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Correction to “Body Dysmorphic Disorder Questionnaire: Arabic Adaptation and Validation in Dermatology Population” 更正“身体畸形障碍问卷:皮肤病学人群的阿拉伯语适应和验证”。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2026-01-23 DOI: 10.1002/mpr.70059

Salameh, P., J. El Khoury, M. Hallal, et al. 2025. “Body Dysmorphic Disorder Questionnaire: Arabic Adaptation and Validation in Dermatology Population”, International Journal of Methods in Psychiatric Research, 34, no. 4: e70045. https://doi.org/10.1002/mpr.70045.

Table 1 and Table 2 were initially published with formatting errors. The published article has now been updated to display the correct formatting.

In paragraph 4 of the Discussion section, the citations of two references were incorrectly reversed. They have now been corrected and appear in the proper order in the published article.

We apologize for these errors.

Salameh, P., J. El Khoury, M. Hallal等。2025。“身体畸形障碍问卷:皮肤病学人群的阿拉伯语适应和验证”,《国际精神病学研究方法杂志》,第34期。4: e70045。https://doi.org/10.1002/mpr.70045.Table 1和表2最初发布时存在格式错误。已发布的文章现在已经更新以显示正确的格式。在讨论部分第4段中,有两个参考文献的引文被错误地颠倒了。它们现在已被更正,并按正确的顺序出现在已发表的文章中。我们为这些错误道歉。
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引用次数: 0
Development and Comparability of Internalizing and Externalizing Symptom Spectra From Adolescence to Young Adulthood 青春期至青年期内化与外化症状谱的发展与比较。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2026-01-21 DOI: 10.1002/mpr.70055
Vera Birgel, Michael Rapp, Mira Tschorn, Heike Hölling, Caroline Cohrdes

Objectives

This study examines the continuity and comparability of internalizing and externalizing symptom spectra from adolescence to young adulthood, addressing measurement challenges across developmental stages. Leveraging the Hierarchical Taxonomy of Psychopathology (HiTOP) framework, it explores whether symptom spectra in adolescence predict corresponding symptoms in young adulthood.

Methods

Data were drawn from JEPSY, a follow-up of the national KiGGS cohort (N = 2172, age 18–26). Adolescent internalizing and externalizing symptoms were assessed via the Strengths and Difficulties Questionnaire (SDQ) and substance use items. Adult outcomes included the Patient Health Questionnaire (PHQ-4), DSM-5 Cross-Cutting Symptom Measure (DSM-5 CC), and Personality Inventory for DSM-5 (PID-5). Factor analyses assessed structural consistency, and robust regression examined associations between adolescent and adult symptom spectra over 7–10 years.

Results

A four-factor model best captured the SDQ structure. In young adulthood, three spectra emerged: internalizing symptoms, externalizing traits, and substance use. Adolescent emotional and peer problems predicted internalizing symptoms in adulthood. Conduct problems and hyperactivity predicted externalizing traits. Substance use was associated with hyperactivity, smoking, and risky drinking—but negatively with peer problems.

Conclusion

The findings support the continuity of broad psychopathological spectra and demonstrate that harmonized approaches can bridge measurement gaps and enhance longitudinal comparability.

目的:本研究考察了从青春期到青年期内化和外化症状谱的连续性和可比性,解决了跨越发育阶段的测量挑战。利用精神病理学层次分类法(HiTOP)框架,它探讨了青春期的症状谱是否能预测青年期的相应症状。方法:数据来自JEPSY,这是一项对全国KiGGS队列(N = 2172,年龄18-26岁)的随访。青少年内化和外化症状通过优势和困难问卷(SDQ)和物质使用项目进行评估。成人结局包括患者健康问卷(PHQ-4)、DSM-5交叉症状测量(DSM-5 CC)和DSM-5人格量表(PID-5)。因子分析评估了结构一致性,稳健回归检查了7-10年间青少年和成人症状谱之间的关联。结果:四因素模型最能反映SDQ结构。在青年期,出现了三种光谱:内化症状、外化特征和物质使用。青少年的情绪和同伴问题预示着成年后的内化症状。行为问题和过度活跃预示着外化特征。药物使用与多动症、吸烟和危险饮酒有关,但与同伴问题呈负相关。结论:研究结果支持广泛的精神病理谱的连续性,并表明统一的方法可以弥合测量差距,增强纵向可比性。
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引用次数: 0
The Onset, Course and Co-Occurrence of Depressive and Anxiety Disorders Over a 9-Year Period in the General Population 普通人群9年抑郁和焦虑障碍的发病、病程和共发
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2026-01-19 DOI: 10.1002/mpr.70054
Margreet Ten Have, Marlous Tuithof, Premysl Velek, Saskia Van Dorsselaer, Simone Korteling, Brenda W. J. H. Penninx, Annemarie I. Luik

