General hospital psychiatry最新文献

英文中文

Telehealth approaches for improving depression and anxiety among patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis 远程医疗方法改善慢性阻塞性肺疾病患者的抑郁和焦虑：系统回顾和荟萃分析。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.009

Yuwei Zhang , Yurou Zhao , Xiao Jiang , Huifang Xu , Wenqi Lü , Xin Yang , Jin Li , Weihong Kuang

Objective

This study aimed to systematically review the efficacy of telehealth approaches in alleviating depressive and anxiety symptoms in patients with chronic obstructive pulmonary disease (COPD) using evidence from randomized controlled trials (RCTs).

Methods

This systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist. Databases including PubMed, Embase, Web of Science, and the Cochrane Library were searched for RCTs from database inception to June 2024. All statistical analyses were performed using RevMan 5.3. The standard mean difference (SMD) was used to pool the fixed effects of continuous outcomes.

Results

Seven RCTs comprising 1174 participants were included in this review. The pooled analysis demonstrated that, compared with the control group, telemonitoring significantly affected anxiety among patients with COPD (SMD = −0.12, 95 % confidence interval [CI]: [−0.24, −0.01], p = 0.04), whereas the effect on depression was not significant (SMD = −0.10, 95 % CI: [−0.22, 0.02], p = 0.09).

Conclusion

Telemonitoring effectively reduced anxiety in patients with COPD but had no significant effect on depression. The relatively small number of studies suggests that this area of research is still developing. Additional high-quality, enriched, and more widely distributed intervention studies are needed to further assess the effectiveness of telehealth approaches on mental health among patients with COPD.

目的：本研究旨在利用随机对照试验（RCTs）的证据，系统回顾远程医疗方法在缓解慢性阻塞性肺疾病（COPD）患者抑郁和焦虑症状方面的疗效。方法：本系统评价和荟萃分析按照系统评价和荟萃分析首选报告项目（PRISMA）清单进行。检索了PubMed、Embase、Web of Science和Cochrane Library等数据库，检索了从数据库建立到2024年6月的rct。所有统计分析均使用RevMan 5.3进行。标准均差（SMD）用于汇总连续结果的固定效应。结果：本综述纳入了7项随机对照试验，共1174名受试者。合并分析显示，与对照组相比，远程监护显著影响COPD患者的焦虑（SMD = -0.12, 95%可信区间[CI]: [-0.24, -0.01], p = 0.04），而对抑郁的影响不显著（SMD = -0.10, 95% CI: [-0.22, 0.02], p = 0.09）。结论：远程监护可有效降低COPD患者的焦虑，但对抑郁无显著影响。相对较少的研究表明，这一研究领域仍在发展中。需要更多的高质量、丰富和更广泛分布的干预研究来进一步评估远程医疗方法对慢性阻塞性肺病患者心理健康的有效性。

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引用次数: 0

Association between psychological inflexibility, distress and health-related quality of life in people with cardiovascular disease

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.018

M. Habibović , P. Leissner , I. Nyklíček , J. Widdershoven , E. Olsson

Objective

Psychological inflexibility (PIF), the inability to adapt to changing circumstances and engage in behaviors that are consistent with one's values, has been associated with distress and impaired quality of life. To date only a paucity of studies have examined the role of PIF in people with cardiovascular disease. Hence, the current study will examine the association between PIF and depression, anxiety, and health-related quality of life in a large, prospective, Dutch, cardiac sample.

Methods

A total of N = 302 cardiac patients were recruited at the Elisabeth-TweeSteden Hospital in The Netherlands. Data were collected at baseline, 3- and 6-months follow-up using online questionnaires. Pearson's correlation and Linear Mixed Models (LMM) analysis was performed to answer the research question.

Results

The mean age of the sample was 64 ± 10 and N = 111(37 %) were females. Results showed that at baseline, PIF correlated positively with depression (r = 0.58) and anxiety (r = 0.64) symptoms, and negatively with both health-related quality of life subscales (MCS r = −0.56; PCS r = −0.27). After adjusting for covariate, LMM showed that, over time, PIF was positively associated with depression (B = 0.32;p < .001), anxiety (B = 0.32;p < .001), and negatively with Mental (B = -0.81; p < .001) and Physical Component Scale (B = -0.45; p < .001).

Conclusions

This is the first prospective study to examine the association between PIF and mental health in cardiac patients. Results showed that PIF was positively associated with depression and anxiety symptoms and negatively with health-related quality of life. Intervention studies are needed to examine whether decreasing PIF associates with a decrease in distress and increase in health-related quality of life.

