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Background: Psychological interventions are a promising area for fatigue management in patients with inflammatory bowel disease (IBD). However, most interventions trialled to date have been pilots with limited direct input from patients about the type of intervention they want. Thus, this study aimed to explore patient preferences for a psychological IBD fatigue intervention. Methods: An international online cross-sectional survey was conducted with adults with self-reported IBD. A conjoint analysis was employed to elicit, through a series of forced-choice scenarios, patient preferences for a fatigue intervention. For this study, the attributes manipulated across these forced-choice scenarios were type of intervention, modality of delivery, and duration of intervention. Results: Overall, 834 people with IBD were included in analysis. Respondents ranked the type of psychological intervention as most important for overall preference (with cognitive-behavioral therapy (CBT) preferred over the other approaches), followed by modality of delivery, but placed very little importance on how long the intervention runs for. Patients with IBD appear to most strongly preference a short online CBT intervention for managing their IBD-related fatigue. Conclusion: This study helps provide therapists and program developers clear direction on patient preferences when it comes to developing new psychological programs that address fatigue in IBD. [ABSTRACT FROM AUTHOR]

The aim of this longitudinal study was to examine changes in COVID-19 and illness-related perceptions, gastrointestinal symptoms, coping, catastrophising, psychological distress, and QoL during the COVID-19 pandemic. A total of 831 adults with a gastrointestinal condition completed an online questionnaire at baseline (May—October 2020). Of those, 270 (32.5%) participants (85.2% female, mean age = 47.3 years) provided follow-up data (March—May 2021). Repeated-measures multiple analysis of variance and a cross-lagged panel model were used to test the study hypotheses. Gastrointestinal symptoms and COVID-19 perceptions at follow-up were strongly predicted by their baseline values, while illness perceptions were predicted by baseline gastrointestinal symptoms. Cross-lagged relationships indicated a reciprocal relationship between gastrointestinal symptoms and psychological distress. Moreover, gastrointestinal symptoms had substantial predictive utility, strongly predicting future gastrointestinal symptoms, and to a lesser extent, more negative illness perceptions, greater psychological distress, and greater use of adaptive coping strategies across time. [ABSTRACT FROM AUTHOR]

Purpose: The function (i.e., the motivation) of child-to-parent violence (CPV) is an important consideration for intervention but under researched, primarily due to a lack of appropriate measurement tools. The current study aimed to develop and validate a caregiver-report measure of the function of CPV (the Child-to-Parent Violence Functions Scale [CPV-F]). Methods: One-hundred-and-twenty-one caregivers (94% female) ranging from 27 to 68 years of age (M = 45.36, SD = 8.35) completed an online survey reporting on experiences of CPV from a young person, who were mostly male (63%) and aged between 5 and 24 years (M = 12.71, SD = 4.77). Results: The current study shows that the motivation for CPV varies across three related but distinct functions: Reactive (i.e., in response to perceived or actual threat, transgression, or intrusion), Affective (i.e., driven by internal frustration, fear, or emotional conflict), and Proactive (i.e., instrumental, callous, and planned). The CPV-F demonstrated predictive and concurrent validity, as well as adequate reliability across subscales. Conclusions: Future research should consider the function of CPV, as it may impact the relevance of risk factors. Moving forward, the CPV-F could be used for comprehensive investigative profiling, with a focus on parent and dyadic factors, to resolve heterogeneity in the field. Such factors are crucial to intervention yet under explored. As a caregiver-report measure, the CPV-F is well-positioned to aid in these investigations. [ABSTRACT FROM AUTHOR]

Theories and research regarding aggression have variously implicated low self-esteem, high self-esteem, and unstable self-esteem as a moderator of aggressive behaviours. Given that narcissism is rooted in self-esteem issues, it is a personality construct relevant to the study of aggression. Two fluctuating, and sometimes vacillating, narcissism phenotypes, grandiosity, and vulnerability, may display differing relationships with aggression and aggressive behaviours. One coping mechanism for self-esteem issues, problematic alcohol use behaviours, shows positive independent associations with both narcissism and aggression and therefore may act as an exacerbating factor. Given this complexity, the current study aimed to model grandiose and vulnerable narcissism phenotypes together and examine their relation to both observable manifestations and cognitive measures of aggression, while simultaneously examining the potential contributing effect of alcohol use behaviours in an online community-based survey; N = 1883, aged between 18 and 77 years (M = 33.33, SD = 13.76). While grandiose narcissism is uniquely associated with verbal aggression, vulnerable narcissism appears to be more critical in understanding a variety of forms of aggression. Alcohol use behaviours, while related to aggression, did not influence these associations. Our findings suggest that vulnerable narcissism is a far more severe concern for predicting several types of aggression than the grandiose dimension. Implications for future research and practice are explored. [ABSTRACT FROM AUTHOR]

