首页 > 最新文献

Journal of psychiatric research最新文献

英文 中文
Oxytocin, social cognition, and neurocognitive function in male patients with schizophrenia: A prospective study 男性精神分裂症患者的催产素、社会认知和神经认知功能:一项前瞻性研究
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-10 DOI: 10.1016/j.jpsychires.2026.02.013
Şeyma Işık Karakulak , Süheyla Doğan Bulut , Hasan Karadağ , Zeynep Adıyaman Koçer

Objective

This study examined serum oxytocin levels during an acute psychotic episode and following antipsychotic treatment response in male patients with schizophrenia, and explored associations with social cognition and functional cognitive domains.

Method

The sample consisted of 51 male patients meeting DSM-5 criteria for schizophrenia who were assessed during an acute psychotic episode, and 41 healthy male controls. Sociodemographic characteristics, clinical symptoms, and functional status were evaluated using the Sociodemographic and clinical data form(SDVF), Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning (GAF), Cognitive Assessment Interview–Turkish Version (CAI-TR), and Reading the Mind in the Eyes Test (RMET). Serum oxytocin levels were measured using enzyme-linked immunosorbent assay (ELISA). Patients who met the predefined treatment response criterion (≥25% reduction in PANSS total score, N = 33) underwent a second evaluation after a mean follow-up period of 12 weeks.

Results

Mean serum oxytocin levels were significantly lower in the patient group (143.94 ± 104.88 pg/mL) than in the control group (254.12 ± 152.58 pg/mL) (t68.28 = 3.93, p < 0.001, d = 0.86). Among the 33 treatment responders, oxytocin levels increased significantly from the acute episode to follow-up (152.55 ± 108.75 to 214.15 ± 115.79 pg/mL; t = 3.27, p = 0.003, d = 0.57). Baseline oxytocin levels were negatively correlated with PANSS Positive and General Psychopathology scores, and positively correlated with RMET and GAF scores. Increases in oxytocin levels following treatment occurred in parallel with improvements, particularly in social cognitive functioning.

Conclusion

These findings indicate that oxytocin levels in patients with schizophrenia are associated with social cognitive functioning and increase in parallel with improvements following treatment. Peripheral oxytocin levels may represent a promising candidate biomarker in schizophrenia.
目的研究男性精神分裂症患者急性精神病发作和抗精神病药物治疗后血清催产素水平,并探讨其与社会认知和功能认知领域的关系。方法51例符合DSM-5精神分裂症诊断标准的男性患者在急性精神病发作期间接受评估,41例健康男性作为对照。采用社会人口学和临床数据表(SDVF)、阳性和阴性综合征量表(PANSS)、整体功能评估(GAF)、认知评估访谈-土耳其版(CAI-TR)和眼读心术测试(RMET)对社会人口学特征、临床症状和功能状态进行评估。采用酶联免疫吸附试验(ELISA)测定血清催产素水平。满足预定治疗反应标准(PANSS总分降低≥25%,N = 33)的患者在平均随访12周后进行第二次评估。结果患者组平均血清催产素水平(143.94±104.88 pg/mL)显著低于对照组(254.12±152.58 pg/mL) (t68.28 = 3.93, p < 0.001, d = 0.86)。在33例治疗应答者中,从急性发作到随访,催产素水平显著升高(152.55±108.75 ~ 214.15±115.79 pg/mL; t = 3.27, p = 0.003, d = 0.57)。基线催产素水平与PANSS阳性和一般精神病理学评分呈负相关,与RMET和GAF评分呈正相关。治疗后催产素水平的增加与改善同时发生,特别是在社会认知功能方面。结论精神分裂症患者的催产素水平与社会认知功能相关,且治疗后催产素水平随治疗后社会认知功能的改善而升高。外周催产素水平可能是一种有希望的精神分裂症候选生物标志物。
{"title":"Oxytocin, social cognition, and neurocognitive function in male patients with schizophrenia: A prospective study","authors":"Şeyma Işık Karakulak ,&nbsp;Süheyla Doğan Bulut ,&nbsp;Hasan Karadağ ,&nbsp;Zeynep Adıyaman Koçer","doi":"10.1016/j.jpsychires.2026.02.013","DOIUrl":"10.1016/j.jpsychires.2026.02.013","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined serum oxytocin levels during an acute psychotic episode and following antipsychotic treatment response in male patients with schizophrenia, and explored associations with social cognition and functional cognitive domains.</div></div><div><h3>Method</h3><div>The sample consisted of 51 male patients meeting DSM-5 criteria for schizophrenia who were assessed during an acute psychotic episode, and 41 healthy male controls. Sociodemographic characteristics, clinical symptoms, and functional status were evaluated using the Sociodemographic and clinical data form(SDVF), Positive and Negative Syndrome Scale (PANSS), Global Assessment of Functioning (GAF), Cognitive Assessment Interview–Turkish Version (CAI-TR), and Reading the Mind in the Eyes Test (RMET). Serum oxytocin levels were measured using enzyme-linked immunosorbent assay (ELISA). Patients who met the predefined treatment response criterion (≥25% reduction in PANSS total score, N = 33) underwent a second evaluation after a mean follow-up period of 12 weeks.</div></div><div><h3>Results</h3><div>Mean serum oxytocin levels were significantly lower in the patient group (143.94 ± 104.88 pg/mL) than in the control group (254.12 ± 152.58 pg/mL) (t<sub>68</sub>.<sub>28</sub> = 3.93, p &lt; 0.001, d = 0.86). Among the 33 treatment responders, oxytocin levels increased significantly from the acute episode to follow-up (152.55 ± 108.75 to 214.15 ± 115.79 pg/mL; t = 3.27, p = 0.003, d = 0.57). Baseline oxytocin levels were negatively correlated with PANSS Positive and General Psychopathology scores, and positively correlated with RMET and GAF scores. Increases in oxytocin levels following treatment occurred in parallel with improvements, particularly in social cognitive functioning.</div></div><div><h3>Conclusion</h3><div>These findings indicate that oxytocin levels in patients with schizophrenia are associated with social cognitive functioning and increase in parallel with improvements following treatment. Peripheral oxytocin levels may represent a promising candidate biomarker in schizophrenia.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 124-131"},"PeriodicalIF":3.2,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146172319","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}
引用次数: 0
Association between C-reactive protein and depression among alcohol users in the United States: A population-based analysis of National Health and Nutrition Examination Survey (NHANES) 2015-2020 美国酒精使用者中c反应蛋白与抑郁症之间的关系:2015-2020年国家健康与营养检查调查(NHANES)的基于人群的分析
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-10 DOI: 10.1016/j.jpsychires.2026.02.009
Lekshmi Rita-Venugopal , Tom Varghese M , Madhav KC

Background

Inflammation and alcohol use are linked to depression, but whether their effects are independent or interactive remains unclear.

