Introduction: The integrated treatment combining phosphodiesterase-type 5 inhibitors (PDE5i) and Cognitive Behavior Sex Therapy (CBST) has been shown to yield promising results in the treatment of Non Organic Erectile Dysfunction (NOED) in young men. Aim: The current study aimed to establish the efficacy of integrated treatment combining Sildenafil Citrate (SC) 50mg and CBST as a treatment of choice in young Pakistani men with NOED. Methods: One hundred thirty-seven young men were recruited to participate in the study out of 164 men referred from sexual health clinics in Pakistan. They were randomized sequentially into 4 treatment groups namely SC = 35, CBST = 34, integrated treatment = 35, and placebo = 33. 7, 4, 6, and 4 men were dropped out of each treatment group respectively. The data of 116 men were analyzed. The on demand SC 50 mg, twice weekly 50 minutes sessions and home assignments, a combination of SC and 50 minutes sessions, and placebo were administered to firsst, second, third, and fourth group respectively for a period of 12 weeks. The follow-up assessment was done after 12 weeks of post-treatment for all groups. Main Outcome Measures: The Urdu standardized versions of International Index of Erectile Functoning-5 (IIEF-5) and Depression Anxiety Stress Scale-21 (DASS-21) were the main outcome measures. Results: The mixed repeated measures analysis of co-variance yielded significant impact of both CBST and integrated treatment groups in improving IIEF-5 scores at post treatment as compared to placebo. The CBST group experienced reduction in depression scores at post treatment as compared to both SC and integrated treatment. Only the integrated treatment brought reduction in anxiety scores at post treatment as compared to SC. The covariates age and NOED duration did not significantly impact the treatment outcome for all treatment groups. Clinical Implications: The efficacy of integrated treatment approach for improving symptoms of NOED and associated depression and anxiety is strong clinical implication of the study. Strengths & Limitations: The effectiveness of integrated treatment approach in the improvement of NOED symptoms and associated depression and anxiety scores is the main strength of the study. The improvement in depression scores is the added strength of CBST component of integrated treatment approach. The study should have included other PDE5i to compare their effects with the CBST or placebo groups. Conclusion: The study concludes that the CBST and integrated treatments are treatment of choice for NOED and associated depression and anxiety in young men.

A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-evaluative emotions (e.g., shame and guilt), and personality factors (e.g., self-efficacy). Eleven rehab facilities in Lahore city, Pakistan were randomly chosen to provide a sample of 402 males with PSUD. For comparison, 410 age-matched males with SSUD were enlisted using a demographic form with eight questions, the State Shame and Guilt Scale, and the General Self-Efficacy Scale. Mediated moderation analysis was performed using Hayes’ process macro. The results demonstrate that shame-proneness is positively associated with relapse rate. Guilt-proneness mediates the relationship between shame-proneness and relapse rate. Self-efficacy buffers the influence of shame-proneness on relapse rate. Although the mediation and moderation effects were found in both study groups, these effects were significantly stronger among people with PSUD than those with SSUD. To be more specific, people with PSUD reported a higher overall score on shame, guilt, and relapse rate. Additionally, people with SSUD indicated a higher score on self-efficacy than those with PSUD. The findings of this study suggest that drug rehab facilities should implement a variety of strategies to raise drug users’ levels of self-efficacy, which will help to reduce their risk of relapse.

This study aimed to explore the mediating effect of perceived social support level on the relationship between Internet addiction and interpersonal relationships. We analyzed data from 484 freshmen to seniors from various universities in China, using a convenience sampling method and primarily employing a questionnaire survey. The questionnaires used included the "Perceived Social Support Scale (PSSS)", " Chinese Internet Addiction Scale (CIAS)", and "Interpersonal Relationship Comprehensive Diagnostic Scale". After analyzing the collected data using SPSS23.0, it was found that perceptive social support was significantly positively correlated with interpersonal (r = 0.314, p < 0.01), while Internet addiction was significantly negatively correlated with perceptive social support (r = -0.097, p < 0.05). In addition, Internet addiction also had a significant negative correlation with interpersonal relationships (r = -0.278, p < 0.01). In addition, we also found that perceived social support plays a mediating role in the influence of Internet addiction on college students' interpersonal relationships. Therefore, it can be concluded that the level of perceived social support of college students can significantly predict their interpersonal relationships and plays a mediating role in the influence of Internet addiction on interpersonal relationships.

