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Belief in a just world and prolonged grief disorder among individuals bereaved by 9/11. 9/11遇难者对公正世界的信念和长期的悲伤障碍。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-10 DOI: 10.1016/j.psychres.2026.117086
Joscelyn E Fisher, Christopher C Andersen, Jing Zhou, Alexander J Rice, Christin M Ogle, Luke L Sumberg, Stephen J Cozza

Background: Belief in a just world is the conviction that the world is fundamentally fair and that people deserve to be rewarded for admirable actions and punished for unjust actions. However, these beliefs can be challenged by a traumatic event, especially bereavement by a sudden and violent death, increasing the risk for Prolonged Grief Disorder (PGD). This study examined the association between belief in a just world and PGD among family members bereaved by the September 11, 2001 terrorist attacks.

Methods: 380 bereaved family members provided responses on a cross-sectional survey that included the Inventory of Complicated Grief (ICG) and the Global Belief in a Just World (BJW). Multivariable logistic regressions were used to examine associations between endorsed BJW items and meeting threshold for PGD. An interaction between BJW and relationship type to the deceased was also evaluated.

Results: A weaker belief in a just world (as indicated by higher scores) was associated with an increased risk of meeting the threshold for PGD among bereaved parents, but not among other relationships to the deceased.

Conclusions: The death of a family member due to sudden and violent causes, especially when the decedent is a child, increases the risk for PGD. However, a stronger belief in a just world can potentially buffer against PGD. These findings highlight the need to incorporate perceptions of justice within the world as a potential therapeutic target for grief support.

背景:对公正世界的信念是相信世界从根本上是公平的,人们应该为令人钦佩的行为得到奖励,为不公正的行为受到惩罚。然而,这些信念可能会受到创伤事件的挑战,特别是突然和暴力死亡的丧亲之痛,增加了长期悲伤障碍(PGD)的风险。本研究考察了2001年9月11日恐怖袭击中失去亲人的家庭成员对公正世界的信念与PGD之间的关系。方法:对380名丧亲家属进行了包括复杂悲伤量表(ICG)和全球信念(BJW)在内的横断面调查。使用多变量逻辑回归来检验认可的BJW项目与PGD满足阈值之间的关系。还评估了BJW与死者关系类型之间的相互作用。结果:在失去亲人的父母中,对公正世界的信念较弱(如得分较高所示)与达到PGD阈值的风险增加有关,但与死者的其他关系无关。结论:家庭成员因突然和暴力原因死亡,特别是当死者是儿童时,增加了PGD的风险。然而,对公正世界更坚定的信念可以潜在地缓冲PGD。这些发现强调了将世界上的正义观念作为悲伤支持的潜在治疗目标的必要性。
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引用次数: 0
Comment on "Facial expression recognition in older adults with depression: A meta-analytic review". “老年抑郁症患者面部表情识别:荟萃分析综述”评论。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-09 DOI: 10.1016/j.psychres.2026.117083
Qiming Li, Xinyu Lu

We comment on the recent meta-analysis examining facial expression recognition (FER) in older adults with major depressive disorder (MDD). While the study provides an important quantitative synthesis at the intersection of socioemotional aging and depression, several interpretative and methodological issues merit clarification. First, negative standardized mean differences were interpreted in parts of the discussion as reflecting heightened sensitivity to negative emotions, although reduced accuracy in forced-choice paradigms more directly indicates impaired decoding rather than hypersensitivity. Second, substantial heterogeneity was markedly reduced only after exclusion of influential studies, raising concerns that pooled effects may be contingent on study selection and potentially reflect methodological compression. Third, meta-regression findings suggest that sample size and stimulus modality meaningfully influence effect estimates, underscoring design-related variability. Finally, cognitive status was not formally modeled as a moderator, despite its potential relevance to emotion recognition performance in late-life depression. We suggest that clearer differentiation between perceptual deficit and interpretative bias, alongside greater attention to methodological and cognitive moderators, would strengthen theoretical inference and future meta-analytic work in this domain.

