Psychiatric Quarterly最新文献

Posttraumatic growth is essential for understanding how individuals process trauma and adapt psychologically in the aftermath of seismic events. This study aims to explore the mediating effects of resilience, self-efficacy, and positive childhood memories on the relationship between fear of earthquakes and post-traumatic growth among survivors of the 2023 Türkiye earthquake (N = 423). The results of a multi-mediation analysis indicated that earthquake fear indirectly influenced post-traumatic growth through resilience, self-efficacy, and positive childhood memories. Consequently, these factors may serve as protective mechanisms promoting post-traumatic growth in earthquake survivors. Implementing strategies to enhance resilience and self-efficacy, as well as fostering positive childhood memories, may be essential for mitigating the adverse effects associated with earthquakes.

We conducted a descriptive-analytical cross-sectional study using an online survey to explore the personality traits of volunteers in Lebanon and examine their relationship with work engagement, psychological status, resilience, and public service motivation. A total of 270 volunteers were recruited through social media platforms. The survey included general questions about volunteering, Utrecht Work Engagement Scale-9 items (UWES-9), the Big Five Personality Inventory-10 (BFPI-10), the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Public Service Motivation (PSM), and the Connor-Davidson Resilience Scale-2 (CD-RISC2). The results revealed that agreeableness and conscientiousness levels were significantly lower among volunteers with low work engagement compared to those with high work engagement. Work engagement was positively correlated with agreeableness and conscientiousness and negatively correlated with neuroticism. Logistic regression showed that being single with a low level of conscientiousness, public service motivation, and resilience predicted low work engagement. Mediation analysis showed that conscientiousness, public service motivation, and resilience directly influenced work engagement, and depression mediated the relationship of conscientiousness and resilience with work engagement. This study highlights the importance of personality traits, mental health, and motivation in understanding work engagement among volunteers, which can help in designing strategies to enhance volunteers' experiences, well-being, and productivity.

Researches indicate that children with dyslexia are more likely to experience psychiatric symptoms throughout life compared to peers in the general population. Improving the classification of psychiatric symptoms in this population can be a valuable goal for strengthing therapeutic models. The current study aimed to evaluate the dynamic associations between internalizing and externalizing symptoms in children with dyslexia using network analysis. This cross-sectional study was conducted in Saudi Arabia from April to July 2024, involving 183 children aged 8-11 diagnosed with dyslexia, recruited through convenience sampling from local schools and clinics. The Child Behavior Checklist (CBCL) was utilized to assess a range of psychopathological symptoms, focusing on six clusters: affective problems, anxiety problems, somatic symptoms, ADHD symptoms, oppositional defiant problems, and conduct problems. Notably, "cries a lot" emerged as a central symptom in the affective network, while "dependent" was identified as the most pivotal symptom in the anxiety network. Centrality measures-betweenness, closeness, and strength-were employed to quantify the significance of each symptom. The findings suggest that these central symptoms may contribute to the development and persistence of psychiatric comorbidities in children with dyslexia. Interventions targeting these core symptoms could enhance psychological outcomes for this population. Overall, this study lays the groundwork for future research into tailored intervention strategies to address unique psychiatric comorbidities associated with dyslexia.

The attitude of psychiatrists plays a crucial role in screening and supporting smoking cessation, especially with people with serious mental illness (SMI). The development of an attitude scale can improve the success of quitting among people with SMI. This study aimed to develop and test the psychometric properties of psychiatrists' attitudes toward smoking cessation support (PATSS). Based on the literature review, the attitude scale, which comprised 15 items, was developed and tested with 289 psychiatrists. The tool's psychometric properties were tested by examining item performance, content and construct validity (by exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability. The content validity was demonstrated by content validity ratio (CVR) (0.80) and item content validity index (ICVI) (0.88). Both EFA and CFA identified four factors: Priority and Time Commitment, Recovery Impact and Training, Social Support and Patient Factors, and Coping Mechanisms and Rights. A Cronbach alpha of (0.81) demonstrated high internal consistency. PATSS was found to be a valid and reliable tool to assess the attitude of psychiatrists towards smoking cessation support provided to people with SMI.

The present study employed network analysis to explore the interrelationships between academic self-efficacy, psychological empowerment, and the need for knowledge at the symptom level among graduate students. Three hundred fifty-three graduate students from King Faisal University, Hofuf, Saudi Arabia (63.5% male, 72.2% in the 25-35 age range) completed the Psychological Empowerment Scale, Need for Cognition Scale (NCS), and Academic Self-Efficacy Scale as self-report measures. Different R-Studio programming software packages, such as "graph," "network tools," and "botnet," were used to analyze the current study's data. The most central node on the network analysis was Self.2 (history of success/failure), with the greatest betweenness (2.18), closeness (1.84), and strength (1.86). This node showed that it was essential for connecting other variables, despite having an expected negative effect (-0.37). Then there was also Psy.4 (impact), which showed a high centrality of betweenness 1.13 and closeness 1.29. Indeed, positive edges for Self.2 (previous successes/failures) and MB (Need for Cognition) (edge weight 0.37) clearly showed that good past experiences increased cognitive activity. A Bridge Betweenness of 10 was the most significant bridge node (Self.4 (university behavior) in the bridge analysis), linking network elements. Bootstrapped confidence intervals proved that these connections remained stable, ensuring the network was robust over resamples. Enhancing graduate students' self-efficacy and psychological empowerment, particularly through positive past experiences, could improve their academic performance and cognitive engagement. Future research should explore the implications of these findings for designing interventions to foster academic success.

