Journal of Psychology and Psychotherapy Research

Improved YOLOv3 Network Combined with LSTM Model and Attention Module for Cerebral Aneurysm Detection

Du Wenjie — 2025-02-15

Cerebral aneurysm is a kind of cerebrovascular disease, which is mainly diagnosed by reading the MRA slice data to diagnose whether it is suffering from cerebral aneurysm or not, and the medical image detection method based on deep learning can help doctors to improve the detection accuracy and efficiency. Small target detection and the interference of vascular region are the difficulties in cerebral aneurysm detection, which is prone to misdetection or missed detection. Aiming at these problems, we propose an improved method for cerebral aneurysm detection by introducing the LSTM model and the attention module on the basis of the YOLOv3 network, optimizing it in terms of feature processing, time series information construction, weight allocation, etc., using the structure of the YOLOv3 network to achieve effective feature extraction, the regression ability of the LSTM model to construct the time series information among the sliced sequences, and the attention module to assign weights to improve the detection ability of small targets and prevent the interference of blood vessels on the detected targets to improve the detection performance of the network. The experimental results prove the effectiveness of the above improved method which shows significant improvement in the accuracy and anti-interference detection. There is a significant improvement in the detection of cerebral aneurysms, with the precision index reaching 70.8%, an increase of 8.7%, the recall index reaching 76.2%, an increase of 5.0%, and the mAP index reaching 69.9%, an increase of 4.7%, which improves the ability to detect small targets and reduces the interference of blood vessels with the target of detection.

Psychological Assessment in Acute Psychiatric Settings: From a Narrative Review to a Decision-Making Framework

Laura Bernabei — 2025-11-19

Psychological assessment in acute psychiatric settings plays a critical role in establishing accurate diagnoses, informing treatment planning, and improving clinical outcomes. Clinicians working in these high-intensity environments must evaluate patients presenting with severe psychiatric symptoms while navigating substantial challenges, including time pressure, fluctuating clinical presentations, and limited patient cooperation. This narrative review examines existing literature on psychodiagnostics assessment in psychiatric inpatients units and identifies key factors that influence decision-making. Building on this evidence, the review proposes a rapid decision-making framework designed to support clinicians in selecting and implementing appropriate assessment strategies. By integrating structured instruments, clinical judgement, and contextual information this framework aims to standardize assessment practices, enhance diagnostic accuracy, and facilitate treatment adherence and continuity of care. A clear decision-making framework is necessary to propose unambiguous psychotherapeutic treatments that clarify treatment paths and facilitate achievement of objectives in the short and long term.

Attention Deficit Hyperactivity Disorder in Adulthood: A Comprehensive

Ilaria Bertolucci — 2025-12-02

Attention-deficit hyperactivity disorder (ADHD) in adults is a neurodevelopmental disorder marked by persistent symptoms, including inattention, emotional dysregulation, impulsivity, and restlessness. In adults, ADHD can result in unstable interpersonal relationships, impaired academic or occupational performance, and diminished self-esteem, thereby adversely affecting quality of life. This paper provides an overview of the literature on the etiology, diagnosis, and treatment of adult ADHD. Diagnosis is frequently delayed until adulthood or misunderstood. Assessment challenges include subtler symptom presentation compared to children and diagnostic overshadowing by medical and psychiatric comorbidities. Pharmacotherapy is the first-line treatment for adults with ADHD. Cognitive Behavioral Therapy is the most widely used psychological intervention.

Stress, Cerebral Asymmetry, and the Vestibular System: Rethinking the Neurobiology of Dizziness

A.M. Soza Ried — 2025-12-09

Stress may be defined as the perceived threat to an individual’s physical, emotional, social, economic, or bodily integrity, eliciting a coordinated set of adaptive neurobiological responses. In right-handed individuals, interoceptive self-awareness is predominantly represented in the right anterior insula, a region critically involved in integrating internal bodily states with higher-order regulatory functions. Emerging evidence indicates that threat-related stress can induce lateralized changes in right insular activity, thereby modulating the vestibular system. Such modulation may produce vestibular functional asymmetry, resulting in dizziness, postural imbalance, and a subjective sense of instability. This review synthesizes current evidence on stress-induced lateralized insular modulation and the structural and functional connectivity between the insular cortex and vestibular nuclei. We propose an integrative neurobiological model linking these mechanisms to alterations in bodily self-experience during states of threat.

