Seung-Hoon Lee, Won Seok William Hyung, Chae En Youn, Suhyuk Chi, HyunChul Youn, Moon-Soo Lee, C. Han, Hyun-Ghang Jeong
Objective The study aimed to analyze and clinically correlate 10-year trends in the demographic characteristics of patients receiving electroconvulsive therapy (ECT) to provide an overview of ECT utilization in South Korea.Methods Using health insurance claims data from 2008 to 2018 retrieved from Health Insurance Review and Assessment Service database in South Korea, we identified individuals undergoing ECT based on procedural codes. Descriptive analysis evaluated baseline clinical characteristics, and trend analysis used a linear regression model.Results The prevalence of ECT increased by 240.49% (0.405/10 5 inhabitants in 2008 to 0.974/10 5 inhabitants in 2018). The increasing trend was more pronounced in younger and older patients. The proportion of women consistently exceeded that of men. A rise in the proportion of patients with affective disorders, and a decrease in the proportion of psychotic disorders was observed. More antidepressants and atypical antipsychotics were prescribed to patients undergoing ECT. The proportion of ECT sessions conducted in large hospital inpatient settings also decreased during the observation period. Despite increasing global trends, ECT prevalence in South Korea remains significantly lower than worldwide rates.Conclusion This study demonstrated an increasing trend of ECT across a wide range of population demographics and in more accessible settings. The comparatively low prevalence of ECT in Korea compared to other countries might be attributed to insufficient mental health literacy and the stigma associated with ECT. Given the elevated suicide rates in Korea, more extensive adoption of ECT appears imperative.
{"title":"Trends in Electroconvulsive Therapy Utilization in South Korea: Health Insurance Review Data From 2008 to 2018","authors":"Seung-Hoon Lee, Won Seok William Hyung, Chae En Youn, Suhyuk Chi, HyunChul Youn, Moon-Soo Lee, C. Han, Hyun-Ghang Jeong","doi":"10.30773/pi.2024.0070","DOIUrl":"https://doi.org/10.30773/pi.2024.0070","url":null,"abstract":"Objective The study aimed to analyze and clinically correlate 10-year trends in the demographic characteristics of patients receiving electroconvulsive therapy (ECT) to provide an overview of ECT utilization in South Korea.Methods Using health insurance claims data from 2008 to 2018 retrieved from Health Insurance Review and Assessment Service database in South Korea, we identified individuals undergoing ECT based on procedural codes. Descriptive analysis evaluated baseline clinical characteristics, and trend analysis used a linear regression model.Results The prevalence of ECT increased by 240.49% (0.405/10 5 inhabitants in 2008 to 0.974/10 5 inhabitants in 2018). The increasing trend was more pronounced in younger and older patients. The proportion of women consistently exceeded that of men. A rise in the proportion of patients with affective disorders, and a decrease in the proportion of psychotic disorders was observed. More antidepressants and atypical antipsychotics were prescribed to patients undergoing ECT. The proportion of ECT sessions conducted in large hospital inpatient settings also decreased during the observation period. Despite increasing global trends, ECT prevalence in South Korea remains significantly lower than worldwide rates.Conclusion This study demonstrated an increasing trend of ECT across a wide range of population demographics and in more accessible settings. The comparatively low prevalence of ECT in Korea compared to other countries might be attributed to insufficient mental health literacy and the stigma associated with ECT. Given the elevated suicide rates in Korea, more extensive adoption of ECT appears imperative.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ki Won Jang, Jiheon Kim, Han Wool Jung, Sang-Kyu Lee, Byung-Joo Park, Hoon-Chul Kang, Chan-Hyung Kim, Hae Kook Lee, D. Roh
Objective The abuse of prescription drugs and over-the-counter medicines has been a major issue addressed as a serious public health problem worldwide. This study explored factors contributing to substance abuse in Korea by examining the status of substance abuse among Korean adults and evaluating their knowledge, attitudes, and intentions toward substance abuse.Methods Data were collected online from a sample of participants 19 years old or older from May 20 to June 1, 2020 (n=1,020). The survey consisted of questions on demographics, perceptions of drug risk, motives for drug use, and attitudes toward drug addiction treatment. Principal component and multiple logistic regression analyses were used to explore the factors contributing to the perception of drug abuse.Results In the multivariate regression analysis, overconfidence in handling drug usage, acceptance of addictive substances, and affirmation of public support for drug abuse were associated with opioid abuse (Nagelkerke R2=0.486), and additionally affirmation of legal cannabis usage and motivation to use diet pills were associated with diet pill abuse (Nagelkerke R2=0.569).Conclusion The findings of this study suggest that the actual situation of substance abuse among Korean adults increases awareness of and attitudes toward drug use related to substance abuse.
