Pub 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":"2025-02-14","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 : 2025-02-08DOI: 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":"2025-02-08","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 : 2025-01-28DOI: 10.1016/j.ejpsy.2024.100274
Cristiane Buzanello-Donin , Monica Augusta Mombelli , Márcia Rosângela Buzanello , Clenise Maria Reis Capellani dos Santos , Cassia Cristina Paes de Almeida , Rogério da Luz , Miguel Morita Fernandes da Silva
Background and objective
To conduct a literature review to assess the association between eating disorders (ED), cardiovascular outcomes and all-cause mortality.
Methods
Observational studies that presented a measure of association between mortality (or cardiac outcomes) and EDs in adult or adolescent patients were included. The databases PubMed, Web of Science, EMBASE, Livivo, Scopus, PsycINFO and Lilacs were consulted. The random effect was adopted to group the findings of the primary studies in the meta-analysis using the Hazzard Ratio (HR) as a measure of association.
Results
The meta-analysis with 50,263 patients with ED showed a higher risk of mortality from all causes in patients compared to controls. The associated risk of death from all causes was higher with anorexia (AN) compared to other ED (AN: HR 5.38; 95 %CI 4.42 to 6.56; binge ED: HR 2.48; 95 %CI 1.13 to 5.46; bulimia: HR 2.21; 95 %CI 1.70 to 2.87). Additionally, one study demonstrated an association between bulimia and an increased risk of developing cardiovascular disease (HR 4.25; 95 %CI 2.98 to 6.07) and another study showed a higher risk of cardiovascular events in people with bulimia than in healthy controls (HR 1.4; 95 %CI 0.7 to 2.8). Finally, a higher risk of cardiovascular events in people with AN (HR 10.4; 95 %CI 2.6 to 41.6) was demonstrated in one study, when compared to healthy controls.
Conclusions
There is an association between EDs and all-cause mortality, with AN being associated with the highest risk, followed by binge ED and bulimia.
背景与目的通过文献综述来评估饮食失调（ED）、心血管结局和全因死亡率之间的关系。方法纳入了对成人或青少年患者的死亡率（或心脏结果）与ed之间的关联进行测量的观察性研究。参考PubMed、Web of Science、EMBASE、Livivo、Scopus、PsycINFO、Lilacs等数据库。采用随机效应对meta分析中主要研究的结果进行分组，使用危险比（HR）作为关联的衡量标准。结果对50263例ED患者的荟萃分析显示，与对照组相比，患者的全因死亡风险更高。与其他ED相比，厌食症（AN）的相关全因死亡风险更高(AN: HR 5.38；95% CI 4.42 ~ 6.56；狂欢ED: HR 2.48；95% CI 1.13 - 5.46；暴食症：HR 2.21；95% CI 1.70 - 2.87)。此外，一项研究表明贪食症与患心血管疾病的风险增加之间存在关联(HR 4.25；95% CI 2.98 - 6.07)，另一项研究显示，暴食症患者的心血管事件风险高于健康对照组(HR 1.4；95% CI 0.7 - 2.8)。最后，AN患者的心血管事件风险更高(HR 10.4；一项研究表明，与健康对照相比，95%可信区间为2.6至41.6)。结论：ED与全因死亡率之间存在关联，其中an风险最高，其次是暴食性ED和贪食症。
{"title":"Eating disorders and cardiovascular outcomes: A systematic review with meta-analysis","authors":"Cristiane Buzanello-Donin , Monica Augusta Mombelli , Márcia Rosângela Buzanello , Clenise Maria Reis Capellani dos Santos , Cassia Cristina Paes de Almeida , Rogério da Luz , Miguel Morita Fernandes da Silva","doi":"10.1016/j.ejpsy.2024.100274","DOIUrl":"10.1016/j.ejpsy.2024.100274","url":null,"abstract":"<div><h3>Background and objective</h3><div>To conduct a literature review to assess the association between eating disorders (ED), cardiovascular outcomes and all-cause mortality.</div></div><div><h3>Methods</h3><div>Observational studies that presented a measure of association between mortality (or cardiac outcomes) and EDs in adult or adolescent patients were included. The databases PubMed, Web of Science, EMBASE, Livivo, Scopus, PsycINFO and Lilacs were consulted. The random effect was adopted to group the findings of the primary studies in the meta-analysis using the Hazzard Ratio (HR) as a measure of association.</div></div><div><h3>Results</h3><div>The meta-analysis with 50,263 patients with ED showed a higher risk of mortality from all causes in patients compared to controls. The associated risk of death from all causes was higher with anorexia (AN) compared to other ED (AN: HR 5.38; 95 %CI 4.42 to 6.56; binge ED: HR 2.48; 95 %CI 1.13 to 5.46; bulimia: HR 2.21; 95 %CI 1.70 to 2.87). Additionally, one study demonstrated an association between bulimia and an increased risk of developing cardiovascular disease (HR 4.25; 95 %CI 2.98 to 6.07) and another study showed a higher risk of cardiovascular events in people with bulimia than in healthy controls (HR 1.4; 95 %CI 0.7 to 2.8). Finally, a higher risk of cardiovascular events in people with AN (HR 10.4; 95 %CI 2.6 to 41.6) was demonstrated in one study, when compared to healthy controls.</div></div><div><h3>Conclusions</h3><div>There is an association between EDs and all-cause mortality, with AN being associated with the highest risk, followed by binge ED and bulimia.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100274"},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172281","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 : 2025-01-24DOI: 10.1016/j.ejpsy.2025.100294
