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This study examined the efficacy of a 2-year anxiety management intervention integrated with a reading intervention for struggling readers in upper-elementary grades on anxiety outcomes. The study randomly assigned 128 struggling readers to one of three conditions: (a) reading intervention with anxiety management intervention (RANX), (b) reading intervention with math fact practice, an attention control, (RMATH), and (c) business-as-usual comparison (BaU). Findings demonstrated promising results for students in the RANX condition, particularly compared with the BaU condition. However, findings were not always statistically significant suggesting the need for additional adequately powered trials. Secondary analyses among students beginning with average anxiety showed significant reductions in physical symptoms of anxiety at year 1 posttest favoring RANX over RMATH and BAU, as well as between RANX and BAU on reading anxiety at year 2 posttest. Among students beginning with elevated anxiety, significant reductions in social anxiety were found at year 2 posttest favoring RANX over RMATH and BaU. The findings underscore the promise of integrating anxiety management and reading interventions. [ABSTRACT FROM AUTHOR]

Self-construal, defined as the way by which individuals define themselves, is classified into two types: independent self-construal, emphasizing autonomy and uniqueness, and interdependent self-construal, emphasizing connections with others. Largely investigated in cross-cultural contexts, self-construal has been found to be associated with social anxiety symptoms. While Singelis's original Self-Construal Scale (SCS) has been widely used to measure self-construal, extant literature has suggested that the SCS lacks validity evidence, prompting the development of a 10-item with enhanced psychometric properties. This study validated the 10-item SCS in a Korean sample by examining the factor structure, measurement invariance across Korean and U.S. samples, and associations with social anxiety variables. A total of 320 Korean adults and 361 European American adults participated in an online questionnaire. The 10-item SCS exhibited a more stable factor structure than the other versions and held measurement invariance across groups. Lastly, significant associations were found between the SCS and social anxiety variables. [ABSTRACT FROM AUTHOR]

Background: Understanding how development influences medication and placebo responses in anxiety disorders could inform treatment decisions, including age-specific first- versus second-line psychopharmacological interventions. Objective: To meta-analytically compare the trajectory of selective serotonin reuptake inhibitors (SSRIs), serotonin–norepinephrine reuptake inhibitors (SNRIs), and placebo response in youth and adults with anxiety disorders. Methods: Weekly symptom severity data were extracted from prospective, randomized, parallel-group, placebo-controlled trials of SSRIs and SNRIs in children, adolescents, and adults with anxiety disorders (generalized, separation, and social anxiety disorders as well as panic disorder). Treatment response was modeled for the standardized change in continuous measures of anxiety using a Bayesian hierarchical model. Change in symptom severity was evaluated as a function of time, and post hoc analyses were conducted to determine the sensitivity of these results across sample heterogeneity and alternative functional forms. Results: Data were included from 11 trials of youth (SSRI, κ = 7; SNRI, κ = 4) and 71 studies of adults (SSRI, κ = 46; SNRI, κ = 25). In total, 1067 youth participated in SSRI trials and 1024 in SNRI trials. In total, 10,826 adults participated in SSRI trials (placebo, n = 5367; SSRI n = 5,459) and 6232 in SNRI trials (placebo, n = 3,128; SNRI n = 3,094). A logarithmic model best described the response. Placebo response was similar in youth and adults (mean difference = −1.98 ± 6.21, 95% credible interval [CrI]: −10.2 to 14.2, p = 0.750), and statistically significant improvement from baseline emerged by week 2 in both adults (mean difference: −18.34 + 1.017, 95% CrI: −20.3 to 16.3, p < 0.001) and youth (mean difference: −23.74 + 3.736, 95% CrI: −31.1 to −16.4, p < 0.001). SSRIs produced similar improvements for youth and adults (p = 0.129), but SNRIs produced slower improvement in youth than adults (p = 0.018). Conclusions: Antidepressant-related improvement occurs early in youth and adults with anxiety disorders. SSRI response is similar in adults and youth; however, SNRIs produce greater responses in adults than youth, potentially representing a developmental effect. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to produce a patient-centered understanding of mental health symptoms of people with the post-COVID-19 syndrome (PCS). Methods: A cross-sectional analysis of 414 participants in a longitudinal study was carried out involving people who self-identified as having symptoms of PCS. People were asked to name their most frequent and most bothersome mental health symptoms affected by PCS using the structure of the Patient Generated Index (PGI). The text threads from the PGI were grouped into topics using BERTopic analysis. Results: 20 topics were identified from 818 text threads referring to PCS mental health symptoms. 35% of threads were identified as relating to anxiety, discussed in terms of five topics: generalized/social anxiety, fear/worry, post-traumatic stress, panic, and nervous. 29% of threads were identified as relating to low mood, represented by five topics: depression, discouragement, emotional distress, sadness, and loneliness. A cognitive domain (22% of threads) was covered by four topics referring to concentration, memory, brain fog, and mental fatigue. Topics related to frustration, anger, irritability. and mood swings (7%) were considered as one domain and there were separate topics related to motivation, insomnia, and isolation. Conclusions: This novel method of digital transformation of unstructured text data uncovered different ways in which people think about classical mental health domains. This information could be used to evaluate whether existing measures cover the content identified by people with PCS, to initiate a clinical conversation, or to justify the development of a new measure of the mental health impact of PCS. Plain English Summary: Why is this study needed?: The symptoms of infection with the COVID-19 virus can last a very long time and this situation has been called the post-COVID syndrome (PCS) or long COVID. PCS is a poorly understood condition with symptoms affecting all body systems with both primary and secondary effects on mental health. What is the key problem/issue/question this manuscript addresses?: A long time ago, a famous scientist (Lord Kelvin) said you can't fix what you can't measure, and you can't measure what you don't understand. This study is about starting the understanding part of the mental health consequences of PCS. What is the main point of your study?: The main point of the study was to ascertain directly from people with PCS, in their own words, their most distressing mental health symptoms. This was preferred to asking people to fill out questionnaires on mental health symptoms that used fixed questions that were not developed for people with PCS. What are your main results and what do they mean?: Anxiety and depression were the most common mental health effects and each was expressed in five different ways; cognitive problems were also common and expressed four different ways. People also identified experiencing frustration, anger, irritability, mood swings, apathy, insomnia, and isolation showing that PCS has very diverse effects not easily described using standard questionnaires. [ABSTRACT FROM AUTHOR]

The Preschool Anxiety Scale (PAS) is a parent-report scale measuring young children's anxiety symptoms involving five specific anxiety symptoms (separation anxiety, physical injury fears, social phobia, obsessive–compulsive disorder, generalized anxiety) that load on a higher-order factor representing general anxiety shared by all specific anxiety symptom subtypes. Although the PAS has been widely used to assess anxiety symptoms in young children, few studies have tested its measurement invariance for group comparisons. Using data from a sample of 2,221 children and their parents/carers in the United Kingdom, this study investigated the measurement invariance of the higher-order model of the PAS across child age (4–6 years vs. 6–7 years), gender (girls vs. boys), parental anxiety (low vs. high level), and children's living circumstances (before vs. after the removal of COVID-19 restrictions). Our findings demonstrated the good factor structure, internal consistency, and convergent validity of the higher-order model of the PAS in all subgroups and supported its configural, metric, and scalar invariance across these subgroups. Therefore, the findings suggest that the PAS is a reliable and valid instrument for assessing specific anxiety symptoms and general anxiety among young children in the United Kingdom and that comparisons can be made between the subgroups under examination. Public Significance Statement: The Preschool Anxiety Scale (PAS) is a reliable and valid instrument for assessing specific anxiety symptoms and general anxiety in young children in the United Kingdom. Furthermore, given that the findings indicate measurement invariance of the higher-order model of the PAS, the specific anxiety symptom subscales and general anxiety scale of the PAS can be compared across child age, child gender, parent/carers' anxiety levels, and children's living circumstances (e.g., before and after the removal of the COVID-19 restrictions). [ABSTRACT FROM AUTHOR]