Objective

To examine inflammation as an independent correlate of depression among U.S. adults who consume alcohol and a modifier of the alcohol–depression association.

Methods

Cross-sectional analysis of NHANES 2015–2020 including adults aged ≥18 reporting past-year alcohol use(n = 3019). Depression was assessed using the PHQ-9, with scores categorized as no depression(0), minimal(1–4), mild(5–9), and moderate–severe(10–27). Inflammation was measured using high-sensitivity CRP, categorized as low(≤1 mg/L), average(1–3 mg/L), and high(>3 mg/L). Alcohol use was classified as light, moderate, or heavy based on drinks/week and binge frequency. Modified Poisson regression with robust variance estimated prevalence ratios for depressive symptoms across CRP levels, adjusting for covariates (alcohol severity, age, sex, race/ethnicity, income, BMI, smoking, physical activity, sleep, comorbidities, drug use). Survey-weighted GLM models tested CRP–alcohol interactions.

Results

High CRP was associated with 13% higher mild and 22% higher moderate–severe depression prevalence (p < 0.0001) vs. low CRP. CRP–alcohol interactions were statistically significant with high CRP associated with increased depression prevalence among light drinkers (PR = 1.06,95% CI:1.05–1.07) and moderate drinkers (PR = 1.03,95% CI:1.01–1.04). Among heavy drinkers, high CRP showed an 8.2% increase, not statistically significant, likely due to limited power and dilution by acute inflammation. Sensitivity analyses excluding CRP >10 mg/L showed stronger effects (6–11% increase); high CRP × heavy drinking became significant (PR = 1.11,95% CI:1.05–1.18, p < 0.0001).

Conclusion

CRP was associated with higher depression and modified alcohol–depression associations. Inflammation amplified depression risk across drinking levels.
炎症和饮酒与抑郁症有关,但它们的影响是独立的还是相互作用的尚不清楚。目的研究炎症在美国成年人饮酒与抑郁之间的独立相关性,以及酒精与抑郁之间的关系。方法NHANES 2015-2020的横断面分析包括≥18岁报告过去一年饮酒的成年人(n = 3019)。抑郁症采用PHQ-9进行评估,得分分为无抑郁(0)、轻度抑郁(1-4)、轻度抑郁(5-9)和中度抑郁(10-27)。使用高敏CRP测量炎症,分为低(≤1mg /L)、平均(1 - 3mg /L)和高(3mg /L)。根据饮酒量/周和暴饮频率,将酒精使用分为轻度、中度和重度。校正协变量(酒精严重程度、年龄、性别、种族/民族、收入、体重指数、吸烟、体育锻炼、睡眠、合共病、药物使用)后,修正泊松稳健方差回归估计了CRP水平中抑郁症状的患病率。调查加权GLM模型测试了crp -酒精的相互作用。结果与低CRP相比,高CRP与轻度抑郁症患病率高13%和中重度抑郁症患病率高22%相关(p < 0.0001)。在轻度饮酒者(PR = 1.06,95% CI: 1.05-1.07)和中度饮酒者(PR = 1.03,95% CI: 1.01-1.04)中,CRP -酒精相互作用具有统计学意义,高CRP与抑郁症患病率增加相关。在重度饮酒者中,高CRP水平增加了8.2%,没有统计学意义,可能是由于急性炎症的作用有限和稀释。排除CRP + gt;10 mg/L的敏感性分析显示更强的影响(增加6-11%);高CRP与重度饮酒的关系变得显著(PR = 1.11,95% CI: 1.05-1.18, p < 0.0001)。结论crp与重度抑郁和改良的酒精性抑郁相关。炎症会在饮酒量上放大抑郁风险。
{"title":"Association between C-reactive protein and depression among alcohol users in the United States: A population-based analysis of National Health and Nutrition Examination Survey (NHANES) 2015-2020","authors":"Lekshmi Rita-Venugopal ,&nbsp;Tom Varghese M ,&nbsp;Madhav KC","doi":"10.1016/j.jpsychires.2026.02.009","DOIUrl":"10.1016/j.jpsychires.2026.02.009","url":null,"abstract":"<div><h3>Background</h3><div>Inflammation and alcohol use are linked to depression, but whether their effects are independent or interactive remains unclear.</div></div><div><h3>Objective</h3><div>To examine inflammation as an independent correlate of depression among U.S. adults who consume alcohol and a modifier of the alcohol–depression association.</div></div><div><h3>Methods</h3><div>Cross-sectional analysis of NHANES 2015–2020 including adults aged ≥18 reporting past-year alcohol use(n = 3019). Depression was assessed using the PHQ-9, with scores categorized as no depression(0), minimal(1–4), mild(5–9), and moderate–severe(10–27). Inflammation was measured using high-sensitivity CRP, categorized as low(≤1 mg/L), average(1–3 mg/L), and high(&gt;3 mg/L). Alcohol use was classified as light, moderate, or heavy based on drinks/week and binge frequency. Modified Poisson regression with robust variance estimated prevalence ratios for depressive symptoms across CRP levels, adjusting for covariates (alcohol severity, age, sex, race/ethnicity, income, BMI, smoking, physical activity, sleep, comorbidities, drug use). Survey-weighted GLM models tested CRP–alcohol interactions.</div></div><div><h3>Results</h3><div>High CRP was associated with 13% higher mild and 22% higher moderate–severe depression prevalence (p &lt; 0.0001) vs. low CRP. CRP–alcohol interactions were statistically significant with high CRP associated with increased depression prevalence among light drinkers (PR = 1.06,95% CI:1.05–1.07) and moderate drinkers (PR = 1.03,95% CI:1.01–1.04). Among heavy drinkers, high CRP showed an 8.2% increase, not statistically significant, likely due to limited power and dilution by acute inflammation. Sensitivity analyses excluding CRP &gt;10 mg/L showed stronger effects (6–11% increase); high CRP × heavy drinking became significant (PR = 1.11,95% CI:1.05–1.18, p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>CRP was associated with higher depression and modified alcohol–depression associations. Inflammation amplified depression risk across drinking levels.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 61-70"},"PeriodicalIF":3.2,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146172342","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}
引用次数: 0
A systematic review and meta-analysis of anxiety and depression in children and adolescents with inflammatory bowel disease: Prevalence and association 儿童和青少年炎症性肠病患者焦虑和抑郁的系统回顾和荟萃分析:患病率和相关性
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-09 DOI: 10.1016/j.jpsychires.2026.02.008
Tingting Xu , Yanhong Chen , Qiqi Shen , Sichao Dai , Haohao Yan , Jianjuan Ren

Background

Anxiety and depression are prevalent comorbidities in patients with inflammatory bowel disease (IBD). However, their prevalence and impact in children and adolescents with IBD remain poorly defined. This meta-analysis aimed (i) to estimate the prevalence of anxiety and depression in this population and (ii) to explore the association between these psychological issues and IBD.

