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Metabolic brain connectivity analysis of a depressive-like phenotype in rats: a graph theory PET study 大鼠抑郁样表型的代谢脑连通性分析:图论PET研究
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-17 DOI: 10.1016/j.psychres.2026.116951
Daniel A. Vazquez-Matias, Erik F.J. de Vries, Cyprien G.J. Guerrin, Kavya Prasad, Janine Doorduin
This study aimed to investigate whether there are metabolic connectivity alterations in the brain of rats with a depressive-like phenotype, using positron emission tomography (PET) and graph theory methods. Male Wistar rats were exposed to 5 days of repeated social defeat (RSD) to induce a depressive-like phenotype, and brain connectivity was assessed with [18F]FDG-PET. Sucrose preference tests were conducted to assess anhedonia-like behaviour, a symptom of depression. The results showed that anhedonia-like behaviour was present one day after RSD and recovered after seven days. The analysis of large-scale brain networks revealed a reduction in connectivity in the default mode network of RSD-exposed animals one day after RSD, suggesting a link between reduced connectivity and the presence of anhedonia-like behaviour. Seven days after RSD, an increase in connectivity was observed in the salience network, which coincided with the recovery of sucrose preference. Modular analysis revealed different configurations of brain regions at one and seven days after RSD, with asymmetrical segregation of left and right hemisphere structures. These findings suggest that changes in brain connectivity may play a role in the development and recovery of anhedonia-like behaviour in rats exposed to RSD and may have implications for understanding depressive phenotypes.
本研究旨在利用正电子发射断层扫描(PET)和图论方法探讨抑郁样表型大鼠大脑中是否存在代谢连通性改变。雄性Wistar大鼠暴露于5天的重复社会失败(RSD)中以诱导抑郁样表型,并用[18F]FDG-PET评估脑连通性。蔗糖偏好测试被用来评估类似快感缺乏的行为,这是抑郁症的一种症状。结果显示,RSD后1天出现快感缺乏样行为,7天后恢复。对大规模大脑网络的分析显示,RSD暴露的动物在RSD后一天默认模式网络的连通性减少,这表明连通性减少与快感缺乏样行为的存在之间存在联系。RSD后7天,显著性网络的连通性增加,这与蔗糖偏好的恢复相一致。模块化分析显示,在RSD后1天和7天,大脑区域的结构不同,左右半球结构不对称分离。这些发现表明,大脑连通性的变化可能在RSD暴露大鼠的快感缺乏样行为的发展和恢复中发挥作用,并可能对理解抑郁表型具有启示意义。
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引用次数: 0
Insight and depressive symptoms in eating disorders: the mediating role of disorder-specific psychopathology 进食障碍的洞察力和抑郁症状:障碍特异性精神病理学的中介作用
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-22 DOI: 10.1016/j.psychres.2026.116965
Leonor P. Gawron , Maria J. Portella , Esther Pousa

Objective

To study whether the insight described in psychosis also occurs in eating disorders (EDs), whether it differs between anorexia nervosa (AN) and bulimia nervosa (BN), and whether diagnosis-specific ED psychopathology mediates this relationship.

Methods

Cross-sectional baseline data from a prospective cohort of 103 day-hospital patients with AN or BN were analyzed. Standardized measures of insight, depressive symptoms, and ED psychopathology were administered. Exploratory factor analysis was conducted on depressive symptoms, followed by diagnosis-stratified correlation analyses between insight dimensions and depressive symptom factors. Mediation models were then applied to examine whether diagnosis-specific ED psychopathology accounted for significant associations.

Results

Three depressive dimensions were identified: emotional, apathetic, and self-critical, explaining 56.26% of the variance. In AN, affective distress was associated with poorer insight into hypothetical contradiction and treatment engagement, whereas negative self-cognitions where associated with better recognition and relabeling of ED pathology. In BN, depressive symptoms were associated with reduced insight into body weight concerns and treatment engagement. ED–specific psychopathology significantly mediated the relationship between depressive symptoms and insight in both AN and BN.