{"title":"Public Perception Towards Drug Abuse in South Korea: The Effects of Overconfidence and Affirmation","authors":"Ki Won Jang, Jiheon Kim, Han Wool Jung, Sang-Kyu Lee, Byung-Joo Park, Hoon-Chul Kang, Chan-Hyung Kim, Hae Kook Lee, D. Roh","doi":"10.30773/pi.2023.0328","DOIUrl":"https://doi.org/10.30773/pi.2023.0328","url":null,"abstract":"Objective The abuse of prescription drugs and over-the-counter medicines has been a major issue addressed as a serious public health problem worldwide. This study explored factors contributing to substance abuse in Korea by examining the status of substance abuse among Korean adults and evaluating their knowledge, attitudes, and intentions toward substance abuse.Methods Data were collected online from a sample of participants 19 years old or older from May 20 to June 1, 2020 (n=1,020). The survey consisted of questions on demographics, perceptions of drug risk, motives for drug use, and attitudes toward drug addiction treatment. Principal component and multiple logistic regression analyses were used to explore the factors contributing to the perception of drug abuse.Results In the multivariate regression analysis, overconfidence in handling drug usage, acceptance of addictive substances, and affirmation of public support for drug abuse were associated with opioid abuse (Nagelkerke R2=0.486), and additionally affirmation of legal cannabis usage and motivation to use diet pills were associated with diet pill abuse (Nagelkerke R2=0.569).Conclusion The findings of this study suggest that the actual situation of substance abuse among Korean adults increases awareness of and attitudes toward drug use related to substance abuse.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Si-wen Lv, Yan Sun, Yang Chen, Chen Wang, Xin-hui Xie, Xiao-min Hu, Hong Hong, Lou-Feng Zhang, Nan-nan Zhu, Peng-yv Xie, Li Zhang, Ling Chen, Xiao-ming Kong
Objective Patients with late life depression sometimes refuse to receive electroconvulsive therapy (ECT) owing to its adverse reactions. To alleviate patient’s resistance, a novel ECT stimulation strategy named mixed-strategy ECT (msECT) was designed in which patients are administered conventional ECT during the first three sessions, followed by low energy stimulation during the subsequent sessions. However, whether low energy electrical stimulation in the subsequent stage of therapy affect its efficacy and reduce adverse reactions in patients with late life depression remains unknown. To explore differences between msECT and regular ECT(RECT) with respect to clinical efficacy and side effectsMethods This randomized, controlled trial was conducted from 2019 to 2021 on 60 patients with late life depression who were randomly assigned to two groups: RECT or msECT. A generalized estimating equation (GEE) was used to compare the two stimulation strategies regarding their efficacy and side effects on cognition. Chi-squared test was used to compare side effects in the two strategies.Results In the intent-to-treat group, the GEE model suggested no differences between-group difference in Hamilton Depression Rating Scale-17 score over time (Wald χ2=7.275, p=0.064), whereas the comparison of side effects in the two strategies favored msECT (Wald χ2=8.463, p=0.015) as fewer patients had adverse events during the second phase of treatment with msECT (χ2 =13.467, p=0.004).Conclusion msECT presents its similar efficacy to RECT. msECT may have milder side effects on cognition.
