Journal of Affective Disorders Reports最新文献

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 : 2026-01-26 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 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 : 2026-01-26 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

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 : 2026-01-26 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 : 2026-01-26 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 : 2026-01-26 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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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 : 2026-01-25 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

Thwarted belongingness as a predictor of suicidal ideation: A question of operationalization? 被挫败的归属感作为自杀意念的预测因子：操作化的问题？

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-01-16 DOI: 10.1016/j.jadr.2026.101025

J. Eimen , H. Schiemann , J.J. Schroers , I. Höller , D. Schreiber , T. Teismann , T. Forkmann

Introduction

The Interpersonal Theory of Suicide (ITS) posits that thwarted belongingness (TB), perceived burdensomeness (PB), and hopelessness about the unchangeability of both states predict suicidal ideation, with TB often being a weaker predictor compared to PB. This study evaluates the German version of the Thwarted Belongingness Scale (TBS) as an alternative to the Interpersonal Needs Questionnaire (INQ) for operationalizing TB.

Methods

411 participants (75.4% female; M_age = 29.57; SD_age = 11.20) completed an online survey. Factorial validity of the TBS was examined using confirmatory factor analysis. Internal consistency and convergent validity were investigated. Hierarchical linear regression analyses compared TBS and INQ in predicting suicidal ideation, including PB and the interaction of TB×PB as predictors.

Results

The TBS demonstrated excellent internal consistency (Cronbach’s α = 0.95), good fit indices, and convergent validity. Both TBS and INQ significantly predicted suicidal ideation, but no interaction effect of TB×PB was found. PB was a significantly stronger predictor of suicidal ideation than TB, regardless of TB measure used.

Conclusion

The TBS showed solid psychometric properties and may be a suitable alternative to the INQ for measuring TB. However, TB remains a weaker predictor of suicidal ideation compared to PB, regardless of operationalization, suggesting the need to reassess the role of TB in suicide theories.

人际自杀理论（ITS）认为，受挫的归属感（TB）、感知到的负担感（PB）和对两种状态不变的绝望可以预测自杀意念，与PB相比，TB通常是一个较弱的预测因子。本研究评估了德国版的受挫归属感量表（TBS）作为人际需求问卷（INQ）的替代方案来实施TB。方法411名参与者（女性75.4%,Mage = 29.57, SDage = 11.20）完成在线调查。采用验证性因子分析检验TBS的析因效度。研究了内部一致性和收敛效度。层次线性回归分析比较TBS和INQ对自杀意念的预测，包括PB和TB×PB的相互作用作为预测因子。结果量表具有良好的内部一致性（Cronbach’s α = 0.95），拟合指标良好，具有收敛效度。TBS和INQ对自杀意念均有显著预测作用，但TB×PB无交互作用。无论采用何种结核病测量方法，PB对自杀意念的预测都明显强于结核病。结论TBS具有较强的心理测量特性，可替代INQ作为结核病的测量方法。然而，与PB相比，结核仍然是一个较弱的自杀意念预测因子，无论操作方式如何，这表明需要重新评估结核在自杀理论中的作用。

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引用次数: 0

The protective role of heart rate variability against ruminative thoughts in university students accessing Psychological Support Services 心率变异性对大学生心理支持服务中反刍思维的保护作用

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-01-01 DOI: 10.1016/j.jadr.2025.101017

Tania Moretta , Carola Dell’Acqua , Elisabetta Patron , Gioia Bottesi , Giulia Demo , Giulia Buodo , Daniela Palomba

Background

University students have a high likelihood of developing depressive symptoms. To counteract the increasing demand for psychological support, university clinical services are developing assessment protocols aimed at improving the early identification of mental disorders. In this context, psychological features (e.g., rumination) and altered autonomic balance (e.g., low heart rate variability, HRV) are well-established predictors of the onset and exacerbation of depressive symptoms.

Objective

The present study aimed to explore the reciprocal interaction between rumination and HRV in predicting the severity of depressive symptoms among university students accessing Psychological Support Services (PSS) for emotional distress (support-seeking group) has been compared to a group drawn from the general population of college students outside of PSS (control group).

Method

Thirty-six (26 F) support-seeking students and 39 (28 F) controls completed the Beck Depression Inventory, the Beck Anxiety Inventory, and the Rumination Response Scale. HRV was measured through a smartphone app during a guided online meeting with a trained researcher.

Results

The main results indicated a statistically significant interaction between levels of rumination and HRV in predicting depressive symptoms among support-seeking students, suggesting that increased HRV may buffer the impact of rumination on depressive symptoms.

Conclusion

These results highlight the important role of multidimensional assessment protocols that include psychological and physiological measures, for the selective identification of risk of developing anxiety and depression among university students. Interventions could include self-regulation training aimed at improving cardiac vagal control to counteract the negative effect of rumination on the exacerbation of depressive symptoms.

