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Schüler J, Zimanyi Z, Radtke V, Stoffel M, Ditzen B. The role of "Social" in the TSST: Social support and social motives partly moderate psychobiological stress responses in addition to biological sex. Psychoneuroendocrinology 2025; 177:107440. [PMID: 40184959 DOI: 10.1016/j.psyneuen.2025.107440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2024] [Revised: 03/14/2025] [Accepted: 03/16/2025] [Indexed: 04/07/2025]
Abstract
Prior research has highlighted sex differences in psychobiological stress responses during the Trier Social Stress Test (TSST). This study expands on these findings by exploring how social motives (affiliation and power motives) and social support, as direct predictors and in interaction with biological sex, influence stress responses and reproductive hormones. A sample of 204 participants (108 women, 96 men) underwent the TSST, with social support being manipulated. The biological and psychological responses followed patterns previously documented in the literature. Linear mixed-effect models indicated that biological sex moderated the trajectories of RMSSD, testosterone, progesterone, and well-being across the TSST phases. Additionally, cortisol responses were more pronounced in men, particularly those with strong power motives. Participants receiving social support exhibited lower estradiol levels during the TSST recovery phase compared to the control group. These findings suggest that the impacts of social stress are shaped by complex interactions between biological and social factors, which could be considered in tailored stress interventions.
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Affiliation(s)
- Julia Schüler
- University of Konstanz, Universitätsstrasse 10, Constance 78464, Germany.
| | - Zsuzsanna Zimanyi
- University of Konstanz, Universitätsstrasse 10, Constance 78464, Germany; Olympic Training Center Freiburg, Schwarzwaldstrasse 177, Freiburg 79117, Germany.
| | - Vanessa Radtke
- University of Konstanz, Universitätsstrasse 10, Constance 78464, Germany.
| | - Martin Stoffel
- Heidelberg University Hospital, Bergheimer Str. 20, Heidelberg 69115, Germany; Ruprecht-Karls University Heidelberg, Institute of Medical Psychology, Bergheimer Str. 20, Heidelberg 69115, Germany.
| | - Beate Ditzen
- Heidelberg University Hospital, Bergheimer Str. 20, Heidelberg 69115, Germany; Ruprecht-Karls University Heidelberg, Institute of Medical Psychology, Bergheimer Str. 20, Heidelberg 69115, Germany; German Centre for Mental Health, partner site Heidelberg-Mannheim-Ulm, Germany.
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Chen YL, Wang SY. Challenges of face identification with varied mask coverage in the post COVID-19 era. Front Psychol 2025; 16:1486808. [PMID: 40083764 PMCID: PMC11905992 DOI: 10.3389/fpsyg.2025.1486808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2024] [Accepted: 02/10/2025] [Indexed: 03/16/2025] Open
Abstract
Introduction Recent studies have shown that wearing masks can influence face recognition abilities. During the COVID-19 pandemic, people became increasingly familiar with seeing masked faces, leading to a reduced familiarity with fully uncovered faces. With Taiwan now transitioning to a post-COVID-19 phase and the removal of mask mandates, this study investigates how varying levels of mask coverage affect face identification accuracy and response times. Methods We examined three levels of mask coverage-full coverage (FC), coverage up to the middle of the nose bridge (MB), and coverage up to the bottom of the nose bridge (BB)-to determine their effects on identification performance. A computer-based simulation was conducted with 100 university students (50 men and 50 women), where participants completed 30 trials (5 trials for each mask coverage level across two target sexes). Each trial presented a masked target face corresponding to one of the three coverage levels, alongside four full-face images. Participants were instructed to choose the image that best matched the masked target face, with an option to select "None" if no match was found. Results The findings indicate that faces with FC were identified both faster and more accurately, while those with MB coverage were the most challenging and time-consuming to recognize, particularly for female targets. The performance with BB coverage was intermediate between the other two levels. Conclusion This study highlights a notable shift in face identification processes in the aftermath of the pandemic, with FC now leading to quicker and more accurate recognitions, suggesting a significant adaptability in human perceptual mechanisms. These results emphasize the importance of further research into face recognition as we continue to adapt to the pandemic's lasting effects on social interactions and identity verification.
