Journal of Psychosomatic Research最新文献

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Comment on “A meta-analysis of the prevalence and risk of mental health problems in allergic rhinitis patients” 关于 "过敏性鼻炎患者精神健康问题发生率和风险的荟萃分析 "的评论

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-10-09 DOI: 10.1016/j.jpsychores.2024.111950

Haifei Xiang, Hao Wu

引用次数: 0

Strength-based surgical consultation to navigate patient's unhelpful thoughts 以力量为基础的手术咨询，引导患者的无益想法

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-10-09 DOI: 10.1016/j.jpsychores.2024.111947

Rudi Haryadi , Muhammad Harwansyah Putra Sinaga , Ashari Mahfud , Jarkawi , Thrisia Febrianti

引用次数: 0

Poor stress resilience as an independent risk factor for severe COVID-19 and respiratory infections 抗压能力差是严重 COVID-19 和呼吸道感染的独立风险因素。

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-10-09 DOI: 10.1016/j.jpsychores.2024.111953

Khairiyah Khadijah , Rizky Andana Pohan , Ririn Dwi Astuti , Putri Bunga Aisyah Pohan , Muhammad Yasir Arafat Pohan , Maria Oktasari , Riza Amalia

引用次数: 0

Bridging cultures: Expanding the MCARE intervention to diverse global Populations 架设文化桥梁：将 MCARE 干预措施扩展至全球不同人群

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-10-09 DOI: 10.1016/j.jpsychores.2024.111948

Tamama Rofiqah , Ahmad Yanizon , Riza Amalia , Muhammad Taufiqurrahman , Ramtia Darma Putri , Hanik Mufaridah , Lutfatulatifah

引用次数: 0

Response to comments on ‘Mechanisms of psycho-behavioural mindfulness intervention (MCARE) on depressive and anxiety symptoms in patients with acute coronary syndrome: A longitudinal mediation analysis’ 对 "心理行为正念干预（MCARE）对急性冠状动脉综合征患者抑郁和焦虑症状的影响机制：纵向中介分析

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-10-09 DOI: 10.1016/j.jpsychores.2024.111952

Jiatong Cui , Guiqin Zhang , Yunyan Xianyu , Xiaohong Zhang , Yu Xin Cheng , Yu Jia Liu , Wei Xiong , Wei Liu , Qian Liu , Bing Xiang Yang , Huijing Zou

引用次数: 0

The association between anxiety and depression symptoms and pain and function in adolescents and young adults with chronic pain: A meta-analysis 患有慢性疼痛的青少年中焦虑和抑郁症状与疼痛和功能之间的关系：荟萃分析

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-10-01 DOI: 10.1016/j.jpsychores.2024.111945

Nicole Harte , Rachel V. Aaron , Kavya Bhattiprolu , Madelyne A. Bisby , Milena Gandy , Taylor Hathway , Blake F. Dear , Joanne Dudeney

Objective

Chronic pain in adolescents and young adults (AYAs) is associated with adverse functional and psychological outcomes; however, inconsistent findings across studies necessitate a comprehensive synthesis. This meta-analysis aimed to quantify associations between anxiety, depression, and pain/functional outcomes, and explore study and sample moderators, such as age, sex, pain duration, recruitment setting, and measurement tools.

Methods

We searched MEDLINE, PsycINFO, CENTRAL, and Embase through May 2024. included 57 studies (N = 12,603) of AYAs aged 12–25 years with chronic pain. Risk of bias and GRADE assessments were conducted. Pearson r correlations were meta-analyzed using a random-effects model.

Results

Small associations were found between anxiety, depression, and heightened pain intensity (r = 0.20, 0.24). Moderate-to-large associations were observed between anxiety, depression, and disability (r = 0.32, 0.34), pain interference (r = 0.47, 0.51), pain catastrophizing (both r = 0.50), and poorer quality of life (r = −0.56, −0.61). Anxiety had stronger correlations with pain intensity and catastrophizing in samples with more males. Anxiety measure moderated the anxiety-pain intensity relationship. Depression had stronger correlations with pain intensity for shorter pain duration, and catastrophizing and pain interference for longer pain durations. The depression-catastrophizing association was stronger in older samples.