{"title":"Efficacy and Side Effects of Mixed-Strategy Electroconvulsive Therapy: A Proof-of-Concept Randomized Clinical Trial on Late Life Depression","authors":"Si-wen Lv, Yan Sun, Yang Chen, Chen Wang, Xin-hui Xie, Xiao-min Hu, Hong Hong, Lou-Feng Zhang, Nan-nan Zhu, Peng-yv Xie, Li Zhang, Ling Chen, Xiao-ming Kong","doi":"10.30773/pi.2023.0198","DOIUrl":"https://doi.org/10.30773/pi.2023.0198","url":null,"abstract":"Objective Patients with late life depression sometimes refuse to receive electroconvulsive therapy (ECT) owing to its adverse reactions. To alleviate patient’s resistance, a novel ECT stimulation strategy named mixed-strategy ECT (msECT) was designed in which patients are administered conventional ECT during the first three sessions, followed by low energy stimulation during the subsequent sessions. However, whether low energy electrical stimulation in the subsequent stage of therapy affect its efficacy and reduce adverse reactions in patients with late life depression remains unknown. To explore differences between msECT and regular ECT(RECT) with respect to clinical efficacy and side effectsMethods This randomized, controlled trial was conducted from 2019 to 2021 on 60 patients with late life depression who were randomly assigned to two groups: RECT or msECT. A generalized estimating equation (GEE) was used to compare the two stimulation strategies regarding their efficacy and side effects on cognition. Chi-squared test was used to compare side effects in the two strategies.Results In the intent-to-treat group, the GEE model suggested no differences between-group difference in Hamilton Depression Rating Scale-17 score over time (Wald χ2=7.275, p=0.064), whereas the comparison of side effects in the two strategies favored msECT (Wald χ2=8.463, p=0.015) as fewer patients had adverse events during the second phase of treatment with msECT (χ2 =13.467, p=0.004).Conclusion msECT presents its similar efficacy to RECT. msECT may have milder side effects on cognition.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective Positive airway pressure (PAP) compliance is important in treating obstructive sleep apnea. Previous studies have suggested that patients with economic burdens, discomfort using machines, and insufficient education have difficulty tolerating PAP machines. This study explored the factors affecting short-term adherence to PAP in a veterans medical center.Methods The medical records of patients who underwent polysomnography at the Veterans Health Service Medical Center, Seoul, Republic of Korea, between July 2018 and January 2021 were reviewed retrospectively. Patients with an apnea-hypopnea index (AHI) ≥15 were included (n=579). PAP adherence was defined as continuous use for ≥21 days for ≥4 hours daily for 30 consecutive days for 90 days from the date of PAP prescription.Results The PAP-adherent group (n=265, age 66.16±11.28 years) was younger and had more years of education, higher body mass indices, and lower scores in the Insomnia Severity Index and Beck Depression Inventory-II (BDI-II) than those of the PAP-nonadherent group (n=314, age 68.93±10.91 years). Patients who tolerated PAP had a higher AHI, longer duration of oxygen desaturation (less than 90%), and less dream enactment behavior (DEB) than that in those who did not. After adjusting for age, years of education, BDI-II, duration of oxygen desaturation, and presence of DEB, there were more patients with National Health Insurance (NHI) in the PAP-adherent group than in the PAP-nonadherent group (p<0.001).Conclusion We showed that patients with NHI recorded significantly higher adherence compared to that in patients without NHI, among other factors.
目标 气道正压（PAP）的依从性对于治疗阻塞性睡眠呼吸暂停非常重要。以往的研究表明，经济负担重、使用机器不舒适和教育程度不足的患者很难耐受气道正压机。本研究探讨了影响退伍军人医疗中心短期坚持使用 PAP 的因素。方法 回顾性审查了 2018 年 7 月至 2021 年 1 月期间在大韩民国首尔退伍军人健康服务医疗中心接受多导睡眠图检查的患者病历。纳入了呼吸暂停-低通气指数（AHI）≥15 的患者（n=579）。PAP依从性定义为自开具PAP处方之日起，连续使用≥21天，每天≥4小时，连续30天，共90天。结果 PAP依从组（n=265，年龄66.16±11.28岁）与未坚持服用 PAP 组（n=314，年龄为 68.93±10.91岁）相比，年龄更小，受教育年限更长，体重指数更高，失眠严重程度指数和贝克抑郁清单-II（BDI-II）得分更低。与不坚持使用呼吸机的患者相比，坚持使用呼吸机的患者AHI更高，氧饱和度降低（低于90%）的时间更长，梦境行为（DEB）更少。在对年龄、受教育年限、BDI-II、血氧饱和度持续时间和是否存在 DEB 进行调整后，坚持使用呼吸机组中有国民健康保险（NHI）的患者多于不坚持使用呼吸机组（P<0.001）。
