bluuebunny/crossref_metadata_2025_split huggingface dataset:
Can school health education improve students’ physical exercise time? Empirical research based on CEPS (2014–2015) survey data
Authors: Zhong Huamei , Zhou Jingjing , Xu Dan , Liu Tianbiao 
Published: December 2022

PurposeSchool health education is an effective strategy for cultivating adolescent physical exercise habits by transmitting healthy knowledge; it helps to form healthy behaviours and encourages students to participate in physical exercise. The purpose of this study was to explore the relationship between school health education and student participation in physical exercise.MethodsCEPS (China Education Penal Survey, 2014–2015) survey data were used to empirically analyse the impact of school health education on the time that students spend on physical exercise and the underlying mechanism of influence.ResultsThe results showed that receiving a school health education increased the time that students spent on physical exercise. 1) Compared with receiving health education in only primary school or secondary school, receiving health education in both primary and secondary school had a greater impact on students spending time on physical exercise. 2) Receiving a school health education improved the time that students spend on physical exercise by improving students’ health perception and their sports interests. 3) Receiving a school health education had a more obvious impact on the physical exercise time of male students, nonrural resident students, and students from multi-child households. These findings can provide a reference for the seasonable settings of health education curriculum in schools.
Were there losses in social support during the pandemic? Testing the impact of COVID-19 on psychological adjustment to trauma in United States adults
Authors: Mitchell Benjamin J. , Gawlik Emily A. , Baugher Brittany J. , George Richard L. , Muakkassa Farid F. , Mallat Ali F. , Gunstad John , Delahanty Douglas L. , Coifman Karin G. 
Published: December 2022

IntroductionSocial support is a key protective factor in the psychological adjustment of individuals to traumatic events. However, since March 2020, extant research has revealed evidence of increased loneliness, social isolation, and disconnection, likely due to COVID-19 pandemic-related recommendations that restricted day-to-day contact with others.MethodsIn this investigation, we applied a case-control design to test the direct impacts of the pandemic on social support in United States adults recovering from a significant injury caused by PTSD-qualifying, traumatic events (e.g., motor vehicle crashes, violence, etc.). We compared individuals who experienced trauma during the pandemic, the “cases” recruited and evaluated between December 2020 to April 2022, to trauma-exposed “controls,” recruited and evaluated pre-pandemic, from August 2018 through March 9, 2020 (prior to changes in public health recommendations in the region). Cohorts were matched on key demographics (age, sex, education, race/ethnicity, income) and injury severity variables. We tested to see if there were differences in reported social support over the first 5 months of adjustment, considering variable operationalizations of social support from social network size to social constraints in disclosure. Next, we tested to see if the protective role of social support in psychological adjustment to trauma was moderated by cohort status to determine if the impacts of the pandemic extended to changes in theprocess of adjustment.ResultsThe results of our analyses suggested that there were no significant cohort differences, meaning that whether prior to or during the pandemic, individuals reported similar levels of social support that were generally protective, and similar levels of psychological symptoms. However, there was some evidence of moderation by cohort status when examining the process of adjustment. Specifically, when examining symptoms of post-traumatic stress over time, individuals adjusting to traumatic events during COVID-19 received less benefit from social support.DiscussionAlthough negative mental health implications of the pandemic are increasingly evident, it has not been clear how the pandemic impacted normative psychological adjustment processes. These results are one of the first direct tests of the impact of COVID-19 on longitudinal adjustment to trauma and suggest some minimal impacts.
Using knowledge of, attitude toward, and daily preventive practices for COVID-19 to predict the level of post-traumatic stress and vaccine acceptance among adults in Hong Kong
Authors: Cao Yuan , Siu Judy Yuen-man , Choi Kup-Sze , Ho Nick Cho-lik , Wong Kai Chun , Shum David H. K. 
Published: December 2022

IntroductionCOVID-19 has been perceived as an event triggering a new type of post-traumatic stress (PTSD) that can live during and after the pandemic itself. However, it remains unclear whether such PTSD is partly related to people’s knowledge of, attitude toward and daily behavioral practices (KAP) for COVID-19.MethodsThrough a telephone survey, we collected responses from 3,011 adult Hong Kong residents. Then using the Catboost machine learning method, we examined whether KAP predicted the participant’s PTSD level, vaccine acceptance and participation in voluntary testing.ResultsResults suggested that having good preventative practices for, poor knowledge of, and negative attitude toward COVID-19 were associated with greater susceptibility to PTSD. Having a positive attitude and good compliance with preventative practices significantly predicted willingness to get vaccinated and participate in voluntary testing. Good knowledge of COVID-19 predicted engagement in testing but showed little association with vaccine acceptance.DiscussionTo maintain good mental health and ongoing vaccine acceptance, it is important to foster people’s sense of trust and belief in health professionals’ and government’s ability to control COVID-19, in addition to strengthening people’s knowledge of and compliance with preventative measures.
The influence of differential leadership and proactive personality on employee in-role performance: An integrated model
Authors: Chen Sze-Ting , Haga Kai Yin Allison 
Published: December 2022

