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People with Cushing's disease (CD) often experience both mood/anxiety disorders and cognitive impairments that persist during long‐term biochemical remission. The relationship between persistent neurocognitive and psychiatric problems in patients with CD is not well understood. Also, mechanisms other than hypercortisolism are poorly understood, and studies comparing CD with nonfunctioning adenomas (NFA) patients postoperatively are scarce. We compared neuropsychological functioning in two groups: individuals with CD in remission (n = 20; 80% female; 61.6 [44.13] months since remission) and individuals with NFAs (n = 20). Evaluation was performed, on average, 4.9 years following pituitary surgery. We used mediation models to evaluate psychiatric dysfunction as a possible mediator of cognitive outcomes and assessed the influence of demographic and medical factors (age at diagnosis, remission duration, and radiation therapy) on neuropsychological outcomes. Neuropsychological outcomes did not differ significantly between groups; however, up to 30% of patients demonstrated mild impairments in attention, processing speed, executive functioning, and visual memory. Time since remission in the CD group was inversely correlated with processing speed; however, this relationship was no longer significant after controlling for the presence of hypertension and diabetes mellitus. Levels of anxiety, depression, or somatization were reported in up to 40% of people with CD. Further, 70% of people with CD and 35% of people with NFA reported continuous depressive symptoms lasting at least 2 years. In conclusion, neuropsychological screening in clinical practice and longitudinal studies in individuals with NFA and CD are needed to identify patients at risk for long‐term neuropsychological dysfunction. Appropriate support and treatment are recommended for persistent cognitive and/or psychiatric dysfunction for both patient groups. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to determine the impact of sexual cognitive behavioral therapy on sexual awareness, psychological functioning, and self-control in married women. Methods: The research method was a quasi-experimental pre-test and post-test design with a control group. The study population included all married female students at the Islamic Azad University, Garmsar Branch, in 2023. Based on the population, 30 participants (15 in the experimental group and 15 in the control group) were purposively selected and randomly assigned. Data were collected using the Depression Anxiety Stress Scales (DASS) and the Sexual Awareness Questionnaire by Snell and colleagues (1991), along with Dr. Mehrnaz Aliakbari's sexual cognitive behavioral therapy protocol. Findings: The results indicated that sexual cognitive behavioral therapy significantly and positively affected sexual awareness, psychological functioning, and self-control in married women. Conclusions: Therefore, sexual cognitive behavioral therapy can be used to improve psychological functioning and self-control in women. [ABSTRACT FROM AUTHOR]

Objectification theory was tested to examine the potential mediating role of self-objectification in the relationship between technology-facilitated sexual harassment (TFSH) and psychological functioning in a sample of women (N = 481). The results indicated that TFSH was associated with eating pathology, alcohol use, and sexual functioning. Furthermore, partial support for the objectification theory was achieved, with self-objectification potentially explaining the relationships between TFSH and eating pathology, and TFSH and alcohol use. This research may shed light on the role of objectification processes in the context of TFSH in women, as well as inform mental health interventions for women victims of TFSH. [ABSTRACT FROM AUTHOR]

The person-centered approach has provided numerous evidence for three clinically relevant personality types: a Resilient, an Undercontrolled, and an Overcontrolled type (RUO). The present study investigated whether (1) the RUO types could be identified within a large, diverse clinical population based upon transdiagnostical temperament factors, including Behavioral Approach and Inhibition Systems (BIS/BAS) and Effortful Control (EC), and (2) these types differed in terms of psychopathology. Self-report questionnaires, including the BIS/BAS scales, EC scale, Symptom-Checklist-90-Revised, and The Assessment of DSM-IV Personality Disorder, were administered to 2693 psychiatric inpatients. Based on a two-step cluster analysis we corroborated a Resilient (n = 959), an Undercontrolled/Dysregulated (n = 859), and an Overcontrolled/Inhibited (n = 875) type. The latter exhibited more internalizing psychopathology, whereas the undercontrolled/dysregulated type revealed more externalizing psychopathology. The resilient type showed the lowest levels of psychopathology. The present findings strengthen evidence that RUO typologies can be generalized across different psychopathologies and transdiagnostically shed light on the clinical importance of distinguishing subtypes to inform therapeutic interventions, which might possibly improve outcome and reduce relapse. [ABSTRACT FROM AUTHOR]

AbstractObjective: Hashimoto’s encephalopathy (HE), a rare immune-mediated disorder, manifests as altered mental state, cognitive and psychological dysfunction, seizures, and myoclonus. Little is known, however, about the neuropsychological profiles of individuals with HE due to the sparse amount of research. This report overviews HE, summarizes findings from available published neuropsychological evaluations, and details neuropsychological examinations of a 57-year-old White woman with a confirmed HE diagnosis evidencing persistent neuropsychological impairment at two discrete timepoints. Method: An extensive literature search was conducted on PubMed and Google Scholar for studies including neuropsychological evaluations of HE cases. Our neuropsychological evaluation included chart review, diagnostic clinical interview, performance-based neurocognitive assessment, and measures of personality and psychopathology. Results: Our assessment revealed a largely subcortical pattern of neurocognitive impairment and impactful neuropsychiatric symptoms that, together, significantly impacted the patient’s quality of life and functional status. The patient’s performance improved during a six-month re-evaluation within the domains of cognition, psychological functioning, and functional independence. Conclusions: This article highlights the complexity and possible long-term sequela of HE. Complex medical history (including autoimmune disorders) and psychiatric presentation at onset may be factors related to longer-term cognitive dysfunction. Neuropsychology and psychology can serve important and unique roles in assessing long-term functioning and response to treatment in such cases. [ABSTRACT FROM AUTHOR]

Objective: Oncologists' psychological health is a major challenge due to the consequential concerning the quality of the care they provide. However, only critical states of their health have been really examined by scientists. This study sought to plug this gap by investigating the mediating role of psychological flourishing in the relationship between the perception of the professional social context (i.e., perceived workplace isolation and organizational support) and positive attitudes at work among oncologists (i.e., work engagement, task adjustment and empathy). Methods: The study was a cross‐sectional, including 541 French oncologists. Participants completed a self‐report questionnaire. Structural Equation Modeling was employed to test the hypotheses. Results: The analysis revealed that workplace isolation and organizational support perceptions were related to oncologists' work engagement, task adjustment and empathy. Additionally, psychological flourishing acted as a partial mediator between these perceptions of professional social context and oncologists' work‐related attitudes. Conclusions: This research underlined the potential of enhancing the psychological flourishing of oncologists by improving organizational support and mitigating their sense of isolation, and in turn, to enhance some dimensions of their positive attitudes at work. [ABSTRACT FROM AUTHOR]

Lately, several key experts have proposed that well-being and flourishing ought to be the ultimate aim of education. To make this aspiration into reality, we need (1) a shared normative vision, (2) a shared understanding of key features of flourishing, and (3) shared flagship indicators to assess flourishing. Normatively, while the aim of education indeed ought to be the lifelong flourishing of the students, promoting it requires recognizing potential trade-offs between students' current well-being and lifelong flourishing as well as each student's individualistic flourishing and the capability of the society to promote the flourishing of all. Flourishing itself involves the following three dimensions: subjectively experienced well-being, psychological functioning, and certain foundational capacities and virtues through which human potential is realized. We need consensus around these elements and their lead indicators to transform the abstract aspiration into a trackable target pursued through evidence-based practices by education systems around the world. [ABSTRACT FROM AUTHOR]

