Journal of Psychosomatic Research最新文献

英文中文

Prevalence of self-reported sensitivities to various environmental factors in Germany, Sweden, and Finland based on multiple classification criteria 基于多重分类标准的德国、瑞典和芬兰对各种环境因素自我报告敏感性的流行程度

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-10 DOI: 10.1016/j.jpsychores.2025.112495

Ferenc Köteles , Michael Witthöft , Anne-Kathrin Bräscher , Josef Bailer , Steven Nordin

Objective

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.

Methods

Data from a German (n = 2515), a Swedish (n = 3253) and a Finnish (n = 1467) population-based survey was used. Sentitivities were rated on ordinal scales in all samples.

Results

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.

Conclusion

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.

目的：我们对自我报告的环境因素敏感性的患病率了解甚少。缺乏公认的标准/评估使得不同研究的结果难以比较；评估方法可能在报告的患病率中发挥作用。本研究旨在报告德国一般人口中五种环境敏感性的流行率，将其中三种与瑞典和芬兰的数据进行比较，并证明标准的严格程度对结果的影响。方法：采用来自德国（n = 2515）、瑞典（n = 3253）和芬兰（n = 1467）人群调查的数据。对所有样本的敏感性按顺序进行评分。结果：在德国的样本中，大约25%的参与者报告对声音、化学物质和建筑物有轻微反应，大约10%的参与者对电磁场（emf）和风力涡轮机有轻微反应，强烈反应的模式类似，但比例为1- 2%。来自北欧国家的数据显示，这两个国家之间存在一致的相似性，对化学品和声音的轻度反应的患病率超过34%，对电磁场的患病率约为5%，强烈反应的患病率也类似，但比例为1- 8%。在德国，对电磁辐射敏感的患病率较高，而对化学物质和声音敏感的患病率较低。分类标准显著影响报告的患病率。结论：各种环境敏感性影响了这三个国家相当大比例的普通人群。为了提高可比性，敏感性的自我报告评估应该至少基于一个顺序量表，而不是广泛使用的是或否问题。

{"title":"Prevalence of self-reported sensitivities to various environmental factors in Germany, Sweden, and Finland based on multiple classification criteria","authors":"Ferenc Köteles , Michael Witthöft , Anne-Kathrin Bräscher , Josef Bailer , 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}

引用次数: 0

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] “基于机器学习预测需要重症监护的老年慢性肾病患者谵妄：一项基于医院的回顾性队列研究”的更正[Journal of Psychosomatic Research， 200(2026)，文章PSR_112454]。

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-08 DOI: 10.1016/j.jpsychores.2025.112494

Chia-Rung Wu , Yung-Chun Chang , Victoria Traynor , Shu-Tai Shen Hsiao , Shu-Liu Guo , Shu-Chuan Lin , Sen-Kuang Hou , Hsiao-Yean Chiu

引用次数: 0

Depressed or delirious? Overdiagnosis of depression in medically hospitalized patients 抑郁还是精神错乱？住院患者抑郁症的过度诊断

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-05 DOI: 10.1016/j.jpsychores.2025.112493

Molly Howland , Nicolas Thompson , Arushi Mahajan , Nona Nichols , Marielle Collins , Jack H. Owens Jr , Adele Viguera

Objective

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.

Methods

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.

Results

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.

Conclusion

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.

