Pub Date : 2025-01-11DOI: 10.1016/j.genhosppsych.2025.01.003
Sahil Munjal , Karina Irani , Crescentia Cho , Tiffany Ong
{"title":"Characterizing inpatients with self-inflicted gunshot wounds to the head and predictors of post-hospitalization disposition","authors":"Sahil Munjal , Karina Irani , Crescentia Cho , Tiffany Ong","doi":"10.1016/j.genhosppsych.2025.01.003","DOIUrl":"10.1016/j.genhosppsych.2025.01.003","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"Pages 56-60"},"PeriodicalIF":4.1,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003595","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}
Although research has already shown the importance of promoting well-being during pregnancy and after birth, previous meta-analyses on the effectiveness of psychological interventions do not include wellbeing as a primary outcome measure, focusing instead on assessing the effectiveness in reducing symptoms. This study aimed at conducting a systematic review of the effects of psychological interventions on well-being during the perinatal period. A search was conducted in Psycinfo, PubMed, Web of Science (WOS) and Scopus for articles published from 2014 to 2024. A review of 16 randomized clinical trials revealed that most interventions were effective in both improving well-being and reducing clinical symptoms. Face-to-face, therapist-led, and group-based approaches showed better adherence. Positive changes in well-being were maintained over time, although the postpartum transition may have influenced the maintenance of results. This study highlights the importance of including well-being measures in clinical trials during the perinatal period and advocates for a shift toward promoting well-being alongside symptom management.
虽然研究已经表明了在怀孕期间和出生后促进健康的重要性，但之前关于心理干预有效性的荟萃分析并未将健康作为主要结果衡量标准，而是侧重于评估减轻症状的有效性。本研究旨在对围产期心理干预对健康的影响进行系统回顾。在Psycinfo， PubMed, Web of Science （WOS）和Scopus中检索了2014年至2024年发表的文章。对16项随机临床试验的回顾显示，大多数干预措施在改善幸福感和减少临床症状方面都是有效的。面对面、治疗师主导和以小组为基础的方法显示出更好的依从性。随着时间的推移，幸福感的积极变化得以保持，尽管产后过渡可能影响了结果的维持。本研究强调了在围产期的临床试验中包括健康措施的重要性，并倡导在症状管理的同时促进健康的转变。
{"title":"The efficacy of psychological interventions on well-being during the perinatal period: A systematic review","authors":"Elisa Nombela , Carlos Marchena , Almudena Duque , Covadonga Chaves","doi":"10.1016/j.genhosppsych.2025.01.006","DOIUrl":"10.1016/j.genhosppsych.2025.01.006","url":null,"abstract":"<div><div>Although research has already shown the importance of promoting well-being during pregnancy and after birth, previous meta-analyses on the effectiveness of psychological interventions do not include wellbeing as a primary outcome measure, focusing instead on assessing the effectiveness in reducing symptoms. This study aimed at conducting a systematic review of the effects of psychological interventions on well-being during the perinatal period. A search was conducted in Psycinfo, PubMed, Web of Science (WOS) and Scopus for articles published from 2014 to 2024. A review of 16 randomized clinical trials revealed that most interventions were effective in both improving well-being and reducing clinical symptoms. Face-to-face, therapist-led, and group-based approaches showed better adherence. Positive changes in well-being were maintained over time, although the postpartum transition may have influenced the maintenance of results. This study highlights the importance of including well-being measures in clinical trials during the perinatal period and advocates for a shift toward promoting well-being alongside symptom management.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"Pages 40-51"},"PeriodicalIF":4.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003548","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}
Telepsychiatry saw wide acceptance during the COVID-19 pandemic, when traditional healthcare facilities were inaccessible. Post-pandemic, however, user preferences for the service remain uncertain. This study explores user perceptions of telepsychiatry, particularly focusing on those who discontinued its use, to identify factors influencing service satisfaction and barriers to continued use.
Methodology
A mixed methods study was conducted on interviews with 165 patients who had utilised telepsychiatry services at a tertiary care teaching hospital in north India. Quantitative data were collected on telepsychiatry dropout rates, and bivariate analyses identified differences between continuing users and discontinuers. Qualitative data were gathered via semi-structured interviews, thematically analysed, and coded to examine personal, illness-related, and socio-environmental determinants of service choice.