{"title":"Challenges of Positive Airway Pressure Treatment for Patients With Obstructive Sleep Apnea at a Veterans Medical Center","authors":"Y. Moon, Jaejong Lee, Hayun Choi","doi":"10.30773/pi.2023.0410","DOIUrl":"https://doi.org/10.30773/pi.2023.0410","url":null,"abstract":"Objective Positive airway pressure (PAP) compliance is important in treating obstructive sleep apnea. Previous studies have suggested that patients with economic burdens, discomfort using machines, and insufficient education have difficulty tolerating PAP machines. This study explored the factors affecting short-term adherence to PAP in a veterans medical center.Methods The medical records of patients who underwent polysomnography at the Veterans Health Service Medical Center, Seoul, Republic of Korea, between July 2018 and January 2021 were reviewed retrospectively. Patients with an apnea-hypopnea index (AHI) ≥15 were included (n=579). PAP adherence was defined as continuous use for ≥21 days for ≥4 hours daily for 30 consecutive days for 90 days from the date of PAP prescription.Results The PAP-adherent group (n=265, age 66.16±11.28 years) was younger and had more years of education, higher body mass indices, and lower scores in the Insomnia Severity Index and Beck Depression Inventory-II (BDI-II) than those of the PAP-nonadherent group (n=314, age 68.93±10.91 years). Patients who tolerated PAP had a higher AHI, longer duration of oxygen desaturation (less than 90%), and less dream enactment behavior (DEB) than that in those who did not. After adjusting for age, years of education, BDI-II, duration of oxygen desaturation, and presence of DEB, there were more patients with National Health Insurance (NHI) in the PAP-adherent group than in the PAP-nonadherent group (p<0.001).Conclusion We showed that patients with NHI recorded significantly higher adherence compared to that in patients without NHI, among other factors.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Se Hyun Kim, Do-Un Jung, Do Hoon Kim, Jung Sik Lee, Kyoung-Uk Lee, Seunghee Won, Bong Ju Lee, Sung-Gon Kim, S. Roh, Jong-Ik Park, Minah Kim, Sung-Won Jung, Hong Seok Oh, Han-yong Jung, Sang Hoon Kim, Hyun Seung Chee, Jong-Woo Paik, Kyu Young Lee, Soo In Kim, Seung-Hwan Lee, E. Cheon, Hye-Geum Kim, Heon-Jeong Lee, In-Won Chung, J. Choi, Min-Hyuk Kim, Seong-Jin Cho, HyunChul Youn, J. Chang, Hoo Rim Song, Euitae Kim, Won-Hyoung Kim, Chul Eung Kim, Doo-Heum Park, Byung-Ook Lee, Jungsun Lee, Seung-Yup Lee, Nuree Kang, Hee Yeon Jung
Objective This study was performed to evaluate the efficacy and safety of lurasidone (160 mg/day) compared to quetiapine XR (QXR; 600 mg/day) in the treatment of acutely psychotic patients with schizophrenia.Methods Patients were randomly assigned to 6 weeks of double-blind treatment with lurasidone 160 mg/day (n=105) or QXR 600 mg/day (n=105). Primary efficacy measure was the change from baseline to week 6 in Positive and Negative Syndrome Scale (PANSS) total score and Clinical Global Impressions severity (CGI-S) score. Adverse events, body measurements, and laboratory parameters were assessed.Results Lurasidone demonstrated non-inferiority to QXR on the PANSS total score. Adjusted mean±standard error change at week 6 on the PANSS total score was -26.42±2.02 and -27.33±2.01 in the lurasidone and QXR group, respectively. The mean difference score was -0.91 (95% confidence interval -6.35–4.53). The lurasidone group showed a greater reduction in PANSS total and negative subscale on week 1 and a greater reduction in end-point CGI-S score compared to the QXR group. Body weight, body mass index, and waist circumference in the lurasidone group were reduced, with significantly lower mean change compared to QXR. Endpoint changes in glucose, cholesterol, triglycerides, and low-density lipoprotein levels were also significantly lower. The most common adverse drug reactions with lurasidone were akathisia and nausea.Conclusion Lurasidone 160 mg/day was found to be non-inferior to QXR 600 mg/day in the treatment of schizophrenia with comparable efficacy and tolerability. Adverse effects of lurasidone were generally tolerable, and beneficial effects on metabolic parameters can be expected.
