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  • Core Items Selection and Psychometric Properties of the Adult Attention-Deficit Hyperactivity Disorder Self-Report Scale-Chinese Short Version (ASRS-CSV)

    Subjects: Psychology >> Psychological Measurement Subjects: Psychology >> Clinical and Counseling Psychology Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-03-12

    Abstract: Objective: This study aimed to develop and validate the Chinese Short Version of the Adult ADHD Self-Report Scale (ASRS-CSV), addressing the need for culturally appropriate diagnostic tools for Attention-Deficit Hyperactivity Disorder (ADHD) in the Chinese adult population.
    Methods: Utilizing a combination of intergroup difference analysis, factor analysis, and network analysis, we identified core ADHD symptoms pertinent to the Chinese cultural context. The study involved two samples: a vocational and technical school sample (N=1144) and an internet sample (N=1654), comprising adults aged 16-25 years. Reliability, validity, and diagnostic efficacy of the ASRS-CSV were assessed through psychometric testing.
    Results: The ASRS-CSV demonstrated high internal consistency (Cronbach’s alpha > 0.9) and robust convergent validity (AVE > 0.7). The scale’s diagnostic cutoff points were optimized, revealing high sensitivity and specificity for ADHD screening. Cross-cultural analysis highlighted differences in core ADHD symptoms between Chinese and Western populations, underscoring the scale’s cultural sensitivity.
    Conclusion: The ASRS-CSV is a reliable, valid, and efficient tool for screening ADHD in Chinese adults, reflecting the socio-cultural nuances of ADHD symptomatology. Its development marks a significant advancement in the field of psychiatry, offering a tailored approach for ADHD assessment in China and contributing to the global discourse on cross-cultural psychiatric diagnosis.

  • Psychometric Properties of Multidimensional State Anxiety Scale for College Students (MSAS-CS): Based on Factor Analysis and Network Analysis

    Subjects: Psychology >> Psychological Measurement Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2024-01-14

    Abstract: Based on the State-Trait Anxiety Theory and the Psychopathological Network Theory, we developed the Multidimensional Anxiety Experience Scale for college students. This study conducted item analysis, factor analysis, network analysis, validity and reliability testing, as well as gender invariance testing. The results indicate that: (1) The Multidimensional Anxiety Experience Scale for college students consists of 27 items, organized into seven dimensions: Social Communication Anxiety (SCA), Learning Anxiety (LA), Family Relationship Anxiety (FRA), Future Anxiety (FA), Gender Norms Anxiety (GNA), Appearance Anxiety (AA), and Economic Anxiety (EA). (2) The scale demonstrates a reasonable factor network structure, good validity and reliability, and gender invariance, thus effectively measuring the level of state anxiety in Chinese college student.

  • The dynamic features of emotion dysregulation in major depressive disorder:An emotion dynamics perspective

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-09-26

    Abstract: The core feature of major depressive disorder, as defined in the DSM-5, is persistent emotional disturbances characterized by excessive sadness and drastically reduced pleasant emotional experiences. Recent research on emotion dynamics has emphasized that the emotion dysregulation in major depressive disorder goes beyond increased negative emotional intensity and decreased positive emotional intensity. It is also manifested as abnormal patterns of emotion dynamics. A total of 18 studies were included in this systematic review, which utilized ecological momentary assessment to explore everyday emotion dynamics in major depressive disorder. The key findings are as follows: (1) Patients with depression have greater negative emotion fluctuations compared with the healthy control group. These fluctuations were manifested as greater negative emotion variability and instability. (2) Depressed patients exhibit a rigid and inflexible emotional system, characterized by greater negative emotion inertia and denser emotion networks. (3) Depressed patients exhibit abnormalities in emotional reactivity. This is reflected as the mood brightening effect after positive events and greater negative emotion reactivity after negative events. (4) Patients with depression experience a decreased complexity in their emotional system. This is manifested as a lower level of emotion differentiation. Furthermore, patients with remitted depression also exhibit some degree of emotion dysregulation. This review is the first to comprehensively elucidate the primary features of emotion dysregulation in major depressive disorder from the perspective of emotion dynamics. These features provide potential intervention targets with high ecological validity for individualized treatment and relapse prevention of depression.

