Pub Date : 2024-10-16DOI: 10.1016/s2215-0366(24)00326-2
Michael Sharpe, Jane Walker
No Abstract
无摘要
{"title":"Consultation-liaison psychiatry: how the intervention tested in The HOME Study differs from US practice – Authors' reply","authors":"Michael Sharpe, Jane Walker","doi":"10.1016/s2215-0366(24)00326-2","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00326-2","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"66 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research on structural determinants and mental health in adolescents","authors":"Abigail Casas-Muñoz, Aarón Rodríguez-Caballero, Ángel Eduardo Velasco-Rojano","doi":"10.1016/s2215-0366(24)00322-5","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00322-5","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"27 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/s2215-0366(24)00255-4
Thomas Steare, Sara Evans-Lacko, Mesele Araya, Santiago Cueto, Hai-Anh H Dang, Revathi Ellanki, Emily Garman, Gemma Lewis, Kelly Rose-Clarke, Praveetha Patalay
<h3>Background</h3>Research, mainly conducted in Europe and North America, has shown an inequitable burden of internalising mental health problems among adolescents from poorer households. We investigated whether these mental health inequalities differ across a diverse range of countries and multiple measures of economic circumstances.<h3>Methods</h3>In this longitudinal observational cohort study, we analysed data from studies conducted in eight countries (Australia, Ethiopia, India, Mexico, Peru, South Africa, the UK, and Viet Nam) across five global regions. All studies had self-reported measures of internalising symptoms using a validated scale at two timepoints in adolescence; a measure of household income, household consumption expenditure, or subjective wealth; and data collected between 2000 and 2019. Household income (measured in four countries), consumption expenditure (six countries), and adolescents’ subjective assessment of household wealth (five countries) were measured in mid-adolescence (14–17 years). The primary outcome (internalising symptoms, characterised by negative mood, affect, and anxiety) was measured later in adolescence between age 17 and 19 years. Analyses were linear regression models with adjustment. Effect estimates were added to random-effects meta-analyses to aid understanding of cross-country differences.<h3>Findings</h3>The overall pooled sample of eight studies featured 18 910 adolescents (9568 [50·6%] female and 9342 [49·4%] male). Household income had a small or null association with adolescents’ internalising symptoms. Heterogeneity (<em>I</em><sup>2</sup> statistic) was 71·04%, falling to 39·71% after adjusting for baseline symptoms. Household consumption expenditure had a stronger association with internalising symptoms (decreases of 0·075 SD in Peru [95% CI –0·136 to –0·013], 0·034 SD in South Africa [–0·061 to –0·006], and 0·141 SD in Viet Nam [–0·202 to –0·081] as household consumption expenditure doubled). The <em>I</em><sup>2</sup> statistic was 74·24%, remaining similar at 74·83% after adjusting for baseline symptoms. Adolescents’ subjective wealth was associated with internalising symptoms in four of the five countries where it was measured. The <em>I</em><sup>2</sup> statistic was 57·09% and remained similar after adjusting for baseline symptoms (53·25%). We found evidence for cross-country differences in economic inequalities in adolescents’ internalising symptoms, most prominently for inequalities according to household consumption expenditure. Subjective wealth explained greater variance in symptoms compared with the objective measures.<h3>Interpretation</h3>Our study suggests that economic inequalities in adolescents’ mental health are prevalent in many but not all countries and vary by the economic measure considered. Variation in the magnitude of inequalities suggests that the wider context within countries plays an important role in the development of these inequalities.<h3>Funding</h3>Wellc
背景主要在欧洲和北美进行的研究表明，来自贫困家庭的青少年在内化性心理健康问题上承受着不公平的负担。在这项纵向观察性队列研究中，我们分析了来自全球五个地区八个国家（澳大利亚、埃塞俄比亚、印度、墨西哥、秘鲁、南非、英国和越南）的研究数据。所有研究都使用经过验证的量表对青少年时期两个时间点的内化症状进行了自我报告测量；对家庭收入、家庭消费支出或主观财富进行了测量；并收集了 2000 年至 2019 年期间的数据。家庭收入（在四个国家测量）、消费支出（在六个国家测量）和青少年对家庭财富的主观评估（在五个国家测量）是在青春期中期（14-17 岁）测量的。主要结果（以负面情绪、情感和焦虑为特征的内化症状）是在青春期后期（17 至 19 岁）进行测量的。分析采用调整线性回归模型。研究结果八项研究的总体样本包括18910名青少年（9568名[50-6%]女性和9342名[49-4%]男性）。家庭收入与青少年内化症状的相关性很小或为零。异质性（I2 统计量）为 71-04%，调整基线症状后降至 39-71%。家庭消费支出与内化症状的关系更为密切（随着家庭消费支出增加一倍，秘鲁的下降幅度为 0-075 SD [95% CI -0-136 to -0-013]，南非为 0-034 SD [-0-061 to -0-006]，越南为 0-141 SD [-0-202 to -0-081]）。I2 统计量为 74-24%，调整基线症状后仍为 74-83%。在对青少年主观财富进行测量的五个国家中，有四个国家的青少年主观财富与内化症状相关。I2 统计量为 57-09%，在对基线症状进行调整后（53-25%）保持相似。我们发现有证据表明，在青少年内化症状方面存在经济不平等的跨国差异，其中最突出的是家庭消费支出方面的不平等。我们的研究表明，青少年心理健康方面的经济不平等现象在许多国家都普遍存在，但并非所有国家都是如此，而且因所考虑的经济措施而异。不平等程度的差异表明，国家内部的大环境在这些不平等的形成过程中起着重要作用。