我们评论了最近的荟萃分析,检查面部表情识别(FER)在老年人重度抑郁症(MDD)。虽然该研究在社会情绪老化和抑郁的交叉点提供了重要的定量综合,但一些解释和方法问题值得澄清。首先,负面的标准化平均差异在部分讨论中被解释为反映了对负面情绪的高度敏感性,尽管在强迫选择范式中准确性的降低更直接地表明解码受损,而不是过度敏感。其次,只有在排除了有影响的研究后,实质性异质性才显著降低,这引起了人们的担忧,即综合效应可能取决于研究选择,并可能反映了方法学的压缩。第三,元回归结果表明,样本量和刺激方式对效果估计有显著影响,强调了设计相关的变异性。最后,尽管认知状态与晚年抑郁症的情绪识别表现有潜在的相关性,但它并没有被正式建模为调节因素。我们建议,更清晰地区分感知缺陷和解释偏见,以及更多地关注方法和认知调节因素,将加强该领域的理论推断和未来的元分析工作。
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引用次数: 0
Adverse childhood experiences and biological rhythms can predict the coexisting symptoms of depression and anxiety in adolescents. 不良的童年经历和生物节律可以预测青少年抑郁和焦虑的共存症状。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-09 DOI: 10.1016/j.psychres.2026.117082
Yuqi Cui, Wencan Wu, Zhiyong Liu, Jay J Shen, Xiaolei Ban, Ran Li, Jiajia Hu, Fanke Zhou, Junna Zhang, Xiaomin Lou, Xian Wang

Objective: Mental health in adolescents has been a growing problem in recent decades. However, comprehensive discussion of the research on the distal and proximal factors related to adolescent mental health were limited and the evidence was lacking. This study aimed to explore the result of adverse childhood experiences and biological rhythms for depressive and anxiety symptoms in adolescents.

Methods: The data used in this study were obtained from China in 2021 (as baseline) and 2023 (as follow-up). Participants provided self-reported information through an anonymous questionnaire. Logistic regression, cluster analysis, restriction cubic spline plots and receiver operating characteristic curves were used for statistical analysis.

Results: The study involved 2103 teenagers (mean age 15 years old), consisting of 1089 females and 1014 males. Multiple logistic regression results based on this subgroup showed that higher scores on either ACEs or biorhythms were associated with a greater risk of concurrent depressive-anxiety symptoms at baseline and follow-up, the adjusted ORs (95% CI) were 14.46 (7.14-29.26), 12.09 (5.83-22.08), respectively. The area under the receiver operating characteristic curve of the joint predictive effect of the ACEs and biorhythms were 0.664 for depressive symptoms, 0.656 for anxiety symptoms, and 0.667 for co-morbidity.

Conclusion: These findings emphasize the necessity of balancing past risk factors with emerging risk factors (biorhythms) in the precaution and management of adolescent depression and anxiety symptoms problems.

目的:近几十年来,青少年的心理健康问题日益严重。然而,对影响青少年心理健康的远端因素和近端因素的综合研究较少,证据不足。本研究旨在探讨不良童年经历和生物节律对青少年抑郁和焦虑症状的影响。方法:本研究使用的数据分别于2021年(基线)和2023年(随访)在中国获得。参与者通过匿名问卷提供自我报告的信息。采用Logistic回归、聚类分析、限制三次样条图和受试者工作特征曲线进行统计分析。结果:共纳入青少年2103例(平均年龄15岁),其中女性1089例,男性1014例。基于该亚组的多元logistic回归结果显示,在基线和随访时,ace或生物节律得分越高,并发抑郁焦虑症状的风险越大,调整后的or (95% CI)分别为14.46(7.14-29.26)和12.09(5.83-22.08)。抑郁症状ace与生物节律联合预测效应的受试者工作特征曲线下面积为0.664,焦虑症状ace与生物节律联合预测效应的受试者工作特征曲线下面积为0.656,共发病ace与生物节律联合预测效应的受试者工作特征曲线下面积为0.667。结论:这些发现强调了平衡过去的危险因素和新出现的危险因素(生物节律)在预防和管理青少年抑郁和焦虑症状问题中的必要性。
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引用次数: 0
Corrigendum to "Establishing a training plan and estimating inter-rater reliability across the multi-site Texas Childhood Trauma Research Network" [Psychiatry Research 323 (2023) 115168]. “建立一个培训计划和评估跨多站点德克萨斯儿童创伤研究网络的内部可靠性”的勘误表[精神病学研究323(2023)115168]。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-05 DOI: 10.1016/j.psychres.2026.117057
Jeffrey D Shahidullah, James Custer, Oscar Widales-Benitez, Nazan Aksan, Carly Hatchell, D Jeffrey Newport, Karen Dineen Wagner, Eric A Storch, Cynthia Claassen, Amy Garrett, Irma T Ugalde, Wade Weber, Charles B Nemeroff, Paul J Rathouz
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引用次数: 0
Suicide ideation, suicide risk, and firearm storage practices and attitudes among U.S. uniformed law enforcement officers’ 美国执法人员的自杀意念、自杀风险、枪支储存行为和态度
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2026-01-05 DOI: 10.1016/j.psychres.2026.116940
Michael LeDuc, Julianne Cary, Cole Marvin, Sean M. Mitchell