Background: Fatigue in inflammatory bowel disease (IBD) is poorly controlled, with few existing interventions. Psychotherapy interventions for IBD fatigue show promise; however, due to mixed findings in efficacy and attrition, current interventions need improvement. Some research shows beliefs about psychotherapy and stigma toward psychotherapy may impact engagement in psychotherapy interventions. Aims: This study aimed to examine the effects of IBD activity, fatigue, mental health status, previous experience with psychotherapy, and stigma toward psychotherapy on willingness to use psychotherapy as a fatigue intervention. Methods: An online cross-sectional survey was conducted, and linear regression models were used to examine willingness to engage in psychotherapy for fatigue. Results: Overall, 834 participants completed the survey. Regression analysis examining demographics, mental health status, IBD activity, fatigue, pain, antidepressant use, psychotherapy experience, and self-worth intervention efficacy belief significantly explained 25% of variance in willingness to use psychotherapy for fatigue. Significant factors included antidepressant use (b =.21, p <.01), pain (b = −.05, p <.001), and self-worth intervention belief (b = −.27, p <.001), which uniquely explained 18% of variance in the outcome. Conclusions: Willingness to engage in psychotherapy for fatigue in IBD appears to be driven by expectations related to specific self-worth beliefs, rather than stigma, IBD activity, or any prior experience with psychotherapy. Clinicians should directly address these expectations with their patients. [ABSTRACT FROM AUTHOR]

This study aimed to explore the association between perceived isolation and symptoms of distress in people with GI disorders at the time of the pandemic; and to examine factors which moderate this relationship. This online cross-sectional survey was advertised in May–September 2020 via patient organisations and associated social media. Overall, 831 people (82% female, mean age 49 years) from 27 countries participated. A significant relationship between social isolation and psychological distress was noted (r =.525, p <.001). GI symptoms moderated the association between isolation and distress (B =.047, t = 2.47, p =.015). Interventions targeting these factors may help to reduce distress in people with GI disorders at the time of major stressors such as the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Background: Inflammatory bowel disease (IBD) is a common and debilitating disease of the gastrointestinal tract. Psychological distress is highly comorbid to IBD, especially during periods of active disease. However, a controversy exists on how to best manage its symptoms in the IBD population. Aims: This study aimed to explore protective and risk factors of psychological distress in IBD. Methods: A cross-sectional online survey was conducted via social media and online patient forums. Respondents (N = 235) filled out questionnaires on demographics, health characteristics and a range of psychological variables. Measures of pain, disease activity, comorbid functional symptom severity, social support, subjective wellbeing, sleep quality, fatigue, stress, age, BMI and gender were entered into the Classification and Regression Tree Analysis model. Results: Overall, 87 participants (37%) reported distress. Self-reported stress significantly discriminated between cases of probable psychological distress. In those with high stress, patients with and without probable psychological distress were separated by subjective wellbeing. Among patients with low stress, fatigue was the primary discriminator. Conclusions: Monitoring patients for low subjective wellbeing and high stress in clinical settings could offer an opportunity to engage in early intervention to limit psychological distress development. Monitoring for fatigue in patients who seem otherwise psychologically well could offer preventative benefits. [ABSTRACT FROM AUTHOR]

The online version of the original article can be found at https://doi.org/10.1007/s12144-021-02318-xCurrent Psychology (2021) 42:10177-10185https://doi.org/10.1007/s12144-021-02318-x.In this article, the e-mail address of the corresponding author Colby J. C. Bryce has been updated to colby.bryce@deakin.edu.au.The original article has been corrected.Publisher's NoteSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.By Colby J. C. Bryce; David R. Skvarc; Ross M. King and Shannon HyderReported by Author; Author; Author; Author [Extracted from the article]

Background: This study assessed relationships and sex differences between psychological state (recovery, stress, anxiety, and self-confidence) and gastrointestinal symptoms (GIS) prior to and during a 56 km ultramarathon running race and identified predictive factors of race GIS. Forty-four (26 males, 18 females) ultramarathon competitors completed anxiety, recovery, stress and GIS questionnaires for three days prior to the race and immediately pre-race. Race GIS were assessed immediately post-race. Spearman's rank order, Mann–Whitney U tests and regression analyses were used to determine correlations and identify sex differences between psychological state and GIS and determine predictors of race GIS. Results: Race GIS were significantly correlated with recovery (rs = − 0.381, p = 0.011), stress (rs = 0.500, p = 0.001) and anxiety (rs = 0.408, p = 0.006), calculated as the mean of the three days preceding the race and on race morning. The correlation between anxiety and GIS was strongest in the 24 h immediately prior to the race (all rs > 0.400, and all p < 0.05), but unclear patterns were identified for stress and recovery. Regression analyses showed 36% and 40% of variation in the severity and number of race GIS was accounted for by body mass and measures of stress, anxiety, and GIS over the three days preceding the race and on race morning (both p < 0.001). There were no sex differences in the number and severity of GIS leading up to or during the race (all p > 0.05), however, females reported greater state anxiety (p = 0.018) and lower self-confidence than males (p = 0.006) over the three days preceding the race and on race morning. Conclusion: Endurance athletes that experience GIS during competition should investigate elevated stress and/or anxiety as a potential contributor and identify if management strategies can reduce the occurrence and severity of GIS. [ABSTRACT FROM AUTHOR]