Objectives

Longitudinal studies that visualise individual trajectories of depressive and/or anxiety disorders can inform prevention and treatment strategies.

Methods

Participants of the Netherlands Mental Health Survey and Incidence Study (NEMESIS) were assessed at four timepoints from 2007–2009 to 2016–2018 (N = 6646 at baseline). DSM-IV disorders were assessed using the Composite International Diagnostic Interview. Onset and course trajectories were visualised with Sankey diagrams and summarised in incidence, remission, recurrence, and persistency rates, considering presence of any depressive or anxiety disorder as outcome.

Results

Among those without a lifetime depressive or anxiety disorder at baseline, 13% developed a depressive and/or anxiety disorder over 9 years, with higher rates in women and younger adults. Recurrence rates over 9 years were 28% for depressive, 26% for anxiety, and 38% for comorbid disorders. For those with a current disorder at baseline, recurrence (including persistence) was 33%, 31%, and 51%, respectively. Course trajectories were similar across sexes but less favourable for younger adults with a disorder history.

Conclusions

Between 31% and 51% of persons with a current depressive and/or anxiety disorder do not remit over 9 years. This highlights the need for long-term treatment strategies, including ongoing monitoring, management, and relapse prevention.

目的:纵向研究可视化抑郁和/或焦虑障碍的个体轨迹,可以为预防和治疗策略提供信息。方法:在2007-2009年至2016-2018年的四个时间点对荷兰心理健康调查和发病率研究(NEMESIS)的参与者进行评估(基线N = 6646)。DSM-IV障碍采用复合国际诊断访谈进行评估。用Sankey图可视化发病和病程轨迹,并总结发病率、缓解率、复发率和持续率,考虑到存在任何抑郁或焦虑障碍作为结果。结果:在基线时没有终生抑郁或焦虑障碍的人群中,13%的人在9年内发展为抑郁和/或焦虑障碍,女性和年轻人的比例更高。9年以上的复发率抑郁症为28%,焦虑症为26%,合并症为38%。对于基线时患有当前疾病的患者,复发率(包括持续性)分别为33%、31%和51%。病程轨迹在两性之间相似,但对有疾病史的年轻人不太有利。结论:31%至51%的抑郁和/或焦虑障碍患者在9年内没有缓解。这突出了长期治疗策略的必要性,包括持续监测、管理和复发预防。
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引用次数: 0
Translation and Validation of the Arabic Version of the Revised Restrictive Behaviours Scale Among Iraqi Children With Autism Spectrum Disorder: A Suggestion for Model Modification 伊拉克自闭症谱系障碍儿童限制性行为量表阿拉伯语修订版的翻译与验证:模型修改的建议。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-12-28 DOI: 10.1002/mpr.70048
Ruaa Raoof Hussein Al-Sultan, Shatha Mohammed Jasim, Faris Lami, Osamah Abbas Jaber, Nahid Dehghan Nayeri, Mahdi Shafiee Sabet, Ghaith Al-Gburi

Objectives

Comprehensive scales should be used to better understand the patterns of restrictive and repetitive behaviours in children with autism spectrum disorder in middle and lower-income countries. This study aimed to validate an Arabic translation of the revised Repetitive Behaviours Scale.

Methods

Parents of 258 children were interviewed in a cross-sectional study conducted at Al-Subtain Academy from December 1, 2023, to August 1, 2024. The R Language and Environment for Statistical Programing v4.4.2 was utilised for statistical analysis.

