Objective: To examine the relationship of coronavirus disease 2019 (COVID-19) fear and psychological distress in Shanghai residents, and the mediating role of risk perception in it.
Methods: From the beginning in May, 2022, a total of 283 Shanghai residents, who were recruited by snowball sampling, completed online questionnaires including the Fear of COVID-19 Scale, Risk Perception Scale, and Psychological Distress Scale.
Results: COVID-19 fear, risk perception, and psychological distress were significantly correlated (COVID-19 fear and psychological distress r=0.251, p<0.001; COVID-19 fear and risk perception r=0.422, p<0.001; risk perception and psychological distress r=0.297, p<0.001). Both COVID-19 fear and risk perception had a significant positive predictive effect on psychological distress (β=0.151, p=0.015; β=0.263, p<0.001). Risk perception partially mediated the relationship between COVID-19 fear and psychological distress (β=0.097, 95% CI 0.047 to 0.166), that accounted for 39.3% of the total effect.
Conclusion: Fear of COVID-19 can affect the level of psychological distress of individuals, and it can also indirectly affect the level of psychological distress of individuals through risk perception.

Objective: To explore the therapeutic factors of a single online group counseling session during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: After the online anti-epidemic decompression group counseling session, 17 members were interviewed in a semi-structured way. The qualitative analysis of the interview content was carried out using the rooting theory.
Results: Under the epidemic situation, the important therapeutic factors in this online group are interpersonal learning, altruistic reciprocity, positive feeling arousal, emotional catharsis, and universality. Group therapeutic factors play a role in group memory carrying points. The regulatory conditions including member engagement, member homogeneity and potential relationship, and leader level may have a mediating effect on the group effect.
Conclusion: Group memory carrying points, therapeutic factors, and regulatory conditions play an important role in the development of a single online group counseling session under the epidemic.

Objective: To explore the influencing factors of using digital diagnosis and treatment products in the elderly.
Methods: Phenomenological research method was used to conduct semi-structured interviews on the acceptance and use of digital diagnosis and treatment products among 15 elderly people in the community, and the interview data were analyzed by the Colaizzi seven-step analysis method.
Result: The three stages of the elderly using digital medical products mainly include motivation generation, action generation, and action maintenance. Demand is the basis of motivation. In the transition from motivation to action, personal resources (including the dependency of offline medical channels and self-efficacy) and environmental factors (including recommendation from children or relatives, external publicity and introduction, and help from others) are important influencing factors. The elderly use experience (including the feelings of the product function and operation difficulty) will affect the subsequent motivation and behavior.
Conclusion: In order to promote the use of digital diagnosis and treatment products by the elderly, it is necessary to understand the needs and motivation of the elderly. Subsequently, we need to provide them with targeted promotion strategies, strengthen publicity as well as help and guidance, and promote the transition from motivation into action. In order to maintain the usage behavior of the elderly, it is necessary to develop more suitable products for them so that they will have a good user experience.

Objective: To investigate the symptoms of depression and anxiety in adult women at high risk of eating disorder and their influencing factors, and to provide theoretical basis for formulating relevant intervention measures.
Methods: From March 2020 to February 2021, 1 344 adult female individuals at high risk of eating disorder were selected for online screening using Eating Attitude Test (EAT). The depressive status of the Patient Health Questionnaire-9 (PHQ-9), the scores of the Generalized Anxiety Disorder 7-item (GAD-7), and general demographic data were investigated to explore the depression and anxiety symptoms and their influencing factors of adult women at high risk of eating disorder.
Results: For adult women at high risk of eating disorder, having a lower age and being single are more likely to be depressed; having a lower age and a lower body mass index (BMI) are more likely to have anxiety.
Conclusion: The factors influencing the depressive and anxiety symptoms of adult women at high risk of eating disorder are complex, and targeted intervention strategies should be taken according to the corresponding characteristics to reduce depression or anxiety.