Context The role of body modifications induced by gonadal suppression in transgender and gender diverse adolescents on psychological functioning has not yet been evaluated. Objective The main aim of the present study was to explore several hormone, physical and psychological functioning changes during gonadotropin-releasing hormone analog (GnRHa) treatment in transgender and gender diverse adolescents (TGDAs). The potential relationship between the physical and hormone effects of GnRHa and psychological well-being, along with its magnitude, was assessed for the first time. Methods This prospective multidisciplinary study included 36 TGDA (22 assigned female at birth, and 14 assigned male at birth) who received psychological assessment followed by triptorelin prescription after referring to the Florence Gender Clinic. This study consisted of 3 time points: first referral (T0), psychological assessment (T1); and treatment with intramuscular injections of triptorelin for 3 up to 12 months (T2). Psychometric questionnaires were administered at each time point, and clinical and biochemical evaluations were performed at T1 and T2. Results The following results were found: (1) GnRHa showed efficacy in inhibiting puberty progression in TGDAs; (2) an increase in psychopathology was observed before starting GnRHa (T1) compared with baseline levels; (3) during GnRHa treatment (T2), a significant improvement in psychological functioning, as well as decrease in suicidality, body uneasiness, depression, and anxiety levels were observed; (4) hormone and physical changes (in terms of gonadotropin and sex steroid levels, height and body mass index percentiles, waist–hip ratio, and acne severity) observed during triptorelin treatment significantly correlated with a reduction in suicidal ideation, anxiety, and body image concerns. Conclusion Psychological improvement in TGDA on GnRHa seems to be related to the objective body changes induced by a GnRHa. Therefore, the rationale for treatment with a GnRHa may not only be considered an extension of the evaluation phase, but also the start of a medical (even if reversible) gender-affirming path, especially in TGDAs whose puberty has already progressed. [ABSTRACT FROM AUTHOR]

Background: Paediatric oncology/haematology patients and their families are confronted with a life-threatening situation for which music therapy can be a cross-linguistic field of action. The creative act of making music together offers the possibility to strengthen competences and make conflicts tangible. Besides its complementing of evidence-based biomedical care, there is little research on the feasibility and efficacy of interactive music therapy including the diagnosed child and their significant others. Methods: We conducted an assessor blind, prospective, multicentric feasibility randomized controlled trial (RCT) with subsequent intervention. Including overall 52 child-significant other dyads, INMUT investigates interaction-focused music therapy with cancer-affected children and their significant others (INMUT-KB; n = 21) compared to music therapy only with the child (MUT-K; n = 21) and a wait-list group (WLG; n = 10). The measurement points include the screening for a cancer diagnosis, psychometric baseline (pre-T1), initial assessment (T1/T2), music therapy sessions (T3–T9), final assessment (T10), final psychometric evaluation (post-T10), and 3-month follow-up (cat-T11). Feasibility and acceptability of the (1) research methodology, (2) intervention and (3) estimation of effect sizes will be assessed using qualitative and quantitative data. The proposed primary outcome includes the parent–child interaction (APCI), and the proposed secondary outcomes refer to subjective goal achievement (GAS), quality of life (KINDL), system-related functional level (EXIS), psychosocial stress (BAS), psychosomatic complaints (SCL-9k), and resources (WIRF). We plan to investigate the efficacy of INMUT-KB and MUT-K post-intervention (post-T10) within the RCT design and at 3-month follow-up (cat-T11). Discussion: This study will provide insights into the feasibility of INMUT and the final sample needed for a confirmatory RCT. We will reflect on successfully implemented study procedures and, if necessary, provide recommendations for changes considering the design, procedures, measures, and statistical analyses. The discussion will conclude with an evaluation whether a confirmatory RCT is worth the investment of future resources, including the calculated number of child-significant other dyads needed based on the efficacy trends derived from this feasibility study. Trial registration: ClinicalTrials.gov: NCT05534282; date of registration: June 23, 2022. [ABSTRACT FROM AUTHOR]

Évaluation de l'impact de la maltraitance (physique, psychologique ou négligence grave) sur le fonctionnement psychologique affectif et cognitif et le vécu corporel de l'enfant âgé de six à douze ans par l'utilisation de médias projectifs. Étude qualitative et partiellement quantitative et prospective. Étude des variables suivantes : qualité de vie, fonctionnement émotionnel et psychopathologique, fonctionnement intellectuel, fonctionnement psychique et image du corps. Outils d'investigation : Wisc-V, échelle de dépression (MDI-C), autoquestionnaire de qualité de vie (AUQUEI), CAT, dessin de soi, modelage du bonhomme et entretien semi-directif. Dix enfants, âgés entre six et douze ans, pris en charge à Clairs-Vallons (institution résidentielle médicopsychologique, Belgique). La maltraitance sur l'enfant a un impact sur le taux de dépression (plus élevé que la moyenne), sur l'anxiété, sur le quotient intellectuel (profils plus hétérogènes), sur l'estime de soi, sur les mobilisations défensives des enfants. Les mécanismes de défense utilisés de manière prioritaire sont la mise à distance d'affects, l'inhibition, le clivage et le morcellement. Des perturbations de l'image corporelle sont constatées par la réalisation de corps morcelés, abîmés et troués. Les modelages sont disproportionnés, avec de la transparence, les parties du corps peu assemblées, juxtaposées. L'analyse des données met en évidence des angoisses de séparation en lien avec le style d'attachement désorganisé/désorienté (difficultés à gérer l'anxiété de la séparation), une insécurité ou une inquiétude face à une partie du corps, une certaine incapacité à élaborer une enveloppe psychique suffisamment organisée, une tendance à la fuite et une hostilité dans le rapport social. La maltraitance a un impact important sur le développement psychologique des enfants de 6–12 ans. L'intégration des dimensions plus corporelles, par notamment l'utilisation du modelage du bonhomme, permet d'avoir accès au vécu corporel traumatique et à la (non)-intégration des expériences sensorielles, émotionnelles et relationnelles chez l'enfant. The impact of maltreatment (physical, psychological or severe neglect) on the psychological, affective and cognitive functioning and body experience of children aged six to twelve years using projective media. A qualitative and partially quantitative and prospective study of the following variables: quality of life, emotional and psychopathological functioning, intellectual functioning, psychic functioning and body image. Investigation tools: Wisc-V, depression scale (MDI-C), quality of life self-assessment survey (AUQUEI), CAT, self-portrait, modeling of figurines in plasticine and semi-directive interview. Ten children aged six to twelve years, in care at Clairs-Vallons (a medical-psychological residential institution, Belgium). The maltreatment of a child has an impact on the probability of depression (higher than average), on anxiety, on intelligence quotient (more heterogeneous profiles), on self-esteem and on the defensive mechanisms of children. The primary defense mechanisms are to affect distancing, inhibition, cleavage and fragmentation. Disturbances of the body image are noted by the realization of fragmented, damaged and perforated bodies of the figurine models. The models are disproportioned, see-through, some parts of the body left unassembled or juxtaposed. The analysis of the data highlights separation anxieties linked to the disorganized/disoriented attachment style (difficulties in managing separation anxiety), insecurity or anxiety about a part of the body, a certain inability to elaborate a sufficiently organized psychic envelope, a tendency to flee and a hostility in the social relationship. Abuse has a significant impact on the psychological development of children aged 6–12 years. The integration of the more physical aspects, in particular through the use of modeling, allows access to the traumatic bodily experience and to the (non)-integration of sensory, emotional and relational experiences of the child. [ABSTRACT FROM AUTHOR]

Copyright of Prävention und Gesundheitsförderung is the property of Springer Nature 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.)

