Pub Date : 2026-02-04DOI: 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.
{"title":"Planning and problem solving across multiple psychiatric disorders in young adults","authors":"Raj A. Shetty , 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}
Pub Date : 2026-02-04DOI: 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.
{"title":"Time-limited model of an evidence-based telemental health intervention in a graduate student mental health program","authors":"Suza C. Scalora , Stephanie Lechich , Alyssa DePasquale , Helene Geramian , Katharine Blodget , Irena Ilieva , Andrea Temkin-Yu , 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 = < .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.</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}
Pub Date : 2026-02-04DOI: 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.
{"title":"Auricular acupressure with five-element music therapy reduces labor pain and short-term postpartum depression: A randomized controlled trial","authors":"Wenjie Sun , Jie Gong , Xiuhong Wang, Xianwen Wan, 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> < 0.001) and 10 cm dilation (7 vs. 9, <em>P</em> < 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}
Pub Date : 2026-02-04DOI: 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.
{"title":"Suicidality calls to a national helpline: One year post the October 7 terror attack and amidst a prolonged war","authors":"Shiri Daniels , Gil Zalsman , Liat Itzhaky , Ohad Szepsenwol , Ella Sarel Mahlev , 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}
Pub Date : 2026-02-03DOI: 10.1016/j.jpsychires.2026.02.001
Xuequan Zhu , Rou Zhong , Xu Chen , Lei Feng , Yuan Feng , Ling Zhang , Gang Wang
Background
Current treatment algorithms for major depressive disorder (MDD) lack dynamic prediction capabilities, leading to delayed therapeutic adjustments. This study sought to develop escitalopram-specific decision tree models to identify critical treatment adjustment time points and optimize personalized treatment strategies for MDD.
Methods
Using longitudinal data from two multicenter studies in China (2015–2020), we analyzed 800 patients with MDD receiving escitalopram monotherapy. Decision tree models incorporated baseline characteristics (age, BMI, disease duration, depressive symptoms) and dynamic treatment parameters (dose, 2-/4-week improvement) to predict full response (>50% symptom reduction) or non-full response (≤50% reduction) at weeks 2 and 4, and remission status (QIDS-SR16≤5 vs. >5) at week 8. Model performance was assessed by accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC).
Results
The week 2 model (n = 800) identified BMI, age, disease duration, course and baseline symptom severity as primary predictors (accuracy = 61.88%, NPV = 84.04%). By week 4 (n = 650), early response status (week 2) merged as a key predictor (accuracy = 69.23%, NPV = 71.62%). The week 8 model (n = 456) demonstrated enhanced predictive power, driven by life quality score, week 2/4 response status, and week 4 dosage (accuracy = 78.02%, PPV = 81.48%, NPV = 72.97%). Logistic regression confirmed week 4 response status as a significant predictor of week 8 outcome (p < 0.005).
Conclusions
Week 4 emerges as a key decision point for escitalopram-treated MDD patients, where integration of baseline profiles, early response patterns, and dose parameters allows timely intervention. Our decision tree framework offers a methodological approach for dynamic decision points that warrant prospective validation and extension to other antidepressants.