The use of analogue samples, as opposed to clinical groups, is common in mental health research, including research on social anxiety disorder (SAD). Recent observational and statistical evidence has raised doubts about the validity of current methods for establishing analogue samples of individuals with clinically significant social anxiety. Here, we used data from large community samples of clinical and nonclinical participants to determine new cutoff scores on self-report measures of social anxiety symptoms and symptom-related impairment. We then examined whether using these newly determined cutoff scores alone or in combination improves the identification of individuals who have SAD from those who do not, revealing the most ideal cutoff combination to be 34 or above on the Social Phobia Inventory and 11 or above on the Sheehan Disability Scale. Finally, we compared the effects of our new cutoff scores with old cutoff scores by extracting analogue samples of participants with high social anxiety from historical data on seven large groups of undergraduate Psychology research participants from the authors' institution spanning the past 5 years (2018–2023). We observed that the new combined cutoff scores identified markedly fewer students as having high social anxiety, lending credibility to their utility. We also observed a striking increase in levels of social anxiety symptoms in the undergraduate population from before to after the COVID-19 pandemic. Of note, most participants were under 30 and identified as Caucasian or Asian women, indicating that future research is needed to examine whether our findings generalize to diverse populations. Public Significance Statement: To gain insights into clinical syndromes, mental health researchers routinely use cutoff scores on symptom questionnaires to study people from the population whose characteristics resemble those of people with mental disorders. The present study recommends the use of new, combined cutoff scores on commonly used measures of social anxiety symptoms and anxiety-related impairment to increase the validity and quality of research on social anxiety disorder, a prevalent and disabling problem. [ABSTRACT FROM AUTHOR]

Background and aims: Alcohol use and anxiety often co‐occur, causing increased severity impairment. This protocol describes a randomized controlled trial (RCT) that aims to test the efficacy and cost‐effectiveness of a web‐based, self‐guided alcohol and anxiety‐focused program, compared with a web‐based brief alcohol‐focused program, for young adults who drink at hazardous levels and experience anxiety. It will also test moderators and mechanisms of change underlying the intervention effects. Design: This RCT will be conducted with a 1:1 parallel group. Setting: The study will be a web‐based trial in Australia. Participants: Individuals aged 17–30 years who drink alcohol at hazardous or greater levels and experience at least mild anxiety (n = 500) will be recruited through social media, media (TV, print) and community networks. Intervention and comparator: Participants will be randomly allocated to receive a web‐based, integrated alcohol‐anxiety program plus technical and motivational telephone/e‐mail support (intervention) or a web‐based brief alcohol‐feedback program (control). Measurements Clinical measures will be assessed at baseline, post‐intervention (2 months), 6 months (primary end‐point), 12 months and 18 months. Co‐primary outcomes are hazardous alcohol consumption and anxiety symptom severity. Secondary outcomes are binge‐drinking frequency; alcohol‐related consequences; depression symptoms; clinical diagnoses of alcohol use or anxiety disorder (at 6 months post‐intervention), health‐care service use, educational and employment outcomes; and quality of life. Mediators and moderators will also be assessed. Efficacy will be tested using mixed models for repeated measures within an intention‐to‐treat framework. The economic evaluation will analyze individual‐level health and societal costs and outcomes of participants between each trial arm, while mediation models will test for mechanisms of change. Comments This will be the first trial to test whether a developmentally targeted, web‐based, integrated alcohol‐anxiety intervention is effective in reducing hazardous alcohol use and anxiety severity among young adults. If successful, the integrated alcohol‐anxiety program will provide an accessible intervention that can be widely disseminated to improve wellbeing of young adults, at minimal cost. [ABSTRACT FROM AUTHOR]

As a pandemic‐era collaborative writing project undertaken amid rising geopolitical tensions, this article demonstrates understanding humor in contemporary China as an ethnographic project leading toward deep, empathetic knowledge at a time when in‐person fieldwork became difficult. Through deciphering and translating layered meanings "encrypted" in and intentions signaled by humor in a new comedy program launched in 2021, we dive deep into the lively social life in contemporary China. Humor, via "thick description," offers valuable insights into life in "fieldsites" that were hard to access during the pandemic time, amid political tensions. It provides a unique lens to examine the unspoken but shared sentiments in societies where humor has become a fundamental mode of public expression. It alerts us to existential anxieties in social life, the subtle voices of social critique, and the yearning for empathy. Humor is not only a valuable object for anthropological inquiry but also a vantage point to reflect on ethnographic methodology and epistemology. We examine humor, with its sentimental and ethical potentialities, and through spontaneous collaboration of mutual support, envision new possibilities in anthropological knowledge production. [ABSTRACT FROM AUTHOR]

Background/Objectives: Safety behaviors are commonly used to decrease anxiety in social settings but maintain anxiety. Self-compassion has been shown to reduce anxiety and rumination, but the impact on safety behaviors has not been examined. For the present studies, it was hypothesized that inducing self-compassion would lead to lower safety behaviors compared to controls. Methods: In Study 1 (N = 390), participants with elevated social anxiety recalled a distressing social situation, were randomly assigned to a self-compassionate (n = 186) or control (n = 204) writing exercise, and then reported predicted self-compassion and safety behaviors for a future situation. In Study 2 (N = 114), the impact of self-compassionate (n = 56) or control writing (n = 58) on safety behaviors was investigated during a Zoom interaction. Results/Conclusions: In Study 1, as hypothesized, the self-compassion condition reported fewer expected avoidance behaviors compared to controls. In Study 2, state self-compassion and safety behaviors did not differ between conditions. In both studies, distress significantly mediated the relationship between condition and safety behaviors, such that the self-compassion condition reported significantly lower distress, which was associated with lower safety behaviors. Future research can examine whether reduced distress and safety behaviors allow for greater social connection. [ABSTRACT FROM AUTHOR]

We identified different types of adolescent bullying perpetrators and nonbullies based on peer‐reported bullying, victimization, and peer status (popularity, likeability, and rejection) and examined differences between bully subtypes in typical forms of bullying perpetrated. Moreover, we studied how bully subtypes differed from nonbullies with varying levels of victimization and peer status in academic and psychosocial adjustment. The study utilizes data from 10,689 adolescents (48.3% boys, mean age 14.7 years). Latent profile analysis identified three distinct subgroups of bullies: popular‐liked bullies (13.5%), popular‐rejected bully‐victims (5.8%), and bully‐victims (6.9%), and four groups on nonbullies. High‐status bullies (popular‐liked and popular‐rejected) resembled nonbullies in many ways and had even lower social anxiety, whereas bully‐victims were the most maladjusted group. Overall, popularity seems to protect adolescents from social anxiety, and victimization is related to internalizing problems. Results suggest that bullying, victimization, and peer status can be used to identify distinct subtypes of bullies. [ABSTRACT FROM AUTHOR]

