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2. Anxiety and Suicidal Thoughts During the COVID-19 Pandemic: Cross-Country Comparative Study Among Indonesian, Taiwanese, and Thai University Students

Author

Pramukti, Iqbal, Strong, Carol, Sitthimongkol, Yajai, Setiawan, Agus, Pandin, Moses Glorino Rumambo, Yen, Cheng-Fang, Lin, Chung-Ying, Griffiths, Mark D, and Ko, Nai-Ying

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundThe COVID-19 pandemic has negatively affected the mental health of university students. ObjectiveThis study examined the psychological responses toward COVID-19 among university students from 3 countries—Indonesia, Taiwan, and Thailand. MethodsWe used a web-based, cross-sectional survey to recruit 1985 university students from 5 public universities (2 in Indonesia, 1 in Thailand, and 1 in Taiwan) via popular social media platforms such as Facebook, LINE, WhatsApp, and broadcast. All students (n=938 in Indonesia, n=734 in Thailand, and n=313 in Taiwan) answered questions concerning their anxiety, suicidal thoughts (or sadness), confidence in pandemic control, risk perception of susceptibility to infection, perceived support, resources for fighting infection, and sources of information in the context of the COVID-19 pandemic. ResultsAmong the 3 student groups, Thai students had the highest levels of anxiety but the lowest levels of confidence in pandemic control and available resources for fighting COVID-19. Factors associated with higher anxiety differed across countries. Less perceived satisfactory support was associated with more suicidal thoughts among Indonesian students. On the other hand, Taiwanese students were more negatively affected by information gathered from the internet and from medical staff than were Indonesian or Thai students. ConclusionsOur findings suggest that health care providers in Thailand may need to pay special attention to Thai university students given that high levels of anxiety were observed in this study population. In addition, health care providers should establish a good support system for university students, as the results of this study indicate a negative association between support and suicidal thoughts.

Published
2020
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3. Wearable Motion Sensor Device to Facilitate Rehabilitation in Patients With Shoulder Adhesive Capsulitis: Pilot Study to Assess Feasibility

Author

Chen, Yu-Pin, Lin, Chung-Ying, Tsai, Ming-Jr, Chuang, Tai-Yuan, and Lee, Oscar Kuang-Sheng

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundAdhesive capsulitis (AC) of the shoulder is a common disorder that painfully reduces the shoulder range of motion (ROM) among middle-aged individuals. Although physical therapy with home-based exercises is widely advised to restore ROM in the treatment of AC, clinical results vary owing to inconsistent patient compliance. ObjectiveIn this study, we aimed to verify the feasibility of a treatment model that involves applying a wearable motion sensor device to assist patients conduct home-based exercises to improve training compliance and the accuracy of exercises, with the ultimate goal of improving the functional recovery of patients with AC. MethodsThe motion sensor device was comprised of inertial measurement unit–based sensors and mobile apps for patients and physicians, offering shoulder mobility tracing, home-based exercise support, and progress monitoring. The interrater reliability of shoulder mobility measurement using the motion sensor device on 10 healthy participants and 15 patients with AC was obtained using an intraclass correlation coefficient analysis and compared with the assessments performed by two highly experienced physicians. A pilot prospective control trial was then carried out to allocate the 15 patients with AC to two groups: home-based exercise group and motion sensor–assisted rehabilitation group. Changes in active and passive shoulder ROM, pain and functional scores, and exercise completion rates were compared between the groups during a treatment period of 3 months. ResultsShoulder ROM, as measured using the motion sensor device, exhibited good to excellent reliability based on the comparison with the measurements of two physicians (intraclass correlation coefficient range, 0.771 to 0.979). Compared with patients with AC in the home-based exercise group, those in the motion sensor–assisted rehabilitation group exhibited better shoulder mobility and functional recovery and a higher exercise completion rate during and after 3 months of rehabilitation. ConclusionsMotion sensor device–assisted home-based rehabilitation for the treatment of AC is a useful treatment model for telerehabilitation that enhances the compliance of patients through training, thus improving functional recovery. This helps overcome important obstacles in physiotherapy at home by providing comprehensible and easily accessible exercise instructions, enhancing compliance, ensuring the correctness of exercise, and monitoring the progress of patients.

Published
2020
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4. Efficacy of a Theory-Based Cognitive Behavioral Technique App-Based Intervention for Patients With Insomnia: Randomized Controlled Trial

Author

Rajabi Majd, Nilofar, Broström, Anders, Ulander, Martin, Lin, Chung-Ying, Griffiths, Mark D, Imani, Vida, Ahorsu, Daniel Kwasi, Ohayon, Maurice M, and Pakpour, Amir H