PurposeDifferential leadership does not necessarily bring only negative effects, as it may also become an incentive management strategy. This study explores whether outsiders can actively become insiders through proactive personality traits, or whether they can actively approach resource controllers to remove obstacles at work and enhance their performance in a Chinese cultural setting.MethodologyA stratified random sampling method was used. The sample objects were medical staff from hospitals in the six urban districts of Beijing. In 2021, a total of 900 online questionnaires were distributed. 524 valid questionnaires were recovered.Main findingsThe results show that differential leadership, defined as favoritism towards insiders and prejudice against outsiders, can cause changes in employees’ sense of organizational justice and in-role performance. Meanwhile, by introducing ‘proactive personality’ as an independent variable that also acts as a moderator, our study confirms that, under differential leadership, employees with a proactive personality can actively improve situational barriers and have better work performance.Implications/applicationsOur research offers managers the following advice: First, it is better to look not only at relationships, but also to understand an employee’s personality characteristics, whether it has a superficial or deep role at work, in order to reduce the turnover rate and to raise productivity. Second, it is important to teach employees to serve customers with a sincere appreciation of their point of view, rather than focusing on presenting an outward appearance of friendliness.Novelty/originalityThis paper contributes to the theory of proactive personality, emotional labor, and differential leadership. Contrary to previous studies, our research has used ‘proactive personality’ as both a distractor and a predictor at the same time. Also, insiders favored by leaders are not found to perform better at work.
Screen time and depression risk: A meta-analysis of cohort studies
Authors: Li Liqing , Zhang Qi , Zhu Liyong , Zeng Guohua , Huang Hongwei , Zhuge Jian , Kuang Xiaorui , Yang Sule , Yang Di , Chen Zhensheng , Gan Yong , Lu Zuxun , Wu Chunmei 
Published: December 2022

BackgroundThe impact of screen time on mental health, including depression, has attracted increasing attention from not only children and adolescents but also the elderly. Thus, we conducted a meta-analysis of cohort studies to evaluate the association between screen time and depression risk.MethodsThe PubMed, Embase, Web of Science, and China National Knowledge Infrastructure databases were searched for cohort studies up to May 2022, and the reference lists of the included studies were also retrieved. A random-effect model was used to estimate the combined effect size. Heterogeneity was assessed with the I2 statistic. Potential publication bias was evaluated using a funnel plot and Begg’s and Egger’s tests.ResultsThe final analysis included 18 cohort studies with a combined total of 241,398 participants. The pooled risk ratio (RR) was 1.10 (95% confidence interval: 1.05–1.14), with significant heterogeneity (I2 = 82.7%, P &lt; 0.001). The results of subgroup analyses showed that the pooled RRs varied according to geographic locations, gender, age group, screen time in the control group, depression at the baseline, and whether the study was conducted during the COVID-19 pandemic. No obvious evidence of publication bias was found.ConclusionThis study indicates that screen time is a predictor of depressive symptoms. The effects of screen time on depression risk may vary based on the participant’s age, gender, location, and screen time duration. The findings could have important implications for the prevention of depression.
Italian version of the Occupational Depression Inventory: Validity, reliability, and associations with health, economic, and work-life characteristics
Authors: Bianchi Renzo , Fiorilli Caterina , Angelini Giacomo , Dozio Nicoletta , Palazzi Carlo , Palazzi Gloria , Vitiello Benedetto , Schonfeld Irvin Sam 
Published: December 2022

BackgroundThe Occupational Depression Inventory (ODI) reflects a new approach to job-related distress centered on work-attributed depressive symptoms. The instrument was developed with reference to the characterization of major depression found in the Diagnostic and statistical manual of mental disorders, fifth edition. The ODI has been validated in English, French, and Spanish. This study (a) investigated the psychometric and structural properties of the ODI's Italian version and (b) inquired into the nomological network of occupational depression.MethodsA convenience sample of 963 employed individuals was recruited in Italy (69.9% female; mean age = 40.433). We notably relied on exploratory structural equation modeling bifactor analysis, common-practice confirmatory factor analysis, and Mokken scale analysis to examine our dataset.ResultsOur analyses indicated that the Italian version of the ODI meets the requirements for essential unidimensionality, thus justifying the use of the instrument's total score. The ODI's reliability was excellent. Measurement invariance held across sexes, age groups, and occupations. Occupational depression was negatively associated with general wellbeing and positively associated with a 12-month history of depressive disorder, current antidepressant intake, 12-month sick leave, 6-month physical assault at work, 6-month verbal abuse at work, lack of money for leisure activities, and financial strain in the household.ConclusionsThe ODI's Italian version exhibits robust psychometric and structural properties, suggesting that the instrument can be fruitfully used for addressing job-related distress in Italian-speaking populations. Furthermore, the present study relates occupational depression to important health, economic, and work-life characteristics, including past depressive episodes, antidepressant medication, sickness-related absenteeism, workplace violence, and economic stress.
Predictive effect of resilience on self-efficacy during the COVID-19 pandemic: The moderating role of creativity
Authors: Xu Yanhua , Yang Guang , Yan Chongshan , Li Jiatong , Zhang Jingwei 
Published: December 2022