Background: Opioid use disorder (OUD) is a chronic condition that requires regular visits and care continuity. Telehealth implementation has created multiple visit modalities for OUD care. There is limited knowledge of patients' and clinicians' perceptions and experiences related to multi-modality care and when different modalities might be best employed. Objective: To identify patients' and clinicians' experiences with multiple visit modalities for OUD treatment in primary care. Design: Comparative case study, using video- and telephone-based semi-structured interviews. Participants: Patients being treated for OUD (n = 19) and clinicians who provided OUD care (n = 15) from two primary care clinics within the same healthcare system. Approach: Using an inductive approach, interviews were analyzed to identify patients' and clinicians' experiences with receiving/delivering OUD care via different visit modalities. Clinicians' and patients' experiences were compared using a group analytical process. Key Results: Patients and clinicians valued having multiple modalities available for care, with flexibility identified as a key benefit. Patients highlighted the decreased burden of travel and less social anxiety with telehealth visits. Similarly, clinicians reported that telehealth decreased medical intrusion into the lives of patients stable in recovery. Patients and clinicians saw the value of in-person visits when establishing care and for patients needing additional support. In-person visits allowed the ability to conduct urine drug testing, and to foster relationships and trust building, which were more difficult, but not impossible via a telehealth visit. Patients preferred telephone over video visits, as these were more private and more convenient. Clinicians identified benefits of video, including being able to both hear and see the patient, but often deferred to patient preference. Conclusions: Considerations for utilization of visit modalities for OUD care were identified based on patients' needs and preferences, which often changed over the course of treatment. Continued research is needed determine how visit modalities impact patient outcomes. [ABSTRACT FROM AUTHOR]

Background: To assess depression, anxiety, and other psychological disorders in adolescents with chronic kidney disease (CKD) and determine the significant factors and the effect of digital media use on its scores among these patient groups. Methods: The study was conducted as a cross-sectional study and included 84 adolescents with CKD and 68 healthy controls. The participants completed the Revised Child Anxiety and Depression Scale (RCADS). We recorded their age, gender, the most problematic issue in their lives, coping methods with problems, and online applications they prefer in their leisure time. Results: Elevated rates (scores > 70) of separation anxiety, panic disorder, obsession, depression, total anxiety, and total depression scales were statistically higher in the CKD group. Separation anxiety, panic disorder, obsession, total anxiety, and total depression scales were higher in girls, and panic disorder, obsession, depression, total anxiety, and total depression scores were higher in younger ages in multivariate analysis. In the CKD group, family issues/problems increased panic disorder, obsession, depression, total anxiety, and total depression scales. Crying in tears/yelling response in children while facing a problem was associated with increased separation anxiety and social phobia rates. Also, preferring video applications was associated with separation anxiety and messaging applications with depression, total anxiety, and total depression. Conclusions: Adolescents with CKD are at risk for depression, anxiety, obsession, and panic disorders. Also, crying in tears/yelling response may be at greater risk for anxiety among CKD adolescents. Early psychiatric evaluation and routine psychiatric follow-ups initiated early may improve the mental health of this vulnerable population. [ABSTRACT FROM AUTHOR]

Previous research has shown that there are distinct types of children's shyness within eastern and western cultures, with different origins, developmental courses, and outcomes. However, the measures used to examine children's shyness in eastern contexts have been developed almost exclusively in the North American context. Whether shyness subtypes and their predictive associations are conserved between western and eastern cultures on a children's shyness measure developed in an eastern context is an empirical question. Here we examined (a) whether two subtypes from the Chinese Shyness Scale (i.e., anxious and regulated) were identified in a western context, and (b) whether cultural context moderated the relation between the two subtypes of shy behavior and a widely used western characterized social anxiety measure. The participants were children aged 3–5 years from China (Mage = 4.46 years, SD = 0.64, n = 182, 53.8% boys) and Canada (Mage = 3.99 years, SD = 0.82, n = 201, 42.3% boys). The results indicated that the two shyness subtypes and the one‐factor social anxiety construct were identified in both cultures. Subsequently, latent moderation structural equation modelling revealed that anxious shyness was significantly and positively related to social anxiety in children from both countries, but more strongly in Canada. Conversely, regulated shyness was significantly and positively related to social anxiety in Canadian children, but not in Chinese children. Findings are discussed regarding possible cultural explanations for why the relations between two Chinese shyness subtypes and social anxiety are different in Chinese and Canadian contexts and their implications to understanding cross‐cultural differences in developmental shyness. Research Highlights: Two subtypes of shyness (anxious and regulated shyness) reported in China were identified in both China and CanadaCountry/culture moderated the relation between shyness subtypes and social anxietyAnxious shyness was positively related to social anxiety in both countriesRegulated shyness was positively related to social anxiety in Canadian children, but not in Chinese children [ABSTRACT FROM AUTHOR]

Alcohol use disorder (AUD) commonly cooccurs with social anxiety disorder (SAD). With changes to diagnostic criteria of psychiatric disorders in the DSM-5, the present study sought to observe the associations between daily alcohol use, AUD, and social anxiety in a large sample of individuals with lifetime (N = 1255) and past-year (N = 908) SAD. The sample was derived from a large nationally representative study of adults in the United States. Of note, we found that at the symptom level, daily alcohol use and AUD were significantly related to panic attacks due to social anxiety, subjective distress, and impairment in relationships. Daily alcohol use and AUD were significantly associated with lifetime SAD severity; however, only past-year daily alcohol use was significantly related to past-year SAD severity. We also found that AUD was significantly related to greater treatment-seeking for SAD, and both AUD and daily alcohol use were significantly associated with lifetime history of suicide attempts even after covarying for SAD severity. The present study provides an updated investigation of alcohol use in individuals with DSM-5 SAD, and it underscores the significance of daily alcohol use as an important factor to consider in individuals with SAD. • Social anxiety is highly comorbid with alcohol use; further investigation using DSM-5 criteria is necessary. • We examined AUD and daily alcohol use in lifetime and past-year samples of individuals with SAD. • Daily alcohol use and AUD were significantly associated with lifetime SAD severity. • Only daily alcohol use was associated with past-year SAD. • AUD was related to greater odds of treatment seeking and suicide attempt history. [ABSTRACT FROM AUTHOR]

This cross-sectional and descriptive study investigates the impact of circumcision age on anxiety and self-perception in children. 342 fourth-grade primary school boys were recruited for the study. Data was collected using questionnaires, the Piers-Harris Children's Self-Concept Scale, and the Trait Anxiety Inventory for Children. The data was analyzed using descriptive statistics, One Way ANOVA, Tamhane Post Hoc tests, and Spearman correlation analysis. Results showed that 53.2% and 21.1% of the children were circumcised at 0–1 and 3–6 years, respectively. The mean trait anxiety scores of children circumcised at 3–6 years were significantly higher than those at other age periods (0–1, 1–3, 6–12 years). However, those circumcised at 3–6 years had lower self-perception scores. The study recommends circumcision be performed at the most appropriate age to avoid negative psychosocial effects, and nurses should counsel parents about the most appropriate age period. [ABSTRACT FROM AUTHOR]

Protective parenting, when enacted in contexts that do not require it, predicts child anxiety. Both child (e.g., temperament) and maternal (e.g., physiology and cognition) factors relate to parenting behavior, supporting family systems theory. In order to better understand the development of environmental risk for child anxiety, the present study applied the integrated social information and emotion processing theory to protective parenting, assessing concurrent relations among child temperament, maternal physiology, maternal cognitions, and protective parenting in toddlerhood. The present study also investigated whether the theory could be applied to longitudinal relations, testing cognition as a mechanism by which maternal physiology and child temperament predict maternal protective parenting over time. Study participants included 189 mothers (89.9% White, 2.1% Hispanic, 32.3% with annual household income ≤$40,000) and children (55.6% male, 81.0% White, 3.7% Hispanic). Results indicated that the theory was partially applicable to both concurrent and prospective mother–child relations implicated in child anxiety development. Namely, child inhibited temperament (IT) related concurrently to maternal beliefs about the harm of child anxiety at child age 1 year, and to maternal protective parenting at child ages 2 and 3 years. Maternal baseline respiratory sinus arrythmia related to protective parenting at child age 3 years. Longitudinally, maternal beliefs at child age 1 year predicted maternal perceptions of child IT at child age 2 years. Maternal beliefs at child age 2 years predicted maternal protective parenting at child age 3 years. Although the mechanistic role of cognition was not supported, child emotion processes and maternal cognitions may uniquely contribute to maternal protective parenting. [ABSTRACT FROM AUTHOR]