Background

U.S. uniformed law enforcement officers’ (ULEOs’) intention to purchase firearms increased recently, coinciding with increasing suicide risk, but research in this area remains sparse. We examined firearm storage practices and attitudes among U.S. ULEOs and their relation to suicide ideation (SI) and suicide risk.

Method

Currently employed U.S. ULEOs (N = 271) completed a cross-sectional online-based survey in June and July 2023.

Results

On average, ULEOs “agree” with positive firearm statements. Regarding firearm storage practices, 54.6% always store a firearm at home, 35.2% always keep a firearm loaded, 35.2% always store their firearm with a locking device, and 50.2% always safely store firearms in a locked location. Higher SI was associated with lower odds of always storing a firearm at home, loaded, and in a secure location, whereas higher suicide risk was associated with lower odds of always storing a firearm at home and in a secure location.

Conclusion

ULEOs reported higher positive firearm attitudes and rates of always storing a firearm loaded and never using a locking device than other samples in the literature. Our findings highlight the importance of SI and suicide risk in safe firearm storage practices, which could aid in firearm death and suicide prevention efforts.
BackgroundU.S。最近,穿制服的执法人员(ULEOs)购买枪支的意愿有所增加,与此同时,自杀风险也在增加,但这方面的研究仍然很少。本研究调查了美国uleo的枪支储存行为和态度,以及他们与自杀意念和自杀风险的关系。方法2023年6月和7月,271名在职美国ULEOs完成了一项横断面在线调查。结果平均而言,uleo“同意”积极的枪支声明。在枪支存放方面,54.6%的人总是把枪支存放在家里,35.2%的人总是给枪支上膛,35.2%的人总是把枪支锁在锁上的地方,50.2%的人总是把枪支安全地存放在锁上的地方。较高的自杀倾向与较低的将枪支始终存放在家中、上膛并置于安全位置的几率相关,而较高的自杀风险与较低的将枪支始终存放在家中并置于安全位置的几率相关。结论与文献中其他样本相比,uleos报告了更高的积极枪支态度和始终存放枪支,从未使用锁定装置的比例。我们的研究结果强调了自杀和自杀风险在安全枪支储存实践中的重要性,这可能有助于枪支死亡和自杀预防工作。
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引用次数: 0
Single fixed-dose intranasal racemic ketamine treatment for the treatment of acute suicidality in a transdiagnostic patient population: Results of a pilot study 单次鼻内固定剂量外消旋氯胺酮治疗跨诊断患者的急性自杀:一项初步研究的结果。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-12-16 DOI: 10.1016/j.psychres.2025.116909
Gijsbrecht H.J. Roelandt , Jurriaan F.M. Strous , Radboud M. Marijnissen , Jeanine Kamphuis , Jens. H. van Dalfsen , Robert A. Schoevers

Aims

Ketamine has been shown to decrease suicidality in patients with depression. However, little is known about tolerability and efficacy in heterogenous, acutely suicidal patients in emergency settings. This pilot study aimed to assess the feasibility, acceptability, and safety of generic intranasal racemic ketamine (75 mg) in the treatment of acute suicidality regardless of the underlying diagnosis, as preparation for a subsequent double-blind randomized placebo-controlled trial (RCT).

Method

From September 2021 to June 2022, 12 patients with acute suicidality were recruited. All received a single open-label dose of 75 mg intranasal racemic ketamine. Suicidality was assessed with the Beck Scale for Suicidal Ideation (BSSI), depression with the Montgomery-Åsberg Depression Rating Scale (MADRS), side effects with the Systematic Assessment for Treatment Emergent Effects (SAFTEE) and Clinician Administered Dissociative Symptom Scale (CADSS), and overall improvement with the Clinical Global Impression (CGI) at 60 min, 180 min, and at 1, 3, and 7 days post-treatment. The CADSS and SAFTEE were administered only at baseline, 60 and 180 min post intervention. Vital signs were monitored for the first 240 min post intervention. Optional blood sampling occurred at baseline and 180 min post-treatment, and Magnetic Resonance Imaging one day post intervention.