Conclusion

These findings reveal that depressive symptoms and insight are associated in distinct patterns in anorexia and bulimia, and appear to be linked through different ED-specific psychopathological pathways. Highlighting these diagnosis-specific associations contributes to a more nuanced understanding of insight in EDs and underscores the need for tailored clinical approaches.
目的研究精神病中描述的顿悟是否也发生在进食障碍(EDs)中,神经性厌食症(AN)和神经性贪食症(BN)之间是否存在差异,以及诊断特异性ED精神病理是否在这种关系中起调节作用。方法对103例日间住院AN或BN患者的前瞻性队列横断面基线数据进行分析。对内省、抑郁症状和ED精神病理进行标准化测量。对抑郁症状进行探索性因素分析,然后对洞察力维度与抑郁症状因素进行诊断-分层相关分析。然后应用中介模型来检查诊断特异性ED精神病理学是否占显著关联。结果确定了三个抑郁维度:情绪化、冷漠和自我批评,解释了56.26%的方差。在AN中,情感痛苦与对假设矛盾和治疗参与的较差洞察力有关,而消极的自我认知与更好地识别和重新标记ED病理有关。在BN中,抑郁症状与体重担忧和治疗参与度的降低有关。ed特异性精神病理在AN和BN中显著介导抑郁症状与洞察力之间的关系。结论这些发现表明抑郁症状和洞察力在厌食症和暴食症中以不同的模式相关,并且似乎通过不同的ed特异性精神病理途径联系在一起。强调这些诊断特异性关联有助于更细致地理解急诊科的洞察力,并强调需要量身定制的临床方法。
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引用次数: 0
Workplace discrimination and risk of alcohol abuse: a prospective cohort study in the United States 工作场所歧视与酗酒风险:美国的一项前瞻性队列研究
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-29 DOI: 10.1016/j.psychres.2026.116983
Adrian Loerbroks , Liwei Chen , Chunqing Lin , Kira Schmidt Stiedenroth , Jian Li

Objective

Prospective studies on the link between workplace discrimination and subsequent alcohol abuse remain markedly sparse. We aimed to address this gap and to expand the current evidence base by exploring i) the potential explanatory role of psychological stress and ii) gender differences.

Methods

We included 1097 workers from the Midlife in the United States (MIDUS) study without alcohol abuse at baseline (2004–2006) followed up in 2013–2014. Workplace discrimination at baseline was measured using a validated 6-item instrument and categorized into three levels by tertiles. Alcohol abuse at both baseline and follow-up was assessed using a modified 4-item Michigan Alcoholism Screening Test. We applied multivariable Poisson regression to estimate associations in terms of risk ratios (RRs) for and 95% confidence intervals (CIs). Multivariable RRs were additionally adjusted for a measure of psychological stress (i.e., Kessler 6 scale) and gender differences were examined by interaction terms.

Results

The risk of alcohol abuse was increased 2.6-fold in those reporting high workplace discrimination as compared to those with low levels (RR=2.60, 95% CI=1.10–6.15). Stress explained this association only marginally (i.e., RRs for high workplace discriminination were attenuated by 14.47%). Associations did not differ between women and men (i.e., p-values for all interaction terms were > 0.05)