  • The intersubjective interaction in psychoanalysis: Enlightenment from Martin Buber’s philosophy of dialogue

    Subjects: Psychology >> Other Disciplines of Psychology Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-09-19

    Abstract:自20世纪70年代末伊始,精神分析领域的许多流派都发生了一种主体间转向。其中,布伯的对话哲学对理解精神分析的主体间互动具有重要启示,但这种探索有待深入。在结合众多现象学家的论述之后,可以将布伯区分的我-它关系和我-你关系视为两种最基本的人际关系模式。在精神分析中,我你关系主要表现为:(1)互动双方能充分投入到当下的对话之中,进行全身心地回应,在非言语交流和语言交流层面完成匹配;(2)当产生冲突之时,双方能够就意见不一致的地方进行协商,甚至在关系破裂之后努力修复。这种主体间互动模式在安全型依恋和一些良好的咨访关系中可以看到。我它关系更多意味着单向地操纵他人,以此满足自身的各种需求(如安全需要和自恋需要)。在极端的我它关系模式中,他人只是我的一种延伸,在我的需要和预期之外的各种情感、观念和行为,往往被漠视。这种主体间互动模式在自恋者、精神变态者、癔症来访者、躁狂者和强迫者等适应不良的个体那里很常见,也广泛存在于在日常生活中。我它关系的操纵过程可以通过语言、情绪和身体行动等途径来完成。此外,海德格尔描述的从上手状态转变为现成在手状态的三个阶段(触目、腻味和窘迫)可以用于理解人际操纵从成功到失败的变化,为来访者更替不良的互动模式提供转机。未来的精神分析研究可以在此基础上深入探索。

  • Reliability comparison of assessment instruments for OCD in children and adolescents: a Cronbach’s alpha meta-analysis

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-08-22

    Abstract: None quantitative comparisons of reliability for assessment tools for OCD so far. The selection of appropriate scales may be difficult for clinicians. Therefore, this study systematically reviewed the OCD scales used in the child and adolescent populations over a 30-year period to evaluate the reliability coefficients. The results of the meta-analysis indicated that the overall reliability of current OCD assessment instruments in children and adolescents is good. Of all the OCD scales for children and adolescents, the Children’s Florida Obsessive Compulsive Inventory had the lowest internal consistency coefficient and the Padua Inventory had the highest internal consistency coefficient. It is recommended that our primary and secondary school mental health practitioners use the Obsessive Belief Questionnaire-Child Version to assess obsessive-compulsive thinking and the Padua Inventory or the Obsessive-Compulsive Symptoms Questionnaire of Adolescent to assess obsessive-compulsive behavior.

  • Enhancing mindfulness interventions for test anxiety: A perspective based on the NIH stage model

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-07-13

    Abstract: Because interventions to reduce test anxiety’s detrimental consequences have remained ineffective, the academic community has begun to introduce the concept of mindfulness into such interventions following the concept’s repeated validation. The NIH stage model, aimed at promoting the implementation and dissemination of psychological interventions, divides the development of interventions into six stages: basic research, intervention generation and refinement, efficacy testing, mixed efficacy–effectiveness testing, effectiveness testing, and implementation and dissemination. In our study, we therefore organized past studies on mindfulness-based interventions for test anxiety according to the NIH’s model. First, we explored the potential mechanism underlying mindfulness when it comes to treating test anxiety. Second, we summarized three dominant approaches, labeled “initial evaluation of treatment,” “refinement of intervention,” and “promotion of implementation and dissemination,” all rooted in previous evidence. Last, considering the NIH’s model and the uniqueness of mindfulness as an intervetion, we encourage future research focused on exploring the mechanism of change and implementing pragmatic research while being sensitive to four aspects of recent studies on mindfulness: the inclusion of open monitoring, the proper assessment of treatment adherence, increasing attention to how mindful attitudes are learned, and the possible influence of different understandings of self between Western and Eastern cultures.

  • Effects and mechanism of therapeutic assessment and its development in Chinese culture

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-07-04

    Abstract: Therapeutic assessment (TA) is a semi-structured model of assessment and intervention that emphasizes collaboration between the client and the assessor, and it can promote change of client while also achieving the goals of the assessment. Its main effects are symptom reduction, increased self-esteem and sense of hope, and promotion of motivation to participate in treatment. It also has the advantage of a more efficient shorter time period, and can be used in conjunction with other therapeutic techniques. Its main limitations are the lack of sufficient large sample studies, its applicability in cross-national and cross-cultural contexts, and that its mechanism need to be further explored. The application of therapeutic assessment in China is challenged by the revision of the Chinese version of the test instruments and the lack of professional competency in psychological assessment.