Subjects
Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270
Abstract

BackgroundSleep hygiene is important for maintaining good sleep and reducing insomnia. ObjectiveThis study examined the long-term efficacy of a theory-based app (including cognitive behavioral therapy [CBT], theory of planned behavior [TPB], health action process approach [HAPA], and control theory [CT]) on sleep hygiene among insomnia patients. MethodsThe study was a 2-arm single-blind parallel-group randomized controlled trial (RCT). Insomnia patients were randomly assigned to a treatment group that used an app for 6 weeks (ie, CBT for insomnia [CBT-I], n=156) or a control group that received only patient education (PE, n=156) through the app. Outcomes were assessed at baseline and 1 month, 3 months, and 6 months postintervention. Primary outcomes were sleep hygiene, insomnia, and sleep quality. Secondary outcomes included attitudes toward sleep hygiene behavior, perceived behavioral control, behavioral intention, action and coping planning, self-monitoring, behavioral automaticity, and anxiety and depression. Linear mixed models were used to evaluate the magnitude of changes in outcomes between the two groups and across time. ResultsSleep hygiene was improved in the CBT-I group compared with the PE group (P=.02 at 1 month, P=.04 at 3 months, and P=.02 at 6 months) as were sleep quality and severity of insomnia. Mediation analyses suggested that perceived behavioral control on sleep hygiene as specified by TPB along with self-regulatory processes from HAPA and CT mediated the effect of the intervention on outcomes. ConclusionsHealth care providers might consider using a CBT-I app to improve sleep among insomnia patients. Trial RegistrationClinicalTrials.gov NCT03605732; https://clinicaltrials.gov/ct2/show/NCT03605732

Published
2020
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5. The short version of the Sexual Distress Scale (SDS-3): Measurement invariance across countries, gender identities, and sexual orientations.

Author

Grubbs, Joshua, Hashim, Hashim, Islam, Md, Ismail, Mustafa, Jiménez-Martínez, Martha, Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ion, Miller, Dan, Orosová, Oľga, Orosz, Gábor, Ponce, Fernando, Quintana, Gonzalo, Garzola, Gabriel, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco, Schulmeyer, Marion, Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan, Strizek, Julian, Štulhofer, Aleksandar, Ünsal, Berk, Vaillancourt-Morel, Marie-Pier, Van Hout, Marie, Bőthe, Beáta, Lin, Chung-Ying, Tsai, Meng-Che, Koós, Mónika, Nagy, Léna, Kraus, Shane, Demetrovics, Zsolt, Potenza, Marc, Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita, Fernandez, David, Fernandez, Elaine, Fujiwara, Hironobu, Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, and Gola, Mateusz

Subjects
Confirmatory factor analysis (CFA), International sex survey, Psychometric analysis, Sexual distress
Abstract

BACKGROUND: The three-item Sexual Distress Scale (SDS-3) has been frequently used to assess distress related to sexuality in public health surveys and research on sexual wellbeing. However, its psychometric properties and measurement invariance across cultural, gender and sexual subgroups have not yet been examined. This multinational study aimed to validate the SDS-3 and test its psychometric properties, including measurement invariance across language, country, gender identity, and sexual orientation groups. METHODS: We used global survey data from 82,243 individuals (Mean age=32.39 years; 40.3 % men, 57.0 % women, 2.8 % non-binary, and 0.6 % other genders) participating in the International Sexual Survey (ISS; https://internationalsexsurvey.org/) across 42 countries and 26 languages. Participants completed the SDS-3, as well as questions regarding sociodemographic characteristics, including gender identity and sexual orientation. RESULTS: Confirmatory factor analysis (CFA) supported a unidimensional factor structure for the SDS-3, and multi-group CFA (MGCFA) suggested that this factor structure was invariant across countries, languages, gender identities, and sexual orientations. Cronbachs α for the unidimensional score was 0.83 (range between 0.76 and 0.89), and McDonalds ω was 0.84 (range between 0.76 and 0.90). Participants who did not experience sexual problems had significantly lower SDS-3 total scores (M = 2.99; SD=2.54) compared to those who reported sexual problems (M = 5.60; SD=3.00), with a large effect size (Cohens d = 1.01 [95 % CI=-1.03, -0.98]; p < 0.001). CONCLUSION: The SDS-3 has a unidimensional factor structure and appears to be valid and reliable for measuring sexual distress among individuals from different countries, gender identities, and sexual orientations.

Published
2024

20. Exploring health literacy categories among an Iranian adult sample: a latent class analysis

Author

Yekaninejad, Mir Saeed, Hajiheidari, Ahmadreza, Alijanzadeh, Mehran, Yahaghi, Rafat, Karimi, Zahra, Rahmani, Jalal, Yazdi, Nahid, Jafari, Elahe, Alijani, Hashem, Zamani, Narges, Fotuhi, Razie, Taherkhani, Elham, Buchali, Zeinab, Zarenejad, Masoume, Mahmoudi, Narges, Shahmahdi, Najmeh, Poorzolfaghar, Leila, Ahmadizade, Safie, Shahbazkhania, Azam, Potenza, Marc N., Lin, Chung-Ying, and Pakpour, Amir H.

Published
2024
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23. Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools.