The Relationship Between Anxiety and Decision Preference in the Ratio Bias Paradigm

Xiaoqing Song — 2025-12-16

In the ratio bias paradigm, people make different choices depending on whether information is presented in terms of probability or absolute value. The current research intended to investigate the relationship between anxiety and decision preference in the ratio bias paradigm. In Studies 1 and 2, we analyzed the mediating role of ego depletion in the relationship between anxiety and decision preference, using a relevant-event recall task to manipulate anxiety and a ratio bias paradigm to measure decision preference. The results showed that anxiety promotes ego depletion, thus increasing decision preference based on absolute value. In Study 3, we further examined the moderating role of self-control in the mediation model, with a movie clip used to manipulate anxiety and a decision-making task used to measure decision preference. The results showed that ego depletion was significantly associated with decision preference based on absolute value only when self-control was low.

The History, Value and Realizable Path of Corporation Childcare in China

Yang Chen — 2025-12-17

Under the background of low fertility rate in China in recent 8 years, this paper reviews the development course of corporation childcare in China, and discusses the role of corporation childcare service in improving fertility rate from the angle of historical development and contemporary practice. This paper discusses the value and influence of corporation childcare on society and government, employees and families, and corporation itself.Based on the dilemma of corporation childcare in China, combined with the practice of other developed countries and first-tier cities in China, this paper puts forward some suggestions from the aspects of policy, law, supervision and teachers, aiming at improving the willingness of corporations to undertake childcare services and eliminating the concerns of employees' families.

Blood and Brain Tissue Biomarkers for Autoimmunity and Inflammation in Suicidal Behavior and Suicidal Ideation

Niels Hansen — 2025-12-22

Suicidal behavior and ideation are serious psychiatric symptoms that must be taken seriously and that can trigger a genuine suicide if there is no timely intervention. Biomarkers that can predict such behavior are therefore incredibly important in this context. This article discusses inflammatory markers that may be elevated in patients presenting suicidal behavior. There is evidence that autoantibodies against thyroid tissue are associated with suicidal ideation and behavior. However, there are also autoantibodies against neuronal and glial antigens, that according to recent studies play an only minor role in suicidal behavior. We can therefore assume that overall, autoimmune processes in the thyroid gland play a role in suicidal behavior and suicidal ideation in association with brain function and inflammatory processes. The relationship between neural autoantibodies and suicidal behavior remains under investigated, but the first studies have indicated that suicidal behavior affects only a small minority of patients with neural autoantibodies, if any. Suicidal behavior rarely occurs as a clinical feature in autoimmune encephalitis with autoantibodies. Taken together, the studies show that in a minority of patients with suicidal behavior, pro-inflammatory markers are more prevalent than anti-inflammatory markers.

The Vestibular System as a Circadian Modulator: Neural Pathways to the Hypothalamus Shaping Sleep, Autonomic Activity, and Hormonal Rhythms

A.M. Soza Ried — 2025-12-30

Physiological homeostasis in humans relies on the precise integration of autonomic, endocrine, and circadian regulatory mechanisms, largely orchestrated by hypothalamic nuclei [1-3]. These regulatory domains include: (1) autonomic nervous system control through sympathetic and parasympathetic outputs, governing cardiovascular, respiratory, gastrointestinal, and metabolic functions [4, 5]; (2) endocrine secretion via hypothalamic–pituitary axes, modulating stress responses, growth, reproduction, and energy balance [6, 7]; and (3) circadian regulation of sleep–wake cycles and daily physiological rhythms through interactions with the suprachiasmatic nucleus (SCN) [8-10]. Dysregulation of these hypothalamic-controlled variables gives rise to a wide spectrum of somatic and neuropsychiatric symptoms—such as fatigue, sleep disturbances, autonomic instability, metabolic imbalance, anxiety, and mood disorders—which profoundly limit quality of life, particularly in individuals with mental illnesses [11-13].

The vestibular system of the inner ear is classically defined as a sensory system specialized in detecting head motion, spatial orientation, and balance, ensuring postural stability and coordinated eye movements [14]. However, accumulating evidence indicates that vestibular afferent signals extend far beyond motor control. Anatomical and functional studies demonstrate direct and indirect projections from vestibular nuclei to hypothalamic regions involved in autonomic regulation, neuroendocrine secretion, and circadian timing [15-18]. Through these connections, vestibular input appears capable of modulating core physiological functions traditionally attributed to hypothalamic control.

This paper reviews current evidence supporting the role of the vestibular system as a regulator of bodily physiology via its influence on hypothalamic networks. Through vestibulo–hypothalamic interactions, vestibular input may contribute not only to somatic regulation but also to psychological and clinical manifestations frequently observed in anxiety, depressive disorders, stress-related conditions, and sleep disorders, including impaired emotional regulation, altered stress responsiveness, cognitive dysfunction, and reduced quality of life. Finally, future perspectives are discussed, highlighting vestibular stimulation as a promising neuromodulatory approach to indirectly target hypothalamic dysfunction in disorders characterized by autonomic, endocrine, and circadian dysregulation.