M.A. Riedinger , G.E. van Son , N.J.A. van der Wee , E.J. Giltay , M. de Leeuw
Background and objectives
Depressive disorders, both unipolar (MDD) and bipolar (BD), impact patients and society greatly. In bipolar depression and seasonal affective disorder the episodic nature and periodicity relate to changes in circadian rhythms. Bright light therapy (BLT) is thought to ameliorate symptoms of depression through its influence on circadian rhythms. Effectiveness of BLT has not been thoroughly established in real-world clinical samples.
Methods
For seventy-four patients with depression Inventory of Depressive Symptoms – Self Rated (IDS-SR) scores were available through Routine Outcome Monitoring (ROM) used in BLT in the outpatient clinic for mood disorders. Patients received one or two weeks of add-on BLT as usual care. Patients suffering from MDD (n = 33, 60.6 % female, mean age 36.1 ± 11.5 years) were compared to patients suffering from BD (n = 41, 70.7 % female, mean age 45.0 ± 14.5 years) and changes in individual symptoms were analyzed for these two groups as well as the whole cohort.
Results
IDS-SR scores decreased significantly in both groups of patients and did not differ in effect size between the groups. Explorative analyses of the effects on individual items of the IDS-SR showed that items related to core symptoms of depression such a as mood, concentration and energy level showed the largest improvements.
Conclusion
Self-report depressive symptoms in patients suffering from either MDD or BD decreased in this naturalistic cohort after receiving BLT.
{"title":"Effectiveness of bright light therapy in patients suffering from unipolar or bipolar depression; A naturalistic study","authors":"M.A. Riedinger , G.E. van Son , N.J.A. van der Wee , E.J. Giltay , M. de Leeuw","doi":"10.1016/j.ejpsy.2025.100294","DOIUrl":"10.1016/j.ejpsy.2025.100294","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive disorders, both unipolar (MDD) and bipolar (BD), impact patients and society greatly. In bipolar depression and seasonal affective disorder the episodic nature and periodicity relate to changes in circadian rhythms. Bright light therapy (BLT) is thought to ameliorate symptoms of depression through its influence on circadian rhythms. Effectiveness of BLT has not been thoroughly established in real-world clinical samples.</div></div><div><h3>Methods</h3><div>For seventy-four patients with depression Inventory of Depressive Symptoms – Self Rated (IDS-SR) scores were available through Routine Outcome Monitoring (ROM) used in BLT in the outpatient clinic for mood disorders. Patients received one or two weeks of add-on BLT as usual care. Patients suffering from MDD (<em>n</em> = 33, 60.6 % female, mean age 36.1 ± 11.5 years) were compared to patients suffering from BD (<em>n</em> = 41, 70.7 % female, mean age 45.0 ± 14.5 years) and changes in individual symptoms were analyzed for these two groups as well as the whole cohort.</div></div><div><h3>Results</h3><div>IDS-SR scores decreased significantly in both groups of patients and did not differ in effect size between the groups. Explorative analyses of the effects on individual items of the IDS-SR showed that items related to core symptoms of depression such a as mood, concentration and energy level showed the largest improvements.</div></div><div><h3>Conclusion</h3><div>Self-report depressive symptoms in patients suffering from either MDD or BD decreased in this naturalistic cohort after receiving BLT.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100294"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136440","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 : 2025-01-24DOI: 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":"2025-01-24","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 : 2025-01-24DOI: 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":"2025-01-24","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 : 2025-01-22DOI: 10.1016/j.ejpsy.2025.100291
Sanne Swart , Marleen Wildschut , Willemien Langeland , Adriaan W. Hoogendoorn , Nel Draijer
Background and objectives
This study tested the prognostic value of a two-dimensional trauma-neglect model by determining clinically relevant change in symptomatology of patients with (comorbid) trauma-related disorders, dissociative disorders and personality disorders after 2-year follow-up
Methods
Our cohort consisted of 150 patients who were referred to specialized treatment programs for trauma-related disorders, dissociative disorders or personality disorders. We determined clinically relevant change using the Relevant Change Index and used logistic regression analysis to test the prognostic value of the trauma-neglect model.
