Understanding PTSD and Its Implications
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Questions and Answers

What percentage of students is reported to have PTSD prevalence?

  • 7.1% (correct)
  • 5.3%
  • 8.0%
  • 10.5%

Which option is NOT considered a way to meet Criterion A for trauma exposure?

  • Witnessing trauma events in person
  • Directly experiencing the trauma
  • Learning about a traumatic event occurring to a close friend
  • Reading about a traumatic event in a book (correct)

What is a common positive outcome of post-traumatic growth (PTG)?

  • Negative life perspective
  • Decreased self-esteem
  • Deeper valued relationships (correct)
  • Increased symptoms of PTSD

Which group of individuals is most likely to experience repeated exposure to traumatic events, as defined in Criterion A?

<p>First responders and police (C)</p> Signup and view all the answers

What proportion of individuals report at least one benefit from post-traumatic growth?

<p>90% (B)</p> Signup and view all the answers

What does the haystack analogy illustrate regarding trauma and its effects?

<p>Trauma effects depend on the interaction between a person and their environment. (A)</p> Signup and view all the answers

Which critique is made about the PTSD diagnosis according to the content?

<p>It medicalizes common stress responses. (B)</p> Signup and view all the answers

What is a significant characteristic of PTSD patients mentioned in the content?

<p>They demonstrate specific neurobiological characteristics. (A)</p> Signup and view all the answers

What is suggested as a potential change to PTSD diagnostic criteria?

<p>Abolish criterion A due to its limitations. (C)</p> Signup and view all the answers

Which symptom overlap is identified between PTSD and anxiety disorders?

<p>Hyperarousal symptoms. (D)</p> Signup and view all the answers

According to Brewin, what constitutes the reexperiencing symptom in PTSD?

<p>Presence of intrusive and distressing dreams or images. (B)</p> Signup and view all the answers

What aspect of PTSD does criterion A relate to?

<p>Demarcation of trauma. (A)</p> Signup and view all the answers

What does the content imply about the DSM's allowance for perpetrators developing PTSD?

<p>It's a controversial aspect of the classification. (C)</p> Signup and view all the answers

What do guidelines primarily provide for professionals?

<p>Professional recommendations for diagnosis and treatment (D)</p> Signup and view all the answers

Which aspect does NOT contribute to the development of quality standards?

<p>Personal interests of healthcare providers (C)</p> Signup and view all the answers

What is a primary purpose of quality standards in mental health care?

<p>To reduce practice variations (B)</p> Signup and view all the answers

Why is the principle of 'comply or explain' important in the context of quality standards?

<p>It allows for flexible adherence to standards. (A)</p> Signup and view all the answers

Who is involved in the working groups that develop quality standards?

<p>Patients, relatives, and health professionals (A)</p> Signup and view all the answers

What is a characteristic of treatment guidelines?

<p>They provide a detailed description of effective treatments for specific conditions. (B)</p> Signup and view all the answers

What is NOT a benefit of quality standards for patients and their relatives?

<p>Direct financial support for treatments (D)</p> Signup and view all the answers

What is a common outcome expected from implementing quality standards?

<p>Enhanced insight into organizing good care (D)</p> Signup and view all the answers

What is essential for evaluating therapy with a patient?

<p>Agreeing on evaluation methods (D)</p> Signup and view all the answers

Which component contributes to creating a culture of continuous learning in healthcare?

<p>Promoting higher quality of care (D)</p> Signup and view all the answers

What distinguishes loneliness from social isolation?

<p>Loneliness is a subjective experience. (B)</p> Signup and view all the answers

Which type of loneliness involves missing intimate social connections?

<p>Emotional loneliness (C)</p> Signup and view all the answers

What does Routine Outcome Monitoring (ROM) questionnaires help to estimate?

<p>Severity of symptoms (B)</p> Signup and view all the answers

How does loneliness act as a signal from an evolutionary perspective?

<p>It serves as an aversive signal to connect with others. (A)</p> Signup and view all the answers

What risk is primarily associated with emotional and mental health due to loneliness?

