 127) = 4.15, p = 0.018, η 2 ρ = 0.061). Melancholic MDD patients had similar neural responses to both gain and neutral feedback (blunted reward positivity), whereas non-melancholic MDD patients (t (39) = 3.09, p = 0.004) and healthy participants (t (49) = 5.25, p < 0.001) had smaller FRN amplitudes when receiving gain feedback relative to neutral feedback. In addition, there was a significant correlation between FRN and consummatory anhedonia in MDD patients. Our findings indicated that individuals with melancholic MDD exhibit attenuated neural responses to both anticipated and consumed social rewards. This suggests that aberrant processing of social rewards could serve as a potential biomarker for melancholic MDD. • The blunt neural response to social reward is more special to melancholic MDD. • The aberrant social reward processing in melancholic MDD includes both reward anticipation and reward consummation. • The blunt social reward could serve as a biomarker for melancholic subtype. [ABSTRACT FROM AUTHOR]

The present study focused on the emotional experience of anger among individuals with and without social anxiety disorder (SAD). Eighty-eight participants took part in the study, half (n = 44) met diagnostic criteria for SAD and half (n = 44) did not meet criteria for SAD. Participants completed a 21-day experience sampling measurement (ESM) in which they reported on daily social interactions and emotions. Using multilevel linear modeling we found that individuals with SAD experienced more anger compared to individuals without SAD. We also found a Diagnosis × Social Context interaction such that interactions with distant others were associated with elevated anger compared to interactions with close others for individuals with SAD but not for individuals without SAD. Finally, we found that for individuals with SAD (but not those without SAD) anger on a given day (day t) was associated with elevated anxiety on the following day (day t + 1), above and beyond previous anxiety, sadness and guilt (i.e. anxiety, sadness and guilt reported on day t). This suggests that anger may play a unique role in maintaining or exacerbating anxiety among individuals with SAD. Additional implications of our findings for models of psychopathology and for treatment of SAD are discussed. [ABSTRACT FROM AUTHOR]

Interventions that build compassion for others may help increase social connectivity, combat loneliness, and promote positive adjustment in youth. However, limited research has examined the effects of this type of intervention on youth well-being. The goal of this small open pilot study was to examine the feasibility, acceptability, and outcomes of Inspiring Comfort, a 12-session group program in which youth learn and practice compassion, empathy, and helping others in distress. The program was implemented virtually during the COVID-19 pandemic with a sample of 10 students (ages 11 to 14) attending a non-profit special education school. Following the program, reductions in child-reported loneliness, depressive symptoms, and social anxiety were observed, along with increases in compassion for others and self-compassion. Students reported high satisfaction with the program, though challenges with the virtual format were noted. Findings suggest that a compassion-focused intervention may hold promise for addressing loneliness and internalising symptoms in youth, though randomised controlled trials with larger samples are needed. [ABSTRACT FROM AUTHOR]

Objective: This study investigates the mediating role of social anxiety in the relationship between physical activity and problematic smartphone use among college students, and examines themoderating role of gender within thismodel. Methods: From April to May 2023, a survey was conducted involving 2905 undergraduate students from various medical schools in Shandong, China. Participants completed the Physical Activity Rating Scale (PARS-3), Mobile Phone Addiction Tendency Scale for College Students (MPATS), and the Social Anxiety Scale (IAS). Descriptive statistics, correlation analysis, and hierarchical regression analysis and othermethods were employed to explore the relationships between the variables. The mediating effect of social anxiety on physical activity and mobile phone addiction was assessed using the bootstrapping method, while the moderating role of gender on social anxiety and mobile phone addiction was evaluated using the PROCESS macro's model 14. Results: The findings revealed that the scores of problematic smartphone use among medical students was 44.00 (35.00, 50.00), physical activity score was 16.00 (8.00, 32.00), and social anxiety score was 45.00 (42.00, 52.00). Physical activity was significantly and negatively correlated with both problematic smartphone use and social anxiety (P<0.001), and social anxiety was significantly and positively correlated with problematic smartphone use (P < 0.001). Social anxiety partially mediated the effect between physical activity and problematic smartphone use (β = -0.04, 95%CI = -0.05 to -0.02), with a mediation effect proportion of 57.14%. Sex played a moderating role between social anxiety and problematic smartphone use (β = -0.30, 95%CI = -0.39 to -0.21). Conclusion: Physical activity influences problematic smartphone use among medical students both directly and indirectly through social anxiety. Sex significantly moderates the influence of social anxiety on problematic smartphone use, highlighting the need for gender-specific interventions in this demographic. [ABSTRACT FROM AUTHOR]