  • The Cost of the Perfect Body: Influence Mechanism of Internalization of Media Appearance Ideals on Eating Disorder Tendencies in Adolescents

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-05-30

    Abstract: Some studies have examined the relationship between internalization of media appearance ideals and eating disorders. However, few have discussed the relationship between eating disorder tendencies. To fill this research gap, the aim of this study was to explore the influencingmechanisms of internalization of media appearance ideals on adolescents’ eating disorder tendencies in Chinese cultural context. The Sociocultural Attitudes Towards Appearance Questionnaire, Eating Attitude Test-26, Physical Self-Description Questionnaire, Body Image Depression Questionnaire and Multidimensional Scale of Perceived Social Support were employed in this study to investigate 1523 adolescents. The collected data were analyzed using SPSS 26.0 and AMOS 24.0. The results showed that: 1) internalization of media appearance ideals had a significant positive predictive effect on adolescents’ eating disorder tendencies; 2) internalization of media appearance ideals significantly influenced adolescents' eating disorder tendencies through the mediating role of body esteem and body image disturbance respectively, and also influencedeating disorder tendencies through the chain mediating of both; and 3) social support playeda moderating role between body image disturbance and eating disorder tendency. Our findings suggest distinct pathways through which internalization of media appearance ideals may influence adolescents' eating disorder tendencies. It is suggested that reducing body image disturbance and enhancing social support can help reducing eating disorder tendency.

  • Videoconferencing counseling online will not weaken treatment outcomes: Evidence from comparison with face-to-face counseling in-person

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-05-09

    Abstract: The COVID-19 pandemic has led to a shift from in-person face-to-face counseling (F2F) to online videoconferencing counseling (VCP), which poses the question: how does VCP affect treatment outcomes compared to F2F? Existing research has demonstrated the equivalence of VCP and F2F in terms of effectiveness. However, the working alliance, a key common factor in F2F, has been found to be lower in quality in VCP than in F2F in a recent meta-analysis. Moreover, only one study has examined the reciprocal relationship between working alliance and treatment outcomes in VCP at the within-patient level. The present study aims to (a) compare the treatment outcomes between VCP and F2F using longitudinal data from a naturalistic setting; and (b) explore the mutual influence of working alliance and treatment outcomes in VCP and F2F at the within-patient level.
    This study was conducted in a counseling center of a university in central China, and participants were arranged to receive VCP or F2F. The final sample consisted of 525 college students, of whom 117 received VCP and 408 received F2F. The only difference between the two conditions was the mode of delivery (VCP vs. F2F). Participants completed the CORE-OM-10 before each session and the Session Alliance Inventory (SAI) after each session. They also completed the PHQ-9, GAD-7, and CORE-OM-34 at pre- and post-treatment. The data from sessions 1 to 6 were analyzed using the Random Intercept Cross-Lagged Panel Model (RI-CLPM). A multi-group RI-CLPM comparison was conducted to examine the alliance-outcome relationship in VCP and F2F at the within-patient level.
    The within-patient analysis revealed that SAI was a significant predictor of CORE-OM in the subsequent session, and CORE-OM was a significant predictor of SAI in the same session. The multi-group comparison indicated that the predictive effect of SAI on CORE-OM did not differ significantly between VCP and F2F. However, the working alliance quality in VCP was significantly lower than that in F2F after the first and the fourth sessions, but not after the other sessions. The post-treatment analysis, using Propensity Score Matching with pretest CORE-OM34, PHQ-9 and GAD-7 as predictor variables, showed no significant difference in PHQ-9, GAD-7, and CORE-OM34 between VCP (N = 89) and F2F (N = 336).
    These findings indicate that VCP is as effective as F2F in reducing psychological distress, and that clients can establish a stable working alliance in VCP over time, even if they initially experience difficulties in adapting to the online mode. Moreover, the reciprocal influence of working alliance and treatment outcomes in VCP is similar to that in F2F. This study offers empirical support for the use of VCP, especially in the context of the COVID-19 pandemic.
     

  • Communication within a Dyadic System

    Subjects: Psychology >> Other Disciplines of Psychology Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-05-05

    Abstract: The body, unconsciousness, and consciousness can be considered three stages of evolutionary mind from a phylogenetic perspective, which can be further framed as three hierarchies of mind based on dynamic systems theory. These three hierarchies interact via intrapersonal information flow, working in tandem to manage an individual well. Within a dyadic system, two minds with multiple hierarchies can interact through several basic communication forms (i.e., body-to-body, body-to-unconsciousness, body-to-consciousness, unconsciousness-to-unconsciousness, unconsciousness-to-consciousness, and consciousness-to-consciousness) based on interpersonal information flow. In actual exchanges, these forms are blended and become richer due to intrapersonal information flow. In psychoanalytic therapy, analysts should focus on intrapersonal information flow to enhance patients’ self-regulation while emphasizing therapist–patient interaction to execute mutual regulation. Overall, the therapist–patient and mother–infant interaction constitutes a complex communication process.

