Comprehensive psychiatry最新文献

{"title":"Loneliness in borderline personality disorder: The role of misalignments between self-view and social expectations in social value orientation and justice sensitivity","authors":"R. Vonderlin ,&nbsp;C. Claus ,&nbsp;S. Hanraths ,&nbsp;A.S. Lerchl ,&nbsp;B. Senyüz ,&nbsp;N. Kleindienst ,&nbsp;T. Boritz ,&nbsp;S. McMain ,&nbsp;T. Teismann ,&nbsp;P. Kirsch ,&nbsp;M. Bohus ,&nbsp;S. Lis","doi":"10.1016/j.comppsych.2026.152663","DOIUrl":"10.1016/j.comppsych.2026.152663","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness is a pervasive and distressing feeling that characterizes social relationships in individuals with Borderline Personality Disorder (BPD). Previous research suggests that a misalignment between an individual's heightened prosocial self-view and their negative social expectations might contribute to loneliness. In the current quasi-experimental study, we investigated this discrepancy for social value orientation (SVO) and justice sensitivity (JS) and their relationship with loneliness.</div></div><div><h3>Methods</h3><div>A total of 120 participants (60 treatment-seeking individuals diagnosed with BPD, 60 non-clinical controls) assessed their SVO with the SVO-Slider-Task and their JS with the Justice-Sensitivity Inventory for experiencing injustice as a victim, observer, beneficiary and perpetrator. Additionally, participants rated their expectations about the SVO and JS of other people. We measured the individuals' level of loneliness with the UCLA Loneliness scale.</div></div><div><h3>Results</h3><div>Participants with BPD reported a stronger difference between self-view and social expectations compared to non-clinical controls for SVO (<em>r</em> = 0.18, <em>p</em> = .043) and other-oriented perspectives of JS (observer [<em>r</em> = 0.34], beneficiary [<em>r</em> = 0.48] and perpetrator [<em>r</em> = 0.27], all <em>p ≤</em> .003). A greater difference in observer and beneficiary JS was associated with higher levels of loneliness in the BPD group (observer: <em>r</em> = 0.31, <em>p</em> = .017, beneficiary: <em>r</em> = 0.44, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Alterations in self-views and social expectations in individuals with BPD might foster a vicious cycle of misunderstanding and disappointment in social relationships resulting in heightened feelings of loneliness. To improve interpersonal functioning and reduce loneliness, psychosocial interventions should target both the individual's heightened prosocial self-views and their negative expectations towards others.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152663"},"PeriodicalIF":4.2,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From social anxiety to identity formation: The bridging roles of self-esteem and speech avoidance","authors":"Omer Levy Kardash,&nbsp;Adi Arden,&nbsp;Hanit Ohana,&nbsp;Maya Benish-Weisman","doi":"10.1016/j.comppsych.2026.152662","DOIUrl":"10.1016/j.comppsych.2026.152662","url":null,"abstract":"<div><div>Adolescence is a critical developmental period during which individuals form a coherent sense of identity -a process that can be disrupted by emotional difficulties. While general anxiety symptoms have been extensively studied in relation to identity formation, the specific contribution of social anxiety remains underexplored. This sixmonth longitudinal study examined how adolescents' social anxiety relates to three dimensions of identity formation: commitment, in-depth exploration, and reconsideration of commitment. The study also investigated the mediating roles of selfesteem and avoidance of speech situations. A multi-informant design was employed, drawing on self-reports from 186 adolescents aged 12–18 and their parents. Mediation analyses revealed that higher levels of social anxiety were indirectly associated with lower identity commitment and greater reconsideration of commitment, primarily through reduced self-esteem and increased avoidance of speech situations. For in-depth exploration, avoidance of speech situations emerged as the sole significant mediator. These findings were consistent across both adolescent- and parent-reported models. By identifying self-esteem and speech avoidance as key mediators, the study offers both theoretical insights and clinically relevant guidance for early identification and intervention strategies aimed at supporting identity development in socially anxious adolescents.