Pub Date : 2025-07-01Epub Date: 2025-02-14DOI: 10.1016/j.ejpsy.2025.100297
Thomas Vlasak , Alfred Barth , Christoph Augner
Objective
This meta-analysis aims to clarify the relationship between body dissatisfaction (BD) and social media use.
Methods
We searched for relevant original studies via multiple data bases (i.e. Web of Science, Scopus, PubMed, etc.) until October 2023. Based on the included studies, we carried out a meta-analysis examining moderating effects and subgroup differences while testing the robustness of the relationship between BD and social media use against publication bias and influential cases.
Results
We included 18 studies with a total sample size of n = 24 384 participants with a mean age of 19.94 years (SD= 9.86) published from 2013 to 2022. Higher levels of social media use were significantly correlated with higher BD (r = 0.14 (95 % CI from 0.09 to 0.18, p < .001). The positive association between social media use and BD is robust against outlier exclusion and considering heterogeneity (r = 0.13 (95 % prediction interval from 0.04 to 0.23, p < .001).
Conclusion
Our results show that higher levels of social media use are significantly associated with higher BD. Key mechanisms behind the relationship are discussed.
{"title":"Don't feel comfortable in your own skin? The relationship between body dissatisfaction and social media use – A meta-analytical approach","authors":"Thomas Vlasak , Alfred Barth , Christoph Augner","doi":"10.1016/j.ejpsy.2025.100297","DOIUrl":"10.1016/j.ejpsy.2025.100297","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-analysis aims to clarify the relationship between body dissatisfaction (BD) and social media use.</div></div><div><h3>Methods</h3><div>We searched for relevant original studies via multiple data bases (i.e. Web of Science, Scopus, PubMed, etc.) until October 2023. Based on the included studies, we carried out a meta-analysis examining moderating effects and subgroup differences while testing the robustness of the relationship between BD and social media use against publication bias and influential cases.</div></div><div><h3>Results</h3><div>We included 18 studies with a total sample size of <em>n</em> = 24 384 participants with a mean age of 19.94 years (SD= 9.86) published from 2013 to 2022. Higher levels of social media use were significantly correlated with higher BD (<em>r</em> = 0.14 (95 % CI from 0.09 to 0.18, <em>p <</em> .001). The positive association between social media use and BD is robust against outlier exclusion and considering heterogeneity (<em>r</em> = 0.13 (95 % prediction interval from 0.04 to 0.23, <em>p <</em> .001).</div></div><div><h3>Conclusion</h3><div>Our results show that higher levels of social media use are significantly associated with higher BD. Key mechanisms behind the relationship are discussed.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100297"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-02-23DOI: 10.1016/j.ejpsy.2025.100299
Ana Pérez-Balaguer , Inmaculada Peñuelas-Calvo , Ana María de Granda-Beltrán , Jimena María Merayo-Cano , Berta Ezquerra , Adrián Alacreu-Crespo , Enrique Baca-García , Alejandro Porras-Segovia
Background and Objectives
Suicide is a major global public health issue. Pain, both psychological and physical, are potential risks factors for suicidal behaviour (SB). This study aims to explore the relationship between psychological and physical pain and SB in individuals at high risk of suicide.
Methods
This prospective cohort study included 322 participants recruited from emergency departments, psychiatric inpatient units, and outpatient mental health services in two hospitals in Madrid (Spain). Participants completed assessments at baseline and six months. Psychological and physical pain were measured using validated Visual Analog Scales (VAS). The primary outcome was the occurrence of suicidal events, documented through medical records and follow-up interviews. Kaplan-Meier survival analyses estimated the occurrence of suicidal events after 6 months of follow-up. Factors associated with suicidal events were analysed using univariate and multivariate Cox regression models to identify independent predictors of SB.
Results
Severe psychological pain in the previous 15 days was significantly associated with an increased risk of SB (p = 0.017), independently of depression severity. Younger age also emerged as a significant risk factor. No association was found between physical pain and SB.
Conclusions
Psychological pain is a key predictor of SB and should be a focus in suicide risk assessments. Further research is needed to improve measurement tools and develop targeted interventions in order to treat psychological pain effectively.