{"title":"Efficacy and Safety of Lurasidone vs. Quetiapine XR in Acutely Psychotic Patients With Schizophrenia in Korea: A Randomized, Double-Blind, Active-Controlled Trial","authors":"Se Hyun Kim, Do-Un Jung, Do Hoon Kim, Jung Sik Lee, Kyoung-Uk Lee, Seunghee Won, Bong Ju Lee, Sung-Gon Kim, S. Roh, Jong-Ik Park, Minah Kim, Sung-Won Jung, Hong Seok Oh, Han-yong Jung, Sang Hoon Kim, Hyun Seung Chee, Jong-Woo Paik, Kyu Young Lee, Soo In Kim, Seung-Hwan Lee, E. Cheon, Hye-Geum Kim, Heon-Jeong Lee, In-Won Chung, J. Choi, Min-Hyuk Kim, Seong-Jin Cho, HyunChul Youn, J. Chang, Hoo Rim Song, Euitae Kim, Won-Hyoung Kim, Chul Eung Kim, Doo-Heum Park, Byung-Ook Lee, Jungsun Lee, Seung-Yup Lee, Nuree Kang, Hee Yeon Jung","doi":"10.30773/pi.2024.0052","DOIUrl":"https://doi.org/10.30773/pi.2024.0052","url":null,"abstract":"Objective This study was performed to evaluate the efficacy and safety of lurasidone (160 mg/day) compared to quetiapine XR (QXR; 600 mg/day) in the treatment of acutely psychotic patients with schizophrenia.Methods Patients were randomly assigned to 6 weeks of double-blind treatment with lurasidone 160 mg/day (n=105) or QXR 600 mg/day (n=105). Primary efficacy measure was the change from baseline to week 6 in Positive and Negative Syndrome Scale (PANSS) total score and Clinical Global Impressions severity (CGI-S) score. Adverse events, body measurements, and laboratory parameters were assessed.Results Lurasidone demonstrated non-inferiority to QXR on the PANSS total score. Adjusted mean±standard error change at week 6 on the PANSS total score was -26.42±2.02 and -27.33±2.01 in the lurasidone and QXR group, respectively. The mean difference score was -0.91 (95% confidence interval -6.35–4.53). The lurasidone group showed a greater reduction in PANSS total and negative subscale on week 1 and a greater reduction in end-point CGI-S score compared to the QXR group. Body weight, body mass index, and waist circumference in the lurasidone group were reduced, with significantly lower mean change compared to QXR. Endpoint changes in glucose, cholesterol, triglycerides, and low-density lipoprotein levels were also significantly lower. The most common adverse drug reactions with lurasidone were akathisia and nausea.Conclusion Lurasidone 160 mg/day was found to be non-inferior to QXR 600 mg/day in the treatment of schizophrenia with comparable efficacy and tolerability. Adverse effects of lurasidone were generally tolerable, and beneficial effects on metabolic parameters can be expected.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective To explore the associations between childhood trauma, alexithymia, rumination, and non-suicidal self-injury (NSSI) among adolescents and to provide theoretical and empirical evidence for effective prevention, identification, and intervention of NSSI in the future.Methods Questionnaires, including the Childhood Trauma Questionnaire, the twenty-item Toronto Alexithymia scale, the Ruminative Responses Scale, and the Adolescents Self-Harm Scale, were given to 1,270 Chinese teenagers. The mediating role was simulated utilizing Amos 24.0.Results The Pearson’s product-difference correlation analyses indicated the two-by-two significant correlations between childhood trauma, alexithymia, rumination, and NSSI. The structural equation modeling suggests that alexithymia and rumination partially mediate between childhood trauma and NSSI in teenagers, respectively. Additionally, it reveals that alexithymia and rumination chain mediate between childhood trauma and NSSI.Conclusion The study confirms the impact of childhood trauma on adolescents’ NSSI and also highlights the mediating role of alexithymia and rumination between the two. This study enriches the findings of NSSI and provides a theoretical basis for preventing and intervening in dysfunctional behaviors among adolescents.
{"title":"Childhood Trauma and Non-Suicidal Self-Injury Among Chinese Adolescents: The Chain-Mediated Role of Alexithymia and Rumination","authors":"Qiaoling Wang","doi":"10.30773/pi.2024.0041","DOIUrl":"https://doi.org/10.30773/pi.2024.0041","url":null,"abstract":"Objective To explore the associations between childhood trauma, alexithymia, rumination, and non-suicidal self-injury (NSSI) among adolescents and to provide theoretical and empirical evidence for effective prevention, identification, and intervention of NSSI in the future.Methods Questionnaires, including the Childhood Trauma Questionnaire, the twenty-item Toronto Alexithymia scale, the Ruminative Responses Scale, and the Adolescents Self-Harm Scale, were given to 1,270 Chinese teenagers. The mediating role was simulated utilizing Amos 24.0.Results The Pearson’s product-difference correlation analyses indicated the two-by-two significant correlations between childhood trauma, alexithymia, rumination, and NSSI. The structural equation modeling suggests that alexithymia and rumination partially mediate between childhood trauma and NSSI in teenagers, respectively. Additionally, it reveals that alexithymia and rumination chain mediate between childhood trauma and NSSI.Conclusion The study confirms the impact of childhood trauma on adolescents’ NSSI and also highlights the mediating role of alexithymia and rumination between the two. This study enriches the findings of NSSI and provides a theoretical basis for preventing and intervening in dysfunctional behaviors among adolescents.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141804271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective In South Korea, there were 12,906 suicides in 2022. This number is 4.7 times higher than the number of traffic accident deaths—i.e., 2,753—in the same year. Suicide is so serious that it is the fifth leading cause of death in South Korea. We would like to discuss how the National Assembly Suicide Prevention Forum was established, what role it has played in preventing suicide, and what role it should play in the future.Methods We will look into the representatives and lawmakers who made up the National Assembly Suicide Prevention and summarize the topics of seminars conducted in each period.Results Through the establishment of the National Assembly Suicide Prevention Forum in 2018, which is referred to hereafter as the “Forum,” various efforts have been made to garner the attention of government ministries, which has led to an increase of 6.7 times in the budget for suicide prevention compared to 2017. With the launch of the forum, private organizations that had previously been working independently in their own fields were able to come together and speak with a unified voice. The formation of the Forum has brought the issue of suicide, which had previously been buried in the dark corners of our society, to the forefront as a social problem, and it has provided an impetus for seeking solutions.Conclusion In the 22nd National Assembly of South Korea, the National Assembly Suicide Prevention Forum is expected to play a more prominent role, which is expected to lead to substantial achievements in suicide prevention.