Author

Bőthe, Beáta, Koós, Mónika, Nagy, Léna, Kraus, Shane, Demetrovics, Zsolt, Potenza, Marc, Michaud, Aurélie, Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita, Fernandez, David, Fernandez, Elaine, Fournier, Loïs, Fujiwara, Hironobu, Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, Gola, Mateusz, Grubbs, Joshua, Hashim, Hashim, Islam, Md, Ismail, Mustafa, Jiménez-Martínez, Martha, Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Chih-Ting, Lee, Sang-Kyu, Lewczuk, Karol, Lin, Chung-Ying, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ionut, Miller, Dan, Orosová, Oľga, Orosz, Gábor, Ponce, Fernando, Quintana, Gonzalo, Quintero Garzola, Gabriel, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, De Tubino Scanavino, Marco, Schulmeyer, Marion, Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan, Strizek, Julian, Štulhofer, Aleksandar, Ünsal, Berk, and Vaillancourt-Morel, Marie-Pier

Subjects
International Sex Survey (ISS), addictive behavior, assessment, compulsive sexual behavior, cross-cultural, validation, Humans, Female, Male, Reproducibility of Results, Sexual Behavior, Sexual Dysfunctions, Psychological, Paraphilic Disorders, Compulsive Behavior
Abstract

BACKGROUND AND AIMS: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice. METHOD: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD. RESULTS: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability. DISCUSSION AND CONCLUSIONS: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.

Published
2023

30. The dynamics of adolescents' pubertal maturation, depressive symptoms and friendship networks: stochastic actor-oriented model

Author

Yu, Yi-Fang, Ting, Te-Tien, Liao, Jay Chiehen, Tsai, Meng-Che, Lin, Chung-Ying, Hsieh, Yi-Ping, and Strong, Carol

Subjects
Puberty -- Psychological aspects -- Models, Depression, Mental -- Models, Friendship -- Psychological aspects, Maturation (Psychology) -- Models, Social networks -- Psychological aspects -- Models, Psychology and mental health
Abstract

This study aimed to examine whether adolescents select friends based on their friends' levels of depressive symptoms, and to determine whether the potential homophily phenomenon for depressive symptoms is attenuated after considering pubertal maturation and gender. Data were from the first three waves of the Taiwan Youth Project, a longitudinal study that annually surveys 7.sup.th graders from 40 junior high schools. Participants were asked at each wave to fill out a survey including depressive symptoms, pubertal maturation, and to name three best friends in school. Stochastic actor-oriented models were built to explore the dynamic changes in friendship networks by estimating the probability of the friendship connections and behavioral changes depending on the individual's current network position and behavioral status. We used a sample of 2,336 adolescents. From 8 to 9.sup.th grade, adolescents tended to select friends who were similar in terms of their levels of depressive symptoms (B = 0.358, SE = 0.131, p < .001), without adjusting for gender and pubertal maturation. This homophily effect based on depressive symptoms became non-significant when pubertal maturation was included. Adolescents' depressive symptoms did not further influence their friends' depression levels, after controlling for pubertal maturation and gender. Future studies should further examine the mechanisms and group dynamics within clusters of adolescents who are depressed. Providing a supportive environment and tools is warranted to help adolescents cope with negative emotions within their peer group., Author(s): Yi-Fang Yu [sup.1] , Te-Tien Ting [sup.2] , Jay Chiehen Liao [sup.3] , Meng-Che Tsai [sup.4] , Chung-Ying Lin [sup.5] , Yi-Ping Hsieh [sup.6] , Carol Strong [sup.1] Author [...]

Published
2023
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36. The short version of the Sexual Distress Scale (SDS-3): Measurement invariance across countries, gender identities, and sexual orientations

Author

Lin, Chung-Ying, Tsai, Meng-Che, Koós, Mónika, Nagy, Léna, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita I., Fernandez, David P., Fernandez, Elaine F., Fujiwara, Hironobu, Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, Gola, Mateusz, Grubbs, Joshua B., Hashim, Hashim T., Islam, Md. Saiful, Ismail, Mustafa, Jiménez-Martínez, Martha, Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ion, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Ponce, Fernando P., Quintana, Gonzalo R., Garzola, Gabriel C. Quintero, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Strizek, Julian, Štulhofer, Aleksandar, Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2024
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39. Cross-cultural validation and measurement invariance of anxiety and depression symptoms: A study of the Brief Symptom Inventory (BSI) in 42 countries

Author

Quintana, Gonzalo R., Ponce, Fernando P., Escudero-Pastén, Javier I., Santibáñez-Palma, Juan F., Nagy, Léna, Koós, Mónika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita I., Fernandez, David P., Fernandez, Elaine F., Fujiwara, Hironobu, Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, Gola, Mateusz, Grubbs, Joshua B., Hashim, Hashim T., Islam, Md. Saiful, Ismail, Mustafa, Jiménez-Martínez, Martha C., Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Chih-Ting, Lee, Sang-Kyu, Lewczuk, Karol, Lin, Chung-Ying, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Quintero Garzola, Gabriel C., Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2024
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