{"title":"Association between psychological pain and suicidal behaviour in a cohort of patients at high risk of suicide","authors":"Ana Pérez-Balaguer , Inmaculada Peñuelas-Calvo , Ana María de Granda-Beltrán , Jimena María Merayo-Cano , Berta Ezquerra , Adrián Alacreu-Crespo , Enrique Baca-García , Alejandro Porras-Segovia","doi":"10.1016/j.ejpsy.2025.100299","DOIUrl":"10.1016/j.ejpsy.2025.100299","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Suicide is a major global public health issue. Pain, both psychological and physical, are potential risks factors for suicidal behaviour (SB). This study aims to explore the relationship between psychological and physical pain and SB in individuals at high risk of suicide.</div></div><div><h3>Methods</h3><div>This prospective cohort study included 322 participants recruited from emergency departments, psychiatric inpatient units, and outpatient mental health services in two hospitals in Madrid (Spain). Participants completed assessments at baseline and six months. Psychological and physical pain were measured using validated Visual Analog Scales (VAS). The primary outcome was the occurrence of suicidal events, documented through medical records and follow-up interviews. Kaplan-Meier survival analyses estimated the occurrence of suicidal events after 6 months of follow-up. Factors associated with suicidal events were analysed using univariate and multivariate Cox regression models to identify independent predictors of SB.</div></div><div><h3>Results</h3><div>Severe psychological pain in the previous 15 days was significantly associated with an increased risk of SB (<em>p</em> = 0.017), independently of depression severity. Younger age also emerged as a significant risk factor. No association was found between physical pain and SB.</div></div><div><h3>Conclusions</h3><div>Psychological pain is a key predictor of SB and should be a focus in suicide risk assessments. Further research is needed to improve measurement tools and develop targeted interventions in order to treat psychological pain effectively.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100299"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Individuals with schizophrenia commonly exhibit cognitive biases that are related to the disorder's symptoms.
Objective
To review the current evidence on the characteristics and efficacy of psychological interventions targeting cognitive biases in individuals with schizophrenia.
Method
Systematic review registered in PROSPERO. A bibliographic search was conducted in PsycINFO, PubMed, Scopus, and Web of Science up to January 2024. The search focused on quantitative studies using the following keyword sequence: (schizophreni* OR psychosis OR psychoses OR psychotic*) AND (cogniti* OR think*) AND (bias* OR error*) AND (treatment OR therapy OR intervention OR training).
Results
A total of 38 studies assessed psychological interventions targeting cognitive biases in schizophrenia, with most focusing on Metacognitive Training (MCT). These interventions were found to significantly improve cognitive biases and positive symptoms, with promising effects on other symptoms,such as insight, negative symptoms, or self-esteem.
Conclusions
The evidence linking cognitive biases to schizophrenia symptomatology is reinforced. Additionally, it is shown that improving cognitive biases may be an important therapeutic goal in the treatment of the disorder.
精神分裂症患者通常表现出与疾病症状相关的认知偏差。目的综述针对精神分裂症患者认知偏差的心理干预的特点和效果。方法在PROSPERO注册系统评价。在PsycINFO， PubMed， Scopus和Web of Science中进行了文献检索，截止到2024年1月。搜索集中于使用以下关键字序列的定量研究：（精神分裂症*或精神病或精神病或精神病*）和（认知*或思考*）和（偏差*或错误*）和（治疗或治疗或干预或培训）。结果共有38项研究评估了针对精神分裂症认知偏差的心理干预措施，其中大部分集中在元认知训练（MCT）上。研究发现，这些干预措施显著改善了认知偏差和阳性症状，对其他症状（如洞察力、阴性症状或自尊）也有希望产生效果。结论认知偏差与精神分裂症症状学联系的证据得到加强。此外，研究表明，改善认知偏差可能是治疗该疾病的重要治疗目标。
