The 10 most recently published documents
Background: As digital mental health delivery becomes increasingly prominent, a solid evidence base regarding its efficacy is needed.
Objective: This study aims to synthesize evidence on the comparative efficacy of systemic psychotherapy interventions provided via digital versus face-to-face delivery modalities.
Methods: We followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for searching PubMed, Embase, Cochrane CENTRAL, CINAHL, PsycINFO, and PSYNDEX and conducting a systematic review and meta-analysis. We included randomized controlled trials comparing mental, behavioral, and somatic outcomes of systemic psychotherapy interventions using self- and therapist-guided digital versus face-to-face delivery modalities. The risk of bias was assessed with the revised Cochrane Risk of Bias tool for randomized trials. Where appropriate, we calculated standardized mean differences and risk ratios. We calculated separate mean differences for nonaggregated analysis.
Results: We screened 3633 references and included 12 articles reporting on 4 trials (N=754). Participants were youths with poor diabetic control, traumatic brain injuries, increased risk behavior likelihood, and parents of youths with anorexia nervosa. A total of 56 outcomes were identified. Two trials provided digital intervention delivery via videoconferencing: one via an interactive graphic interface and one via a web-based program. In total, 23% (14/60) of risk of bias judgments were high risk, 42% (25/60) were some concerns, and 35% (21/60) were low risk. Due to heterogeneity in the data, meta-analysis was deemed inappropriate for 96% (54/56) of outcomes, which were interpreted qualitatively instead. Nonaggregated analyses of mean differences and CIs between delivery modalities yielded mixed results, with superiority of the digital delivery modality for 18% (10/56) of outcomes, superiority of the face-to-face delivery modality for 5% (3/56) of outcomes, equivalence between delivery modalities for 2% (1/56) of outcomes, and neither superiority of one modality nor equivalence between modalities for 75% (42/56) of outcomes. Consequently, for most outcome measures, no indication of superiority or equivalence regarding the relative efficacy of either delivery modality can be made at this stage. We further meta-analytically compared digital versus face-to-face delivery modalities for attrition (risk ratio 1.03, 95% CI 0.52-2.03; P=.93) and number of sessions attended (standardized mean difference –0.11; 95% CI –1.13 to –0.91; P=.83), finding no significant differences between modalities, while CIs falling outside the range of the minimal important difference indicate that equivalence cannot be determined at this stage.
Conclusions: Evidence on digital and face-to-face modalities for systemic psychotherapy interventions is largely heterogeneous, limiting conclusions regarding the differential efficacy of digital and face-to-face delivery. Nonaggregated and meta-analytic analyses did not indicate the superiority of either delivery condition. More research is needed to conclude if digital and face-to-face delivery modalities are generally equivalent or if—and in which contexts—one modality is superior to another.
Background: Psychoeducation positively influences the psychological components of chronic low back pain (CLBP) in conventional treatments. The digitalization of health care has led to the discussion of virtual reality (VR) interventions. However, CLBP treatments in VR have some limitations due to full immersion. In comparison, augmented reality (AR) supplements the real world with virtual elements involving one’s own body sensory perception and can combine conventional and VR approaches.
Objective: The aim of this study was to review the state of research on the treatment of CLBP through psychoeducation, including immersive technologies, and to formulate suggestions for psychoeducation in AR for CLBP.
Methods: A scoping review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed in August 2024 by using Livivo ZB MED, PubMed, Web of Science, American Psychological Association PsycINFO (PsycArticle), and PsyArXiv Preprints databases. A qualitative content analysis of the included studies was conducted based on 4 deductively extracted categories.
Results: We included 12 studies published between 2019 and 2024 referring to conventional and VR-based psychoeducation for CLBP treatment, but no study referred to AR. In these studies, educational programs were combined with physiotherapy, encompassing content on pain biology, psychological education, coping strategies, and relaxation techniques. The key outcomes were pain intensity, kinesiophobia, pain catastrophizing, degree of disability, quality of life, well-being, self-efficacy, depression, attrition rate, and user experience. Passive, active, and gamified strategies were used to promote intrinsic motivation from a psychological point of view. Regarding user experience from a software development perspective, user friendliness, operational support, and application challenges were recommended.
