Journal of Psychosomatic Research最新文献

{"title":"Age, sex and mental distress as predictors of rate and deterioration of persistent physical symptoms over three and six years in a general population","authors":"Karl Fjellborg ,&nbsp;Clara Cervin ,&nbsp;Michael Witthöft ,&nbsp;Ferenc Köteles ,&nbsp;Steven Nordin","doi":"10.1016/j.jpsychores.2025.112505","DOIUrl":"10.1016/j.jpsychores.2025.112505","url":null,"abstract":"<div><h3>Background</h3><div>Better understanding for persistent physical symptoms (PPS) may improve prevention of symptoms from becoming persistent and deteriorating over time. This study tested the hypotheses of age and level of mental distress symptoms of anxiety, depression, sleep disturbance and burnout statistically predicting rate of PPS and deterioration of PPS over three and six years in a general adult population. We also addressed whether sex is associated with these two aspects of PPS.</div></div><div><h3>Method</h3><div>A population-based sample (<em>n</em> = 1837) aged 18–79 years from Västerbotten in Sweden was used. Longitudinal data were collected based on the 15-item Patient Health Questionnaire for PPS assessment as well as other validated questionnaire instruments at baseline and 3- and 6-year follow-up. Deterioration was assessed with the reliable change index paradigm. Chi-square tests and analyses of covariance were applied.</div></div><div><h3>Results</h3><div>Old age was found to statistically predict deterioration, but not long-term rate, of PPS over three and six years, and female sex to predict rate, but not deterioration. Symptom levels of all four types of mental distress predicted both PPS rate (η² = 0.097–0.202) and deterioration (η² = 0.007–0.023) over both three and six years. When controlling for the other three types of mental distress, sleep disturbance, and in particular burnout, explained most unique variance in predicting rate and deterioration.</div></div><div><h3>Conclusions</h3><div>The findings encourage healthcare professionals to assess PPS at an early stage, especially in persons at old age, in women and in patients with mental distress.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112505"},"PeriodicalIF":3.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797685","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}

{"title":"A longitudinal latent class analysis of health-related quality of life post pelvic fractures; the BIOS cohort study","authors":"Maartje L.V. Kusters ,&nbsp;Nina Kupper ,&nbsp;Lars Brouwers ,&nbsp;Mariska A.C. de Jongh","doi":"10.1016/j.jpsychores.2025.112504","DOIUrl":"10.1016/j.jpsychores.2025.112504","url":null,"abstract":"<div><h3>Background</h3><div>The objective of this study was to identify latent profiles in the HRQoL recovery of patients with pelvic fractures and examine demographic, psychological, and medical determinants.</div></div><div><h3>Methods</h3><div>184 patients (M_age = 58.3 ± 16.9, 59 % male) from the BIOS study were included. HRQoL was assessed six times across two years. At 1-week post-injury, additional pre-injury HRQoL (EQ-5D-3L), psychological (HADS, IES), and functional (MPS, MAHS) measures were assessed. A 3-step repeated measures latent class analysis (RMLCA) identified latent profiles in HRQoL and examined their correlates.</div></div><div><h3>Results</h3><div>Four similar recovery profiles for the EQ-5D domains of VAS, mobility, and usual activities were identified: low/poor, intermediate/partial, high/full, and prominent improvement/fast &amp; full recovery. For the EQ-5D domains of pain/discomfort, self-care, and anxiety/depression, three similar profiles were identified: poor recovery, partial recovery/intermediate problems, and full recovery/ no pain. Higher emotional distress, comorbidities, and complications were associated with the <em>low</em> VAS profile. Older age, pelvic ring fracture, pelvic surgery, higher ISS, lower emotional distress, and higher pre-injury HRQoL levels were associated with the <em>prominent improvement</em> VAS profile. Better physical functioning was associated with the <em>intermediate</em> and <em>high</em> VAS profiles.</div></div><div><h3>Conclusions</h3><div>Results unveiled person-level heterogeneity evidenced by the four latent recovery trajectories of HRQoL following pelvic fracture and their distinct associated covariates, among which psychological functioning, which significantly contributed to HRQoL recovery. Future research should focus on the development of adequate screening tools facilitating decision-making applications which in turn can optimize personalized treatment programs. The current findings offer valuable insights to aid in this developmental process<strong>.</strong></div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112504"},"PeriodicalIF":3.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797687","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}