大学生很有可能出现抑郁症状。为了应对日益增长的心理支持需求，大学临床服务部门正在制定评估方案，旨在改善对精神障碍的早期识别。在这种情况下，心理特征（如反刍）和改变的自主神经平衡（如低心率变异性，HRV）是公认的抑郁症状发生和恶化的预测因素。目的探讨反刍和HRV在预测因情绪困扰而获得心理支持服务（PSS）的大学生（支持寻求组）抑郁症状严重程度中的相互作用，并将其与非PSS的大学生（对照组）进行比较。方法36例（26 F）寻求支持学生和39例（28 F）对照完成贝克抑郁量表、贝克焦虑量表和反刍反应量表。HRV是在与训练有素的研究人员进行指导的在线会议期间通过智能手机应用程序测量的。结果反刍与HRV水平对寻求支持学生抑郁症状的预测存在显著的交互作用，表明HRV的升高可以缓冲反刍对抑郁症状的影响。结论综合心理和生理指标的多维度评估方案在选择性识别大学生焦虑和抑郁风险方面具有重要作用。干预措施可能包括旨在改善心脏迷走神经控制的自我调节训练，以抵消反刍对抑郁症状加剧的负面影响。

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引用次数: 0

Psychosomatic mechanisms linking food insecurity with psychological distress among artisanal miners in Ghana 加纳手工矿工中粮食不安全与心理困扰之间的心身机制

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-01-01 DOI: 10.1016/j.jadr.2025.101020

Emmanuel Nyaaba , Kabila Abass , Vanessa F. Epis , Evans Adu-Siaw Annor , Lawrence Guodaar , Razak M. Gyasi

High levels of food insecurity (FI) and psychological distress (PD) continue to intersect in fragile, under-researched labor settings such as artisanal mining communities in Ghana. While the connection between food deprivation and poor mental health is increasingly acknowledged, the psychosomatic mechanisms that underlie this association remain poorly understood in low-income contexts. This study examines the association between FI and PD among artisanal miners in Ghana and explores the potential mediating role of psychosomatic factors in this association. Data were drawn from a cross-sectional survey of 664 adult miners. Fully adjusted regression models showed that FI was positively associated with higher levels of PD. Miners who were food secure (β = 0.340, CI = 6.397–8.203) or marginally food secure (β = 0.693, 95% CI = 12.507–14.377) reported significantly lower levels of PD compared to those who were food insecure. Bootstrapping estimates revealed that work-stress (24.46%), personal stress (∼2%), sleep problems (1.30%), physical exhaustion (∼1%), and comorbidities (∼1%) significantly and partially mediated the FI-PD association. These findings suggest that improving food access and addressing psychosomatic stressors may help mitigate psychological distress in this population.

高水平的粮食不安全（FI）和心理困扰（PD）继续在脆弱的、研究不足的劳动力环境中交叉，如加纳的手工采矿社区。虽然越来越多的人认识到食物匮乏和不良心理健康之间的联系，但在低收入背景下，这种联系背后的心身机制仍然知之甚少。本研究考察了加纳手工矿工的FI和PD之间的关联，并探讨了心身因素在这种关联中的潜在中介作用。数据来自对664名成年矿工的横断面调查。完全调整的回归模型显示，FI与较高水平的PD呈正相关。食物安全（β = 0.340, CI = 6.397-8.203）或勉强食物安全（β = 0.693, 95% CI = 12.507-14.377）的矿工与食物不安全的矿工相比，PD水平显著降低。Bootstrapping估计显示，工作压力（24.46%）、个人压力（~ 2%）、睡眠问题（1.30%）、体力衰竭（~ 1%）和合并症（~ 1%）显著和部分介导了FI-PD关联。这些发现表明，改善食物获取和解决身心压力源可能有助于减轻这一人群的心理困扰。

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引用次数: 0

Medical culture and its association with health outcomes in physicians: A cross-sectional study 医学文化及其与医生健康结果的关系：一项横断面研究

Q3 Psychology

Journal of Affective Disorders Reports

Pub Date : 2026-01-01 DOI: 10.1016/j.jadr.2025.101018

Emilie Banse , Moïra Mikolajczak , Marie Bayot , Anne-Laure Lenoir , Philippe de Timary

Background

Physician well-being is a critical issue, given the high prevalence of burnout, depression, and maladaptive health behaviors among doctors, as well as the broader implications for patient care quality and public health. Medical culture - defined by shared professional values and norms - may contribute significantly to physician distress. However, its relationship with physician mental health and self-care behaviors remains underexplored.