Refugees are at increased risk for developing psychological impairments due to stressors in the pre-, peri- and post-migration periods. There is limited knowledge on how everyday functioning is affected by migration experience. In a secondary analysis of a study in a sample of refugees and asylum seekers, it was examined how aspects of psychological functioning were differentially affected. 1,101 eligible refugees and asylum seekers in Europe and Türkiye were included in a cross-sectional analysis. Gender, age, education, number of relatives and children living nearby, as well as indicators for depressive and posttraumatic symptoms, quality of life, psychological well-being and functioning, and lifetime potentially traumatic events were assessed. Correlations and multiple regression models with World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 12-item version's total and six subdomains' scores ('mobility', 'life activities', 'cognition', 'participation', 'self-care', 'getting along') as dependent variables were calculated. Tests for multicollinearity and Bonferroni correction were applied. Participants reported highest levels of impairment in 'mobility' and 'participation', followed by 'life activities' and 'cognition'. Depression and posttraumatic symptoms were independently associated with overall psychological functioning and all subdomains. History of violence and abuse seemed to predict higher impairment in 'participation', while past events of being close to death were associated with fewer issues with 'self-care'. Impairment in psychological functioning in asylum seekers and refugees was related to current psychological symptoms. Mobility and participation issues may explain difficulties arising after resettlement in integration and exchange with host communities in new contexts. [ABSTRACT FROM AUTHOR]

Three adaptive trait-based personality types have been replicated across ages, cultures, clinical problems and clustering methods: Resilient, Undercontrolled and Overcontrolled type (RUO). Recently there is growing interest in and importance of biopsychosocial transdiagnostic factors underlying personality types, such as temperamental reactivity and self-regulation. Latter can be understood in terms of Behavioural Inhibition (BIS), Behavioural Activation Systems (BAS) and Effortful Control (EC). The occurrence of temperament based RUO types has not yet been confirmed in older adults with or without a mental disorder. Therefore, based on a person-centered approach, the current study investigates whether RUO types can be corroborated in older adults based on the aforementioned temperamental factors. Latent profile analysis yielded two distinct personality profiles in community-dwelling over-60s, which we tentatively labeled a resilient (n = 167) and overcontrolled/inhibited type (n = 241). Compared to the resilient type, the overcontrolled/inhibited type scored lower on EC and higher on BIS. We could not corroborate an undercontrolled type (profiles scored equally on BAS). Group comparisons revealed that overcontrolled/inhibited older adults demonstrated significantly more clinical symptoms, higher emotional instability, lower scores on adaptive traits, less resilience and were significantly more likely to use passive and avoidant coping styles, compared to resilient older adults.

Refugees are at increased risk for developing psychological impairments due to stressors in the pre-, peri- and post-migration periods. There is limited knowledge on how everyday functioning is affected by migration experience. In a secondary analysis of a study in a sample of refugees and asylum seekers, it was examined how aspects of psychological functioning were differentially affected. 1,101 eligible refugees and asylum seekers in Europe and Türkiye were included in a cross-sectional analysis. Gender, age, education, number of relatives and children living nearby, as well as indicators for depressive and posttraumatic symptoms, quality of life, psychological well-being and functioning, and lifetime potentially traumatic events were assessed. Correlations and multiple regression models with World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 12-item version’s total and six subdomains’ scores (‘mobility’, ‘life activities’, ‘cognition’, ‘participation’, ‘self-care’, ‘getting along’) as dependent variables were calculated. Tests for multicollinearity and Bonferroni correction were applied. Participants reported highest levels of impairment in ‘mobility’ and ‘participation’, followed by ‘life activities’ and ‘cognition’. Depression and posttraumatic symptoms were independently associated with overall psychological functioning and all subdomains. History of violence and abuse seemed to predict higher impairment in ‘participation’, while past events of being close to death were associated with fewer issues with ‘self-care’. Impairment in psychological functioning in asylum seekers and refugees was related to current psychological symptoms. Mobility and participation issues may explain difficulties arising after resettlement in integration and exchange with host communities in new contexts.

Regulatory emotional self-efficacy beliefs (RESE) in managing negative emotions and in expressing positive emotions are believed to play an important role in different spheres of psychological functioning. However, the literature does not offer a quantitative synthesis of the degree of the relation between RESE and indices of (mal)adjustment. The present study is a meta-analytic investigation of the relation between RESE and indices of maladjustment and adjustment. A total of 93 studies from 83 peer-reviewed international articles and 1 doctoral dissertation were included, for a total amount of 48,373 participants. RESE were negatively and significantly related to maladjustment (r = -.24). Conversely, RESE were positively and significantly related to adjustment (r =.35). Results seem not to be affected by publication bias and only a few moderating effects were documented. In conclusion, given the above results, RESE proved to be (among others) a valid marker of overall psychosocial functioning, both in its positive and negative facets. [ABSTRACT FROM AUTHOR]

Background: Bipolar disorder (BD) is commonly associated with cognitive impairments, that directly contribute to patients' functional disability. However, there is no effective treatment targeting cognition in BD. A key reason for the lack of pro‐cognitive interventions is the limited insight into the brain correlates of cognitive impairments in these patients. This is the first study investigating the resting‐state neural underpinnings of cognitive impairments in different neurocognitive subgroups of patients with BD. Method: Patients with BD in full or partial remission and healthy controls (final sample of n = 144 and n = 50, respectively) underwent neuropsychological assessment and resting‐state functional magnetic resonance imaging. We classified the patients into cognitively impaired (n = 83) and cognitively normal (n = 61) subgroups using hierarchical cluster analysis of the four cognitive domains. We used independent component analysis (ICA) to investigate the differences between the neurocognitive subgroups and healthy controls in resting‐state functional connectivity (rsFC) in the default mode network (DMN), executive central network (ECN), and frontoparietal network (FPN). Results: Cognitively impaired patients displayed greater positive rsFC within the DMN and less negative rsFC within the ECN than healthy controls. Across cognitively impaired patients, lower positive connectivity within DMN and lower negative rsFC within ECN correlated with worse global cognitive performance. Conclusion: Cognitive impairments in BD seem to be associated with a hyper‐connectivity within the DMN, which may explain the failure to suppress task‐irrelevant DMN activity during the cognitive performance, and blunted anticorrelation in the ECN. Thus, aberrant connectivity within the DMN and ECN may serve as brain targets for pro‐cognitive interventions. [ABSTRACT FROM AUTHOR]

Objectives: Young adults with ADHD symptoms have a risk of negative outcomes in cognitive development, emotional development, and social developmental problems. The research question is: Does social support make a difference for children with ADHD symptoms? Method: Children born in 1984 were interviewed at age 25. The survey then obtained a 67% response rate which measures up to 2,980 interviewed persons. Validated constructs were used to measure outcomes, mediator, and ADHD symptoms. Results: Young people with ADHD symptoms have an increased rate of low educational achievement, low self-esteem, loneliness, suicide considerations, PTSD symptoms, behavioral problems, criminal behavior, peer problems, and substance abuse. Social support is a partial mediator for the negative outcomes except for criminal behavior and substance abuse problems. Conclusions: Loss of social support partly explains the mentioned negative outcomes and we would suggest that future research also look for other mediators. These results indicate potential interventions. [ABSTRACT FROM AUTHOR]