{"title":"Personality traits as predictors of self-care agency in women with gynecological cancers: Cross-sectional study","authors":"Huri Çolu ,&nbsp;Elif Uludağ","doi":"10.1016/j.jpsychores.2025.112503","DOIUrl":"10.1016/j.jpsychores.2025.112503","url":null,"abstract":"<div><h3>Background</h3><div>Gynecological cancers present a dual burden of physiological and psychosocial distress. Self-care agency defined as an individual's capacity to initiate and maintain health-related behaviors is critical for optimizing well-being in cancer patients. While psychological factors, particularly personality traits, are known to influence self-care in chronic illnesses, their role in gynecological oncology remains underexplored. This study aimed to determine whether personality traits predict self-care agency among women with gynecological cancers.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional design was employed with 200 women recruited via convenience sampling. Data were collected using a demographic form, the Cervantes Personality Scale, and the Exercise of Self-Care Agency Scale. Simple linear regression analyses examined the predictive value of personality subscales on self-care agency.</div></div><div><h3>Results</h3><div>Personality traits were found to be significant predictors of self-care agency. Extroversion, emotional stability, and consistency explained 37.5 %, 20.1 %, and 30.4 % of the variance in self-care agency, respectively (<em>p</em> &lt; 0.05). Women with higher levels of these traits demonstrated greater self-care capacity, while introversion, neuroticism, and inconsistency were linked to reduced self-care agency.</div></div><div><h3>Conclusions</h3><div>This study highlights the significant role of personality traits in influencing self-care agency in this population. Tailoring supportive care to address individual personality characteristics may improve self-management and overall treatment outcomes. Incorporating psychosocial assessments into routine care and developing targeted interventions could enhance quality of life. Future research should focus on intervention studies to validate these approaches and optimize personalized care strategies in gynecological oncology.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112503"},"PeriodicalIF":3.3,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797686","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}

{"title":"Corrigendum to \"Functional neuroimaging in patients with catatonia: A systematic review\". [Journal of Psychosomatic Research. 179 (2024) 111640].","authors":"Laura Duque, Mohammad Ghafouri, Nicolas A Nunez, Juan Pablo Ospina, Kemuel L Philbrick, John D Port, Rodolfo Savica, Larry J Prokop, Teresa A Rummans, Balwinder Singh","doi":"10.1016/j.jpsychores.2025.112497","DOIUrl":"https://doi.org/10.1016/j.jpsychores.2025.112497","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":" ","pages":"112497"},"PeriodicalIF":3.3,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769718","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}

{"title":"Biopsychosocial factors associated with distress in people with suspected postural orthostatic tachycardia syndrome (POTS): A longitudinal regression and correlation study","authors":"Iris Knoop ,&nbsp;Annie S.K. Jones ,&nbsp;Sam Norton ,&nbsp;Nicholas Gall ,&nbsp;Rona Moss-Morris","doi":"10.1016/j.jpsychores.2025.112499","DOIUrl":"10.1016/j.jpsychores.2025.112499","url":null,"abstract":"<div><h3>Purpose</h3><div>Postural Orthostatic Tachycardia Syndrome (POTS) is a debilitating condition of the autonomic nervous system with no clear referral, diagnosis, and treatment pathways. Patients experience high levels of symptoms and moderate levels of distress. The purpose of this study was to explore biopsychosocial factors associated with distress in those under investigation for POTS, to identify potential targets for intervention.</div></div><div><h3>Methods</h3><div>A longitudinal, quantitative survey. Participants (<em>n</em> = 149) completed demographic, psychosocial, and symptom questionnaires prior to a diagnostic POTS clinic visit and 6 months follow-up (<em>n</em> = 98). Correlation and regression analyses were used to identify factors associated with distress at baseline (within one month before diagnostic hospital visit) and at 6 months follow up.</div></div><div><h3>Results</h3><div>At baseline, distress levels were moderate and greater symptom focusing, all-or-nothing and avoidance behaviours, threatening views of the illness, emotional reactivity, cardiac anxiety, POTS symptoms, number of specialists seen, lower social support, and younger age were significantly associated with higher levels of baseline distress. The baseline regression model including all demographic, clinical, and psychosocial factors explained 61.2 % of the variance in distress, with the psychosocial variables collectively explaining 55.6 % of this variance (F = 11.06, <em>p</em> &lt; .001). There was no significant difference between distress levels at baseline and follow-up. Psychosocial variables explained 4.7 % of the variance (F = 0.76, <em>p</em> = .665) in changes in distress scores over 6 months. Baseline distress scores accounted for the vast majority of variance in distress at follow-up.</div></div><div><h3>Conclusions</h3><div>This study identified key novel psychosocial factors that were significantly associated with distress which could be potential targets for intervention. Additional factors such as younger age and a higher number of specialists seen were also associated with higher levels of distress, which merits attention when assessing patients' psychological wellbeing this patient group. Distress levels did not significantly change following the specialist consultation and investigation.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112499"},"PeriodicalIF":3.3,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776321","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}