Results
Our results showed that severity of a trauma-related diagnosis predicted clinically relevant change in dissociative symptoms, but not in other symptomatology. The number of personality disorders did not predict clinically relevant change in symptomatology.
Conclusions
We found little support for the prognostic value of the trauma-neglect model, and, contrary to our expectation, the severity of symptoms did not predict course in a negative way.
{"title":"Prognostic value of a two-dimensional trauma-neglect model: Two-year course of the Dutch Friesland study cohort","authors":"Sanne Swart , Marleen Wildschut , Willemien Langeland , Adriaan W. Hoogendoorn , Nel Draijer","doi":"10.1016/j.ejpsy.2025.100291","DOIUrl":"10.1016/j.ejpsy.2025.100291","url":null,"abstract":"<div><h3>Background and objectives</h3><div>This study tested the prognostic value of a two-dimensional trauma-neglect model by determining clinically relevant change in symptomatology of patients with (comorbid) trauma-related disorders, dissociative disorders and personality disorders after 2-year follow-up</div></div><div><h3>Methods</h3><div>Our cohort consisted of 150 patients who were referred to specialized treatment programs for trauma-related disorders, dissociative disorders or personality disorders. We determined clinically relevant change using the Relevant Change Index and used logistic regression analysis to test the prognostic value of the trauma-neglect model.</div></div><div><h3>Results</h3><div>Our results showed that severity of a trauma-related diagnosis predicted clinically relevant change in dissociative symptoms, but not in other symptomatology. The number of personality disorders did not predict clinically relevant change in symptomatology.</div></div><div><h3>Conclusions</h3><div>We found little support for the prognostic value of the trauma-neglect model, and, contrary to our expectation, the severity of symptoms did not predict course in a negative way.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100291"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136444","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 : 2025-01-01DOI: 10.1016/j.ejpsy.2024.100261
Alicia Padron-Monedero , Isabel Noguer-Zambano , Alejandro G. Arleth , M. Pilar Martin , Jerónimo Saiz Ruiz
Background and Objectives
Men, compared to women, have higher rates of mortality by suicide and the rest of external causes in all age groups. However, it is unclear if the higher tendency of men to die by suicide, it is largely related to men higher propensity to die by external causes in general. As far as we know, only one study (US population) assessed sex differences in suicide versus other external causes of death, finding important differences across the lifespan. Thus, our study aims to assess, in Spanish population, if there are differences between sexes in death by suicide versus the rest of external causes of death and its variation across lifespan.
Methods
Cross-sectional study of all Spanish residents that died from suicide and rest of external causes between 2016 and 2018, and which consisted of 45,389 fatalities. To assess sex differences in deaths by suicide versus the rest of external causes of death, we built logistic regression models stratifying by age groups.
Results
Compared to women who died by external causes, men who died by external causes had OR (95 % CI) of 1.94(1.85–2.03) of dying by suicide. The OR were 0.78 (0.64–0.96), 0.57 (0.49–0.67), 0.73 (0.64–0.84) and 0.75 (0.65–0.85) for those 25–34, 35–44, 45–54 and 55–64 years respectively. For those 65–74, 75–84 and ≥ 85 years the trend changed, and OR were 1.15 (1.01–1.31), 2.38 (2.10–2.72), and 3.81 (3.28–4.44) respectively.
Conclusions
Men, compared to women, are more likely to die by suicide versus the rest of external deaths. Nevertheless, there are important differences across the lifespan.