The present study intended to explore the moderating role of social skills in State Resilience and the rate of recovery among drug addicts. The sample size was 100 recovering addicts from different drug rehabilitation centers were recruited from twin cities (Islamabad and Rawalpindi) of Pakistan. The Social Skills Inventory (SSI) was used to assess social skills, while Connor-Davidson Resilience Scale (CD-RISC) and Substance Use Recovery Evaluator (SURE) was used to assess state resilience and recovery among study participants. Results suggest a significant positive correlation between social skills and recovery (r = 0.27; p < 0.01). Similarly, state resilience was found to be significantly correlated with social skills (r = 0.35; p < 0.01), while state resilience was not significantly correlated with recovery. The moderation analysis for the interaction of social skills on state resilience was non-significant [β = 0.002, 95% CI (−0.002, 0.00), t = 1.01, p = 0.316]. Results also indicate the significant relationship of social skills in the prevention of relapse against drug use.

There is considerable debate in the literature about how narcissism predicts various behaviors associated with the utility of social networking sites, but researchers have paid less attention to exploring the potential mediators of this relationship. Based on the existing literature, we anticipated that narcissism predicts self-promoting behaviors on social networking sites. The current study also investigated the mediating role of multidimensional perfectionism between narcissism and self-promoting behavior. A total of 605 complete questionnaires were gathered from students from universities from Rawalpindi and Islamabad, Pakistan using convenient sampling. The study used Narcissistic Personality Inventory (Ames et al., 2006), self-developed Self-promoting Behavior on social networking sites questionnaire, and the Multidimensional Perfectionism Scale (Hewitt et al., 1991). Findings indicated that females as compared to males and single as compared to married individuals scored higher on narcissism. Higher educational levels were associated with higher rates of narcissism. The results also suggest that narcissism correlated with self-oriented perfectionism, and more significantly with others-oriented narcissism. Self-oriented and others-oriented perfectionism significantly mediated the relationship between narcissism and self-promoting behavior on social networking sites. Existe un debate considerable en la literatura sobre cómo el narcisismo predice diversos comportamientos asociados con la utilidad de los sitios de redes sociales, pero los investigadores han prestado menos atención a explorar los mediadores potenciales de esta relación. Con base en la literatura existente, anticipamos que el narcisismo predice comportamientos de autopromoción en los sitios de redes sociales. El estudio actual también investigó el papel mediador del perfeccionismo multidimensional entre el narcisismo y el comportamiento de autopromoción. Se recopiló un total de 605 cuestionarios completos de estudiantes de universidades de Rawalpindi e Islamabad, Pakistán, mediante un muestreo conveniente. El estudio utilizó el Inventario de Personalidad Narcisista (Ames et al., 2006), un cuestionario de desarrollo propio sobre comportamiento de autopromoción en sitios de redes sociales y la Escala de Perfeccionismo Multidimensional (Hewitt et al., 1991). Los hallazgos indicaron que las mujeres en comparación con los hombres y las solteras en comparación con las casadas obtuvieron puntuaciones más altas en narcisismo. Los niveles educativos más altos se asociaron con tasas más altas de narcisismo. Los resultados también sugieren que el narcisismo se correlaciona con el perfeccionismo orientado a uno mismo y, más significativamente, con el narcisismo orientado a los demás. El perfeccionismo orientado a uno mismo y a los demás medió significativamente la relación entre el narcisismo y el comportamiento de autopromoción en los sitios de redes sociales.

This study aims to translate and adapt the Cornell Critical Thinking Test- Level Z (CCTT-Z) into Urdu language in Pakistani population. Phase-I of the study dealt with Urdu translation, back translation, and cross-language validation. Recommended protocols were followed for forward and backward translations. Results of cross-language validation based on a sample of college students (n=42, Mage=18.69 years) showed that scores on both Urdu and English language versions were positively correlated (r =.31, p<.05). Moreover, 45.2% of students reported the Urdu language version easier than the English version. Certain lingual changes were made to make the test more culturally compatible without disturbing its core structure. For the Phase-II, a sample of 367 students of undergraduate and graduate programs (Mage= 21.56 years) was obtained from colleges, universities, and a teaching hospital. The results showed that the test had a high difficulty (p=.38). Twelve items had non-significant point-biserial correlation coefficients and dropping them improved overall Cronbach alpha reliability of the test (from ?=.47 to ?=.59). Five-factor theoretical model and four-factor model (induction items removed) were examined through CFA. The test showed poor model fit and did not appear to have any meaningful factor structure. This finding was not unique as several other validation studies across various cultures also do not show theoretically predicted factor structure. The findings are discussed by examining the available literature on the cross-cultural validity studies done in several other countries.