Application of digital mental health is promising for its scalability. With the opportunities it provides, challenges also exist. In this paper, we discussed about issues raised in the current practice of digital mental health services, including cultural adaptation, efficacy evaluation, user dropout, data interoperability, privacy protection, and technology innovation. We hope, by addressing these issues, the development of digital mental health in China can step into the next stage and help improve health equity.

With the rapid development of the Internet, the use of digital technology in the field of mental health is gradually increasing. As a special emerging medical service modality, the development of digital mental health needs to comply with the requirements of ethical norms. Starting from the current application of digital health in the field of mental health, the article discusses the ethical issues related to privacy and data security, transparency, fairness, informed consent and accountability, and artificial intelligence (AI) psychological counseling in the hope of drawing attention to ensure a rational and compliant use of digital health technology in this field.

The high incidence of chronic diseases and the increasing medical burden have come to be great challenges for contemporary medicine. The way of merging digital technology and traditional medicine will become a new means of solving these problems. For the patients and medical institutions, digital therapeutics can lower treatment cost and promote a change of patients’ lifestyle, and it is the supplementation or even substitution for traditional treatment methods. This article analyzes the origin and development of digital therapeutics and the application of digital therapeutics in the field of mental health so as to help the public make sense of digital therapeutics; introduces relevant design cases from the Design Management Institute of the School of Design of Shanghai Jiao Tong University, assisting to promote the development of digital therapeutics in the field of mental health in China.

As the cradle of psychosomatic medicine, Germany has a special historical background and philosophical tradition that attribute to the advantages and characteristics such as having a systemic view of psychiatry in general, the mature disciplinary system and medical insurance system, and the interdisciplinary research frontier that advances with the times, and therefore becomes a reference model for other countries. Having a review of the history development and an introduction of the present situation of psychosomatic medicine in Germany is conducive to the positioning of Chinese psychosomatic medicine in the field of international psychosomatic medicine, prepensely providing direction for the further development of psychosomatic medicine in China.

Objective: To have an understanding of characteristics and parenting styles among people with gender dysphoria and explore the potential relationships between the two factors.
Methods: This study recruited the clinic inpatients with gender dysphoria, collected their demographic information, and evaluated parenting style and personality characteristics by using the scales of Egma Minnen av Barndoms Uppforstran (EMBU) and Minnesota Multiphasic Personality Inventory (MMPI), respectively. The factor scores of EMBU and MMPI among people with gender dysphoria were compared with the national normative scores and their scores of MMPI and EMBU were in comparison by different gender. The Pearson correlation analysis and multiple linear regression analysis were conducted to examine the relationships between parenting styles and personality characteristics.
Results: The scores of individuals with gender dysphoria in multiple subscales of MMPI were significantly higher than the national normative scores, but the average T scores, except the subscale of masculinity-femininity, were not within the clinical diagnostic range. Individuals with gender dysphoria of different gender had significant differences in multiple subscales of MMPI. The scores of individuals with gender dysphoria in EMBU were significantly higher than the national normative scores. Individuals with gender dysphoria of different genders had significant differences in some subscales of EMBU. The scores of EMBU were correlated with the scores of MMPI. The scores of some subscales in MMPI could explain the changes of the scores of some subscales in EMBU.
Conclusions: In general, pathological changes among the people with gender dysphoria in this study are not shown in their personality characteristics. Parents of people with gender dysphoria may show more negative parenting styles. There is a correlation between parenting style and personality characteristics in people with gender dysphoria.

Objective: Reward and punishment are commonly used means for children education. To explore the role of reward and punishment in improving the quality of attention in children with attention deficit hyperactivity disorder (ADHD).
Methods: There was a selection of 32 children with ADHD and 33 children for the control group in the study. The effects of reward and punishment on the filtering of novel distractors in children with ADHD were investigated by using the cross-modal oddball task.
Results: The main effect of children type was significant (F_(1,63)=14.522, p<0.000, ηp²=0.187). Children with ADHD had a significantly faster reaction time and were more sensitive to reward and punishment compared to normal children. The interaction between reward and punishment and novel distractors was significant (F_(1,63)=10.285, p=0.002, ηp²=0.14). In novel distraction, rewards were conducive to children’s performance. However, punishments were more conducive to children performance in standard distraction. The interaction between children type and time interval was significant (F_(1,63)=5.458, p=0.023 ). Selective attention of children with ADHD in early stage towards reward and punishment feedback was relatively intact, and the accuracy was higher than the feedback in the late stage. Reward and punishment’s interaction with the time interval and type of children was significant (F_(1,63)=5.760, p=0.019). When reward stimulation was timely presented in the early stage of response, the reinforcement effect of reward on children with ADHD was significantly higher than that of normal children.
Conclusions: Reward and punishment can regulate the cognitive processing of distracted stimuli in children with ADHD. Compared with punishment, reward can better guide children with ADHD to shift their attention from novel distractors to target tasks. When the time interval between the novel distractors and the target task is appropriate, the rewards can arouse the cognitive state of children with ADHD to complete the target task and improve the response accuracy.