Results

Following confirmatory factor analysis, the 6-factor solution was selected for further testing based on more favourable fitness indices and the 2-factor solution was selected based on an acceptable RMSEA of 0.064 and evidence of cross-cultural validity from previous validations. The 2-factor solution demonstrated better subscales' reliability, with composite coefficients of 0.801 and 0.908, and corrected item-total correlations that are more consistent with the theoretical framework for the scale. A modification for this model was suggested based on item performance and demonstrated a marginal improvement in the CFI and TLI indices.

Conclusion

The Arabic revised repetitive behaviours scale demonstrates a valid and reliable structure, aligning with the conceptual classification of repetitive and restrictive behaviours into repetitive sensory-motor behaviours and insistence on sameness.

目标:应使用综合量表来更好地了解中低收入国家自闭症谱系障碍儿童的限制性和重复性行为模式。本研究旨在验证修改后的重复行为量表的阿拉伯语翻译。方法:对2023年12月1日至2024年8月1日在Al-Subtain Academy进行的258名儿童家长进行横断面调查。统计分析使用R语言和环境统计编程v4.4.2。结果:经过验证性因子分析,根据更有利的适应度指标选择6因素解决方案进行进一步测试,根据可接受的RMSEA为0.064和先前验证的跨文化效度证据选择2因素解决方案。2因子解具有较好的信度,复合系数分别为0.801和0.908,修正的项目-总量相关性更符合量表的理论框架。根据项目性能对该模型进行了修改,并证明了CFI和TLI指数的边际改善。结论:阿拉伯语修订重复行为量表结构有效可靠,符合重复性和限制性行为的概念分类,即重复性感觉-运动行为和坚持同一性。
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引用次数: 0
Psychometric Properties of an Arabic Modified Childhood Autism Rating Scale 2 Standard Form 阿拉伯语修正儿童自闭症评定量表2标准表格的心理测量特征。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-12-19 DOI: 10.1002/mpr.70047
Mais Najah Razak Al-Shibly, Ali Hussein AlHusseiny, Faris Lami, Shatha Mohammed Jasim, Osamah Abbas Jaber, Nahid Dehghan Nayeri, Mahdi Shafiee Sabet, Ghaith Al-Gburi

Objectives

In middle- and lower-income countries, the scarcity of psychiatric expertise and IQ testing should be considered when developing and testing assessment tools. This study aims to assess the psychometric properties of a modified Arabic version of the Childhood Autism Rating Scale 2 Standard Form.

Methods

A diagnostic accuracy study, including 286 children, was conducted from December 1, 2023, to August 1, 2024, at Baghdad's National Centre and Al-Subtain Academy for Autism. Confirmatory factor analysis was utilized for structural validity, standardized alpha and the average inter-item correlation for reliability, and ROC curve analysis for diagnostic accuracy.

Results

Good fit was demonstrated for the 1-, 2-, and 3-factor solutions. In all models, ‘activity levels’ had the lowest loadings and higher scores in children with ADHD (p-value = 0.0002). Excellent internal consistency was shown with a standardised alpha of 0.90 (> 0.7) and an average inter-item correlation of 0.394 (> 0.15). At the optimal cut-off (≥ 28.5), the scale had a sensitivity of 82.6%, a specificity of 93.4%, and would increase the child's odds of having ASD by 12.5.

Conclusion

The modified scale has good psychometric properties and might be utilised to adjust the psychiatric evaluation of children suspected of having a neurodevelopmental disorder.

