Journal of Affective Disorders Reports最新文献

Loneliness and mental health across family constellations in Germany: Evidence of a stable burden 德国家庭的孤独和心理健康：稳定负担的证据

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101033

Sabine Diabaté , Pauline Kleinschlömer , Lisa Kriechel , Leonie Kleinschrot , Elizabeth Mohr , Helena Ludwig-Walz

Loneliness is a pressing public health issue associated with adverse mental health outcomes, yet its distribution across family constellations and its links to mental health symptoms over time remain understudied. Using longitudinal data from the German Family Demography Panel Study (FReDA; N = 15,994 individuals, respondents aged 18 to 49 in 2020), this study examines how loneliness, as well as depressed and anxious moods, vary across five family constellations over three waves (autumn/winter 2021/22, 2022/23, 2023/24). Our results first indicate that loneliness remained high in Germany in 2023/2024, with approximately one-third of respondents reporting loneliness. Since the end of the COVID-19 pandemic, loneliness has declined on average, whereas depressed mood has increased and anxious mood has slightly decreased. This pattern is consistent across family constellations, and women score consistently higher than men. However, singles - both with and without children - reported the highest levels of loneliness, depressed and anxious mood. These findings suggest that cohabitation with a partner may act as a protective factor. Linear regression analyses suggest a persistent association between loneliness and mental health symptoms across all family constellations. The strength of these associations stays stable over time, particularly between loneliness and depressed mood. The first-difference regressions indicate that within-person increases in loneliness are associated with increases in affective symptoms across all family structures, with particularly strong effects among single parents and stronger associations for depressed than for anxious mood. These findings underscore the need for nuanced public health strategies that consider family constellations when addressing loneliness and mental health.

孤独是一个紧迫的公共卫生问题，与不良的心理健康结果有关，但它在家庭中的分布及其与心理健康症状的关系仍未得到充分研究。本研究使用德国家庭人口统计小组研究（FReDA; N = 15,994人，2020年年龄在18岁至49岁之间）的纵向数据，研究了五个家庭星座在三波（2021/22、2022/23、2023/24秋冬）中的孤独、抑郁和焦虑情绪是如何变化的。我们的研究结果首先表明，在2023/2024年，德国的孤独感仍然很高，大约三分之一的受访者表示感到孤独。自新冠肺炎疫情结束以来，孤独感平均下降，抑郁情绪上升，焦虑情绪略有下降。这种模式在整个家庭星座中都是一致的，女性的得分始终高于男性。然而，单身人士——无论有没有孩子——的孤独感、抑郁和焦虑情绪都最高。这些发现表明，与伴侣同居可能是一种保护因素。线性回归分析表明，在所有家庭中，孤独和心理健康症状之间存在持续的联系。随着时间的推移，这些联系的强度保持稳定，尤其是在孤独和抑郁情绪之间。一差回归表明，在所有家庭结构中，孤独感的增加与情感症状的增加有关，单亲父母的影响尤其强烈，抑郁情绪比焦虑情绪的关联更强。这些发现强调了在解决孤独和心理健康问题时需要考虑家庭关系的细致入微的公共卫生战略。

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引用次数: 0

Enhancing professional competencies to tackle depression and suicidal ideation: outcomes of the EAAD 4-level intervention across seven European countries 加强应对抑郁症和自杀意念的专业能力：七个欧洲国家EAAD四级干预的结果

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-25 DOI: 10.1016/j.jadr.2026.101026

Evelien Coppens , Chantal Van Audenhove , Piotr Toczyski , Panagiota Fexi , Rainer Mere , Peeter Värnik , Eva Claeys , András Székely , Saiko Allende Leal , Ella Arensman , Anvar Sadath Vakkayil , Albena Drobachka , Katharina Schnitzspahn , Kahar Abdulla , Simge Celik , Ulrich Hegerl

Background

Training primary care workers, mental health professionals, and community facilitators is a common strategy to enhance their knowledge, attitudes, and confidence in managing depression and suicidality. This study evaluates the impact of two standardized training programs within the EAAD 4-level intervention on participants’ attitudes, perceived competence, and behavioural intentions across seven European countries.

Method

A single-group pre-post-test study was conducted as part of the EU-funded EAAD-Best project. A cohort of 696 primary care and mental healthcare professionals (Level 1) from five countries and 519 community workers (Level 3) from five countries participated in tailored training. A bespoke questionnaire based on the Theory of Planned Behaviour assessed attitudes, perceived competence, and behavioural intention before and immediately after training.