Results
Analysis revealed a telepsychiatry dropout rate of 56.4 %, once physical OPDs became operational. Eight major themes - convenience, cost & time, therapeutic relationship, technological difficulty, service limitation, treatment outcome and privacy, affected telepsychiatry usage. Patients valued telepsychiatry for its convenience and time savings, while challenges such as brief consultations, frequent changes in doctors, and lack of privacy at home or work, prevented continued use. Technological barriers, especially for elderly and rural patients, and higher medication costs at local pharmacies were significant deterrents.
Conclusion
Telepsychiatry service use is dependent on a dynamic interplay between clinical condition, resource availability with user, service quality and available alternatives. Addressing these challenges remain crucial for integrating telepsychiatry into primary healthcare and ensuring its long-term sustainability.
{"title":"Telepsychiatry in post-pandemic India: A mixed methods exploration of patient perspectives and preferences toward telemedicine versus in-person consultations","authors":"Pooja Shakya , Koushik Sinha Deb , Ragul Ganesh , Arnab Datta , Rohit Verma , Rakesh Chadda","doi":"10.1016/j.genhosppsych.2025.01.005","DOIUrl":"10.1016/j.genhosppsych.2025.01.005","url":null,"abstract":"<div><h3>Background</h3><div>Telepsychiatry saw wide acceptance during the COVID-19 pandemic, when traditional healthcare facilities were inaccessible. Post-pandemic, however, user preferences for the service remain uncertain. This study explores user perceptions of telepsychiatry, particularly focusing on those who discontinued its use, to identify factors influencing service satisfaction and barriers to continued use.</div></div><div><h3>Methodology</h3><div>A mixed methods study was conducted on interviews with 165 patients who had utilised telepsychiatry services at a tertiary care teaching hospital in north India. Quantitative data were collected on telepsychiatry dropout rates, and bivariate analyses identified differences between continuing users and discontinuers. Qualitative data were gathered via semi-structured interviews, thematically analysed, and coded to examine personal, illness-related, and socio-environmental determinants of service choice.</div></div><div><h3>Results</h3><div>Analysis revealed a telepsychiatry dropout rate of 56.4 %, once physical OPDs became operational. Eight major themes - convenience, cost & time, therapeutic relationship, technological difficulty, service limitation, treatment outcome and privacy, affected telepsychiatry usage. Patients valued telepsychiatry for its convenience and time savings, while challenges such as brief consultations, frequent changes in doctors, and lack of privacy at home or work, prevented continued use. Technological barriers, especially for elderly and rural patients, and higher medication costs at local pharmacies were significant deterrents.</div></div><div><h3>Conclusion</h3><div>Telepsychiatry service use is dependent on a dynamic interplay between clinical condition, resource availability with user, service quality and available alternatives. Addressing these challenges remain crucial for integrating telepsychiatry into primary healthcare and ensuring its long-term sustainability.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"Pages 89-99"},"PeriodicalIF":4.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079259","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}
Pub Date : 2025-01-09DOI: 10.1016/j.genhosppsych.2025.01.001
Kun Wang , Yan Li , Tingran Zhang , Hengxu Liu , Jiong Luo
Improving brain function impairment in people with substance use disorders (PSUD) is considered to be important in regulating their cyclic drug use impulse and relapse behavior. Physical exercise (PE) and repetitive transcranial magnetic stimulation (rTMS) may improve brain functional impairment in PSUD, respectively, but few studies have focused on the benefits and mechanisms of the combined use of the two. This editorial presents: 1) Both PE and rTMS alone appear to have positive effects on PSUD's reward system, cognitive function, and emotional regulation to varying degrees. 2) The mode of PE combined with rTMS seems to have a superimposed benefit on the brain function of PSUD by promoting the dynamic regulation of neurotransmitters and receptors, plasticity changes in neurogenesis and synapses, and the reversible development of brain structure and functional connections in PSUD. However, although this combination model provides a reference for subsequent targeted intervention therapy for drug use disorders, further studies are needed to provide more direct evidence of the corresponding benefits and mechanisms.