Objective

To investigate the associations between harmful dimensions of medical culture and health-related outcomes in physicians, including burnout, depression, presenteeism, help-seeking behavior, self-diagnosis, self-treatment, and psychoactive medication use.

Methods

A cross-sectional survey of 1002 physicians assessed depression (PHQ-9), burnout (BAT-12), and health behaviors. The Harmful Dimensions of Medical Culture (HDMC) scale measured Professional Commitment, the Myth of the Invulnerable Physician, and Stigma Towards Burnout. Correlation and multivariate regression analyses examined associations between medical culture and health outcomes, adjusting for personal and professional factors.

Results

All three HDMC scores significantly associated with most health-related outcomes. Professional Commitment and the Myth of the Invulnerable Physician were strongly linked to burnout and depression, but showed moderate to weak associations with health behaviors. Stigma Towards Burnout was strongly associated with depression and showed weak associations with burnout and health behaviors. Multivariable analyses confirmed the independent association between the HDMC and health outcomes after adjusting for personal and professional factors.

Conclusion

Findings underscore the role of medical culture in shaping physicians’ mental health and health-related behaviors. Addressing harmful cultural norms through targeted interventions could enhance physician well-being and support a more sustainable healthcare workforce.

鉴于医生中职业倦怠、抑郁和适应不良健康行为的高患病率，以及对患者护理质量和公众健康的更广泛影响，医生的健康是一个关键问题。医学文化——由共同的专业价值观和规范定义——可能对医生的苦恼有重大影响。然而，它与医生心理健康和自我保健行为的关系仍未得到充分探讨。目的探讨医学文化的有害维度与医生健康相关结果的关系，包括倦怠、抑郁、出勤、求助行为、自我诊断、自我治疗和精神活性药物的使用。方法对1002名医生进行横断面调查，评估抑郁（PHQ-9）、职业倦怠（BAT-12）和健康行为。医学文化有害维度（HDMC）量表测量了职业承诺、无懈可击的医生神话和对职业倦怠的污名。相关性和多变量回归分析检验了医学文化与健康结果之间的联系，并对个人和职业因素进行了调整。结果所有三个HDMC评分与大多数健康相关结局显著相关。职业承诺和无懈可击的医生神话与倦怠和抑郁密切相关，但与健康行为表现出中度至微弱的关联。倦怠耻感与抑郁呈显著相关，与倦怠和健康行为呈弱相关。在调整了个人和职业因素后，多变量分析证实了HDMC与健康结果之间的独立关联。结论医学文化对医生心理健康和健康相关行为的影响。通过有针对性的干预措施解决有害的文化规范可以提高医生的福祉，并支持更可持续的医疗保健队伍。

{"title":"Medical culture and its association with health outcomes in physicians: A cross-sectional study","authors":"Emilie Banse , Moïra Mikolajczak , Marie Bayot , Anne-Laure Lenoir , Philippe de Timary","doi":"10.1016/j.jadr.2025.101018","DOIUrl":"10.1016/j.jadr.2025.101018","url":null,"abstract":"<div><h3>Background</h3><div>Physician well-being is a critical issue, given the high prevalence of burnout, depression, and maladaptive health behaviors among doctors, as well as the broader implications for patient care quality and public health. Medical culture - defined by shared professional values and norms - may contribute significantly to physician distress. However, its relationship with physician mental health and self-care behaviors remains underexplored.</div></div><div><h3>Objective</h3><div>To investigate the associations between harmful dimensions of medical culture and health-related outcomes in physicians, including burnout, depression, presenteeism, help-seeking behavior, self-diagnosis, self-treatment, and psychoactive medication use.</div></div><div><h3>Methods</h3><div>A cross-sectional survey of 1002 physicians assessed depression (PHQ-9), burnout (BAT-12), and health behaviors. The Harmful Dimensions of Medical Culture (HDMC) scale measured Professional Commitment, the Myth of the Invulnerable Physician, and Stigma Towards Burnout. Correlation and multivariate regression analyses examined associations between medical culture and health outcomes, adjusting for personal and professional factors.</div></div><div><h3>Results</h3><div>All three HDMC scores significantly associated with most health-related outcomes. Professional Commitment and the Myth of the Invulnerable Physician were strongly linked to burnout and depression, but showed moderate to weak associations with health behaviors. Stigma Towards Burnout was strongly associated with depression and showed weak associations with burnout and health behaviors. Multivariable analyses confirmed the independent association between the HDMC and health outcomes after adjusting for personal and professional factors.</div></div><div><h3>Conclusion</h3><div>Findings underscore the role of medical culture in shaping physicians’ mental health and health-related behaviors. Addressing harmful cultural norms through targeted interventions could enhance physician well-being and support a more sustainable healthcare workforce.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"23 ","pages":"Article 101018"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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