  • The effects of mindfulness on eudaimonic well-being and its theoretical explanation

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-04-25

    Abstract: Abstract: Eudaimonic well-being occurs when people’s life activities align with deeply held values, and they positively engage in activities to realize their potential. Eudaimonic well-being is characterized by a sense of purpose and meaning. Mindfulness is possibly the most centrally discussed intrapersonal factor influencing the pathway to enhance eudaimonic well-being. Recent research has found that mindfulness traits were particularly strong in relation to eudaimonic well-being. Attention awareness and acceptance can influence eudaimonic well-being by promoting positive qualities and experiencing fewer negative emotions in response to stress. Mindfulness-based training has been shown to improve eudaimonic well-being in clinical groups and non-clinical groups. S-ART model, self-determination theory, and mindfulness-to-meaning theory have provided a theoretical basis to explain the mechanisms underlying the effect of mindfulness on eudaimonic well-being from aspects of self-regulation of cognition, emotion, and behavior. Future research should focus on analyzing different effects of the basic components of mindfulness, exploring the mechanisms of mindfulness’s effects on eudaimonic well-being, and developing targeted mindfulness-based training programs to improve eudaimonic well-being.
     

  • Interpretation model of role reversal based on predictive processing theory

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-01-14

    Abstract:

    Role reversal is one of the core techniques of psychodrama therapy. According to Jacob Levy Moreno, the founder of psychodrama, the self emerges from the role that we play. On the basis of Morenian role theory, rich clinical experience has been accumulated in contemporary psychodrama therapy, but it lacks an explanatory theory to comprehensively explain the working mechanism of psychodrama therapy. Starting from the analysis of role reversal experience, predictive processing theory explains interpersonal interaction and role construction in the process of role reversal. According to predictive processing theory, role reversal is a kind of self-construction process. From a single role reversal treatment to different aspects in the process of psychotherapy, this self-construction process is as follows. First, role reversal brings about the change of the signal type. Second, role reversal results in model update. Third, the new model is constructed and generated in the interaction between the individual self and the other. The conclusion turns out that explaining the structural features of role reversal according to predictive processing theory can promote this technology so as to play a better role in clinical treatment.

  • The mechanism of emotion processing and intention inference in social anxiety disorder based on biological motion

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2023-01-03

    Abstract:

    Social anxiety disorder (SAD) is associated with abnormal features in both emotion processing and social intention inference. However, there is a lack of research and clinical predictive models for the common mechanisms of emotion processing and social intention inference underlying social anxiety. The current project aims to use a combination of behavioral experiments, functional magnetic resonance imaging, and computational modeling to systematically examine the mechanisms of negative cognitive biases in SAD. Based on classic biological motion paradigms targeting emotion processing and social intention inference, combining the facial expressions, we aim to establish predictive models of SAD clinical symptoms based on multi-dimensional data. This project has the prospect of revealing the psychopathology underlying SAD, examining the association between behavioral and neuroimaging data underlying mental disorders, and promoting objective classification and prediction of mental disorders.

  • 正念训练对冲动性不同要素的影响:基于双加工理论

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2022-08-24

    Abstract:

    Mindfulness can be defined as the intentional awareness of individual’s physical and mental experiences with a non-judgmental attitude. From the perspective of dual-process theories, Mindfulness-based interventions (MBIs) show observable effects on the different components of impulsivity. On the one hand, MBIs help to diminish the driving forces caused by the socioemotional system: by reducing individual reward evaluation and expectation, alleviating the distress and negative emotion, and weakening the connection and intensity of automatic responses. On the other hand, MBIs enhance the controlling force of impulsivity and mitigate the action/cognitive impulsivity regulated by the cognitive control system: by enhancing individual's capabilities of cognitive control and inhibitory control, and diminishing waiting impulsivity. Due to different processing sequence and intensity of the two components of impulsivity, MBIs facilitate the positive interactions between the two components, minimize the imbalance between the driving forces and the controlling force, providing a favorable buffer for individuals to better respond to their own and external stimuli. In sum, MBIs are effective intervention means to reduce individual’s impulsivity.