The Mini Social Phobia Inventory (Mini-SPIN) is a short 3-item measure of social anxiety disorder (SAD). Using existing data, the current study examined the psychometric properties of the Mini-SPIN using a large, treatment seeking sample of children aged 6–16 years with data available for youth (n = 695, 170) and their caregivers (n = 703, 177) at pre-treatment and follow-up, respectively. The ability of the Mini-SPIN to discriminate between those with and without SAD was examined at pre-treatment and 6-month follow-up, across caregiver and child report. The criterion group validity, internal consistency and construct validity of the measure was also examined. Results revealed that at pre-treatment the Mini-SPIN demonstrated good discriminant validity in detecting cases of SAD from non-SAD (with cut-off of 4 on child report, and 6 on caregiver report). At 6-month follow-up, the discriminant ability of the Mini-SPIN was found to be less than acceptable for child reported scores, but acceptable for caregiver reported scores. The Mini-SPIN further demonstrated good criterion group validity, internal consistency and construct validity across caregiver and child report. Overall, the findings from the current study lend further support for the use of the Mini-SPIN as a screening tool for SAD. [ABSTRACT FROM AUTHOR]

In sub-Saharan Africa, adolescents and young adults make up 30–35% of the population. However, 14% are reported to struggle with some psychological distress. Because mental health is often stigmatized in Africa, many adolescents conceal their psychological distress, further compounding their mental health challenges. This study used the Youth Outcome Questionnaire to assess psychological distress in a group of adolescents (n = 333) in three regions in Ghana – Savannah, Central, and Greater Accra. A one-way ANOVA revealed statistically significant differences in distress based on location. The differences existed only in adolescents from Savannah and Central but not Greater Accra. Additionally, a Hotelling T2 test revealed that social isolation and depression-anxiety were statistically significantly different based on gender; there were no differences in conduct problems. Implications are proffered for clinicians and policymakers on how best to support adolescents as they transition from childhood to adulthood. [ABSTRACT FROM AUTHOR]