Objective: Fasting for weight control is an under‐studied behaviour implicated in eating disorders. However, little is known about what factors account for its onset and persistence. Method: This study sought to identify risk and maintenance factors for fasting among 1025 women recruited through an eating disorder self‐help platform who completed study measures at baseline and 6 month follow‐up. Univariate and multivariate logistic regressions were performed to test which variables at baseline predicted the onset (vs. stably asymptomatic) and persistence (vs. remission) of fasting at follow‐up. Results: Univariate models showed that higher baseline overvaluation, dissatisfaction, fear of weight gain, generalised and social anxiety, depression, self‐esteem deficits and eating disorder symptoms (inflexible eating rules, driven exercise) predicted greater likelihood of fasting onset. Only fear of weight gain and depressive symptoms remained significant in the multivariate model. Higher baseline overvaluation, fear of weight gain, driven exercise, inflexible eating rules, and depression predicted greater likelihood of fasting persistence in univariate models. An adherence to inflexible eating rules and overvaluation remained significant in the multivariate model. Conclusion: Findings shed new light on factors that may account for the development and maintenance of fasting, which have implications for guiding effective interventions targeting this behaviour. Highlights: Fear of weight gain and depressive symptoms predicted the onset of fasting for weight control at 6 months follow‐up among women who did not report fasting behaviours at baseline.Adherence to inflexible eating rules and overvaluation with weight and shape predicted the persistence of fasting for weight control at follow‐up among women who endorsed fasting at baseline.Findings have clear implications for intervention targets among programs designed to address fasting behaviour. [ABSTRACT FROM AUTHOR]

Numerous studies have established a correlation between social anxiety and poor cognitive control. However, little is known about the cognitive control pattern of individuals with high social anxiety (HSAs) and the underlying mechanisms. Based on the Dual Mechanisms of Control framework and the Expected Value of Control theory, this study explored whether HSAs have an impaired cognitive control pattern (Experiment 1) and whether motivational deficiencies underlie the impaired control pattern (Experiment 2). In Experiment 1, 21 individuals with low social anxiety (LSAs) and 21 HSAs completed an AX‐Continuous Performance Task. Results showed that HSAs had a smaller P3b amplitude than LSAs, indicating their weakened proactive control in the cue processing stage, but a larger contingent negative variation (CNV) on cue B as compensation for the negative effects of anxiety in the response preparation stage. No group difference was found in N2 and P3a amplitude on probes, suggesting that reactive control in HSAs was not affected compared to LSAs. In Experiment 2, 21 LSAs and 21 HSAs completed a cued‐flanker task, where the likelihood of proactive control engagement was manipulated. The results revealed that HSAs exhibited motivation deficiencies in engaging in proactive control, as evidenced by P3b, CNV amplitude, and response times. These findings shed light on the impaired cognitive control pattern of HSAs and suggest that motivational deficiencies may be the crucial underlying factor. This current study confirmed that individuals with high social anxiety (HSAs) are associated with the impaired cognitive control patterns characterized by weakened proactive control and provide electrophysiological evidence. This is the first study that found HSAs have motivational deficiencies to engage in proactive control, which supports the Expected value of control theory and provides a new intervention direction. [ABSTRACT FROM AUTHOR]

Objective: A core component of compassion‐focussed therapy (CFT) is imagery. This study aimed to explore the experiences of 'compassionate other' imagery practice in individuals with social anxiety. Method: Eight individuals were interviewed about their experiences of the imagery practice as part of CFT in NHS primary care services, and interpretative phenomenological analysis was used to analyse the data. Results: Three group experiential themes were identified as follows: uncovering obstacles and resistances, revealing compassionate other qualities and imagery as a vehicle to self‐discovery. Conclusions: The results highlighted not only the challenges in developing and utilising an imaginal caring figure but also the benefits of self‐discovery, specifically in terms of identifying unmet emotional needs. Links between the themes and processes underpinning the results are explored in relation to the existing theories and literature. Clinical implications and suggestions for further research are also discussed. [ABSTRACT FROM AUTHOR]

Background: Social anxiety (SA) is characterized by concerns about the expected occurrence (probability) and anticipated distress (cost) of social threats. Unclear is whether SA correlates specifically with biased expectations of belongingness or status threats. Aims: We aimed to discern if SA is uniquely tied to biased expectancies of either belongingness or status threats. Materials and Methods: We assessed 757 participants' perceptions of exclusion and put‐down scenarios, analysing associations between SA and threat perceptions. Discussion: Our findings support the status‐sensitivity hypothesis, suggesting individuals with high SA are particularly attuned to the perceived cost of status threats, potentially informing treatment approaches. Conclusion: Understanding SA's link to status concerns enhances therapeutic strategies, emphasizing the need to address status‐related situations, cognitions, and emotions in interventions. [ABSTRACT FROM AUTHOR]

Copyright of Dinbilimleri Journal is the property of Dinbilimleri Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Autism spectrum disorder (ASD) is strongly associated with socio-cognitive impairments that may result in vulnerability to other mental health conditions, particularly anxiety disorders. This study examined the relationship between anxiety disorders and two key socio-cognitive impairments (cognitive empathy, affective empathy) in 60 adolescents (aged 11–18 years) with and without ASD. Adolescents with ASD showed cognitive empathy was negatively associated with separation anxiety disorder, whereas positive associations between affective empathy and generalized anxiety disorder, and positive marginal associations between affective empathy, social phobia, total anxiety, and separation anxiety disorder were observed. These findings suggest that cognitive and affective empathy show different patterns of associations with anxiety-related issues in ASD, and these differences should be considered for interventions and treatment programs. [ABSTRACT FROM AUTHOR]

This study examined the level of social communication problems (SCP), social anxiety (SA), and mood problems (MP) among children with ASD (age 4–13 years) enrolled in special classes (n = 74) and regular classes (n = 73) and grade level (kindergarten, 1st–3rd, 4th–6th) from teachers' perspective in schools of Palestinian Arabs in Israel. Teachers responded to three questionnaires about (1) SCP, (2) SA and (3) MP; the teachers' responses to the questionnaires were used to answer the research questions. Results: SCP, SA and MP were of medium rates for students with ASD enrolled in regular and special classes. No significant differences in the level of SCP could be attributed to class type (Regular, Special) or the grade level (kindergarten, 1st–3rd, 4th–6th). There were significant differences in SA levels that could be attributed to grade level in favor of the 4th–6th grades but there were no significant differences according to class type (Regular, Special). There were statistically significant differences in MP levels that could be attributed to the class type in favor of special classes, and the effect of grade level was not significant. There was a direct significant relationship between SCP, SA, and MP. Conclusion: SCP may be an important risk factor for the development of SA and MP among students with ASD, which lead us to incorporating social skills interventions by educational staff to alleviate or even prevent symptoms of SA and MP among students with ASD, which supports the view of inclusion [ABSTRACT FROM AUTHOR]