{"title":"Association between psychological inflexibility, distress and health-related quality of life in people with cardiovascular disease","authors":"M. Habibović , P. Leissner , I. Nyklíček , J. Widdershoven , E. Olsson","doi":"10.1016/j.genhosppsych.2024.12.018","DOIUrl":"10.1016/j.genhosppsych.2024.12.018","url":null,"abstract":"<div><h3>Objective</h3><div>Psychological inflexibility (PIF), the inability to adapt to changing circumstances and engage in behaviors that are consistent with one's values, has been associated with distress and impaired quality of life. To date only a paucity of studies have examined the role of PIF in people with cardiovascular disease. Hence, the current study will examine the association between PIF and depression, anxiety, and health-related quality of life in a large, prospective, Dutch, cardiac sample.</div></div><div><h3>Methods</h3><div>A total of <em>N</em> = 302 cardiac patients were recruited at the Elisabeth-TweeSteden Hospital in The Netherlands. Data were collected at baseline, 3- and 6-months follow-up using online questionnaires. Pearson's correlation and Linear Mixed Models (LMM) analysis was performed to answer the research question.</div></div><div><h3>Results</h3><div>The mean age of the sample was 64 ± 10 and <em>N</em> = 111(37 %) were females. Results showed that at baseline, PIF correlated positively with depression (<em>r</em> = 0.58) and anxiety (<em>r</em> = 0.64) symptoms, and negatively with both health-related quality of life subscales (MCS <em>r</em> = −0.56; PCS <em>r</em> = −0.27). After adjusting for covariate, LMM showed that, over time, PIF was positively associated with depression (B = 0.32;<em>p</em> < .001), anxiety (B = 0.32;p < .001), and negatively with Mental (B = -0.81; p < .001) and Physical Component Scale (B = -0.45; p < .001).</div></div><div><h3>Conclusions</h3><div>This is the first prospective study to examine the association between PIF and mental health in cardiac patients. Results showed that PIF was positively associated with depression and anxiety symptoms and negatively with health-related quality of life. Intervention studies are needed to examine whether decreasing PIF associates with a decrease in distress and increase in health-related quality of life.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 95-99"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and predictors of substance use in adults with cystic fibrosis: A single-center retrospective review 囊性纤维化成人药物使用的流行率和预测因素：单中心回顾性研究。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.10.009

Margret Z. Powell , Jennifer L. Goralski , Agathe S. Ceppe , Scott H. Donaldson , Nathaniel A. Sowa

引用次数: 0

Cancer screening among people with schizophrenia before and after the COVID-19 pandemic in Ontario, Canada: Retrospective cohort study 加拿大安大略省 COVID-19 大流行前后精神分裂症患者的癌症筛查：回顾性队列研究。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.10.017

Braden O’Neill , John Wang , Jessica Gronsbell , Debra Butt , Anthony Train , Angela Ortigoza , Bianca Seaton , Andrea Gershon , Karen Tu

引用次数: 0

The silent epidemic of burnout in Neurosurgery: Implications for mental health 神经外科职业倦怠的无声流行：对心理健康的影响。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.11.013

Irving Gabriel Calisaya-Madariaga , Alison Korelly Madueño , Alejandra Reategui Velazco , Sandra Yparraguirre , Sofia Allende , Gonzalo Jair Callahuanca-Flores

引用次数: 0

Disparities in school based mental health service use among US adolescents in 2021 2021年美国青少年基于学校的心理健康服务使用的差异

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.017

Rachel Smith , Mir M. Ali , Priscilla Novak

引用次数: 0

Psychiatric comorbidity in eating disorders: The urgency of an integrated approach 饮食失调的精神共病：综合方法的紧迫性。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.020

Rikas Saputra , Yenni Lidyawati , Roro Umi Dwi Badriyah , Sri Datuti , Kadek Suhardita

引用次数: 0

Exploring the association between hearing status and suicidal ideation among U.S. adults: An observational study 美国成年人听力状况与自杀意念之间的关系：一项观察性研究。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.014

Ying Cui , Tong Wu , Huimin Du , Wen Zhang

Background

Suicidal ideation is a critical public health concern, and its relationship with hearing status has garnered increasing attention. This study aimed to investigate the association between hearing status and suicidal ideation in a nationally representative sample of U.S. adults.

Methods

Data were analyzed from 8095 participants in the 2015–2018 National Health and Nutrition Examination Survey (NHANES). Weighted logistic regression models, along with restricted cubic spline (RCS) analyses, explored the relationship between hearing status and suicidal ideation, adjusting for potential confounders. Subgroup analyses by sex, race, education level, marital status, family monthly poverty level, vision trouble, mobility trouble, smoking, hypertension, diabetes, coronary heart disease, stroke, and cancer were conducted. A Zero-Inflated Poisson (ZIP) regression model was applied to explore the association between hearing status and the level of suicidal ideation.

Results

Participants with more difficulty hearing showed a higher likelihood of experiencing suicidal ideation (P < 0.05 for all). Further analysis using RCS regression confirmed a linear relationship between hearing status and suicidal ideation risk (P _nonlinear > 0.05). Subgroup analyses revealed no significant interactions across different stratifications (P > 0.05 for all). The ZIP analysis revealed that individuals with moderate hearing trouble or those identified as deaf or hard of hearing exhibited higher frequencies of suicidal ideation.