  • An Exploration of the Continuum Beliefs Intervention on the Stigma of Mental Disorders

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2022-08-13

    Abstract: Many studies have investigated the mechanisms of the stigma of people with mental disorders. These studies also proposed corresponding intervention methods. However, the intervention effect of these intervention methods is unsatisfactory, which also induces many theoretical debates. The key to dealing with these debates is to reveal the core cognitive mechanism of stigma generation, i.e., the stigma of mental disorders arises from the spontaneous processing of social classification. Revealing the core cognitive mechanism of stigma generation will inspire an innovative intervention approach that is based on the continuum beliefs. This intervention approach may integrate the theoretical debates on the elimination of the stigma of mental disorders and then propose a theoretical model and practical schema of continuous belief intervention.

  • A Network–Based Theoretical Model of Substance Use Disorder

    Subjects: Psychology >> Clinical and Counseling Psychology Subjects: Psychology >> Psychological Measurement submitted time 2022-07-28

    Abstract:

    Substance addiction involves multiple factors, ranging from biological, social, to cultural. But the dominant biological reductionism-based explanations focus primarily on the brain, potentially hindering a more comprehensive and inclusive research of substance addiction and its recovery. We propose that network theory, focusing on feedback loops formed by interactions between myriad psychological disorder variables, will provide a better holistic framework to understand the complexity of substance addiction. Applying network theory to substance addiction may provide new insights in (1) understanding the interrelationships and interactions between symptoms, (2) understanding the systematic integrity and dynamic changes in symptom networks, and (3) integrating multiple levels of factors into a unified theoretical framework. Also, network theory may generate new approaches for future interventions and treatments. In sum, networktheory, as a theoretical model, provide a new perspective for understanding substance addiction and its intervention. We believe this reframing will encourage more empirical research toward various other hypotheses within this framework, thus, promoting the treatment and recovery of substance addiction.

  • Impact and application of affective touch on mental health

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2022-06-24

    Abstract:

    Affective touch refers to touch behaviors that are used to express or believed to transmit feelings of love, care, appreciation, and so on. C-tactile (CT) afferents, a type of low-threshold mechanosensitive neurons that innervate the hairy skin, are responsible for the pleasure of affective touch. An individual’s internal pattern of touch processing is shaped by a combination of early touch experiences and sociocultural variables. A positive internal pattern of touch processing can strengthen social bonding and promote closeness, while touch avoidance is commonly related to psychological disorders. Although affective touch has therapeutic benefits, its application to psychotherapy practices involves ethical issues. Mediated touch and virtual touch can be novel approaches to treat touch avoidance and address ethical issues.

  • The effects of the parent-child relationship and parental educational involvement on adolescent depression, self-injury, and suicidal ideation: The roles of defeat and meaning in life

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2022-06-23

    Abstract:

    "

    Because of their high incidence as well as high risk, adolescent psychological problems have been a constant pressing topic of governmental, psychological, sociological, and medical interest for research. Adolescent depression, self-injury, and suicidal ideation not only have serious impacts on an individual social functioning, the burden of disease and economic pressures caused by self-harming incidents also make it vital to explore the factors affecting these behaviors and their developmental mechanisms. Ecosystem theory emphasizes the role and significance of the environment in the process of individual development, believing that individual development is the result of one’s interactions with the surrounding environment. As the innermost structure in the ecosystem, family is the environment that is most relevant for individuals, having the greatest influence. In this study, two important components of the parent-child subsystem parent-child relationship (child) and educational involvement (parent) were introduced to explore their combined effects on adolescent depression, self-injury, and suicidal ideation from a binary perspective. The roles of frustration and sense of meaning in life were also investigated from an integrated motivational-volitional model perspective.

    The current study built a moderated mediation model exploring the combined effects of the parent-child relationship on adolescent depression, self-injury, and suicidal ideation.  A total of 930 middle school students (501 boys, 429 girls; average age = 15.24 ± 1.66 years) and their parents participated in this investigation. After given their informed consent, both parents and students completed the Short Form of Center for Epidemiological Studies Depression Scale, the Deliberate Self-Harm Inventory, the Four-item Depressive Symptom Index – Suicidality Subscale, the Parent-Child Intimacy Questionnaire, Parental Involvement in Primary School Children Education, the Defeat Scale, and the Chinese Meaning in Life Questionnaire. SPSS 26.0, AMOS 23.0, and Mplus 7.0 were used to analyze the data.