目的：非精神科临床医生对抑郁症和谵妄的误诊是常见的。抑郁症的过度诊断会导致对正常情绪反应的污名化和对谵妄治疗的延迟。我们进行了多地点回顾性图表回顾，以检查非精神科服务和咨询联络精神病学（CLP）服务之间的诊断一致性。方法：我们回顾了两个克利夫兰诊所的住院抑郁症和谵妄转诊病例。评估转诊原因与CLP服务诊断的一致性。我们拟合了抑郁症过度诊断和谵妄伪装成抑郁症的因变量的多变量逻辑回归模型，自变量包括主要团队纪律和人口统计学和临床变量。结果：谵妄的诊断符合率为88%，抑郁症的诊断符合率为67%，抑郁症的诊断符合率为80%。在未接受CL精神病学诊断的抑郁症患者中，49%被诊断为适应障碍，18%被诊断为焦虑/强迫症，16%被诊断为谵妄，4%被诊断为神经认知障碍。年龄较大和先前的精神病诊断降低了抑郁症过度诊断的可能性。精神药物的使用增加了谵妄被误诊为抑郁症的可能性。结论：基层医疗机构对抑郁症的鉴别过高，对谵妄的鉴别更准确。然而，考虑到大多数替代诊断是焦虑障碍或适应障碍，初级服务似乎善于识别心理困扰，这可能与精神科医生的去污名化和教育努力有关。初级服务承认先前的精神病诊断是抑郁症的危险因素，并表现出对老年表现的认识。然而，先前的精神药物使用可能会引入偏见。需要进一步的研究，包括直接的知识和态度评估。

{"title":"Depressed or delirious? Overdiagnosis of depression in medically hospitalized patients","authors":"Molly Howland , Nicolas Thompson , Arushi Mahajan , Nona Nichols , Marielle Collins , Jack H. Owens Jr , 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}

引用次数: 0

EAPM 2026 Florence EAPM 2026佛罗伦萨

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-05 DOI: 10.1016/S0022-3999(25)00450-7

引用次数: 0

EAPM 2026 Florence EAPM 2026佛罗伦萨

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-01 DOI: 10.1016/S0022-3999(25)00425-8

引用次数: 0

Corrigendum to “Does insecure attachment affect treatment outcome in young persons with post-concussion symptoms? A secondary analysis of the GAIN trial”. J Psychosom Res. 2023 Jan;164:111100 “不安全依恋是否会影响有脑震荡后症状的年轻人的治疗结果？”GAIN试验的二次分析”。[J]中华心理医学杂志，2009;31(1):391 - 391。

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-01 DOI: 10.1016/j.jpsychores.2025.112428

A. Tuborgh , S.W. Svendsen , A. Elklit , J. Hunter , E. Ornbol , J.S. Jensen , A. Schröder , J.F. Nielsen , E.T. Næss-Schmidt , M.M. Thastum , C.U. Rask

Background

Insecure attachment may negatively affect symptom reporting and disability in physical illness, but research on its influence on treatment outcome is scarce. We explored if insecure attachment: 1) impacted overall treatment outcome, and 2) moderated the effect of an early interdisciplinary intervention in young persons with long-lasting postconcussion symptoms (PCS).

Methods

This is a secondary analysis of the ‘Get going After concussIoN’ (GAIN) trial. Participants aged 15–30 years were randomised to either GAIN or enhanced usual care (EUC). Attachment insecurity (anxiety and avoidance) was measured at baseline with the Experiences in Close Relationships-Relationship Structure Questionnaire, and treatment outcome measured by PCS was recorded by the Rivermead Post-Concussion Symptoms Questionnaire. The impact of insecure attachment was explored using both a dimensional and a categorical approach. Multiple linear regression analysis was applied.

Results

Ninety-one out of 112 trial participants were included. Neither attachment anxiety nor attachment avoidance independently affected the treatment outcome. However, in a categorical approach, fearful patients (i.e., combined high anxiety and high avoidance) had a less favourable outcome (β = 9.98, 95 % CI: 4.05; 15.92, p = 0.001) than nonfearful patients. Insecure attachment did not moderate the superior effect of GAIN on PCS compared with EUC.

Conclusion

This study provided weak support for an association between insecure attachment and the outcome of an early intervention against long-lasting PCS in young persons after a concussion. However, patients with fearful attachment may represent a more vulnerable subgroup. Further research is needed to explore if attachment-informed intervention may enhance treatment prospects.