{"title":"Potential benefits and mechanisms of physical exercise and rTMS in improving brain function in people with drug use disorders","authors":"Kun Wang , Yan Li , Tingran Zhang , Hengxu Liu , Jiong Luo","doi":"10.1016/j.genhosppsych.2025.01.001","DOIUrl":"10.1016/j.genhosppsych.2025.01.001","url":null,"abstract":"<div><div>Improving brain function impairment in people with substance use disorders (PSUD) is considered to be important in regulating their cyclic drug use impulse and relapse behavior. Physical exercise (PE) and repetitive transcranial magnetic stimulation (rTMS) may improve brain functional impairment in PSUD, respectively, but few studies have focused on the benefits and mechanisms of the combined use of the two. This editorial presents: 1) Both PE and rTMS alone appear to have positive effects on PSUD's reward system, cognitive function, and emotional regulation to varying degrees. 2) The mode of PE combined with rTMS seems to have a superimposed benefit on the brain function of PSUD by promoting the dynamic regulation of neurotransmitters and receptors, plasticity changes in neurogenesis and synapses, and the reversible development of brain structure and functional connections in PSUD. However, although this combination model provides a reference for subsequent targeted intervention therapy for drug use disorders, further studies are needed to provide more direct evidence of the corresponding benefits and mechanisms.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"Pages 61-66"},"PeriodicalIF":4.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003634","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}
Pub Date : 2025-01-09DOI: 10.1016/j.genhosppsych.2025.01.004
Hee-Ju Kang , Ju-Wan Kim , Sung-Wan Kim , Joon-Tae Kim , Man-Seok Park , Min-Chul Kim , Youngkeun Ahn , Myung Ho Jeong , Jae-Min Kim
Background
Life stressors are recognized as risk factors for the onset and prognosis of cardio-cerebrovascular events; however few studies have investigated the combined effect of life stressors and suicidal ideation (SI) on the long-term prognosis of patients with cardio- or cerebrovascular diseases.
Methods
A total of 1152 acute coronary syndrome (ACS) patients and 396 stroke patients were recruited from a tertiary university hospital in Korea at two weeks post-disease onset. Life stressors were assessed using the List of Threatening Events Questionnaire, and SI was evaluated using the “suicidal thoughts” item of the Montgomery–Åsberg Depression Rating Scale. Long-term outcomes were examined, with major adverse cardiac event (MACE) assessed over 5–12 years following ACS, and cerebro-cardiovascular events (CCVEs) assessed over 8–14 years following stroke. Cox regression models, adjusted for a range of covariates affecting life stressor, SI and long-term outcomes, were employed.
Results
In two independent cohorts, consistent associations were observed between life stressors and long-term outcomes. Life stressors were significantly associated with poor long-term composite outcomes, including MACE in ACS patients and CCVEs in stroke patients, particularly among those with SI at two weeks post-ACS or stroke. A significant interactive effect between life stressors and SI was observed only in ACS patients after adjustment for covariates.
Conclusions
Evaluating life stressors and SI during acute phase of cardio-cerebrovascular events can help identify high-risk patients for poor long-term cardio-cerebrovascular outcomes, enabling the implementation of intensive management strategies.