{"title":"Preoperative sleep quality and anxiety as predictors of postoperative pain and recovery in Gynecologic oncology surgery: A prospective observational study","authors":"Celal Akdemir ,&nbsp;Suna Aşkın Turan ,&nbsp;Mücahit Furkan Balcı ,&nbsp;Süleyman Özen ,&nbsp;Nefise Şeker ,&nbsp;Denizhan Bayramoğlu ,&nbsp;Zeynep Bayramoğlu ,&nbsp;Muzaffer Sancı","doi":"10.1016/j.jpsychores.2025.112496","DOIUrl":"10.1016/j.jpsychores.2025.112496","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluated associations between preoperative sleep quality, anxiety, and short-term postoperative outcomes in patients undergoing gynecologic oncology surgery.</div></div><div><h3>Methods</h3><div>This prospective observational study included 72 women undergoing open gynecologic cancer surgery. Preoperative sleep quality and anxiety were assessed 24–48 h before surgery using the Pittsburgh Sleep Quality Index (PSQI) and the Beck Anxiety Inventory (BAI). Postoperative pain was measured using the Numerical Rating Scale (NRS) at 0, 4, 8, 12, and 24 h. Complications, rescue analgesia use, and length of stay were recorded.</div></div><div><h3>Results</h3><div>Poor sleep quality (%31.9) and clinically significant anxiety (%19.4) were both associated with higher mean postoperative pain scores (PSQI ≥5: 6.3 ± 1.2 vs 5.1 ± 1.3, <em>p</em> = 0.002; BAI ≥16: 6.5 ± 1.1 vs 5.2 ± 1.4, <em>p</em> = 0.001). In adjusted analyses, higher PSQI (β = 0.112, 95 % CI 0.039–0.185, <em>p</em> = 0.003) and higher BAI scores (β = 0.044, 95 % CI 0.023–0.065, <em>p</em> &lt; 0.001) remained significantly associated with increased mean pain. Poor sleep quality was also linked to longer hospitalization (4 vs 3 days, <em>p</em> &lt; 0.001) and higher complication rates (%52.2 vs %12.2, p &lt; 0.001). Elevated anxiety was similarly associated with higher complication rates (%57.1 vs %17.2, <em>p</em> = 0.004) and more frequent rescue analgesia use (%64.3 vs %29.3, <em>p</em> = 0.014).</div></div><div><h3>Conclusion</h3><div>Preoperative sleep disturbances and anxiety are significantly associated with worse postoperative pain, higher complication rates, and prolonged recovery; routine screening and targeted interventions may therefore improve surgical outcomes.</div></div><div><h3>Trial registration</h3><div>The study was retrospectively registered at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (Identifier: <span><span>NCT07036549</span><svg><path></path></svg></span>) on June 24, 2025.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112496"},"PeriodicalIF":3.3,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748514","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}

{"title":"Prevalence of self-reported sensitivities to various environmental factors in Germany, Sweden, and Finland based on multiple classification criteria","authors":"Ferenc Köteles ,&nbsp;Michael Witthöft ,&nbsp;Anne-Kathrin Bräscher ,&nbsp;Josef Bailer ,&nbsp;Steven Nordin","doi":"10.1016/j.jpsychores.2025.112495","DOIUrl":"10.1016/j.jpsychores.2025.112495","url":null,"abstract":"<div><h3>Objective</h3><div>Our knowledge on the prevalence of self-reported sensitivities to environmental factors is poor. The lack of accepted criteria/assessment makes findings of different studies difficult to compare; the way of assessment might play a role in the reported prevalence rates. The present study aimed to report the prevalence rates of five environmental sensitivities for the German general population, to compare three of them with Swedish and Finnish data, and to demonstrate the impact of strictness of criterion on the results.</div></div><div><h3>Methods</h3><div>Data from a German (<em>n</em> = 2515), a Swedish (<em>n</em> = 3253) and a Finnish (<em>n</em> = 1467) population-based survey was used. Sentitivities were rated on ordinal scales in all samples.</div></div><div><h3>Results</h3><div>In the German sample, about 25 % of participants reported mild reactions to sounds, chemicals, and buildings, and about 10 % to electromagnetic fields (EMFs) and wind turbines, with a similar pattern for strong reactions, but with proportions of 1–2 %. Data from the Nordic countries show consistent similarities between these two countries, with prevalences exceeding 34 % for mild reactions to chemicals and sounds and about 5 % to EMFs, with a similar pattern for strong reactions, but with proportions of 1–8 %. Prevalence of sensitivity to EMFs was higher, whereas prevalence of sensitivity to chemicals and sounds was lower in Germany. Classification criteria significantly impacted the reported prevalence rates.</div></div><div><h3>Conclusion</h3><div>Various environmental sensitivities affect a considerable proportion of the general populations of the three countries. To improve comparability, self-report assessment of sensitivities should be based on at least an ordinal scale instead of the widely used yes-or-no question.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112495"},"PeriodicalIF":3.3,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758128","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}