Conclusion

Anxiety and depression significantly impact the chronic pain experience in AYAs, with stronger effects on functional outcomes and quality of life than pain intensity. Tailored interventions that consider age, sex, and pain duration may enhance treatment outcomes in this population.

目的：青少年和年轻成人（AYAs）的慢性疼痛与不良的功能和心理结果有关；然而，由于各项研究的结果不一致，因此有必要进行综合分析。本荟萃分析旨在量化焦虑、抑郁和疼痛/功能性结果之间的关联，并探讨研究和样本调节因素，如年龄、性别、疼痛持续时间、招募环境和测量工具等：我们检索了截至 2024 年 5 月的 MEDLINE、PsycINFO、CENTRAL 和 Embase，共纳入 57 项研究（N = 12603），研究对象为 12-25 岁患有慢性疼痛的青少年。进行了偏倚风险和 GRADE 评估。采用随机效应模型对 Pearson r 相关性进行了元分析：焦虑、抑郁和疼痛强度增加之间存在微小关联（r = 0.20、0.24）。焦虑、抑郁与残疾（r = 0.32，0.34）、疼痛干扰（r = 0.47，0.51）、疼痛灾难化（均为 r = 0.50）和较差的生活质量（r = -0.56，-0.61）之间存在中度至高度关联。在男性较多的样本中，焦虑与疼痛强度和灾难化的相关性更强。焦虑测量调节了焦虑与疼痛强度之间的关系。在疼痛持续时间较短的样本中，抑郁与疼痛强度的相关性更强；在疼痛持续时间较长的样本中，灾难化与疼痛干扰的相关性更强。在年龄较大的样本中，抑郁与灾难化的相关性更强：结论：焦虑和抑郁会严重影响亚健康人群的慢性疼痛体验，与疼痛强度相比，焦虑和抑郁对功能结果和生活质量的影响更大。考虑年龄、性别和疼痛持续时间的定制干预措施可提高该人群的治疗效果。

{"title":"The association between anxiety and depression symptoms and pain and function in adolescents and young adults with chronic pain: A meta-analysis","authors":"Nicole Harte , Rachel V. Aaron , Kavya Bhattiprolu , Madelyne A. Bisby , Milena Gandy , Taylor Hathway , Blake F. Dear , Joanne Dudeney","doi":"10.1016/j.jpsychores.2024.111945","DOIUrl":"10.1016/j.jpsychores.2024.111945","url":null,"abstract":"<div><h3>Objective</h3><div>Chronic pain in adolescents and young adults (AYAs) is associated with adverse functional and psychological outcomes; however, inconsistent findings across studies necessitate a comprehensive synthesis. This meta-analysis aimed to quantify associations between anxiety, depression, and pain/functional outcomes, and explore study and sample moderators, such as age, sex, pain duration, recruitment setting, and measurement tools.</div></div><div><h3>Methods</h3><div>We searched MEDLINE, PsycINFO, CENTRAL, and Embase through May 2024. included 57 studies (<em>N</em> = 12,603) of AYAs aged 12–25 years with chronic pain. Risk of bias and GRADE assessments were conducted. Pearson r correlations were meta-analyzed using a random-effects model.</div></div><div><h3>Results</h3><div>Small associations were found between anxiety, depression, and heightened pain intensity (<em>r</em> = 0.20, 0.24). Moderate-to-large associations were observed between anxiety, depression, and disability (<em>r</em> = 0.32, 0.34), pain interference (<em>r</em> = 0.47, 0.51), pain catastrophizing (both <em>r</em> = 0.50), and poorer quality of life (<em>r</em> = −0.56, −0.61). Anxiety had stronger correlations with pain intensity and catastrophizing in samples with more males. Anxiety measure moderated the anxiety-pain intensity relationship. Depression had stronger correlations with pain intensity for shorter pain duration, and catastrophizing and pain interference for longer pain durations. The depression-catastrophizing association was stronger in older samples.</div></div><div><h3>Conclusion</h3><div>Anxiety and depression significantly impact the chronic pain experience in AYAs, with stronger effects on functional outcomes and quality of life than pain intensity. Tailored interventions that consider age, sex, and pain duration may enhance treatment outcomes in this population.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"187 ","pages":"Article 111945"},"PeriodicalIF":3.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A cross-sectional study of non-suicidal self-injury in adults with depressive disorder: Associations with inflammation and cardiac structure and function 抑郁症成人非自杀性自伤横断面研究：与炎症及心脏结构和功能的关系

