"Efficacy of Cognitive Behavioral Therapy in Post-traumatic Stress Disorder Among Spinal Cord Injury Patients: A Randomized Controlled Pilot Study"

"Post-Traumatic Stress Disorder (PTSD) develops after exposure to or witnessing traumatic events. PTSD is very common among the Spinal Cord Injury (SCI) patients. PTSD can be successfully treated with the Cognitive Behavioral Therapy (CBT). However, CBT is mostly used in the western countries, so its efficacy in the eastern culture is still not fully known. Keeping this in view, the current study has determined the efficacy of CBT in the treatment of PTSD among the SCI patients in Pakistan. Using a Randomized Controlled Pilot Study design, data were collected through the Clinician-Administered PTSD Scale for DSM-5 from thirty patients admitted to the Paraplegic Center. Trauma-focused CBT(TF-CBT) protocol was applied through fourteen sessions. Data were analyzed by descriptive and multivariate statistics. Findings show that the level of PTSD symptoms gradually decreased from high at baseline (CAPS-5 Mean Scores μ= 3.6) to low during follow-up stage (CAPS-5 Mean Scores μ= 0.89). Results obtained from the present study on the efficacy of CBT are in concurrence with the research findings in other countries. This study supports the efficiency CBT intervention among Pakistani patients who had developed PTSD symptoms after suffering from SCI. Therefore, CBT can be widely used in the management of PTSD in Pakistan."

"A New Instrument for Assessment of Emotion Regulation: The Emotion Regulation Interview-Revised Form"

"The main purpose of the present study is to adapt the Emotion Regulation Interview (ERI) into Turkish and to examine its psychometric properties, while at the same time, to revise it by extending its scope in terms of emotions, emotion regulation (ER) strategies, and the efficacy measures related to ER strategies. For this purpose, various adjustments have been made to the original interview form, resulting in the Emotion Regulation Interview-Revised Form (ERI-RF). The ERI-RF evaluates the regulation of the emotions (i.e., anxiety, sadness, anger) experienced in romantic relationships, recognizing that emotions and ER mostly emerge in close relationships. A total of 138 participants in romantic relationships were interviewed using the ERI-RF, and second interviews were conducted with 31 of the participants for the assessment of test-retest reliability. Results showed that the ERI-RF had good validity results, and the use of some ER strategies to certain emotions demonstrated sufficient test-retest reliability. It was concluded that the ERI-RF, as an assessment tool for the evaluation of a wide range of ER strategies based on the most frequently experienced emotions, has sufficient psychometric properties, and that its use in different samples in feature studies may yield useful results."

Gender Gap in Mindfulness Assessment Among Italian Nurses: A Pilot Descriptive Study

"Purpose: The present study aimed to explore gender differences in the mindfulness tendency, specifically in the awareness and attention dimensions and also in the observing, describing, acting with awareness and accepting without judgement in Italian nurses. Methods: In June 2020 an on-line questionnaire was administered to nurses in order to analyze any differences both in the Mindfulness Attention Awareness Scale (MAAS) and the Kentucky Inventory of Mindfulness Skills (KIMS) according to gender variable. Findings: 200 questionnaires were collected. Findings showed significant higher MAAS total score in males than females (p=.004). Additionally, by considering the four sub dimensions in the Mindfulness tendency, females reported significant higher levels in some items of “Observe” (p=.004) and “Act with awareness” (p=.001) than males, while males reported significant higher scores in the “Accept without judgement” than females (p<.001). Conclusions: The present study was a pilot research on exploring gender differences in mindfulness in Italian nurses in order to hope that it will be only the beginning of empirical research on this topic and to better address future mindfulness training courses addressed to nurses by emphasizing certain aspects of mindfulness for females compared to males and vice versa."

"Students with Academic Difficulties: Benefits of a Study Skills Group Compared to an Emotional Skills Group"

"Students can encounter difficulties in their academic careers, regarding their studying skills, for instance, or experiencing negative emotions. Both are amenable to training and related to one another. This study aimed to examine the efficacy of two interventions focusing on studying skills or emotional skills. Two groups of students with academic difficulties participated: 30 worked on study-related aspects (Study skills group); and the other 30 attended lessons on emotions in everyday life (Emotional skills group). They were tested before and after the training on measures of their motivation to learn, self–regulated learning strategies, and emotions (positive and negative emotions). The results showed that both groups benefited from the training. The Study skills group improved specifically in incremental theory of intelligence (d=0.94, p<0.001), self–regulated learning strategies (organization: d=0.74, p<0.001; elaboration: d=0.58, p<0.001; preparing for exams: d=0.78, p<0.001, specific effects), and more positive emotions about their academic performance (d=0.64, p<0.001, transfer effect). The Emotional skills group showed smaller effects on study-related aspects (0.10≤d≤0.49), with a large effect on negative emotions about the self (d=– .87). These results offer insight on how to approach students’ academic difficulties."

A Systematic Review of Prevention and Intervention Strategies for Smartphone Addiction in Students: Applicability During the COVID-19 Pandemic

"During this coronavirus (COVID-19) pandemic, smartphones play an important role in online classes, study, and entertainment. However, excessive use may lead to smartphone addiction (SPA). The incidence of SPA among students has increased with the spread of COVID-19 and threatens to impair home-based students’ learning efficiency and physical and mental health. This study aimed to provide a comprehensive overview of the latest achievements in SPA prevention and treatment, and a theoretical basis for future experimental research and clinical treatment, while considering their applicability during the current pandemic. We researched the core literature in Chinese, English, and Korean databases from 2000 to 2021; 3208 articles were identified. After reading the titles, abstracts, and full texts, 53 articles were selected. Research on SPA interventions was relatively limited; we identified six types of prevention and treatment measures: psychotherapies, cognitive training, behavioral intervention, application restriction, social intervention, and complementary and alternative medicine. They can be implemented by students, parents, or online experts. Future research should focus on developing early measures to identify and prevent SPA and enhance students’ change motivation."