Objective: The long-term psychological effects of childhood cancer vary, with childhood cancer survivors reporting depressive symptoms, fear of cancer recurrence, and benefit finding. As cancer is considered a family disease, investigating the parental context may provide insight into such individual differences in psychological functioning of survivors. This study examined the directionality of effects among parental sense of incompetence, parenting dimensions (responsiveness, psychological control, and overprotection), and survivor psychological functioning (depressive symptoms, fear of cancer recurrence, and benefit finding). Method: This three-wave longitudinal study (covering 2 years) included 125 Dutch-speaking childhood cancer survivors (ages 14-24, 95.2% diagnosed, 18 years, and time since diagnosis 2-22 years), 114 mothers, and 91 fathers. Survivors reported (SR) about their psychological functioning and perceived parenting. Mothers reported (MR) and fathers reported (FR) about parenting and sense of incompetence. Cross-lagged panel models were estimated for each informant's perspective on parenting separately. Results: Different relations were obtained for each informant. Primarily unidirectional relations were found from parental sense of incompetence to maladaptive parenting (psychological control across informants and maternal overprotection SR) and from parenting to survivor functioning. Maternal and paternal responsiveness SR positively predicted survivors' benefit finding and negatively predicted survivors' depressive symptoms, respectively. Responsiveness MR and overprotection MR positively predicted survivors' fear of cancer recurrence and depressive symptoms, respectively. One consistent reverse pathway emerged: maternal and paternal responsiveness SR negatively predicted maternal and paternal sense of incompetence, respectively. Conclusion: The results support parent-driven processes impacting survivors' psychological functioning and stress the need to focus on multiple perspectives when investigating family dynamics. [ABSTRACT FROM AUTHOR]

Acute bouts of cardiorespiratory exercise have been shown to improve anxiety and mood; however, there is limited research comparing interval and continuous exercise in regards to specific mood states, as well as, comparing exercise to other potential mood-altering activities, such as colouring. The purpose of this randomised cross-over experiment was to examine the immediate effects of two patterns of treadmill exercise (continuous vs. interval) and sedentary colouring on anxiety and mood, and explore differences in physical activity enjoyment. A total of 27 participants (M age = 21.4 years) completed 25 min of each condition: continuous exercise, interval exercise, and sedentary colouring during separate testing sessions. The exercise bouts included a warm-up, cool-down, and 20 min of condition-specific exercise. Results indicate that treadmill exercise led to significantly greater improvements in feelings of vigour and total mood disturbance compared to sedentary colouring with no differential effects between the two patterns of treadmill exercise. Other mood states were enhanced by all three conditions. The findings suggest that individuals seeking to enhance feelings of energy are not limited to engaging in a specific pattern of cardiorespiratory exercise. Individuals pursuing acute improvements in anxiety, anger, confusion, fatigue, and tension may have flexibility in choosing an activity that could modify those mood states by engaging in continuous exercise, interval exercise, or sedentary colouring. Future studies should compare these three conditions with a control group not tasked with an activity to gain a clearer picture of the enhanced mood states observed in the present study. [ABSTRACT FROM AUTHOR]

Measuring subjective well-being as a key indicator of national wellness has increasingly become part of the international agenda. Current recommendations for measuring well-being at a national level propose three separate dimensions: evaluative well-being, experiential well-being, and eudaimonia. Whereas the measurement of the first two dimensions is relatively standardized, the third category has remained undertheorized, lacking consensus on how to define and operationalize it. To remedy the situation, we propose that the third dimension should focus on psychological functioning and the identification of key psychological factors humans generally need to live well. A key part of psychological functioning is the satisfaction of basic psychological needs—specific types of satisfying experiences that are essential for psychological health and well-being. Psychological needs as a category provides a parsimonious set of elements with clear inclusion criteria that are strongly anchored in theory and our current understanding of human nature—and could thus form a core part of the third, "eudaimonic" dimension of well-being. The needs for autonomy, competence, and relatedness have especially received broad empirical support. Accordingly, national accounts of well-being should include measures for key psychological needs to gain an enriched and practically useful understanding of the well-being of the citizens. [ABSTRACT FROM AUTHOR]

Introduction : Cluster headache (CH) is usually comorbid to mood spectrum disorders, but the psychopathological aspects are poorly explored. We aimed at identifying discrete profiles of personality traits and their association with clinical features. Methods: Based on the personality scales of the Millon Clinical Multiaxial Inventory-III, principal component analysis (PCA) identified psychological patterns of functioning of 56 CH patients. PCA outcomes were used for hierarchical cluster analysis (HCA) for sub-groups classification. Results: Eighty-seven percent of patients had personality dysfunctions. PCA found two bipolar patterns: (i) negativistic, sadic-aggressive, borderline, and compulsive traits were distinctive of the psychological dysregulation (PD) dimension, and (ii) narcissistic, histrionic, avoidant, and schizoid traits loaded under the social engagement (SE) component. PD was associated with disease duration and psychopathology. SE was related to educational level and young age. HCA found three groups of patients, and the one with high PD and low SE had the worst psychological profile. Conclusions: Personality disorders are common in CH. Our data-driven approach revealed distinct personality patterns which can appear differently among patients. The worst combination arguing against mental health is low SE and high PD. Linking this information with medical history may help clinicians to identify tailored-based therapeutic interventions for CH patients. [ABSTRACT FROM AUTHOR]

Copyright of Revue de Psychoéducation is the property of La revue canadienne de psycho-education 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.)

The negative consequences of the COVID-19 pandemic on mental health have been widely reported, but less is known about how the impact of COVID-19 on others in one's social circle shapes these high distress levels. This study examines associations between social COVID-19 exposure—knowing someone who had a COVID-19 infection—and psychological functioning, as well as whether socio-demographic factors moderate these relationships. In June 2020, respondents (N = 343) from clinics in Tampa, Florida, U.S.A. reported whether they had social COVID-19 exposure, anxiety, depression, and stress, and other COVID-19-related concerns. Social COVID-19 exposure was associated with increased anxiety, stress, and concerns about a family member getting sick, and concerns about drinking and substance use. Several associations between exposure and psychological functioning were stronger in women, younger people, and people with lower income, implying these groups face elevated psychological risks due to the pandemic, and should be prioritized in mental health recovery efforts. [ABSTRACT FROM AUTHOR]

Late adults differ in the degree to which their mental health is impacted by the COVID-19 crisis, with interindividual differences in their capacity to mobilize coping resources playing an important role. Therefore, the search for inner sources of resilience is important to understand late adults' adaptation to this crisis. Based on Goal Content Theory, a mini-theory within the broader Self-Determination Theory, this study aimed to examine whether older adults' valuation and attainment of intrinsic goals represent such a source of resilience. Intrinsic goals would form a solid foundation to experience a sense of meaning during this crisis, which, in turn, relates to higher well-being (i.e., life satisfaction and vitality) and lower ill-being (i.e., symptoms of depression, anxiety, and loneliness). During the second month of the lockdown period in Belgium, 693 older adults (Mage = 70.06, SD = 4.48, range: 65–89 years, 62.1% female) filled out online questionnaires concerning the study variables. Structural equation modeling showed that intrinsic goal attainment and goal importance related positively to experiences of meaning in life which, in turn, were related to higher levels of well-being and lower levels of ill-being. No evidence was found for an interaction effect between intrinsic goal attainment and goal importance. Supporting late adults' pursuit and attainment of meaningful intrinsic goals relates to their well-being and may potentially strengthen their resilience in times of crisis. [ABSTRACT FROM AUTHOR]

Objective This systematic review identified instruments quantitatively assessing psychosocial adaptation and outcomes in families of children with congenital heart disease (CHD) and evaluated instrument psychometrics. Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and a prospectively registered protocol, electronic databases (CINAHL, Embase, PubMed/MEDLINE, PsycINFO, and SCOPUS) were searched from inception until June 20, 2021 for peer-reviewed articles published in English, reporting quantitative data on psychosocial outcomes among parents/caregivers, siblings, or family system. Instrument characteristics and psychometrics were extracted, and adapted COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria were applied to assess instrument quality. Descriptive statistics and narrative synthesis were used for analysis. Results Overall, 108 articles reporting on 107 distinct samples across 26 countries met inclusion. Across those articles, 40 instruments assessed psychological functioning or distress, 12 assessed coping, 11 assessed quality of life constructs, 10 assessed parenting stress/caregiver burden, 10 assessed family functioning/impact, 10 assessed stress appraisal, 5 assessed sibling psychosocial outcomes, and 2 assessed couple relationship satisfaction/strain. Applying COSMIN criteria to available data on original instrument development articles/manuals for English language instruments (n  = 54), 67% scored a positive property evidence rating for content validity, 39% for internal consistency, 4% for test–retest reliability, and 9% for responsiveness (longitudinal validity). Conclusions Studies vary widely in instruments used to assess psychosocial adaptation and outcomes among families of children with CHD. Instrument selection informed by robust key psychometrics, increased psychometric reporting, development of both a "toolkit" approach and a comprehensive CHD-specific family instrument are among key recommendations. [ABSTRACT FROM AUTHOR]