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152662"},"PeriodicalIF":4.2,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depressive symptoms among kidney transplant recipients: Modeling stress-related pathways involving chronotype, perceived stress, rumination, and sleep quality","authors":"Jiayi Zhu ,&nbsp;Jianfei Xie ,&nbsp;Gang Gan ,&nbsp;Zitong Lu ,&nbsp;Huiyi Zhang ,&nbsp;Jingying Wang ,&nbsp;Xiaoqian Dong ,&nbsp;Qingcheng Zheng ,&nbsp;Lijun Li ,&nbsp;Yanan Zhang ,&nbsp;Min Liu","doi":"10.1016/j.comppsych.2025.152661","DOIUrl":"10.1016/j.comppsych.2025.152661","url":null,"abstract":"<div><h3>Background</h3><div>Depressive symptoms are common among kidney transplant recipients and are linked to adverse clinical and psychosocial outcomes. Chronotype may influence vulnerability to stress and emotional dysregulation, yet its psychosocial pathways to depression remain unclear. This study tested a stress process model to explain how chronotype, as a background factor, affects depressive symptoms through perceived stress, rumination, and sleep quality.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study involving 508 kidney transplant recipients was conducted in southern China. Participants completed validated questionnaires assessing chronotype, perceived stress, rumination, sleep quality, and depressive symptoms. Structural equation modeling examined direct and indirect pathways among variables.</div></div><div><h3>Results</h3><div>The findings supported the hypothesized structural equation model. The total indirect effect of chronotype on depressive symptoms exceeded its direct effect. Significant indirect effects were observed through perceived stress (<em>β</em> = −0.14, 95 % CI [−0.28, −0.04]), rumination (<em>β</em> = −0.09, 95 % CI [−0.18, −0.01]), and sleep quality (<em>β</em> = −0.05, 95 % CI [−0.11, −0.03]), as well as sequential mediations involving perceived stress with rumination or sleep quality. In the extended model, the indirect pathways through perceived stress and reflection (<em>β</em> = −0.04, 95 % CI [−0.08, −0.01]) and through perceived stress, brooding, and sleep quality (<em>β</em> = −0.03, 95 % CI [−0.05, −0.01]) remained significant.</div></div><div><h3>Conclusions</h3><div>These findings highlight the need to incorporate chronotype assessment into post-transplant care. Interventions should emphasize circadian rhythm regulation, stress reduction, disruption of maladaptive rumination, and sleep improvement to prevent depressive symptoms among kidney transplant recipients.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152661"},"PeriodicalIF":4.2,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145921443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Responses to social defeat in early- vs late-onset suicidal behavior: An experimental behavioral study","authors":"Anna Szücs ,&nbsp;Elizabeth Campbell ,&nbsp;Katalin Szanto ,&nbsp;Alexandre Y. Dombrovski","doi":"10.1016/j.comppsych.2025.152657","DOIUrl":"10.1016/j.comppsych.2025.152657","url":null,"abstract":"<div><h3>Background</h3><div>Social defeat is often cited as a motive for suicide. The experience of defeat may arise from feeling dominated in a dyadic conflict or from losing status in a group. We hypothesize that sensitivity to dyadic defeat will be related to the onset of suicidal behavior in early or mid-life and sensitivity to loss of status, in late life.</div></div><div><h3>Methods</h3><div>The study's sample of 245 adults aged 50 years and older (mean = 63.2 years, SD = 7.4) comprised 42 early-onset and 32 late-onset suicide attempters (aged &lt; 50 vs ≥ 50 years at their first suicide attempt), 114 depressed non-attempter comparisons, and 57 non-psychiatric comparisons. Using a validated rigged video game tournament task, we operationalized compensatory responses to the two forms of social defeat as point stealing from individual opponents (one-on-one defeat) and rank buying in the league table (loss of status in a group).</div></div><div><h3>Results</h3><div>Early-onset attempters increased point stealing the most over time (χ²₃ = 22.37, <em>p</em> &lt; .001), whereas late-onset attempters purchased more rank after losing trials than early-onset attempters and non-psychiatric comparisons (χ²₃ = 9.47, <em>p</em> = .024). Each effect was robust to adjusting for age and sex, other effects of interest, and to the exclusion of long-string responders.</div></div><div><h3>Conclusions</h3><div>Our behavioral findings suggest that socio-behavioral processes leading to suicide vary across the life cycle. While vulnerability to dyadic defeat could be suicidogenic for people of any age, loss of social status could play a role in suicidal crises specifically occurring in later life.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152657"},"PeriodicalIF":4.2,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blowing Minds: A cross-cultural, longitudinal investigation to unravel the highs and lows of recreational and medicinal cannabis users","authors":"Nora de Bode,&nbsp;Emese Kroon,&nbsp;Jia Hua Hsieh,&nbsp;Janna Cousijn","doi":"10.1016/j.comppsych.2025.152659","DOIUrl":"10.1016/j.comppsych.2025.152659","url":null,"abstract":"<div><div>Cannabis use is widely on the rise for recreational and medicinal purposes, with the latter often aimed at improving mental health and cognition. Simultaneously, the prevalence of cannabis-related health harms, such as cannabis use disorder (CUD), is increasing.