<p>Depression and anxiety (D)</p> Signup and view all the answers

What is one objective of participation in a learning network in healthcare?

<p>To share experiences for quality improvement (A)</p> Signup and view all the answers

What does benchmarking in Dutch mental health care involve?

<p>Comparing patient outcomes and care processes (B)</p> Signup and view all the answers

What is a characteristic of transient healthy loneliness?

<p>It enhances motivation for social interaction. (D)</p> Signup and view all the answers

Which cultural phenomenon refers to the fear of appearing rude in social situations?

<p>Taijin kyofusho (A)</p> Signup and view all the answers

What term describes culturally constituted experiences and expressions of distress?

<p>Idioms of distress (C)</p> Signup and view all the answers

Cultural competence in mental healthcare primarily involves understanding what aspect?

<p>Cultural backgrounds (A)</p> Signup and view all the answers

What is the consequence of disagreement on psychological explanations within cultural contexts?

<p>Worse treatment outcome (B)</p> Signup and view all the answers

What does cultural safety in mental healthcare address?

<p>Power dynamics and discrimination (D)</p> Signup and view all the answers

Which of the following is a key recommendation for improving cultural competence in healthcare?

<p>Mandatory cultural competence training (B)</p> Signup and view all the answers

Cultural syndromes differ from idioms of distress in that they:

<p>Represent a broader cultural experience (C)</p> Signup and view all the answers

What is the main focus of cultural neuroscience in the context of mental health?

<p>Interplay of neurobiological and social factors (C)</p> Signup and view all the answers

Which factor is NOT typically addressed by cultural formulation in mental healthcare?

<p>Personal health history of the patient (B)</p> Signup and view all the answers

Why is the use of professional interpreters important in mental healthcare?

<p>They enhance communication and treatment outcomes (C)</p> Signup and view all the answers

What method helps to mediate between patients and providers regarding cultural understanding?

<p>Cultural brokers (D)</p> Signup and view all the answers

Which psychological disorders are influenced by cultural attitudes toward emotions?

<p>Mood disorders (A)</p> Signup and view all the answers

What approach is suggested to ensure diversity in the health workforce?

<p>Recruiting individuals from various cultural backgrounds (C)</p> Signup and view all the answers

Which of the following influences the prevalence and expression of anxiety disorders?

<p>Cultural attitudes (C)</p> Signup and view all the answers

What is a key principle behind the process of prolonged exposure therapy?

<p>Patient exposure to traumatic memories until fear decreases (D)</p> Signup and view all the answers

What is the main goal of cognitive processing therapy (CPT)?

<p>To detect and challenge maladaptive beliefs formed after trauma (C)</p> Signup and view all the answers

What does Eye Movement Desensitization and Reprocessing (EMDR) utilize to help process traumatic memories?

<p>Tasks that tax working memory while recalling trauma (A)</p> Signup and view all the answers

What is one potential outcome of pharmacological treatment in trauma care?

<p>Increased chances of avoidance behavior (D)</p> Signup and view all the answers

What step in the Dutch guideline is primarily associated with diagnosis?

<p>Step 1 (B)</p> Signup and view all the answers

What is a significant characteristic of writing therapy?

<p>Can be conducted in various formats including online (A)</p> Signup and view all the answers

What guides the effectiveness of psychotherapy among different cultural groups?

<p>Adaptations based on cultural norms and values (D)</p> Signup and view all the answers

What is the primary purpose of cognitive restructuring in trauma-focused CBT?

<p>To modify distortions in thought patterns (C)</p> Signup and view all the answers

How might cultural factors influence mental health treatment outcomes?

<p>Cultural beliefs can affect stigma and recovery experiences. (D)</p> Signup and view all the answers

Avoidance in the context of trauma therapy can lead to:

<p>Failure to process traumatic experiences (B)</p> Signup and view all the answers

Which of the following is a common feature of trauma-focused CBT interventions?

<p>Integration of various therapeutic modalities including exposure (D)</p> Signup and view all the answers

What role does cultural context play in diagnosing mental health disorders?