{"title":"Economic inequalities in adolescents’ internalising symptoms: longitudinal evidence from eight countries","authors":"Thomas Steare, Sara Evans-Lacko, Mesele Araya, Santiago Cueto, Hai-Anh H Dang, Revathi Ellanki, Emily Garman, Gemma Lewis, Kelly Rose-Clarke, Praveetha Patalay","doi":"10.1016/s2215-0366(24)00255-4","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00255-4","url":null,"abstract":"<h3>Background</h3>Research, mainly conducted in Europe and North America, has shown an inequitable burden of internalising mental health problems among adolescents from poorer households. We investigated whether these mental health inequalities differ across a diverse range of countries and multiple measures of economic circumstances.<h3>Methods</h3>In this longitudinal observational cohort study, we analysed data from studies conducted in eight countries (Australia, Ethiopia, India, Mexico, Peru, South Africa, the UK, and Viet Nam) across five global regions. All studies had self-reported measures of internalising symptoms using a validated scale at two timepoints in adolescence; a measure of household income, household consumption expenditure, or subjective wealth; and data collected between 2000 and 2019. Household income (measured in four countries), consumption expenditure (six countries), and adolescents’ subjective assessment of household wealth (five countries) were measured in mid-adolescence (14–17 years). The primary outcome (internalising symptoms, characterised by negative mood, affect, and anxiety) was measured later in adolescence between age 17 and 19 years. Analyses were linear regression models with adjustment. Effect estimates were added to random-effects meta-analyses to aid understanding of cross-country differences.<h3>Findings</h3>The overall pooled sample of eight studies featured 18 910 adolescents (9568 [50·6%] female and 9342 [49·4%] male). Household income had a small or null association with adolescents’ internalising symptoms. Heterogeneity (<em>I</em><sup>2</sup> statistic) was 71·04%, falling to 39·71% after adjusting for baseline symptoms. Household consumption expenditure had a stronger association with internalising symptoms (decreases of 0·075 SD in Peru [95% CI –0·136 to –0·013], 0·034 SD in South Africa [–0·061 to –0·006], and 0·141 SD in Viet Nam [–0·202 to –0·081] as household consumption expenditure doubled). The <em>I</em><sup>2</sup> statistic was 74·24%, remaining similar at 74·83% after adjusting for baseline symptoms. Adolescents’ subjective wealth was associated with internalising symptoms in four of the five countries where it was measured. The <em>I</em><sup>2</sup> statistic was 57·09% and remained similar after adjusting for baseline symptoms (53·25%). We found evidence for cross-country differences in economic inequalities in adolescents’ internalising symptoms, most prominently for inequalities according to household consumption expenditure. Subjective wealth explained greater variance in symptoms compared with the objective measures.<h3>Interpretation</h3>Our study suggests that economic inequalities in adolescents’ mental health are prevalent in many but not all countries and vary by the economic measure considered. Variation in the magnitude of inequalities suggests that the wider context within countries plays an important role in the development of these inequalities.<h3>Funding</h3>Wellc","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"59 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/s2215-0366(24)00328-6
Pinchuk I, Leventhal B L, Ladyk-Bryzghalova A, et al. The Lancet Psychiatry Commission on mental health in Ukraine. Lancet Psychiatry 2024; 11: 910–33—In this Commission, the value of the total health-care expenditure of US$ 13·5 per capita given in sentence five in paragraph two of Part 5: Resourcing the future of mental health section is incorrect. The number should be $6·75 per capita. The name of one of the authors should read Mariana Pinto da Costa not Pinto da Costa M. These corrections have been made to the online version as of Oct 15 and the printed version is correct.