背景：不安全依恋可能对躯体疾病的症状报告和残疾产生负面影响，但对其对治疗结果影响的研究较少。我们探讨了不安全依恋是否：1)影响整体治疗结果，2)调节早期跨学科干预对长期脑震荡后症状（PCS）的影响。方法：这是对“脑震荡后恢复”（GAIN）试验的二次分析。15-30岁的参与者被随机分配到GAIN组或强化常规护理组（EUC）。依恋不安全感（焦虑和回避）基线采用亲密关系体验-关系结构问卷测量，治疗结果采用Rivermead脑震荡后症状问卷记录。不安全依恋的影响是用维度和分类的方法来探讨的。采用多元线性回归分析。结果：112名试验参与者中有91人入选。依恋焦虑和依恋回避均未独立影响治疗结果。然而，在分类方法中，恐惧患者（即高度焦虑和高度回避的结合）的结果不如无恐惧患者（β = 9.98, 95% CI: 4.05; 15.92, p = 0.001）。与EUC相比，不安全依恋并没有调节GAIN对PCS的优越效果。结论：本研究为不安全依恋与青少年脑震荡后长期PCS的早期干预结果之间的关联提供了微弱的支持。然而，有恐惧依恋的患者可能是一个更脆弱的亚群。需要进一步的研究来探索依恋知情干预是否可以提高治疗前景。

{"title":"Corrigendum to “Does insecure attachment affect treatment outcome in young persons with post-concussion symptoms? A secondary analysis of the GAIN trial”. J Psychosom Res. 2023 Jan;164:111100","authors":"A. Tuborgh , S.W. Svendsen , A. Elklit , J. Hunter , E. Ornbol , J.S. Jensen , A. Schröder , J.F. Nielsen , E.T. Næss-Schmidt , M.M. Thastum , C.U. Rask","doi":"10.1016/j.jpsychores.2025.112428","DOIUrl":"10.1016/j.jpsychores.2025.112428","url":null,"abstract":"<div><h3>Background</h3><div>Insecure attachment may negatively affect symptom reporting and disability in physical illness, but research on its influence on treatment outcome is scarce. We explored if insecure attachment: 1) impacted overall treatment outcome, and 2) moderated the effect of an early interdisciplinary intervention in young persons with long-lasting postconcussion symptoms (PCS).</div></div><div><h3>Methods</h3><div>This is a secondary analysis of the ‘Get going After concussIoN’ (GAIN) trial. Participants aged 15–30 years were randomised to either GAIN or enhanced usual care (EUC). Attachment insecurity (anxiety and avoidance) was measured at baseline with the Experiences in Close Relationships-Relationship Structure Questionnaire, and treatment outcome measured by PCS was recorded by the Rivermead Post-Concussion Symptoms Questionnaire. The impact of insecure attachment was explored using both a dimensional and a categorical approach. Multiple linear regression analysis was applied.</div></div><div><h3>Results</h3><div>Ninety-one out of 112 trial participants were included. Neither attachment anxiety nor attachment avoidance independently affected the treatment outcome. However, in a categorical approach, fearful patients (i.e., combined high anxiety and high avoidance) had a less favourable outcome (β = 9.98, 95 % CI: 4.05; 15.92, <em>p</em> = 0.001) than nonfearful patients. Insecure attachment did not moderate the superior effect of GAIN on PCS compared with EUC.</div></div><div><h3>Conclusion</h3><div>This study provided weak support for an association between insecure attachment and the outcome of an early intervention against long-lasting PCS in young persons after a concussion. However, patients with fearful attachment may represent a more vulnerable subgroup. Further research is needed to explore if attachment-informed intervention may enhance treatment prospects.</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"199 ","pages":"Article 112428"},"PeriodicalIF":3.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Environmental noise and mental health: Could psychotherapy play a supportive role? 环境噪音与心理健康：心理治疗能起到支持作用吗？

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-12-01 DOI: 10.1016/j.jpsychores.2025.112446

Omar Hahad , Manfred E. Beutel

引用次数: 0

Reduced distress tolerance and elevated depression in functional tremor: A comparative cross-sectional observational study of tremor disorders 功能性震颤的痛苦耐受性降低和抑郁升高：震颤障碍的比较横断面观察研究

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-11-29 DOI: 10.1016/j.jpsychores.2025.112479

Patrick Sheehan , Yongjia Deng , Holly E. Phelps , Nicholas Jasinski , Kierstan Pyle , Michelle M. Coleman , Danielle Sblendorio , Delanie Talkington , Ann Murray , Adeel A. Memon , Maria C. Moreno-Escobar , Jessica Frey

Background

Patients with Parkinson's Disease (PD) frequently experience depression and anxiety, while those with Essential Tremor (ET) report anxiety and embarrassment related to their tremor. The emotional burden of functional tremor (FT) is less well understood.