{"title":"Corrigendum to 'Machine learning-based prediction of delirium in older patients with chronic kidney disease requiring intensive care: A hospital-based retrospective cohort study' [Journal of Psychosomatic Research, 200 (2026), article PSR_112454].","authors":"Chia-Rung Wu, Yung-Chun Chang, Victoria Traynor, Shu-Tai Shen Hsiao, Shu-Liu Guo, Shu-Chuan Lin, Sen-Kuang Hou, Hsiao-Yean Chiu","doi":"10.1016/j.jpsychores.2025.112494","DOIUrl":"https://doi.org/10.1016/j.jpsychores.2025.112494","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":" ","pages":"112494"},"PeriodicalIF":3.3,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145716582","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}

{"title":"Depressed or delirious? Overdiagnosis of depression in medically hospitalized patients","authors":"Molly Howland ,&nbsp;Nicolas Thompson ,&nbsp;Arushi Mahajan ,&nbsp;Nona Nichols ,&nbsp;Marielle Collins ,&nbsp;Jack H. Owens Jr ,&nbsp;Adele Viguera","doi":"10.1016/j.jpsychores.2025.112493","DOIUrl":"10.1016/j.jpsychores.2025.112493","url":null,"abstract":"<div><h3>Objective</h3><div>Misdiagnosis of depression and delirium by non-psychiatric clinicians is common. Depression over-diagnosis can cause stigmatization of normal emotional reactions and delays in addressing delirium. We performed a multisite retrospective chart review to examine diagnostic agreement between non-psychiatric services and the consultation-liaison psychiatry (CLP) service.</div></div><div><h3>Methods</h3><div>We reviewed inpatient depression and delirium referrals across two Cleveland Clinic sites. Agreement between referral reason and CLP service diagnosis was assessed. We fit multivariable logistic regression models for the dependent variables of depression overdiagnosis and delirium masquerading as depression, with independent variables that included the primary team discipline and demographic and clinical variables.</div></div><div><h3>Results</h3><div>Diagnostic agreement for delirium, strict depression diagnosis, and broad depression diagnosis were 88 %, 67 %, and 80 %, respectively. Of patients referred for depression who did not receive a CL psychiatry diagnosis of depression, 49 % were diagnosed with adjustment disorder, 18 % with anxiety/OCD, 16 % with delirium, and 4 % with neurocognitive disorders. Older age and prior psychiatric diagnoses decreased the likelihood of depression overdiagnosis. Psychotropic medication use increased the likelihood of delirium misdiagnosed as depression.</div></div><div><h3>Conclusion</h3><div>Primary services overidentify depression and more accurately identify delirium. However, given that most alternative diagnoses were anxiety disorders or adjustment disorders, primary services seem adept at identifying psychological distress, which may be related to destigmatization and education efforts by psychiatrists. Primary services recognize prior psychiatric diagnoses as a depression risk factor and demonstrate awareness of geriatric presentations. However, prior psychotropic use may introduce bias. Further research, including direct knowledge and attitude assessments, is needed.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112493"},"PeriodicalIF":3.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710299","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}

{"title":"EAPM 2026 Florence","authors":"","doi":"10.1016/S0022-3999(25)00450-7","DOIUrl":"10.1016/S0022-3999(25)00450-7","url":null,"abstract":"","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"200 ","pages":"Article 112486"},"PeriodicalIF":3.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693750","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}