{"title":"Escitalopram treatment for patients with major depressive disorder: decision trees for treatment algorithm","authors":"Xuequan Zhu , Rou Zhong , Xu Chen , Lei Feng , Yuan Feng , Ling Zhang , Gang Wang","doi":"10.1016/j.jpsychires.2026.02.001","DOIUrl":"10.1016/j.jpsychires.2026.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Current treatment algorithms for major depressive disorder (MDD) lack dynamic prediction capabilities, leading to delayed therapeutic adjustments. This study sought to develop escitalopram-specific decision tree models to identify critical treatment adjustment time points and optimize personalized treatment strategies for MDD.</div></div><div><h3>Methods</h3><div>Using longitudinal data from two multicenter studies in China (2015–2020), we analyzed 800 patients with MDD receiving escitalopram monotherapy. Decision tree models incorporated baseline characteristics (age, BMI, disease duration, depressive symptoms) and dynamic treatment parameters (dose, 2-/4-week improvement) to predict full response (>50% symptom reduction) or non-full response (≤50% reduction) at weeks 2 and 4, and remission status (QIDS-SR16≤5 vs. >5) at week 8. Model performance was assessed by accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC).</div></div><div><h3>Results</h3><div>The week 2 model (n = 800) identified BMI, age, disease duration, course and baseline symptom severity as primary predictors (accuracy = 61.88%, NPV = 84.04%). By week 4 (n = 650), early response status (week 2) merged as a key predictor (accuracy = 69.23%, NPV = 71.62%). The week 8 model (n = 456) demonstrated enhanced predictive power, driven by life quality score, week 2/4 response status, and week 4 dosage (accuracy = 78.02%, PPV = 81.48%, NPV = 72.97%). Logistic regression confirmed week 4 response status as a significant predictor of week 8 outcome (p < 0.005).</div></div><div><h3>Conclusions</h3><div>Week 4 emerges as a key decision point for escitalopram-treated MDD patients, where integration of baseline profiles, early response patterns, and dose parameters allows timely intervention. Our decision tree framework offers a methodological approach for dynamic decision points that warrant prospective validation and extension to other antidepressants.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"195 ","pages":"Pages 284-290"},"PeriodicalIF":3.2,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132158","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 : 2026-02-02DOI: 10.1016/j.jpsychires.2026.01.061
Thomas Forkmann , Tobias Teismann , Jana Serebriakova , Jannik Eimen , Cora Spahn , Sonja Omlor , Peer Abilgaard , Markus Frings , Ralf Kudling , Jens Kuhn , Martin Schaefer , Norbert Scherbaum , Heide Glaesmer , Lena Spangenberg
Background
The metacognitive model of suicidality suggests that suicide-related metacognitions activate a Cognitive Attentional Syndrome (CAS)—including suicide-specific rumination, attentional fixation, and thought suppression—which may intensify and prolong suicidal ideation. While initial support has emerged from general population samples, longitudinal evidence in high-risk clinical populations remains lacking.
Methods
In a multicenter, prospective study, we examined model assumptions in a sample of 184 psychiatric inpatients (M = 37.5 years, 50% male), all admitted following a suicide attempt or severe suicidal crisis. Participants completed baseline assessments prior to discharge and engaged in a 3-week ecological momentary assessment (EMA) protocol measuring suicide-specific rumination, thought suppression, and suicidal intent up to four times daily. Past suicidal ideation and suicide-related metacognitions (positive and negative) were assessed using validated scales.
Results
Past suicidal ideation significantly predicted both positive and negative suicide-related metacognitions. These, in turn, prospectively predicted suicide-specific rumination but not thought suppression. Mediation analyses indicated that positive metacognitions mediated the relationship between past suicidal ideation and future suicide-specific rumination. Additionally, suicide-specific rumination—rather than thought suppression—mediated the relationship between suicide-related metacognitions and both intensity and frequency of suicidal intent during the EMA period.
Limitations
Attentional fixation was not assessed. EMA compliance averaged 48.3%, and some measures were adapted from preliminary versions.
Conclusions
Findings provide the first longitudinal support for the metacognitive model of suicidality in a clinical sample. Suicide-specific rumination and positive metacognitions may be important drivers of intensification and prolongation of suicidal ideation and suicidal intent formation in the high-risk post-discharge period.