{"title":"The Role and Future Tasks of the National Assembly Suicide Prevention Forum - Focusing on the Legislative Content of Suicide Prevention Laws -","authors":"Youn-Ho Lee, Jong-Woo Paik, Hwa-Young Lee","doi":"10.30773/pi.2024.0184","DOIUrl":"https://doi.org/10.30773/pi.2024.0184","url":null,"abstract":"Objective In South Korea, there were 12,906 suicides in 2022. This number is 4.7 times higher than the number of traffic accident deaths—i.e., 2,753—in the same year. Suicide is so serious that it is the fifth leading cause of death in South Korea. We would like to discuss how the National Assembly Suicide Prevention Forum was established, what role it has played in preventing suicide, and what role it should play in the future.Methods We will look into the representatives and lawmakers who made up the National Assembly Suicide Prevention and summarize the topics of seminars conducted in each period.Results Through the establishment of the National Assembly Suicide Prevention Forum in 2018, which is referred to hereafter as the “Forum,” various efforts have been made to garner the attention of government ministries, which has led to an increase of 6.7 times in the budget for suicide prevention compared to 2017. With the launch of the forum, private organizations that had previously been working independently in their own fields were able to come together and speak with a unified voice. The formation of the Forum has brought the issue of suicide, which had previously been buried in the dark corners of our society, to the forefront as a social problem, and it has provided an impetus for seeking solutions.Conclusion In the 22nd National Assembly of South Korea, the National Assembly Suicide Prevention Forum is expected to play a more prominent role, which is expected to lead to substantial achievements in suicide prevention.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wanling Zhang, Liwen Jiang, Minglan Yu, Rong Ma, Tingting Wang, Xuemei Liang, Rongfang He, Chun Xu, Shasha Hu, Youguo Tan, Kezhi Liu, Bo Xiang
Objective Previous research has explored a variety of mental disorders associated with Internet Gaming Disoder (IGD) and Social Media Addiction (SMA). To date, few studies focused on the network characteristics and investigated mood and sleep symptoms across SMA and IGD of adolescence at a group-specific level. This study aims to identify different characteristics of IGD and SMA and further determine the group-specific psychopathology process among adolescents.Methods We conducted a cross-sectional study to recruit a cohort of 7,246 adolescents who were scored passing the cutoff point of Internet Gaming Disorder Scale-Short Form and Bergen Social Media Addiction Scale, as grouped in IGD and SMA, or otherwise into the control group. Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item, and Pittsburgh Sleep Quality Index were assessed for the current study, and all assessed items were investigated using network analysis.Results Based on the analytical procedure, the participants were divided into three groups, the IGD group (n=789), SMA group (n=713) and control group (n=5,744). The edge weight bootstrapping analysis shows that different groups of networks reach certain accuracy, and the network structures of the three groups are statistically different (pcontrol-IGD=0.004, pcontrol-SMA<0.001, pIGD-SMA<0.001). The core symptom of SMA is “feeling down, depressed, or hopeless”, while IGD is “feeling tired or having little energy”.Conclusion Although IGD and SMA are both subtypes of internet addiction, the psychopathology processes of IGD and SMA are different. When dealing with IGD and SMA, different symptoms should be addressed.