Results

Treatment was well-tolerated. We observed a downward trend in both BSSI and MADRS scores one day post treatment, though this effect declined by day seven. One patient developed ketamine misuse several weeks after participation.

Conclusions

The treatment was generally feasible, well-tolerated and safe. Intranasal ketamine reduced acute suicidality in some cases but regarding efficacy, no definitive conclusions can be drawn from this pilot study. Amendments were made to the study protocol with extended follow-up time, investigation of drug liking and craving, less questionnaires and longer inclusion window.
目的:氯胺酮已被证明可以降低抑郁症患者的自杀率。然而,对于异质急性自杀患者在急诊环境中的耐受性和疗效知之甚少。本初步研究旨在评估通用鼻内消旋氯胺酮(75mg)治疗急性自杀的可行性、可接受性和安全性,而不考虑潜在的诊断,为随后的双盲随机安慰剂对照试验(RCT)做准备。方法:从2021年9月至2022年6月,招募12例急性自杀患者。所有患者均接受单次开放标签剂量75mg鼻内消旋氯胺酮。采用贝克自杀意念量表(BSSI)评估自杀倾向,采用蒙哥马利-Åsberg抑郁评定量表(MADRS)评估抑郁,采用治疗突发效应系统评估(SAFTEE)和临床医生管理的解离症状量表(CADSS)评估副作用,并在治疗后60分钟、180分钟、1、3和7天采用临床总体印象量表(CGI)评估总体改善情况。CADSS和SAFTEE仅在干预后的基线、60和180分钟进行。干预后240分钟监测生命体征。在基线和治疗后180分钟进行选择性采血,并在干预后1天进行磁共振成像。结果:治疗耐受性良好。我们观察到BSSI和MADRS评分在治疗后一天呈下降趋势,尽管这种影响在第7天下降。一名患者在参与几周后出现氯胺酮滥用。结论:治疗总体可行、耐受性好、安全。鼻内氯胺酮在某些情况下降低了急性自杀率,但关于疗效,从这项初步研究中无法得出明确的结论。对研究方案进行了修改,延长了随访时间,调查了药物喜好和渴望,减少了问卷,延长了纳入窗口。
{"title":"Single fixed-dose intranasal racemic ketamine treatment for the treatment of acute suicidality in a transdiagnostic patient population: Results of a pilot study","authors":"Gijsbrecht H.J. Roelandt ,&nbsp;Jurriaan F.M. Strous ,&nbsp;Radboud M. Marijnissen ,&nbsp;Jeanine Kamphuis ,&nbsp;Jens. H. van Dalfsen ,&nbsp;Robert A. Schoevers","doi":"10.1016/j.psychres.2025.116909","DOIUrl":"10.1016/j.psychres.2025.116909","url":null,"abstract":"<div><h3>Aims</h3><div>Ketamine has been shown to decrease suicidality in patients with depression. However, little is known about tolerability and efficacy in heterogenous, acutely suicidal patients in emergency settings. This pilot study aimed to assess the feasibility, acceptability, and safety of generic intranasal racemic ketamine (75 mg) in the treatment of acute suicidality regardless of the underlying diagnosis, as preparation for a subsequent double-blind randomized placebo-controlled trial (RCT).</div></div><div><h3>Method</h3><div>From September 2021 to June 2022, 12 patients with acute suicidality were recruited. All received a single open-label dose of 75 mg intranasal racemic ketamine. Suicidality was assessed with the Beck Scale for Suicidal Ideation (BSSI), depression with the Montgomery-Åsberg Depression Rating Scale (MADRS), side effects with the Systematic Assessment for Treatment Emergent Effects (SAFTEE) and Clinician Administered Dissociative Symptom Scale (CADSS), and overall improvement with the Clinical Global Impression (CGI) at 60 min, 180 min, and at 1, 3, and 7 days post-treatment. The CADSS and SAFTEE were administered only at baseline, 60 and 180 min post intervention. Vital signs were monitored for the first 240 min post intervention. Optional blood sampling occurred at baseline and 180 min post-treatment, and Magnetic Resonance Imaging one day post intervention.</div></div><div><h3>Results</h3><div>Treatment was well-tolerated. We observed a downward trend in both BSSI and MADRS scores one day post treatment, though this effect declined by day seven. One patient developed ketamine misuse several weeks after participation.</div></div><div><h3>Conclusions</h3><div>The treatment was generally feasible, well-tolerated and safe. Intranasal ketamine reduced acute suicidality in some cases but regarding efficacy, no definitive conclusions can be drawn from this pilot study. Amendments were made to the study protocol with extended follow-up time, investigation of drug liking and craving, less questionnaires and longer inclusion window.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116909"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850135","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