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-09-28 DOI: 10.1016/j.jpsychores.2024.111944

Jingdi Chen , Zhenzhen Lin , Yinglan Gong , Jinlong Yu , Fusheng Guo , Yun Liu , Puying Liang , Ziying Feng , Haoying Hu

Objective

Non-suicidal self-injury (NSSI) is associated with cardiovascular disease (CVD), whereas inflammation is associated with both CVD and NSSI. However, few studies have investigated the correlation among NSSI, inflammation, and cardiac structure and function in CVD-free adult patients with depressive disorders.

Methods

We recruited 88 CVD-free adult patients with depressive disorders and 37 healthy individuals. Patients were divided into NSSI (n = 21) and non-NSSI (n = 67) groups based on the presence or absence of NSSI. Healthy individuals comprised the controls (n = 37). Echocardiography was applied to assess cardiac structure and function, and C-reactive protein (CRP) levels were measured to indicate inflammation.

Results

Compared with controls, the NSSI group exhibited a larger left ventricular end-systolic diameter (LVESD) and smaller left ventricular ejection fraction (LVEF). Left ventricular end-systolic volume (LVESV) was larger in the NSSI group than in the non-NSSI group. The CRP levels were higher in the NSSI group than in the non-NSSI group; however, this difference was not statistically significant. NSSI was positively associated with LVESD (β = 1.928, p = 0.006) and LVESV (β = 5.368, p = 0.003), negatively correlated with LVEF (β = −2.600, p = 0.029), and positively correlated with CRP levels (β = 0.116, p = 0.004). CRP levels did not mediate the association between NSSI and cardiac structure and function.

Conclusions

This study indicated that NSSI was associated with left ventricular structure, systolic function, and inflammation, but CRP did not mediate the relationship between NSSI and echocardiogram parameters.

目的：非自杀性自伤（NSSI）与心血管疾病（CVD）有关，而炎症与心血管疾病和非自杀性自伤都有关。然而，很少有研究调查无心血管疾病的成年抑郁症患者的 NSSI、炎症、心脏结构和功能之间的相关性：我们招募了 88 名无心血管疾病的成年抑郁症患者和 37 名健康人。根据有无NSSI将患者分为NSSI组（21人）和非NSSI组（67人）。健康人为对照组（37 人）。超声心动图用于评估心脏结构和功能，C反应蛋白（CRP）水平的测量用于显示炎症情况：结果：与对照组相比，NSSI 组的左心室收缩末期直径（LVESD）较大，左心室射血分数（LVEF）较小。NSSI组的左心室收缩末期容积（LVESV）大于非NSSI组。NSSI 组的 CRP 水平高于非 NSSI 组，但差异无统计学意义。NSSI 与 LVESD（β = 1.928，p = 0.006）和 LVESV（β = 5.368，p = 0.003）呈正相关，与 LVEF 呈负相关（β = -2.600，p = 0.029），与 CRP 水平呈正相关（β = 0.116，p = 0.004）。CRP水平并不介导NSSI与心脏结构和功能之间的关联：本研究表明，NSSI 与左心室结构、收缩功能和炎症有关，但 CRP 并不介导 NSSI 与超声心动图参数之间的关系。