Methods

A thorough search of Embase, Web of Science, and PubMed from inception through February 1, 2025, was conducted. Two authors independently extracted data and assessed study quality. Pooled prevalence estimates, odds ratios (ORs), and hazard ratios (HRs) were calculated using a random-effects model. Subgroup and sensitivity analyses were performed to examine sources of heterogeneity and assess result robustness.

Results

The meta-analysis included 48 studies with 189,032 children and adolescents with IBD. Pooled prevalence estimates were as follows: anxiety symptoms (12%; 95% confidence interval [CI]: 7%–17%; k [number of studies] = 14; n [number of subjects] = 1574); anxiety disorders (9%; 95% CI: 5%–14%; k = 6; n = 168,378); depressive symptoms (15%; 95% CI: 11%–19%; k = 35; n = 4426); and depressive disorder (8%; 95% CI: 5%–11%; k = 7; n = 168,475). Pooled HRs indicated a significantly higher risk of developing anxiety and depressive disorders in this population, with HRs of 1.95 and 1.65, respectively.

Conclusions

Children and adolescents with IBD face a substantial burden of anxiety and depression. Routine mental health screening is essential for early intervention and comprehensive management of these comorbidities.
背景:焦虑和抑郁是炎症性肠病(IBD)患者普遍存在的合并症。然而,它们在患有IBD的儿童和青少年中的患病率和影响仍然不清楚。本荟萃分析旨在(1)估计该人群中焦虑和抑郁的患病率,(2)探讨这些心理问题与IBD之间的关系。方法全面检索Embase、Web of Science和PubMed自成立以来至2025年2月1日的文献。两位作者独立提取数据并评估研究质量。使用随机效应模型计算合并患病率估计值、优势比(ORs)和风险比(hr)。进行亚组分析和敏感性分析以检查异质性来源并评估结果的稳健性。荟萃分析包括48项研究,涉及189032名患有IBD的儿童和青少年。合并患病率估计如下:焦虑症状(12%;95%置信区间[CI]: 7%-17%; k[研究数]= 14;n[受试者数]= 1574);焦虑症(9%;95%置信区间:5% - -14%;k = 6; n = 168378);抑郁症状(15%;95% CI: 11%-19%; k = 35; n = 4426);抑郁症(8%;95% CI: 5%-11%; k = 7; n = 168,475)。合并hr表明该人群发生焦虑和抑郁障碍的风险显著增加,hr分别为1.95和1.65。结论儿童和青少年IBD患者面临着沉重的焦虑和抑郁负担。常规心理健康筛查对于这些合并症的早期干预和综合管理至关重要。
{"title":"A systematic review and meta-analysis of anxiety and depression in children and adolescents with inflammatory bowel disease: Prevalence and association","authors":"Tingting Xu ,&nbsp;Yanhong Chen ,&nbsp;Qiqi Shen ,&nbsp;Sichao Dai ,&nbsp;Haohao Yan ,&nbsp;Jianjuan Ren","doi":"10.1016/j.jpsychires.2026.02.008","DOIUrl":"10.1016/j.jpsychires.2026.02.008","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety and depression are prevalent comorbidities in patients with inflammatory bowel disease (IBD). However, their prevalence and impact in children and adolescents with IBD remain poorly defined. This meta-analysis aimed (i) to estimate the prevalence of anxiety and depression in this population and (ii) to explore the association between these psychological issues and IBD.</div></div><div><h3>Methods</h3><div>A thorough search of Embase, Web of Science, and PubMed from inception through February 1, 2025, was conducted. Two authors independently extracted data and assessed study quality. Pooled prevalence estimates, odds ratios (ORs), and hazard ratios (HRs) were calculated using a random-effects model. Subgroup and sensitivity analyses were performed to examine sources of heterogeneity and assess result robustness.</div></div><div><h3>Results</h3><div>The meta-analysis included 48 studies with 189,032 children and adolescents with IBD. Pooled prevalence estimates were as follows: anxiety symptoms (12%; 95% confidence interval [CI]: 7%–17%; k [number of studies] = 14; n [number of subjects] = 1574); anxiety disorders (9%; 95% CI: 5%–14%; k = 6; n = 168,378); depressive symptoms (15%; 95% CI: 11%–19%; k = 35; n = 4426); and depressive disorder (8%; 95% CI: 5%–11%; k = 7; n = 168,475). Pooled HRs indicated a significantly higher risk of developing anxiety and depressive disorders in this population, with HRs of 1.95 and 1.65, respectively.</div></div><div><h3>Conclusions</h3><div>Children and adolescents with IBD face a substantial burden of anxiety and depression. Routine mental health screening is essential for early intervention and comprehensive management of these comorbidities.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 78-89"},"PeriodicalIF":3.2,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146172344","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}
引用次数: 0
Associations of common antipsychotic medications with weight gain in youth and adults: a target trial emulation study 青少年和成人常用抗精神病药物与体重增加的关系:一项目标试验模拟研究
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-09 DOI: 10.1016/j.jpsychires.2026.02.007
Joshua Petimar , Sheryl L. Rifas-Shiman , Jessica G. Young , Han Yu , Matthew F. Daley , William J. Heerman , David M. Janicke , W. Schuyler Jones , Kristina H. Lewis , Pi-I.D. Lin , Doug Lunsford , L. Charles Bailey , Sengwee Toh , Jason P. Block

Background

Few real-world studies have estimated differences in weight gain between antipsychotic medications. This study estimated effects of initiating 4 first-line antipsychotic medications on weight change in adults and children/adolescents.

Methods

Electronic health record data were collected from 31,270 adults (≥20 years) and 29,496 children/adolescents (<20 years) newly prescribed 1 of 4 antipsychotics (aripiprazole, olanzapine, quetiapine, risperidone) from 2010 to 2019 across 15 U.S. health systems. Target trial emulation estimated the effect of initiating each medication on weight change in adults and body mass index z-score (BMIz) in children/adolescents at 6 (primary) and 12 months (secondary) versus aripiprazole (reference). Inverse probability weighted estimation of repeated outcome marginal structural models adjusted for baseline confounding and informative outcome measurement.