{"title":"Association of life stressors and suicidal ideation with long-term outcomes in patients with acute coronary syndrome and stroke","authors":"Hee-Ju Kang , Ju-Wan Kim , Sung-Wan Kim , Joon-Tae Kim , Man-Seok Park , Min-Chul Kim , Youngkeun Ahn , Myung Ho Jeong , Jae-Min Kim","doi":"10.1016/j.genhosppsych.2025.01.004","DOIUrl":"10.1016/j.genhosppsych.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>Life stressors are recognized as risk factors for the onset and prognosis of cardio-cerebrovascular events; however few studies have investigated the combined effect of life stressors and suicidal ideation (SI) on the long-term prognosis of patients with cardio- or cerebrovascular diseases.</div></div><div><h3>Methods</h3><div>A total of 1152 acute coronary syndrome (ACS) patients and 396 stroke patients were recruited from a tertiary university hospital in Korea at two weeks post-disease onset. Life stressors were assessed using the List of Threatening Events Questionnaire, and SI was evaluated using the “suicidal thoughts” item of the Montgomery–Åsberg Depression Rating Scale. Long-term outcomes were examined, with major adverse cardiac event (MACE) assessed over 5–12 years following ACS, and cerebro-cardiovascular events (CCVEs) assessed over 8–14 years following stroke. Cox regression models, adjusted for a range of covariates affecting life stressor, SI and long-term outcomes, were employed.</div></div><div><h3>Results</h3><div>In two independent cohorts, consistent associations were observed between life stressors and long-term outcomes. Life stressors were significantly associated with poor long-term composite outcomes, including MACE in ACS patients and CCVEs in stroke patients, particularly among those with SI at two weeks post-ACS or stroke. A significant interactive effect between life stressors and SI was observed only in ACS patients after adjustment for covariates.</div></div><div><h3>Conclusions</h3><div>Evaluating life stressors and SI during acute phase of cardio-cerebrovascular events can help identify high-risk patients for poor long-term cardio-cerebrovascular outcomes, enabling the implementation of intensive management strategies.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"Pages 32-39"},"PeriodicalIF":4.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143003446","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}
Pub Date : 2025-01-09DOI: 10.1016/j.genhosppsych.2025.01.002
Guiting Su , Fang Liu , Xiaoqiu Yang , Ziqiong Chen , Yahong Kang , Shan Gao
Background and purpose
Cognitive function is the basis of human thinking and behavior. Cognitive impairment has a serious impact on each individual and imposes a financial burden to families and healthcare systems. Inhalation aromatherapy has advantages, due to its safety, convenience, lack of toxicity, and wide use in the treatment of cognitive impairment. This systematic review was conducted to provide evidence for the use of inhaled aromatherapy in patients with cognitive impairment.
Methods
We searched nine databases for pertinent Chinese and English studies published through November 2024 studies using inhaled aromatherapy in patients with cognitive impairment. Literature screening and data extraction were performed independently by two researchers and evaluated using the Cochrane Collaboration's quality criteria and were then cross-checked. A meta-analysis was carried out using Cochrane's Review Manager (RevMan, version 5.4), and we followed the PRISMA guidelines.
Results
We included fourteen studies involving 888 patients with cognitive impairment in our study. Meta-analyses indicated that inhaled aromatherapy increased Mini-mental State Examination (MMSE, mean difference MD = 3.89 95 % CI [3.19, 4.58], P < 0.00001) and Montreal Cognitive Assessment Scale (MoCA, MD = 4.11, 95 % CI [3.54, 4.68], P < 0.00001) scores and decreased Homocysteine levels (Hcy, MD = −2.27 95 % CI [−2.80, −1.74], P < 0.00001) in patients with cognitive impairment compared with controls.
Conclusion
Inhaled aromatherapy could improve global cognition and lower Hcy in patients with cognitive impairment.