Catholicism is the predominant religion in Poland, but formal religious participation has decreased in recent years. Given this decline, we examined the current relevance of religious support (i.e., support perceived from church leaders, fellow Catholics, and God) to psychological functioning among Polish Catholics. We translated the Religious Support Scale (RSS) into Polish and examined two Polish Catholic samples. In Study 1, we examined the Polish RSS's internal structure via exploratory factor analyses and assessed reliability. Based on favourable results, we examined religious support's association with psychological functioning, controlling for instrinsic religiousness. Religious support remained significantly associated with psychological well-being after controlling for religiousness. In Study 2, we further supported the Polish RSS's reliability, factorial validity, and convergent validity. Moreover, religious support remained significantly related to well-being even after controlling social support variance, further suggesting that religious support continues to be relevant among Polish Catholics. [ABSTRACT FROM AUTHOR]

Military service members are at increased risk for mental health issues, and comorbidity with mild traumatic brain injury (mTBI) is common. Largely overlapping symptoms between conditions suggest a shared pathophysiology. The present work investigates the associations among white matter microstructure, psychological functioning, and serum neuroactive steroids that are part of the stress-response system. Diffusion-weighted brain imaging was acquired from 163 participants (with and without military affiliation) and free-water-corrected fractional anisotropy (FAT) was extracted. Associations between serum neurosteroid levels of allopregnanolone (ALLO) and pregnenolone (PREGNE), psychological functioning, and whole-brain white matter microstructure were assessed using regression models. Moderation models tested the effect of mTBI and comorbid post-traumatic stress disorder (PTSD) and mTBI on these associations. ALLO is associated with whole-brain white matter FAT (β = 0.24, t = 3.05, p = 0.006). This association is significantly modulated by PTSD+mTBI comorbidity (β = 0.00, t = 2.50, p = 0.027), although an mTBI diagnosis alone did not significantly impact this association (p = 0.088). There was no significant association between PREGNE and FAT (p = 0.380). Importantly, lower FAT is associated with poor psychological functioning (β = -0.19, t = -2.35, p = 0.020). This study provides novel insight into a potential common pathophysiological mechanism of neurosteroid dysregulation underlying the high risk for mental health issues in military service members. Further, comorbidity of PTSD and mTBI may bring the compensatory effects of the brain's stress response to their limit. Future research is needed to investigate whether neurosteroid regulation may be a promising tool for restoring brain health and improving psychological functioning. [ABSTRACT FROM AUTHOR]

Intergenerational continuity of child maltreatment (CM) is a well-documented phenomenon of concern; however, its effects on the child's level of exposure to CM, as well as subsequent trauma exposure and adult functioning remain undocumented. The present study aimed to further explore the intergenerational effects of CM by comparing emerging adults (EA; ages 18–25) on their exposure to CM, adult victimization, and psychological functioning according to their mother's CM histories. One hundred and eighty-five mothers and their EA completed independently an online survey measuring sociodemographics, material deprivation, CM, adult victimization, and psychological functioning. The participating dyads (primarily White and female-identifying) were recruited online through social media, universities, and advertisements in non-profit organizations throughout Canada. Findings revealed that maternal histories of CM were associated with increased neglectful and physically abusive acts endured in childhood for maltreated EA. Maternal histories of CM, regardless of the EA' victimization status, were associated with a higher EA' number of adulthood interpersonal—but not non-interpersonal—traumas experienced. While a maternal history of CM was a risk factor for intimate partner violence (IPV) in maltreated EA, it was protective for non-maltreated EA. Maltreated EA with maltreated versus non-maltreated mothers presented more psychological difficulties, but only if they also reported material deprivation. Practitioners working with children at-risk or exposed to CM should document parents' histories of CM and take that into account in their assessments and intervention practices. This study also provides further evidence to support social policies targeting the family system as a whole. [ABSTRACT FROM AUTHOR]

Despite the increasing popularity of mixed-mode approaches to data collection, studies examining measurement equivalence across different survey modes in representative samples of the general population, particularly focusing on measures of socially sensitive psychological constructs, are sparse. In this study, we used data from a large representative sample of the Slovenian population (N = 9,900) collected as part of the third wave of the European Health Interview Survey (EHIS) to examine mode-inherent effects (i.e., measurement effects that cannot be neutralized by clever survey design) of the traditional interviewer-mediated face-to-face mode and the increasingly popular self-administered web mode on three measures of psychological functioning, namely the Patient Health Questionnaire Depression Scale (PHQ-8), the Satisfaction with Life Scale (SWLS), and the Mental Health Continuum – Short Form (MHC-SF). After controlling for self-selection propensities, our results showed strict measurement invariance for all three scales across the two survey modes, but statistically significant and notable differences in latent means, suggesting that individuals who respond face-to-face systematically report better psychological functioning than individuals who respond over the web. These results suggest significant mode inherent effects that cannot be attributed to measurement non-invariance of the scales between face-to-face and web survey modes, but most likely to social desirability bias in responses achieved in the presence of an interviewer. Administration mode effects must be considered when interpreting and comparing results obtained through different survey modes, particularly interviewer-mediated versus self-administered modes, especially when using measures of culturally desirable traits and behaviors, such as mental health and well-being. [ABSTRACT FROM AUTHOR]

The following is a synthesis of twenty years of research conducted in museum education on the psychological functioning of adult visitors exploring contemporary artworks. The identification of the dissonances and consonances expressed by visitors has allowed us to understand, among other things, the foci of attention as well as some of the mental operations that contribute to a transformative aesthetic experience. This article presents the factors that favour the participant-visitor’s relationship with contemporary art, one in which the adult is led to consider the pleasures of ambiguity and to appreciate the new experiences provoked by the works exhibited in a museum.

In the late 19th century, museographic devices diversified in order to appeal to the emotions. Many of today’s exhibition designs have the same intention: offering the public a strong and memorable experience. Could appealing to the emotions of visitors be the way to provide them with an optimal museum experience? Despite the widespread use of audience research in the 1990s, few studies are able to answer this question. This article presents a master’s thesis from the École du Louvre, part of a programme launched at the Université de Montreal in 1997 under the supervision of Colette Dufresne-Tassé, which aimed to systematically study the psychological functioning of adult visitors through their discourses collected during the visit. It develops a pre-existing research instrument in an attempt to grasp the nature, place and role of affective phenomena during the museum experience.