Conclusion

Our findings suggest that workplace discrimination is an important risk factor for alcohol abuse among US workers, highlighting the need for organizational interventions to address discrimination at the workplace.
目的:关于工作场所歧视与随后的酒精滥用之间关系的前瞻性研究仍然明显缺乏。我们的目标是解决这一差距,并通过探索i)心理压力的潜在解释作用和ii)性别差异来扩大现有的证据基础。方法我们纳入了1097名来自美国中年研究(MIDUS)的工人,他们在基线(2004-2006年)没有酒精滥用,并在2013-2014年进行了随访。工作场所歧视基线使用一个经过验证的6项工具进行测量,并按位数分为三个级别。基线和随访时的酒精滥用情况采用改良的四项密歇根酒精中毒筛查试验进行评估。我们应用多变量泊松回归来估计风险比(rr)和95%置信区间(ci)的相关性。对多变量rr进行额外调整,以衡量心理压力(即Kessler 6量表),并通过相互作用项检查性别差异。结果与报告工作场所歧视程度较低的人相比,报告工作场所歧视程度高的人酗酒的风险增加了2.6倍(RR=2.60, 95% CI= 1.10-6.15)。压力对这种关联的解释非常有限(即,工作场所高度歧视的风险比降低了14.47%)。女性和男性之间的关联没有差异(即,所有相互作用项的p值均为>; 0.05)。结论:我们的研究结果表明,工作场所歧视是美国工人酗酒的一个重要危险因素,强调需要组织干预来解决工作场所歧视问题。
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引用次数: 0
Biological variations in ketamine sensitivity: insights from hyperlocomotion to psychotomimetic features in genetically diverse mouse strains 氯胺酮敏感性的生物学变异:从过度运动到基因多样化小鼠品系的拟精神特征的见解。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-02-03 DOI: 10.1016/j.psychres.2026.116995
Wen-Huei Siao , Tzong-Shi Wang , Liang-Chun Wang , Mao-Liang Chen , Yi-Chyan Chen

Background

Ketamine, a non-competitive NMDA receptor antagonist, induces dissociative and psychotomimetic states and is widely used as an animal model for schizophrenia. However, strain-dependent variability in ketamine sensitivity is poorly understood, especially during adolescence, a developmental period marked by heightened vulnerability to NMDA receptor hypofunction. This study would compare differences in pharmacological susceptibility to ketamine among different mouse strains.

Methods

The four mouse strains—C57BL/6 J, DBA, BALB/c, and 129S1—were acclimated during adolescence. A novel open-field test equipped with a video-tracking system was employed as the primary method to assess motor behavioral changes. Following a 30 min baseline free-running session, mice received intraperitoneal injections of ketamine at doses of 0, 25, or 50 mg/kg, and their activity was monitored for an additional 60 min.

Results

The results revealed distinct pharmacological reactions to ketamine, influenced by both dose and strain. Locomotor activity varied significantly among the four strains before and after ketamine treatment (p < 0.001), with activity levels ranked as follows: C57BL/6J > DBA = BALB/c > 129S1. Ketamine produced dose-dependent robust hyperlocomotion in C57BL/6 J mice, transient excitation in DBA mice at 25 mg/kg, and delayed excitation in BALB/c mice at 50 mg/kg. 129S1 mice showed minimal net changes across doses.

Conclusion

The study findings highlight diverse neurobehavioral characteristics among different mouse strains, demonstrating that pharmacological responses to ketamine are modulated by both dose and genetic background. These results indicate variability in ketamine sensitivity across strains, which may be relevant for understanding individual differences in behavioral responses to ketamine during adolescence.
背景:氯胺酮是一种非竞争性NMDA受体拮抗剂,可诱导解离和拟精神状态,被广泛用作精神分裂症的动物模型。然而,氯胺酮敏感性的菌株依赖性变异性知之甚少,特别是在青春期,这是一个发育时期,其特征是对NMDA受体功能低下的高度易感性。本研究将比较不同小鼠品系对氯胺酮的药理学敏感性差异。方法:对c57bl / 6j、DBA、BALB/c、129s1 4种小鼠品系进行青春期驯化。采用一种新型的带有视频跟踪系统的野外测试作为评估运动行为变化的主要方法。在30分钟的基线自由奔跑后,小鼠接受0、25或50 mg/kg剂量的氯胺酮腹腔注射,并在另外60分钟内监测它们的活动。结果:氯胺酮的药理作用不同,受剂量和菌株的影响。氯胺酮治疗前后4个菌株的运动活性差异有统计学意义(p < 0.001),活动水平排序为:C57BL/6J > DBA = BALB/c > 129S1。氯胺酮在C57BL/ 6j小鼠中产生剂量依赖性的强健过度运动,在DBA小鼠中产生25 mg/kg的瞬时兴奋,在BALB/c小鼠中产生50 mg/kg的延迟兴奋。129S1小鼠在不同剂量下表现出最小的净变化。结论:研究结果表明,不同小鼠品系对氯胺酮的药理反应受到剂量和遗传背景的双重调节。这些结果表明,不同菌株对氯胺酮的敏感性存在差异,这可能与理解青春期氯胺酮行为反应的个体差异有关。
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引用次数: 0
A year into the war: Longitudinal effects of trauma, displacement, and income loss on mental health in conflict zones 战争一年:冲突地区创伤、流离失所和收入损失对心理健康的纵向影响
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-18 DOI: 10.1016/j.psychres.2026.116953
Doron Amsalem , Chana T. Fisch , John C. Markowitz , Amit Lazarov , Yossi Levi-Belz , Ido Lurie , Milton L. Wainberg , Shlomo Mendlovic , Yuval Neria , Shilat Haim-Nachum