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Copyright of Educational Academic Research is the property of Ataturk University Coordinatorship of Scientific Journals and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study investigates the prevalence and determinants of social isolation in peritoneal dialysis (PD) patients, focusing on the influence of environmental systems and individual behaviors on their social well-being. Methods: We conducted a cross-sectional study from December 2023 to February 2024 at Shenzhen Traditional Chinese Medicine Hospital. A total of 259 PD patients were enrolled using a consecutive sampling method. Data were collected via validated tools including the Pittsburgh Sleep Quality Index (PSQI), Lubben Social Network Scale-6 (LSNS-6), Family APGAR Questionnaire, and Social Anxiety Subscale of Self-Consciousness Scale (SASS-CS). Statistical analyses utilized Spearman correlation and multiple linear regression to identify factors associated with social isolation. Results: The average score for social isolation was 11 (range 7– 15). Significant predictors of social isolation included education level, physical inactivity, and normal hemoglobin concentrations. Social isolation was negatively correlated with family functionality and positively correlated with social anxiety. Regression analysis confirmed education, family functionality, and social anxiety as significant independent predictors of social isolation. Conclusion: Social isolation is common among PD patients, driven by factors such as education level, physical inactivity, and unexpectedly, normal hemoglobin levels linked to greater family isolation. Targeted interventions like education, physical activity promotion, and innovative therapies such as animal-assisted activities and social gardening can help reduce isolation and improve patient well-being. Plain Language Summary: 1. Why is this study needed? Peritoneal dialysis is a common treatment for severe kidney disease. This study is crucial because it examines how being isolated affects patients undergoing this treatment, as social isolation can worsen their health outcomes. 2. What is the key problem/issue/question this manuscript addresses? The main issue addressed is understanding the factors that contribute to social isolation in peritoneal dialysis patients and how this isolation impacts their health and quality of life. 3. What is the main point of your study? The study explores how various factors such as education levels, physical activity, and family support influence social isolation among these patients. It also looks at the broader environmental and social settings that affect their interactions and mental health. 4. What are your main results and what do they mean? Our findings show that patients with higher education, better family support, and more physical activity are less socially isolated. Addressing these factors can greatly enhance the well-being and social interactions of peritoneal dialysis patients, suggesting the need for targeted support and community integration initiatives. [ABSTRACT FROM AUTHOR]

Patients with ITP have been reported to experience higher levels of depression and anxiety than their healthy counterparts. The limited research conducted on this subject in the pediatric age group has demonstrated that patients have psychosocial difficulties, and their quality of life is adversely affected. The correlation of depressive symptoms with disease characteristics of cITP has never been investigated. This was a cross-sectional study in patients being treated for cITP. Communication with participants was done during routine outpatient visits or by telephone or e-mail, and a survey about demographics and the Children's Depression Inventory (CDI) and the Social Anxiety Scale for Children-Revised (SAS-CR) was administered prospectively. A total of 56 children with cITP were recruited. The mean CDI score was 17 (SD: ± 9.44). Approximately half of the patients had higher CDI scores than healthy Turkish children. Older age, time since diagnosis, a number of hospitalizations (both total and within the last year) were positively correlated with CDI scores. There was no significant correlation between SAS-CR scores and disease characteristics. Depressive symptom scores were higher in children with cITP compared with healthy children in this study. Psychological needs may be overlooked in the medical management of children with cITP. [ABSTRACT FROM AUTHOR]

Glyphosate-based Herbicide (GBH) is a widely used pesticide that functions as a broad-spectrum, non-selective herbicide. Despite advanced research to describe the neurotoxic potential of GBH, the harmful effects on maternal behavior and neurodevelopment of offspring remain unclear. This study was conducted to highlight the effects of GBH on the antioxidant system, anxiety traits, social interaction, and cognitive and sensorimotor functions in pups exposed to 25 or 50 mg/l daily via their mother's milk. Concerning the biochemical biomarkers, GBH administered during the early stages of development negatively affected the status of antioxidant enzymes and lipid peroxidation in the brain structures of the pups. Furthermore, our results showed a significant decrease in acetylcholinesterase (AChE) specific activity within the brains of treated pups. The results of the behavioral tests indicated that the treated offspring developed anxiety, memory, and sociability disorders, as evidenced by the Open Field, Y-maze, object recognition task, and social interaction tests. Through neurodevelopmental testing, we also showed sensorimotor impairment (righting reflex and negative geotaxis) and abnormal maternal behavior. Altogether, our study clearly demonstrates that the developing brain is sensitive to GBH. [ABSTRACT FROM AUTHOR]

The research examined how different profiles of emotional intelligence (attention, clarity, and emotional regulation) act as protective or risk factors against cyber-victimization, taking into account individual and behavioral variables such as gender, sexual orientation, self-esteem, social anxiety, Internet risk, and parental control among high school students (11–18 years). A simulated sample was used, which was derived from an experimental sample of 1908 subjects (50.7% girls). Statistical equivalence was ensured between the two samples, and a multilevel analysis was conducted using the emotional intelligence profiles as the grouping variable. The results showed that the variability in emotional intelligence profiles predicted 96.7% of the variability of cyber-victimization. Factors that increase this likelihood include excessive interpersonal attention and low emotional regulation, higher social anxiety, offline victimization, older age, high parental supervision, and low self-esteem. In addition, being male and heterosexual is associated with a lower risk of cyber-victimization than being female and non-heterosexual. In general, it is suggested that protective measures against cyber-victimization should warn about the risk of Internet use, avoid paternalistic behavior by adults, and reduce rumination or excessive attention to the opinions of others. [ABSTRACT FROM AUTHOR]

Copyright of Arab Journal for Scientific Publishing is the property of Research & Development of Human Recourses Center (REMAH) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This research focuses on ego-focused self-image goals as central to understanding the vulnerability inherent in perfectionism and the link that perfectionism has with poorer health and emotional well-being. The present study expands theory and research on perfectionism from a unique motivational perspective through a longitudinal investigation of perfectionism, the pursuit of self-image goals related to self-improvement, and mental and physical health among 187 university students. Our central finding was that trait and self-presentational perfectionism were associated longitudinally with self-image goals and poorer mental and physical health. Longitudinal analyses showed that perfectionistic self-presentation predicted subsequent self-image goals, controlling for initial self-image goals. Additionally, self-image goals were associated with worse mental and physical health and greater loneliness and social anxiety. Collectively, our results illustrate the benefits of assessing problematic personal goals in perfectionism and the need to revise existing motivational accounts by recognizing the important role ego-involved goals play in guiding much of what perfectionists do and how they act in their daily lives. [ABSTRACT FROM AUTHOR]

Background: The Brief Resilience Coping Scale (BRCS) is a brief instrument suitable for epidemiological studies. The aims of this paper were to analyze changes in BRCS depending on time, sex, age group, relationship status, as well as risk of poverty, to test the psychometric properties including test-retest reliability and measurement invariance, and to determine associations with psychosocial stress, depressiveness, anxiety, social support, as well as subjective mental and physical health. As the data from this study was collected during the pandemic, an additional sensitivity analysis was performed with pre-pandemic data. Methods: A longitudinal study of resilience and distress in a large-sized community sample was performed at one pre-pandemic (T0) and three pandemic time points (T1-3). Resilient coping was assessed by the 4-Item short form of the BRCS, distress by the PHQ-9 and GAD-2. Results: BRCS decreased between the first and the second and increased at the third pandemic time point. The scale had a good internal consistency. Test-retest correlation coefficients ranged from 0.527 to 0.589. Higher resilient coping was found in younger participants, participants not at-risk-of-poverty and in males. Stability was higher in those with a partner, and at-risk-of-poverty. Significant negative associations with psychosocial stress, loneliness, depressiveness, anxiety, social support, as well as subjective and physical health and SES underscored the construct validity. Conclusion: Overall, findings underscore that resilient coping is a dynamic construct with considerable stability. The scale showed good psychometric properties including test-retest reliability over four months to two years. We found that it is not only important to describe the level of resilient coping, but also its stability. [ABSTRACT FROM AUTHOR]