{"title":"Psychological interventions to improve cognitive biases in people with schizophrenia: A systematic review","authors":"Marcel Gratacós-Torras , Esther Pousa , Susana Ochoa , Josep Manel Santos","doi":"10.1016/j.ejpsy.2025.100304","DOIUrl":"10.1016/j.ejpsy.2025.100304","url":null,"abstract":"<div><h3>Introduction</h3><div>Individuals with schizophrenia commonly exhibit cognitive biases that are related to the disorder's symptoms.</div></div><div><h3>Objective</h3><div>To review the current evidence on the characteristics and efficacy of psychological interventions targeting cognitive biases in individuals with schizophrenia.</div></div><div><h3>Method</h3><div>Systematic review registered in PROSPERO. A bibliographic search was conducted in PsycINFO, PubMed, Scopus, and Web of Science up to January 2024. The search focused on quantitative studies using the following keyword sequence: (schizophreni* OR psychosis OR psychoses OR psychotic*) AND (cogniti* OR think*) AND (bias* OR error*) AND (treatment OR therapy OR intervention OR training).</div></div><div><h3>Results</h3><div>A total of 38 studies assessed psychological interventions targeting cognitive biases in schizophrenia, with most focusing on Metacognitive Training (MCT). These interventions were found to significantly improve cognitive biases and positive symptoms, with promising effects on other symptoms,such as insight, negative symptoms, or self-esteem.</div></div><div><h3>Conclusions</h3><div>The evidence linking cognitive biases to schizophrenia symptomatology is reinforced. Additionally, it is shown that improving cognitive biases may be an important therapeutic goal in the treatment of the disorder.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100304"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-01-24DOI: 10.1016/j.ejpsy.2025.100292
Li-Kai Cheng , Li-Fen Chen , Tung-Ping Su , Cheng-Ta Li , Wei-Chen Lin , Shih-Jen Tsai , Ya-Mei Bai , Pei-Chi Tu , Mu-Hong Chen
Background and objectives
Evidence suggests that treatment-resistant depression (TRD) is associated with more prominent and widespread brain alterations in areas related to mood and cognition compared with non-treatment-resistant depression (nTRD). However, direct comparisons of brain functioning between TRD and nTRD are scarce.
Methods
We applied graph theory-based resting-state functional magnetic resonance imaging analysis to compare the degree centrality (DC) of brain functional connectivity among 31 patients with TRD, 28 patients with nTRD, and 30 healthy controls. Cognitive function was assessed using working memory and go/no-go tasks.
Results
Compared with controls, patients with TRD exhibited reduced DC in the left cuneus, right frontal operculum cortex, cerebellum vermis I, II, and IX, and left cerebellum lobule X. The DC in the right cerebellum lobule III was lower in patients with TRD compared with those with nTRD. Among patients with TRD, we discovered positive associations between mean reaction time on the go/no-go task and DC in the left cuneus (r = 0.44, p = 0.015) and the right frontal operculum cortex (r = 0.41, p = 0.025). Conversely, the mean reaction time on the working memory task was inversely correlated with DC in the left cerebellar lobule X (r = −0.43, p = 0.019).
Conclusion
Our findings highlight the important roles of the cerebellum (specifically, lobule X, and the right lobule III), frontal operculum, and cuneus in TRD. Dysfunction in these brain regions, which are integral to the salience and default mode networks, is likely associated with TRD-related cognitive dysfunction.
背景和目的有证据表明，与非治疗抵抗性抑郁症（nTRD）相比，治疗抵抗性抑郁症（TRD）与情绪和认知相关区域的大脑改变更为突出和广泛。然而，TRD和nTRD之间大脑功能的直接比较很少。方法应用基于图论的静息状态功能磁共振成像分析，比较31例TRD患者、28例nTRD患者和30例健康对照者的脑功能连接度中心性（DC）。认知功能通过工作记忆和去/不去任务来评估。结果与对照组相比，TRD患者的左楔叶、右额盖皮层、小脑I、II、IX和左小脑x小叶DC明显减少。TRD患者的右小脑III小叶DC低于nTRD患者。在TRD患者中，我们发现走/不走任务的平均反应时间与左楔叶（r = 0.44, p = 0.015）和右额盖皮层（r = 0.41, p = 0.025）的DC呈正相关。相反，工作记忆任务的平均反应时间与左小脑X小叶DC呈负相关（r = - 0.43, p = 0.019）。结论我们的研究结果强调了小脑（特别是X小叶和右III小叶）、额盖和楔叶在TRD中的重要作用。这些脑区是突出和默认模式网络的组成部分，其功能障碍可能与trd相关的认知功能障碍有关。