Youth amateur sporting environments present an untapped, under-researched, and potentially vital avenue for targeted mental health intervention programs. This study evaluates such an intervention in 12 sporting clubs, comprising of 330 Australian youth aged 12–15 years (M = 13.73, SD = 0.79). Mental health literacy, help-seeking intentions, and help-seeking behaviors were measured throughout the season using a repeated-measures experimental-control design. Multilevel modelling revealed the intervention successfully improved mental health literacy and help-seeking intentions in particular cohorts, such as youth scoring low in these constructs pre-intervention and youth who had not previously received the intervention. This study demonstrates the efficacy of interventions to effect positive change in amateur sporting youth, highlighting a convenient method to improve mental health in young people. [ABSTRACT FROM AUTHOR]

This meta-analysis examines mood changes after bilateral subthalamic deep brain stimulation (STN-DBS) in patients with Parkinson's disease (PD). Deep brain stimulation improves motor outcomes in Parkinson's disease but there appears to be conflicting reports as to subsequent mood outcomes. Pubmed, PsychINFO and SCOPUS were searched for studies assessing mood outcomes in PD patients who had undergone STN-DBS published between January 2003 and the end of January 2019. Random effects meta-analyses were conducted for all outcome groups with at least two studies homogenous in design and measure. Forty-eight studies, providing data on negative moods (such as depression, anxiety, apathy, and anger) and positive moods (pleasure and euphoria) were assessed. Results of the meta-analysis suggest that post-DBS, depression and anxiety symptoms improve and there is a reduction in negative affect, an increase in apathy, and in energy level. Although there have been reported cases of mania post-DBS surgery, the meta-analysis suggested no significant changes in symptoms of mania in the broader DBS population. Considerable heterogeneity was found and partially addressed through meta-regression and qualitative assessment of the included STN-DBS controlled studies. The major strengths of this meta-analysis, include attention to outcome validity, heterogeneity, independence of samples, and clinical utility, with the potential to improve post-operative safety through comprehensive consideration of mood and psychological adjustment. It appears that STN-DBS is a relatively safe and, in the case of mood symptomatology, an advantageous treatment of Parkinson's disease. [ABSTRACT FROM AUTHOR]

School-based mental health intervention programs have demonstrated efficacy for the prevention and reduction of depressive symptoms, though the effect tends to be variable and is often unsustained longitudinally. However, it is possible that these intervention programs may have an indirect impact on adolescent functioning via positive mediators, and that this influence may predict more durable protective benefits. This study evaluated the efficacy of the Resilient Families program for improving social-emotional skills and depressive symptoms for adolescents over a two-year period. Twenty-four secondary schools in Melbourne, Australia were randomly allocated to either Resilient Families or a control condition. 1826 students (M= 12.3, SD =.05 years at W1; 56% female) completed the curricula and subsequent surveys. Inconsistent with hypotheses, analysis with Structural Equation Modelling revealed that the program had no significant effect on social-emotional skills and these skills had no significant effects on adolescent depressive symptoms. However, family attendance at parent education events within the intervention schools was associated with longitudinal reductions in depressive symptoms. The findings highlight the importance of increasing emphasis on family and community protective factors in adolescent social-emotional development and depression prevention programs. [ABSTRACT FROM AUTHOR]

Emerging research shows yoga, a body-based mindfulness practice, appears to augment the benefits of transdiagnostic group CBT up to 3-month post-treatment, but less is known about longer-term outcomes. This mixed-methods study reports on 12-month findings of a pragmatic preference trial with adults (N = 59) diagnosed with depression or anxiety. It compares longer-term outcomes between adults who completed either a group CBT program or group CBT with an adjunct therapeutic yoga program. A fixed effects linear mixed model explored symptoms of depression and anxiety (DASS-21) between the groups at 12-month follow-up (CBT alone, n = 13; CBT+Yoga, n = 15). Focus groups and semi-structured interviews were also conducted (n = 20) to identify what practices were maintained at follow-up. At 12-month follow-up, participants in the combined CBT+Yoga group had sustained reductions in anxiety and depression, with significantly superior outcomes when compared to those receiving group CBT alone. Qualitative data suggested that therapeutic yoga enhanced longer-term access to CBT concepts and contributed to overall increases in positive feelings and actions. Therapeutic yoga as an adjunct to group CBT appears to augment the longer-term benefits of CBT with sustained therapeutic benefits at 12 months. [ABSTRACT FROM AUTHOR]