Avatar use has been proposed as a method to address students' social anxiety and hesitancy to interact with other people in synchronous online environments. Nonetheless, there is a dearth of research examining the effects of avatar-based interactions on students' emotions and motivation. A quasi-experimental research was conducted to examine the effects of avatar-based interaction on students' self-efficacy, affects related to interaction, emotions, and learning outcomes in a synchronous video conferencing-based online learning environment. Seventy-one participants were recruited from three sections of one required teacher training course for elementary school pre-service teachers. All sections followed the same course structure and had the same learning content. Forty-three students in two sections were assigned to the experimental group and used avatar-based interaction. Twenty-eight students in one section was assigned to the control group and interacted using webcams. The results showed that the avatar-based interaction effectively alleviated students' concerns and negative emotions. We found no significant difference in perceived learning achievement between the two groups, although the experimental group showed the higher course satisfaction than the control group. The current findings support the potential mitigation effect of avatar-based interaction on social anxiety during video conferencing-based online learning. Avatar use can be an effective alternative to assuage students' social concerns, thereby fostering active engagement in social interactions within various synchronous online learning environments, such as the Metaverse. [ABSTRACT FROM AUTHOR]

Based on the continuous development of new media and mobile communication technologies, social media has significantly influenced people's daily thoughts and behaviors. For young people, social media is a platform for social interaction, and studies have found that social media helps Chinese graduates find employment. This study examined how social media use and its related factors affect employment anxiety. The data was collected from 1,204 Chinese youth through an online survey. The results showed that: (1) the intensity of social media use had a positive predictive effect on employment anxiety; (2) upward social comparison and online social support individually separately mediate the positive relationship between the intensity of social media use and employment anxiety; and (3) self-esteem negatively moderates the effect of upward social comparison and effect of online social support on employment anxiety. The study underscores the importance of reasonable social media usage strategies, positive social perception, and healthy self-perception for fostering a positive employment mindset among youth. [ABSTRACT FROM AUTHOR]

Social media platforms such as Reddit allow users to share information and find support about different topics. The present research investigated the topics, sentiments, and emotions discussed in a subreddit about social anxiety prior to and during the COVID-19 pandemic. Latent Dirichlet Allocation (LDA) was used to discover latent topics from the data. Sentiment and emotion analyses were performed on the posts and comments associated with each topic. Two-proportions z-tests were computed to investigate whether the percentage of positive, negative, and neutral sentiments expressed in posts and comments for each topic differed between the period prior to and during COVID-19. Thirteen topics about social interactions, coping mechanisms, and physiological and cognitive aspects of social anxiety emerged: (1) Miscellaneous, (2) Interacting with others, (3) Family and time, (4) Medication and receiving help, (5) Physical features and appearance, (6) At work, (7) Physical sensations and cognitive aspects, (8) School activities, (9) Dating, (10) Communicating and asking questions, (11) Social media, (12) Stressful behaviors, and (13) Substances. There was no difference in the sentiment of posts and comments between the two time periods, with the exception of a few topics for which there were more neutral comments and fewer positive comments prior to the pandemic. The three most prominent emotions expressed were anticipation, trust, and fear. These findings inform on the topics discussed in an online community about social anxiety, and on differences in the sentiment expressed about those topics prior to and during the pandemic. Future research can investigate causal associations between the COVID-19 pandemic and online discussions about social anxiety, as well as the clinical implications of interacting in such online communities for individuals struggling with social anxiety. [ABSTRACT FROM AUTHOR]

Many people dislike the sound of their voices, especially when listening back to audio recordings (voice confrontation). Previous research reports that disliking the sound of one's voice is associated with elevated levels of social anxiety. The present study investigated the relationship between social anxiety and voice dislike and voice misrecognition among a bilingual population: Arabic (L1) and English (L2). Participants (N = 176) completed self‐report measures of social anxiety and own voice liking. Additionally, they performed a novel own voice recognition task, assessing their ability to recognise a recording of their voice, differentiating it from digitally altered versions of the same recording. Social anxiety symptomatology was associated with disliking the sound of one's voice, with a larger effect for L1 than L2. Social anxiety was also associated with own voice misrecognition, but only for L1. Highly negative evaluations about the sound of one's voice may represent a vulnerability for social anxiety disorder. [ABSTRACT FROM AUTHOR]

Background: The prevalence of self-injury and suicide is higher than the general population of people living with HIV/AIDS (PLWHA). However, the results reported in existing studies are highly variable in China. The purpose of this systematic review and meta-analysis was to synthesize the currently available high-quality evidence to explore the prevalence and influence factors of self-injury and suicide among PLWHA in China. Method: We retrieve literature written in Chinese and English through databases such as PubMed, Embase, Web of Science, Cochrane Library, SinoMed, CNKI, WanFang Database, and CQVIP from inception to 1 September 2022. Sata 16.0 software was used for analysis. Results: A total of 28 studies were included with a sample size of 1,433,971 and had a satisfactory quality score of ≥ 5. The prevalence among PLWHA in China were 30% for suicidal ideation (SI), 5% for suicide attempt (SA), 8% for suicide plan (SP), 7% for attempted suicide (AS), and 3‰ for completed suicide. High stigma (OR = 2.94, 95%CI: 1.90 − 4.57), depression (OR, 3.17; 95%CI, 2.20 − 4.57), anxiety (OR, 3.06; 95%CI, 2.23 − 4.20), low self-esteem (OR, 3.82, 95%CI, 2.22 − 6.57), high HIV related stress (OR, 2.53; 95%CI, 1.36 − 4.72), and unemployment (OR, 2.50; 95%CI, 1.51 − 4.15) are risk factors for SI; high social support (OR, 0.61; 95%CI, 0.44 − 0.84) and spouse infected with HIV (OR, 0.39; 95%CI, 0.21 − 0.74) are protective factors for SI; depression (OR, 1.62; 95%CI, 1.24 − 2.13), high aggression (OR, 4.66; 95%CI, 2.59 − 8.39), and more negative life events (OR, 2.51; 95%CI, 1.47 − 4.29) are risk factors for AS; high level of education (OR, 1.31; 95%CI, 1.21 − 1.43) is risk factor for CS. Conclusion: Figures indicate that approximately one-third of PLWHA had suicidal ideation, and three out of 1,000 completed suicide in China. Positive events are protective factors for self-injury and suicide among PLWHA, while negative events are risk factors. This suggests that psychosocial support and risk assessment should be integrated into the care of PLWHA. [ABSTRACT FROM AUTHOR]

Anxiety sensitivity refers to an individual's belief that anxiety symptoms adversely affect physical, cognitive, and social appraisals, thereby exacerbating the fear of these symptoms. The Anxiety Sensitivity Index-3 (ASI-3) has been widely used to measure anxiety sensitivity. To provide researchers with more flexibility in selecting scale lengths, this study developed two shortened versions of the ASI-3 via item response theory analysis: one containing 12 items and the other containing six items. Given the overall good quality of the original scale, this study primarily achieved scale shortening by retaining items that could provide a substantial amount of item information, namely, items of high measurement precision. Compared to the original scale, the two shortened versions demonstrate good reliability while maintaining the same three-dimensional latent structure, robust inter-construct relationships, and highly correlated latent traits. [ABSTRACT FROM AUTHOR]

