Are ‘time’ and ‘culture’ useful and necessary diagnostic requirements for ICD-11 Prolonged Grief Disorder? A Cross-national study

Death Studies, Год журнала: 2025, Номер unknown, С. 1 - 12

Опубликована: Март 5, 2025

ICD-11 PGD can only be diagnosed if symptoms persist beyond 6 months after bereavement and for longer than would expected from societal, cultural, or religious norms. This study examined the validity utility of these diagnostic requirements using self-report cross-sectional data samples bereaved adults United Kingdom (UK; n = 1,012), Ireland (Ireland; 1,011), Ontario (n 1,167). rates probable were not markedly higher in those within last months, participants didn't view as normative timeframe to come terms with a bereavement. Approximately quarter meeting symptom impairment couldn't determine their grief exceeded cultural Applying time significantly reduced diagnosis rates. We argue that findings may undermine clinical requirements.

Язык: Английский

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Can playing Dungeons and Dragons be good for you? A registered exploratory pilot programme using offline tabletop role-playing games to mitigate social anxiety and reduce problematic involvement in multiplayer online video games

Royal Society Open Science, Год журнала: 2025, Номер 12(4)

Опубликована: Апрель 1, 2025

Gamers with poor self-concept, high social anxiety and loneliness are more at risk of problematic involvement in video games, such as massively multiplayer online role-playing games. There is a research gap concerning treatment approaches to cater socially anxious gamers patterns gaming involvement. This registered exploratory pilot programme tests the feasibility initial effect structured protocol which exposed real-life interactions while playing an offline tabletop game (TTRPG). Our lasted 10 weeks involved sessions organized into three modules participants played TTRPG inspired by ‘Dungeons Dragons’. Each module deployed scenario designed challenge players terms involve them story based on maturing relationships other characters solving challenges means investigation. study used quasi-experimental multiple single-case design three-week baseline across groups (four five sub-clinical use anxiety) three-month follow-up. Primary outcomes were time spent gaming, disorder symptoms symptoms. Secondary assertiveness/social skills, self-concepts perceived loneliness. In feasibility, we observed that most completed (two 20 dropped out) participation weekly psychometric assessments. Moreover, largely able attain progressively difficult objectives implemented programme. Multiple analyses showed benefited from intervention through reduction symptoms, although varying degrees. Some also reduced their or presented Assertiveness not improved. shows approach feasible may be reduce The present must now tested clinical participants.

Язык: Английский

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Gamers in Real Life: Internet Gamer Typologies and Their Association With Problematic Gaming and Health Outcomes

Human Behavior and Emerging Technologies, Год журнала: 2025, Номер 2025(1)

Опубликована: Янв. 1, 2025

Internet gaming is a popular pastime, which has surged in popularity light of COVID‐19. While positive outcomes are common, some gamers experience problems associated with their gaming. For this reason, understanding how factors can influence healthy versus unhealthy internet crucial. This study developed gamer typologies based on boredom proneness, escapism, and coping style. Typologies were compared problematic outcomes, behaviours, engagement, health wellbeing–related variables. Cluster analysis diverse international sample ( N = 913) identified three distinct profiles: immersed, balanced, detached gamers. Detached reported the highest disengaged coping. They also had worse than other clusters, despite engaging similar behaviours to immersed These novel findings emphasise importance an engaged style highlight risk using solely addiction‐based measures identify gaming, may overlook potentially adaptive behaviours.

Язык: Английский

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Is Dissociation a Fundamental Component of ICD-11 Complex Posttraumatic Stress Disorder?

Journal of Trauma & Dissociation, Год журнала: 2023, Номер 25(1), С. 45 - 61

Опубликована: Июль 4, 2023

ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a disorder of six symptom clusters including reexperiencing, avoidance, sense threat, affective dysregulation, negative self-concept, and disturbed relationships. Unlike earlier descriptions complex PTSD, CPTSD does not list dissociation as unique cluster. We tested whether the symptoms can exist independently in nationally representative sample adults (N = 1,020) who completed self-report measures. Latent class analysis was used to identify subsets people with distinctive profiles. The best fitting model contained four classes "low symptoms" (48.9%), "PTSD" (14.7%), "CPTSD" (26.5%), "CPTSD + Dissociation" (10.0%). These were related specific adverse childhood experiences, notably experiences emotional physical neglect. "PTSD," "CPTSD," associated host poor health outcomes, however, had poorest mental highest levels functional impairment. Findings suggest that occur without corresponding dissociative when together, outcomes appear be more severe.

Язык: Английский

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Problematic online behaviors constitute related yet distinct conditions: A cross-sectional study

Computers in Human Behavior, Год журнала: 2024, Номер 160, С. 108358 - 108358

Опубликована: Июнь 28, 2024

This study tested the Spectrum hypothesis of problematic online behaviors (POBs) which posits that POBs (e.g., gaming, gambling, sexual activities, and social networking) constitute distinct, yet related constructs. To overcome limitations previous research, we recruited a representative sample young men capitalized on common assessment approach (Fifth version Diagnostic Statistical Manual Mental Disorders [DSM-5] Eleventh International Classification Diseases [ICD-11] frameworks). The was single-center, observational with cross-sectional design (n = 2620). All targeted were assessed using proposed criteria DSM-5 ICD-11. correlation analysis showed activities weakly correlated (0.01 ≤ r 0.19), suggesting when people engage in one specific activity to extent, they do not necessarily several an excessive way. Using network analysis, various might reflect distinct community detection identified four communities items corresponding each POB. Our robust methodology sampling strategy suggests construct "Internet addiction" could be misleading. epistemological shift necessary develop adequate clinical care public health measures address POBs.

Язык: Английский

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