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引用次数: 0

Associations of preterm birth and neonatal stress exposure with chronic pain in adulthood – Results from the Gutenberg prematurity study 早产和新生儿压力暴露与成年后慢性疼痛的关系--古腾堡早产儿研究的结果

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-09-24 DOI: 10.1016/j.jpsychores.2024.111943

J. Tesarz , A.K. Schuster , M. Hermes , E. Mildenberger , M.S. Urschitz , R.D. Treede , H. Tost , M. Ernst , M. Beutel , B. Stoffelns , F. Zepp , N. Pfeiffer , A. Fieß

Although the effect of early childhood stress on central nervous pain processing is well known, studies on the association of prematurity and chronic pain are scarce. This study used data from a single-centre retrospective cohort study followed by a prospective clinical examination and pain assessment. The study was based on data from the local birth registry. Newborns born between 1969 and 2002 who had reached adulthood were eligible .. Using a selection algorithm, a study cohort stratified by gestational age (GA) was recruited. Chronic pain conditions were assessed using questionnaire and standardized pain drawings. Data on the pre-, peri- and postnatal clinical course was assessed from medical records. Multivariable logistic regression analyses were conducted to investigate associations between prematurity and chronic pain with adjustment for age, gender, socioeconomic status, and perinatal stress factors. 427 participants born preterm and full-term were included (age 28.5 ± 8.7 years). Chronic pain conditions were similarly common between groups with different levels of prematurity (GA ≥ 37 weeks: 34.5 %, GA33-36 weeks: 37.6 %, GA32-29 weeks: 25.2 %, GA < 29 weeks: 30.4 %, p = 0.20). In multivariable analyses, no association between low GA and the presence of chronic pain was found (OR = 0.99 (CI95 %: 0.94–1.04, p = 0.63); this was also true for a subanalysis of widespread pain. While neither fetal nutritional status nor perinatal stressors were associated with pain, exposure to maternal but not paternal smoking during pregnancy was associated with increased risk to develop pain (OR = 2.77 (CI95 %: 1.31–5.88, p = 0.008) in adults born preterm and full-term. This study suggests that prematurity by itself does not increase the risk of chronic pain later in life, but provides preliminary evidence for maternal smoking during pregnancy as risk factor.

早产儿的压力对中枢神经疼痛处理的影响已众所周知，但有关早产儿与慢性疼痛关系的研究却很少。本研究使用了一项单中心回顾性队列研究的数据，随后进行了前瞻性临床检查和疼痛评估。该研究基于当地出生登记处的数据。通过选择算法，按孕龄（GA）分层招募了研究队列。研究人员使用调查问卷和标准化疼痛图纸对慢性疼痛状况进行了评估。产前、围产期和产后的临床过程数据来自医疗记录。在对年龄、性别、社会经济地位和围产期压力因素进行调整后，进行了多变量逻辑回归分析，以研究早产与慢性疼痛之间的关联。研究共纳入 427 名早产儿和足月儿（年龄为 28.5 ± 8.7 岁）。在早产程度不同的组别中，慢性疼痛的发生率相似（GA ≥ 37 周：34.5%；GA33-33 周：34.5%；GA ≥ 37 周：34.5%）：34.5%，GA33-36周：37.6%，GA32-29周：34.5%，GA33-36周：37.6%，GA32-29周：34.5%：37.6%，GA32-29 周：25.2%，GA &l：25.2 %, GA < 29 weeks：30.4 %, p = 0.20).在多变量分析中，未发现低GA与慢性疼痛之间存在关联（OR = 0.99 (CI95 %: 0.94-1.04, p = 0.63)；在广泛性疼痛的子分析中也是如此。虽然胎儿营养状况和围产期压力因素都与疼痛无关，但在早产和足月出生的成人中，孕期母体（而非父体）吸烟与罹患疼痛的风险增加有关（OR = 2.77（CI95 %：1.31-5.88，p = 0.008）。这项研究表明，早产本身并不会增加日后罹患慢性疼痛的风险，但提供了母体在孕期吸烟是风险因素的初步证据。