Background

Research has linked war-related stressors like traumatic loss, forced displacement, and income disruption to acute mental health symptoms. Little is known about how symptoms evolve longitudinally during prolonged conflict. Extending our 90-day studies, we tracked clinical symptoms and betrayal-based moral injury over one full year following the October 7, 2023, attack and ensuing war in Israel. We hypothesized stressor-exposed individuals would report persistent psychological distress and heightened betrayal perceptions one year later.

Methods

A four-wave longitudinal study followed 1,052 individuals aged 18–40 living in northern and southern Israel, areas heavily affected by October 7 and the ongoing war. Assessments occurred in February, March, and May 2024 and March 2025. Anxiety, depression, and Post-Traumatic Stress Disorder (PTSD) symptoms The Generalized Anxiety Disorder 7-item scale (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Primary Care PTSD (PC-PTSD) measured. The Moral Injury Events betrayal subscale assessed betrayal-based moral injury. Linear Mixed Models examined symptom trajectories and associations with baseline war-related traumatic loss, forced displacement, and income loss.

Results

At baseline, 75 % of participants reported ≥1 probable clinical condition. Symptoms remained high after 12 months (66 %). Baseline exposure to traumatic loss, displacement, or income loss correlated with significantly higher anxiety, depression, PTSD, and betrayal scores across timepoints (F values 14.4-243.9, p<.001). Depression symptoms remained steady over time, whereas betrayal scores significantly increased.

