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Background While advancements in cancer treatments have improved survival rates, they also lead to adverse effects such as insomnia, which significantly impacts survivors' sleep quality. Objective This study explores the influence of cancer‐related fatigue (CRF), Fear of Cancer Recurrence (FCR), and psychological distress, with rumination serving as a mediating factor, on the insomnia experienced by cancer survivors. Methods The study involved 220 cancer survivors attending Shohada‐e‐Tajrish Hospital's oncology center in Tehran, Iran. Participants were selected through convenience sampling and completed several questionnaires: the Insomnia Severity Index, Fear of Cancer Recurrence Inventory, Cancer Fatigue Scale, Kessler Psychological Distress Scale, and Rumination Response Scale. Results The results showed that the tested model had a good fit, and the correlation matrix demonstrated significant positive correlations between CRF (0.46), FCR (0.15), psychological distress (0.55), and rumination (0.42) with insomnia in cancer survivors (p < 0.05). Notably, CRF (B = 0.356, p < 0.001) and psychological distress (B = 0.339, p < 0.001) affect insomnia both directly and indirectly through mediation by rumination, while the impact of FCR on insomnia was indirectly significant (B = 0.73, p < 0.05). Conclusion The findings suggest that interventions focused on managing rumination could be potential targets to alleviate insomnia and improve the sleep quality of cancer survivors.

Objective: Child emotional abuse (CEA) is associated with a wide range of detrimental consequences, both in childhood and adulthood. Despite its widespread prevalence and long-term impact, it has historically received less scholarly attention compared to physical and sexual abuse. To address this gap, his study presents the first global bibliometric analysis of CEA research from 2005–2024, mapping its evolution, thematic trends, and geographical distribution. Method: Using Scopus and PubMed, 1,040 articles and reviews in English were analyzed via the R-based Bibliometrix package. Descriptive, network, and thematic analyses identified publication patterns, collaboration networks, and conceptual trends. Results: Publications on CEA have risen sharply since 2018, with psychology, medicine, and psychiatry dominating the field. The United States, China, and Canada are the most productive countries, while many Low- and Middle-Income Countries (LMICs) remain underrepresented (e.g., Iran 0.96%). Trend analyses reveal a thematic shift from immediate psychological distress toward developmental mechanisms, transdiagnostic constructs (e.g., early maladaptive schemas), and culturally contextual factors. Thematic mapping shows underdeveloped core areas (e.g., depression, child trauma), well-developed motor themes (e.g., early maladaptive schemas, meta-analysis), and niche/emerging topics (e.g., fMRI, gene–environment interaction). Conclusion: CEA research is expanding toward integrative, culturally informed, and mechanism-focused frameworks, but definitional, methodological, and geographical gaps persist. Targeted investment in LMIC research, validated and culturally adapted tools, interdisciplinary collaboration, and prevention-oriented strategies are urgently needed.

PurposeWhat is happening in the perceived world of young people who have non-suicidal self-injury? The answer to this question explains many quantitative research findings in the field of NSSI. The current qualitative research design is Husserl's descriptive phenomenology.Design/methodology/approachThe participants included 17–29-year-old youths with self-injury and were selected with a targeted sampling approach and a conspicuous sampling method based on the theoretical saturation criterion of 21 people. Data were collected in a semi-structured interview and analyzed in the MAXQDA2022 software using the Attride-Stirling (2001) method. Validation of data was done by the method of simultaneous review of colleagues and simultaneous review of participants.FindingsThe themes emerging from the analysis of the findings are the three organizing themes of “vulnerable temperament” which includes height and head, high pain sensitivity threshold and desire for nothingness, “traumatic family” which includes disorganization, crisis and devaluation in the family and “developmental injuries” that are associated with physical, sexual and emotional abuse and neglect. The content of these themes seriously harms a person's self-perception through the emotions of fear, shame, anger and despair and is integrated into the overarching theme of “damaged self”.Originality/value“Damaged Self” provides causal explanations related to the formation of self-injurious behaviors and these behaviors are in harmony with the damage that a person observes in his perception of himself.