Results

Linear mixed models showed significant improvements in perceived competence (Level 1: +14.7 %; Level 3: +26.7 %) and behavioural intention (Level 1: +25.7 %; Level 3: +53.9 %). Attitudes were already positive at baseline but improved slightly (Level 1: +1.7 %; Level 3: +2.2 %). Positive effects were observed across multiple countries, regardless of group size and training delivery mode. In one country, where training was delivered online to large groups due to the COVID-19 lockdown, training effects were still observed.

Conclusion

Our results suggest that the EAAD training program may enhance professionals’ competencies and intentions to apply learned skills. An online version of the training, which enabled training of large groups, also showed promising results, highlighting potential for scalability. Future initiatives should focus on engaging harder-to-reach professionals and considering more robust evaluation designs to better assess impact.

培训初级保健工作者、精神卫生专业人员和社区促进者是提高他们在管理抑郁症和自杀方面的知识、态度和信心的一种常见策略。本研究评估了EAAD 4级干预中两个标准化培训项目对七个欧洲国家参与者态度、感知能力和行为意图的影响。方法作为欧盟资助的EAAD-Best项目的一部分，进行单组测试前-测试后研究。来自5个国家的696名初级保健和精神保健专业人员（1级）和来自5个国家的519名社区工作人员（3级）参加了量身定制的培训。一份基于计划行为理论的定制问卷评估了培训前后的态度、感知能力和行为意图。结果线性混合模型显示，感知能力（水平1:+ 14.7%；水平3:+ 26.7%）和行为意愿（水平1:+ 25.7%；水平3:+ 53.9%）有显著改善。在基线时，态度已经是积极的，但略有改善（一级：+ 1.7%；三级：+ 2.2%）。无论小组规模和培训提供模式如何，在多个国家都观察到积极的效果。在一个国家，由于COVID-19的封锁，向大型群体提供了在线培训，仍然观察到培训效果。结论本研究结果表明，EAAD培训计划可以提高专业人员的能力和应用所学技能的意愿。该培训的在线版本也显示出有希望的结果，突出了可扩展性的潜力。该培训可以对大型群体进行培训。未来的举措应侧重于吸引难以接触到的专业人士，并考虑更健全的评估设计，以更好地评估影响。

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引用次数: 0

Psychosocial characteristics and daily impairment in women with persistent perinatal depressive symptoms: A large-scale cohort study 持续围产期抑郁症状妇女的社会心理特征和日常损害：一项大规模队列研究

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101032

Haruna Irino , Satoko Sasagawa , Chika Yokoyama , Aiko Okatsu , Ayako Kanie , Chika Kubota , Yasue Mitamura , Sayaka Aoyama , Miyuki Makino , Aiichiro Nakajima , Yaeko Kataoka , Masaru Horikoshi , Hironori Kuga , Masaya Ito

Background

This study aimed to determine the prevalence of persistent perinatal depressive symptoms and to identify the psychosocial characteristics associated with persistent symptoms among Japanese women. While persistent perinatal depression significantly impact both mothers and children, evidence from Japan remains limited.

Methods

A longitudinal online survey was conducted at three time points: during pregnancy, 1-month postpartum, and 6-month postpartum. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), and daily impairment was measured using the difficulty item of the Patient Health Questionnaire-9. The EPDS cutoff score was 13 during pregnancy and 9 for postpartum. Group differences were examined using chi-square tests and one-way ANOVAs, followed by multivariable logistic regression.

Results

Among the 1039 participants (31.85±4.31 years), those who scored over cutoff during pregnancy, 1-month postpartum, and 6-month postpartum were 9.5%, 12.5%, and 11.3%, respectively. Depressive symptoms remained consistently high at all three-time points for 41 women (3.9%), fluctuated for 238 (22.9%), and remained low for 760 (73.2%). Persistent perinatal depressive symptoms were associated with greater daily impairment and were predicted by lower household income, personal psychiatric history, fewer sleeping hours at 1-month postpartum, and fear of COVID-19.

Limitations

Data were self-reported via the internet, and daily impairment was assessed using a single item.

Conclusions

Persistent perinatal depressive symptoms are associated with greater daily impairment and specific psychosocial vulnerabilities. Given their potential adverse effects on both mothers and children, continuous monitoring and support for depressive symptoms throughout the perinatal period are essential from a public health perspective.