Pinchuk I, Leventhal B L, Ladyk-Bryzghalova A, et al. Lancet Psychiatry Commission on mental health in Ukraine.Lancet Psychiatry 2024; 11: 910-33-在该委员会中，第 5 部分：为未来的精神健康提供资源部分第二段第五句中给出的人均 13-5 美元的医疗保健总支出值是不正确的。应为人均 6-75 美元。其中一位作者的姓名应为 Mariana Pinto da Costa，而不是 Pinto da Costa M。这些更正已在 10 月 15 日的在线版本中作出，印刷版本中的内容也是正确的。
{"title":"Correction to Lancet Psychiatry 2024; 11: 910–33","authors":"","doi":"10.1016/s2215-0366(24)00328-6","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00328-6","url":null,"abstract":"<em>Pinchuk I, Leventhal B L, Ladyk-Bryzghalova A, et al. The</em> Lancet Psychiatry <em>Commission on mental health in Ukraine. Lancet Psychiatry 2024; <strong>11:</strong> 910–33</em>—In this Commission, the value of the total health-care expenditure of US$ 13·5 per capita given in sentence five in paragraph two of Part 5: Resourcing the future of mental health section is incorrect. The number should be $6·75 per capita. The name of one of the authors should read Mariana Pinto da Costa not Pinto da Costa M. These corrections have been made to the online version as of Oct 15 and the printed version is correct.","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"27 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/s2215-0366(24)00279-7
Mark A Oldham, Patrick Triplett
No Abstract
无摘要
{"title":"Consultation-liaison psychiatry: how the intervention tested in The HOME Study differs from US practice","authors":"Mark A Oldham, Patrick Triplett","doi":"10.1016/s2215-0366(24)00279-7","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00279-7","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"15 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/s2215-0366(24)00318-3
Talha Burki
No Abstract
无摘要
{"title":"Norbert Skokauskas: research is not just an academic exercise","authors":"Talha Burki","doi":"10.1016/s2215-0366(24)00318-3","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00318-3","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"7 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-16DOI: 10.1016/s2215-0366(24)00291-8
Kira Flinkenflügel, Susanne Meinert, Christopher Hirtsiefer, Dominik Grotegerd, Marius Gruber, Janik Goltermann, Nils R Winter, Frederike Stein, Katharina Brosch, Elisabeth J Leehr, Joscha Böhnlein, Katharina Dohm, Jochen Bauer, Ronny Redlich, Tim Hahn, Jonathan Repple, Nils Opel, Robert Nitsch, Hamidreza Jamalabadi, Benjamin Straube, Udo Dannlowski
<h3>Background</h3>Cognitive deficits are a key source of disability in individuals with major depressive disorder (MDD) and worsen with disease progression. Despite their clinical relevance, the underlying mechanisms of cognitive deficits remain poorly elucidated, hampering effective treatment strategies. Emerging evidence suggests that alterations in white matter microstructure might contribute to cognitive dysfunction in MDD. We aimed to investigate the complex association between changes in white matter integrity, cognitive decline, and disease course in MDD in a comprehensive longitudinal dataset.<h3>Methods</h3>In the naturalistic, observational, prospective, case-control Marburg-Münster Affective Disorders Cohort Study, individuals aged 18–65 years and of Caucasian ancestry were recruited from local psychiatric hospitals in Münster and Marburg, Germany, and newspaper advertisements. Individuals diagnosed with MDD and individuals without any history of psychiatric disorder (ie, healthy controls) were included in this subsample analysis. Participants had diffusion-weighted imaging, a battery of neuropsychological tests, and detailed clinical data collected at baseline and at 2 years of follow-up. We used linear mixed-effect models to compare changes in cognitive performance and white matter integrity between participants with MDD and healthy controls. Diffusion-weighted imaging analyses were conducted using tract-based spatial statistics. To correct for multiple comparisons, threshold free cluster enhancement (TFCE) was used to correct α-values at the family-wise error rate (FWE; p<sub><em>tfce-FWE</em></sub>). Effect sizes were estimated by conditional, partial R<sup>2</sup> values (<em>sr</em><sup>2</sup>) following the Nakagawa and Schielzeth method to quantify explained variance. The association between changes in cognitive performance and changes in white matter integrity was analysed. Finally, we examined whether the depressive disease course between assessments predicted cognitive performance at follow-up and whether white matter integrity mediated this association. People with lived experience were not involved in the research and writing process.