Results

In adults, initiation of aripiprazole was associated with greater 6-month weight change than initiation of olanzapine (difference = −0.60 kg [95% CI: −0.97, −0.25]), quetiapine (difference = −1.17 kg [-1.43, −0.91]), and risperidone (difference = −0.35 kg [-0.73, 0.03]); 12-month weight gain was similar between aripiprazole and olanzapine (difference = −0.11 [-0.61, 0.38]). In children/adolescents, olanzapine was associated with greater 6-month BMIz change than aripiprazole (difference = 0.15 [0.10, 0.20]); quetiapine and risperidone were associated with slightly smaller BMIz increases than aripiprazole. Six-month adherence was lower for olanzapine (5-7%) than other medications (15-21%) in adults and children/adolescents.

Conclusions

Among 4 first-line antipsychotic medications, aripiprazole was associated with the greatest 6-month weight gain in adults and olanzapine was associated with the greatest 6-month BMIz increase in children/adolescents, though adherence was lower for olanzapine than other medications. Clinicians should consider these differences in weight gain when initiating antipsychotic medications.
很少有真实世界的研究估计抗精神病药物在体重增加方面的差异。本研究估计了4种一线抗精神病药物对成人和儿童/青少年体重变化的影响。方法收集美国15个卫生系统2010年至2019年新开4种抗精神病药物(阿立哌唑、奥氮平、喹硫平、利培酮)中的1种的31,270名成人(≥20岁)和29,496名儿童/青少年(20岁)的电子健康记录数据。目标试验模拟评估了与阿立哌唑(参考)相比,开始使用每种药物对成人体重变化和儿童/青少年6个月(初级)和12个月(次级)体重指数z分数(BMIz)的影响。重复结果边际结构模型的逆概率加权估计,调整基线混淆和信息性结果测量。结果在成人中,与开始使用奥氮平(差异= - 0.60 kg [95% CI: - 0.97, - 0.25])、喹硫平(差异= - 1.17 kg[-1.43, - 0.91])和利培酮(差异= - 0.35 kg[-0.73, 0.03])相比,开始使用阿立哌唑的6个月体重变化更大;阿立哌唑和奥氮平12个月体重增加相似(差异= - 0.11[-0.61,0.38])。在儿童/青少年中,奥氮平与阿立哌唑的6个月bmi变化相关(差异= 0.15 [0.10,0.20]);与阿立哌唑相比,喹硫平和利培酮的BMIz升高幅度略小。在成人和儿童/青少年中,奥氮平的6个月依从性(5-7%)低于其他药物(15-21%)。结论在4种一线抗精神病药物中,阿立哌唑与成人6个月体重增加最多相关,奥氮平与儿童/青少年6个月体重增加最多相关,但奥氮平的依从性低于其他药物。临床医生在开始使用抗精神病药物时应考虑这些体重增加的差异。
{"title":"Associations of common antipsychotic medications with weight gain in youth and adults: a target trial emulation study","authors":"Joshua Petimar ,&nbsp;Sheryl L. Rifas-Shiman ,&nbsp;Jessica G. Young ,&nbsp;Han Yu ,&nbsp;Matthew F. Daley ,&nbsp;William J. Heerman ,&nbsp;David M. Janicke ,&nbsp;W. Schuyler Jones ,&nbsp;Kristina H. Lewis ,&nbsp;Pi-I.D. Lin ,&nbsp;Doug Lunsford ,&nbsp;L. Charles Bailey ,&nbsp;Sengwee Toh ,&nbsp;Jason P. Block","doi":"10.1016/j.jpsychires.2026.02.007","DOIUrl":"10.1016/j.jpsychires.2026.02.007","url":null,"abstract":"<div><h3>Background</h3><div>Few real-world studies have estimated differences in weight gain between antipsychotic medications. This study estimated effects of initiating 4 first-line antipsychotic medications on weight change in adults and children/adolescents.</div></div><div><h3>Methods</h3><div>Electronic health record data were collected from 31,270 adults (≥20 years) and 29,496 children/adolescents (&lt;20 years) newly prescribed 1 of 4 antipsychotics (aripiprazole, olanzapine, quetiapine, risperidone) from 2010 to 2019 across 15 U.S. health systems. Target trial emulation estimated the effect of initiating each medication on weight change in adults and body mass index z-score (BMIz) in children/adolescents at 6 (primary) and 12 months (secondary) versus aripiprazole (reference). Inverse probability weighted estimation of repeated outcome marginal structural models adjusted for baseline confounding and informative outcome measurement.</div></div><div><h3>Results</h3><div>In adults, initiation of aripiprazole was associated with greater 6-month weight change than initiation of olanzapine (difference = −0.60 kg [95% CI: −0.97, −0.25]), quetiapine (difference = −1.17 kg [-1.43, −0.91]), and risperidone (difference = −0.35 kg [-0.73, 0.03]); 12-month weight gain was similar between aripiprazole and olanzapine (difference = −0.11 [-0.61, 0.38]). In children/adolescents, olanzapine was associated with greater 6-month BMIz change than aripiprazole (difference = 0.15 [0.10, 0.20]); quetiapine and risperidone were associated with slightly smaller BMIz increases than aripiprazole. Six-month adherence was lower for olanzapine (5-7%) than other medications (15-21%) in adults and children/adolescents.</div></div><div><h3>Conclusions</h3><div>Among 4 first-line antipsychotic medications, aripiprazole was associated with the greatest 6-month weight gain in adults and olanzapine was associated with the greatest 6-month BMIz increase in children/adolescents, though adherence was lower for olanzapine than other medications. Clinicians should consider these differences in weight gain when initiating antipsychotic medications.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 90-96"},"PeriodicalIF":3.2,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146172345","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}
引用次数: 0
Reply to "Letter to the Editor: Temporal patterns of suicide following psychiatric discharge". 回复“致编辑的信:精神病出院后自杀的时间模式”。
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-05 DOI: 10.1016/j.jpsychires.2026.02.002
Kristoffer Bele Ødegård, Martin Øverlien Myhre, Ole Klungsøyr, Lars Mehlum, Anita Johanna Tørmoen, Fredrik A Walby
{"title":"Reply to \"Letter to the Editor: Temporal patterns of suicide following psychiatric discharge\".","authors":"Kristoffer Bele Ødegård, Martin Øverlien Myhre, Ole Klungsøyr, Lars Mehlum, Anita Johanna Tørmoen, Fredrik A Walby","doi":"10.1016/j.jpsychires.2026.02.002","DOIUrl":"https://doi.org/10.1016/j.jpsychires.2026.02.002","url":null,"abstract":"","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142804","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}
引用次数: 0
Circulating levels of glial cell line-derived neurotrophic factor in bipolar disorder: A meta-analysis of case-control studies and efficacy of therapeutic interventions 双相情感障碍患者神经胶质细胞系源性神经营养因子的循环水平:病例对照研究和治疗干预效果的荟萃分析。
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-05 DOI: 10.1016/j.jpsychires.2026.02.005
Omran Davarinejad , Saeid Komasi , Mohammad-Taher Moradi , Fatemeh Kazemisafa

Background

Bipolar disorder (BD) is a chronic and debilitating mental illness characterized by alternating episodes of mania and depression, affecting approximately 5-6% of the global population. Despite extensive research, the underlying pathophysiology of BD remains poorly understood, necessitating further exploration of potential biomarkers. This meta-analysis investigates peripheral levels of glial cell line-derived neurotrophic factor (GDNF) to evaluate its utility as a biomarker in individuals with BD.