Conclusions

This study identifies an association between hearing status and suicidal ideation among U.S. adults. Factors such as discrimination, social isolation, environmental inaccessibility, and communication barriers may underlie this relationship. Interventions aimed at reducing suicidal ideation should focus on addressing these underlying factors, improving access to supportive resources, and promoting inclusive and accommodating environments for individuals with hearing difficulties.

背景：自杀意念是一个重要的公共卫生问题，其与听力状况的关系已引起越来越多的关注。本研究的目的是调查听力状况和自杀意念之间的关系，在一个具有全国代表性的美国成年人样本中。方法：分析2015-2018年全国健康与营养检查调查（NHANES） 8095名参与者的数据。加权逻辑回归模型与限制性三次样条（RCS）分析探讨了听力状况与自杀意念之间的关系，并对潜在的混杂因素进行了调整。按性别、种族、受教育程度、婚姻状况、家庭月贫困水平、视力障碍、行动障碍、吸烟、高血压、糖尿病、冠心病、中风和癌症进行亚组分析。采用零膨胀泊松（Zero-Inflated Poisson， ZIP）回归模型探讨听力状况与自杀意念水平的关系。结果：听力障碍越严重的被试出现自杀意念的可能性越高（P < 0.05）。亚组分析显示，不同层次间无显著相互作用（P < 0.05）。ZIP分析显示，中度听力障碍或失聪或听力障碍的个体表现出更高的自杀意念频率。结论：本研究确定了听力状况与美国成年人自杀意念之间的联系。歧视、社会孤立、环境障碍和沟通障碍等因素可能是这种关系的基础。旨在减少自杀意念的干预措施应侧重于解决这些潜在因素，改善获得支持性资源的机会，并为听力障碍患者促进包容和适应的环境。

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引用次数: 0

Innovations in primary mental health care: The promise of transdiagnostic treatments 初级精神卫生保健的创新：跨诊断治疗的前景。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.012

Nining Maizura , Siska Mardes , Ramtia Darma Putri , Erfan Ramadhani , Palasara Brahmani Laras , Safta Hastini

引用次数: 0

Establishment and clinical impacts of decision-support system for older patients with aortic valve stenosis: A retrospective observational study 老年主动脉瓣狭窄患者决策支持系统的建立及临床影响：一项回顾性观察研究。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.024

Sayoko Kawano , Yoko Eguchi , Azusa Oosumi , Hiroyoshi Takeuchi , Michiyo Takubo , Noriko Kimura , Naomi Nakano , Toshinobu Ryuzaki , Kentaro Hayashida , Masaki Ieda , Hiroyuki Uchida , Masaru Mimura , Daisuke Fujisawa

Objectives

Treatment decisions for severe aortic stenosis (AS) are complex, since there are two active and comparable options: transcatheter aortic valve implantation and surgical aortic valve replacement. The disease predominantly affects older individuals, who are frequently comorbid with from cognitive impairment. This study aimed to establish a screening-triggered system to assess the decision-making capacity of patients with AS, support their decision-making, and facilitate referrals to specialists when necessary.

Methods

This is a retrospective pre-post observational study. Relevant healthcare professionals were trained to assess and support patients' decision-making capacities.

Results

Subtotals of 203 and 244 patients were enrolled before and after the implementation of the system, respectively. The requests for decision-making support significantly increased (from 1.5 % to 14.8 % of the patients). 11.5 % of the patients were identified as with declined decision-making capacity. The proportion of patients who received active treatments for AS significantly decreased from 95.0 % to 83.0 %. The nurses' documentation of patients' decision-making capacities significantly increased.

Conclusion

This screening-triggered system identified a substantial proportion of patients with declined decision-making capacity. A significant decrease in patients receiving active treatments for AS and increased documentation of patients' decision-making capacities in nursing records were observed. A future randomized controlled is warranted.

目的：严重主动脉瓣狭窄（AS）的治疗决策是复杂的，因为有两种积极的和可比较的选择：经导管主动脉瓣植入术和手术主动脉瓣置换术。这种疾病主要影响老年人，他们经常与认知障碍合并症。本研究旨在建立一个筛查触发系统来评估AS患者的决策能力，支持他们的决策，并在必要时方便转诊给专家。方法：回顾性观察前后研究。对相关保健专业人员进行了培训，以评估和支持患者的决策能力。结果：在系统实施前后，分别有203例和244例患者入组。要求决策支持的患者显著增加（从1.5%增加到14.8%）。11.5%的患者被确定为决策能力下降。接受积极治疗的AS患者比例从95.0%显著下降到83.0%。护士对患者决策能力的记录显著增加。结论：该筛查触发系统识别了相当比例的决策能力下降的患者。观察到，接受积极治疗的AS患者显著减少，护理记录中患者决策能力的记录增加。未来的随机对照是有必要的。

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引用次数: 0

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General hospital psychiatry

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