Purinergic signaling and energetic metabolism in bipolar disorder: From pathophysiology to precision therapeutics 双相情感障碍的嘌呤能信号和能量代谢:从病理生理学到精确治疗。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-12-22 DOI: 10.1016/j.psychres.2025.116921
Magda Malewska-Kasprzak , Monika Dmitrzak-Weglarz , Filip Rybakowski
Bipolar disorder (BD) is a chronic psychiatric illness marked by recurrent manic and depressive episodes, with substantial disability and high comorbidity. Emerging evidence highlights purinergic signaling and cellular energy metabolism as convergent, interdependent drivers of BD pathophysiology. Purines—particularly adenosine and ATP—function dually as intracellular energy substrates and extracellular signaling molecules regulating neuroinflammation, neurotransmission, and redox balance. Dysregulation of purinergic pathways, including P2 × 7 receptor overactivation, elevated uric acid, and reduced neuroprotective adenosine, interacts with mitochondrial dysfunction—characterized by impaired oxidative phosphorylation, ATP depletion, increased reactive oxygen species, and redox imbalance—to form a pathological feedback loop. This bioenergetic–purinergic axis underlies mood cycling: mania reflecting bioenergetic upregulation with purinergic hyperactivity, and depression representing bioenergetic downregulation with purinergic hypoactivity.
Biomarkers such as uric acid, xanthine dehydrogenase and adenosine deaminase activity, phosphocreatine, ATP levels, and oxidative stress indices demonstrate phase-dependent alterations and hold promise for diagnosis, prognosis, and treatment monitoring. Therapeutic opportunities extend beyond conventional mood stabilizers to include xanthine oxidase inhibitors (e.g., allopurinol), P2 × 7 antagonists, adenosine modulators, and mitochondrial-supportive agents (e.g., creatine, carnitine, CoQ10, N-acetylcysteine). Integration of omics profiling, advanced neuroimaging, and biomarker-guided stratification may enable precision psychiatry approaches tailored to individual metabolic–inflammatory phenotypes.
This integrative model reframes BD as a systemic disorder of cellular energetics and purinergic signaling, offering novel mechanistic targets and guiding the development of personalized, phase-specific interventions to improve long-term outcomes.
双相情感障碍(BD)是一种以反复发作的躁狂和抑郁发作为特征的慢性精神疾病,具有大量残疾和高合并症。新出现的证据强调嘌呤能信号和细胞能量代谢是双相障碍病理生理的趋同、相互依赖的驱动因素。嘌呤-特别是腺苷和atp -作为细胞内能量底物和细胞外信号分子调节神经炎症,神经传递和氧化还原平衡的双重功能。嘌呤能通路失调,包括P2 × 7受体过度激活、尿酸升高和神经保护性腺苷减少,与线粒体功能失调相互作用,形成病理反馈回路,其特征是氧化磷酸化受损、ATP消耗、活性氧增加和氧化还原失衡。这种生物能量-嘌呤能轴是情绪循环的基础:狂躁反映了嘌呤能多活动的生物能量上调,抑郁代表了嘌呤能低活动的生物能量下调。生物标志物如尿酸、黄嘌呤脱氢酶和腺苷脱氨酶活性、磷酸肌酸、ATP水平和氧化应激指数显示出阶段依赖性改变,并有望用于诊断、预后和治疗监测。治疗机会超出了传统的情绪稳定剂,包括黄嘌呤氧化酶抑制剂(如别嘌呤醇)、P2 × 7拮抗剂、腺苷调节剂和线粒体支持剂(如肌酸、肉碱、辅酶q10、n -乙酰半胱氨酸)。组学分析、高级神经成像和生物标志物引导分层的整合可能使精确的精神病学方法适合个体代谢炎症表型。该综合模型将BD重新定义为细胞能量学和嘌呤能信号传导的系统性紊乱,提供了新的机制靶点,并指导个性化、阶段性干预措施的发展,以改善长期结果。
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引用次数: 0
Factor structure of the Internet Gaming Disorder Scale: an Exploratory Graph Analysis approach in Spanish university gamers 网络游戏障碍量表的因素结构:西班牙大学游戏玩家的探索性图表分析方法
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2025-12-24 DOI: 10.1016/j.psychres.2025.116924
Júlia Gisbert-Pérez, Adrián García-Mollá, José M. Tomás, Manuel Martí-Vilar, Laura Badenes-Ribera