Cognitive behavioral therapy for insomnia (CBT-I) is a multi-component psychotherapy approach that can be applied in various forms clinically, including individual, group, remote, network and other forms. However, a common challenge is high dropout rates. Therapeutic alliance is an important influencing factor. This paper discusses the therapeutic alliances of different forms of CBT-I and their related influencing factors. In addition, the relevant consolidation strategies were summarized and suggestions were put forward to reduce the dropout rate of patients who attended CBT-I, such as improving the therapists' empathetic ability, creating a trusting treatment environment, matching patients with appropriate CBT-I implementation forms, adjusting patient expectations, and providing personalized treatment plans. The subsequent development of CBT-I related technologies should pay more attention to the establishment of positive therapeutic relationships.

Underachievement in college is the main reason why college students struggle to complete their studies, significantly impacting their mental health. Researchers and practitioners have started to apply group counseling to this group since the 21st century. Through a review of domestic and international research on group interventions among college underachievers, it has been found that a mature problem-solving model has been developed at the theoretical level for such groups. The clinical interventions primarily adopt a cognitive-behavioral approach and intervene through specific factors such as learning motivation, self-efficacy, academic emotions, and study skills. The intervention has shown significant improvements in academic performance, motivation, self-efficacy, and psychological well-being among the intervened groups. However, the overall quality and quantity of efficacy studies still need improvement. In constructing intervention systems in education and healthcare, a group perspective should be incorporated, combining academic improvement with psychological-social interventions. Furthermore, it is necessary to address the limitations of unclear group definitions and the lack of close integration between clinical interventions and theoretical frameworks.

To explore the effect of naikan therapy combined with narrative therapy on interpersonal problems in a patient with bipolar affective disorder. A patient with bipolar I disorder was treated with 11 sessions of Naikan therapy and 7 sessions of narrative therapy for a period of three weeks. Symptom Checklist 90 (SCL-90), General Well-Being Schedule (GWB), Zung Self-Rating Depression Scale (SDS), and Zung Self-Rating Anxiety Scale (SAS) were used to evaluate the status of the patient before and after treatment and 3 months after discharge. After 11 sessions of Naikan therapy and 7 sessions of narrative therapy, the patients' total GWB score increased from 73 to 115, SDS score decreased from 38 to 31, SAS score remained unchanged at 38, and SCL-90 score decreased from 103 to 91. Three months later, GWB, SCL-90, SDS, and SAS scores were 112, 91, 41 and 25 points, respectively, and there were small differences between the evaluation scores and the scores after treatment. The combination of Naikan therapy and narrative therapy helps patients become aware of past problems in their lives, that is conductive in improving their interpersonal relationships, stabilizing emotions, and enhancing happiness.

Willing Acceptance and Commitment Therapy (WACT) is a mindfulness-associated psychotherapy with Chinese characteristics that is proposed by Professor Yunlong Deng based on his practice of psychotherapy in combination of the research findings in the field of psychology such as evolution, development and cognition, and the elements of traditional Chinese culture such as Confucianism, Buddhism and Taoism. WACT holds that suffering is the memory of the brain while truth and harmony are the essence of health; they can effectively alleviate suffering and promote health. The distinctive feature of the therapy takes roots in the Chinese culture and modern science. It is expected that further clinical practice and application will prove that WACT has a broader spectrum of psychological disorder treatment effect and better local cultural adaptation.

Based on twenty months of fieldwork on investigating people with dementia and their family caregivers in Shanghai, this article intends to analyze the rationales of using the derogatory term “chidai” to name dementia, which include historical and cultural factors, limited knowledge of dementia among the public, media's selective propaganda, and neglect of humanity care among the medical education sectors. By analyzing these factors, this article calls for the attention of the medical community to the stigmatization of “chidai”, particularly the secondary harmful effects of using “chidai” to label diseases on patients and their families. Meanwhile, this article invites relevant stakeholders, particularly medical authorities, to initiate the change of this disease name and de-stigmatization.