{"title":"Difference in degree centrality of brain functional connectivity between patients with treatment-resistant depression and patients with non-treatment-resistant depression compared with healthy individuals","authors":"Li-Kai Cheng , Li-Fen Chen , Tung-Ping Su , Cheng-Ta Li , Wei-Chen Lin , Shih-Jen Tsai , Ya-Mei Bai , Pei-Chi Tu , Mu-Hong Chen","doi":"10.1016/j.ejpsy.2025.100292","DOIUrl":"10.1016/j.ejpsy.2025.100292","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Evidence suggests that treatment-resistant depression (TRD) is associated with more prominent and widespread brain alterations in areas related to mood and cognition compared with non-treatment-resistant depression (nTRD). However, direct comparisons of brain functioning between TRD and nTRD are scarce.</div></div><div><h3>Methods</h3><div>We applied graph theory-based resting-state functional magnetic resonance imaging analysis to compare the degree centrality (DC) of brain functional connectivity among 31 patients with TRD, 28 patients with nTRD, and 30 healthy controls. Cognitive function was assessed using working memory and go/no-go tasks.</div></div><div><h3>Results</h3><div>Compared with controls, patients with TRD exhibited reduced DC in the left cuneus, right frontal operculum cortex, cerebellum vermis I, II, and IX, and left cerebellum lobule X. The DC in the right cerebellum lobule III was lower in patients with TRD compared with those with nTRD. Among patients with TRD, we discovered positive associations between mean reaction time on the go/no-go task and DC in the left cuneus (<em>r</em> = 0.44, <em>p</em> = 0.015) and the right frontal operculum cortex (<em>r</em> = 0.41, <em>p</em> = 0.025). Conversely, the mean reaction time on the working memory task was inversely correlated with DC in the left cerebellar lobule X (<em>r</em> = −0.43, <em>p</em> = 0.019).</div></div><div><h3>Conclusion</h3><div>Our findings highlight the important roles of the cerebellum (specifically, lobule X, and the right lobule III), frontal operculum, and cuneus in TRD. Dysfunction in these brain regions, which are integral to the salience and default mode networks, is likely associated with TRD-related cognitive dysfunction.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100292"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-04-10DOI: 10.1016/j.ejpsy.2025.100309
Carl Zhou , Nicholas Fabiano , Stanley Wong , Philip Yu , Henry Cheng , Risa Shorr , Marco Solmi
Background
There is growing research on therapeutic benefits of animals. However, their impact on suicide-related outcomes such as suicidal ideation (SI), suicide attempts (SA), and suicide deaths remains unclear. This scoping review consolidates existing literature on the role of pet ownership and animal assisted therapy (AAT) on suicide-related outcomes.
Methods
A PRISMA-compliant systematic search of MEDLINE, EMBASE, and PsycINFO was conducted up to March 10, 2025. Articles reporting the impact of pet ownership or AAT on SI, SA, or suicide deaths were included. Screening and data extraction were performed in duplicate, with risk of bias assessed using appropriate tools for each study design except for case reports and interviews. Study findings were descriptively summarized.
Results
25 studies were included: one RCT, five pre- and post-studies, two cohort studies, one case-control study, three case reports/series, and 13 surveys/interviews. For pet ownership, a cohort study (n=709) found a positive association between time with dog and SI (r=0.17, p<0.001). Two other observational studies yielded non-significant results against suicide deaths. For AAT, one pre- and post-study of veterans (n=71) reported significant SI reductions (t(54)=4.87, p<0.001) while another pre- and post-study of adolescents (n=30) also found significant SI reductions (χ² McNemar=6.75; p<0.05). Four other experimental studies, including one RCT, yielded non-significant results. Qualitative findings suggested pet ownership and AAT may have a perceived protective effect against SI. No articles reported on SA. Most articles had a high or moderate risk of bias.
Conclusion
While there is a reported perceived protective effect of pet ownership and AAT against SI, the evidence for pet ownership and AAT remains inconclusive in relations to SI, SA, and suicide deaths. Future research should focus on high-quality with stringent methodology, large-scale, experimental studies with standardized outcome measures to clarify the role of animals in suicide prevention.