本研究旨在确定日本妇女持续围产期抑郁症状的患病率，并确定与持续症状相关的社会心理特征。虽然持续的围产期抑郁症对母亲和儿童都有显著影响，但来自日本的证据仍然有限。方法在孕期、产后1个月、产后6个月三个时间点进行纵向在线调查。使用爱丁堡产后抑郁量表（EPDS）评估抑郁症状，使用患者健康问卷-9中的难度项目测量日常损害。妊娠期EPDS分值为13分，产后为9分。采用卡方检验和单因素方差分析检验组间差异，然后进行多变量logistic回归。结果1039名参与者（31.85±4.31岁）中，孕期、产后1个月和产后6个月评分超过分界点的分别为9.5%、12.5%和11.3%。41名妇女（3.9%）的抑郁症状在所有三个时间点都一直很高，238名妇女（22.9%）的抑郁症状有所波动，760名妇女（73.2%）的抑郁症状仍然很低。持续的围产期抑郁症状与较大的日常损害相关，并与家庭收入较低、个人精神病史、产后1个月睡眠时间较少以及对COVID-19的恐惧有关。数据是通过互联网自我报告的，每天的损伤是用一个项目来评估的。结论持续的围产期抑郁症状与较大的日常损害和特定的社会心理脆弱性有关。鉴于对母亲和儿童的潜在不利影响，从公共卫生的角度来看，在整个围产期持续监测和支持抑郁症状是至关重要的。

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引用次数: 0

A pilot study of brain correlates of long-term treatment with transcutaneous vagal nerve stimulation in posttraumatic stress disorder 经皮迷走神经刺激长期治疗创伤后应激障碍的脑相关性初步研究

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2025-12-24 DOI: 10.1016/j.jadr.2025.101014

J. Douglas Bremner , Matthew T. Wittbrodt , Nil Z. Gurel , Jonathon A. Nye , Md Mobashir H. Shandhi , Asim H. Gazi , Amit J. Shah , Victoria Amorim , Bradley D. Pearce , Viola Vaccarino , Omer T. Inan

Objective

Posttraumatic Stress Disorder (PTSD) is a highly prevalent condition, and current treatments have limitations. Vagal Nerve Stimulation (VNS) is a new approach that potentially has promise for PTSD. Understanding the neurobiology of treatment response is important for developing new treatments. The purpose of this study was to assess neural correlations of long-term transcutaneous cervical VNS (tcVNS) in patients with PTSD.

Methods

Patients with PTSD underwent randomization to active tcVNS (N = 6) or sham stimulation (N = 5) twice daily for three months. High-Resolution Positron Emission Tomography scanning with radiolabeled water was used to measure brain blood flow measurements before and after treatment during exposure to personalized traumatic scripts paired with active or sham stimulation.

Results

Three months of active tcVNS resulted in activation in response to traumatic scripts in the sham stimulation group not seen in the tcVNS group in brain areas mediating the fear response, including posterior cingulate, thalamus, temporal and parietal cortex, and parahippocampal gyrus, with an increase in medial prefrontal cortex with tcVNS, in patients with PTSD.

Conclusion

TcVNS affects brain areas mediating fear and emotion which may underlie a therapeutic effect for PTSD.

目的创伤后应激障碍（PTSD）是一种非常普遍的疾病，目前的治疗存在局限性。迷走神经刺激（VNS）是一种治疗创伤后应激障碍的新方法。了解治疗反应的神经生物学对开发新的治疗方法很重要。本研究的目的是评估PTSD患者长期经皮颈椎VNS （tcVNS）的神经相关性。方法将PTSD患者随机分为主动tcVNS组（N = 6）和假刺激组（N = 5），每天2次，连续3个月。高分辨率正电子发射断层扫描与放射性标记水被用来测量治疗前后的脑血流量测量暴露于个性化创伤脚本配对的主动或虚假刺激。结果假性刺激3个月后，创伤后应激障碍患者的后扣带回、丘脑、颞叶和顶叶皮层、海马旁回等恐惧反应脑区出现了tcVNS组未见的激活，并增加了内侧前额叶皮层。结论tcvns对创伤后应激障碍（PTSD）的治疗作用可能与调节恐惧和情绪的脑区有关。

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引用次数: 0

Peripartum psychiatric admissions in Israel: A retrospective cohort study 以色列围产期精神病住院：一项回顾性队列研究

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101028

V. Bar , Y. Bilu , R. Walfisch , G. Amit , L. Azani , R. Yoffe , M. Weiser

Objective

To characterize peripartum psychiatric admissions in Israel and identify risk factors associated with postpartum admissions.