Methods

We systematically searched four international databases, identifying 13 case-control studies (825 patients with BD vs. 885 healthy controls) and 4 clinical trials encompassing 153 patients with BD. The study adhered to PRISMA guidelines and employed rigorous quality assessment tools, including the Newcastle-Ottawa Scale for observational studies and the Cochrane Risk of Bias tool for clinical trials.

Results

The analysis revealed a pooled standardized mean difference of d = −0.81 [CI: 1.41 to −0.22], p = 0.007. However, extreme heterogeneity (I2 > 96%) and publication bias preclude reliable interpretation of this estimate. Furthermore, the meta-regression analyses were significant for illness duration, YMRS score, and year of study. Subgroup analysis showed significant estimates for blood sample, mania episode, and Asian region. Although treatment interventions increased GDNF levels, these changes were not statistically significant (d = 0.12, [95% CI: 0.20 to 0.44], p = 0.463). High heterogeneity was observed across studies, indicating substantial variability in study designs and participant characteristics.

Conclusion

The literature provides preliminary, highly heterogeneous evidence suggestive of altered GDNF levels in BD, primarily within serum during mania. The plasma-serum discrepancy highlights a major methodological confounder (platelet GDNF release), and the significant heterogeneity and publication bias preclude a reliable estimate of the true effect size. GDNF cannot be considered a disorder-specific biomarker for BD, as similar alterations are reported in major depression and schizophrenia. Future research must prioritize plasma measurements, standardized protocols, and longitudinal designs in medication-naïve cohorts to clarify whether GDNF acts as a state-dependent marker of acute mood episodes within a transdiagnostic framework.
背景:双相情感障碍(BD)是一种以躁狂症和抑郁症交替发作为特征的慢性衰弱性精神疾病,影响全球约5-6%的人口。尽管进行了广泛的研究,但双相障碍的潜在病理生理机制仍然知之甚少,需要进一步探索潜在的生物标志物。这项荟萃分析研究了神经胶质细胞系来源的神经营养因子(GDNF)的外周水平,以评估其作为bd患者生物标志物的效用。我们系统地检索了4个国际数据库,确定了13项病例对照研究(825名双相障碍患者与885名健康对照)和4项临床试验,包括153名双相障碍患者。该研究遵循PRISMA指南,并采用严格的质量评估工具,包括观察性研究的纽卡斯尔-渥太华量表和临床试验的Cochrane偏倚风险工具。结果:分析显示合并标准化平均差d = -0.81 [CI: 1.41 ~ -0.22], p = 0.007。然而,极端的异质性(96%)和发表偏倚妨碍了对这一估计的可靠解释。此外,meta回归分析在疾病持续时间、YMRS评分和学习年份方面具有显著性。亚组分析显示血液样本、躁狂发作和亚洲地区有显著的估计。虽然治疗干预增加了GDNF水平,但这些变化没有统计学意义(d = 0.12, [95% CI: 0.20 ~ 0.44], p = 0.463)。在研究中观察到高度异质性,表明研究设计和参与者特征存在很大差异。结论:文献提供了初步的、高度异质性的证据,表明双相障碍患者的GDNF水平发生了改变,主要是在躁狂期间的血清中。血浆-血清差异突出了一个主要的方法学混杂因素(血小板GDNF释放),并且显著的异质性和发表偏倚排除了对真实效应大小的可靠估计。GDNF不能被认为是双相障碍的疾病特异性生物标志物,因为在重度抑郁症和精神分裂症中也有类似的改变。未来的研究必须优先考虑血浆测量、标准化方案和medication-naïve队列的纵向设计,以澄清GDNF是否在跨诊断框架内作为急性情绪发作的状态依赖标志物。
{"title":"Circulating levels of glial cell line-derived neurotrophic factor in bipolar disorder: A meta-analysis of case-control studies and efficacy of therapeutic interventions","authors":"Omran Davarinejad ,&nbsp;Saeid Komasi ,&nbsp;Mohammad-Taher Moradi ,&nbsp;Fatemeh Kazemisafa","doi":"10.1016/j.jpsychires.2026.02.005","DOIUrl":"10.1016/j.jpsychires.2026.02.005","url":null,"abstract":"<div><h3>Background</h3><div>Bipolar disorder (BD) is a chronic and debilitating mental illness characterized by alternating episodes of mania and depression, affecting approximately 5-6% of the global population. Despite extensive research, the underlying pathophysiology of BD remains poorly understood, necessitating further exploration of potential biomarkers. This meta-analysis investigates peripheral levels of glial cell line-derived neurotrophic factor (GDNF) to evaluate its utility as a biomarker in individuals with BD.</div></div><div><h3>Methods</h3><div>We systematically searched four international databases, identifying 13 case-control studies (825 patients with BD vs. 885 healthy controls) and 4 clinical trials encompassing 153 patients with BD. The study adhered to PRISMA guidelines and employed rigorous quality assessment tools, including the Newcastle-Ottawa Scale for observational studies and the Cochrane Risk of Bias tool for clinical trials.</div></div><div><h3>Results</h3><div>The analysis revealed a pooled standardized mean difference of d = −0.81 [CI: 1.41 to −0.22], p = 0.007. However, extreme heterogeneity (I<sup>2</sup> &gt; 96%) and publication bias preclude reliable interpretation of this estimate. Furthermore, the meta-regression analyses were significant for illness duration, YMRS score, and year of study. Subgroup analysis showed significant estimates for blood sample, mania episode, and Asian region. Although treatment interventions increased GDNF levels, these changes were not statistically significant (<em>d</em> = 0.12, [95% CI: 0.20 to 0.44], <em>p</em> = 0.463). High heterogeneity was observed across studies, indicating substantial variability in study designs and participant characteristics.</div></div><div><h3>Conclusion</h3><div>The literature provides preliminary, highly heterogeneous evidence suggestive of altered GDNF levels in BD, primarily within serum during mania. The plasma-serum discrepancy highlights a major methodological confounder (platelet GDNF release), and the significant heterogeneity and publication bias preclude a reliable estimate of the true effect size. GDNF cannot be considered a disorder-specific biomarker for BD, as similar alterations are reported in major depression and schizophrenia. Future research must prioritize plasma measurements, standardized protocols, and longitudinal designs in medication-naïve cohorts to clarify whether GDNF acts as a state-dependent marker of acute mood episodes within a transdiagnostic framework.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 30-39"},"PeriodicalIF":3.2,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137573","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}
引用次数: 0
Planning and problem solving across multiple psychiatric disorders in young adults 青年多重精神疾病的规划和问题解决
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-04 DOI: 10.1016/j.jpsychires.2026.01.059
Raj A. Shetty , Jon E. Grant