</div><div>Product potency, route of administration, and preexisting mental health symptoms play a role in the effects of cannabis; however, there is limited research on how broader factors, such as local cannabis legislation and perceptions of use, may influence these outcomes. Moreover, knowledge remains sparse regarding the growing population of medicinal users, predominantly using without medical supervision. Altogether, this illustrates the need for ecologically valid ways to investigate individuals and their cannabis usage within real-world settings.</div><div>Therefore, this longitudinal, cross-cultural online study examines an international sample of regular recreational and medicinal users (aged 18–65) from different cannabis jurisdictions (e.g., the Netherlands, the United States, Brazil, Canada, and regions in Asia and Africa) in their natural environment via their mobile phone. By using the Experience Sampling Method (ESM), alongside a comprehensive battery of cognition and mental health related assessments over a 2-year period, we aim to gain insight into the short- and long-term mental health and cognitive determinants and consequences of cannabis use, and how these interact with broader, contextual factors, such as legislation. This is one of the first cross-cultural studies assessing both positive and negative effects of cannabis longitudinally, examining the full range of effects that cannabis may have on the individual.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152659"},"PeriodicalIF":4.2,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attentional bias in people with moderate-to-severe cannabis use disorder","authors":"Marianna Quinones-Valera ,&nbsp;Gary Chan ,&nbsp;Madeleine I. Fraser ,&nbsp;Andrew Jones ,&nbsp;Tom P. Freeman ,&nbsp;Chandni Hindocha ,&nbsp;Hannah Thomson ,&nbsp;Eugene McTavish ,&nbsp;Hannah Sehl ,&nbsp;Adam Clemente ,&nbsp;Janna Cousijn ,&nbsp;Izelle Labuschagne ,&nbsp;Peter Rendell ,&nbsp;Gill Terrett ,&nbsp;Lisa-Marie Greenwood ,&nbsp;Govinda Poudel ,&nbsp;Chao Suo ,&nbsp;Victoria Manning ,&nbsp;Valentina Lorenzetti","doi":"10.1016/j.comppsych.2025.152658","DOIUrl":"10.1016/j.comppsych.2025.152658","url":null,"abstract":"<div><h3>Background</h3><div>Attentional bias to cannabis images is posited to drive loss of control over cannabis use and relapse in cannabis use disorder (CUD), but the literature is mixed and limited by inconsistent measurement of CUD and of confounders, including alcohol and nicotine use. This study examined attentional bias in moderate-to-severe CUD (<em>n</em> = 66) compared to controls (<em>n</em> = 42), and its relationship with cannabis/nicotine use, accounting for alcohol use.</div></div><div><h3>Methods</h3><div>We measured attentional bias using the visual probe task, as the difference in reaction times (RTs) for cannabis versus neutral images, in order to account for individual variability. Linear mixed effect models examined how RTs were affected by (i) group (CUD, control), image type (cannabis, neutral), group-by-image type, and group-by-image type-by-Stimulus Onset Asynchrony (SOA, 200/500 milliseconds) in the whole sample; and (ii) by image type, SOA, and moderators in the CUD group only (i.e., Cannabis Use Disorder Identification Test-Revised [CUDIT-R], subjective craving, arousal/valence ratings of the task’s cannabis/neutral images, and nicotine). All models were adjusted for alcohol use.</div></div><div><h3>Results</h3><div>There were no significant group differences in attentional bias. In the CUD group, image type-by-CUDIT-R subgroups differed on RTs (β = −0.748, <em>p</em> = .014), whereby the high-CUDIT-R versus lower CUDIT-R subgroups had significantly faster RTs to cannabis versus neutral images (<em>p</em> = .034, <em>d</em> = −0.10), but this effect did not survive Bonferroni correction for multiple comparisons. No other results were significant.</div></div><div><h3>Conclusion</h3><div>Attentional bias might not be a robust feature of CUD, though this notion requires validation in a larger sample using more direct measures of attentional bias.