Conclusions

This one-year longitudinal study found initial traumatic stressors predicted persistently elevated anxiety, depression, PTSD, and betrayal-based moral injury. Findings highlight the lasting psychological impact of cumulative war-related adversity and call for innovative, sustained treatment strategies that address both acute and evolving effects of prolonged conflict.
研究已经将战争相关的压力因素,如创伤性损失、被迫流离失所和收入中断,与急性精神健康症状联系起来。在长期冲突中,症状是如何纵向演变的,我们所知甚少。我们延长了为期90天的研究,在2023年10月7日以色列袭击和随后的战争之后的一整年里,我们追踪了临床症状和基于背叛的道德伤害。我们假设压力暴露的个体会在一年后报告持续的心理困扰和更高的背叛感。方法一项四波纵向研究追踪了1052名18-40岁的人,他们生活在以色列北部和南部,受10月7日和正在进行的战争严重影响的地区。评估发生在2024年2月、3月和5月以及2025年3月。焦虑、抑郁和创伤后应激障碍(PTSD)症状采用广泛性焦虑障碍7项量表(GAD-7)、患者健康问卷-9 (PHQ-9)和初级保健PTSD (PC-PTSD)进行测量。道德伤害事件背叛分量表评估基于背叛的道德伤害。线性混合模型检验了症状轨迹及其与基线战争相关的创伤损失、被迫流离失所和收入损失的关联。结果在基线时,75%的参与者报告了≥1种可能的临床状况。12个月后症状仍然严重(66%)。创伤性损失、流离失所或收入损失的基线暴露与跨时间点的焦虑、抑郁、PTSD和背叛得分显著升高相关(F值14.4-243.9,p<.001)。随着时间的推移,抑郁症状保持稳定,而背叛得分显著增加。这项为期一年的纵向研究发现,最初的创伤性压力源预示着持续升高的焦虑、抑郁、创伤后应激障碍和基于背叛的道德伤害。研究结果强调了与战争有关的逆境累积造成的持久心理影响,并呼吁制定创新、持续的治疗战略,以解决长期冲突的急性和演变影响。
{"title":"A year into the war: Longitudinal effects of trauma, displacement, and income loss on mental health in conflict zones","authors":"Doron Amsalem ,&nbsp;Chana T. Fisch ,&nbsp;John C. Markowitz ,&nbsp;Amit Lazarov ,&nbsp;Yossi Levi-Belz ,&nbsp;Ido Lurie ,&nbsp;Milton L. Wainberg ,&nbsp;Shlomo Mendlovic ,&nbsp;Yuval Neria ,&nbsp;Shilat Haim-Nachum","doi":"10.1016/j.psychres.2026.116953","DOIUrl":"10.1016/j.psychres.2026.116953","url":null,"abstract":"<div><h3>Background</h3><div>Research has linked war-related stressors like traumatic loss, forced displacement, and income disruption to acute mental health symptoms. Little is known about how symptoms evolve longitudinally during prolonged conflict. Extending our 90-day studies, we tracked clinical symptoms and betrayal-based moral injury over one full year following the October 7, 2023, attack and ensuing war in Israel. We hypothesized stressor-exposed individuals would report persistent psychological distress and heightened betrayal perceptions one year later.</div></div><div><h3>Methods</h3><div>A four-wave longitudinal study followed 1,052 individuals aged 18–40 living in northern and southern Israel, areas heavily affected by October 7 and the ongoing war. Assessments occurred in February, March, and May 2024 and March 2025. Anxiety, depression, and Post-Traumatic Stress Disorder (PTSD) symptoms The Generalized Anxiety Disorder 7-item scale (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Primary Care PTSD (PC-PTSD) measured. The Moral Injury Events betrayal subscale assessed betrayal-based moral injury. Linear Mixed Models examined symptom trajectories and associations with baseline war-related traumatic loss, forced displacement, and income loss.</div></div><div><h3>Results</h3><div>At baseline, 75 % of participants reported ≥1 probable clinical condition. Symptoms remained high after 12 months (66 %). Baseline exposure to traumatic loss, displacement, or income loss correlated with significantly higher anxiety, depression, PTSD, and betrayal scores across timepoints (F values 14.4-243.9, <em>p</em>&lt;.001). Depression symptoms remained steady over time, whereas betrayal scores significantly increased.</div></div><div><h3>Conclusions</h3><div>This one-year longitudinal study found initial traumatic stressors predicted persistently elevated anxiety, depression, PTSD, and betrayal-based moral injury. Findings highlight the lasting psychological impact of cumulative war-related adversity and call for innovative, sustained treatment strategies that address both acute and evolving effects of prolonged conflict.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"358 ","pages":"Article 116953"},"PeriodicalIF":3.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025874","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
Cutoff scores and predictive validity of the Acute Suicidal Affective Disturbance Inventory (ASADI) for future suicide attempts and suicidal ideation with intent 急性自杀情感障碍量表(ASADI)对未来自杀企图和有意图自杀意念的截止分数和预测效度
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-15 DOI: 10.1016/j.psychres.2026.116950
Jimin Lee, Yuna Oh, Sungeun You

Background

Identification of individuals at elevated risk for suicidal behavior is an important component of suicide prevention efforts. This study aimed to examine the predictive validity of the Acute Suicidal Affective Disturbance Inventory (ASADI) and to explore potential cutoff scores in relation to subsequent suicidal outcomes

Methods

We analyzed data from a community-based sample of 682 Korean adults who have experienced drastic increase in suicide intent, of whom 373 completed a one-year follow-up assessment. Using a one-year longitudinal data, receiver operating characteristics (ROC) analyses were conducted to examine cutoff scores in predicting future suicide attempts and suicidal ideation with intent. Potential cutoff scores were further evaluated by assessing their predictive performance after controlling for demographic and clinical covariates through multivariate logistic regression.