<p>Diagnosis must consider cultural differences from the norm. (C)</p> Signup and view all the answers

What is a recognized challenge of psychotherapy for minority populations?

<p>Higher rates of ineffective treatments (C)</p> Signup and view all the answers

Why might a patient prefer writing therapy as a treatment option?

<p>It allows for personalization and adaptability (C)</p> Signup and view all the answers

Flashcards

Post-traumatic growth (PTG)

A positive change in one's mental outlook as a result of overcoming adversity. This involves finding personal growth and strength despite traumatic experiences.

Post-traumatic stress disorder (PTSD)

A mental health condition that develops after a traumatic event, involving persistent distressing memories, avoidance behavior, negative thoughts and feelings, and changes in physical and emotional reactivity.

Criterion A of PTSD

A significant exposure to actual or threatened death, serious injury, or sexual violence, which can arise from direct experience, witnessing, learning about the event to a close relative or friend, or repeated exposure to aversive details.

Relationship between Event Severity and PTSD Symptoms

The degree of distress experienced in response to a traumatic event influences symptom severity, but the events themselves are not the sole cause of PTSD.

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Trauma and Medical Events

While life-threatening illnesses can be distressing, they are not always considered traumatic. However, chronic illnesses or planned abortions can still lead to PTSD symptoms.

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Interactionist Perspective of PTSD

A theory stating that a person's experience of a traumatic event alone isn't enough to cause PTSD. Instead, both the event and the person's unique vulnerabilities and reactions to their environment play a major role.

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Arbitrary Demarcation of Trauma

The arbitrary and subjective way we define a traumatic event as a "cause" of PTSD. It's challenged by the fact that we don’t do this for causes of other disorders like phobia or depression.

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Medicalizing Normal Stress

The criticism that PTSD diagnosis labels a normal stress response as a medical condition, overlooking the fact that some people experience prolonged and severe symptoms despite the trauma.

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A-criterion Deficiency in PTSD

The reliance on the A-criterion (the traumatic event) in PTSD diagnosis leads to inconsistencies in labeling and potentially unnecessary diagnoses.

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Overlap of PTSD with Other Disorders

PTSD shares symptoms with other mental health disorders, particularly anxiety disorders (re-experiencing, avoidance) and mood disorders (negative thoughts and feelings).

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Proposed Changes to PTSD Diagnosis

The proposed change in PTSD diagnosis to eliminate the A-criterion (traumatic event) and prioritize the most characteristic symptoms, allowing for greater flexibility in symptom presentation.

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Intrusive Reexperiencing in PTSD

A specific symptom of PTSD involving flashbacks, nightmares, and intrusive thoughts related to the traumatic event occurring in the present and causing intense fear.

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Avoidance in PTSD

A specific symptom of PTSD that involves avoiding situations, thoughts, feelings, and memories associated with the trauma.

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Guidelines

Professional recommendations for diagnosis and treatment based on scientific research, specifying what a professional can offer to a patient. They are tailored to specific professions and topics like depression or professional conduct.

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Quality standard

Describes what constitutes good care for a particular mental illness or general theme, emphasizing what a patient can expect from mental healthcare. Unlike guidelines, they are not profession-specific, but rather provide a broad agreement on quality.

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How are quality standards made?

A process involving patients, relatives, and health professionals working together to define quality standards. The goal is to prioritize patient needs and reach a consensus based on various information sources. It is designed to be unbiased by healthcare providers or financiers.

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Why do we have quality standards?

To reduce variation in practice, provide clarity for patients and families on expected care and treatment options, enable shared decision-making between patients and professionals, and offer insights to professionals and centers on organizing good care.

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Are quality standards mandatory?

Dutch law requires professionals to adhere to professional standards, emphasizing the importance of quality assurance in care. However, a 'one size fits all' approach is not always feasible or desirable, thus, the principle of 'comply or explain' is implemented.

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Comply or explain

A principle suggesting that professionals should either follow established quality standards or provide a clear justification for deviating from them, recognizing the complexity of individual patient needs and situations.

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Cultural Norms & Symptom Expression

Cultural norms influence how mental health issues are expressed, leading to unique symptom presentations.