Introduction

Planning and problem solving, subdomains of executive functioning, are important for daily functioning and clinical outcomes. Although executive functioning encompasses several domains, whether planning-specific deficits are a transdiagnostic feature across psychiatric disorders remains unclear.

Methods

Planning and problem solving in 658 young adults aged 18-29 was assessed in a cross-sectional study using the One Touch Stocking of Cambridge (OTS) task, with the number of problems solved correctly on first choice and mean latency to correct response as outcomes. Participants had a diverse range of psychiatric diagnoses, which were determined by structured clinical interviews. Planning and problem solving performance was compared between psychiatric groups and healthy controls using standardized z-scores and Cohen's d effect sizes.

Results

Participants with psychiatric diagnoses generally demonstrated impaired planning and problem solving compared to controls. Large effect deficits in problem-solving accuracy were found in obsessive-compulsive disorder (z = −1.32) and trichotillomania (z = −0.87). Moderate effect deficits were observed in agoraphobia, gambling disorder, panic disorder, antisocial personality disorder, compulsive buying disorder, substance abuse, and borderline personality disorder. Trichotillomania also showed the highest planning latency (z = 0.59). Results for diagnostic groups with small sample sizes should be interpreted with caution.

Conclusion

These data indicate that planning and problem solving may be impaired in several psychiatric disorders. Future work may wish to examine the contribution of comorbidities and psychoactive substances to the profiles identified.
计划和解决问题是执行功能的子领域,对日常功能和临床结果很重要。虽然执行功能包括几个领域,但计划特异性缺陷是否是精神疾病的跨诊断特征仍不清楚。方法对658名18-29岁青年的计划和问题解决能力进行横断面研究,采用剑桥一触袜(OTS)任务,以第一选择正确解决的问题数量和正确反应的平均延迟时间为结果。参与者有各种各样的精神病诊断,这些诊断是通过结构化的临床访谈确定的。采用标准化z-score和Cohen's d效应量比较精神病学组和健康对照组的计划和解决问题的表现。结果与对照组相比,被诊断为精神病的参与者普遍表现出计划和问题解决能力受损。强迫症(z = - 1.32)和拔毛癖(z = - 0.87)在解决问题准确性方面存在较大的效应缺陷。在广场恐怖症、赌博障碍、恐慌障碍、反社会人格障碍、强迫购买障碍、药物滥用和边缘型人格障碍中观察到中度效果缺陷。拔毛癖的计划潜伏期最高(z = 0.59)。小样本量诊断组的结果应谨慎解释。结论这些数据表明,计划和解决问题可能在一些精神障碍中受损。未来的工作可能希望检查合并症和精神活性物质对确定的概况的贡献。
{"title":"Planning and problem solving across multiple psychiatric disorders in young adults","authors":"Raj A. Shetty ,&nbsp;Jon E. Grant","doi":"10.1016/j.jpsychires.2026.01.059","DOIUrl":"10.1016/j.jpsychires.2026.01.059","url":null,"abstract":"<div><h3>Introduction</h3><div>Planning and problem solving, subdomains of executive functioning, are important for daily functioning and clinical outcomes. Although executive functioning encompasses several domains, whether planning-specific deficits are a transdiagnostic feature across psychiatric disorders remains unclear.</div></div><div><h3>Methods</h3><div>Planning and problem solving in 658 young adults aged 18-29 was assessed in a cross-sectional study using the One Touch Stocking of Cambridge (OTS) task, with the number of problems solved correctly on first choice and mean latency to correct response as outcomes. Participants had a diverse range of psychiatric diagnoses, which were determined by structured clinical interviews. Planning and problem solving performance was compared between psychiatric groups and healthy controls using standardized z-scores and Cohen's d effect sizes.</div></div><div><h3>Results</h3><div>Participants with psychiatric diagnoses generally demonstrated impaired planning and problem solving compared to controls. Large effect deficits in problem-solving accuracy were found in obsessive-compulsive disorder (z = −1.32) and trichotillomania (z = −0.87). Moderate effect deficits were observed in agoraphobia, gambling disorder, panic disorder, antisocial personality disorder, compulsive buying disorder, substance abuse, and borderline personality disorder. Trichotillomania also showed the highest planning latency (z = 0.59). Results for diagnostic groups with small sample sizes should be interpreted with caution.</div></div><div><h3>Conclusion</h3><div>These data indicate that planning and problem solving may be impaired in several psychiatric disorders. Future work may wish to examine the contribution of comorbidities and psychoactive substances to the profiles identified.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 1-7"},"PeriodicalIF":3.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146116403","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}
引用次数: 0
Time-limited model of an evidence-based telemental health intervention in a graduate student mental health program 研究生心理健康项目中基于证据的远程心理健康干预的时间限制模型。
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-04 DOI: 10.1016/j.jpsychires.2026.01.062
Suza C. Scalora , Stephanie Lechich , Alyssa DePasquale , Helene Geramian , Katharine Blodget , Irena Ilieva , Andrea Temkin-Yu , Patricia Marino
This study evaluated the feasibility, acceptability, and preliminary clinical outcomes of a time-limited, evidence-based telemental health (TMH) intervention delivered within a Graduate Student Mental Health program at a northeastern U.S. university between August 2022 and January 2023. Standard measures of depression and anxiety were collected at pre- and post-treatment and supplemented with electronic health record data for 28 participants who initiated and completed treatment.
The program consisted of 12 weekly, 45-minute individual psychotherapy sessions delivered via a HIPAA-compliant virtual platform. Feasibility was assessed using enrollment and retention, and acceptability was assessed using engagement indicators, including attendance rates. Thirty-eight students initiated treatment, and 28 completed the program (73.6% retention), with an average attendance of 9.79 of 12 sessions (SD = 2.91). Significant pre-to post-treatment reductions were observed in depression scores, (M = 9.61, SD = 5.24) to M = 5.46, SD = 3.78); t (27) = 5.50, p = < .001), d = 1.04 and anxiety scores (M = 9.93, SD = 4.83) to M = 5.54, SD = 3.81); t (27) = 5.41, p = < .001), d = 1.02.
These findings provide preliminary evidence that a time-limited TMH model may be a feasible and acceptable intervention for graduate students experiencing psychological distress; however, the small, self-selected, non-randomized sample and the absence of a control group limit conclusions about effectiveness and generalizability. In the context of substantial mental health needs and barriers to care in university settings, the results highlight the potential value of scalable TMH programs for expanding access to treatment among graduate students.
本研究评估了2022年8月至2023年1月期间在美国东北部一所大学的研究生心理健康项目中进行的有时限的、基于证据的远程心理健康(TMH)干预的可行性、可接受性和初步临床结果。在治疗前和治疗后收集抑郁和焦虑的标准测量值,并补充了28名开始和完成治疗的参与者的电子健康记录数据。该项目包括每周12次,每次45分钟的个人心理治疗,通过符合hipaa的虚拟平台进行。可行性评估使用注册和保留,可接受性评估使用参与指标,包括出勤率。38名学生开始了治疗,28名完成了治疗(73.6%的保留率),12个疗程的平均出勤率为9.79 (SD = 2.91)。治疗前后抑郁评分显著降低(M = 9.61, SD = 5.24) ~ M = 5.46, SD = 3.78);T (27) = 5.50, p =
{"title":"Time-limited model of an evidence-based telemental health intervention in a graduate student mental health program","authors":"Suza C. Scalora ,&nbsp;Stephanie Lechich ,&nbsp;Alyssa DePasquale ,&nbsp;Helene Geramian ,&nbsp;Katharine Blodget ,&nbsp;Irena Ilieva ,&nbsp;Andrea Temkin-Yu ,&nbsp;Patricia Marino","doi":"10.1016/j.jpsychires.2026.01.062","DOIUrl":"10.1016/j.jpsychires.2026.01.062","url":null,"abstract":"<div><div>This study evaluated the feasibility, acceptability, and preliminary clinical outcomes of a time-limited, evidence-based telemental health (TMH) intervention delivered within a Graduate Student Mental Health program at a northeastern U.S. university between August 2022 and January 2023. Standard measures of depression and anxiety were collected at pre- and post-treatment and supplemented with electronic health record data for 28 participants who initiated and completed treatment.</div><div>The program consisted of 12 weekly, 45-minute individual psychotherapy sessions delivered via a HIPAA-compliant virtual platform. Feasibility was assessed using enrollment and retention, and acceptability was assessed using engagement indicators, including attendance rates. Thirty-eight students initiated treatment, and 28 completed the program (73.6% retention), with an average attendance of 9.79 of 12 sessions (SD = 2.91). Significant pre-to post-treatment reductions were observed in depression scores, (M = 9.61, SD = 5.24) to M = 5.46, SD = 3.78); t (27) = 5.50, p = &lt; .001), d = 1.04 and anxiety scores (M = 9.93, SD = 4.83) to M = 5.54, SD = 3.81); t (27) = 5.41, p = &lt; .001), d = 1.02.</div><div>These findings provide preliminary evidence that a time-limited TMH model may be a feasible and acceptable intervention for graduate students experiencing psychological distress; however, the small, self-selected, non-randomized sample and the absence of a control group limit conclusions about effectiveness and generalizability. In the context of substantial mental health needs and barriers to care in university settings, the results highlight the potential value of scalable TMH programs for expanding access to treatment among graduate students.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 24-29"},"PeriodicalIF":3.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137197","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}
引用次数: 0
Auricular acupressure with five-element music therapy reduces labor pain and short-term postpartum depression: A randomized controlled trial 耳穴按摩配合五行音乐疗法可减轻分娩疼痛和短期产后抑郁:一项随机对照试验
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-04 DOI: 10.1016/j.jpsychires.2026.02.004
Wenjie Sun , Jie Gong , Xiuhong Wang, Xianwen Wan, Wei Zheng