In the face of uncontrollable complexity, the concept of a rational design of the organization is being replaced by the notion of an open future that is inherently unpredictable and unplanable. In rapidly changing environments, organizations and leaders are confronted with a constant stream of irritations and unexpected developments, that require ongoing attention. This prompts the question of whether the conceptualization of digital transformation as a paradigm shift also implies the need for new forms of leadership. The article analyzes the discourse on digital leadership and assesses the extent to which this concept relativizes leadership in the context of the evolution of leadership theory, which is characterized by a persistent process of modification and relativization of preceding concepts. Leadership concepts are not only responsive to general needs, but also vary according to specific contexts, such as non-profit leadership or leadership in social welfare organizations and meta-organizations. Results of a discourse analysis, which underscore the significance of adopting a complexity theory perspective on digital leadership, will therefore be contrasted with the initial findings of an empirical study on digitization in such meta-organizations. This allows for a discussion of the general findings on the revitalization of leadership, which will serve as a paradigmatic example of the previously developed context. The article concludes with implications for further theory development with the aim of making a specific contribution to organization-sensitive digitization research. The findings of the empirical study indicate the significance of employing informal structures and a heightened emphasis on subjectivity within meta-organizations, as opposed to the formal structures of organizations. The concept of digital leadership does not signify the obsolescence of traditional leadership; rather, it can be conceptualized as an advanced form of unheroic leadership within the context of external and internal complexity.
Investment theory and related theoretical approaches suggest a dynamic interplay between crystallized intelligence, fluid intelligence, and investment traits like need for cognition. Although cross-sectional studies have found positive correlations between these constructs, longitudinal research testing all of their relations over time is scarce. In our pre-registered longitudinal study, we examined whether initial levels of crystallized intelligence, fluid intelligence, and need for cognition predicted changes in each other. We analyzed data from 341 German students in grades 7–9 who were assessed twice, one year apart. Using multi-process latent change score models, we found that changes in fluid intelligence were positively predicted by prior need for cognition, and changes in need for cognition were positively predicted by prior fluid intelligence. Changes in crystallized intelligence were not significantly predicted by prior Gf, prior NFC, or their interaction, contrary to theoretical assumptions. This pattern of results was largely replicated in a model including all constructs simultaneously. Our findings support the notion that intelligence and investment traits, particularly need for cognition, positively interact during cognitive development, but this interplay was unexpectedly limited to Gf.
Attention in social interactions is directed by social cues such as the face or eye region of an interaction partner. Several factors that influence these attentional biases have been identified in the past. However, most findings are based on paradigms with static stimuli and no interaction potential. Therefore, the current study investigated the influence of one of these factors, namely facial affect in natural social interactions using an evaluated eye-tracking setup. In a sample of 35 female participants, we examined how individuals’ gaze behavior responds to changes in the facial affect of an interaction partner trained in affect modulation.
Our goal was to analyze the effects on attention to facial features and to investigate their temporal dynamics in a natural social interaction. The study results, obtained from both aggregated and dynamic analyses, indicate that facial affect has only subtle influences on gaze behavior during social interactions. In a sample with high measurement precision, these findings highlight the difficulties of capturing the subtleties of social attention in more naturalistic settings. The methodology used in this study serves as a foundation for future research on social attention differences in more ecologically valid scenarios.
Job crafting is the behavior that employees engage in to create personally better fitting work environments, for example, by increasing challenging job demands. To better understand the driving forces behind employees’ engagement in job crafting, we investigated implicit and explicit power motives. While implicit motives tend to operate at the unconscious, explicit motives operate at the unconscious level. We focused on power motives, as power is an agentic motive characterized by the need to influence your environment. Although power is relevant to job crafting in its entirety, in this study, we link it to increasing challenging job demands due to its relevance to job control, which falls under the umbrella of power. Using a cross-sectional design, we collected survey data from a sample of Lebanese nurses (N = 360) working in 18 different hospitals across the country. In both implicit and explicit power motive measures, we focused on integrative power that enable people to stay calm and integrate opposition. The results showed that explicit power predicted job crafting (H1) and that implicit power amplified this effect (H2). Furthermore, job crafting mediated the relationship between congruently high power motives and positive work-related outcomes (H3) that were interrelated (H4). Our findings unravel the driving forces behind one of the most important dimensions of job crafting and extend the benefits of motive congruence to work-related outcomes.
Aims: Fear of physical activity (PA) is discussed as a barrier to regular exercise in patients with heart failure (HF), but HF-specific theoretical concepts are lacking. This study examined associations of fear of PA, heart-focused anxiety and trait anxiety with clinical characteristics and self-reported PA in outpatients with chronic HF. It was also investigated whether personality-related coping styles for dealing with health threats impact fear of PA via symptom perception.
Methods and results: This cross-sectional study enrolled 185 HF outpatients from five hospitals (mean age 62 ± 11 years, mean ejection fraction 36.0 ± 12%, 24% women). Avoidance of PA, sports/exercise participation (yes/no) and the psychological characteristics were assessed by self-reports. Fear of PA was assessed by the Fear of Activity in Situations–Heart Failure (FActS-HF15) questionnaire. In multivariable regression analyses higher NYHA class (b = 0.26, p = 0.036) and a higher number of HF drugs including antidepressants (b = 0.25, p = 0.017) were independently associated with higher fear of PA, but not with heart-focused fear and trait anxiety. Of the three anxiety scores only increased fear of PA was independently associated with more avoidance behavior regarding PA (b = 0.45, SE = 0.06, p < 0.001) and with increased odds of no sports/exercise participation (OR = 1.34, 95% CI 1.03–1.74, p = 0.028). Attention towards cardiac symptoms and symptom distress were positively associated with fear of PA (p < 0.001), which explained higher fear of PA in patients with a vigilant (directing attention towards health threats) coping style (p = 0.004).