Objective

To examine distress tolerance and related psychological symptoms across tremor subtypes.

Methods

Patients with FT (n = 20), ET (n = 21), and PD (n = 20) completed the Distress Tolerance Scale, Beck's Depression Inventory, and Essential Tremor Embarrassment Assessment. Adverse childhood experiences (ACEs), tremor-related disability, and tremor severity were also assessed.

Results

Patients with FT reported significantly higher depression than both PD and ET groups (overall: F(2,54) = 6.85, p = .002; FT vs. PD: p = .005; FT vs. ET: p = .005), and lower distress tolerance than the PD group (F(2,54) = 3.54, p = .036). No significant differences were found between groups in embarrassment, ACEs, nor disability.

Conclusion

This distinct psychological profile in patients with FT highlights the need for integrated biopsychosocial care, and the development of targeted, comprehensive interventions.

Tremor is the most common symptom in movement disorder clinics (Sharma and Pandey, 2016 [1]). Essential Tremor (ET) affects ∼5.8 % of people over 65 (Louis and McCreary, 2021 [2]), while Parkinson's Disease (PD) affects ∼1 % of people over 60 (Tysnes and Storstein, 2017 [3]). Functional tremors (FT), the most common functional movement disorder (FMD), comprise 55 % of FMD diagnoses (Bhatia and Schneider, 2007 [4]).

帕金森氏病（PD）患者经常经历抑郁和焦虑，而原发性震颤（ET）患者则报告与震颤相关的焦虑和尴尬。功能性震颤（FT）的情绪负担尚不清楚。目的探讨不同震颤亚型患者的痛苦耐受性及相关心理症状。方法FT （n = 20）、ET （n = 21）、PD （n = 20）患者分别完成痛苦耐受量表、贝克抑郁量表和特发性震颤困窘评定。不良童年经历（ace）、震颤相关残疾和震颤严重程度也被评估。结果FT患者的抑郁程度明显高于PD组和ET组(总体：F(2,54) = 6.85, p = 0.002；FT vs. PD: p = 0.005；FT组与ET组：p = 0.005)，且痛苦耐受力低于PD组（F(2,54) = 3.54, p = 0.036）。在尴尬、ace和残疾方面，两组之间没有发现显著差异。结论：FT患者的这种独特的心理特征强调了综合生物心理社会护理的必要性，以及有针对性的综合干预措施的发展。震颤是运动障碍诊所中最常见的症状（Sharma and Pandey, 2016[1]）。特发性震颤（ET）影响约5.8%的65岁以上人群（Louis and McCreary, 2021[3]），而帕金森病（PD）影响约1%的60岁以上人群（Tysnes and Storstein, 2017[3]）。功能性震颤（FT）是最常见的功能性运动障碍（FMD），占FMD诊断的55% （Bhatia和Schneider， 2007[4]）。