目的:在中低收入国家,在开发和测试评估工具时应考虑到精神病学专业知识和智商测试的缺乏。本研究旨在评估儿童自闭症评定量表2标准表格的修改阿拉伯语版本的心理测量特性。方法:一项诊断准确性研究,包括286名儿童,于2023年12月1日至2024年8月1日在巴格达国家中心和Al-Subtain自闭症学院进行。结构效度采用验证性因子分析,信度采用标准化α和平均项目间相关分析,诊断准确性采用ROC曲线分析。结果:1-、2-和3-因子解决方案的拟合效果良好。在所有模型中,多动症儿童的“活动水平”的负荷最低,得分较高(p值= 0.0002)。优秀的内部一致性显示为标准化alpha为0.90(> 0.7),平均项目间相关性为0.394(> 0.15)。在最佳临界值(≥28.5)时,该量表的敏感性为82.6%,特异性为93.4%,将使儿童患ASD的几率增加12.5。结论:该量表具有良好的心理测量性能,可用于对疑似神经发育障碍儿童的心理评价进行调整。
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引用次数: 0
Developing Trace: A Transdiagnostic Screening Tool for Early Detection of a Pluripotent at-Risk Mental State 发展轨迹:早期发现多能危险精神状态的一种跨诊断筛选工具。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-12-03 DOI: 10.1002/mpr.70046
Jayne Pickering, Wen Shao, Scott Weich, Caroline F. Dalton, Myles Jones, Chris D. J. Taylor, Markus Reuber, Jessica Kingston, Chris Gibbs, Richard P. Bentall

Objectives

Early identification of individuals at risk for developing mental health disorders is critical for timely intervention, reducing distress and improving outcomes. This study outlines the development and preliminary validation of ‘TRACE’, a short self-report measure designed to detect a pluripotent at-risk mental state (PARMS). The measure captures a range of subthreshold symptoms and traits associated with emerging manifestations of mania, psychosis and borderline personality disorder.

Methods

A sample of 2037 general-population adolescents and young adults (aged 14–36) completed TRACE questions and other psychometrics.

Results

Exploratory Graph Analysis, undertaken on one-half of the dataset, generated a three-factor structure that was successfully replicated in the other half of the data, via confirmatory factor analysis. The final 26-item scale has acceptable model fit (with a scaled CFI of 0.93, TLI of 0.92, with acceptable-to-good error, RMSEA of 0.073) and good concurrent validity with other relevant psychometrics, such as neuroticism and loneliness (r = 0.29 and 0.43, respectively).

Conclusion

These findings suggest that the tool may be useful in identifying individuals with a broad, pluripotent vulnerability to develop severe mental health disorders. Future research will focus on validating the tool longitudinally and across diverse populations to assess its predictive utility and clinical value.

目标:早期识别有发展精神健康障碍风险的个体对于及时干预、减少痛苦和改善结果至关重要。本研究概述了“TRACE”的发展和初步验证,这是一种简短的自我报告测量,旨在检测多能性风险精神状态(PARMS)。该措施捕捉了一系列阈下症状和特征,这些症状和特征与躁狂、精神病和边缘型人格障碍的新表现有关。方法:2037名青少年和年轻人(14-36岁)完成TRACE问题和其他心理测量。结果:对一半数据集进行探索性图分析,通过验证性因子分析,生成了一个三因素结构,该结构在另一半数据中成功复制。最终的26项量表具有可接受的模型拟合(量表CFI为0.93,TLI为0.92,可接受误差为0.073,RMSEA为0.073),与其他相关心理测量指标如神经质和孤独感具有良好的并发效度(r分别为0.29和0.43)。结论:这些发现表明,该工具可能有助于识别具有广泛、多能性易患严重精神健康障碍的个体。未来的研究将集中在纵向和跨不同人群验证该工具,以评估其预测效用和临床价值。
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引用次数: 0
The Ketamine Trial for Acute Suicidality (KETA): Study Protocol of a Double-Blind Randomized Placebo-Controlled Superiority Trial on Intranasal Racemic Ketamine Compared to the Active Placebo Intranasal Midazolam as Treatment for Acute Suicidality 氯胺酮治疗急性自杀的试验(KETA):鼻内消旋氯胺酮与有效安慰剂鼻内咪达唑仑治疗急性自杀的双盲随机安慰剂对照研究方案。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-19 DOI: 10.1002/mpr.70044
Jurriaan F. M. Strous, Gijs H. J. Roelandt, Jens H. van Dalfsen, Jeanine Kamphuis, Radboud M. Marijnissen, Robert A. Schoevers

Background

Suicidality is a transdiagnostic entity in patients with and without psychiatric disorders. Ketamine is a novel treatment for treatment-resistant depression with favorable effects on related suicidality in this population. Little is known about the effects of ketamine on suicidality as a distinct phenomenon.