The present paper includes two studies examining how identity functioning is related to (psychological characteristics of) somatic symptoms. Study 1 examined associations between identity and somatic symptoms, whereas Study 2 additionally examined associations between identity and psychological characteristics of somatic symptoms and investigated the mediating role of anxiety and depressive symptoms in the association between identity disturbance and (psychological characteristics of) somatic symptoms. The total sample consisted of adolescents and emerging adults aged 14–30, including 686 and 663 participants for Study 1 and 2, respectively. In both studies, youth in troubled diffusion reported the most (psychological characteristics of) somatic symptoms. Finally, significant indirect effects from identity disturbance to (psychological characteristics of) somatic symptoms through anxiety and depressive symptoms were found. [ABSTRACT FROM AUTHOR]

A unique situation in which Croatia was struck in 2020 with a series of strong earthquakes during the period of the global COVID-19 pandemic allowed for the exploration of simultaneous effects of two large-scale crises on the adolescents' psychological functioning. Faced with the adversity of crises, most adolescents can cope with one or two risk factors in their lives without significant detrimental consequences. The accumulation of risk factors increases the chance for experiencing psychological distress especially for adolescents who are due to their developmental phase more vulnerable to such traumatic events. Focusing on pupils in the final grade of upper-secondary education, the study examines the extent to which the perceived effects of simultaneous large-scale crises are related to adolescent positive psychological functioning (life satisfaction, well-being, resilience and optimism). Furthermore, it provides insights into the role of school location, damage incurred to homes, personal positive resources and perception of impact of earthquakes on psychological status in predicting fear of earthquakes. Research was carried on the representative sample of 2,579 upper-secondary pupils. The cumulative negative impact of simultaneous large-scale crises seems to have a greater effect on positive psychological functioning than one threat itself. Consistent with previous research, proximity to epicentre and property damage as objective characteristics of the earthquake and lower levels of resilience proved to be significant predictors of fear. Nevertheless, the perceived impact of earthquakes on adolescents' psychological status seems to have a greater effect on fear, thus emphasizing the importance of subjective evaluations of the traumatic event. Jedinstvena situacija u kojoj je Hrvatsku 2020. godine pogodila serija snažnih potresa tijekom globalne pandemije COVID-19 omogućila je istraživanje istodobnih učinaka dvaju kriza na psihološko funkcioniranje adolescenata. Suočena s nedaćama kriznih situacija, većina adolescenata uspijeva se nositi s jednim ili dva rizična čimbenika bez značajnih štetnih posljedica. Kumuliranje rizičnih čimbenika povećava vjerojatnost doživljavanja psihološkog stresa, posebno kod adolescenata koji su zbog razvojne faze u kojoj se nalaze osjetljiviji na takve traumatične događaje. Usmjeravajući se na učenike završnih razreda srednje škole, u radu se istražuje u kojoj mjeri su percipirani učinci istodobnih kriza povezani s pozitivnim psihološkim funkcioniranjem adolescenata (zadovoljstvom životom, blagostanjem, otpornošću i optimizmom). Osim toga, istraživanje pruža uvid u ulogu školske lokacije, stupnja oštećenja domova, osobnih pozitivnih resursa i percepcije utjecaja potresa na psihološki status u predviđanju straha od potresa. Istraživanje je provedeno na reprezentativnom uzorku 2579 učenika srednjih škola. Kumulativni negativni utjecaj istodobnih velikih kriza čini se da ima veći učinak na pozitivno psihološko funkcioniranje od jedne prijetnje same po sebi. U skladu s prethodnim istraživanjima, blizina epicentra i oštećenje imovine kao objektivne karakteristike potresa te niža razina otpornosti pokazale su se značajnim prediktorima straha. Međutim, veći učinak na strah pokazuje percipirani utjecaj potresa na psihološki status adolescenata, što naglašava važnost subjektivnih procjena traumatičnog događaja. [ABSTRACT FROM AUTHOR]

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The aims of this study were (a) to identify links between transdiagnostic psychological processes and mental health disorder (MHD) symptoms, and (b) to examine differences in MHD and transdiagnostic psychological processes as a function of demographic variables, including, gender, status as an athlete (elite vs. non-elite), number of training sessions per week, previous severe injuries, and use of medical care following severe injuries. A total of 159 competitive athletes aged between 18 and 40 years old (44 % female; mean age = 24.20 ± 4.88 years) participated in this cross-sectional study. Participants completed a demographic questionnaire along with validated questionnaires evaluating MHD symptoms and transdiagnostic processes including: motivation to practice sport, emotional competencies, self-efficacy, repetitive negative thinking, meta-cognitive beliefs, and impulsive and perfectionist behaviors. MHD symptoms were positively correlated with controlled forms of motivation, repetitive negative thinking, meta-cognitive beliefs, and impulsive and perfectionistic behaviors; and negatively correlated with emotional competencies and self-efficacy. Gender differences showed that women were more likely to experience MHD, higher levels of repetitive negative thinking, meta-cognitive beliefs, and lower levels of emotional competencies and self-efficacy than men. Finally, elite athletes showed higher personal standards than their non-elite counterparts and those training more than four times per week showed significantly higher perfectionistic behaviors. These results are in line with previous findings in clinical psychology and shed light on the role of transdiagnostic processes and the risk of MHD in a sample of French athletes. Further research on the identification of key risk factors for MHD in competitive athletes is needed. • One psychological process can lead to several mental health disorders (MHD). • The transdiagnostic approach of MHD is a gold standard in clinical psychology. • We found associations with psychological processes and various MHD symptoms in elite and non-elite French athletes. • Such an approach can help in designing interventions based on processes rather than isolated symptoms. [ABSTRACT FROM AUTHOR]

Background: Identity is a crucial milestone achievement for adolescents to become contributing adult members in society. This narrative research focused on exploring the link between identity development and psychological functioning and understanding the process of Indian adolescents' and adults' identity development and psychological functioning. Often, the Indian identity researchers use the theories of identity development conceptualized by Erikson, James Marcia and Michael Berzonsky which have been primarily conceptualized to understand the process of individual's identity development in the western individualistic cultural context. These theorists based their theories on certain essential contextual conditions, for the individuals' identity development. This review article critically explored the availability and applicability of those contextual conditions for Indian adolescents' and adults' identity development. Methods: The articles for the review were mainly collected from the online databases such as PROQUEST Research Library, Taylor and Francis, the archives of the Indian Journal of Social Psychiatry, the archives of the Indian Journal of Psychiatry, EBSCO, and Google. A narrative review method was used to examine various elements of the process of identity development conceptualized by the mainstream identity development theorists Erikson, James Marcia, and Michael Berzonsky and their applicability to the process of Indian adolescents' and adults' identity development. Results: The review found that the processes of mainstream identity development theories have some serious limitations in their applicability to the Indian context. Conclusions: This article identified alternative identity development processes and interventions that could be used to enhance Indian adolescents' and adults' identity development.

Objective: Headache disorders are exceedingly common in children and adolescents. The association between headaches, emotional stress, and disruptions in daily routines are well established. The goal of this study is to compare the experiences of patients with a preexisting diagnosis of a primary headache disorder in terms of headache frequency and severity, lifestyle techniques for headache prevention, screen use, and mood from before and after the onset of the COVID-19 pandemic. Methods: Patients evaluated by the Headache Clinic at Children's National Hospital between Summer 2020 and Winter 2021 were enrolled in a patient registry. Patients completed a questionnaire examining changes in headache characteristics and lifestyle factors since the onset of the COVID-19 pandemic. Results: A total of 107 patients completed the survey. Since the pandemic's onset, patients reported decreased physical activity (n = 59, 55%), increased frequency of chronic headaches from 40% (N = 42) to 50% (N = 54), and increased constant daily headaches from 22% (n = 24) to 36% (n = 38). Patients reported worsened anxiety (n = 58, 54%), mood (n = 50, 47%), and workload (n = 49, 46%). Sixty-one percent (n = 65) of patients reported using screens for school for more than 6 hours per day. The majority (n = 67, 63%) of patients indicated that they would prefer attending in-person school, with 14% (n = 15) responding that they preferred online school. Conclusion: Since the COVID-19 pandemic's onset, pediatric headache patients have experienced increasing headache frequency, worsening anxiety and mood, decreased physical activity, and increased screen usage. Although this study is limited by sample size and observational design, future population-based studies will further elucidate the impact of this pandemic on pediatric headache. [ABSTRACT FROM AUTHOR]

