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Objective: Patients suffering from psychological disorders report decreased quality of life and low mood. The relationship of these symptoms to daily upsetting events or environments, and in the context of active coping mechanisms is poorly understood. The present study thus investigates the association between mood, psychological flexibility, upsetting events, and environment in the daily life of outpatients.
Method: We investigated 80 outpatients at the beginning of treatment, using event sampling methodology (ESM). Patients' mood, occurrence of upsetting events, current environment, and psychological flexibility were sampled six times per day during a one-week intensive longitudinal examination. Data were analyzed using linear mixed models (LMMs).
Results: Participants reported worse mood the more upsetting events they experienced. Further, participants reported better mood when in private environments (e.g., with friends), and worse mood when at the hospital, compared to being at home. Higher levels of psychological flexibility, however, were associated with better mood, irrespective of the occurrence of upsetting events or current environment.
Conclusion: Results suggest that mood is positively associated with psychological flexibility, not despite, but especially during the dynamic and context-specific challenges of daily life. Psychological flexibility may thus potentially act as a buffer against distress-provoking situations as patients go about their daily lives.
Trial Registration: ISRCTN.org identifier: ISRCTN11209732.
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http://dx.doi.org/10.1080/10503307.2023.2215392 | DOI Listing |
PLoS One
September 2025
Department of Special Education, Faculty of Education, University of Haifa, Haifa, Israel.
Students with Specific Learning Disorders (SLD) face difficulties not only in academic skills but also in the social, emotional, and executive function (EF) domains. These challenges may increase vulnerability to rumination-a repetitive and maladaptive focus on distress, which is strongly linked to emotional difficulties. This study explores differences in academic, social, emotional, and EF challenges between students with and without SLD and investigates whether these challenges moderate the relationship between SLD and rumination.
View Article and Find Full Text PDFJ Pain Symptom Manage
August 2025
Department of Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, United States. Electronic address:
Context: Low dose naltrexone (LDN) has been utilized off-label for chronic non-cancer pain; its benefits in treating cancer-related pain remain unclear.
Objectives: We describe the safety and effectiveness of LDN therapy from initiation to the first two follow-up visits in treating refractory cancer-pain.
Methods: Medical charts of cancer patients seen in the Pain Management Center who were prescribed LDN between 2022 and 2023 were reviewed.
Anaesthesia
August 2025
Department of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Introduction: Emergence agitation is common after ear, nose and throat surgery, causing patient discomfort and increased risk of complications. We hypothesised that pre-operative dexmedetomidine nasal spray would reduce the incidence of emergence agitation in adult patients undergoing these procedures.
Methods: We conducted a randomised double-blind controlled trial in adults scheduled for ear, nose and throat surgery.
PeerJ
August 2025
School of Psychology, The Northwest Normal University, Lanzhou, Gansu, China.
Background: Previous studies have shown that intolerance of uncertainty (IU) and obsessive-compulsive disorder (OCD) are closely interrelated. This reliance on scale totals to measure symptom severity obscures the distinctions and connections between different symptoms. In the present study, we explored the relationships between different components of IU and symptoms of OCD.
View Article and Find Full Text PDFJ Child Psychol Psychiatry
July 2025
Department of Child & Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Background: Mental health problems are elevated in adolescents with ADHD and/or autism. Emotion regulation deficits (ERD) have been hypothesised as a key driver of such difficulties. The Regulating Emotions - Strengthening Adolescent Resilience (RE-STAR) programme is examining an alternative pathway from neurodivergence to mental health problems, mediated by elevated emotional burden (EB) resulting from the interplay of increased exposure and an unusually intense emotional reaction to commonly upsetting events (CUEs).
View Article and Find Full Text PDF