Objective

To assess whether a dose of 75 mg intranasal (IN) ketamine reduces acute suicidality relative to a 4 mg intranasal dose of the active placebo midazolam, 180 min after administration.

Methods/design

A double-blind randomized placebo-controlled trial (N = 100) will assess the efficacy of fixed-dose IN racemic ketamine in patients presenting with acute suicidality, regardless of psychiatric diagnosis. Participants receive a single IN dose of either racemic ketamine (75 mg) or midazolam (4 mg) along with treatment as usual. The primary outcome is the reduction in suicidal ideation as measured by the Beck Scale for Suicide Ideation (BSSI) at 180 min. Secondary outcomes include depression severity with the Montgomery Åsberg Depression Rating Scale (MADRS) and tolerability with the Systematic Assessment for Treatment Emerging Effects (SAFTEE) as well as blood-based and neuroimaging markers.

Discussion

This study design considers key aspects such as patient selection, ketamine formulation, clinical management, and the follow-up time points. Potential risks, limitations, and future considerations are additionally discussed.

Trial Registration

EudraCT 2020-002905-24, registered 6 October 2021

背景:自杀是有或无精神障碍患者的一种跨诊断实体。氯胺酮是一种治疗难治性抑郁症的新方法,对该人群的相关自杀行为有良好的影响。氯胺酮作为一种独特的现象对自杀的影响知之甚少。目的:评估在给药后180分钟,75mg氯胺酮鼻内相对于4mg活性安慰剂咪达唑仑鼻内是否能降低急性自杀率。方法/设计:一项双盲随机安慰剂对照试验(N = 100)将评估固定剂量IN外消旋氯胺酮对急性自杀患者的疗效,而不考虑精神诊断。参与者接受单剂量外消旋氯胺酮(75毫克)或咪达唑仑(4毫克)与常规治疗。主要结果是在180分钟内用贝克自杀意念量表(BSSI)测量自杀意念的减少。次要结局包括Montgomery Åsberg抑郁评定量表(MADRS)的抑郁严重程度和治疗新效果系统评估(SAFTEE)的耐受性以及血液和神经影像学指标。讨论:本研究设计考虑了患者选择、氯胺酮配方、临床管理和随访时间点等关键方面。另外还讨论了潜在的风险、限制和未来的考虑。试验注册:edract 2020-002905-24,注册于2021年10月6日。
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引用次数: 0
A Network Analysis of ADHD and ASD Symptoms in Chinese Children: Insights on Age and Gender Differences 中国儿童ADHD和ASD症状的网络分析:年龄和性别差异的见解。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-18 DOI: 10.1002/mpr.70042
Jie Luo, Wen Shao, Yuanzhen Wu, Huanhuan Huang, Gaoyang Xu, Yanjie Qi, Paul Overton, Yi Zheng, Fan He

Objective

This study aimed to explore the transdiagnostic interactions between ADHD and ASD symptoms in Chinese children, identifying core and bridging symptoms, and examining differences in symptom networks across gender and age subgroups.

Method

Using data from a nationwide mental health survey of 71,217 Chinese children (mean age = 11.49, SD = 2.82), a symptom network analysis was conducted. ADHD and ASD symptoms were assessed via the Child Behavior Checklist (CBCL), with ASD items selected from an empirically derived CBCL autism scale. Network estimation was performed using the Glasso algorithm, and community detection was achieved through exploratory graph analysis (EGA). Network comparison tests (NCT) were used to evaluate differences in network structure and connectivity between gender (male vs. female) and age (younger vs. older) subgroups.

Results

Inattentive symptoms (I8 “Cannot concentrate,” I78 “Inattentive/easily distracted”) emerged as central bridging nodes linking ADHD and ASD symptoms. Three stable communities were identified: (1) an inattentive/internalizing cluster reflecting overlapping ADHD-inattentive and ASD features, (2) a hyperactive/impulsive and immature behavior cluster, and (3) a social withdrawal/low energy cluster representing core ASD features. Females exhibited significantly higher network connectivity than males (global strength: S = 1.05, p = 0.03), with tighter symptom interplay. Older children showed greater ADHD-ASD symptom overlap, though global strength differences were non-significant (S = 0.70, p = 0.13).