Introduction: While abnormal responses to threat, including overgeneralization to conditioned fear, have been postulated to play a critical role in pathological anxiety, the relevance of previous findings to social anxiety disorder (SAD) is unclear. We investigated conditioned and generalized fear responses in patients with SAD using socially relevant stimuli. Methods: A total of 26 patients with SAD and 25 healthy controls participated in a fear conditioning and generalization paradigm consisting of two neutral faces as conditioned stimuli (CS+ or CS-) and an angry face with contemptuous comments as unconditioned stimuli. Eight morphed faces of two conditioned stimuli in each continuum were given to test generalization. Behavioral data and physiological responses were acquired. Results: Successful conditioning was observed in the risk ratings for both groups, while only a marginal indication of conditioning was noted in physiological measures. During the generalization phase, patients rated the risk higher than CS-when the stimuli close to CS- contained a portion of CS+ features. Larger skin conductance responses to this stimulus were linked to higher fear of negative evaluation. In addition, patients spent a longer time evaluating safe and ambiguous stimuli than healthy controls and exhibited consistently high levels of subjective arousal. Discussion: Taken together, our findings suggest that SAD patients may exhibit a tendency towards overgeneralization of fear responses and show distinct patterns in processing generalized threat stimuli compared to healthy controls. Even though overgeneralization was not evident in physiological measures, it is necessary to consider this behavioral characteristic in the clinical management of patients with SAD. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to explore relations between speech sound disorder severity and selective mutism in a group of children with 7q11.23 duplication syndrome (Dup7), a genetic condition predisposing children to childhood apraxia of speech (CAS) and other speech sound disorders and to anxiety disorders, including selective mutism and social anxiety disorder. Method: Forty-nine children aged 4-17 years with genetically confirmed Dup7 completed the Goldman-Fristoe Test of Articulation-Second Edition (GFTA-2), the Expressive Vocabulary Test-Second Edition (EVT-2), and the Differential Ability Scales-Second Edition (DAS-II). Parents completed the Anxiety Disorders Interview Schedule-Parent (ADIS-P). Results: Mean standard scores (SSs) were 65.67 for the GFTA-2, 92.73 for the EVT-2, and 82.69 for the DAS-II General Conceptual Ability (GCA; similar to IQ). Standard deviations for all measures were larger than for the general population. GFTA-2 SS was significantly correlated with both EVT-2 SS and DAS-II GCA. Based on the ADIS-P, 22 participants (45%) were diagnosed with selective mutism and 29 (59%) were diagnosed with social anxiety disorder. No significant differences in performance on any of the measures were found either between the group with a selective mutism diagnosis and the group that did not have selective mutism or between the group with a selective mutism and/or social anxiety disorder diagnosis and the group that did not have either disorder. Conclusions: For children with Dup7, neither the diagnosis of selective mutism nor the diagnosis of selective mutism and/or social anxiety disorder was related to severity of speech sound disorder, expressive vocabulary ability, or overall intellectual ability. Accordingly, treatment for speech sound disorder alone is unlikely to lead to remission of selective mutism or social anxiety disorder. Instead, selective mutism and/or social anxiety disorder should be treated directly. Further research is needed to determine if these findings generalize to other populations, such as children with idiopathic CAS. [ABSTRACT FROM AUTHOR]

BackgroundMethodsResultsConclusionsIndividuals at a higher weight experience greater victimization and exclusion by peers, and limited research suggests that the salience of one’s body image may increase negative emotional reactions to social rejection. Additionally, social exclusion is related to higher levels of social anxiety (SA). We examined how body salience interacts with SA and weight to predict anxiety, self-esteem, and negative affect following social rejection.Participants were undergraduate women (N = 186). We explored the interactive effects of SA, body mass index (BMI), and body salience (i.e., face versus body photo condition) on emotional response to exclusion in a social ostracism paradigm, Cyberball. BMI and self-reported SA were collected at baseline. One week later, participants played Cyberball and reported state affect, anxiety, and self-esteem before and after the game.The 3-way interaction of BMI, SA, and photo condition did not significantly predict post-exclusion state measures. Photo condition moderated the relationship between SA and post-exclusion anxiety and between BMI and post-exclusion anxiety.Those with higher SA were particularly anxious following exclusion if their bodies were visible to others. Additionally, those with lower BMI experienced greater anxiety after exclusion when their body was visible than those with higher BMI. [ABSTRACT FROM AUTHOR]