{"title":"Suicide-related metacognitions in psychiatric inpatients admitted after suicide attempt or an acute suicidal crisis: a longitudinal mediation analysis","authors":"Thomas Forkmann , Tobias Teismann , Jana Serebriakova , Jannik Eimen , Cora Spahn , Sonja Omlor , Peer Abilgaard , Markus Frings , Ralf Kudling , Jens Kuhn , Martin Schaefer , Norbert Scherbaum , Heide Glaesmer , Lena Spangenberg","doi":"10.1016/j.jpsychires.2026.01.061","DOIUrl":"10.1016/j.jpsychires.2026.01.061","url":null,"abstract":"<div><h3>Background</h3><div>The metacognitive model of suicidality suggests that suicide-related metacognitions activate a Cognitive Attentional Syndrome (CAS)—including suicide-specific rumination, attentional fixation, and thought suppression—which may intensify and prolong suicidal ideation. While initial support has emerged from general population samples, longitudinal evidence in high-risk clinical populations remains lacking.</div></div><div><h3>Methods</h3><div>In a multicenter, prospective study, we examined model assumptions in a sample of 184 psychiatric inpatients (M = 37.5 years, 50% male), all admitted following a suicide attempt or severe suicidal crisis. Participants completed baseline assessments prior to discharge and engaged in a 3-week ecological momentary assessment (EMA) protocol measuring suicide-specific rumination, thought suppression, and suicidal intent up to four times daily. Past suicidal ideation and suicide-related metacognitions (positive and negative) were assessed using validated scales.</div></div><div><h3>Results</h3><div>Past suicidal ideation significantly predicted both positive and negative suicide-related metacognitions. These, in turn, prospectively predicted suicide-specific rumination but not thought suppression. Mediation analyses indicated that positive metacognitions mediated the relationship between past suicidal ideation and future suicide-specific rumination. Additionally, suicide-specific rumination—rather than thought suppression—mediated the relationship between suicide-related metacognitions and both intensity and frequency of suicidal intent during the EMA period.</div></div><div><h3>Limitations</h3><div>Attentional fixation was not assessed. EMA compliance averaged 48.3%, and some measures were adapted from preliminary versions.</div></div><div><h3>Conclusions</h3><div>Findings provide the first longitudinal support for the metacognitive model of suicidality in a clinical sample. Suicide-specific rumination and positive metacognitions may be important drivers of intensification and prolongation of suicidal ideation and suicidal intent formation in the high-risk post-discharge period.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 44-52"},"PeriodicalIF":3.2,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149755","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 : 2026-02-02DOI: 10.1016/j.jpsychires.2026.01.060
Zhen Bai , Chen Bai , Xiaopeng Yang , Fang Liu
Artificial intelligence is increasingly used in psychiatric research, yet progress in clinical use and equitable benefit remains uneven. We analyzed 2795 Web of Science publications on artificial intelligence in psychiatry using bibliometrics and BERTopic based semantic topic modelling. The literature has expanded rapidly since 2012, but output and collaboration are concentrated within a limited set of high-income regions and tightly connected author communities. Across the semantic map, methodological development and diagnosis and monitoring applications occupy central positions, while ethics, governance, and implementation research remain sparse and weakly connected to clinical translation. A temporal gap analysis shows that ethics and regulatory research remained consistently scarce, resulting in a persistent structural gap between clinical applications and ethical governance that widened after 2016. Topic hierarchies also indicate limited representation of older adults, digitally marginalized groups, and low resource settings, which may constrain generalizability and widen disparities. These patterns support a shift toward stronger governance, inclusive data practices, and multisite validation, alongside international collaboration and data sharing approaches that prioritize equity.
