General hospital psychiatry最新文献

英文中文

Development of a perceived eHealth literacy scale for individuals with serious mental illness: A cross-sectional study 严重精神疾病患者电子健康素养量表的开发：一项横断面研究

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 10.1016/j.genhosppsych.2024.12.016

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.

Conclusion

The GP-eHLS-SMI is a valuable tool.

背景：由于严重精神疾病（SMI）人群的个体特点，需要开发一种电子健康素养量表。目的：开发一种基于图形的SMI感知电子健康素养量表（GP-eHLS-SMI）。设计：横断面研究。方法：本研究于2023年5月至2024年2月进行。GP-eHLS-SMI是基于定性访谈构建的。专家们审查了这些项目，并编制了一份试点问卷。从20家医疗机构共招募了436名重度精神障碍社区居民进行心理测量分析。无效问卷10份，分析问卷426份。我们使用前220份问卷进行项目分析和探索性因素分析。最后206份问卷进行验证性因子分析。所有有效问卷均用于检验重测信度和效度。研究工具包括人口统计数据问卷、GP-eHLS-SMI和中国电子卫生素养量表（C-eHEALS）。以C-eHEALS作为金标准，探讨受试者工作特征曲线（ROC）下面积和GP-eHLS-SMI的截止点。结果：16项GP-eHLS-SMI的Cronbach's alpha为0.882。GP-eHLS-SMI评分与C-eHEALS评分显著相关（r = 0.733, p）。结论：GP-eHLS-SMI是一种有价值的工具。

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引用次数: 0

Development of a short form of the Geriatric Depression Scale-30 based on item response theory and the RiskSLIM algorithm 基于项目反应理论和RiskSLIM算法的老年抑郁量表-30简表的编制。

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry

Pub Date : 2025-01-01 DOI: 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.

近年来，快速准确地筛查老年抑郁症的方法引起了人们的广泛关注。基于经典测试理论，人们开发了30项老年抑郁量表的简短形式，如GDS-4、GDS-5和GDS-15，但它们的诊断准确性较低。因此，在本研究中，我们基于项目反应理论和机器学习方法RiskSLIM开发了一种新的GDS-30简写形式，并基于灰质体积对其进行验证。我们发现基于IRT的短表（GDS-9）和基于RiskSLIM的短表（GDS-14）比其他短表具有更高的诊断准确性。此外，在基于兴趣区的大脑分析中，我们发现GDS-9与右侧海马、右侧海马旁回和右侧颞上回的灰质体积呈显著负相关，而其他短形式与任何区域的灰质体积均无显著相关。这表明GDS-9比其他短表具有更高的经验效度，并且与大脑结构相对应。因此，GDS-9可用于老年抑郁症的筛查，提高了筛查的效率和准确性。

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引用次数: 0

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.

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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

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

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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