<h3>Findings</h3>881 participants were selected for our study, of whom 418 (47%) had MDD (mean age 36·8 years [SD 13·4], 274 [66%] were female, and 144 [34%] were male) and 463 (53%) were healthy controls (mean age 35·6 years [13·5], 295 [64%] were female, and 168 [36%] were male). Baseline assessments were done between Sept 11, 2014, and June 3, 2019, and after a mean follow-up of 2·20 years (SD 0·19), follow-up assessments were done between Oct 6, 2016, and May 31, 2021. Participants with MDD had lower cognitive performance than did healthy controls (p<0·0001, <em>sr</em><sup>2</sup>=0·056), regardless of timepoint. Analyses of diffusion-weighted imaging indicated a significant diagnosis × time interaction with a steeper decline in white matter integrity of the superior longitudinal fas
{"title":"Associations between white matter microstructure and cognitive decline in major depressive disorder versus controls in Germany: a prospective case-control cohort study","authors":"Kira Flinkenflügel, Susanne Meinert, Christopher Hirtsiefer, Dominik Grotegerd, Marius Gruber, Janik Goltermann, Nils R Winter, Frederike Stein, Katharina Brosch, Elisabeth J Leehr, Joscha Böhnlein, Katharina Dohm, Jochen Bauer, Ronny Redlich, Tim Hahn, Jonathan Repple, Nils Opel, Robert Nitsch, Hamidreza Jamalabadi, Benjamin Straube, Udo Dannlowski","doi":"10.1016/s2215-0366(24)00291-8","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00291-8","url":null,"abstract":"<h3>Background</h3>Cognitive deficits are a key source of disability in individuals with major depressive disorder (MDD) and worsen with disease progression. Despite their clinical relevance, the underlying mechanisms of cognitive deficits remain poorly elucidated, hampering effective treatment strategies. Emerging evidence suggests that alterations in white matter microstructure might contribute to cognitive dysfunction in MDD. We aimed to investigate the complex association between changes in white matter integrity, cognitive decline, and disease course in MDD in a comprehensive longitudinal dataset.<h3>Methods</h3>In the naturalistic, observational, prospective, case-control Marburg-Münster Affective Disorders Cohort Study, individuals aged 18–65 years and of Caucasian ancestry were recruited from local psychiatric hospitals in Münster and Marburg, Germany, and newspaper advertisements. Individuals diagnosed with MDD and individuals without any history of psychiatric disorder (ie, healthy controls) were included in this subsample analysis. Participants had diffusion-weighted imaging, a battery of neuropsychological tests, and detailed clinical data collected at baseline and at 2 years of follow-up. We used linear mixed-effect models to compare changes in cognitive performance and white matter integrity between participants with MDD and healthy controls. Diffusion-weighted imaging analyses were conducted using tract-based spatial statistics. To correct for multiple comparisons, threshold free cluster enhancement (TFCE) was used to correct α-values at the family-wise error rate (FWE; p<sub><em>tfce-FWE</em></sub>). Effect sizes were estimated by conditional, partial R<sup>2</sup> values (<em>sr</em><sup>2</sup>) following the Nakagawa and Schielzeth method to quantify explained variance. The association between changes in cognitive performance and changes in white matter integrity was analysed. Finally, we examined whether the depressive disease course between assessments predicted cognitive performance at follow-up and whether white matter integrity mediated this association. People with lived experience were not involved in the research and writing process.