Background Studies have indicated that apart from enhancing patient survival, chemotherapy has adverse side effects on the psychological, social, and cognitive functions of breast cancer survivors. Aims This study was conducted to understand chemotherapy's impact on breast cancer survivors' cognitive functions. Methods and Results Our study is a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. We searched English databases, including PubMed/MEDLINE, PsycINFO, and Web of Science, and Persian databases, such as Irandoc and Elmnet, using Persian keywords of cancer, breast cancer, chemotherapy, cognitive functions, executive functions, and neuropsychological functions. Two reviewers independently evaluated the full text of the articles according to predefined criteria. Among the 937 available studies, 26 were selected based on the inclusion and exclusion criteria, of which 17 (65%) were longitudinal and 9 (35%) were cross‐sectional. The findings indicated a significant relationship between the use of chemotherapy and cognitive impairments, most notably attention, working and short‐term memory, and executive functions. However, the studies differed in their findings regarding the long‐term persistence of cancer‐related cognitive impairment (CRCI), which could be due to the wide range of tools used, different methods to measure cognitive functions, and the difference in the sample size of the studies. Conclusion Chemotherapy, affecting cortical and subcortical brain structures, causes a set of cognitive impairments that can lead to impairments in social responsibility acceptance, daily functioning, and quality of life of women. Therefore, rigorous and extensive research design is required to understand the causes and consequences of CRCI using standardized and sensitive measures of cognitive functions. Specifically, studies comparing the effects of different chemotherapy regimens on cognition and potential mechanisms and/or moderators of CRCI would be instrumental in designing more effective therapy regimens and evaluating the efficacy and cost‐effectiveness of cognitive rehabilitation and supportive care programs.

IntroductionMentalising, the capacity to understand behaviour via underlying mental states, is a key construct in psychopathology. While self-report instruments are widely used to assess mentalising, significant questions about their psychometric properties persist and no systematic review has comprehensively evaluated them using standardised criteria. This systematic review, guided by the COnsensus-based Standards for the selection of health Measurement Instruments () methodology, aims to: (1) identify all available self-report mentalising measures for adults; (2) evaluate the methodological quality of their validation studies; (3) synthesise and grade the quality of evidence on their measurement properties and (4) provide evidence-based recommendations for their use in research and clinical practice.Methods and analysisFive electronic databases (SCOPUS, Web of Science, PsycINFO, PubMed, ProQuest) will be searched from their inception, supplemented by a search of grey literature and reference lists. We will include studies of any design that report on at least one measurement property of a self-report measure of mentalising in adults. Two reviewers will independently screen all records, extract relevant data and assess the methodological quality of included studies using the COSMIN Risk of Bias checklist. For each instrument, the evidence for each measurement property will be synthesised, and the overall quality of the evidence will be graded using a modified Grading of Recommendations Assessment, Development and Evaluation approach.Ethics and disseminationAs this systematic review will synthesise data from previously published studies, it does not require formal ethical approval. The findings will be disseminated through a peer-reviewed, open-access publication and presentations at scientific conferences. The results will provide a comprehensive inventory of available measures and a rigorous evaluation of their psychometric quality, creating an evidence base to guide clinicians and researchers in selecting the most appropriate instruments for mentalising assessment.PROSPERO registration numberCRD420251031469.

Self-injury is one of the most challenging behavioral disorders, imposing a significant burden on affected individuals. A combination of personal, communicative, and contextual factors influences individuals’ decisions to engage in this behavior. Addressing these individual factors is crucial for effective intervention. This study aimed to elucidate the factors that trigger Non-Suicidal Self-Injury (NSSI) among young people. The research design employed a qualitative approach utilizing the phenomenological method. Participants included 21 individuals aged 17 to 29 who met the criteria for NSSI as outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). Data were collected through in-depth interviews and analyzed using the method developed by Corbin and Strauss (2015). The analysis was conducted solely based on the data and was facilitated by MAXQDA software. Analysis yeilded one main theme, termed “Triggers of Non-Suicidal Self-Injury,” along with three subthemes: “Questioning Self,” “Questioning Values,” and “Conductive Environment,” as well as six categories. The formation of this disorder involves numerous factors, all of which were comprehensively examined in this research. These findings not only lay the groundwork for future studies in this field but also provide valuable guidance for therapists working with individuals who engage in self-injury.