Methods

A total of 828,374 births between 2016 and 2022 were retrospectively analyzed using Israeli maternal-child health clinics’ data, representing 62% of nationwide births during the study period. Psychiatric admissions before, during and after pregnancy were identified through a national registry. Multivariable logistic regression and Cox proportional hazards models were used to examine risk factors, including: prior psychiatric admissions, Edinburgh Postnatal Depression Scale scores, employment status, marital status, and socioeconomic status.

Results

Admission rate spikes in the first month postpartum, and gradually returns to baseline levels after 6 months. Postpartum admissions were considerably more likely among women who had previous psychiatric admissions (OR = 149), and more so due to psychotic disorders (OR = 104) than bipolar disorder (OR = 5.1). However, first time admissions compose 62% of six-months postpartum admissions. Among mothers screened with EPDS a high score was associated with elevated risk for admission (OR = 5.6), especially when considering only mothers with no prior admissions (OR = 8.9).

Conclusion

Perinatal psychiatric admissions’ characteristics in Israel resemble those reported elsewhere, both temporally and in associated risk factors. The large number of first-time admissions highlights the need and challenge in identifying mothers at risk. EPDS screening was found useful in identifying mothers at risk for admissions, even beyond those due to postpartum depression and in the postpartum period. Incorporating a more detailed clinical history is likely required to better identify mothers at risk.

目的了解以色列围产期精神病住院的特点，并确定与产后住院相关的危险因素。方法使用以色列妇幼保健诊所的数据，回顾性分析2016年至2022年期间共828,374例新生儿，占研究期间全国新生儿的62%。在怀孕前、怀孕期间和怀孕后接受精神科治疗的情况都是通过国家登记来确定的。使用多变量logistic回归和Cox比例风险模型来检查危险因素，包括：先前的精神病学入院，爱丁堡产后抑郁量表得分，就业状况，婚姻状况和社会经济状况。结果住院率在产后1个月出现高峰，6个月后逐渐恢复到基线水平。产后入院的女性中，有精神病史的女性（OR = 149）比有双相情感障碍的女性（OR = 5.1）更有可能入院，而精神障碍（OR = 104）比双相情感障碍（OR = 5.1）更容易入院。然而，第一次入院占产后6个月入院的62%。在接受EPDS筛查的母亲中，得分高与入院风险增加相关（OR = 5.6），特别是当只考虑没有入院史的母亲时（OR = 8.9）。结论以色列围产期精神科入院的特点在时间和相关危险因素方面与其他地方相似。大量的首次入学凸显了识别有风险母亲的必要性和挑战。发现EPDS筛查在确定有入院风险的母亲方面很有用，甚至超出了产后抑郁症和产后时期的风险。可能需要更详细的临床病史来更好地识别有风险的母亲。

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引用次数: 0

A longitudinal study exploring paternal stress and well-being, maternal depressive symptoms, and the offspring’s later psychosocial functioning in adolescence and young adulthood 一项纵向研究，探讨父亲的压力和幸福感，母亲的抑郁症状，以及后代在青春期和青年期的后期社会心理功能

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101035

Marie Korhonen , Raili Salmelin , Mika Helminen , Ilona Luoma , Mirjami Mäntymaa , Kaija Puura

Background

The influence of the father’s well-being on child development has been increasingly studied, but longitudinal studies remain few. This study explores how paternal stress and well-being in the offspring’s middle childhood is associated with the child’s internalizing and externalizing problems and competence in adolescence and young adulthood. In addition, it explores the combined effect of paternal stress and maternal depressive symptoms (MDS) trajectories, on child outcomes.

Method

The longitudinal study started in 1989 in Tampere, Finland, and included 351 normal population primiparous mothers. MDS were screened prenatally, postnatally at 2 and 6 months, and when the index child was 4–5, 8–9, 16–17, and 27 years old. Fathers participated at the 8–9 years follow-up. The children completed questionnaires when they were 16–17 and 27 years old. Complete data were available from 106 adolescents and 81 young adults.

Results

The father’s long term health problems were associated with the child’s poorer competence in adolescence. The simultaneous high maternal depressive symptoms trajectory increased the risk. In young adulthood, the father’s poorer health and life satisfaction were associated with the offspring having a lower level of internalizing problems and better adaptive functioning. The MDS trajectory was not associated with the young adult’s outcomes.