Results

Higher ASADI scores were prospectively associated with suicide attempts and suicidal ideation with intent during the follow-up period. A cutoff score of 248 demonstrated the strongest discriminative performance for suicide attempts, with individuals scoring above this threshold showing an increased likelihood of attempting suicide over one year after adjusting for covariates. Additional cutoffs of 192 and 206 were associated with suicidal ideation with intent.

Conclusion

These findings provide preliminary, empirically derived cutoff scores for the ASADI and support its prospective relevance as a measure of identifying at-risk individuals who warrant closer monitoring.
背景自杀行为高危个体的识别是自杀预防工作的重要组成部分。本研究旨在检验急性自杀情感障碍量表(ASADI)的预测有效性,并探讨与随后自杀结果相关的潜在临界值。方法:我们分析了682名自杀意图急剧增加的韩国成年人的社区样本数据,其中373人完成了为期一年的随访评估。使用为期一年的纵向数据,进行受试者工作特征(ROC)分析,以检验预测未来自杀企图和有意图自杀意念的截止分数。在通过多变量逻辑回归控制人口统计学和临床协变量后,通过评估其预测性能进一步评估潜在临界值。结果在随访期间,较高的ASADI评分与自杀企图和有意图的自杀意念有潜在的相关性。临界值为248分显示出对自杀企图的最强烈的区别性表现,在调整协变量后,得分高于这个阈值的个体在一年内尝试自杀的可能性增加。另有192和206的临界值与有意图的自杀意念有关。结论:这些发现为ASADI提供了初步的、经验推导的临界值,并支持其作为识别需要密切监测的高危个体的前瞻性相关性。
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引用次数: 0
Mindfulness-based therapy for adolescent internet gaming disorder: A feasibility and pilot study 青少年网络游戏障碍的正念治疗:可行性和试点研究。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.1016/j.psychres.2026.116990
Xue Yang , Yalin Zheng
Internet Gaming Disorder (IGD) is prevalent in adolescents and is treatable. Mindfulness-based therapy can benefit addictive behaviors, craving, and emotion regulation. However, evidence on its effectiveness in treating IGD is still lacking. This study aims to test its feasibility and effectiveness in adolescents with IGD. In total, 23 secondary school students finished the 4-week group-based intervention. At posttest, participants reported significantly lower levels of IGD symptoms (mean difference=1.13), craving (mean difference=0.38), and higher levels of emotion regulation (mean difference=–6.91) compared with pre-test. In general, participants rated the intervention positively. The response summary to the open-ended question indicated that participants favored the in-session mindfulness exercises. Suggestions to improve the intervention design were also provided. The current intervention is low cost and time-efficient with high completion rates and acceptability in adolescents with IGD. Future work may further adopt randomized control trial designs and explore the long-term effects of mindfulness-based interventions for IGD.
网络游戏障碍(IGD)在青少年中很普遍,是可以治疗的。正念疗法对上瘾行为、渴望和情绪调节都有好处。然而,关于其治疗IGD有效性的证据仍然缺乏。本研究旨在验证其在青少年IGD中的可行性和有效性。共有23名中学生完成了为期4周的小组干预。在测试后,与测试前相比,参与者报告的IGD症状(平均差异=1.13),渴望(平均差异=0.38)和更高水平的情绪调节(平均差异=-6.91)水平显著降低。总的来说,参与者对干预的评价是积极的。对开放式问题的回答总结表明,参与者更喜欢在会议中进行正念练习。并提出了改进干预设计的建议。目前的干预措施成本低,时间效率高,在患有IGD的青少年中具有高完成率和可接受性。未来的工作可能会进一步采用随机对照试验设计,并探索基于正念的干预对IGD的长期影响。
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引用次数: 0
Genetic and environmental factors in pain symptoms and self-harm, and their association. A twin study 疼痛症状和自残的遗传和环境因素及其相关性一项双胞胎研究。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.psychres.2026.116962