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Affiliation(s)
- Yi-Lang Chen
- Department of Industrial Engineering and Management, Ming Chi University of Technology, New Taipei, Taiwan
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Mastromatteo LY, Tedaldi E, Scrimin S, Rubaltelli E. The impact of partially covered faces on trust attribution, sharing resources, and perceived fairness of one's own choices in Ultimatum Game. Q J Exp Psychol (Hove) 2024:17470218241290503. [PMID: 39329406 DOI: 10.1177/17470218241290503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/28/2024]
Abstract
Covered faces have been linked with impaired emotion recognition; yet, it is entirely unexplored how an occlusion due to face masks may affect individuals' behaviour in economic decisions. Across two studies, we explored whether partially covered faces (due to mask wearing or a horizontal black bar) and emotion displayed by the responder influence peoples' sharing behaviour in the Ultimatum Game and the perceived fairness of one's proposal.Study 1 showed participants were more willing to equally share their resources with a happy face (compared to a neutral one). In addition, they were more willing to make a fair proposal when the person displayed was not wearing a face mask. Our results also provide evidence that, when people had to judge how fair their proposal was, participants rated a fair proposal as fairer when responders showed happy faces without masks, while unfair proposals were rated as fairer with happy masked faces; similarly, angry faces led to fairer ratings for fair offers without masks and unfair offers with masks. Study 2 partially confirmed previous results, highlighting how a simple occlusion on the face does not have a direct effect on the proposal but moderates the effect of the displayed emotions.These findings indicate that social interactions might be affected by face occlusion, especially when it is represented by a face mask. Indeed, people might judge the same behaviour in different ways based on the fact that their counterpart has a partially covered face.
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Affiliation(s)
| | - Elisa Tedaldi
- Department of Developmental Psychology and Socialisation, University of Padova, Padova, Italy
| | - Sara Scrimin
- Department of Developmental Psychology and Socialisation, University of Padova, Padova, Italy
| | - Enrico Rubaltelli
- Department of Developmental Psychology and Socialisation, University of Padova, Padova, Italy
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Oldmeadow JA, Gogan T. Masks wearing off: Changing effects of face masks on trustworthiness over time. Perception 2024; 53:343-355. [PMID: 38454736 PMCID: PMC11088216 DOI: 10.1177/03010066241237430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 02/15/2024] [Indexed: 03/09/2024]
Abstract
During the global COVID-19 pandemic, the wearing of face masks became a common practice, raising questions about how masks affect perceptions of and behaviour towards others. Numerous studies have explored the impact of face masks on perceptions of trustworthiness, but results have been mixed and it remains unclear whether masks influence perceptions via their social meaning or their effects on facial appearance. In this study, Australian participants (N = 363) rated a series of faces which were either masked, unmasked, or occluded by a non-mask object (computer) in terms of perceived trustworthiness in 2020, 2022, or 2023. The apparent trustworthiness of unmasked faces remained stable across years, but masked faces were rated significantly more trustworthy in 2020 compared to 2022 and 2023. Furthermore, ratings of masked faces, but not unmasked faces, were correlated with participants' attitudes towards wearing masks. Faces occluded by a non-mask object were perceived to be less trustworthy than masked faces. Together, results strongly suggest the increase in perceived trustworthiness of masked faces reported in numerous studies conducted during COVID-19 were driven by positive social meanings around mask wearing rather than by their effect on facial appearance.