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"146 ","pages":"Article 152658"},"PeriodicalIF":4.2,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145963090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency medical personnel perspectives on value and use of tailored discussion forum for mental health support. A qualitative longitudinal study","authors":"Milica Petrovic ,&nbsp;Anne Blume ,&nbsp;Mikołaj Zarzycki ,&nbsp;Nico Niedermeier ,&nbsp;Hanna Reich","doi":"10.1016/j.comppsych.2025.152655","DOIUrl":"10.1016/j.comppsych.2025.152655","url":null,"abstract":"<div><h3>Background</h3><div>Emergency medical personnel experience high job-related strain elevating their risk for mental ill-health and depressive symptoms. This study explored emergency medical personnel user-perspectives in terms of added value of the anonymous online discussion forum RUPERT dedicated to rescue and emergency workers mental health support.</div></div><div><h3>Methods</h3><div>Using a survey as a qualitative longitudinal tool, we explored emergency medical personnel perceptions, experiences, and expectations in terms of support needs, information and knowledge sought, perceived benefits of RUPERT, interests expressed, as well as perceived value and advantages of RUPERT.</div></div><div><h3>Results</h3><div>A total of 37 participants joined the qualitative survey in time-point 1 (T1), 17 in time-point 2 (T2), and four in time-point 3 (T3). The thematic analysis generated 34 dominant subthemes within seven a priori domains and six overarching themes across domains. The overarching themes showed present concepts in the context of the discussion forum and emergency medical personnel, including <em>Shared experiences and mutual understanding</em>, <em>Support networks and Social connection</em>, <em>Access to Information and Practical tools</em>, <em>Barriers to Participation and Usability</em>, <em>Mental health and Work-related challenges</em>, and <em>Curiosity and Passive participation</em>.</div></div><div><h3>Conclusion</h3><div>The current findings have an important role for enhancing forums as an online tool for supporting rescue workers and emergency medical personnel. The overarching themes can support the future user-centered design principles in terms of functionality, usability, accessibility and more importantly serve as a guideline for practitioners who work on the content development via online tools for this population.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152655"},"PeriodicalIF":4.2,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic networks of prolonged grief symptoms in daily life","authors":"Justina Pociūnaitė-Ott ,&nbsp;Jorge Piano Simões ,&nbsp;Talya Greene ,&nbsp;Minita Franzen ,&nbsp;Lonneke I.M. Lenferink","doi":"10.1016/j.comppsych.2025.152660","DOIUrl":"10.1016/j.comppsych.2025.152660","url":null,"abstract":"<div><h3>Background</h3><div>According to network theories, mental disorders, including prolonged grief disorder (PGD), comprise networks of dynamically connected symptoms. Examining how prolonged grief symptoms are connected over time could reveal the patterns driving their persistence. This study provides the first empirical investigation of prolonged grief symptom networks using self-reported data on prolonged grief assessed multiple times daily.</div></div><div><h3>Methods</h3><div>Adults whose partner, family member, or friend died on average 30 months ago (<em>N</em> = 229, 80 % women, <em>M</em>_<em>age</em> = 51) rated prolonged grief symptom intensity using 11 items (e.g., “In the past three hours, I found myself yearning for him/her”) five times per day for two weeks. We used a two-step multilevel vector autoregressive model to produce between-person, contemporaneous, and temporal networks.</div></div><div><h3>Results</h3><div>In the between-person network, yearning and sadness were the most strongly and positively connected symptoms. In the contemporaneous network, yearning, preoccupation, and sadness formed a cluster of positively connected symptoms. Simultaneously, difficulty reintegrating after the loss, emotional numbness, meaninglessness, and loneliness due to the loss formed another positively connected symptom cluster. In the temporal network, emotional numbness had the greatest positive influence on other prolonged grief symptoms at the subsequent timepoint.</div></div><div><h3>Conclusion</h3><div>We propose that targeting emotional suppression, promoting flexible emotion regulation, and supporting integrated continuing bonds (approach-behaviors) and targeting avoidance of the reality of the loss (avoidance-behaviors) may help people to adapt to loss.