Conclusions: Fear of PA assessed by the FActS-HF15 is a specific type of anxiety in patients with HF. Attention towards and being distressed by HF symptoms appear to play a central role in fear of PA, particularly in vigilant patients who are used to direct their attention towards health threats. These findings provide approaches for tailored interventions to reduce fear of PA and to increase PA in patients with HF.
The turnover and stabilization of organic matter (OM) in soils depend on mass and energy fluxes. Understanding the energy content of soil organic matter (SOM) is therefore of crucial importance, but this has hardly been studied so far, especially in mineral soils. In this study, combustion calorimetry (bomb calorimetry) was applied to determine the energy content (combustion enthalpy, ΔCH) of various materials: litter inputs, forest floor layers (OL, OF, OH), and bulk soil and particulate organic matter (POM) from topsoils (0–5 cm). Samples were taken from 35-year-old monocultural stands of Douglas fir (Pseudotsuga menziesii), black pine (Pinus nigra), European beech (Fagus sylvatica), and red oak (Quercus rubra) grown under highly similar soil, landscape and boundary conditions. This allowed to investigate the influence of the degree of transformation and litter quality on the ΔCH of SOM. Tree species fuel the soil C cycle with high-energy litter (38.9 ± 1.1 kJ g−1C) and fine root biomass (35.9 ± 1.1 kJ g−1C). As plant material is transformed to SOM, ΔCH decreases in the order: OL (36.8 ± 1.6 kJ g−1C) ≥ OF (35.9 ± 3.7 kJ g−1C) > OH (30.6 ± 7.0 kJ g−1C) > 0–5 cm bulk soil (22.9 ± 8.2 kJ g−1C). It indicates that the energy content of OM decreases with transformation and stabilization, as microorganisms extract energy from organic compounds for growth and maintenance, resulting in lower-energy bulk SOM. The POM fraction has 1.6-fold higher ΔCH compared to the bulk SOM. Tree species significantly affect ΔCH of SOM in the mineral soil with the lowest values under beech (12.7 ± 3.4 kJ g−1C). The energy contents corresponded to stoichiometric and isotopic parameters as proxies for the degree of transformation. In conclusion, litter quality, in terms of elemental composition and energy content, defines the pathway and degree of the energy-driven microbially mediated transformation and stabilization of SOM.
In the present study, we tested whether processing information in the context of an ancestral survival scenario enhances episodic memory performance in older adults and in stroke patients. In an online study (Experiment 1), healthy young and older adults rated words according to their relevance to an ancestral survival scenario, and subsequent free recall performance was compared to a pleasantness judgment task and a moving scenario task in a within-subject design. The typical survival processing effect was replicated: Recall rates were highest in the survival task, followed by the moving and the pleasantness judgment task. Although older adults showed overall lower recall rates, there was no evidence for differences between the age groups in the condition effects. Experiment 2 was conducted in a neurological rehabilitation clinic with a sample of patients who had suffered from a stroke within the past 5 months. On the group level, Experiment 2 revealed no significant difference in recall rates between the three conditions. However, when accounting for overall memory abilities and executive function, independently measured in standardized neuropsychological tests, patients showed a significant survival processing effect. Furthermore, only patients with high executive function scores benefitted from the scenario tasks, suggesting that intact executive function may be necessary for a mnemonic benefit. Taken together, our results support the idea that the survival processing task – a well-studied task in the field of experimental psychology – may be incorporated into a strategy to compensate for memory dysfunction.
The viviparous eelpout Zoarces viviparus is a common fish across the North Atlantic and has successfully colonized habitats across environmental gradients. Due to its wide distribution and predictable phenotypic responses to pollution, Z. viviparus is used as an ideal marine bioindicator organism and has been routinely sampled over decades by several countries to monitor marine environmental health. Additionally, this species is a promising model to study adaptive processes related to environmental change, specifically global warming. Here, we report the chromosome-level genome assembly of Z. viviparus, which has a size of 663 Mb and consists of 607 scaffolds (N50 = 26 Mb). The 24 largest represent the 24 chromosomes of the haploid Z. viviparus genome, which harbors 98% of the complete Benchmarking Universal Single-Copy Orthologues defined for ray-finned fish, indicating that the assembly is highly contiguous and complete. Comparative analyses between the Z. viviparus assembly and the chromosome-level genomes of two other eelpout species revealed a high synteny, but also an accumulation of repetitive elements in the Z. viviparus genome. Our reference genome will be an important resource enabling future in-depth genomic analyses of the effects of environmental change on this important bioindicator species.