{"title":"Reduced distress tolerance and elevated depression in functional tremor: A comparative cross-sectional observational study of tremor disorders","authors":"Patrick Sheehan , Yongjia Deng , Holly E. Phelps , Nicholas Jasinski , Kierstan Pyle , Michelle M. Coleman , Danielle Sblendorio , Delanie Talkington , Ann Murray , Adeel A. Memon , Maria C. Moreno-Escobar , Jessica Frey","doi":"10.1016/j.jpsychores.2025.112479","DOIUrl":"10.1016/j.jpsychores.2025.112479","url":null,"abstract":"<div><h3>Background</h3><div>Patients with Parkinson's Disease (PD) frequently experience depression and anxiety, while those with Essential Tremor (ET) report anxiety and embarrassment related to their tremor. The emotional burden of functional tremor (FT) is less well understood.</div></div><div><h3>Objective</h3><div>To examine distress tolerance and related psychological symptoms across tremor subtypes.</div></div><div><h3>Methods</h3><div>Patients with FT (<em>n</em> = 20), ET (<em>n</em> = 21), and PD (n = 20) completed the Distress Tolerance Scale, Beck's Depression Inventory, and Essential Tremor Embarrassment Assessment. Adverse childhood experiences (ACEs), tremor-related disability, and tremor severity were also assessed.</div></div><div><h3>Results</h3><div>Patients with FT reported significantly higher depression than both PD and ET groups (overall: F(2,54) = 6.85, <em>p</em> = .002; FT vs. PD: <em>p</em> = .005; FT vs. ET: p = .005), and lower distress tolerance than the PD group (F(2,54) = 3.54, <em>p</em> = .036). No significant differences were found between groups in embarrassment, ACEs, nor disability.</div></div><div><h3>Conclusion</h3><div>This distinct psychological profile in patients with FT highlights the need for integrated biopsychosocial care, and the development of targeted, comprehensive interventions.</div><div>Tremor is the most common symptom in movement disorder clinics (Sharma and Pandey, 2016 [<span><span>1</span></span>]). Essential Tremor (ET) affects ∼5.8 % of people over 65 (Louis and McCreary, 2021 [<span><span>2</span></span>]), while Parkinson's Disease (PD) affects ∼1 % of people over 60 (Tysnes and Storstein, 2017 [<span><span>3</span></span>]). Functional tremors (FT), the most common functional movement disorder (FMD), comprise 55 % of FMD diagnoses (Bhatia and Schneider, 2007 [<span><span>4</span></span>]).</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112479"},"PeriodicalIF":3.3,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spirituality, collectivism, and psychosomatic health: A new pathway for culturally responsive mental health care in Southeast Asia 灵性、集体主义和心身健康：东南亚文化响应性精神卫生保健的新途径。

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-11-29 DOI: 10.1016/j.jpsychores.2025.112481

Ashari Mahfud , Anisatul Latifah , Citra Abriani Maharani , Shinta Mayasari , Muslikah , Marlin Sianturi

引用次数: 0

Self-efficacy mediates social support and self-management behaviors in kidney transplant recipients: A systematic review and meta-analytic structural equation modeling analysis 自我效能感对肾移植受者社会支持和自我管理行为的影响：一项系统综述和荟萃分析结构方程模型分析

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research

Pub Date : 2025-11-25 DOI: 10.1016/j.jpsychores.2025.112470

Jiaxin Fang , Liu Han , Xiaohong Lin , Keke Lin , Xiangru Li , Yingtian Jia , Xinran Yang , Hongxia Liu , Rongmei Zhang

Background

Self-management among kidney transplant recipients (KTRs) is crucial for preventing postoperative complications and improving health outcomes. However, challenges such as a lack of physical activity and the frequent consumption of high-calorie foods persist. Therefore, targeted interventions for enhancing post-transplant self-management behaviors are essential. Currently, scientific evidence on effective strategies to improve self-management among KTRs is lacking. Enhancing social support and promoting self-efficacy may be significant approaches.

Design and methods

This study employs a meta-analytic structural equation modeling (MASEM) approach to examine the mediating role of self-efficacy in the relationship between social support and self-management behaviors in KTRs. A comprehensive search was conducted across multiple databases, including PubMed, Embase, APA PsycInfo, Cochrane Library, CINAHL, Web of Science, ERIC, Springer, CNKI, VIP, and Wanfang, from the inception of each database until August 9, 2024. Statistical analyses were performed using Comprehensive Meta-Analysis software, Mplus for Mac, and R Studio for Mac.

Results

A total of 1990 titles and abstracts were screened in this study, resulting in the inclusion of 19 studies. The MASEM was constructed using a two-stage structural equation modeling approach. The analysis revealed that self-efficacy partially mediated the relationship between social support and self-management behaviors (direct effect: 0.140; indirect effect: 0.299; 95 % CI: 0.268, 0.331).