Limitations

The sample size was moderate, and high-symptomatic cases were more common among drop-outs.

Conclusions

Exposure to paternal stress and poor well-being in middle childhood should be considered as an important risk factor for child development. On the other hand, (mild) childhood adversity may enhance psychosocial functioning in young adulthood.

父亲的幸福感对儿童发展的影响已经得到越来越多的研究，但纵向研究仍然很少。本研究探讨了子女童年中期的父亲压力和幸福感与孩子在青春期和青年期的内化和外化问题和能力之间的关系。此外，它还探讨了父亲压力和母亲抑郁症状（MDS）轨迹对儿童结局的综合影响。方法对1989年在芬兰坦佩雷市进行的351例正常人群初产母亲进行纵向研究。在新生儿4-5岁、8-9岁、16-17岁和27岁时对MDS进行产前、产后2个月和6个月的筛查。父亲们参与了8-9年的随访。这些孩子分别在16-17岁和27岁时完成问卷调查。完整的数据来自106名青少年和81名年轻人。结果父亲的长期健康问题与孩子在青春期能力较差有关。同时高的母亲抑郁症状轨迹增加了风险。在成年早期，父亲较差的健康状况和生活满意度与后代的内化问题水平较低和适应功能较好有关。MDS轨迹与年轻人的预后无关。局限性：样本量适中，高症状病例在辍学者中更为常见。结论童年中期暴露于父亲压力和生活质量差是影响儿童发育的重要危险因素。另一方面，（轻微的）童年逆境可能会增强成年后的社会心理功能。

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引用次数: 0

The self-reported positive and negative effects of electroconvulsive therapy: an international survey 电休克治疗自我报告的积极和消极影响：一项国际调查

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2025-12-09 DOI: 10.1016/j.jadr.2025.101008

John Read , Sue Cunliffe , Sarah Hancock , Christopher Harrop , Lucy Johnstone , Lisa Morrison

Background

When assessing the efficacy and safety of any medical procedure the experiences of patients need to be considered. This paper adds to the growing body of studies asking recipients of electroconvulsive therapy about their treatment experiences.

Methods

Open questions about the positive and negative effects of ECT, in an online international survey, were responded to by 776 ECT recipients, from 41 countries.

Results

About half (48.8 %) spontaneously reported one or more positive effects and almost all (96.9 %) spontaneously reported one or more negative effects. About half (51.2 %) reported only negative effects, 45.6 % reported a mixture of positive and negative effects and 3.2 % reported only positive outcomes. Content analysis found that the most reported positive effects were: ‘Improved Mood’ (23.2 %), ‘Reduced Suicidality’ (12.6 %) and ‘Reduced Psychosis’ (3.1 %). The most reported negative effects were: ‘Memory Loss’ (81.6 %), ‘Cognitive Decline’ (29.0 %), ‘Headache’ (11.1 %), ‘Abused/Violated/Traumatised’ (7.9 %), ‘Fear/Anxiety’ (6.8 %), ‘Impaired Relationships’ (5.4 %), ‘Brain Damage’ (5.0 %), ‘Can’t Work’ (4.9 %) and ‘Pain’ (4.9 %).

Limitations

This convenience sample may have been biased towards those with negative or positive attitudes about ECT. Some of the negative and positive effects attributed to ECT may have been the result of other factors (such as illness and age, or placebo, respectively).

Conclusions

These results, in conjunction with previous studies, suggest the need for new, more robust, independent research into safety and efficacy. The safety component of such studies should probably include adverse effects beyond memory loss and cognitive decline.