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Western Social Anxiety

A disorder characterized by an intense fear of social situations and appearing incompetent, prevalent in Western cultures.

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Idioms of Distress

Culturally-specific ways of expressing distress, rooted in values, norms, and health beliefs.

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Cultural Syndromes

Culturally recognized patterns of symptoms, beliefs, and behaviors associated with distress.

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Explanatory Models of Illness

A framework for understanding illness in a particular culture, including its cause, symptoms, treatment, and prognosis.

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Cultural Explanations & Treatment

Disagreements with patients' cultural explanations for their mental health issues can lead to poor treatment outcomes.

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Cultural Formulation

A framework for assessing the cultural factors influencing a patient's mental health, including beliefs, coping mechanisms, and help-seeking behaviors.

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Cultural Competence

An approach to mental health care that acknowledges and respects cultural diversity, while promoting culturally sensitive practices.

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Cultural Safety

An approach that addresses power imbalances and historical oppression within healthcare, promoting safety, equity, and empowerment for marginalized communities.

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Culture Brokers

Professionals who bridge communication gaps between patients and healthcare providers, facilitating understanding and cultural sensitivity.

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Systemic Integration of Culture

The integration of cultural competence and safety into all aspects of mental health care, ensuring inclusivity and equity.

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Individual & Culture Interaction

The dynamic interaction between a person's cultural context and their individual experiences, shaping their mental health.

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Interactional Models of Psychopathology

A view of psychopathology that considers the interplay of genes, environment, and culture in the development of mental health issues.

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Cultural Influence on Mental Health Expression

The use of language, behaviors, and attitudes influenced by a person's cultural background, shaping how they express and experience mental health.

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Cultural Neuroscience

A growing area of research that explores how cultural influences shape brain function and the development of mental health issues

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Loneliness

A mismatch between desired and actual social connections, resulting in a negative subjective experience.

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Social Isolation/ Solitude

The difference between loneliness and these is that these are objective, whereas loneliness is subjective.

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Depression

A mental state characterized by negative emotions, thoughts, and behaviors, often associated with feelings of sadness, hopelessness, and worthlessness.

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Emotional/ Intimate Loneliness

The type of loneliness that stems from missing meaningful relationships and deep connections.

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Social/ Relational Loneliness

The type of loneliness rooted in a lack of social network, missing social interactions, and feeling disconnected.

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Collective Loneliness

The type of loneliness associated with feeling like you don't belong to a group or community.

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Solitude vs. Loneliness

Being alone can be positive and restorative, but loneliness is a negative experience.

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Evolutionary Perspective on Loneliness

Evolutionary perspective suggests loneliness is a signal to connect and ensure survival.

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Transient Healthy Loneliness

A temporary feeling of loneliness can motivate us to seek social contact.

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Need to Belong

A fundamental human need to form and maintain strong bonds with others.

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Avoidance in Trauma Treatment

This approach discourages using social support as a coping mechanism, focusing instead on individual processing. It's about creating a sense of ownership and control over the healing process, promoting internal strength and resilience.

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Prolonged Exposure Therapy

This is a form of therapy that focuses on gradually exposing individuals to memories or triggers associated with their trauma in a controlled environment. The goal is to reduce fear and anxiety by gradually habituating to these experiences.

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Cognitive Processing Therapy (CPT)

Cognitive distortions are negative and irrational beliefs formed in response to trauma. This therapy helps individuals identify and challenge these beliefs, leading to more realistic and balanced thinking.

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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

This therapy combines the principles of prolonged exposure with cognitive restructuring. It tackles both the emotional and cognitive aspects of trauma, aiming to reduce distress and restore emotional balance.

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Writing Therapy for Trauma

This therapy utilizes writing as a tool for confronting trauma. It encourages individuals to process their experiences through writing, promoting emotional regulation, cognitive restructuring, and social support.

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Eye Movement Desensitization and Reprocessing (EMDR)

This therapy utilizes a combination of eye movements and bilateral stimulation (e.g., tapping) to help individuals process and reduce the emotional intensity of traumatic memories. The theoretical framework suggests that engaging the working memory during trauma recall alters memory consolidation and reduces distressing symptoms.