<h3>Findings</h3>881 participants were selected for our study, of whom 418 (47%) had MDD (mean age 36·8 years [SD 13·4], 274 [66%] were female, and 144 [34%] were male) and 463 (53%) were healthy controls (mean age 35·6 years [13·5], 295 [64%] were female, and 168 [36%] were male). Baseline assessments were done between Sept 11, 2014, and June 3, 2019, and after a mean follow-up of 2·20 years (SD 0·19), follow-up assessments were done between Oct 6, 2016, and May 31, 2021. Participants with MDD had lower cognitive performance than did healthy controls (p<0·0001, <em>sr</em><sup>2</sup>=0·056), regardless of timepoint. Analyses of diffusion-weighted imaging indicated a significant diagnosis × time interaction with a steeper decline in white matter integrity of the superior longitudinal fas","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"70 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-13DOI: 10.1016/s2215-0366(24)00310-9
Alexander S Hatoum, Christal N Davis, Rachel L Kember, Mandy Johnstone, David W Oslin, Janneke R Zinkstok, Margit Burmeister, Arpana Agrawal, Henry R Kranzler, Howard J Edenberg, Joel Gelernter, Anna R Docherty, Todd Lencz
No Abstract
无摘要
{"title":"Concerns about genetic risk testing for opioid use disorder","authors":"Alexander S Hatoum, Christal N Davis, Rachel L Kember, Mandy Johnstone, David W Oslin, Janneke R Zinkstok, Margit Burmeister, Arpana Agrawal, Henry R Kranzler, Howard J Edenberg, Joel Gelernter, Anna R Docherty, Todd Lencz","doi":"10.1016/s2215-0366(24)00310-9","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00310-9","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"9 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142431449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-09DOI: 10.1016/s2215-0366(24)00254-2
Louise Black, Margarita Panayiotou, Neil Humphrey
Adolescence is a period of change and increased mental health difficulties, which are important for lifetime outcomes. Adolescent mental health is therefore an active research area, with large samples often drawing on self-report general measures (ie, not disorder-specific or focused on a narrow outcome). We argue that these measures have a key role in our understanding of issues such as prevalence, antecedents, prevention, and intervention, however, measurement has been given little attention and high-quality measures do not tend to be available or used. We offer insights into historical and psychometric challenges that have contributed to current problems and highlight the implications of relying on poor measures, which at their worst can be biased and unethical. We make recommendations for research and practice on selecting measures and improving the evidence base and make a call to action to reject low-quality measurement in this field.
{"title":"Estimating adolescent mental health in the general population: current challenges and opportunities","authors":"Louise Black, Margarita Panayiotou, Neil Humphrey","doi":"10.1016/s2215-0366(24)00254-2","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00254-2","url":null,"abstract":"Adolescence is a period of change and increased mental health difficulties, which are important for lifetime outcomes. Adolescent mental health is therefore an active research area, with large samples often drawing on self-report general measures (ie, not disorder-specific or focused on a narrow outcome). We argue that these measures have a key role in our understanding of issues such as prevalence, antecedents, prevention, and intervention, however, measurement has been given little attention and high-quality measures do not tend to be available or used. We offer insights into historical and psychometric challenges that have contributed to current problems and highlight the implications of relying on poor measures, which at their worst can be biased and unethical. We make recommendations for research and practice on selecting measures and improving the evidence base and make a call to action to reject low-quality measurement in this field.","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"122 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142386297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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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