Background

Labor pain and postpartum depression (PPD) are prevalent peripartum complications affecting mothers globally. Conventional interventions for pain management are often limited by contraindications or side effects.

Purpose

This study aims to investigate the effects of auricular acupressure combined with five-element music therapy (FEMT) in alleviating labor pain and reducing PPD incidence.

Methods

This randomized controlled trial enrolled 146 parturients with singleton cephalic pregnancy preparing for vaginal delivery. Participants were randomly assigned to either the treatment group (auricular acupressure at five points: Internal Genitals, Shenmen, Endocrine, Sympathetic and Subcortex, combined with FEMT) or the control group (routine care). Auricular acupressure was administered during labor until 2 h postpartum, while FEMT involved listening to five-element music. Pain level was evaluated using the Numerical Rating Scale (NRS), and PPD incidence was assessed via Edinburgh Postnatal Depression Scale (EPDS) scores at 1 and 6 weeks postpartum.

Results

The treatment group exhibited significantly lower median NRS scores at 6 cm cervical dilation (6 vs. 8, P < 0.001) and 10 cm dilation (7 vs. 9, P < 0.001). At 1 week postpartum, the treatment group had lower EPDS scores (8 vs. 9, P = 0.036), with reduced PPD incidence (15.1% vs. 32.9%, P = 0.012) and major PPD incidence (6.8% vs. 19.2%, P = 0.027). No significant differences in PPD rates were observed at 6 weeks postpartum. Neonatal outcomes and intrapartum cesarean rates were comparable between groups.