Jenny Rickardsson , Mark J. Taylor , Paul Lichtenstein , Henrik Larsson , Sebastian Lundström , Karin Jensen , Maria Lalouni
Individuals who self-harm are often insensitive to pain, and consequently pain sensitivity has been proposed as a barrier for self-harm. It is unclear how pain and self-harm interplay in real life settings, and to what extent genetics and environmental factors contribute to the etiology of both.
This study was registry based using classical twin design. A cohort of 16 948 Swedish twin pairs born between 1992 and 2010, was prospectively assessed for pain symptoms at ages 9 and 18, and followed up for later self-harm until 2016 and a maximum age of 24.
The relative contributions of genetic and environmental factors to each phenotype were estimated using univariate twin models. Logistic regression models assessed their association, and conditional models adjusted for familial confounding.
Genetics and non-shared environment contributed to pain and self-harm to a moderate degree at both age 9 and age 18, while the contribution of shared environment was small for both pain and self-harm at both ages. At age 18 the pain symptoms group had higher odds for later self-harm (odds ratio 1.59, 95% CI 1.06–2.41, p = .003), and pain seemed to be partially in the causal pathway as it was not explained by familial confounding. This study adds to the evidence of pain symptoms as a predictor for self-harm.
自我伤害的个体通常对疼痛不敏感,因此疼痛敏感性被认为是自我伤害的障碍。目前还不清楚疼痛和自我伤害在现实生活中是如何相互作用的,也不清楚遗传和环境因素在多大程度上影响了两者的病因。本研究采用经典双胞胎设计。对1992年至2010年间出生的16948对瑞典双胞胎进行了前瞻性评估,评估了他们在9岁和18岁时的疼痛症状,并对后来的自我伤害进行了随访,直到2016年,最大年龄为24岁。使用单变量双胞胎模型估计遗传和环境因素对每种表型的相对贡献。逻辑回归模型评估了它们之间的关联,条件模型对家族混淆进行了调整。在9岁和18岁时,遗传和非共享环境对疼痛和自残都有中等程度的影响,而共享环境对疼痛和自残的影响都很小。在18岁时,疼痛症状组后来自残的几率更高(优势比1.59,95% CI 1.06-2.41, p = 0.003),疼痛似乎是部分因果途径,因为它不能用家族混淆来解释。这项研究进一步证明,疼痛症状是自我伤害的前兆。
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引用次数: 0
Common and distinct patterns of aberrant amygdala functional connectivity in major depressive disorder and bipolar disorder: A voxel-wise comparative meta-analysis 重度抑郁症和双相情感障碍中常见和独特的异常杏仁核功能连接模式:一项体素比较荟萃分析。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.psychres.2026.116989
Lisha Zhang , Kun Qin , Nanfang Pan , Haoran Xu , Qiyong Gong
As a central hub of emotional processing, alterations in amygdala functional connectivity (FC) have garnered significant attention in both major depressive disorder (MDD) and bipolar disorder (BD), which holds promise in identifying differential biomarkers and highlighting their similarities. However, current findings are limited by inconsistency. To address this, we conducted a comparative and conjunction analysis using the Seed-based d Mapping (SDM) toolbox to examine amygdala FC alterations in MDD and BD patients. Our results revealed distinct amygdala FC alterations between MDD and BD were primarily identified in the left temporal pole, cingulate cortex, and left supramarginal gyrus, while shared amygdala FC abnormalities were particularly observed in the fronto-limbic regions and occipitotemporal gyrus. These findings highlight both commonalities and differences in amygdala FC alterations across MDD and BD, providing insights into the underlying pathophysiology of mood disorders and offering potential neural biomarkers for differential diagnosis, thereby aiding in the improvement of treatment strategies.