IntroductionTo appraise the relationship and mechanism between resilience and self-efficacy in the context of the COVID-19 pandemic, we proposed a model to investigate the effect of resilience on self-efficacy and the moderating effect of creativity in this regard.MethodsScales that measured resilience, creative behavior, and self-efficacy were rated by 881 college students in China to establish the moderating model.ResultsThe results showed that resilience and self-efficacy of participating college students were positively correlated, which meant that high resilience could predict a high level of self-efficacy. Moderating analysis using the SPSS PROCESS plug-in showed that creativity was an important element of resilience that positively affected self-efficacy and that this moderating effect was more significant in participants with a high degree of creativity.DiscussionThese findings can provide a better understanding of the relationship between resilience and self-efficacy in demonstrating the traumatic impact of the COVID-19 pandemic on adolescent mental health and academic performance.
Cerebellar stimulation in schizophrenia: A systematic review of the evidence and an overview of the methods
Authors: Hua Jessica P. Y. , Abram Samantha V. , Ford Judith M. 
Published: December 2022

BackgroundCerebellar structural and functional abnormalities underlie widespread deficits in clinical, cognitive, and motor functioning that are observed in schizophrenia. Consequently, the cerebellum is a promising target for novel schizophrenia treatments. Here we conducted an updated systematic review examining the literature on cerebellar stimulation efficacy and tolerability for mitigating symptoms of schizophrenia. We discuss the purported mechanisms of cerebellar stimulation, current methods for implementing stimulation, and future directions of cerebellar stimulation for intervention development with this population.MethodsTwo independent authors identified 20 published studies (7 randomized controlled trials, 7 open-label studies, 1 pilot study, 4 case reports, 1 preclinical study) that describe the effects of cerebellar circuitry modulation in patients with schizophrenia or animal models of psychosis. Published studies up to October 11, 2022 were identified from a search within PubMed, Scopus, and PsycInfo.ResultsMost studies stimulating the cerebellum used transcranial magnetic stimulation or transcranial direct-current stimulation, specifically targeting the cerebellar vermis/midline. Accounting for levels of methodological rigor across studies, these studies detected post-cerebellar modulation in schizophrenia as indicated by the alleviation of certain clinical symptoms (mainly negative and depressive symptoms), as well as increased frontal-cerebellar connectivity and augmentation of canonical neuro-oscillations known to be abnormal in schizophrenia. In contrast to a prior review, we did not find consistent evidence for cognitive improvements following cerebellar modulation stimulation. Modern cerebellar stimulation methods appear tolerable for individuals with schizophrenia, with only mild and temporary side effects.ConclusionCerebellar stimulation is a promising intervention for individuals with schizophrenia that may be more relevant to some symptom domains than others. Initial results highlight the need for continued research using more methodologically rigorous designs, such as additional longitudinal and randomized controlled trials.Systematic review registration[https://www.crd.york.ac.uk/prospero/], identifier [CRD42022346667].
Acupuncture for hypertension with insomnia: Study protocol for a randomized, sham-controlled, subject-and-assessor-blinded trial
Authors: Wang Xiaoqiu , Wang Pei , Liu Chengyong , Qin Shan , Wan Qingyun , Luo Shuting , Wu Wenzhong 
Published: December 2022