背景：在评估任何医疗程序的有效性和安全性时，需要考虑患者的经验。这篇论文增加了越来越多的研究，询问电休克治疗的接受者他们的治疗经历。方法在一项在线国际调查中，来自41个国家的776名ECT接受者回答了关于ECT的积极和消极影响的公开问题。结果约一半（48.8%）患者自发报告了一种或多种积极作用，几乎所有（96.9%）患者自发报告了一种或多种消极作用。大约一半（51.2%）报告只有负面影响，45.6%报告积极和消极影响混合，3.2%报告只有积极结果。内容分析发现，报告最多的积极影响是：“改善情绪”（23.2%），“减少自杀”（12.6%）和“减少精神病”（3.1%）。报告最多的负面影响是：“记忆丧失”（81.6%）、“认知能力下降”（29.0%）、“头痛”（11.1%）、“被虐待/被侵犯/受到精神创伤”（7.9%）、“恐惧/焦虑”（6.8%）、“人际关系受损”（5.4%）、“脑损伤”（5.0%）、“无法工作”（4.9%）和“疼痛”（4.9%）。这个便利样本可能偏向于那些对电痉挛疗法持消极或积极态度的人。ECT的一些消极和积极影响可能是其他因素（如疾病和年龄，或安慰剂）的结果。这些结果与先前的研究相结合，表明需要对安全性和有效性进行新的、更有力的、独立的研究。此类研究的安全成分可能包括记忆丧失和认知能力下降以外的不良影响。

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引用次数: 0

PTSD symptoms, loneliness, and amygdala volumes during pandemic social distancing associated with risk of suicidal ideation in trauma survivors with and without pre-pandemic PTSD PTSD症状、孤独感和大流行社交距离期间的杏仁核体积与有或没有大流行前PTSD的创伤幸存者自杀意念风险相关

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101030

Mak E Guenther , Jackson Lewis , Juvet Ashu Ebai , Jon D Elhai , Qin Shao , Xin Wang , Hong Xie

Objective

The prolonged social distancing during the COVID-19 pandemic has been shown to worsen loneliness, posttraumatic stress disorder (PTSD) symptoms and suicidal thought, though the negative effects of COVID-19 pandemic-related isolation on survivors with previous traumatic experiences remain largely unexplored. The present study investigated how pandemic-related social isolation relates to PTSD symptoms, thwarted belongingness and perceived burdensomeness, loneliness, and amygdala volumes in pre-pandemic trauma survivors with and without PTSD diagnosis.

Methods

Sixty-two participants from a previous PTSD study were recruited during the pandemic to complete online surveys, including the Interpersonal Needs Questionnaire (INQ) for thwarted belongingness (INQ-TB) and perceived burdensomeness (INQ-PB) to assess perceived social isolation and risk of suicidal ideation, UCLA Loneliness Scale, and the PTSD Checklist-5 (PCL) for PTSD symptoms, the virtual PTSD diagnostic interview, and a structural MRI (sMRI) scan to measure amygdala and nuclei volumes. Pre-pandemic PTSD diagnosis record was also obtained.

Results

Pandemic PCL were positively associated with UCLA loneliness and INQ-PB scores. INQ-TB and UCLA loneliness scores were inversely associated with post-pandemic amygdala volumes, specifically in left basolateral, central and cortical nuclei. Pre-pandemic PTSD diagnosis was associated with higher INQ-PB scores and smaller volumes of right amygdala and its centromedial nuclei post pandemic.

Conclusions

These findings suggest severe PTSD symptoms and smaller amygdala were associated with high loneliness and potential risk of suicidal ideation during the COVID-19 pandemic in trauma survivors. Pre-pandemic PTSD diagnosis can predict potential risk of suicidal ideation and reduced amygdala and its nuclei volumes when individuals are exposed to further stress.

2019冠状病毒病大流行期间延长的社交距离已被证明会加剧孤独感、创伤后应激障碍（PTSD）症状和自杀念头，尽管与COVID-19大流行相关的隔离对之前有创伤经历的幸存者的负面影响在很大程度上仍未被探索。本研究调查了与大流行相关的社会隔离与有或没有PTSD诊断的大流行前创伤幸存者的PTSD症状、受挫的归属感和感知负担、孤独感和杏仁核体积之间的关系。方法在大流行期间，从先前的PTSD研究中招募了62名参与者，完成在线调查，包括人际需求问卷(INQ) -挫败归属感（INQ- tb）和感知负担(INQ- pb) -评估感知社会隔离和自杀意念风险，UCLA孤独量表，PTSD症状检查表-5 (PCL)，虚拟PTSD诊断访谈。以及结构核磁共振成像（sMRI）扫描来测量杏仁核和核的体积。并获得流行前PTSD诊断记录。结果学业PCL与UCLA孤独感和INQ-PB评分呈正相关。INQ-TB和UCLA孤独得分与大流行后杏仁核体积呈负相关，特别是在左基底外侧核、中央核和皮质核。大流行前的PTSD诊断与INQ-PB评分较高、大流行后右侧杏仁核及其中央内侧核体积较小相关。结论在COVID-19大流行期间，创伤幸存者的严重创伤后应激障碍症状和较小的杏仁核与高度孤独感和潜在的自杀意念风险相关。大流行前PTSD诊断可以预测自杀意念的潜在风险，以及个体暴露于进一步压力时杏仁核及其核体积的减少。