    The results indicated that: (1) Compared to individuals with a low parent-child relationship and low educational involvement, adolescents with a high parent-child relationship and high educational involvement had lower levels of defeat. Compared to adolescents with a low parent-child relationship and high educational involvement, individuals with a high parent-child relationship and low educational involvement showed lower levels of defeat; (2) Defeat partially mediated the relationship between the parent-child relationship and educational involvement and adolescent depression, self-injury, and suicidal ideation; (3) The second half of the mediation model was moderated by meaning in life, that is, with the increase of meaning in life, the effect of defeat on depression, self-injury, and suicidal ideation gradually decreased.

    Based on ecosystem theory and integrated motivational-volitional model, and using innovative polynomial regression and response surface analysis, the current study investigated the influence of the parent-child relationship and parents' educational involvement on adolescent depression, self-injury, and suicidal ideation, as well as the mediating and moderating effects of defeat and meaning in life. The results providing additional evidence for the relevant developmental theories of depression, self-injury, and suicidal ideation. This study also offers more insight into potential psychological crisis behavioral interventions.

  • Co-morbidity patterns of posttraumatic stress disorder and depressive symptoms: A network analysis of post-earthquake children and adolescents

    Subjects: Psychology >> Clinical and Counseling Psychology submitted time 2022-06-19

    Abstract:

    Post-traumatic stress disorder (PTSD) and depression have high rates of co-morbidity among children and adolescents who have experienced a major natural disaster. Some researchers have suggested that overlapping symptoms and dysphoria symptoms of PTSD contribute to co-morbidity, while others have attempted to explain the co-morbidity through a causal relationship between them. However, most of these studies have been based on the hypothesis of common causes, explaining co-morbidity at level of disorders or dimensions, while few studies have investigated patterns of the co-morbidity from the perspective of symptoms.

    The Child PTSD Symptoms Scale (CPSS) and Center for Epidemiologic Studies Depression Scale for Children (CES-DC) were administered to two samples of children and adolescent one year after the earthquake (Wenchuan earthquake, N = 2530, 47.0% males, Mage = 12.86, SD = 1.96; Ya'an earthquake, N = 723, 47.7% males, Mage = 13.40, SD = 2.29). Gaussian graphical models (GGM) and Bayesian hill climbing algorithms were used to describe patterns of the co-morbidity between PTSD and depression.

    Overlapping symptoms and emotional numbness were the bridging symptoms. Detachment and future-limited symptoms were bridge symptoms in DSM-IV, were not bridge symptoms in the absence of DSM-IV, and fear, startle response and hypervigilance symptom were bridge symptoms. DSM-IV inaccurately defines the boundaries of PTSD, while intrusion and avoidance symptoms are core symptoms of PTSD. Depressive symptoms were more likely to trigger PTSD symptoms, while intrusive symptoms triggered avoidance symptoms.

    The above findings were cross-validated in both Wenchuan and Ya'an samples, enhancing the generalizability of the findings and responding to the reproducibility crisis of psychological research. This enlightens clinical practitioners to prioritize the identification of bridging symptoms in the early assessment of clients who have suffered from traumatic events, in order to screen out clients at high-risk of co-morbid with depression. Secondly, the bridge symptoms should also be used as a breakthrough in the intervention process to develop intervention strategies. Finally, during the prognostic process, special attention should be paid to the recurrence of bridging symptoms to prevent the re-emergence of co-morbidity.

    "

  • A Theoretical Study on the Application of Expressive Writing to Psychological Rescue in Social Disasters

    Subjects: Psychology >> Clinical and Counseling Psychology Subjects: Psychology >> Applied Psychology submitted time 2022-05-10

    Abstract:

    Social disasters, such as epidemics, bring with them a rapidly increasing number of trauma survivors. Coupled with traffic interruption, it can be challenging for traditional psychological rescue to quickly respond to a wide range of victims of psychological crises. Expressive writing can be easily adopted by psychological workers on a large scale, providing guidance via phones, networks and other telecommunication tools and helping to treat psychological traumas, such as posttraumatic stress disorder (PTSD), thereby improving the physical and psychological health. During social disasters, expressive writing shows a complex mechanism, involving exposure desensitization, meaning reconstruction, self-extraction-self-regulation, working memory optimization and normalization of cognitive neural mechanisms. Besides, some factors can potentially affect its curative effect, such as the personality traits of participants, time of intervention and manners of writing. Therefore, more attention should be paid to local social and cultural factors, and more online intervention studies should be conducted in the future. In addition, the cognitive and neural mechanism related to expressive writing should be investigated, and its curative effect should be assessed by employing different physical and psychological indicators.