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Cannito L, Ceccato I, Annunzi E, Bortolotti A, D’Intino E, Palumbo R, D’Addario C, Di Domenico A, Palumbo R. Bored with boredom? Trait boredom predicts internet addiction through the mediating role of attentional bias toward social networks. Front Hum Neurosci 2023; 17:1179142. [PMID: 37746057 PMCID: PMC10513058 DOI: 10.3389/fnhum.2023.1179142] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 08/04/2023] [Indexed: 09/26/2023] Open
Abstract
Internet addiction is an emerging issue, impacting people's psychosocial functioning and well-being. However, the prevalence and the mechanisms underlying internet misuse are largely unknown. As with other behavioral addiction disorders, the increase and persistence of internet addiction may be favored by negative affect such as boredom. In this study, we examined the role of boredom susceptibility, as a personality trait, in predicting the risk of internet addiction. Furthermore, we analyzed the attentional mechanisms that may exacerbate dysfunctional internet behaviors. Specifically, we assessed the mediating role of attentional bias toward social media cues on the relation between boredom susceptibility and internet addiction. Sixty-nine young adults were administered a dot-probe task assessing internet-related attentional bias (AB) and questionnaires measuring internet addiction (IAT) and boredom susceptibility (BS-BSSS). Correlation and t-test analyses confirmed that the tendency to experience boredom and selective attention toward social network information was related to internet addiction. Furthermore, the mediation model indicated that AB fully explains the link between BS-BSSS and IAT. The study highlighted the crucial role of selective attentional processing behind internet addiction. The current results are useful for both researchers and clinicians as they suggest that intervention programs for internet addiction should include strategies to cope with dysfunctional cognitive processes.
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Affiliation(s)
- Loreta Cannito
- Department of Humanities, University of Foggia, Foggia, Italy
- Center for Advanced Studies and Technology (CAST), Chieti, Italy
| | - Irene Ceccato
- Department of Psychological, Health and Territorial Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
| | - Eugenia Annunzi
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
| | - Alessandro Bortolotti
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
| | - Eleonora D’Intino
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
| | - Rocco Palumbo
- Department of Psychological, Health and Territorial Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
| | - Claudio D’Addario
- Faculty of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, Teramo, Italy
- Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Alberto Di Domenico
- Department of Psychological, Health and Territorial Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
| | - Riccardo Palumbo
- Center for Advanced Studies and Technology (CAST), Chieti, Italy
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University of Chieti-Pescara, Chieti, Italy
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Biagianti B, Lisi I, Di Liberto A, Turtulici N, Foti G, Zito S, Ginex V, Fornoni C, Gallo F, Cantù F, Tombola V, Di Fede V, Rossetti MG, Colombo E, Stocchetti N, Zanier ER, Bellani M, Bressi C, Brambilla P. Feasibility and preliminary efficacy of brief tele-psychotherapy for COVID-19 patients and their first-degree relatives. J Affect Disord 2023; 330:300-308. [PMID: 36934855 PMCID: PMC10022466 DOI: 10.1016/j.jad.2023.03.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 03/01/2023] [Accepted: 03/11/2023] [Indexed: 03/19/2023]
Abstract
BACKGROUND The SARS-CoV-2 pandemic compromised the mental health of COVID-19 patients and their family members. Due to social distancing and lockdown measures, a remote, tele-psychotherapy program for former or current COVID-19 patients and their relatives was implemented. OBJECTIVE The primary goal of this project was to evaluate intervention feasibility. The secondary aim was to assess the impact of the intervention by means of pre-post psychological changes. METHODS After a phone-based eligibility screening and remote neuropsychological testing, participants completed online self-reports assessing baseline COVID-related psychopathology. Next, participants attended eight tele-psychotherapy sessions. After treatment, the online self-reports were completed again. RESULTS Of 104 enrolled participants, 88 completed the intervention (84.6 % completion rate). Significant pre-post improvements were observed for generalized anxiety (d = 0.38), depression (d = 0.37), insomnia (d = 0.43), post-traumatic psychopathology (d = 0.54), and general malaise (d = 0.31). Baseline cluster analysis revealed a subgroup of 41 subjects (47.6 %) with no psychopathology, and a second subgroup of 45 subject (52.3 %) with moderate severity. Thirty-three percent of the second group reached full symptom remission, while 66 % remained symptomatic after treatment. CONCLUSIONS Remote brief tele-psychotherapy for COVID-19 patients and their first-degree relatives is feasible and preliminary efficacious at reducing COVID-related psychopathology in a subgroup of patients. Further research is needed to investigate distinct profiles of treatment response.