Importance

Internet gaming disorder (IGD) has emerged as a growing concern, particularly among adolescents and young adults. This concern has prompted the development of standardized tools for IGD assessment, such as the Internet Gaming Disorder Scale (IGDS). IGDS is based on the DSM-V diagnostic criteria, and has been mainly used as a unidimensional measure of IGD.

Objective

This study aimed to translate and validate the Spanish version of the IGDS in a sample of university students (N = 274, Mage= 21.64 years, SDage = 2.93, % male = 59.7%).

Methods

Exploratory Graph Analysis (EGA) followed by Confirmatory Factor Analysis (CFA) were conducted, and internal consistency and convergent validity were assessed.

Results

EGA identified a bidimensional structure comprising (1) cognitive–emotional symptoms and (2) relational-problem outcomes, which was confirmed through CFA. Both dimensions demonstrated excellent reliability and adequate convergent validity.

Conclusion

The Spanish IGDS is a psychometrically valid instrument for assessing IGD, allowing for an accurate distinction between gaming intensity and functional impairment. These findings challenge the traditional unidimensional perspective and support a biaxial conceptualization of IGD.
网络游戏障碍(IGD)越来越受到关注,尤其是在青少年和年轻人中。这种担忧促使了IGD评估的标准化工具的发展,例如网络游戏障碍量表(IGDS)。IGDS基于DSM-V诊断标准,主要用作IGD的一维测量。目的翻译并验证西班牙语版IGDS在大学生(N = 274,年龄= 21.64,年龄= 2.93,男性= 59.7%)中的有效性。方法采用探索性图分析(EGA)和验证性因子分析(CFA),进行内部一致性和收敛效度评估。结果ga发现了一个由(1)认知-情绪症状和(2)关系-问题结局组成的二维结构,并通过CFA得到证实。两个维度均表现出良好的信度和足够的收敛效度。西班牙IGDS是一种心理测量学上有效的评估IGD的工具,可以准确区分游戏强度和功能障碍。这些发现挑战了传统的单向度观点,并支持IGD的双轴概念化。
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引用次数: 0
A bibliometric analysis of inhalant misuse among street-involved children: Trends, patterns, and research gaps 街头儿童吸入剂滥用的文献计量学分析:趋势、模式和研究差距。
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2026-01-10 DOI: 10.1016/j.psychres.2026.116949
Faisal Adi Irawan , Christina Yeni Kustanti , Koko Srimulyo , Rifky Octavia Pradipta , Nuzul Qur’aniati , Rika Sarfika , Lisa McKenna , Ferry Efendi

Introduction

Inhalant misuse, particularly glue sniffing, is one of the most harmful yet least studied forms of substance abuse among street-involved children. Despite high prevalence in some low- and middle-income countries (LMICs), research is limited, fragmented, and often embedded within broader substance use studies. This study aimed to map global research trends, identify thematic patterns, and highlight gaps in the literature on inhalant misuse among this population.

Methods

A bibliometric analysis was conducted using Scopus and Web of Science databases, searched on June 12, 2025 without date restrictions, guided by a Population–Concept–Context framework. Screening and data cleaning were performed by two reviewers. Eligible records were analyzed using Bibliometrix (Biblioshiny) to examine publication trends, authorship, journal sources, keyword co-occurrence, and thematic patterns.