{"title":"The effect of inhaled aromatherapy on cognitive function in patients with cognitive impairment: A systematic review and meta-analysis","authors":"Guiting Su , Fang Liu , Xiaoqiu Yang , Ziqiong Chen , Yahong Kang , Shan Gao","doi":"10.1016/j.genhosppsych.2025.01.002","DOIUrl":"10.1016/j.genhosppsych.2025.01.002","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Cognitive function is the basis of human thinking and behavior. Cognitive impairment has a serious impact on each individual and imposes a financial burden to families and healthcare systems. Inhalation aromatherapy has advantages, due to its safety, convenience, lack of toxicity, and wide use in the treatment of cognitive impairment. This systematic review was conducted to provide evidence for the use of inhaled aromatherapy in patients with cognitive impairment.</div></div><div><h3>Methods</h3><div>We searched nine databases for pertinent Chinese and English studies published through November 2024 studies using inhaled aromatherapy in patients with cognitive impairment. Literature screening and data extraction were performed independently by two researchers and evaluated using the Cochrane Collaboration's quality criteria and were then cross-checked. A meta-analysis was carried out using Cochrane's Review Manager (RevMan, version 5.4), and we followed the PRISMA guidelines.</div></div><div><h3>Results</h3><div>We included fourteen studies involving 888 patients with cognitive impairment in our study. Meta-analyses indicated that inhaled aromatherapy increased Mini-mental State Examination (MMSE, mean difference MD = 3.89 95 % CI [3.19, 4.58], <em>P</em> < 0.00001) and Montreal Cognitive Assessment Scale (MoCA, MD = 4.11, 95 % CI [3.54, 4.68], <em>P</em> < 0.00001) scores and decreased Homocysteine levels (Hcy, MD = −2.27 95 % CI [−2.80, −1.74], <em>P</em> < 0.00001) in patients with cognitive impairment compared with controls.</div></div><div><h3>Conclusion</h3><div>Inhaled aromatherapy could improve global cognition and lower Hcy in patients with cognitive impairment.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"93 ","pages":"Pages 20-31"},"PeriodicalIF":4.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970483","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}
Pub Date : 2025-01-01DOI: 10.1016/j.genhosppsych.2024.10.003
Maria J. Portella , Gara Arteaga-Henríquez , Javier de Diego-Adeliño , Joan Trujols , Dolors Puigdemont , Josefina Pérez , Carlo Alemany , Júlia Carrasco-Hernández , Marc Udina , Narcís Cardoner , Muriel Vicent-Gil
{"title":"Linking cognitive function and biological markers in depression: Can IL-6 plasma levels and attention domain be used as an ensemble classification system?","authors":"Maria J. Portella , Gara Arteaga-Henríquez , Javier de Diego-Adeliño , Joan Trujols , Dolors Puigdemont , Josefina Pérez , Carlo Alemany , Júlia Carrasco-Hernández , Marc Udina , Narcís Cardoner , Muriel Vicent-Gil","doi":"10.1016/j.genhosppsych.2024.10.003","DOIUrl":"10.1016/j.genhosppsych.2024.10.003","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 113-114"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462471","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}
Pub Date : 2025-01-01DOI: 10.1016/j.genhosppsych.2024.12.016
Li-Ting Huang , Ling-Ling Yeh , Chieh-Yu Liu , Yia-Ping Liu , Chi-Wen Chen , Chiu-Yueh Yang
Background
The development of an electronic health literacy scale for the population with serious mental illness (SMI) is needed due to individuals' characteristics.
Aim
Develop a graphic-based perceived electronic health literacy scale for SMI (GP-eHLS-SMI).
Design
A cross-section study.
Methods
This study was conducted from May 2023 to February 2024. The GP-eHLS-SMI was constructed based on qualitative interviews. Experts reviewed the items, and a pilot questionnaire was developed. A total of 436 community-dwelling participants with SMI from 20 medical facilities were recruited for psychometric analysis. Ten questionnaires were invalid, and 426 questionnaires were used for analysis. We used the first 220 questionnaires to perform the item and exploratory factor analyses. The last 206 questionnaires were used for confirmatory factor analysis. All valid questionnaires were used to examine test-retest reliability and criterion validity. Research tools included a demographic data questionnaire, the GP-eHLS-SMI, and the Chinese eHealth Literacy Scale (C-eHEALS). The C-eHEALS was used as the gold standard to explore the area under the receiver operating characteristic (ROC) curve (AUC) and cut-off point of the GP-eHLS-SMI.
Results
The Cronbach's alpha for the 16-item GP-eHLS-SMI was 0.882. The GP-eHLS-SMI score was significantly correlated with the C-eHEALS score (r = 0.733, p < .001). The AUC was 0.863 (95 % CI: 0.828, 0.897), and the cut-off point was 41. The test-retest reliability was r = 0.929 (p < .001), and the intraclass correlation coefficient (ICC) was 0.961.