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Adaptive Information Processing Model (EMDR)

This model suggests that trauma disrupts the ability to integrate and process experiences. EMDR aims to reintegrate the traumatic experience, reducing its emotional charge and allowing for a more balanced emotional state.

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Working Memory Taxation (EMDR)

EMDR utilizes engaging the working memory during trauma recall to reduce the vividness and emotional intensity of the memory. This process competes for cognitive resources, allowing for a more controlled and manageable experience.

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WEIRD Population

This refers to individuals from Western, Educated, Industrialized, Rich, and Democratic societies. These populations have a more similar cultural background and may experience less diverse mental health outcomes compared to other populations.

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Culture's Influence on Mental Health

Cultural influences shape the expression of mental health symptoms, coping mechanisms, help-seeking behaviors, and the experience of stigma.

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Mental Health Inequity

Mental health inequity refers to disparities in access, quality, and outcomes of mental health services faced by certain groups due to factors such as race, ethnicity, socioeconomic status, and cultural background.

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Psychotherapy's Effectiveness across Populations

Psychotherapy is a powerful tool for mental health improvement, but its effectiveness can vary across populations. Due to factors such as socioeconomic disadvantages and systemic barriers, minority groups often experience less intensive and effective treatment compared to majority populations.

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DSM's Incorporation of Cultural Context

The Diagnostic and Statistical Manual of Mental Disorders (DSM) aims to incorporate an individual's cultural context into their diagnosis and treatment plan. It recognizes that culturally relevant norms and experiences can influence the expression and interpretation of mental health concerns.

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Evolving Definition of Pathology

This refers to the shift in understanding and defining mental health conditions over time. Examples include the removal of homosexuality from the DSM, the shifting understanding of female sexuality, and the recognition of historical injustices.

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Cultural Impact on Distress

Cultural norms and values affect how individuals experience and express distress. For example, certain cultures may emphasize physical symptoms over emotional symptoms, shaping the way mental illness manifests

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Study Notes

Lecture 1: Clinical Perspective

  • PTSD prevalence in students is 7.1%, with another 8% experiencing sub-clinical symptoms.
  • Most people recover within 3 months of experiencing trauma.
  • Post-traumatic growth (PTG) often results from adversity, with 90% reporting at least one positive benefit.
  • Areas of improvement include deeper appreciation of relationships, increased self-esteem, and gaining a new perspective on life.
  • Constructive self-disclosure in a safe space can foster personal growth.
  • Criterion A for trauma exposure involves direct experience, witnessing, learning about a close family member or friend experiencing trauma or experiencing repeated exposure to trauma details.

Lecture 2: Cognitive Model of Ehlers & Clark

  • Ehlers & Clark's model is a comprehensive PTSD model focusing on how trauma is processed, leading to chronic symptoms.
  • Trauma-related cognitions include appraisals of the event and its consequences, initial symptoms, and reactions of others.
  • Negative appraisals of trauma and its sequelae lead to difficulties in processing.
  • Strategies are then implemented to control the perceived threat of the traumatic memory.
  • Information encoding is imperfect and leads to an incomplete integration in memory.

Lecture 3: Cultural Considerations in PTSD

  • Most studies about PTSD come from WEIRD populations.
  • Culture shapes expression, coping, and help-seeking behaviors around mental health conditions.
  • Cultural idioms of distress are important to consider.
  • Misdiagnosis risk increases when cultural considerations are not employed.

Lecture 4: Guidelines and Quality Standards

  • Professional standards are critical for good care and are based upon scientific research.
  • Professionals may use various guidelines and quality standards.

Lecture 5: Loneliness

  • Loneliness is a discrepancy between one's preferred and actual social relationships.
  • Social isolation and solitude differ from loneliness.
  • Loneliness is linked to poorer mental and physical health.
  • An experiment showed a self-fulfilling prophecy effect where believing others dislike you can increase vulnerability toward isolation.
  • Cognitive biases in processing social information lead to negative interpretations in loneliness.

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