Introduction: Most of the anxiety disorders, particularly social anxiety, seem to develop either during childhood or adolescence. Adolescent singers who experience physical, mental and emotional changes along with voice change are particularly prone to the development of MPA. However, adolescence also seems to be an opportune time to instil healthy behaviours in singing students as they are more likely to remember these coping strategies, owing to the release of dopamine and the 'reminiscence bump'. As this period of a singer's life is wrought with inevitable anxiety development, the additional aim of the study was to develop a coaching framework which can be used by singing teachers in their practice. Mindset training for adolescents seems crucial to help them continue singing through puberty so they do not drop out of singing lessons or choir during voice change and identity development. Methods: The study aimed to determine if Acceptance and Commitment coaching could be used with adolescent singers with MPA and to record and analyse rich qualitative data in the form of semi-structured participant interviews and questionnaires. Results: When their perception of MPA symptoms and physiological and psychological arousal before a performance changed, their behaviour and reactions changed accordingly. The change took place over a period of time, which was characterised by discoveries about themselves, confusion in understanding new concepts and letting go of old habits. Interestingly, by the end of the coaching sessions, their preoccupation with pleasing the audience and appearing perfect on stage was replaced by a new-found delight in pursuing values and goals related to their singing. Along with this came the acceptance of themselves and others as individuals with the potential for growth and change and the capacity to learn from mistakes. Discussion: This study marks the first investigation into the effectiveness of using of ACC as an intervention for MPA in adolescent singers undergoing puberty by a singing teacher. The results are promising and suggest that ACC is an effective MPA intervention for adolescent singers to cope with inevitable developmentrelated anxieties and keep them engaged in the activity of singing during their pubertal years. [ABSTRACT FROM AUTHOR]

With advances in digital technology, physical and virtual spaces have gradually merged. For digitally disadvantaged groups, this transformation is both convenient and potentially supportive. Previous research on public infrastructure has been limited to improvements in physical facilities, and few researchers have investigated the use of mixed physical and virtual spaces. In this study, we focused on integrated virtual and physical spaces and investigated the factors affecting digitally disadvantaged groups' intentions to use this new infrastructure. Building on a unified theory of the acceptance and use of technology, we focused on social interaction anxiety, identified the characteristics of digitally disadvantaged groups, and constructed a research model to examine intentions to use the new infrastructure. We obtained 337 valid data from the questionnaire and analysed them using partial least squares structural equation modelling. The results showed positive relationships between performance expectancy, perceived institutional support, perceived marketplace influence, effort expectancy, and facilitating conditions. The influence of psychological reactance was significantly negative. Finally, social interaction anxiety had a regulatory effect on performance expectancy, psychological reactance, perceived marketplace influence, and effort expectancy. Its effects on perceived institutional support and facilitating conditions were not significant. The results support the creation of inclusive smart cities by ensuring that the new public infrastructure is suitable for digitally disadvantaged groups. Meanwhile, this study presents new theoretical concepts of new public infrastructures, mixed physical and virtual spaces, which provides a forward-looking approach to studying digitally disadvantaged groups in this field and paves the way for subsequent scholars to explore the field in theory and literature. [ABSTRACT FROM AUTHOR]

Virtual reality (VR) applications have been increasingly utilized in the field of psychology over the past 15 years, particularly within cognitive-behavioral therapy, where VR is now a preferred method in multiple exposure techniques. This study conducted a metaanalysis to assess the effectiveness of VR in treating various mental disorders. The metaanalysis followed PRISMA guidelines and included 17 studies out of 1,029 initially identified. Based on the heterogeneity test results, the studies were found to be homogeneously distributed (Q=23.09, p>.01), with a low level of heterogeneity (I²=30.71). The random effects model revealed a statistically significant overall effect size (η²= 0.73) for VR's effectiveness. This corresponds to a Hedges' g value indicating a medium to large effect size. The results suggest that VR is an effective treatment for a wide range of disorders, including stress-related conditions, post-traumatic stress disorder, social anxiety, fear of public speaking, agoraphobia, specific phobias (e.g., spiders, heights, flying), and panic disorder. Additionally, VR has shown promise in empathy development interventions. [ABSTRACT FROM AUTHOR]