Conclusions

The combination of auricular acupressure and FEMT effectively alleviated labor pain and reduced short-term PPD incidence.
分娩疼痛和产后抑郁(PPD)是影响全球母亲的常见围产期并发症。传统的疼痛管理干预常常受到禁忌症或副作用的限制。目的探讨耳穴压联合五行音乐疗法(FEMT)对减轻分娩疼痛和降低PPD发生率的作用。方法本随机对照试验纳入146例准备阴道分娩的单胎头位妊娠孕妇。参与者被随机分配到治疗组(耳穴按压5个点:内生殖器、神门、内分泌、交感神经和皮层下,结合FEMT)或对照组(常规护理)。在分娩期间进行耳穴按压直到产后2小时,而FEMT则涉及听五行音乐。采用数值评定量表(NRS)评估疼痛水平,产后1周和6周采用爱丁堡产后抑郁量表(EPDS)评分评估PPD发生率。结果治疗组在宫颈扩张6 cm时(6比8,P < 0.001)和宫颈扩张10 cm时(7比9,P < 0.001) NRS评分中位数明显降低。产后1周,治疗组EPDS评分较低(8比9,P = 0.036), PPD发生率较低(15.1%比32.9%,P = 0.012),重度PPD发生率较低(6.8%比19.2%,P = 0.027)。产后6周PPD发生率无显著差异。新生儿结局和产时剖宫产率组间具有可比性。结论耳穴按压联合FEMT可有效缓解分娩疼痛,降低短期PPD发生率。
{"title":"Auricular acupressure with five-element music therapy reduces labor pain and short-term postpartum depression: A randomized controlled trial","authors":"Wenjie Sun ,&nbsp;Jie Gong ,&nbsp;Xiuhong Wang,&nbsp;Xianwen Wan,&nbsp;Wei Zheng","doi":"10.1016/j.jpsychires.2026.02.004","DOIUrl":"10.1016/j.jpsychires.2026.02.004","url":null,"abstract":"<div><h3>Background</h3><div>Labor pain and postpartum depression (PPD) are prevalent peripartum complications affecting mothers globally. Conventional interventions for pain management are often limited by contraindications or side effects.</div></div><div><h3>Purpose</h3><div>This study aims to investigate the effects of auricular acupressure combined with five-element music therapy (FEMT) in alleviating labor pain and reducing PPD incidence.</div></div><div><h3>Methods</h3><div>This randomized controlled trial enrolled 146 parturients with singleton cephalic pregnancy preparing for vaginal delivery. Participants were randomly assigned to either the treatment group (auricular acupressure at five points: Internal Genitals, Shenmen, Endocrine, Sympathetic and Subcortex, combined with FEMT) or the control group (routine care). Auricular acupressure was administered during labor until 2 h postpartum, while FEMT involved listening to five-element music. Pain level was evaluated using the Numerical Rating Scale (NRS), and PPD incidence was assessed via Edinburgh Postnatal Depression Scale (EPDS) scores at 1 and 6 weeks postpartum.</div></div><div><h3>Results</h3><div>The treatment group exhibited significantly lower median NRS scores at 6 cm cervical dilation (6 vs. 8, <em>P</em> &lt; 0.001) and 10 cm dilation (7 vs. 9, <em>P</em> &lt; 0.001). At 1 week postpartum, the treatment group had lower EPDS scores (8 vs. 9, <em>P</em> = 0.036), with reduced PPD incidence (15.1% vs. 32.9%, <em>P</em> = 0.012) and major PPD incidence (6.8% vs. 19.2%, <em>P</em> = 0.027). No significant differences in PPD rates were observed at 6 weeks postpartum. Neonatal outcomes and intrapartum cesarean rates were comparable between groups.</div></div><div><h3>Conclusions</h3><div>The combination of auricular acupressure and FEMT effectively alleviated labor pain and reduced short-term PPD incidence.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 71-77"},"PeriodicalIF":3.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146172343","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}
引用次数: 0
Suicidality calls to a national helpline: One year post the October 7 terror attack and amidst a prolonged war 自杀求助热线:10月7日恐怖袭击一年后,在长期战争中。
IF 3.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-02-04 DOI: 10.1016/j.jpsychires.2026.02.003
Shiri Daniels , Gil Zalsman , Liat Itzhaky , Ohad Szepsenwol , Ella Sarel Mahlev , Joy Benatov
This study provides insights into the impact of prolonged war on suicidality, focusing specifically on suicide-related calls to Israel's national mental health helpline during the year following the October 7, 2023, Hamas terror attack and ongoing war.
Utilizing data from 615,046 helpline calls between October 7, 2022, and November 2, 2024, the findings showed an immediate, significant increase in overall distress calls after the attack. Conversely, there was a notable and persistent decrease in both the proportion and total number of suicide-related calls throughout the year-long period of war. These findings align with previous research suggesting that heightened war-related distress does not necessarily lead to increased suicide risk, possibly due to factors such as increased social cohesion. Building upon our previous research, the current study contributes to the limited body of knowledge regarding suicidality patterns during prolonged wars. The study underscores the complexity of suicidality patterns during a prolonged war and emphasizes the need for ongoing monitoring and targeted mental health interventions during sustained national crises.
这项研究提供了长期战争对自杀的影响的见解,特别关注在2023年10月7日哈马斯恐怖袭击和持续战争之后的一年里,以色列国家心理健康帮助热线的自杀相关电话。利用2022年10月7日至2024年11月2日期间615046个求助电话的数据,研究结果显示,袭击发生后,总体求救电话立即显著增加。相反,在长达一年的战争期间,与自杀有关的电话的比例和总数都有显著的持续下降。这些发现与之前的研究一致,表明战争相关的痛苦加剧并不一定会导致自杀风险增加,这可能是由于社会凝聚力增强等因素。在我们之前研究的基础上,当前的研究对长期战争期间自杀模式的有限知识体系做出了贡献。该研究强调了长期战争期间自杀模式的复杂性,并强调需要在持续的国家危机期间进行持续监测和有针对性的心理健康干预。
{"title":"Suicidality calls to a national helpline: One year post the October 7 terror attack and amidst a prolonged war","authors":"Shiri Daniels ,&nbsp;Gil Zalsman ,&nbsp;Liat Itzhaky ,&nbsp;Ohad Szepsenwol ,&nbsp;Ella Sarel Mahlev ,&nbsp;Joy Benatov","doi":"10.1016/j.jpsychires.2026.02.003","DOIUrl":"10.1016/j.jpsychires.2026.02.003","url":null,"abstract":"<div><div>This study provides insights into the impact of prolonged war on suicidality, focusing specifically on suicide-related calls to Israel's national mental health helpline during the year following the October 7, 2023, Hamas terror attack and ongoing war.</div><div>Utilizing data from 615,046 helpline calls between October 7, 2022, and November 2, 2024, the findings showed an immediate, significant increase in overall distress calls after the attack. Conversely, there was a notable and persistent decrease in both the proportion and total number of suicide-related calls throughout the year-long period of war. These findings align with previous research suggesting that heightened war-related distress does not necessarily lead to increased suicide risk, possibly due to factors such as increased social cohesion. Building upon our previous research, the current study contributes to the limited body of knowledge regarding suicidality patterns during prolonged wars. The study underscores the complexity of suicidality patterns during a prolonged war and emphasizes the need for ongoing monitoring and targeted mental health interventions during sustained national crises.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 18-23"},"PeriodicalIF":3.2,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132178","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}
引用次数: 0
期刊
Journal of psychiatric research
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1