{"title":"Impact of pet ownership and animal-assisted therapy on suicidal ideation and suicide deaths: A scoping review","authors":"Carl Zhou , Nicholas Fabiano , Stanley Wong , Philip Yu , Henry Cheng , Risa Shorr , Marco Solmi","doi":"10.1016/j.ejpsy.2025.100309","DOIUrl":"10.1016/j.ejpsy.2025.100309","url":null,"abstract":"<div><h3>Background</h3><div>There is growing research on therapeutic benefits of animals. However, their impact on suicide-related outcomes such as suicidal ideation (SI), suicide attempts (SA), and suicide deaths remains unclear. This scoping review consolidates existing literature on the role of pet ownership and animal assisted therapy (AAT) on suicide-related outcomes.</div></div><div><h3>Methods</h3><div>A PRISMA-compliant systematic search of MEDLINE, EMBASE, and PsycINFO was conducted up to March 10, 2025. Articles reporting the impact of pet ownership or AAT on SI, SA, or suicide deaths were included. Screening and data extraction were performed in duplicate, with risk of bias assessed using appropriate tools for each study design except for case reports and interviews. Study findings were descriptively summarized.</div></div><div><h3>Results</h3><div>25 studies were included: one RCT, five pre- and post-studies, two cohort studies, one case-control study, three case reports/series, and 13 surveys/interviews. For pet ownership, a cohort study (n=709) found a positive association between time with dog and SI (r=0.17, p<0.001). Two other observational studies yielded non-significant results against suicide deaths. For AAT, one pre- and post-study of veterans (n=71) reported significant SI reductions (t(54)=4.87, p<0.001) while another pre- and post-study of adolescents (n=30) also found significant SI reductions (χ² McNemar=6.75; p<0.05). Four other experimental studies, including one RCT, yielded non-significant results. Qualitative findings suggested pet ownership and AAT may have a perceived protective effect against SI. No articles reported on SA. Most articles had a high or moderate risk of bias.</div></div><div><h3>Conclusion</h3><div>While there is a reported perceived protective effect of pet ownership and AAT against SI, the evidence for pet ownership and AAT remains inconclusive in relations to SI, SA, and suicide deaths. Future research should focus on high-quality with stringent methodology, large-scale, experimental studies with standardized outcome measures to clarify the role of animals in suicide prevention.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100309"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-04-11DOI: 10.1016/j.ejpsy.2025.100310
Wenyan Zhang , Xiaohui Song , Xianbin Wang , Zhongliang Jiang , Xu Hong , Tianyuan Lei , Yonghua Cui
Background and objectives
The co-occurrence of attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional dysregulation is highly prevalent. This study aims to explore potential subgroups within child and adolescent cohorts concerning ADHD symptoms and emotional dysregulation.
Methods
The sample comprised 13,207 children and adolescents aged 4–16 years diagnosed with ADHD recruited from outpatient services at the Beijing Children's Hospital. Latent profile analysis (LPA) was used to identify subgroups based on ADHD symptoms and emotional dysregulation across different age groups (children, 4–9 years, vs. adolescents, 10–16 years). Furthermore, analysis of covariance (ANCOVA) was employed to compare differences in behavioral problems, cognitive impairments, and social dysfunctions among these subgroups.
Results
We identified four distinct latent subgroups in children and three in adolescents. Significant differences in behavioral problems, cognitive impairments, and social dysfunctions were observed across these subgroups in both cohorts. Subgroups with high levels of ADHD symptoms and emotional dysregulation exhibited more severe functional impairments across both age groups.
Conclusions
This study highlights developmental variations in the relationship between ADHD symptoms and emotional dysregulation, underscoring the need for tailored interventions based on age-specific profiles.
{"title":"Functional impairments in attention-deficit/hyperactivity disorder and emotional dysregulation subgroups: A latent profile analysis in a large cohort of 13,207 children and adolescents","authors":"Wenyan Zhang , Xiaohui Song , Xianbin Wang , Zhongliang Jiang , Xu Hong , Tianyuan Lei , Yonghua Cui","doi":"10.1016/j.ejpsy.2025.100310","DOIUrl":"10.1016/j.ejpsy.2025.100310","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The co-occurrence of attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional dysregulation is highly prevalent. This study aims to explore potential subgroups within child and adolescent cohorts concerning ADHD symptoms and emotional dysregulation.</div></div><div><h3>Methods</h3><div>The sample comprised 13,207 children and adolescents aged 4–16 years diagnosed with ADHD recruited from outpatient services at the Beijing Children's Hospital. Latent profile analysis (LPA) was used to identify subgroups based on ADHD symptoms and emotional dysregulation across different age groups (children, 4–9 years, vs. adolescents, 10–16 years). Furthermore, analysis of covariance (ANCOVA) was employed to compare differences in behavioral problems, cognitive impairments, and social dysfunctions among these subgroups.</div></div><div><h3>Results</h3><div>We identified four distinct latent subgroups in children and three in adolescents. Significant differences in behavioral problems, cognitive impairments, and social dysfunctions were observed across these subgroups in both cohorts. Subgroups with high levels of ADHD symptoms and emotional dysregulation exhibited more severe functional impairments across both age groups.</div></div><div><h3>Conclusions</h3><div>This study highlights developmental variations in the relationship between ADHD symptoms and emotional dysregulation, underscoring the need for tailored interventions based on age-specific profiles.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100310"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-02-08DOI: 10.1016/j.ejpsy.2025.100295
Luis M. Rojo-Bofill
{"title":"The growing phenomenon of sharenting and its implications for psychiatry","authors":"Luis M. Rojo-Bofill","doi":"10.1016/j.ejpsy.2025.100295","DOIUrl":"10.1016/j.ejpsy.2025.100295","url":null,"abstract":"","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100295"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-01-24DOI: 10.1016/j.ejpsy.2025.100290
Claire Thirkettle , Sheri Oduola , Sharon Black , Lucy McEntegart , Peter Beazley
Background and Objectives
The Attribution Questionnaire (AQ-27) is a widely used measure of public mental illness stigma. The AQ-27 was originally developed in the USA in the English language. Since its inception in 2003, several translations of the measure have been produced. This is the first review to explore the use of translated versions of the AQ-27 to measure stigma towards people with schizophrenia.