The literature on the role of parenting in the relation between child inhibited temperament and child anxiety is inconsistent, with some literature supporting a moderating role and some literature supporting alternative (e.g., mediating) roles. A systematic review of the evidence that parenting moderates the longitudinal relation between child inhibited temperament and child anxiety is needed. A systematic review of the literature was conducted in February and March of 2022 and repeated in January of 2024. Ten articles met criteria for inclusion, with 39 moderation analyses of interest among them. All included studies were conducted in Western contexts with predominately White, middle-class families. Thus, the current review can only be generalized to this population. Despite inconsistent findings, some evidence indicated that avoidance-promoting parenting behaviors such as overprotection and overinvolvement moderate the relation between child inhibited temperament and social anxiety symptoms, in particular. There was a lack of evidence that parenting behaviors moderate the relation between child inhibited temperament and anxiety disorders, and that affect-related parenting behaviors (e.g., negativity) moderate the relation between child inhibited temperament and non-social anxiety symptoms. There was mixed evidence regarding the moderating role of control-related parenting behaviors in the relation between child inhibited temperament and non-social anxiety symptoms, with some evidence that encouraging behaviors moderate this relation. Future research is needed to clarify these inconsistent and nuanced findings and investigate this moderation in non-Western, non-White, and low-income populations. [ABSTRACT FROM AUTHOR]

The editorial "Should Loneliness Be a Treatment Target?" discusses the complexity of loneliness as a subjective emotional experience influenced by various factors. It distinguishes between different forms of loneliness, such as transient, situational, and chronic loneliness, highlighting the detrimental effects of chronic loneliness on mental and physical health. The article emphasizes the need for interventions to address loneliness, as it is a prevalent global phenomenon with serious consequences, and suggests that healthcare providers should be trained to assess and address loneliness effectively. Additionally, the editorial calls for more research to understand the multifactorial nature of loneliness and to develop comprehensive action plans to reduce loneliness in the community. [Extracted from the article]

Loneliness is a prevalent issue among rural left-behind children in China, adversely affecting their physical and mental well-being, as well as social stability. However, the influencing factors and potential mechanisms of loneliness have not yet been fully clarified. This study aims to validate the mediating roles of social anxiety and psychological resilience by examining the association between affective/cognitive empathy and loneliness among Chinese rural left-behind children. Methods: This cross-sectional survey employed a convenience sampling approach among Chinese left-behind children. A total of 540 participants aged 6 to 11 years old (Average age = 8.54, SD = 1.682) from 3 primary schools in Hunan Province completed the Children's Loneliness Scale, Social Anxiety Scale for Children, The Chinese version of Connor-Davidson Resilience Scale, and Basic Empathy Scale. Data analysis was conducted using SPSS 27.0, Origin 2020, and Mplus 8.3. Results: Pearson correlation analyses suggested strong significant correlations among affective/cognitive empathy, loneliness, social anxiety, and psychological resilience. Path analyses indicated that the chain mediation effect size of social anxiety and psychological resilience was 0.016 between affective empathy and loneliness, while the chain mediation effect size between cognitive empathy and loneliness was − 0.011. Conclusion: Affective empathy positively correlates with loneliness among Chinese left-behind children through social anxiety and resilience, while cognitive empathy negatively correlates with loneliness. These findings suggest that left-behind children should enhance their cognitive empathy and psychological resilience to reduce their social anxiety, thereby mitigating their loneliness. [ABSTRACT FROM AUTHOR]