Results

From 343 records, 161 articles (1989–2025) were included. Publications spanned 94 sources and 532 authors, with 5.55% annual growth and a mean 26.23 citations per document. International co-authorship was 11.8%. The United States contributed most, followed by Canada and Australia. The Journal of Adolescent Health was the top source; Substance Use & Misuse and Children and Youth Services Review also ranked highly. Eight keyword clusters were identified, led by terms including “homelessness adolescents,” “street children,” “HIV,” “substance abuse,” “alcohol,” “substance use,” “homelessness,” and “adolescents.”. Themes centered on abuse, risky behaviors, drug use, depression, and support, while socio-cultural and educational impacts in LMICs were notably sparse.

Conclusion

Inhalant misuse among street-involved children is an under-recognized global health and social issue. Strengthening interdisciplinary and geographically inclusive research can guide targeted interventions and policies aligned with Sustainable Development Goal (SDG) 3.5 on substance abuse prevention and treatment.
简介:滥用吸入剂,特别是吸胶,是街头儿童中最有害但研究最少的药物滥用形式之一。尽管在一些低收入和中等收入国家(LMICs)中发病率很高,但研究是有限的、零散的,而且往往被纳入更广泛的药物使用研究。本研究旨在绘制全球研究趋势,确定专题模式,并突出这一人群中吸入剂滥用的文献差距。方法:使用Scopus和Web of Science数据库进行文献计量学分析,检索日期为2025年6月12日,无日期限制,采用Population-Concept-Context框架。筛选和数据清理由两名审查员进行。使用Bibliometrix (Biblioshiny)分析符合条件的记录,以检查出版趋势、作者身份、期刊来源、关键词共现和主题模式。结果:共纳入343篇文献161篇(1989-2025)。出版物跨越94个来源和532位作者,年增长率为5.55%,平均每篇论文被引用26.23次。国际合作作者占11.8%。美国贡献最多,其次是加拿大和澳大利亚。《青少年健康杂志》是最主要的来源;《物质使用与滥用》和《儿童与青少年服务评论》的排名也很高。确定了八个关键字集群,其中包括“无家可归的青少年”、“街头儿童”、“艾滋病毒”、“药物滥用”、“酒精”、“药物使用”、“无家可归”和“青少年”。主题集中于虐待、危险行为、药物使用、抑郁和支持,而对中低收入国家的社会文化和教育影响明显较少。结论:街头儿童滥用吸入剂是一个未得到充分认识的全球健康和社会问题。加强跨学科和地域包容性研究可以指导有针对性的干预措施和政策,这些措施和政策符合关于预防和治疗药物滥用的可持续发展目标3.5。
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引用次数: 0
Understanding the roots of suicide in veterinarians to inform prevention: A scoping review 了解兽医自杀的根源,为预防提供信息:范围审查
IF 3.9 2区 医学 Q1 PSYCHIATRY Pub Date : 2026-03-01 Epub Date: 2026-01-07 DOI: 10.1016/j.psychres.2026.116946
Mateus Eduardo Romão , Giacomo Belli , Rebeca Gomes de Oliveira , Valentina Sommovigo , Silvia Damiana Visonà , Simone Scoccianti , Ilaria Setti , Makilim Nunes Baptista , Serena Barello

Background

Veterinarians experience one of the highest suicide rates of any profession. Beyond fatalities, growing evidence documents suicidal ideation and non-fatal attempts, but findings are fragmented.

Objective

To map risk and protective factors for suicidal behavior—including ideation, attempts, and death among licensed veterinarians.

Methods

Following Joanna Briggs Institute guidance and PRISMA-ScR reporting standards, we searched PubMed, Scopus, Web of Science, PsycINFO, and CINAHL (2009–2024). Eligible studies examined empirical associations between any risk or protective factor and suicidal outcomes in veterinarians. Data were extracted on study design, sample, country, outcome, and key findings.

Results

Twelve studies from six countries met inclusion criteria (nine cross-sectional surveys, one qualitative interview study, one focus-group study, one retrospective mortality analysis). Suicide risk reflected the convergence of occupational stressors (workload, client conflict, euthanasia), psychological vulnerabilities (depression, perfectionism, burnout), demographic variables (gender, early-career status), and access to lethal means (particularly pentobarbital). Protective elements included peer and social support, job satisfaction, adaptive coping, and indirect secure storage of euthanasia agents. Evidence was limited by the predominance of cross-sectional self-report designs and by restricted geographic coverage.