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引用次数: 0

Metacognitive functioning in love addiction: An exploratory brief report 恋爱成瘾的元认知功能：一个探索性的简短报告

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101029

Roberta Gabriella Cavalli, Serena Bruno, Camilla Tacchino, Patrizia Velotti

Concerning research on behavioral addictions, literature focused on metacognitive beliefs, pointing out a gap in understanding the underlying processes of metacognition. Metacognitive functioning is recognized as a transdiagnostic construct across psychopathological conditions. To explore this aspects, 30 interviews with individual diagnosed with Love Addiction were transcribed and analyzed using the Metacognition Assessment Scale (MAS). Findings indicate that while patients demonstrate a solid grasp of their own mental states, they struggle to comprehend others' minds, both from an egocentric and decentered perspective. Additionally, the most frequently employed coping strategy for managing psychological distress involves the voluntary regulation of mental states, directly modifying maladaptive perceptions. This study serves as an initial step toward a more comprehensive clinical understanding of Love Addiction, identifying both the most impaired and the more functional metacognitive domains.

在对行为成瘾的研究中，文献主要集中在元认知信念上，指出了对元认知潜在过程理解的空白。元认知功能被认为是跨精神病理条件的跨诊断结构。本研究采用元认知评估量表（MAS）对30例恋爱成瘾患者的访谈进行转录和分析。研究结果表明，虽然患者对自己的精神状态有很好的把握，但他们很难从自我中心和非中心的角度理解他人的思想。此外，管理心理困扰最常用的应对策略包括对精神状态的自愿调节，直接修改适应不良的感知。这项研究是对爱情成瘾更全面的临床理解的第一步，确定了最受损的和功能更强的元认知领域。

引用次数: 0

Barriers to PTSD treatment in veterans with traumatic brain injury: A mixed-methods analysis 创伤性脑损伤退伍军人PTSD治疗障碍：混合方法分析

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-04-01 Epub Date: 2026-01-26 DOI: 10.1016/j.jadr.2026.101027

Tamar Rodney, Kara Elizabeth Leonard, Marcus Charles Dyson, Akasi Aryitey, Emma Mangano

Traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) are prevalent among veterans, often leading to significant functional, social, and occupational impairments, as well as chronic health issues and increased suicide risk. The objective of this study was to evaluate PTSD symptom severity and the time elapsed between diagnosis and treatment-seeking among veterans with TBI. Using online recruitment via social media platforms and veteran databases, 150 veterans participated between January 2021 and July 2022. The study utilized qualitative interviews and an online survey to explore the decision-making process and barriers to seeking PTSD treatment. All data were self-reported. The severity of PTSD symptoms was assessed using the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), with a score above 31 indicating probable PTSD. Findings revealed that 63% of veterans had probable PTSD. Notably, the time taken to seek treatment ranged from 1 to 37 years, with an average delay of 3.57 years. These results highlight the need for improved mental healthcare delivery among veterans and the importance that prolonged treatment-seeking behaviors can have on veterans' PTSD symptoms and ultimately their health.

创伤性脑损伤（TBI）和创伤后应激障碍（PTSD）在退伍军人中很普遍，通常会导致严重的功能、社会和职业障碍，以及慢性健康问题和自杀风险增加。本研究的目的是评估创伤性脑损伤退伍军人创伤后应激障碍症状的严重程度和从诊断到寻求治疗的时间间隔。通过社交媒体平台和退伍军人数据库进行在线招聘，150名退伍军人在2021年1月至2022年7月期间参加了招聘。该研究利用定性访谈和在线调查来探讨寻求创伤后应激障碍治疗的决策过程和障碍。所有数据均为自我报告。使用DSM-5创伤后应激障碍检查表（PCL-5）评估PTSD症状的严重程度，得分超过31分表明可能患有PTSD。调查结果显示，63%的退伍军人可能患有创伤后应激障碍。值得注意的是，寻求治疗的时间从1年到37年不等，平均延迟时间为3.57年。这些结果强调了改善退伍军人心理保健服务的必要性，以及长期寻求治疗行为对退伍军人创伤后应激障碍症状和最终健康的重要性。

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