Background: Anxiety disorders are among the most common mental health problems in childhood. Early detection and treatment are essential. We aimed to determine the psychometric properties of the Spence Children's Anxiety Scale - parent version (SCAS-P) in children with various psychiatric disorders in Hong Kong. Methods: Children aged 6 to 12 years and their parents or guardians were recruited by convenience sampling from the child and adolescent psychiatry specialist out-patient clinic at Queen Mary Hospital. The parents or guardians were asked to complete the SCAS-P, the Diagnostic Interview Schedule for Children version IV (DISC-IV) anxiety module, the Screen for Child Anxiety Related Emotional Disorders parent version (SCARED-P), and the Child Behavior Checklist (CBCL). Results: In total, 135 child-parent pairs were included. The median age of the children (78 male and 57 female) was 10 (interquartile range, 8-11) years. The children had various psychiatric diagnoses; 43.7% had attention deficit hyperactivity disorder and 41.4% had autism spectrum disorder. In addition, 57 (42.2%) children were diagnosed by a psychiatrist with at least one anxiety disorder (based on the DISC-IV anxiety module). The median SCAS-P score was 36.0; it was higher in children with anxiety disorder (n = 57) than in children without anxiety disorder (n = 78) [46.0 vs 28.5, p < 0.001]. The internal consistency of the SCAS-P was high (Cronbach's alpha = 0.938). Convergent validity of the SCAS-P was confirmed with the SCARED-P and CBCL subscales of internalising and anxiety, whereas divergent validity of the SCAS-P was confirmed with the CBCL subscales of externalising, aggression, and delinquency. Test-retest reliability of the SCAS-P was good (intraclass correlation coefficient = 0.90). The SCAS-P had satisfactory criterion validity for any anxiety disorder (area under the curve [AUC] = 0.77), obsessive compulsive disorder (AUC = 0.76), social anxiety disorder (AUC = 0.70), separation anxiety disorder (AUC = 0.81), generalised anxiety disorder (AUC = 0.82), and physical injury fears (AUC = 0.86). Conclusion: The SCAS-P has satisfactory validity and reliability in screening anxiety disorders among children with various psychiatric disorders. In a busy clinic setting, we recommend using the total SCAS-P score to screen anxiety among children with psychiatric disorders. [ABSTRACT FROM AUTHOR]

Objective: This study aims to explore the interconnections between social anxiety disorder (SAD), adverse childhood experiences, and pathological narcissism. Methods: The study included 66 patients diagnosed with SAD according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition criteria and 55 healthy controls. All participants were assessed using The Liebowitz Social Phobia Scale (LSAS), Childhood Trauma Questionnaire (CTQ), Hypersensitive Narcissism Scale (HSNS), and Narcissistic Personality Inventory-16 (NPI-16) scales. Statistical analyses included descriptive statistics, Student’s t-test, Chi-squared test, correlation tests to examine relationships between variables, and logistic regression to identify significant predictors of SAD, particularly focusing on the role of childhood trauma and narcissistic traits. Results: The SAD patients had significantly higher scores on the CTQ total and subscales, as well as on the HSNS, compared to the healthy control group (p < .001). Additionally, there was a positive correlation between LSAS scores and both CTQ (r=.585, p < .01) and HSNS scores (r=.582, p < .01). However, no significant association was found between NPI-16 scores and LSAS or CTQ scores (r=-.064, p>.05). Conclusion: This study highlights the increased levels of narcissistic pathology and history of childhood trauma in SAD patients. Vulnerable narcissism emerges as a key factor in SAD, emphasizing the need for comprehensive treatment approaches considering childhood trauma and narcissistic vulnerability. [ABSTRACT FROM AUTHOR]

The present study examines the extent to which culturally stressful experiences may predict impaired well-being, increased internalizing symptoms (depression and anxiety), and increased externalizing problems (social aggression, physical aggression, and rule breaking) among a sample of Hispanic college students in Miami across a 12-day period. The predictive effects of cultural stressors on these outcomes were examined both (a) directly and (b) indirectly through daily fluctuations in students' personal identity synthesis and confusion. Results indicated direct predictive effects of cultural stress on four forms of well-being (self-esteem, life satisfaction, psychological well-being, and eudaimonic well-being), on symptoms of depression and anxiety, and on physical aggression and rule breaking. The predictive effects of cultural stress on all four forms of well-being and on symptoms of depression and anxiety were partially mediated through daily fluctuations (instability) in students' sense of personal identity synthesis. Findings were consistent across genders and between U.S.- and foreign-born students. Results are discussed in terms of implications for intervention and for policy. Public Policy Relevance Statement: The present findings suggest that reducing cultural stress for Hispanic students on college campuses is essential. Providing coursework, organizations, and other content that supports and affirms Hispanic cultures may help to reduce cultural stress experiences for Hispanic students. Such efforts may also help these students to develop a sense of personal identity and to experience greater well-being and fewer symptoms of depression and anxiety. [ABSTRACT FROM AUTHOR]