Conclusions

Veterinarians face distinctive pressures that heighten the risk of suicidal ideation, attempts, and death. Multi-level strategies, such as supportive work environments, coping-skills training, peer-support programs, and evaluation of means-restriction policies, should be prioritized. Further longitudinal and cross-national studies are needed to clarify risk trajectories and strengthen preventive action.
兽医是所有职业中自杀率最高的职业之一。除了死亡之外,越来越多的证据记录了自杀意念和非致命企图,但研究结果是零散的。目的了解执业兽医自杀行为的危险因素和保护因素,包括自杀意念、企图和死亡。方法按照Joanna Briggs Institute的指导和PRISMA-ScR报告标准,检索PubMed、Scopus、Web of Science、PsycINFO和CINAHL(2009-2024)。符合条件的研究考察了兽医中任何风险或保护因素与自杀结果之间的经验关联。从研究设计、样本、国家、结果和主要发现等方面提取数据。结果来自6个国家的12项研究符合纳入标准(9项横断面调查、1项定性访谈研究、1项焦点小组研究、1项回顾性死亡率分析)。自杀风险反映了职业压力源(工作量、客户冲突、安乐死)、心理脆弱性(抑郁、完美主义、倦怠)、人口统计学变量(性别、早期职业状态)和致命手段(尤其是戊巴比妥)的趋同。保护因素包括同伴和社会支持、工作满意度、适应性应对和安乐死药剂的间接安全储存。证据受限于横断面自我报告设计的优势和有限的地理覆盖。兽医面临着独特的压力,这些压力增加了自杀意念、企图和死亡的风险。应优先考虑诸如支持性工作环境、应对技能培训、同伴支持计划和经济限制政策评估等多层次策略。需要进一步进行纵向和跨国研究,以澄清风险轨迹并加强预防行动。
{"title":"Understanding the roots of suicide in veterinarians to inform prevention: A scoping review","authors":"Mateus Eduardo Romão ,&nbsp;Giacomo Belli ,&nbsp;Rebeca Gomes de Oliveira ,&nbsp;Valentina Sommovigo ,&nbsp;Silvia Damiana Visonà ,&nbsp;Simone Scoccianti ,&nbsp;Ilaria Setti ,&nbsp;Makilim Nunes Baptista ,&nbsp;Serena Barello","doi":"10.1016/j.psychres.2026.116946","DOIUrl":"10.1016/j.psychres.2026.116946","url":null,"abstract":"<div><h3>Background</h3><div>Veterinarians experience one of the highest suicide rates of any profession. Beyond fatalities, growing evidence documents suicidal ideation and non-fatal attempts, but findings are fragmented.</div></div><div><h3>Objective</h3><div>To map risk and protective factors for suicidal behavior—including ideation, attempts, and death among licensed veterinarians.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute guidance and PRISMA-ScR reporting standards, we searched PubMed, Scopus, Web of Science, PsycINFO, and CINAHL (2009–2024). Eligible studies examined empirical associations between any risk or protective factor and suicidal outcomes in veterinarians. Data were extracted on study design, sample, country, outcome, and key findings.</div></div><div><h3>Results</h3><div>Twelve studies from six countries met inclusion criteria (nine cross-sectional surveys, one qualitative interview study, one focus-group study, one retrospective mortality analysis). Suicide risk reflected the convergence of occupational stressors (workload, client conflict, euthanasia), psychological vulnerabilities (depression, perfectionism, burnout), demographic variables (gender, early-career status), and access to lethal means (particularly pentobarbital). Protective elements included peer and social support, job satisfaction, adaptive coping, and indirect secure storage of euthanasia agents. Evidence was limited by the predominance of cross-sectional self-report designs and by restricted geographic coverage.</div></div><div><h3>Conclusions</h3><div>Veterinarians face distinctive pressures that heighten the risk of suicidal ideation, attempts, and death. Multi-level strategies, such as supportive work environments, coping-skills training, peer-support programs, and evaluation of means-restriction policies, should be prioritized. Further longitudinal and cross-national studies are needed to clarify risk trajectories and strengthen preventive action.</div></div>","PeriodicalId":20819,"journal":{"name":"Psychiatry Research","volume":"357 ","pages":"Article 116946"},"PeriodicalIF":3.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927719","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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Psychiatry Research
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