This meta-analysis aimed to compare the efficacy and safety of ketamine versus electroconvulsive therapy (ECT) in patients with major depressive disorder(MDD). A comprehensive literature search was conducted across PubMed, Embase, and Web of Science databases up to November 2024. The randomized controlled trials evaluating the efficacy and safety of ketamine and ECT in MDD patients were included. Pooled standardized mean differences (SMD) and risk ratios (RR) were calculated with 95% confidence intervals. The Cochrane's Risk of Bias Tool was employed to assess study quality. Six studies encompassing 643 patients were analyzed. No significant difference was observed in depression symptom severity scores between ketamine and ECT groups (SMD: -0.02, 95% CI: -0.53 to 0.48, P = 0.92). Response rates also showed no significant difference between the two interventions (RR: 1.08, 95% CI: 0.67 to 1.72, P = 0.76). Notably, ketamine demonstrated superior memory function improvement compared to ECT (SMD: 2.02, 95% CI: 1.64 to 2.48, P < 0.001). In terms of adverse events, ketamine was associated with significantly higher rates of dissociative symptoms, blurred vision, and dizziness(all P < 0.001), while demonstrating a lower incidence of muscle pain(P < 0.001). The meta-analysis revealed ketamine as a non-inferior therapeutic option for patients with major depressive disorder, with potential advantages in memory function. While promising, the limited number of included studies necessitates further large-scale randomized controlled trials using standardized assessment scales to validate these findings.

The UK National Institute for Health and Care Excellence (NICE) guidance for the treatment of depression is widely followed and has international influence. According to these guidelines, antidepressant medications are recommended for moderate to severe depression. Nonetheless, antidepressants are increasingly prescribed, including for cases of subthreshold and mild depression. This may indicate that a proportion of depressed patients uses pharmacological interventions with unclear evidence-base, though other factors such as physical and mental health comorbidities need to be accounted for. This study aims to investigate the prevalence and trends of antidepressant prescriptions among community-dwelling adults diagnosed with depression according to NICE recommendations. We conducted a systematic review of PsycInfo, PubMed/MEDLINE, and Scopus databases. Observational studies reporting on the prevalence of antidepressant treatments in UK adults diagnosed with depression were sought. Fifteen studies were included. The prevalence of antidepressants for depression treatment ranged from 30.8 to 95% and mainly concerned selective serotonin reuptake inhibitors (SSRIs) among classes of antidepressant drugs. Little information about depression severity as well as comorbid conditions was reported. High prevalence rates of antidepressant drug use highlight the widespread adoption of pharmacological interventions, while also raising concerns about compliance with NICE guidelines. Careful assessment of depressive illness severity and comorbidities is needed to ensure the delivery of adequate care to people with depression. Systematic Review Registration Number (PROSPERO) CRD42023448152.

The Bergen-Yale Sexual Addiction Scale (BYSAS; [1]) is arguably the most popular questionnaire at present for assessing sex addiction. Employing Confirmatory Factor Analysis (CFA) and treating item scores as ordered categorical, we applied Weighted Least Square Mean and Variance Adjusted Chi-Square (WLSMV) extraction to investigate the longitudinal measurement and structural invariance of ratings on the BYSAS among 276 adults (mean = 31.86 years; SD = 9.94 years; 71% male) over a two-year period, with ratings at three yearly intervals. Overall, there was support for configural invariance, full loading, full threshold, the full unique factor invariance; and all structural (latent variances and covariances) components. Additionally, there was no difference in latent mean scores across the three-time points. The psychometric and practical implications of the findings are discussed.

The aims of this study were to explore the influence of shift working nursing professionals' psychological inflexibility on their level of insomnia. Additionally, we investigated the mediation effect of depression and sleep-related cognitions on this association. An online survey was conducted among 202 nursing professionals at Asan Medical Center from July to August, 2023. Participants responded to questionnaires including the Insomnia Severity Index (ISI), Acceptance and Action Questionnaire-II (AAQ-II), Dysfunctional Beliefs and Attitudes about Sleep - 16 (DBAS-16), Glasgow Sleep Effort Scale (GSES), Patient Health Questionnaire-9 items (PHQ-9), and the Discrepancy between desired time in bed and desired total sleep time index (DBST index). Pearson's correlation and linear regression were performed to explore the factors predicting ISI scores. Mediation analysis was implemented. Linear regression revealed that insomnia severity was predicted by DBAS-16 (β = 0.15, p = 0.008), GSES (β = 0.48, p < 0.001), and PHQ-9 (β = 0.26, p < 0.001). Mediation analysis showed that the relationship between the psychological inflexibility of shift-working nursing professionals' and insomnia severity was fully mediated by depression, dysfunctional beliefs about sleep, and sleep effort. Psychological inflexibility does not directly influence insomnia severity, but depression, dysfunctional beliefs about sleep, and sleep effort fully mediate the relationship.

In this study, we aimed to investigate the influence of resilience or public service motivation (PSM) on firefighters' work engagement during the coronavirus disease (COVID-19) pandemic. We conducted an online survey with 304 firefighters assigned to Gyeonggi-do between October 27 and 28, 2022, and collected their demographic information; work-related data; mood, anxiety and insomnia symptoms; and work-related attitudes. The leading causes of firefighters' stress were physical and mental health decline due to heavy workloads (46.4%), verbal abuse and assault from civilians (33.9%), conflict with coworkers (18.4%), and death of colleagues (13.2%). The results of the logistic regression analysis revealed that high levels of resilience (OR = 1.28, p < 0.001), service motivation (OR = 1.17, p < 0.001), and non-exposure to death (OR = 0.33, p = 0.005) led to high work engagement. Mediation analysis showed that resilience and PSM mediated the influence of depression on work engagement. The work engagement of firefighters is influenced by resilience, PSM, and exposure to death.