The Insula functions as a multisensory relay involved in socio-emotional processing with projections to sensory, cognitive, emotional, and motivational regions. Notably, the interhemispheric projection from the Insula to the contralateral Insula is a robust yet underexplored connection. Using viral-based tracing neuroanatomy, ex vivo and in vivo electrophysiology, in vivo fiber photometry along with targeted circuit manipulation, we elucidated the nature and role of InsulaIns communication in social and anxiety processing in mice. In this study, we 1) characterized the anatomical and molecular profile of the InsulaIns neurons, 2) demonstrated that stimulation of this neuronal subpopulation induces excitation in the Insula interhemispheric circuit, 3) revealed that InsulaIns neurons are essential for social discrimination after 24 h of isolation in male mice. In conclusion, our findings highlight InsulaIns neurons as a distinct class of neurons within the insula and offer new insights into the neuronal mechanisms underlying social behavior. The nature and role of insular interhemispheric communications remains underexplored in social anxiety processing. Here the authors show that insular neurons play a role in social preference encoding during acute social isolation. [ABSTRACT FROM AUTHOR]

Public speaking is a crucial component of many higher education courses and is essential for students' academic performance and future career success. Despite its importance, public speaking anxiety is a common issue among higher education students, adversely impacting their learning. Addressing this anxiety through targeted interventions, especially for the most at-risk students, is vital. This study provides insights into the demographic predictors of public speaking anxiety, using a sample of 1745 students from a large public university in the Czech Republic. We employed the Personal Report of Confidence as a Speaker in a short form to assess public speaking anxiety levels. Our multivariate regression analysis identified gender, type of high school, and study level as significant predictors of public speaking anxiety, whereas age, nationality, and field of study were not. The study found that women, non-binary individuals, graduates of academic high schools, and bachelor's students are more prone to public speaking anxiety. These findings highlight the need for targeted intervention and support strategies for students with higher levels of public speaking anxiety. [ABSTRACT FROM AUTHOR]

Ability to focus attentional resources on a task is a necessary component of healthy cognitive regulation, which is necessary for normal emotional and cognitive processes, while avoiding distractions that aren't related to the task at hand. However, anxiety may impair the inhibitory and transfer functions of attention. Therefore, in order to explore the modulation of social anxiety on the effect of emotion on cognitive control, individuals with high social anxiety (HSA) and low social anxiety (LSA) completed the emotional Stroop task with the neutral stimuli presented first, followed by the social threat stimuli. The HSA participants exhibited a slower response to threats than neutral words, whereas there was no emotional effect for the LSA participants. Event-Related Potential (ERP) data revealed that N2 was more negative elicited by neutral words than threat ones in the LSA, but not significant in HSA. Time–Frequency Representation (TFR) data showed enhanced theta synchronization elicited by neutral words than threat words in the LSA only. These findings provided new electrophysiological correlates for social anxiety modulating the effect of emotion on cognitive control. [ABSTRACT FROM AUTHOR]

Background and objectivesMethodsResultsConclusionsVirtual reality exposure therapy offers a unique opportunity to treat social anxiety disorder. This meta-analysis aims to evaluate the effectiveness of virtual reality exposure therapy compared to waitlist comparators or other interventions for individuals with social anxiety disorder in alleviating anxiety symptoms.A three-step comprehensive search for the randomized controlled trials of virtual reality exposure therapy was conducted from inception to 7 December 2023. The overall effect was measured using Hedges’ g and determined using t-statistics at a significance level of p < 0.05. Sensitivity, subgroup, and meta-regression analyses were carried out.A total of 17 randomized control trials were retrieved from nine electronic databases. Virtual reality exposure therapy has greater efficacy than waitlist comparators in reducing anxiety symptoms at post-intervention and follow-up assessment. Virtual reality exposure therapy demonstrates a similar effect to other interventions at post-intervention and follow-up assessment. We observed a greater effect for participants with symptomatic social anxiety when we combined the intervention with cognitive behavioral therapy compared to its counterpart. Meta-regression analyses found no significant covariate.Overall, virtual reality exposure therapy can provide supplementary therapy for improving anxiety symptoms. Additional high-quality and large-scale trials with long-term follow-up are needed. [ABSTRACT FROM AUTHOR]

Social isolation was associated with emotional problems (depression and anxiety) among older adults, however, little is known in China. Thus, we conducted a cross-sectional study including 6,664 ≥ 65 years older adults in Ningbo, China. We collected data on social isolation, depression, and anxiety by specific scales. The relationship between social isolation and emotional problems was estimated by multivariate-adjusted logistic regression models. The population–attributable risk percentage (PAR%) was used to explore the contribution of social isolation to emotional problems. Overall, the percentage of participants who had experienced social isolation, depression, and anxiety was 12.67%, 4.83%, and 2.63%. Compared with the elderly without social isolation, the adjusted odds ratios (95% confidence interval) of depression and anxiety with social isolation were 1.77 (1.25–2.51) and 1.66 (1.05–2.63), respectively. The PAR analysis showed that 10.66% of depression and 9.03% of anxiety could be attributable to social isolation. In the gender subgroup, ORs and PAR% were only significantly observed in female participants. In Chinese older adults, social isolation has been linked to depression and anxiety, suggesting the importance of taking effective and feasible interventions to reduce social isolation and emotional problems, especially among females. [ABSTRACT FROM AUTHOR]

Introduction: With the widespread use of social media, the behavior and mindset of users have been transformed, leading to a gradual increase in lurking users, which can impede the sustainable development of social media platforms. In this study, we aim to investigate the impact of intrinsic and extrinsic motivational factors on social media users' anxiety, social media fatigue, and lurking behavior. Methodology: For the confirmation of these phenomena and to validate the theories, a structural equation model was constructed based on the SSO (Stressor-Strain-Outcome) theoretical framework. The model was then tested and validated with data from 836 valid online surveys. These data were analyzed using SPSS 27.0 and AMOS 24.0 software. Results: The results indicate that intrinsic motivations (such as social comparison and privacy concerns) and extrinsic motivations (including information overload, functional overload, and social overload) are positively associated with users' lurking behavior through the mediating effects of social media fatigue and anxiety. Additionally, for the mediator variables, social media fatigue was found to be positively associated with anxiety. Discussion: These findings underscore the importance of social media platforms considering both intrinsic and extrinsic motivational factors to mitigate user anxiety and social media fatigue. By addressing these factors, platforms can foster user satisfaction and increase engagement, ultimately contributing to the sustainable development of social media platforms. [ABSTRACT FROM AUTHOR]

Background/Objectives: Depression and anxiety are prevalent disorders, particularly during emerging adulthood. Uncertainty about the future, exacerbated by unstable times, can lead to heightened future anxiety in this group. This study aimed to examine the complex associations of depression symptoms, future anxiety, and self-efficacy in adults from Poland. Additionally, we investigated age and gender differences in depression symptoms, future anxiety, and self-efficacy. Methods: A cross-sectional online survey study was performed in 2023 in Poland using snowball sampling. A convenience sample of 284 adults participated in this study, ranging in age between 18 and 65 years old (M = 32.18, SD = 11.87), including 95 men (33.45%) and 189 (66.55%) women, and also 157 (55.63%) emerging adults (18–28 years old) and 126 (44.37%) middle-aged adults (29–65 years old). The Patient Health Questionnaire (PHQ-9), Dark Future Scale (DFS-5), and Generalized Self-Efficacy Scale (GSES) were used to measure depression, future anxiety, and self-efficacy, respectively. Results: A 2-way ANOVA showed that both emerging adults and women scored significantly higher in depression symptoms and future anxiety than middle-aged adults and men, respectively. Furthermore, women scored lower in self-efficacy than men. Analyses revealed that there was a positive correlation between depression and future anxiety. Self-efficacy was negatively correlated with depression and future anxiety. Self-efficacy and future anxiety accounted for 48% of depression variance, controlling for age and gender. Future anxiety was found to be a partial mediator of the relationship between self-efficacy and depression. Conclusions: This study significantly advances the understanding of mental health in adults, grounded in social cognitive theories, revealing that low self-efficacy heightens future anxiety, thereby exacerbating depression symptoms in the Polish adult population, independent of age and gender. Emerging adults and women need psychological support to reduce depression and future anxiety. Women, in particular, should be the main focus of interventions to boost self-efficacy. Implementing targeted preventive measures and support systems can mitigate the challenges faced by emerging adults and women. [ABSTRACT FROM AUTHOR]