Methods
A systematic review was conducted. MEDLINE, PsycInfo and Web of Science were systematically searched between 2003 and 2024. The COSMIN Study Design Checklist was adapted to appraise the quality of the translation processes. Data were extracted relating to measurement properties (reliability and validity) of the translated measures.
Results
Forty-one studies were identified, spanning fifteen countries and eleven languages. Most studies (n = 26, 63.4 %) were located in Europe. Twelve original translations of the AQ-27 were identified, of which, four studies were primarily focused on translation and validation of the measure. The Turkish, Italian and Arabic translations were rated highest for methodological quality of the translation process.
Conclusions
Researchers should consider the quality of the methodology used to develop existing translated versions of the AQ-27 before adopting them, as this may have implications for the validity and equivalence of the measure within the target culture. Translation frameworks are available to support the high-quality translation and cross-cultural adaptation of self-report measures.
背景与目的归因问卷（AQ-27）是一种广泛使用的公众精神疾病污名的测量方法。AQ-27最初是在美国用英语开发的。自2003年开始实施以来，已经对该措施进行了几种翻译。这是首次探讨使用翻译版本的AQ-27来衡量精神分裂症患者的耻辱。方法进行系统评价。MEDLINE， PsycInfo和Web of Science在2003年至2024年间进行了系统检索。COSMIN研究设计检查表用于评估翻译过程的质量。提取与翻译后测量值的测量属性（信度和效度）相关的数据。结果共确定了41项研究，涉及15个国家和11种语言。大多数研究（n = 26, 63.4%）位于欧洲。我们确定了12个AQ-27的原始翻译，其中有4个研究主要集中在翻译和验证度量。土耳其语、意大利语和阿拉伯语译本在翻译过程的方法质量方面被评为最高。在采用现有的AQ-27翻译版本之前，研究人员应该考虑其开发方法的质量，因为这可能会影响目标文化中测量方法的有效性和等效性。翻译框架可用于支持高质量的翻译和跨文化适应的自我报告措施。
{"title":"A systematic review of studies using translated versions of the Attribution Questionnaire (AQ-27) to measure public stigma towards people with schizophrenia","authors":"Claire Thirkettle , Sheri Oduola , Sharon Black , Lucy McEntegart , Peter Beazley","doi":"10.1016/j.ejpsy.2025.100290","DOIUrl":"10.1016/j.ejpsy.2025.100290","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>The Attribution Questionnaire (AQ-27) is a widely used measure of public mental illness stigma. The AQ-27 was originally developed in the USA in the English language. Since its inception in 2003, several translations of the measure have been produced. This is the first review to explore the use of translated versions of the AQ-27 to measure stigma towards people with schizophrenia.</div></div><div><h3>Methods</h3><div>A systematic review was conducted. MEDLINE, PsycInfo and Web of Science were systematically searched between 2003 and 2024. The COSMIN Study Design Checklist was adapted to appraise the quality of the translation processes. Data were extracted relating to measurement properties (reliability and validity) of the translated measures.</div></div><div><h3>Results</h3><div>Forty-one studies were identified, spanning fifteen countries and eleven languages. Most studies (<em>n</em> = 26, 63.4 %) were located in Europe. Twelve original translations of the AQ-27 were identified, of which, four studies were primarily focused on translation and validation of the measure. The Turkish, Italian and Arabic translations were rated highest for methodological quality of the translation process.</div></div><div><h3>Conclusions</h3><div>Researchers should consider the quality of the methodology used to develop existing translated versions of the AQ-27 before adopting them, as this may have implications for the validity and equivalence of the measure within the target culture. Translation frameworks are available to support the high-quality translation and cross-cultural adaptation of self-report measures.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100290"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-04-23DOI: 10.1016/j.ejpsy.2025.100311
María Irigoyen-Otiñano , Vicent Llorca-Bofí , Purificación López-Pena , Andrea Gabilondo Cuéllar , Guillermo Cano Escalera , Raquel Roca , Iñaki Zorrilla , Ana González-Pinto
Background and objectives
Suicide attempts are a significant public health issue, with a high risk of relapse within 3–12 months following an initial attempt. Telemedicine-based follow-up interventions have emerged as a promising low-cost strategy for preventing reattempts, but the optimal duration and structure of these programs remain unclear. This study aimed to evaluate the effectiveness of a 12-month telemedicine-based follow-up intervention in reducing suicide reattempts compared to treatment as usual (TAU).