人工智能在精神病学研究中的应用越来越多，但在临床应用和公平获益方面的进展仍然不平衡。我们使用文献计量学和基于BERTopic的语义主题建模分析了2795篇关于精神病学人工智能的Web of Science出版物。自2012年以来，相关文献迅速扩张，但产出和合作集中在少数高收入地区和紧密联系的作者社区。在整个语义图中，方法开发、诊断和监测应用占据中心位置，而伦理、治理和实施研究仍然稀少，与临床翻译的联系很弱。时间差距分析显示，伦理和监管研究仍然稀缺，导致临床应用和伦理治理之间的结构性差距持续存在，并在2016年之后扩大。主题层次结构也表明老年人、数字边缘化群体和低资源环境的代表性有限，这可能会限制普遍性并扩大差异。这些模式支持向更强有力的治理、包容性数据实践和多站点验证的转变，以及优先考虑公平的国际合作和数据共享方法。
{"title":"Artificial intelligence in psychiatry: A global perspective on research status, trends and clinical applications","authors":"Zhen Bai , Chen Bai , Xiaopeng Yang , Fang Liu","doi":"10.1016/j.jpsychires.2026.01.060","DOIUrl":"10.1016/j.jpsychires.2026.01.060","url":null,"abstract":"<div><div>Artificial intelligence is increasingly used in psychiatric research, yet progress in clinical use and equitable benefit remains uneven. We analyzed 2795 Web of Science publications on artificial intelligence in psychiatry using bibliometrics and BERTopic based semantic topic modelling. The literature has expanded rapidly since 2012, but output and collaboration are concentrated within a limited set of high-income regions and tightly connected author communities. Across the semantic map, methodological development and diagnosis and monitoring applications occupy central positions, while ethics, governance, and implementation research remain sparse and weakly connected to clinical translation. A temporal gap analysis shows that ethics and regulatory research remained consistently scarce, resulting in a persistent structural gap between clinical applications and ethical governance that widened after 2016. Topic hierarchies also indicate limited representation of older adults, digitally marginalized groups, and low resource settings, which may constrain generalizability and widen disparities. These patterns support a shift toward stronger governance, inclusive data practices, and multisite validation, alongside international collaboration and data sharing approaches that prioritize equity.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"196 ","pages":"Pages 8-17"},"PeriodicalIF":3.2,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146116404","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 : 2026-02-01DOI: 10.1016/j.jpsychires.2026.01.055
Peibing Liu , Zhaonian Hu , Renlai Zhou
Test anxiety is a common emotional problem that often negatively affects academic performance. To examine the potential of transcranial direct current stimulation (tDCS) in modulating neural inhibitory control efficiency in individuals with high test anxiety, this study investigated the intervention effects and underlying neural mechanisms. A total of 42 participants with high or low levels of test anxiety were recruited. Each participant received both active (anodal) and sham tDCS targeting the left dorsolateral prefrontal cortex (DLPFC), while event-related potentials (ERPs) were recorded during a Flanker task that indexes inhibitory control by requiring participants to respond to a central target while ignoring distracting flankers. Results showed that, compared to sham stimulation, active tDCS significantly reduced the amplitude of the P3 component—a late positive potential associated with attentional allocation—in the high test anxiety group, but had no significant effect in the low test anxiety group. These findings suggest that tDCS modulates neural inhibitory control in individuals with high test anxiety by activating the left DLPFC. This study provides electrophysiological evidence for non-invasive neuromodulation as a potential intervention strategy and identifying a promising neural target.
{"title":"Modulating inhibitory control in test-anxious individuals via tDCS: An ERP study","authors":"Peibing Liu , Zhaonian Hu , Renlai Zhou","doi":"10.1016/j.jpsychires.2026.01.055","DOIUrl":"10.1016/j.jpsychires.2026.01.055","url":null,"abstract":"<div><div>Test anxiety is a common emotional problem that often negatively affects academic performance. To examine the potential of transcranial direct current stimulation (tDCS) in modulating neural inhibitory control efficiency in individuals with high test anxiety, this study investigated the intervention effects and underlying neural mechanisms. A total of 42 participants with high or low levels of test anxiety were recruited. Each participant received both active (anodal) and sham tDCS targeting the left dorsolateral prefrontal cortex (DLPFC), while event-related potentials (ERPs) were recorded during a Flanker task that indexes inhibitory control by requiring participants to respond to a central target while ignoring distracting flankers. Results showed that, compared to sham stimulation, active tDCS significantly reduced the amplitude of the P3 component—a late positive potential associated with attentional allocation—in the high test anxiety group, but had no significant effect in the low test anxiety group. These findings suggest that tDCS modulates neural inhibitory control in individuals with high test anxiety by activating the left DLPFC. This study provides electrophysiological evidence for non-invasive neuromodulation as a potential intervention strategy and identifying a promising neural target.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"195 ","pages":"Pages 185-192"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113095","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 : 2026-01-31DOI: 10.1016/j.jpsychires.2026.01.049
William H. Craft , Keith Humphreys , Michael J. Ostacher , Claudia B. Padula
Background
Suicide represents an underappreciated contributor to drug-related mortality, with 20%–30% of opioid overdoses estimated to be intentional. However, suicide risk relative to opioid use disorder (OUD) severity has not been well characterized. Understanding suicidality risk across the OUD severity spectrum will inform which healthcare providers should be screening and treating self-harm.