Conclusion

Two inattentive symptoms (I8 and I78) emerged as among the most strongly connected items in the combined ADHD–ASD symptom profile, suggesting that attentional difficulties could play an important role in the psychopathological mechanisms underlying both conditions. Nevertheless, this cross-sectional finding does not establish causality; longitudinal and intervention studies remain necessary. Screening approaches tailored to gender differences and local cultural context could improve identification of these symptoms in Chinese children and adolescents. The present findings may also guide future refinements in school mental-health support and related policy development.

目的:本研究旨在探讨中国儿童ADHD和ASD症状之间的跨诊断相互作用,识别核心症状和桥接症状,并检查不同性别和年龄亚组之间症状网络的差异。方法:利用全国71217名儿童(平均年龄11.49岁,SD = 2.82)的心理健康调查数据,进行症状网络分析。ADHD和ASD症状通过儿童行为检查表(CBCL)进行评估,其中ASD项目从经验导出的CBCL自闭症量表中选择。使用Glasso算法进行网络估计,通过探索性图分析(exploratory graph analysis, EGA)实现社区检测。使用网络比较测试(NCT)来评估性别(男性与女性)和年龄(年轻与年长)亚组之间网络结构和连通性的差异。结果:注意力不集中症状(I8“不能集中注意力”,I78“注意力不集中/容易分心”)成为连接ADHD和ASD症状的中心桥梁节点。研究发现了三个稳定的群体:(1)注意力不集中/内化群体,反映了adhd -不集中和ASD特征的重叠;(2)多动/冲动和不成熟行为群体;(3)社会退缩/低能量群体,代表了ASD的核心特征。女性的网络连通性显著高于男性(整体强度:S = 1.05, p = 0.03),症状相互作用更紧密。年龄较大的儿童表现出更多的ADHD-ASD症状重叠,尽管整体强度差异不显著(S = 0.70, p = 0.13)。结论:两个注意力不集中症状(I8和I78)是ADHD-ASD合并症状谱中联系最紧密的项目,提示注意困难可能在ADHD-ASD合并症状的精神病理机制中发挥重要作用。然而,这一横断面研究结果并不能确定因果关系;纵向和干预研究仍然是必要的。针对性别差异和当地文化背景量身定制的筛查方法可以提高对中国儿童和青少年这些症状的识别。本研究结果也可以指导未来学校心理健康支持和相关政策的制定。
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引用次数: 0
Body Dysmorphic Disorder Questionnaire: Arabic Adaptation and Validation in Dermatology Population 身体畸形障碍问卷:阿拉伯语适应和皮肤病学人群的验证。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-06 DOI: 10.1002/mpr.70045
Pascale Salameh, Jinane El Khoury, Marwa Hallal, Elissa Bader, Raneem Abed El Sater, Micheline Maamari, Maya Habre, Rami Abadi, Grace Obeid, Jihane Abou Rahal, Rudy Abi-Habib

Background

Body Dysmorphic Disorder (BDD) is a psychiatric condition characterized by excessive preoccupation with perceived flaws in physical appearance, often encountered in dermatologic settings.

Objective

This study aims to validate the Arabic Body Dysmorphic Disorder Questionnaire (BDDQ), used in the dermatologic setting.

Methods

Using previous versions of BDDQ, we developed a scale that considers the dermatologic setting and conditions and translated it into Arabic. The new tool was assessed for its construct, structural, and criterion validity and reliability.

Results

The newly developed tool had an appropriate construct validity; it was unidimensional (57% variance explanation), with excellent internal consistency (Cronbach alpha = 0.889). The structural (significant inter-item and item-scale Spearman correlation coefficients) and criterion validity measures (AUC = 0.869) were also appropriate. Compared to a physician diagnosis of BDD, two cut-off values were defined for the scale: 11.5 for screening purposes (Se = 100%; Sp = 31%), and 18.5 for diagnostic purposes (Se = 83% and Sp = 83.5%).

Conclusion

This study developed and validated a quantitative scale in a dermatology setting, the Arabic BDDQ scale. Further studies are recommended to confirm the scale's efficiency for screening and diagnostic purposes.