ABSTRACT Purpose Our study explores the prevalence, severity, and psychological correlates of insomnia in cancer survivors, aiming to predict sleep quality based on pre‐sleep arousal, pain, and worry, while examining the mediating role of dysfunctional beliefs and attitudes about sleep (DBAS). Methods A descriptive‐correlational design was employed, with 200 cancer survivors from Tehran, Iran, selected through convenience sampling in 2022. Participants completed the Pittsburgh Sleep Quality Index (PSQI), Chronic Pain Grade (CPG), Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS), Pennsylvania Worry Questionnaire (PSWQ), and Pre‐Sleep Arousal Scale (PSAS). The data were analyzed using correlation and multiple regression through SPSS‐23 software. Results On average, 37.07 months post‐treatment, 95% of survivors reported delayed sleep onset, 88.5% frequent awakenings, 72% reduced sleep duration, and 67% morning dysfunction. Significant positive associations were found between pre‐sleep arousal, chronic pain (r = 0.552), worry (r = 0.161), DBAS (r = 0.363), and poor sleep quality (r = 0.607). Regression analysis indicated that physical arousal (B = 0.29, p = 0.01) and DBAS (B = 0.14, p < 0.05) were significant predictors of sleep quality, with DBAS mediating the relationship between physical arousal and sleep quality. Conclusions Persistent sleep problems after cancer treatment highlight the need for targeted interventions in survivorship care. Sleep‐focused strategies may improve sleep quality and reduce the burden of insomnia‐related issues. Implications for Cancer Survivors Addressing pre‐sleep arousal, pain, worry, and DBAS through targeted interventions is crucial for improving sleep quality and overall quality of life in cancer survivors.

Background Multiple sclerosis (MS) is an autoimmune disease of the central nervous system. MS causes many changes in the lives of its patients, forcing them to renegotiate their lives. Part of these changes are related to patients’ self- and others- mental representations. Despite the importance of mental representations in changes caused by or adaptation to MS, limited research has been conducted to examine the mental representations of people with MS. Methods This study examines the mental representations that Healthy Controls (HC) and people with MS (PWMS) have of themselves and others, including childhood and current self-images, as well as those of their mothers, love partners, and close friends. In both groups (HC ( n  = 82) and PWMS ( n  = 82)), participants completed demographic variables as well as a modified version of the comfortable interpersonal distance (CID) task in both passive (when protagonists approached them) and active modes (when participants approach protagonists). Participants estimated the point at which they felt discomforted. Results The PWMS group preferred a significantly larger interpersonal distance than the HC group for both current self-image and love partner. There is no difference between the two groups in preferring interpersonal distance from their childhood self-image, mother, and friends. Conclusions Based on the research results, it seems that PWMS experience a kind of alienation at the level of self-mental representations. This research can be helpful in modifying MS interventions and increasing the engagement of support systems.

Multiple sclerosis (MS), as a progressive and degenerative illness, has an impact on different aspects of individual lives and may lead to difficulties, concerns, and worries in patients. The aim of the present study was to investigate concerns, worries and problems in patients with MS. We used a descriptive phenomenological qualitative approach. Participants were volunteers purposively selected based on their availability. We carried out deep interviews with 15 MS patients and analyzed the detailed information obtained from these interviews by using Colaizzi s method. We extracted six essential themes and thirty-four sub-themes associated with MS from the content of the interviews. The main themes were labelled Confronting existential concerns, Crisis of facing up with the illness, Suffering from the illness, Relationship, Confrontation with spirituality and religion, Searching for tranquility. Results of the present study also reiterated the following: Patients with MS seem to lose meaning of life and this together with problems in dealing with existential concerns, may lead to the disintegration of self, hence resulting in considerable psychological disturbance and distress. It is concluded that the illness evokes psychological injury such as existential anxiety, relationship disturbance and hopelessness, and these psychological injuries can lead to relapsing of MS.