BackgroundPrevious studies show that insomnia and hypertension are closely related. Currently, intervention for hypertension with insomnia has become a research hotspot. Acupuncture, as a representative non-pharmaceutical therapy of traditional Chinese medicine (TCM), has been widely used in improving insomnia and hypertension. However, there are few clinical studies on acupuncture for hypertension with insomnia.MethodsA single-center, subject-and-assessor-blind, randomized, sham-controlled trial has been designed for a study to be conducted in Jiangsu Province Hospital of Chinese Medicine. Sixty eligible patients will be randomly assigned to the treatment group and the control group in a 1:1 ratio. The treatment group will receive acupuncture treatment, while the control group will receive sham acupuncture treatment. Both groups will be treated three times per week for 4 weeks. Data will be collected at baseline and after 4 weeks of treatment and analyzed by using SPSS 25.0. The primary outcome measures are sleep parameters of portable polysomnography before and after treatment. Secondary outcomes are Pittsburgh Sleep Quality Index, Insomnia Severity Index, home blood pressure, and heart rate variability.DiscussionThis study aims to evaluate the efficacy of acupuncture using the portable polysomnography combined with sleep scales, and analyze heart rate variability to preliminarily explore the underlying mechanism of acupuncture on hypertension with insomnia. The trail, if proven to be effective, will provide strong scientific evidence to support acupuncture is effective to manage patients for hypertension with insomnia.Clinical trial registrationChiCTR2200059161.
Mentalizing the patient–Patient experiences with short-term mentalization-based therapy for borderline personality disorder: A qualitative study
Authors: Hestbæk Emilie , Hasselby-Andersen Mathilde , Juul Sophie , Beier Nynne , Simonsen Sebastian 
Published: December 2022

BackgroundMentalization-based therapy (MBT) is an evidence-supported psychotherapy approach for borderline personality disorder (BPD) that has been implemented in mental health services worldwide. Originally, MBT was developed as an 18-months program for BPD. However, a short-term (5 months) MBT program has been developed. Research into patient experiences with long-term MBT for BPD is scarce, and no studies have investigated patient experience with short-term MBT for BPD.ObjectiveThe objective of this study was to explore patient experience with short-term MBT for BPD in the Danish mental health services.MethodsSemi-structured qualitative interviews were conducted with 12 outpatients diagnosed with BPD, who attended short-term MBT for 5 months. The interviews were verbatim transcribed and analyzed using thematic analysis with double coding.ResultsThe analysis resulted in four subordinate themes: (1) Treatment duration – too short or appropriately short?, (2) The group as a “safe space,” (3) Bad experiences impacted treatment negatively, and (4) My life has changed for the better.ConclusionThe results suggest that most of the patients were overall satisfied with short-term MBT, which they experienced as having a positive impact on their lives. However, a subgroup of patients wanted more therapy. This study highlighted the strengths and limitations of short-term MBT for BPD as experienced by the patients, and points to barriers in developing service-user informed short-term treatment options for BPD.
Using a tele-behavioral health rapid intake model to address high demand for psychotherapy at an academic medical center during COVID-19
Authors: McMahan Kristina , Martin Karli M. , Greenfield Melissa J. , Hay Pamela , Bates Redwine Madison , Fargason Rachel , Lokken Kristine 
Published: December 2022

BackgroundLong wait times for mental health appointments have been a chronic dilemma for academic medical centers. This problem intensified worldwide with the onset of the COVID-19 pandemic. Approximately 70% of mental health services experienced pandemic-related disruption in care provision, while simultaneously experiencing a substantial increase in patient demand. Wait times for mental health appointments also increased, varying across populations from 3 to 18 months. As prolonged wait time is positively associated with severity of psychiatric symptoms and negative outcomes, the authors implemented a novel rapid intake telemedicine clinic model to shorten wait time and increase patient access to psychological care at an academic medical center.MethodsTo address an overwhelming influx of mental health referrals and a growing wait-time-until-first appointment at an academic medical center serving as a lone safety net hospital during the COVID-19 pandemic, a 5-provider Psychology Rapid Intake Team was established using a hybrid of telehealth and in-person appointments based on patient preference. Data on new patient volumes, wait time for 1st appointment, and wait time to begin therapeutic intervention were compared during the same calendar 3-month period immediately prior to and following implementation of the rapid intake clinic.ResultsA paired-samples t-test was conducted to compare new patient volumes pre- vs. post- intervention. Results revealed a significant increase in the number of new patients the providers were able to accommodate in the post-implementation (M = 62.00, SD = 7.21) compared to the pre-implementation (M = 31.00, SD = 2.61) condition; t(2) = −8.60, p &lt; 0.05. There was a significant decrease in the average wait times for 1st appointment post-implementation (M = 24.99, SD = 2.38) compared to the pre-implementation (M = 37.32, SD = 1.47) condition; t(2) = 5.56, p &lt; 0.05. In addition, days to begin therapeutic intervention decreased dramatically (394%) from the pre- (M = 142.50) to post-implementation (M = 28.84) period.ConclusionThe COVID-19 pandemic strained a mental healthcare system which led to increasingly long wait times for intake appointments and delayed psychotherapy interventions. The Psychology Rapid Intake Team initiative served to improve access, reduce patient risk related to prolonged wait times, and accelerated patient engagement with psychotherapy services. The model can serve as a unique, sustainable infrastructure for behavioral health delivery for low acuity mental health problems in large health care systems.