{"title":"Sex differences in death by suicide versus the rest of external causes of death across the lifespan. A population study","authors":"Alicia Padron-Monedero , Isabel Noguer-Zambano , Alejandro G. Arleth , M. Pilar Martin , Jerónimo Saiz Ruiz","doi":"10.1016/j.ejpsy.2024.100261","DOIUrl":"10.1016/j.ejpsy.2024.100261","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Men, compared to women, have higher rates of mortality by suicide and the rest of external causes in all age groups. However, it is unclear if the higher tendency of men to die by suicide, it is largely related to men higher propensity to die by external causes in general. As far as we know, only one study (US population) assessed sex differences in suicide versus other external causes of death, finding important differences across the lifespan. Thus, our study aims to assess, in Spanish population, if there are differences between sexes in death by suicide versus the rest of external causes of death and its variation across lifespan.</div></div><div><h3>Methods</h3><div>Cross-sectional study of all Spanish residents that died from suicide and rest of external causes between 2016 and 2018, and which consisted of 45,389 fatalities. To assess sex differences in deaths by suicide versus the rest of external causes of death, we built logistic regression models stratifying by age groups.</div></div><div><h3>Results</h3><div>Compared to women who died by external causes, men who died by external causes had OR (95 % CI) of 1.94(1.85–2.03) of dying by suicide. The OR were 0.78 (0.64–0.96), 0.57 (0.49–0.67), 0.73 (0.64–0.84) and 0.75 (0.65–0.85) for those 25–34, 35–44, 45–54 and 55–64 years respectively. For those 65–74, 75–84 and ≥ 85 years the trend changed, and OR were 1.15 (1.01–1.31), 2.38 (2.10–2.72), and 3.81 (3.28–4.44) respectively.</div></div><div><h3>Conclusions</h3><div>Men, compared to women, are more likely to die by suicide versus the rest of external deaths. Nevertheless, there are important differences across the lifespan.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100261"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133780","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 : 2024-12-25DOI: 10.1016/j.ejpsy.2024.100276
Marta Hernández-García , Rosa M. Beño-Ruiz-de-la-Sierra , José Luis Quintana-Velasco , Inés Fernández-Linsenbarth , Olga Santesteban-Echarri , Vicente Molina Rodríguez
Background and objectives
Anomalous self-experience, or the experience of the self, are frequently present but underexplored in patients with schizophrenia. Unfortunately, to date, there are no available inventories in Spanish to assess these self-experiences. The present study aims to adapt and validate the Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) in the Spanish population.
Methods
A total of 171 participants were included: 112 cases (patients) and 59 healthy controls. Among them, 87 patients were diagnosed with schizophrenia (70 chronic and 17 first-episode patients) and 25 patients with bipolar disorder. The participants were evaluated using the structured clinical interview DSM-IV and were tasked with completing the Spanish version of the IPASE. The properties of the scale were analysed in terms of internal consistency, stability, and correlation between scores on the subscales with sociodemographic and clinical variables.
Results
The IPASE showed good reliability (Cronbach's alpha coefficient of 0.847) and intraclass correlation,with a value of 0.837 for the patient group and 0.812 for the control group. The variables of age and sex did not significantly correlate with the total IPASE score. Compared to healthy controls, cases obtained significantly higher overall scores on the IPASE and its five subscales; total scores on the IPASE (Cases: (20.96 ± 42.5)vs. control:(80.56 ± 20.6), p < 0.001).
Conclusions
The Spanish version of the IPASE scale shows good psychometric properties in terms of reliability and validity for its application in assessing alterations in subjective self-experiences in patients with schizophrenia. This demonstrates the value of the IPASE as a tool in both clinical practice and research.
{"title":"Adaptation and validation of the inventory of psychotic-like anomalous self-experiences (IPASE) into spanish to assess anomalous self-experiences","authors":"Marta Hernández-García , Rosa M. Beño-Ruiz-de-la-Sierra , José Luis Quintana-Velasco , Inés Fernández-Linsenbarth , Olga Santesteban-Echarri , Vicente Molina Rodríguez","doi":"10.1016/j.ejpsy.2024.100276","DOIUrl":"10.1016/j.ejpsy.2024.100276","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Anomalous self-experience, or the experience of the self, are frequently present but underexplored in patients with schizophrenia. Unfortunately, to date, there are no available inventories in Spanish to assess these self-experiences. The present study aims to adapt and validate the Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) in the Spanish population.</div></div><div><h3>Methods</h3><div>A total of 171 participants were included: 112 cases (patients) and 59 healthy controls. Among them, 87 patients were diagnosed with schizophrenia (70 chronic and 17 first-episode patients) and 25 patients with bipolar disorder. The participants were evaluated using the structured clinical interview DSM-IV and were tasked with completing the Spanish version of the IPASE. The properties of the scale were analysed in terms of internal consistency, stability, and correlation between scores on the subscales with sociodemographic and clinical variables.