背景:身体畸形障碍(BDD)是一种精神疾病,其特征是过度关注身体外观的缺陷,通常在皮肤病学设置中遇到。目的:本研究旨在验证阿拉伯身体畸形障碍问卷(BDDQ),用于皮肤科设置。方法:利用先前版本的BDDQ,我们开发了一个考虑皮肤环境和条件的量表,并将其翻译成阿拉伯语。评估了新工具的构造、结构和标准的效度和信度。结果:本工具具有良好的构念效度;单向度(57%方差解释),具有良好的内部一致性(Cronbach α = 0.889)。结构(项目间和项目量表Spearman相关系数显著)和标准效度测量(AUC = 0.869)也很合适。与医生对BDD的诊断相比,量表定义了两个临界值:筛查目的11.5 (Se = 100%; Sp = 31%),诊断目的18.5 (Se = 83%, Sp = 83.5%)。结论:本研究开发并验证了一种皮肤病学设置的定量量表,阿拉伯BDDQ量表。建议进一步研究以证实该量表在筛查和诊断方面的有效性。
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引用次数: 0
Exploration of the Value of Optical Coherence Tomography (OCT) and OCT Angiography in Differentiating Between Major Depressive Disorder and Borderline Personality Disorder 光学相干断层扫描(OCT)和OCT血管造影在鉴别重度抑郁症和边缘型人格障碍中的价值探讨。
IF 2.5 3区 医学 Q2 PSYCHIATRY Pub Date : 2025-11-04 DOI: 10.1002/mpr.70043
Qian Xiao, Liying Shen, Fangling Li, Furong Jiang, Bei Xu

Background

Major depressive disorder (MDD) and borderline personality disorder (BPD) are psychiatric conditions with overlapping clinical features but distinct pathologies. This study aims to explore the microvascular changes in superficial retinal capillary plexus (SRCP) in patients between MDD and BPD using Optical Coherence Tomography (OCT) and Optical coherence tomography angiography (OCTA), as well as determine their clinical diagnostic value.

Methods

The study involved 35 MDD patients, 36 BPD patients, and 36 healthy controls (HCs). OCTA and OCT were used to assess macular vessel density (MVD) and peripapillary vessel density (PVD), retinal nerve fiber layer (RNFL), and central retinal thickness (CRT). The study also evaluated the correlation of these ocular parameters with clinical symptoms.

Results

Both MDD and BPD patients showed significant reductions in MVD, RNFL and CRT compared to HCs (all p < 0.05). BPD patients exhibited more pronounced decreases in the foveal area, RNFL and CRT than MDD patients (all p < 0.05). These ocular changes were associated with BPD symptom severity (all p < 0.05). The RNFL and CRT demonstrated potential as diagnostic markers for BPD (AUROCs of 0.625 and 0.695, p < 0.05).

Conclusions

OCT and OCTA might differentiate between MDD and BPD by identifying specific ocular changes, suggesting distinct neurobiological mechanisms for each disorder. These technologies hold promise for improving diagnostic accuracy.

背景:重度抑郁障碍(MDD)和边缘型人格障碍(BPD)是两种临床特征重叠但病理却截然不同的精神疾病。本研究旨在利用光学相干断层扫描(OCT)和光学相干断层扫描血管造影(OCTA)探讨MDD和BPD之间患者视网膜浅毛细血管丛(SRCP)的微血管变化,并确定其临床诊断价值。方法:研究纳入35例重度抑郁症患者、36例BPD患者和36例健康对照(hc)。OCTA、OCT评估黄斑血管密度(MVD)、乳头周围血管密度(PVD)、视网膜神经纤维层(RNFL)、视网膜中央厚度(CRT)。该研究还评估了这些眼部参数与临床症状的相关性。结果:与hc患者相比,MDD和BPD患者的MVD、RNFL和CRT均显著降低(均为p)。结论:OCT和OCTA可以通过识别特定的眼部变化来区分MDD和BPD,提示每种疾病的不同神经生物学机制。这些技术有望提高诊断的准确性。
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International Journal of Methods in Psychiatric Research
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