Background: Social Anxiety Disorder (SAD) is an anxiety disorder characterized by excessive fear of scrutiny in social situations. Health students are more susceptible to SAD due to academic demands. They may resort to self-medication, particularly beta-blockers (BBs) for managing physical symptoms of SAD. The study aims to investigate the prevalence of beta-blocker use and its relationship with social anxiety disorder among health students at Umm Al-Qura University. Methods: In this cross-sectional study, 461 undergraduate health students participated in a questionnaire with 30 questions divided into three sections: The Social Phobia Inventory (SPIN), BBs usage behavior questionnaire, and demographic characteristics. Results: The study found 56.2% had SAD. A total of 7.8% of the sample reported using BBs, and no significant correlation was found between the usage of BBs and the SAD score (P = 0.085). Conclusion: The study revealed significant relationships between the presence of SAD with gender, history of mental conditions, and correlation between the use of BBs with history of mental conditions. Although BBs usage is low among health students, the prevalence of SAD is alarming. The results could raise awareness about the need for early detection of SAD among health students. [ABSTRACT FROM AUTHOR]

Background: Autism spectrum conditions (ASC) and quantitative autistic traits (QATs) are associated with sensory symptoms, which may contribute to anxiety and adversely affect social and cognitive development. Although sensory symptoms can occur across all senses, the relative roles of specific sensory modalities as contributors to the autistic phenotype and to anxiety are not well understood. The objective of this study was to examine which sensory symptoms were most predictive of high anxiety. Methods: We recruited 257 female primary caregivers of children aged 6 to 11 years (49% girls) to a questionnaire study comprising parent-report measures for classical QATs (social, communicative, and rigid), autism-related sensorimotor symptoms (visual, auditory, tactile, olfactory, gustatory, vestibular, proprioceptive, and motor), and anxiety symptoms. First, Bayesian stochastic search variable selection (SSVS) was used to identify the most probable sensorimotor predictors of specific QATs as well as diagnosed ASC. Then, the selected predictors were used in another SSVS, using anxiety symptoms as a dependent variable, to identify which of the autism-relevant sensorimotor symptoms were most robustly predictive of anxiety. Finally, the effect sizes of anxiety-related sensory symptoms were estimated with linear regressions. Results: We found that auditory symptoms and motor difficulties were most predictive of ASC diagnosis. Developmental motor difficulties were also strongly related to all individual QATs, whereas auditory symptoms were more selectively predictive of rigid traits. Tactile symptoms robustly predicted social interaction QATs, and proprioceptive symptoms predicted communicative QATs. Anxiety outcomes were most strongly predicted by difficulties with auditory and olfactory processing. Conclusions: The results support the clinical importance of being alert to complaints about sounds and hearing in neurodevelopmental populations, and that auditory processing difficulties may be evaluated as an early marker of poor mental health in children with and without diagnosed autism. Olfactory processing differences appeared to be an anxiety marker less strongly associated with ASC or QATs, while motor difficulties were highly autism-relevant but not equally strongly associated with anxiety outcomes. We suggest that future studies may focus on the mechanisms and consequences of neurodevelopmental central auditory processing dysfunction and its potential relationship to anxiety disorders. [ABSTRACT FROM AUTHOR]

As a major public health issue, chronic loneliness has been associated with increased mortality and impaired physical and mental health. The proposed model by Cacioppo and Hawkley (Trends in Cognitive Sciences, 13(10), 447–454, 2009) pictures the emergence and maintenance of chronic loneliness as a vicious cycle containing cognitive and behavioral aspects. As a potential source of resilience, self-esteem has been shown to have buffering effects on loneliness. This study aimed to investigate the central relationships between the components within the regulatory loop of loneliness and the potential buffering effect of self-esteem. In this study, a community sample of 436 adult participants completed measures of loneliness, interpretation bias in social situations, social avoidance behavior, self-esteem, and important covariates (including depressive and social anxiety symptoms and social network size). First, we tested bivariant correlations. Subsequently, we tested three mediation models representing the regulatory loop of loneliness. Lastly, we tested moderated mediation models with self-esteem as a moderator. Loneliness was positively associated with interpretation bias and social avoidance and negatively with self-esteem. Indirect effects in all three mediation models testing the regulatory loop were positive and strongly significant. Self-esteem was a significant moderator in the mediation models, with higher levels of self-esteem attenuating the indirect effect of loneliness on interpretation bias. These effects held even when controlled for relevant covariates, such as depressive and social anxiety symptoms. This study gives preliminary empirical support for the proposed model of chronic loneliness by Cacioppo and Hawkley (Trends in Cognitive Sciences, 13(10), 447–454, 2009) and the potential buffering effect of self-esteem. Hence, our results support the notion of addressing maladaptive social cognitions and maladaptive social behavior to effectively reduce chronic loneliness and strengthen self-esteem as a protective factor. [ABSTRACT FROM AUTHOR]

While health research has demonstrated the influence of cultural disparities on health outcomes, the impact of ambivalent sexism on mental health help-seeking has not been well understood. We investigated the links between sexist attitudes, Mental Health Literacy (MHL), and sociodemographic variables regarding symptoms of Social Anxiety among Ghanaians. In 2021, we recruited 601 Ghanaians to participate in an online vignette-based experimental study. Respondents were randomly assigned to two conditions (i.e., male, and female vignettes) depicting symptoms of Social Anxiety for a hypothetical person. Participants provided their impression of the hypothetical person and further completed self-report measures. Regarding help-seeking for the symptoms of Social Anxiety, results revealed that age positively predicted professional help-seeking among men assigned to the male condition, while age negatively predicted social support among women in the same condition. Education was found to relate positively to professional and social support help-seeking options but was negatively linked with spiritual help-seeking. Benevolent sexist attitudes towards women related to the endorsement of professional help-seeking, but participants with benevolent sexist attitudes towards men were less likely to recommend social support. Findings imply that optimal interventions for mental health could benefit from understanding help-seeking patterns, idioms of psychological distress and the cultural settings of individuals. [ABSTRACT FROM AUTHOR]

The interference in parent-child interactions (i.e., parental technoference) has become an increasingly common type of parental neglect with the recent advancements in technology. Although literature has linked adolescents' mental health problems to parental neglect, it is still underexplored how parental technoference may be related to adolescents' social anxiety. Empathy is an ability to share and understand the emotion and perspectives of other individuals. Its two components exhibit distinct associations with social anxiety. This study aims to investigate the psychological mechanism underlying this relationship in the perspective of adolescents' ability of interpersonal ability, by examining the mediating roles of parent-child attachment and cognitive/affective empathy. A total of 3200 Chinese adolescents participated in the study (grade 10: 643 males, 888 females, mean age = 16.377 years old; grade 11: 715 males, 954 females, mean age = 17.261 years old). The results indicated a positive association between parental technoference and social anxiety. Furthermore, this relationship was found to be mediated by parent-child attachment, while no specific mediating effect was observed for empathy. Additionally, the study revealed a serial mediation role that parent-child attachment and both components of empathy ability were involved. The empathic concern (i.e., affective empathy) displayed positive association with social anxiety, whereas, perspective taking (i.e., cognitive empathy) indicated negative correlation. Overall, this study enhances our understanding of the relationship between parental technoference and adolescents' social anxiety. The findings highlight the importance of parents paying attention to their technology device usage behaviors when interacting with their children. [ABSTRACT FROM AUTHOR]