Adolescence is a critical developmental period characterized by identity exploration, including gender identity and sexual orientation. Relatedly, social anxiety disorder (SAD) is a pervasive disorder that emerges during adolescence that significantly impacts interpersonal functioning and more specifically, interpersonal skills within romantic relationships. Currently, the only measure for SAD in adolescents that includes a romantic component is the Social Anxiety Questionnaire for Children (SAQ-C); however, it relies upon language that utilizes biological sex to describe these relationships. Consequently, this poses gender and sexuality as a binary and potentially limits respondents' answers. Accordingly, the present study established the psychometric properties of a modified version of the SAQ-C that includes gender and sexual orientation neutral language for romantic interest questions (SAQ-Mod). Participants between 12 and 17 years of age who met diagnostic criteria for SAD were included from two samples utilizing the SAQ-Mod (N = 30) and SAQ-C (N = 58). The SAQ-Mod sample included 20% gender-diverse and 58.6% sexual orientation-diverse youth. In addition to the SAQ-Mod and SAQ-C, other self-report measures of anxiety and depression, and clinician-rated measures were obtained. Findings support the SAQ-Mod as a reliable and valid measure of social anxiety, and highlight the predictive utility of the modified measure in comparison to the original SAQ-C. [ABSTRACT FROM AUTHOR]

Peers emerge as emotionally present figures in the lives of young adults, capable of protecting them from the challenges that can cause the development of social anxiety. In the context of anxiety, self-control highlights a relevant potential, which is positively correlated with mental health and academic path. The present study aims to understand the role of peer attachment and self-control in the development of social anxiety in young adults in the university context. The sample comprised 407 young adults aged between 18 and 25 (M = 20.90; SD = 2.32). Self-report instruments were used: the Inventory of Parent and Peer Attachment (IPPA), the Scale of Anxiety and Avoidance in Performance and Social Interaction Situations (EAESDIS) and the Low Self-Control Scale. This study concludes that alienation from peers plays a positive role in anxiety and avoidance, as does short temper, with risk-taking and egocentricity negatively predicting social anxiety. The results are discussed, considering the importance of peer relationships in young university students' adaptive processes and mental health. [ABSTRACT FROM AUTHOR]

Background: Anxiety and depression cause major detriment to the patient, family, and society – particularly in treatment-resistant (TR) cases, which are highly prevalent. TR prevalence may be due to current diagnoses being based not on biological measures but on symptom lists that suffer from clinical subjectivity, variation in symptom presentation, and comorbidity. Aims: Goal-conflict-specific rhythmicity (GCSR) measured using the Stop-Signal Task (SST) may provide the first neural biomarker for an anxiety process and disorder. This GCSR has been validated with selective drugs for anxiety. So, we proposed that GCSR could differ between TR and non-TR individuals and do so differently between those diagnoses normally sensitive to selective anxiolytics and those not. Methods: We recorded electroencephalograms (EEG) from 20 TR participants (4 GAD, 5 SAD and 11 MDD) and 24 non-TR participants (4 GAD, 5 SAD and 15 Comorbid GAD/MDD (GMD)) while they performed the SST. Results: There was significant positive GCSR in all groups except the GAD-TR group. GAD-TR lacked GCSR in the low-frequency range. However, TR had little effect in SAD or MDD/GMD populations with apparent increases not decreases. Conclusions: Overall, these results suggest that GAD may occur in two forms: one resulting from excessive GCSR and so being drug sensitive, and the other resulting from some other mechanism and so being TR. In SAD and MDD groups, heightened GCSR could be a consequence rather than the cause, driven by mechanisms that are normally more sensitive to non-selective panicolytic antidepressants. [ABSTRACT FROM AUTHOR]