Objective: The present study was designed to explore the relationship between perceived stress and depression of bus drivers in Jiangsu province and the moderated mediation effects of neuroticism and job burnout on them.
Methods: A total of 1 703 bus drivers finished online questionnaires including the Perceived Stress Scale, Maslach Burnout Inventory-General Survey, Beck Depression Inventory, and Chinese Big Five Personality Inventory Brief Version Neuroticism.
Results: (1) Stress perception of bus drivers has a significant positive predictive effect on depression. (2) Job burnout plays a mediating role in the relationship between stress perception and depression. (3) Neuroticism has a moderating effect on the front-half path, back-half path, and direct effect of the mediation model.
Conclusions: Compared with those with low neuroticism, bus drivers with high neuroticism are more likely to suffer from job burnout when they feel stressed, which in turn leads to depression more quickly. Relevant departments can make decisions according to the proposed measures.

Dating violence refers to the behaviors of using or the threat of using force or restraint in a dating relationship with the intention of causing pain or harm to a partner. It mainly includes physical violence, psychological/mental violence, and sexual violence. From the family perspective, this review has found that lower socio-economic status of the family, fragmented families and non-only-child families, domestic violence atmosphere, and negative family parenting patterns are the catalyzing factors for individuals to be involved in dating violence. This study also proposes to intervene in individual dating violence through two perspectives: enhancing family cohesion and improving parent-child relationship. Future research should deepen localized research, further explore the influencing mechanism of dating violence on other aspects, and analyze intervention strategies to restrain violence and avoid violence, to actively play the role of family education, and to cultivate healthy dating behaviors among young people.

Objective: Based on both demand and service levels, this study is purposed to offer specific suggestions for understanding the current development of social psychological counseling services, improving social psychological service capacity, and promoting the growth of mental health service industry in China.
Methods: Consultants and clients were recruited as the research objects in this study from Psy One, a psychological platform, and self-compiled questionnaires were used. A total of 562 copies of the Chinese psychological consultant population questionnaire 2021 and 2 185 copies of the psychological consultation questionnaire for clients 2021 were collected.
Results: At the service level, 47.3% of the consultants’ cases mainly come from Internet platforms, which matches the way of that clients look for consultants. With the increase of counseling experience, the weekly cases of psychological counselors have shown an increasing trend. Most psychological consultants experience a disequilibrium of balance of payments. Their top three common difficulties of psychological consultants are lack of new clients, economic pressure, and stress from difficult cases. At the demand level, clients care most about the consultants’ ability to solve their specific predicament, the consultants’ professional training and consulting orientation, and the consulting prices. More than 46.3% of clients found counseling very helpful.
Conclusions: Under the support of the government and policies, social psychological counseling service institutions are expected to realize the growth of “professionalism” based on flexible market mechanisms and to provide clients with demand-based high-quality psychological counseling services, and meanwhile, driving the rapid development of the industry.

An initial comparative study conducted on Mahler’s theory of separation-individualization, Stern’s layered model of development, and Bowlby’s attachment theory reckons that connection and separation are two sides of psychological development in mankind; the development of one side will bolster the development of the other side. Therefore, the connection from Stern’s theory and the separation from Mahler’s can complement and reinforce each other. They are equal in the utility of psychological development. The attachment theory focuses on attachment and connection, but secure attachment could promote development in both separation and individualization. Through the discussion on clinical cases, it is shown that clinical applications of Stern’s theory are relatively limited, but the theory of separation-individualization and the attachment theory to a great extent enhance the explanatory power of psychoanalysis, that the clinical applications are yet to be studied further.

By analyzing the psychological service needs of people in closed-loop hospital management in the epidemic situation, this article discusses the psychological counseling work mode in closed-loop hospital management in the epidemic situation, including organization, work mode, work process, and support guarantee, in addition to the application of psychological counseling technology in closed-loop management, in the hope of providing reference for psychological counseling work in similar work environments and requirements.