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引用次数: 0

Exploring the relationship between depression, anxiety, and obesity in adolescent development 探索青少年成长过程中抑郁、焦虑和肥胖之间的关系

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-09-24 DOI: 10.1016/j.jpsychores.2024.111939

Masnurrima Heriansyah , Nur Hidayah , Fattah Hanurawan , M. Ramli

引用次数: 0

Development of predictive model for post-stroke depression at discharge based on decision tree algorithm: A multi-center hospital-based cohort study 基于决策树算法的卒中后出院抑郁预测模型的开发：基于医院的多中心队列研究

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2024-09-24 DOI: 10.1016/j.jpsychores.2024.111942

Guo Li , Jinfeng Miao , Ping Jing , Guohua Chen , Junhua Mei , Wenzhe Sun , Yan Lan , Xin Zhao , Xiuli Qiu , Ziqin Cao , Shanshan Huang , Zhou Zhu , Suiqiang Zhu

Objective

Post-stroke depression (PSD) is one of the most common and severe neuropsychological sequelae after stroke. Using a prediction model composed of multiple predictors may be more beneficial than verifying the predictive performance of any single predictor. The primary objective of this study was to construct practical prediction tools for PSD at discharge utilizing a decision tree (DT) algorithm.

Methods

A multi-center prospective cohort study was conducted from May 2018 to October 2019 and stroke patients within seven days of onset were consecutively recruited. The independent predictors of PSD at discharge were identified through multivariate logistic regression with backward elimination. Classification and regression tree (CART) algorithm was employed as the DT model's splitting method.

Results

A total of 876 stroke patients who were discharged from the neurology departments of three large general Class A tertiary hospitals in Wuhan were eligible for analysis. Firstly, we divided these 876 patients into PSD and non-PSD groups, history of coronary heart disease (OR = 1.835; 95 % CI, 1.106–3.046; P = 0.019), length of hospital stay (OR = 1.040; 95 % CI, 1.013–1.069; P = 0.001), NIHSS score (OR = 1.124; 95 % CI, 1.052–1.201; P = 0.001), and Mini mental state examination (MMSE) score (OR = 0.935; 95 % CI, 0.893–0.978; P = 0.004) were significant predictors. The subgroup analysis results have shown that hemorrhagic stroke, history of hypertension and higher modified Rankin Scale score (mRS) score were associated with PSD at discharge in the young adult stroke patients.

Conclusions

Several predictors of PSD at discharge were identified and convenient DT models were constructed to facilitate clinical decision-making.

目的中风后抑郁（PSD）是中风后最常见、最严重的神经心理后遗症之一。使用由多个预测因子组成的预测模型可能比验证任何单一预测因子的预测性能更有益处。本研究的主要目的是利用决策树（DT）算法构建出院时 PSD 的实用预测工具。方法于 2018 年 5 月至 2019 年 10 月开展了一项多中心前瞻性队列研究，连续招募了发病七天内的卒中患者。通过多变量逻辑回归和反向排除法确定了出院时 PSD 的独立预测因素。结果武汉市三家大型甲级综合三甲医院神经内科出院的 876 例脑卒中患者符合分析条件。首先，我们将这 876 例患者分为 PSD 组和非 PSD 组，冠心病史（OR = 1.835; 95 % CI, 1.106-3.046; P = 0.019）、住院时间（OR = 1.040; 95 % CI, 1.013-1.069；P = 0.001）、NIHSS 评分（OR = 1.124；95 % CI，1.052-1.201；P = 0.001）和迷你精神状态检查（MMSE）评分（OR = 0.935；95 % CI，0.893-0.978；P = 0.004）是重要的预测因素。亚组分析结果显示，出血性卒中、高血压病史和较高的改良 Rankin 量表评分（mRS）与青壮年卒中患者出院时的 PSD 相关。

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