Methods
This multicenter, prospective, non-randomized controlled study was conducted in two hospitals in the Basque Country, Spain. A total of 140 patients with a recent suicide attempt were included, with 70 receiving a structured 12-month telephone follow-up in addition to TAU, and 70 receiving TAU alone. The primary outcome was the proportion of patients who reattempted suicide within 12 months. Secondary outcomes included time to first reattempt and the impact of adherence to the intervention response.
Results
Patients in the intervention group had a significantly lower rate of reattempts (21.4 % vs. 41.4 %, p = 0.011), fewer total reattempts (p = 0.031), and a longer time to first reattempt (p = 0.032) compared to the control group. Cox regression analysis showed a 54 % reduction in the risk of reattempts in the intervention group (HR=0.46, p = 0.001).
Conclusion
A 12-month telemedicine-based follow-up significantly reduces suicide reattempts and delays relapse, supporting its integration into standard mental health care for individuals at high risk of suicide.
背景和目的自杀企图是一个重大的公共卫生问题，在首次尝试后3-12个月内复发的风险很高。基于远程医疗的随访干预已经成为一种很有前途的低成本策略，用于防止再犯，但这些计划的最佳持续时间和结构尚不清楚。本研究旨在评估与常规治疗（TAU）相比，为期12个月的基于远程医疗的随访干预在减少自杀再企图方面的有效性。方法本研究是一项多中心、前瞻性、非随机对照研究，在西班牙巴斯克地区的两家医院进行。共纳入140例近期有自杀企图的患者，其中70例在接受TAU治疗的同时接受了12个月的电话随访，70例仅接受TAU治疗。主要结果是12个月内再次企图自杀的患者比例。次要结果包括第一次再尝试的时间和坚持干预反应的影响。结果干预组患者复诊率明显低于对照组（21.4% vs. 41.4%, p = 0.011），总复诊次数明显少于对照组（p = 0.031），首次复诊时间明显长于对照组（p = 0.032）。Cox回归分析显示，干预组再尝试风险降低54% （HR=0.46, p = 0.001）。结论基于远程医疗的12个月随访可显著减少自杀再尝试和延迟复发，支持将其纳入自杀高危个体的标准精神卫生保健。
{"title":"Effectiveness of a 12-month telemedicine-based follow-up in reducing suicide reattempts: A multicentre non-randomized controlled study","authors":"María Irigoyen-Otiñano , Vicent Llorca-Bofí , Purificación López-Pena , Andrea Gabilondo Cuéllar , Guillermo Cano Escalera , Raquel Roca , Iñaki Zorrilla , Ana González-Pinto","doi":"10.1016/j.ejpsy.2025.100311","DOIUrl":"10.1016/j.ejpsy.2025.100311","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Suicide attempts are a significant public health issue, with a high risk of relapse within 3–12 months following an initial attempt. Telemedicine-based follow-up interventions have emerged as a promising low-cost strategy for preventing reattempts, but the optimal duration and structure of these programs remain unclear. This study aimed to evaluate the effectiveness of a 12-month telemedicine-based follow-up intervention in reducing suicide reattempts compared to treatment as usual (TAU).</div></div><div><h3>Methods</h3><div>This multicenter, prospective, non-randomized controlled study was conducted in two hospitals in the Basque Country, Spain. A total of 140 patients with a recent suicide attempt were included, with 70 receiving a structured 12-month telephone follow-up in addition to TAU, and 70 receiving TAU alone. The primary outcome was the proportion of patients who reattempted suicide within 12 months. Secondary outcomes included time to first reattempt and the impact of adherence to the intervention response.</div></div><div><h3>Results</h3><div>Patients in the intervention group had a significantly lower rate of reattempts (21.4 % vs. 41.4 %, <em>p</em> = 0.011), fewer total reattempts (<em>p</em> = 0.031), and a longer time to first reattempt (<em>p</em> = 0.032) compared to the control group. Cox regression analysis showed a 54 % reduction in the risk of reattempts in the intervention group (HR=0.46, <em>p</em> = 0.001).</div></div><div><h3>Conclusion</h3><div>A 12-month telemedicine-based follow-up significantly reduces suicide reattempts and delays relapse, supporting its integration into standard mental health care for individuals at high risk of suicide.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100311"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-05-29DOI: 10.1016/j.ejpsy.2025.100314