目的 以往的研究探讨了与网络游戏成瘾（IGD）和社交媒体成瘾（SMA）相关的各种精神障碍。迄今为止，很少有研究关注网络特征，并在特定群体水平上调查青少年 SMA 和 IGD 的情绪和睡眠症状。本研究旨在识别 IGD 和 SMA 的不同特征，并进一步确定青少年群体特有的精神病理学过程。方法 我们进行了一项横断面研究，招募了 7,246 名青少年，这些青少年的网络游戏障碍量表-简表和卑尔根社交媒体成瘾量表得分均超过了临界点，被分为 IGD 和 SMA 两组，或被分为对照组。本次研究对患者健康问卷-9、广泛性焦虑症 7 项和匹兹堡睡眠质量指数进行了评估，并对所有评估项目进行了网络分析。边缘权重引导分析表明，不同组别的网络达到了一定的精确度，三组的网络结构存在统计学差异（pcontrol-IGD=0.004，pcontrol-SMA<0.001，pIGD-SMA<0.001）。SMA 的核心症状是 "感到沮丧、抑郁或绝望"，而 IGD 的核心症状是 "感到疲倦或精力不足"。在处理 IGD 和 SMA 时，应针对不同的症状。
{"title":"Different Characteristics of Psychological and Sleep Symptoms Across Social Media Addiction and Internet Gaming Disorder in Chinese Adolescents- A Network Analysis","authors":"Wanling Zhang, Liwen Jiang, Minglan Yu, Rong Ma, Tingting Wang, Xuemei Liang, Rongfang He, Chun Xu, Shasha Hu, Youguo Tan, Kezhi Liu, Bo Xiang","doi":"10.30773/pi.2023.0103","DOIUrl":"https://doi.org/10.30773/pi.2023.0103","url":null,"abstract":"Objective Previous research has explored a variety of mental disorders associated with Internet Gaming Disoder (IGD) and Social Media Addiction (SMA). To date, few studies focused on the network characteristics and investigated mood and sleep symptoms across SMA and IGD of adolescence at a group-specific level. This study aims to identify different characteristics of IGD and SMA and further determine the group-specific psychopathology process among adolescents.Methods We conducted a cross-sectional study to recruit a cohort of 7,246 adolescents who were scored passing the cutoff point of Internet Gaming Disorder Scale-Short Form and Bergen Social Media Addiction Scale, as grouped in IGD and SMA, or otherwise into the control group. Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item, and Pittsburgh Sleep Quality Index were assessed for the current study, and all assessed items were investigated using network analysis.Results Based on the analytical procedure, the participants were divided into three groups, the IGD group (n=789), SMA group (n=713) and control group (n=5,744). The edge weight bootstrapping analysis shows that different groups of networks reach certain accuracy, and the network structures of the three groups are statistically different (pcontrol-IGD=0.004, pcontrol-SMA<0.001, pIGD-SMA<0.001). The core symptom of SMA is “feeling down, depressed, or hopeless”, while IGD is “feeling tired or having little energy”.Conclusion Although IGD and SMA are both subtypes of internet addiction, the psychopathology processes of IGD and SMA are different. When dealing with IGD and SMA, different symptoms should be addressed.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sang-Wook Park, Hayeong Choi, E. Na, Hong Seok Oh, S. Roh, Sang Kyu Lee
Objective Various patient placement criteria (PPC) have been developed to address alcohol use disorder (AUD), which has a high relapse rate and imposes substantial socioeconomic costs. Although research has shown PPC to be an effective tool, evidence supporting the Korean-PPC (K-PPC) is insufficient. This paper investigated whether treatment matching with the K-PPC was effective, based on variables related to AUD.Methods In total, 524 participants were evaluated using the 6 dimensions of the K-PPC and levels of care (LoC) were recommended based on the results. Participants whose treatment matched with the recommended LoC were classified into the matched group, and those whose treatment did not match were classified into the mismatched group. Subsequently, treatment was planned according to the determined LoC, and a total of 3 follow-up evaluations were conducted at 1 month, 3 months, and 6 months.Results There was no significant difference in the follow-up rate between the K-PPC matched group and the mismatched group. Of the variables measured by the 6 dimensions of the K-PPC, alcohol-related variables, depression, insight, and biomedical outcomes showed the most significant results (especially alcohol-related variables) from the baseline evaluation to the 6-month follow-up. In addition, the average adherence to the treatment program in the 6-month period was found to be higher in the matched group than in the mismatched group.Conclusion The K-PPC could be effective for placing patients and providing treatment by matching patient characteristics. Enhancing treatment program retention can also have a positive effect on clinical outcomes.