Background: Engaging in multimodal exercise program helps mitigate age-related decrements by improving muscle size, muscle strength, balance, and physical function. The addition of trunk-strengthening within the exercise program has been shown to significantly improve physical functioning outcomes. Whether these improvements result in improved psychological outcomes associated with increased physical activity levels requires further investigation. We sought to explore whether the inclusion of trunk-strengthening exercises to a multimodal exercise program improves objectively measured physical activity levels and self-reported psychological functioning in older adults.Method: We conducted a secondary analysis within a single-blinded parallel-group randomized controlled trial. Sixty-four healthy older (≥ 60 years) adults were randomly allocated to a 12-week walking and balance exercise program with (n = 32) or without (n = 32) inclusion of trunk strengthening exercises. Each program involved 12 weeks of exercise training, followed by a 6-week walking-only program (identified as detraining). Primary outcome measures for this secondary analysis were physical activity (accelerometry), perceived fear-of-falling, and symptoms of anxiety and depression.Results: Following the 12-week exercise program, no significant between-group differences were observed for physical activity, sedentary behaviour, fear-of-falling, or symptoms of anxiety or depression. Significant within-group improvements (adjusted mean difference [95%CI]; percentage) were observed in moderate-intensity physical activity (6.29 [1.58, 11.00] min/day; + 26.3%) and total number of steps per min/day (0.81 [0.29 to 1.33] numbers or + 16.3%) in trunk-strengthening exercise group by week 12. With respect to within-group changes, participants in the walking-balance exercise group increased their moderate-to-vigorous physical activity (MVPA) (4.81 [0.06 to 9.56] min/day; + 23.5%) and reported reduction in symptoms of depression (-0.26 [-0.49 to -0.04] points or -49%) after 12 weeks of the exercise program. The exercise-induced increases in physical activity levels in the trunk-strengthening exercise group were abolished 6-weeks post-program completion. While improvements in physical activity levels were sustained in the walking-balance exercise group after detraining phase (walking only).Conclusions: The inclusion of trunk strengthening to a walking-balance exercise program did not lead to statistically significant between-group improvements in physical activity levels or psychological outcomes in this cohort following completion of the 12-week exercise program.Trial Registration: Australian and New Zealand Clinical Trials Registry (ACTRN12613001176752), registered on 28/10/2013. [ABSTRACT FROM AUTHOR]

Emotional awareness (EA) and access to emotion regulation strategies (ER) are often conceptualized as being on a single continuum, yet discrepancies in these associations are found across samples. We conducted a person-centered analysis to identify distinct profiles of adolescents' perceived EA and ER. Secondary analyses were conducted to compare demographic variables, distress tolerance, and parent- and teacher-report emotional functioning across profiles. Participants (N = 414) completed two subscales of the Difficulties in Emotion Regulation Scale and a behavioral measure of distress tolerance. A parent and teacher completed the Emotion Regulation Checklist. Adolescent mental health symptoms were measured, with responses dichotomized based on adolescent- and/or parent-report of clinically significant symptoms of any disorder. Exploratory two-step cluster analysis identified three clusters: Varied EA/Low ER, Low EA/High ER, and High EA/High ER. Gender differences emerged, with a greater proportion of girls in the Varied EA/Low ER cluster and boys in the Low EA/High ER cluster. The Varied EA/Low ER and Low EA/High ER clusters demonstrated greater mental health symptoms, and greater parent- and teacher-reported negativity/lability and problems with emotion regulation, than adolescents in the High EA/High ER cluster. The Low EA/High ER cluster tolerated less distress on the behavioral task than the Varied EA/Low ER or High EA/High ER clusters, which suggests problems with emotional awareness may contribute to inaccurate self-evaluation of one's related emotional abilities. A person-centered approach was useful in identifying patterns of adolescent perceptions of strengths and difficulties in emotional development and their associations with other-report and performance on a behavioral task. Highlights: Use of person-centered analyses can help us better understand how to assess and provide tailored support for emotion development in adolescents. Perceived problems with emotional awareness alone, without perceived challenges with emotion regulation or perceived problems with access to effective emotion regulation strategies, regardless of level of emotional awareness, may confer risk of experiencing mental health symptoms and emotion regulation disturbances. Perceived problems with emotional awareness while perceiving few challenges with accessing emotion regulation strategies were related to poorer distress tolerance on a behavioral task. [ABSTRACT FROM AUTHOR]

The previous research showed contradictions in the relationships between psychological flexibility processes and functioning. This meta-analysis is the first to provide a comprehensive meta-analysis of the associations between six core processes of psychological flexibility and functioning among chronic pain patients. Four databases were searched (PsycINFO; PubMed; CINAHL; Web of Science) along with reference lists. Thirty-six cross-sectional studies were included (7,812 chronic pain patients). A three-level meta-analytic model was used to examine the associations. The publication bias was assessed with the Egger test, funnel plot, and p-curve analysis. Significant associations were found between functioning and six processes of psychological flexibility (i.e., acceptance, defusion, present moment, committed action, self as context, and values). Except for the relationship between defusion and functioning, the relationships between the other five psychological flexibility processes and functioning were all moderated by domains of functioning. No moderators were found regarding age, percentage of females, country, or type of instrument used to measure functioning. These findings may carry significant implications for chronic pain patients and clinical workers. It might be more effective to focus on functioning-related psychological flexibility processes rather than all therapy packages if the relationships between functioning and specific processes of psychological flexibility were better informed. Limitations were also discussed. [ABSTRACT FROM AUTHOR]

Different meta-emotion strategies are often categorised as either adaptive (e.g. compassionate care) or maladaptive (e.g. suppression). Yet some evidence indicates that the same strategy can be adaptive in one culture and maladaptive in another. We aimed to test whether meta-emotion strategies and their effects can in fact vary across different social contexts within the same individuals. A total of 140 students completed measures of meta-emotion strategies, satisfaction with life scale, and anxiety. Each scale was adapted for both the family home and the university home context. On average, the students had a lower level of interest in their emotions and adopted a tough control to a lesser extent when in the family home, compared to the university home context. At the individual level, some students used suppression more in the family home than the university home, whereas for others the effect was reversed. A series of multiple regressions showed the context specificity of meta-emotion strategies. Students who reported greater suppression of their emotions were more anxious, but only within the home context that these had both been measured. Yet, the relationship with life satisfaction was transferred across contexts; suppression in the family home (but not suppression at university) predicted less satisfaction with life at university. For other strategies (tough control, anger and compassionate care), their relationship with satisfaction with life at university was only predicted by the extent to which the participants reported using these strategies at university, and not in relation to their use in the family home. [ABSTRACT FROM AUTHOR]

Background: Identity is a crucial milestone achievement for adolescents to become contributing adult members in society. This narrative research focused on exploring the link between identity development and psychological functioning and understanding the process of Indian adolescents' and adults' identity development and psychological functioning. Often, the Indian identity researchers use the theories of identity development conceptualized by Erikson, James Marcia and Michael Berzonsky which have been primarily conceptualized to understand the process of individual's identity development in the western individualistic cultural context. These theorists based their theories on certain essential contextual conditions, for the individuals' identity development. This review article critically explored the availability and applicability of those contextual conditions for Indian adolescents' and adults' identity development. Methods: The articles for the review were mainly collected from the online databases such as PROQUEST Research Library, Taylor and Francis, the archives of the Indian Journal of Social Psychiatry, the archives of the Indian Journal of Psychiatry, EBSCO, and Google. A narrative review method was used to examine various elements of the process of identity development conceptualized by the mainstream identity development theorists Erikson, James Marcia, and Michael Berzonsky and their applicability to the process of Indian adolescents' and adults' identity development. Results: The review found that the processes of mainstream identity development theories have some serious limitations in their applicability to the Indian context. Conclusions: This article identified alternative identity development processes and interventions that could be used to enhance Indian adolescents' and adults' identity development. [ABSTRACT FROM AUTHOR]