Intolerance of Uncertainty, Anxiety and Depression in the Context of Covid-19 in Indonesia

"This Covid-19 pandemic brings uncertainty and may lead to mental problems. Yet, in this context, no study has examined the relationship between intolerance of uncertainty (IU) and either anxiety or depression during pandemic among Indonesians. This study investigated the pathway between IU, anxiety and depression serially mediated by cognitive appraisals (perceived severity, controllability, and knowledge) and emotional and behavioural responses to COVID-19. Online psychological measures were administered to 406 participants, including the IUS-12, the DASS-21, cognitive appraisal scales, and emotional and behavioural response scale. An indirect pathway was found between IU and depression, and the effect was serially mediated by perceived of severity and emotional and behavioural responses to COVID-19. Perceived knowledge and perceived controllability of COVID-19 did not significantly contribute to the model. A similar pathway was found for IU predicting anxiety. As conclusion, IU represents a risk factor for heightened emotional and behavioural difficulties that eventually, could lead to either anxiety or depression during COVID-19."

"Professional Psychological Help-Seeking Attitude of Asian International Students in Japan"

"As globalization advances, the world's international student population has continuously risen. Among this enlarged population, numerous students face adjustment problems after realizing unfamiliarity with the host culture at certain points in their sojourns, which often trigger severe psychological distress. Previous studies conducted in the U.S. university settings have pointed to the underutilization of mental health resources by international students as one of the primary risk factors for the betterment of psychological health. Up to the present, however, there is very limited research carried out in places other than leading countries of North America and the British Commonwealth on the topics of international students’ mental health. Different from the predominant research settings of existing research, this article attempts to clarify the distinction in professional help-seeking willingness between Japanese domestic students and international students from other Asian regions who were enrolled in a Japanese university, performing an independent Two-sample Z-test analysis. The result of the findings showed that both Japanese domestic students and Asian international students scored below average in willingness to seek professional help from mental health providers. It also demonstrated that the degrees of local students’ help-seeking willingness did not significantly differ from those of international students. Implications, limitations, and recommendations for future research are also discussed."

"Predictors of Negative Symptom Domains in Outpatients with Schizophrenia: A Cross-Sectional Study"

"Background: Current research suggests that negative symptoms may not be a unitary construct. Factor analytic studies typically found evidence for a two-factor solution of the negative symptom domain: the expressive and the volitional deficit. This study aimed to investigate whether the two-factor solution of negative symptoms is supported across different instruments of evaluation: PANSS and NSA-16 in outpatients with schizophrenia and to explore the relationship between these domains and sociodemographic, clinical, and metabolic outcomes, routinely assessed in daily practice.Another aim was to determine clinical predictors of negative symptoms domains among these variables. Materials and methods: 107 patients with schizophrenia were included in this cross-sectional study. The Principal Component Analysis was used to identify negative symptom domains and Spearman's rank correlation coefficient and multiple regression analyses were used to assess the relationship between the negative symptom domains and clinical variables. Results: PCA indicated a two-component solution explaining 85.2% of the variance for the NSA-16 subscales, reflecting an expressive deficit and an experiential deficit component. Age of onset of the disease and the cognitive deficit were significant predictors of the expressive deficit , body mass index and the number of admissions in the hospital for the experiential deficit. Conclusions: The current findings indicate that the expressive deficit and the experiential deficit should be considered as distinct domains of the psychopathology and should be rated separately"

"Pandemic Dreams are Susceptible to Priming and Unrelated to COVID-19 Exposure"

"Surveys that have recruited participants through social media and news websites have led researchers and clinicians to conclude that the COVID-19 pandemic has precipitated a parallel pandemic of nightmares that reflect pandemic-induced psychological distress. Many of these surveys were administered to participants who intentionally opted into research knowing that the investigators were soliciting pandemic dream reports. This investigation surveyed 193 college students who were blind to the purpose of the study to assess the prevalence of pandemic dreams and to determine if the wording of the questions could shape responses. Fewer than half could recall a dream. Reports were brief, susceptible to priming, and unrelated to personal SARS-CoV-2/COVID-19 exposure. Although this sample was not truly random, it is probably more representative of the US population than those recruited through thematic websites. Clinicians should be aware of problems inherent in survey research and understand how their words can shape client responses."

A Systematic Review of the Effectiveness, Content, and Usage Patterns of Mobile Mental Health Interventions on Smartphone Platforms for Anxiety Symptoms

"This systematic review aims to examine the content, usage pattern and efficacy of mobile mental health interventions in reducing anxiety symptoms. A search of 10 electronic databases returned 44 408 studies in total and 27 studies met the inclusion criteria, including 4460 participants in total. The rate of attrition was 27% (SD = 22) among the participants who initiated the app use. The rate of significant reductions in measures of anxiety symptoms was 87% from within-subjects pretest to posttest assessments, yet this rate dropped to 46% when compared to a waitlist/control group. A vast majority of the studies used cognitive and/or behavioral interventions (N = 26, 96%), a few studies included professional support (N = 11, 41%), a structured form of delivering the interventions (N = 8, 30%) or tailored it to users’ needs (N = 6, 22%). Few studies reported the actual time spent on the app per week (N = 4, M = 63.76, SD = 62.17). The mobile mental health interventions were effective in reducing anxiety symptoms, yet this effectiveness eroded compared to control groups. There is a need to develop consistent ways of reporting the usage patterns and testing evidence-based interventions other than cognitive behavioral treatments."