{"title":"Effectiveness of the Korean-Patient Placement Criteria for Alcohol Use Disorders: A Prospective Exploratory Study","authors":"Sang-Wook Park, Hayeong Choi, E. Na, Hong Seok Oh, S. Roh, Sang Kyu Lee","doi":"10.30773/pi.2023.0314","DOIUrl":"https://doi.org/10.30773/pi.2023.0314","url":null,"abstract":"Objective Various patient placement criteria (PPC) have been developed to address alcohol use disorder (AUD), which has a high relapse rate and imposes substantial socioeconomic costs. Although research has shown PPC to be an effective tool, evidence supporting the Korean-PPC (K-PPC) is insufficient. This paper investigated whether treatment matching with the K-PPC was effective, based on variables related to AUD.Methods In total, 524 participants were evaluated using the 6 dimensions of the K-PPC and levels of care (LoC) were recommended based on the results. Participants whose treatment matched with the recommended LoC were classified into the matched group, and those whose treatment did not match were classified into the mismatched group. Subsequently, treatment was planned according to the determined LoC, and a total of 3 follow-up evaluations were conducted at 1 month, 3 months, and 6 months.Results There was no significant difference in the follow-up rate between the K-PPC matched group and the mismatched group. Of the variables measured by the 6 dimensions of the K-PPC, alcohol-related variables, depression, insight, and biomedical outcomes showed the most significant results (especially alcohol-related variables) from the baseline evaluation to the 6-month follow-up. In addition, the average adherence to the treatment program in the 6-month period was found to be higher in the matched group than in the mismatched group.Conclusion The K-PPC could be effective for placing patients and providing treatment by matching patient characteristics. Enhancing treatment program retention can also have a positive effect on clinical outcomes.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141802446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective This study aimed to explore the psychiatric symptoms and associated risk and protective factors among religious adolescents after 2-month home confinement against coronavirus disease-2019 (COVID-19) in China.Methods 11,603 Chinese adolescents in grades 7–9 were recruited in this survey. An online survey was designed to collect the data. Participants were measured using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 Scale.Results Religious adolescents showed significantly more severe depressive and anxiety symptoms compared to non-religious. 249 (2.2%) reported COVID-19 exposure. Logistic regression analysis revealed that religiosity was a risk factor for the symptoms of depression (p=0.001) and anxiety (p<0.001). Moreover, among those adolescents with religious beliefs, psychological resilience was protective in preventing depressive and anxiety symptoms. At the same time, emotional abuse, emotional neglect, and a poor parent-child relationship were risk factors.Conclusion Our finding indicates that religious adolescents easily develop depressive and anxiety symptoms, compared to non-religious adolescents. Moreover, those with emotional abuse, emotional abuse, and poor parent-child relationships are more likely to suffer from mental distress and should pay more attention to cope with their mental health.
{"title":"The Relationship Between Religious Beliefs and Related Factors and Psychiatric Symptoms in Adolescents: A Cross-Sectional Secondary Analysis of Data From NIPHEAC, 2020","authors":"Meihong Xiu, Feng Yu, Hongxin Lu, Pingping Wang, Miao Qu","doi":"10.30773/pi.2023.0124","DOIUrl":"https://doi.org/10.30773/pi.2023.0124","url":null,"abstract":"Objective This study aimed to explore the psychiatric symptoms and associated risk and protective factors among religious adolescents after 2-month home confinement against coronavirus disease-2019 (COVID-19) in China.Methods 11,603 Chinese adolescents in grades 7–9 were recruited in this survey. An online survey was designed to collect the data. Participants were measured using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 Scale.Results Religious adolescents showed significantly more severe depressive and anxiety symptoms compared to non-religious. 249 (2.2%) reported COVID-19 exposure. Logistic regression analysis revealed that religiosity was a risk factor for the symptoms of depression (p=0.001) and anxiety (p<0.001). Moreover, among those adolescents with religious beliefs, psychological resilience was protective in preventing depressive and anxiety symptoms. At the same time, emotional abuse, emotional neglect, and a poor parent-child relationship were risk factors.Conclusion Our finding indicates that religious adolescents easily develop depressive and anxiety symptoms, compared to non-religious adolescents. Moreover, those with emotional abuse, emotional abuse, and poor parent-child relationships are more likely to suffer from mental distress and should pay more attention to cope with their mental health.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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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