Methods
We estimated the odds of past-year suicidal thoughts, plans, and attempts relative to OUD severity using data from the National Survey on Drug Use and Health (NSDUH), a cross-sectional, nationally representative, population-based survey study of noninstitutionalized individuals. Data were analyzed for adults (18+) from 2021 to 2023 (N = 139,524). Past-year DSM-5 OUD, OUD severity, and past-year suicidal thoughts, plans, and attempts were estimated, and logistic regression was utilized to assess the association of OUD severity with suicidality measures.
Results
Among individuals with OUD, 62.9% (95% CI, 60.1%–65.6%) had mild, 15.9% (95% CI, 13.5%–18.6%) had moderate, and 21.2% (95% CI, 19.1%–23.6%) had severe OUD. Individuals with OUD were at increased odds of reporting suicidal thoughts compared to individuals without OUD: mild OUD was associated with 2.18-fold greater odds (95% CI, 1.61–2.95), moderate OUD was associated with 1.88-fold greater odds (95% CI, 1.08–3.28), and severe OUD was associated with 4.17-fold greater odds (95% CI, 2.99–5.82). Individuals with OUD were also at increased odds of reporting a suicide plan relative to no OUD: mild OUD was associated with 3.35-fold greater odds (95% CI, 2.07–5.41), moderate OUD was associated with 4.66-fold greater odds (95% CI, 2.66–8.17), and severe OUD was associated with 6.70-fold greater odds (95% CI, 4.59–9.75). Lastly, across OUD severities, there was an increased odds of reporting a suicide attempt relative no OUD: mild OUD was associated with 2.80-fold greater odds (95% CI, 1.53–5.13), moderate OUD was associated with 8.45-fold greater odds (95% CI, 3.28–21.8), and severe OUD was associated with 9.96-fold greater odds (95% CI, 5.52–18.0).
Conclusions
These findings suggest OUD of any severity is associated with markedly increased risk of suicidal thoughts, plans, and suicide attempts. This highlights a continued need to integrate suicide screening and prevention into OUD treatment and clinical settings where opioids are frequently prescribed, such as primary care.
{"title":"Opioid use disorder of any severity is associated with increased suicidality","authors":"William H. Craft , Keith Humphreys , Michael J. Ostacher , Claudia B. Padula","doi":"10.1016/j.jpsychires.2026.01.049","DOIUrl":"10.1016/j.jpsychires.2026.01.049","url":null,"abstract":"<div><h3>Background</h3><div>Suicide represents an underappreciated contributor to drug-related mortality, with 20%–30% of opioid overdoses estimated to be intentional. However, suicide risk relative to opioid use disorder (OUD) severity has not been well characterized. Understanding suicidality risk across the OUD severity spectrum will inform which healthcare providers should be screening and treating self-harm.</div></div><div><h3>Methods</h3><div>We estimated the odds of past-year suicidal thoughts, plans, and attempts relative to OUD severity using data from the National Survey on Drug Use and Health (NSDUH), a cross-sectional, nationally representative, population-based survey study of noninstitutionalized individuals. Data were analyzed for adults (18+) from 2021 to 2023 (N = 139,524). Past-year DSM-5 OUD, OUD severity, and past-year suicidal thoughts, plans, and attempts were estimated, and logistic regression was utilized to assess the association of OUD severity with suicidality measures.</div></div><div><h3>Results</h3><div>Among individuals with OUD, 62.9% (95% CI, 60.1%–65.6%) had mild, 15.9% (95% CI, 13.5%–18.6%) had moderate, and 21.2% (95% CI, 19.1%–23.6%) had severe OUD. Individuals with OUD were at increased odds of reporting suicidal thoughts compared to individuals without OUD: mild OUD was associated with 2.18-fold greater odds (95% CI, 1.61–2.95), moderate OUD was associated with 1.88-fold greater odds (95% CI, 1.08–3.28), and severe OUD was associated with 4.17-fold greater odds (95% CI, 2.99–5.82). Individuals with OUD were also at increased odds of reporting a suicide plan relative to no OUD: mild OUD was associated with 3.35-fold greater odds (95% CI, 2.07–5.41), moderate OUD was associated with 4.66-fold greater odds (95% CI, 2.66–8.17), and severe OUD was associated with 6.70-fold greater odds (95% CI, 4.59–9.75). Lastly, across OUD severities, there was an increased odds of reporting a suicide attempt relative no OUD: mild OUD was associated with 2.80-fold greater odds (95% CI, 1.53–5.13), moderate OUD was associated with 8.45-fold greater odds (95% CI, 3.28–21.8), and severe OUD was associated with 9.96-fold greater odds (95% CI, 5.52–18.0).