{"title":"Development of a perceived eHealth literacy scale for individuals with serious mental illness: A cross-sectional study","authors":"Li-Ting Huang , Ling-Ling Yeh , Chieh-Yu Liu , Yia-Ping Liu , Chi-Wen Chen , Chiu-Yueh Yang","doi":"10.1016/j.genhosppsych.2024.12.016","DOIUrl":"10.1016/j.genhosppsych.2024.12.016","url":null,"abstract":"<div><h3>Background</h3><div>The development of an electronic health literacy scale for the population with serious mental illness (SMI) is needed due to individuals' characteristics.</div></div><div><h3>Aim</h3><div>Develop a graphic-based perceived electronic health literacy scale for SMI (GP-eHLS-SMI).</div></div><div><h3>Design</h3><div>A cross-section study.</div></div><div><h3>Methods</h3><div>This study was conducted from May 2023 to February 2024. The GP-eHLS-SMI was constructed based on qualitative interviews. Experts reviewed the items, and a pilot questionnaire was developed. A total of 436 community-dwelling participants with SMI from 20 medical facilities were recruited for psychometric analysis. Ten questionnaires were invalid, and 426 questionnaires were used for analysis. We used the first 220 questionnaires to perform the item and exploratory factor analyses. The last 206 questionnaires were used for confirmatory factor analysis. All valid questionnaires were used to examine test-retest reliability and criterion validity. Research tools included a demographic data questionnaire, the GP-eHLS-SMI, and the Chinese eHealth Literacy Scale (C-eHEALS). The C-eHEALS was used as the gold standard to explore the area under the receiver operating characteristic (ROC) curve (AUC) and cut-off point of the GP-eHLS-SMI.</div></div><div><h3>Results</h3><div>The <em>Cronbach's alpha</em> for the 16-item GP-eHLS-SMI was 0.882. The GP-eHLS-SMI score was significantly correlated with the C-eHEALS score (<em>r</em> = 0.733, <em>p</em> < .001). The AUC was 0.863 (95 % CI: 0.828, 0.897), and the cut-off point was 41. The test-retest reliability was <em>r</em> = 0.929 (<em>p</em> < .001), and the intraclass correlation coefficient (ICC) was 0.961.</div></div><div><h3>Conclusion</h3><div>The GP-eHLS-SMI is a valuable tool.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 67-74"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902809","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}
Pub Date : 2025-01-01DOI: 10.1016/j.genhosppsych.2024.12.019
Fei Wang , Junying Zhang , Zhanjun Zhang , Xin Li
Recently, methods of quickly and accurately screening for geriatric depression have attracted substantial attention. Short forms of the 30-item Geriatric Depression Scale have been developed based on classical test theory, such as the GDS-4, GDS-5, and GDS-15, but they have shown low diagnostic accuracy. Therefore, in this study, we developed a new short form of the GDS-30 based on item response theory and the RiskSLIM, a machine learning method, and validated it based on gray matter volume. We found that the short form based on IRT (GDS-9) and the short form based on the RiskSLIM (GDS-14) had higher diagnostic accuracy than other short forms of the scale. In addition, in the Region of Interest based brain analysis, we found that the GDS-9 was significantly negatively correlated with the gray matter volumes of the right hippocampus, the right parahippocampal gyrus, and the right superior temporal gyrus, whereas the other short forms were not significantly associated with the gray matter volumes of any regions. This implies that the GDS-9 has higher empirical validity than other short forms and corresponds with brain structure. Therefore, the GDS-9 can be used to screen for geriatric depression and may improve the efficiency and accuracy of screening.
{"title":"Development of a short form of the Geriatric Depression Scale-30 based on item response theory and the RiskSLIM algorithm","authors":"Fei Wang , Junying Zhang , Zhanjun Zhang , Xin Li","doi":"10.1016/j.genhosppsych.2024.12.019","DOIUrl":"10.1016/j.genhosppsych.2024.12.019","url":null,"abstract":"<div><div>Recently, methods of quickly and accurately screening for geriatric depression have attracted substantial attention. Short forms of the 30-item Geriatric Depression Scale have been developed based on classical test theory, such as the GDS-4, GDS-5, and GDS-15, but they have shown low diagnostic accuracy. Therefore, in this study, we developed a new short form of the GDS-30 based on item response theory and the RiskSLIM, a machine learning method, and validated it based on gray matter volume. We found that the short form based on IRT (GDS-9) and the short form based on the RiskSLIM (GDS-14) had higher diagnostic accuracy than other short forms of the scale. In addition, in the Region of Interest based brain analysis, we found that the GDS-9 was significantly negatively correlated with the gray matter volumes of the right hippocampus, the right parahippocampal gyrus, and the right superior temporal gyrus, whereas the other short forms were not significantly associated with the gray matter volumes of any regions. This implies that the GDS-9 has higher empirical validity than other short forms and corresponds with brain structure. Therefore, the GDS-9 can be used to screen for geriatric depression and may improve the efficiency and accuracy of screening.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 84-92"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909509","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}
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