作为情绪处理的中心枢纽,杏仁核功能连接(FC)的改变在重度抑郁症(MDD)和双相情感障碍(BD)中都引起了极大的关注,它有望识别不同的生物标志物并突出它们的相似性。然而,目前的研究结果受到不一致的限制。为了解决这个问题,我们使用基于种子的d映射(SDM)工具箱进行了比较和联合分析,以检查MDD和BD患者的杏仁核FC改变。我们的研究结果显示,MDD和BD之间明显的杏仁核FC改变主要在左侧颞极、扣带皮层和左侧边缘上回,而杏仁核FC的共同异常在额边缘区和枕颞回尤为明显。这些发现强调了重度抑郁症和双相抑郁症杏仁核FC改变的共性和差异,为情绪障碍的潜在病理生理学提供了见解,并为鉴别诊断提供了潜在的神经生物标志物,从而有助于改善治疗策略。
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引用次数: 0
Polygenic risk scores for pediatric obsessive-compulsive symptoms: Mediating effects in samples clinically diagnosed with mental disorders 儿童强迫症的多基因风险评分:在临床诊断为精神障碍的样本中的中介作用
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-04-01 Epub Date: 2026-01-27 DOI: 10.1016/j.psychres.2026.116977
Lilit Antonyan , S-M Shaheen , Christie L. Burton , William J. Gehring , Noam Soreni , Pamela Falzarano Szura , Julia Bellamy , Usha Rajan , David Rosenberg , Gregory L. Hanna , Paul D. Arnold
Here, we present the first genome-wide association study and polygenic risk score analysis of obsessive-compulsive symptoms in a sample of 661 clinically diagnosed pediatric participants diagnosed with mental illness and healthy controls. Using a psychiatric questionnaire score as a quantitative trait we conducted a large-scale genetic analysis and ran multiple post-association analyses to investigate the mediating role of obsessive-compulsive symptoms in six comorbid mental disorders. Polygenic risk scores were computed for OCS using genome-wide summary statistics from obsessive-compulsive disorder, attention-deficit/hyperactivity disorder, anxiety disorders, depression, autism spectrum disorder, and tic disorders. Across all models, the PRS of OCS explained modest yet significant proportion of shared genetic risk across six mental disorders consistent with effect sizes typically observed in complex psychiatric traits. Furthermore, Mendelian randomization analysis suggested a potential causal pathway in which OCS mediates the genetic risk for anxiety. These findings highlight shared polygenic mechanisms between OCS and a range of neuropsychiatric conditions. We observed a potential causal pathway in which OCS mediates the genetic risk for anxiety, supporting the hypothesis that OCS may serve as a transdiagnostic mediator within the pediatric population. This study underscores the value of examining genetic risk across the symptom spectrum of mental illnesses, rather than relying solely on binary diagnostic categories.
在这里,我们提出了第一个全基因组关联研究和强迫症多基因风险评分分析,在661名临床诊断为精神疾病的儿科参与者和健康对照中进行。采用精神病学问卷得分作为定量特征,我们进行了大规模的遗传分析,并进行了多重关联分析,以调查强迫症症状在六种共病精神障碍中的中介作用。使用强迫症、注意力缺陷/多动障碍、焦虑症、抑郁症、自闭症谱系障碍和抽动障碍的全基因组汇总统计数据计算OCS的多基因风险评分。在所有模型中,OCS的PRS解释了六种精神障碍中共享遗传风险的适度但显著的比例,这与在复杂精神特征中通常观察到的效应大小一致。此外,孟德尔随机化分析提示OCS介导焦虑遗传风险的潜在因果途径。这些发现强调了OCS和一系列神经精神疾病之间共有的多基因机制。我们观察到一个潜在的因果通路,其中OCS介导焦虑的遗传风险,支持OCS可能在儿科人群中作为跨诊断中介的假设。这项研究强调了在精神疾病的症状谱上检查遗传风险的价值,而不是仅仅依赖于二元诊断类别。
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Psychiatry Research
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