</div></div><div><h3>Conclusions</h3><div>These findings suggest OUD of any severity is associated with markedly increased risk of suicidal thoughts, plans, and suicide attempts. This highlights a continued need to integrate suicide screening and prevention into OUD treatment and clinical settings where opioids are frequently prescribed, such as primary care.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"195 ","pages":"Pages 177-180"},"PeriodicalIF":3.2,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113070","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 : 2026-01-30DOI: 10.1016/j.jpsychires.2026.01.057
Gum-Ryeong Park , Jinho Kim
This study examines the asymmetric effects of economic hardship on depressive symptoms among Korean women. It focuses on whether transitions into and out of hardship have differing impacts on depressive symptoms and how these effects vary by socioeconomic status. This study used data from the Korean Longitudinal Survey of Women & Families (2007–2022). An asymmetric fixed effects model was employed to separately estimate the effects of transitioning into and out of perceived economic hardship on depressive symptoms. We also included interaction terms for housing tenure and years of education in separate models. Transitioning into economic hardship significantly increases depressive symptoms, with a stronger effect than transitioning out. Individuals with homeownership and higher education experience a smaller increase in depressive symptoms when transitioning into hardship compared to others. However, housing tenure and educational attainment do not moderate the effects of transitioning out of hardship on depressive symptoms. These findings highlight the need for targeted interventions to improve the psychological health of women experiencing economic hardship.
{"title":"Transitioning into and out of economic hardship and their effects on depressive symptoms: Moderating roles of housing tenure and educational attainment","authors":"Gum-Ryeong Park , Jinho Kim","doi":"10.1016/j.jpsychires.2026.01.057","DOIUrl":"10.1016/j.jpsychires.2026.01.057","url":null,"abstract":"<div><div>This study examines the asymmetric effects of economic hardship on depressive symptoms among Korean women. It focuses on whether transitions into and out of hardship have differing impacts on depressive symptoms and how these effects vary by socioeconomic status. This study used data from the Korean Longitudinal Survey of Women & Families (2007–2022). An asymmetric fixed effects model was employed to separately estimate the effects of transitioning into and out of perceived economic hardship on depressive symptoms. We also included interaction terms for housing tenure and years of education in separate models. Transitioning into economic hardship significantly increases depressive symptoms, with a stronger effect than transitioning out. Individuals with homeownership and higher education experience a smaller increase in depressive symptoms when transitioning into hardship compared to others. However, housing tenure and educational attainment do not moderate the effects of transitioning out of hardship on depressive symptoms. These findings highlight the need for targeted interventions to improve the psychological health of women experiencing economic hardship.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"195 ","pages":"Pages 193-198"},"PeriodicalIF":3.2,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113077","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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