Conclusions

This study highlights the importance of clinical interventions aimed at enhancing social support and self-efficacy to improve self-management behaviors in KTRs.

Registration

https://doi.org/10.17605/OSF.IO/MXBZY(https://osf.io/).

背景肾移植受者的自我管理对于预防术后并发症和改善健康结果至关重要。然而，缺乏体育活动和频繁食用高热量食物等挑战依然存在。因此，加强移植后自我管理行为的针对性干预至关重要。目前，缺乏有效的策略来提高ktr自我管理的科学证据。加强社会支持和提高自我效能感可能是重要的途径。设计与方法本研究采用元分析结构方程模型（MASEM）方法，探讨自我效能感在社会支持与自我管理行为之间的中介作用。我们对PubMed、Embase、APA PsycInfo、Cochrane Library、CINAHL、Web of Science、ERIC、施普林格、CNKI、VIP、万方等多个数据库进行了全面检索，检索时间从每个数据库建立到2024年8月9日。采用综合meta分析软件Mplus for Mac和R Studio for Mac进行统计分析。结果本研究共筛选了1990篇论文和摘要，纳入了19篇研究。MASEM采用两阶段结构方程建模方法构建。分析发现，自我效能感在社会支持与自我管理行为的关系中起部分中介作用（直接效应：0.140；间接效应：0.299;95% CI: 0.268, 0.331）。结论加强社会支持和自我效能感的临床干预对改善ktrs患者的自我管理行为具有重要意义[j] . registrationhttp://doi.org/10.17605/OSF.IO/MXBZY(https://osf.io/。

{"title":"Self-efficacy mediates social support and self-management behaviors in kidney transplant recipients: A systematic review and meta-analytic structural equation modeling analysis","authors":"Jiaxin Fang , Liu Han , Xiaohong Lin , Keke Lin , Xiangru Li , Yingtian Jia , Xinran Yang , Hongxia Liu , Rongmei Zhang","doi":"10.1016/j.jpsychores.2025.112470","DOIUrl":"10.1016/j.jpsychores.2025.112470","url":null,"abstract":"<div><h3>Background</h3><div>Self-management among kidney transplant recipients (KTRs) is crucial for preventing postoperative complications and improving health outcomes. However, challenges such as a lack of physical activity and the frequent consumption of high-calorie foods persist. Therefore, targeted interventions for enhancing post-transplant self-management behaviors are essential. Currently, scientific evidence on effective strategies to improve self-management among KTRs is lacking. Enhancing social support and promoting self-efficacy may be significant approaches.</div></div><div><h3>Design and methods</h3><div>This study employs a meta-analytic structural equation modeling (MASEM) approach to examine the mediating role of self-efficacy in the relationship between social support and self-management behaviors in KTRs. A comprehensive search was conducted across multiple databases, including PubMed, Embase, APA PsycInfo, Cochrane Library, CINAHL, Web of Science, ERIC, Springer, CNKI, VIP, and Wanfang, from the inception of each database until August 9, 2024. Statistical analyses were performed using Comprehensive Meta-Analysis software, Mplus for Mac, and R Studio for Mac.</div></div><div><h3>Results</h3><div>A total of 1990 titles and abstracts were screened in this study, resulting in the inclusion of 19 studies. The MASEM was constructed using a two-stage structural equation modeling approach. The analysis revealed that self-efficacy partially mediated the relationship between social support and self-management behaviors (direct effect: 0.140; indirect effect: 0.299; 95 % CI: 0.268, 0.331).</div></div><div><h3>Conclusions</h3><div>This study highlights the importance of clinical interventions aimed at enhancing social support and self-efficacy to improve self-management behaviors in KTRs.</div></div><div><h3>Registration</h3><div><span><span>https://doi.org/10.17605/OSF.IO/MXBZY</span><svg><path></path></svg></span>(<span><span>https://osf.io/</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50074,"journal":{"name":"Journal of Psychosomatic Research","volume":"201 ","pages":"Article 112470"},"PeriodicalIF":3.3,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Journal of Psychosomatic Research

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