Elizabeth Suárez-Soto , Yolanda Sánchez-Carro , Andrés Pemau , Adriana García-Ramos , Marina Díaz-Marsá , Iria Grande , Pilar Alejandra Sáiz , Miguel Ruiz-Veguilla , Ángela Palao-Tarrero , Annabel Cebrià , Matilde Elices , Ana González-Pinto , José Luis Ayuso , Víctor Pérez Solà , Alejandro de la Torre-Luque
Background and Objectives
Suicide represents a significant global public health challenge, with a concerning increase in Spain, particularly among young adults. In response, the National Platform for the Study and Prevention of Suicide was established. This article provides a descriptive overview of its creation, structural components, and public engagement data.
Methods
The platform integrates multiple components, including geospatial and temporal epidemiological surveillance models, annual reports on suicide trends, and user-friendly data visualization tools that provide regional and national insights. It also addresses public interest by disseminating evidence-based information and preventive resources.
Results
Since its launch in October 2021 through January 13, 2025, the platform recorded 53,159 visits, indicating significant public interest in geographic suicide data and preventive resources. Most visitors are from Spain (86 %), with notable international interest, particularly from the United States and Latin America.
Conclusion
The National Platform has proven to be a valuable tool for suicide prevention in Spain, leveraging digital innovation to enhance public awareness and epidemiological monitoring. Its focus on geospatial data and user interaction underscores its potential to inform public health responses and support evidence-based interventions.
{"title":"National suicide prevention Spanish platform: Creation and components","authors":"Elizabeth Suárez-Soto , Yolanda Sánchez-Carro , Andrés Pemau , Adriana García-Ramos , Marina Díaz-Marsá , Iria Grande , Pilar Alejandra Sáiz , Miguel Ruiz-Veguilla , Ángela Palao-Tarrero , Annabel Cebrià , Matilde Elices , Ana González-Pinto , José Luis Ayuso , Víctor Pérez Solà , Alejandro de la Torre-Luque","doi":"10.1016/j.ejpsy.2025.100314","DOIUrl":"10.1016/j.ejpsy.2025.100314","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Suicide represents a significant global public health challenge, with a concerning increase in Spain, particularly among young adults. In response, the National Platform for the Study and Prevention of Suicide was established. This article provides a descriptive overview of its creation, structural components, and public engagement data.</div></div><div><h3>Methods</h3><div>The platform integrates multiple components, including geospatial and temporal epidemiological surveillance models, annual reports on suicide trends, and user-friendly data visualization tools that provide regional and national insights. It also addresses public interest by disseminating evidence-based information and preventive resources.</div></div><div><h3>Results</h3><div>Since its launch in October 2021 through January 13, 2025, the platform recorded 53,159 visits, indicating significant public interest in geographic suicide data and preventive resources. Most visitors are from Spain (86 %), with notable international interest, particularly from the United States and Latin America.</div></div><div><h3>Conclusion</h3><div>The National Platform has proven to be a valuable tool for suicide prevention in Spain, leveraging digital innovation to enhance public awareness and epidemiological monitoring. Its focus on geospatial data and user interaction underscores its potential to inform public health responses and support evidence-based interventions.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100314"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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