</div></div><div><h3>Results</h3><div>The IPASE showed good reliability (Cronbach's alpha coefficient of 0.847) and intraclass correlation,with a value of 0.837 for the patient group and 0.812 for the control group. The variables of age and sex did not significantly correlate with the total IPASE score. Compared to healthy controls, cases obtained significantly higher overall scores on the IPASE and its five subscales; total scores on the IPASE (Cases: (20.96 ± 42.5)vs. control:(80.56 ± 20.6), <em>p</em> < 0.001).</div></div><div><h3>Conclusions</h3><div>The Spanish version of the IPASE scale shows good psychometric properties in terms of reliability and validity for its application in assessing alterations in subjective self-experiences in patients with schizophrenia. This demonstrates the value of the IPASE as a tool in both clinical practice and research.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100276"},"PeriodicalIF":2.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172282","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 : 2024-12-24DOI: 10.1016/j.ejpsy.2024.100275
Andreu Nolasco , Giovanna Tassara , Laura Borredà , Manuel Giron , Nayara Tamayo-Fonseca , Joaquín Moncho , Pamela Pereyra-Zamora , Manuel Gómez-Beneyto
Background and Objectives
It is known that those who regularly interact with people with mental illness, such as family members, caregivers and mental health professionals, can be subjected to public stigmatization and that they may eventually develop self-stigmatization. Despite the relevance of parental self-stigma for the upbringing and treatment of children with psychiatric problems, only one instrument has been developed to identify it, the Parents' Self-Stigma Scale (PSSS). The lack of a similar instrument in Spanish motivated the present study, with the aim of developing a Spanish version of the PSSS.
Methods
After translating the PSSS, it was administered to two samples of parents of children who were treated consecutively in child-adolescent mental health centres in Reus and Valencia. The Reus sample was subjected to Exploratory Factor Analysis (EFA) and the Valencia sample to Confirmatory Factor Analysis (CFA), taking as reference the factor load matrix obtained in Reus. Temporal stability was estimated by calculating the ICC between the results obtained in two administrations of the questionnaire separated by four weeks. To estimate convergent validity, the correlation of the questionnaire score with the scores of the Rosenberg Self-Esteem Scale and the Schwarzer General Self-Efficacy Scale was calculated.
Results
The EFA showed the existence of three factors, “Bad Father”, “Self-blame” and “Self-shame”, which confirms the structural equivalence of the Spanish version and the original PSSS. Likewise, it was confirmed that the Spanish version is temporarily stable and valid.
Conclusions
The results obtained show that the Spanish version of the PSSS is semantically and psychometrically equivalent to the original PSSS, and that it has acceptable temporal stability and convergent validity.
{"title":"Development of the Spanish version of the Parents' Self-Stigma Scale","authors":"Andreu Nolasco , Giovanna Tassara , Laura Borredà , Manuel Giron , Nayara Tamayo-Fonseca , Joaquín Moncho , Pamela Pereyra-Zamora , Manuel Gómez-Beneyto","doi":"10.1016/j.ejpsy.2024.100275","DOIUrl":"10.1016/j.ejpsy.2024.100275","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>It is known that those who regularly interact with people with mental illness, such as family members, caregivers and mental health professionals, can be subjected to public stigmatization and that they may eventually develop self-stigmatization. Despite the relevance of parental self-stigma for the upbringing and treatment of children with psychiatric problems, only one instrument has been developed to identify it, the Parents' Self-Stigma Scale (PSSS). The lack of a similar instrument in Spanish motivated the present study, with the aim of developing a Spanish version of the PSSS.</div></div><div><h3>Methods</h3><div>After translating the PSSS, it was administered to two samples of parents of children who were treated consecutively in child-adolescent mental health centres in Reus and Valencia. The Reus sample was subjected to Exploratory Factor Analysis (EFA) and the Valencia sample to Confirmatory Factor Analysis (CFA), taking as reference the factor load matrix obtained in Reus. Temporal stability was estimated by calculating the ICC between the results obtained in two administrations of the questionnaire separated by four weeks. To estimate convergent validity, the correlation of the questionnaire score with the scores of the Rosenberg Self-Esteem Scale and the Schwarzer General Self-Efficacy Scale was calculated.</div></div><div><h3>Results</h3><div>The EFA showed the existence of three factors, “Bad Father”, “Self-blame” and “Self-shame”, which confirms the structural equivalence of the Spanish version and the original PSSS. Likewise, it was confirmed that the Spanish version is temporarily stable and valid.</div></div><div><h3>Conclusions</h3><div>The results obtained show that the Spanish version of the PSSS is semantically and psychometrically equivalent to the original PSSS, and that it has acceptable temporal stability and convergent validity.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100275"},"PeriodicalIF":2.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172284","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}
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