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152660"},"PeriodicalIF":4.2,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficient screening and outcome assessment for borderline personality disorder: A psychometric evaluation of the uBPDc","authors":"Carlijn J.M. Wibbelink ,&nbsp;Jan H. Kamphuis ,&nbsp;Marieke Effting ,&nbsp;Roland Sinnaeve ,&nbsp;Michiel Boog ,&nbsp;Eliane C.P. Dek ,&nbsp;Arnoud Arntz","doi":"10.1016/j.comppsych.2025.152656","DOIUrl":"10.1016/j.comppsych.2025.152656","url":null,"abstract":"<div><div>There is a need for a brief and psychometrically sound questionnaire to assess borderline personality disorder (BPD) symptomatology that can serve both as a screening tool and outcome measure. We conducted a comprehensive psychometric evaluation of a shortened version of the validated BPD Checklist, the Ultrashort BPD Checklist (uBPDc). Data from 204 individuals diagnosed with BPD, 57 individuals diagnosed with Cluster-C personality disorder, and 103 non-clinical controls were analysed. As an initial step, we determined the final item composition, with separate items to index the presence or absence of intense anger or difficulty controlling anger (DSM-5 BPD criterion 8), and of paranoid ideation or dissociation (DSM-5 BPD criterion 9). The final 11-item version demonstrated strong internal consistency, and our findings provide consistent support for its concurrent and known-group validity. The uBPDc also showed satisfactory diagnostic accuracy and sensitivity to change. The one-factor structure of the uBPDc was confirmed by factor analysis. Measurement invariance was subsequently assessed across individuals with BPD and non-clinical controls, revealing support for partial measurement invariance. To conclude, the uBPDc demonstrated strong psychometric properties and thus makes for an efficient tool for screening and outcome assessment in BPD.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152656"},"PeriodicalIF":4.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research protocol for BootStRaP assessment phase: A nine-nation study on boosting societal adaptation and mental health in a rapidly digitalising, post-pandemic Europe","authors":"Naomi A. Fineberg ,&nbsp;Annika Brandtner ,&nbsp;Nana Löchner ,&nbsp;Christopher Kannen ,&nbsp;Megan Smith ,&nbsp;Simon Foster ,&nbsp;Anita Meinke ,&nbsp;Kristin Mosler ,&nbsp;Shai Fine ,&nbsp;Lior Carmi ,&nbsp;Talia Friedman ,&nbsp;Zsolt Demetrovics ,&nbsp;Célia Sales ,&nbsp;Julia Jones ,&nbsp;Hernâni Oliveira ,&nbsp;Samuel R. Chamberlain ,&nbsp;Konstantinos Ioannidis ,&nbsp;Katalin Felvinczi ,&nbsp;Joseph Zohar ,&nbsp;Andres Roman-Urrestarazu ,&nbsp;Matthias Brand","doi":"10.1016/j.comppsych.2025.152653","DOIUrl":"10.1016/j.comppsych.2025.152653","url":null,"abstract":"<div><h3>Background</h3><div>There is increasing global concern about the harms associated with problematic usage of the internet (PUI) affecting young people. Various risk factors have been proposed, but there is a scarcity of reliable evidence on the extent of the problem, who is most at risk of developing PUI and why, and how best to tackle it.</div></div><div><h3>Objectives</h3><div>BootStRaP (ISRCTN59576080) is a five-year multinational research programme designed to boost young people's health and resilience by determining, through prospective longitudinal assessment, the risk factors associated with PUI and its health economic impact and designing and testing preventative self-management interventions tailored to individual risk factors.</div></div><div><h3>Methods</h3><div>This paper describes the first phase of the project (i.e., Cohort 1). A sample of over 2500 schoolchildren aged 12–16 years was recruited across nine European countries. They were prospectively monitored over a 6-month period using a dedicated smartphone application (<em>BootstrApp</em>), through which their internet use habits, health and wellbeing were measured. Young people were involved in the co-design of aspects of the protocol including the recruitment plan and elements of the app design. The components of the assessment battery were chosen to investigate specific individual, clinical, cognitive and environmental risk determinants as defined a priori in an evidence-based logic-model. Participants were assessed using a combination of standardised demographic and clinical questionnaires, ambulatory assessment techniques, cognitive testing and passive digital monitoring. Multimodal data is analysed according to machine learning and structured equation modelling.</div></div><div><h3>Expected outcomes</h3><div>Our findings will contribute toward A) developing algorithms for predicting individuals at risk for PUI, B) identifying actionable variables for application to subjects as interventions for testing in the second phase of the project, C) validating risk hypotheses stated in the logic model of PUI including the interplay between predisposing risk factors (e.g., impulsivity, compulsivity), affective and cognitive processes (e.g., reward-related attentional biases), and executive functions (e.g., inhibitory control), D) calculating the health economic cost and impact of PUI in young people across Europe.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"145 ","pages":"Article 152653"},"PeriodicalIF":4.2,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}