Surviving physical trauma can have a large impact on one's daily life. Patients are at increased risk for poor physical health, psychological complaints, and problems in role functioning – which is often experienced simultaneously. The present study explores the interconnectedness of physical, psychological, and role functioning during the first two years post-injury, both cross-sectionally and longitudinally from a network perspective. 3785 trauma patients (M age = 64.2 years, SD age = 18.9 years, 50.5% female) completed questionnaires on physical, psychological, and role functioning across six measurement occasions during the first two years post-injury. The Injury Severity Score (ISS) was retrieved from the local trauma registry. Mixed graphical network models and cross-lagged network models were estimated to examine which items of recovery played a central role and were mostly related to other items in cross-sectional and longitudinal networks respectively. The cross-sectional networks showed especially strong interconnections between impairments of physical and role functioning and also within post-traumatic stress symptoms. The longitudinal networks extended these results by showing that pain, impaired mobility, limitations in self-care, anxiety/depressive symptoms, and several post-traumatic stress symptoms were strong predictors for impairments in functioning at later stages of recovery. Our findings showed that impairments in physical, psychological, and role functioning experienced by trauma patients are largely intertwined across the two years following injury. Monitoring physical impairments and psychological complaints early in recovery might help to more promptly provide the best fitting aftercare for trauma patients, which can improve recovery on the long-term. • Dense networks were found for physical, psychological, and role complaints. • Injury Severity Score (ISS) was minimally related to long-term outcomes. • Early monitoring of trauma-related complaints may improve long-term outcomes. • Pain and psychological complaints were strong predictors for recovery over time. • Post-traumatic stress exerted more influence across time. [ABSTRACT FROM AUTHOR]

Long-term cognitive sequelae of COVID-19 have not been extensively studied. This study provides initial results on cognitive outcomes in Post-Acute Sequelae of COVID-19 (PASC). Participants and Methods: This study examined 53 consecutive outpatients diagnosed with COVID-19. Four participants were excluded due to performance validity test failure. All participants had positive COVID-19 tests, reported cognitive concerns, and completed neuropsychological tests to assess performance validity, attention/working memory, processing speed, memory, language, visual-spatial, executive functioning, motor, and emotional functioning. The sample was mostly white (89.8%), female (83.7%), and never hospitalized (69.4%) for COVID-19. Analyses indicated no mean scores in the Impaired range (>2 standard deviations [SD] below normative mean) on objective cognitive testing and a low base rate of Impaired test scores. Higher (>20%) base rates of Borderline performance (1-2 SDs below normative mean) were found on some measures. There was also evidence for frequently elevated mean scores on mood measures which correlated with some cognitive measures and the number of Borderline scores per participants. The results were noteworthy for infrequent Impaired scores, and significant correlations between cognition and mood/anxiety measures, but not between cognitive performance and premorbid vascular risk factors, psychiatric diagnoses, or COVID-19 disease severity. Results suggest that psychological distress was prominent in PASC and related to objective cognitive performance, but objective cognitive performance was unrelated to cognitive complaints. Other contributing factors may include fatigue/sleep issues. Neurologically based cognitive deficits were not suggested by the results. [ABSTRACT FROM AUTHOR]

Limited research investigating the long-term psychological and emotional correlates of COVID-19 infection has been completed. The current study begins to address this limitation in patients experiencing Post-Acute Sequelae SARS-CoV-2 (PASC; e.g. "Long COVID"). Participants were 43 consecutive neuropsychological outpatients diagnosed with PASC and who completed the Personality Assessment Inventory (PAI). The sample was predominantly female (n = 36) and white (n = 32). Effect sizes compared to the normative mean T scores and base rates of elevated (T > 69) scores were calculated. PAI scales measuring somatic preoccupation and depression had large effect sizes and the highest base rates of scale elevations, with the mean T score at approximately the normative cutoff for clinical significance (T = 70). The Schizophrenia Thought Disorder subscale (SCZ-T) also had a large effect size and high base rate of elevation, likely reflecting cognitive concerns. Scales measuring anxiety had medium effect sizes. The other PAI scales generally had small to negligible effect sizes. There were no significant differences between hospitalized and non-hospitalized participants on the PAI. Overall, PAI scales measuring psychological distress, particularly somatic preoccupation and depression, were the most frequently elevated in the participants. The specific reasons for somatic preoccupation could not be determined in this study. Potential explanations include a vulnerability to distress in Long COVID patients, premorbid somatic preoccupation perhaps motivating these patients to seek clinical attention, or socioenvironmental factors leading some COVID patients to be somatically preoccupied with minor physiological changes and attribute those changes to COVID-19. [ABSTRACT FROM AUTHOR]

Sexual self-concept (SSC) is an important component of health that is closely associated with the well-being of survivors of child sexual abuse (CSA). Compared with non-CSA respondents, SSC of CSA survivors was deleteriously affected, resulting in ineffective psychological functioning (negative self-evaluation, psychological ill-health, and difficulties in interpersonal relationships). Negative SSC (sexual anxiety, sexual depression, and sexual fear) played a significant role in mediating the adverse effects of CSA on psychological functioning. Future studies may recruit a sample with greater variation in CSA characteristics and use externalizing problems as outcome measures to cross-validate findings of this study. [ABSTRACT FROM AUTHOR]

Social support is empirically linked to improved adolescent psychological and academic functioning. This study explored typologies characterized by family, peer, and school support among students in early (Grade 7; n = 27,399) and late (Grade 11; n = 27,984) adolescence. We assessed how each latent profile related to key aspects of psychological and academic functioning and the moderation of gender in these associations. Three convergent profiles (i.e., High , Moderate , and Low Support) and two divergent profiles (i.e., Minimum Peer Support and Minimum Family Support) were found in both grade levels, with psychological and academic functioning differentiated by the profiles. The Minimum Peer Support and Minimum Family Support profiles showed the lowest functioning in all domains across grade levels. The High Support profile showed the highest psychological health and academic performance. Gender moderation was observed in the associations between social support profiles and psychological functioning and was more prominent among 7th graders than 11th graders. Findings suggest that social support's impact is determined by combinations of various support sources, age, and gender. The social support profiles and their associations with students' characteristics and outcomes may inform practitioners in supporting vulnerable groups and planning interventions. [ABSTRACT FROM AUTHOR]

Memory biases for previous pain experiences are known to be strong predictors of postsurgical pain outcomes in children. Until recently, much research on the subject in youth has assessed the sensory and affective components of recall using single-item self-report pain ratings. However, a newly emerging focus in the field has been on the episodic specificity of autobiographical pain memories. Still in its infancy, cross-sectional work has identified the presence of various memory biases in adults living with chronic pain, one of which concerns the lack of spatiotemporal specificity. Moreover, a recent prospective longitudinal study found that adults scheduled for major surgery who produced fewer specific pain memories before surgery were at greater risk of developing chronic postsurgical pain up to 12 months later. The present review draws on this research to highlight the timely need for a similar line of investigation into autobiographical pain memories in pediatric surgical populations. We (1) provide an overview of the literature on children's pain memories and underscore the need for further research pertaining to memory specificity and related neurobiological factors in chronic pain and an overview of the (2) important role of parent (and sibling) psychosocial characteristics in influencing children's pain development, (3) cognitive mechanisms underlying overgeneral memory, and (4) interplay between memory and other psychological factors in its contributions to chronic pain and (5) conclude with a discussion of the implications this research has for novel interventions that target memory biases to attenuate, and possibly eliminate, the risk that acute pain after pediatric surgery becomes chronic. [ABSTRACT FROM AUTHOR]