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Affiliation(s)
- Bruno Biagianti
- Department of Psychology, University of Milan Bicocca, 20126, Milano, Italy
| | - Ilaria Lisi
- Laboratory of Acute Brain Injury and Therapeutic Strategies, Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milano, Italy
| | - Asia Di Liberto
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Nunzio Turtulici
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Giuseppe Foti
- Department of Psychology, University of Milan Bicocca, 20126, Milano, Italy
| | - Silvana Zito
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Valeria Ginex
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Chiara Fornoni
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Francesca Gallo
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Filippo Cantù
- Department of Psychology, University of Milan Bicocca, 20126, Milano, Italy
| | - Valentina Tombola
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Viviana Di Fede
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Maria Gloria Rossetti
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Elisa Colombo
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Nino Stocchetti
- Department of Anaesthesia and Critical Care, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Elisa R Zanier
- Laboratory of Acute Brain Injury and Therapeutic Strategies, Department of Neuroscience, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milano, Italy
| | - Marcella Bellani
- Department of Neurosciences, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, 37134 Verona, Italy
| | - Cinzia Bressi
- Department of Psychology, University of Milan Bicocca, 20126, Milano, Italy; Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Paolo Brambilla
- Department of Psychology, University of Milan Bicocca, 20126, Milano, Italy; Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
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Erschens R, Adam SH, Weisshap C, Giel KE, Wallis H, Herrmann-Werner A, Festl-Wietek T, Mazurak N, Zipfel S, Junne F. The role of face masks within in-patient psychotherapy: Results of a survey among inpatients and healthcare professionals. Front Neurosci 2022; 16:1030397. [PMID: 36570852 PMCID: PMC9779913 DOI: 10.3389/fnins.2022.1030397] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 11/18/2022] [Indexed: 12/13/2022] Open
Abstract
Introduction Face-to-face medical and psychotherapeutic treatments during the Corona pandemic often involve patients and health care providers wearing face masks. We performed a pilot survey assessing the subjective experience of wearing face masks during psychotherapy sessions regarding (i) feasibility, (ii) psychotherapeutic treatment and (iii) communication, emotion and working alliance in patients and healthcare professionals. Methods A total of n = 62 inpatients (RR = 95.4%) and n = 33 healthcare professionals (RR = 86.8%) at an academic department of Psychosomatic Medicine and Psychotherapy participated in this survey anonymously. The items of the questionnaire were created by the interprofessional expert team and were based on existing instruments: (i) the Therapeutic Relationship Questionnaire and (ii) the German translation of Yalom's Questionnaire on Experiencing in Group Psychotherapy. Results The majority of patients rate their psychotherapy as highly profitable despite the mask. In individual therapy, face masks seem to have a rather low impact on subjective experience of psychotherapy and the relationship to the psychotherapist. Most patients reported using alternative facial expressions and expressions. In the interactional group therapy, masks were rather hindering. On the healthcare professional side, there were more frequent negative associations of face masks in relation to (i) experiencing connectedness with colleagues, (ii) forming relationships, and (iii) therapeutic treatment. Discussion Information should be given to patients about the possible effects of face masks on the recognition of emotions, possible misinterpretations and compensation possibilities through alternative stimuli (e.g., eye area) and they should be encouraged to ask for further information. Especially in group therapy, with patients from other cultural backgrounds and in cases of need for help (e.g., hearing impairment) or complex disorders, appropriate non-verbal gestures and body language should be used to match the intended emotional expression.
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Affiliation(s)
- Rebecca Erschens
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
| | - Sophia Helen Adam
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
| | - Chiara Weisshap
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
| | - Katrin Elisabeth Giel
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
| | - Hannah Wallis
- Department of Psychosomatic Medicine and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
| | - Anne Herrmann-Werner
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
- Tübingen Institute for Medical Education, University of Tübingen, Tübingen, Germany
| | - Teresa Festl-Wietek
- Tübingen Institute for Medical Education, University of Tübingen, Tübingen, Germany
| | - Nazar Mazurak
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
| | - Stephan Zipfel
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
- Centre of Excellence for Eating Disorders Tüebingen (KOMET), Tübingen, Germany
| | - Florian Junne
- Department of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany
- Department of Psychosomatic Medicine and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
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