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Pandemic-related anxiety and screen time: A mediation analysis 流行病相关焦虑与屏幕时间:中介分析
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jadr.2025.100940
Hailey Burns , Abiaz Hossain , Alyssa Forbes , Sana Sheikh , Ravishankar Subramani Iyer , Silvia Marin-Dragu , Davi Pereira dos Santos , Rita Orji , Tomas Hajek , Sherry Stewart , Alexa Bagnell , Sandra Meier

Background

The COVID-19 pandemic brought worldwide lockdowns and social distancing, causing feelings of pandemic-related anxiety and consequentially poorer mental health and loneliness. While social isolation and poor mental health have both been previously linked to increased screen time, it is unclear if they can explain the increased screen time during the pandemic.

Objective

This study investigated whether pandemic-related anxiety is associated with increased screen time, and whether this relationship is mediated by an increase in internalizing and externalizing symptoms, as well as loneliness.

Methods

572 Canadian participants (average age 27.60) completed an online survey between June 2020 to November 2021. The survey measured pandemic-related anxiety, emotional and behavioral symptoms, and loneliness. Participants also used a mobile sensing app over two weeks to record their daily objective screen time. A structural equation model assessed the relationship of pandemic-related anxiety with general mental health and loneliness, as well as the relationship between these psychological constructs and objective daily screen time.

Results

Pandemic-related anxiety was associated with greater screen time. Externalizing symptoms and loneliness mediated the association of screen time with worries about the consequences of the pandemic, but not with worries about contracting the disease.

Conclusions

Worrying about contracting the disease is an independent risk factor in developing more concerning patterns of screen use. Additionally, worrying about the consequences of the pandemic is not an independent factor but rather is mediated by externalizing symptoms and loneliness. This has implications for conceptualizing problematic screen use and the development of intervention and prevention efforts.
2019冠状病毒病大流行带来了全球范围的封锁和社交距离,引发了与大流行相关的焦虑情绪,从而导致心理健康状况恶化和孤独感。虽然社会孤立和精神健康状况不佳之前都与屏幕时间的增加有关,但目前尚不清楚它们是否可以解释大流行期间屏幕时间的增加。目的研究大流行相关焦虑是否与屏幕时间增加有关,以及这种关系是否由内化和外化症状以及孤独感的增加介导。方法在2020年6月至2021年11月期间,s572名加拿大参与者(平均年龄27.60岁)完成了在线调查。该调查测量了与大流行相关的焦虑、情绪和行为症状以及孤独感。参与者还在两周内使用移动传感应用程序记录他们每天的目标屏幕时间。一个结构方程模型评估了与大流行相关的焦虑与一般心理健康和孤独感的关系,以及这些心理结构与客观的每日屏幕时间之间的关系。结果与流行病相关的焦虑与屏幕时间的增加有关。外化症状和孤独感调节了屏幕时间与对大流行后果的担忧之间的联系,但与对感染疾病的担忧无关。结论担心染病是影响筛查方式发展的独立危险因素。此外,对大流行后果的担忧不是一个独立因素,而是由外在症状和孤独感介导的。这对概念化有问题的屏幕使用以及干预和预防工作的发展具有启示意义。
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引用次数: 0
Childhood maltreatment as a risk factor for depressive symptoms after an unintended pregnancy: The role of emotion regulation difficulties 儿童虐待作为意外怀孕后抑郁症状的风险因素:情绪调节困难的作用
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-05-19 DOI: 10.1016/j.jadr.2025.100931
Hannah Klusmann , Caroline Meyer , Sinha Engel , Stephanie Haering , Meike Katharina Blecker , Elisabeth Conrad , Franziska Reichmuth , Sarah Schumacher , Christine Knaevelsrud

Background

Individuals who experience an unintended pregnancy are at risk of developing depressive symptoms, regardless of whether the pregnancy is terminated or carried to term. Knowledge about particularly vulnerable individuals after an unintended pregnancy and about potential mechanisms of change is scarce.

Methods

This study investigated whether participants with childhood maltreatment after an unintended pregnancy (abortion or delivery), and whether difficulties in emotion regulation contribute significantly to depressive symptoms, beyond the effects of childhood maltreatment. Welch t-tests, chi-square-tests and hierarchical regression analysis were conducted.

Results

We included 190 participants, 46.8 % of whom had experienced childhood maltreatment. Participants with childhood maltreatment reported greater depressive symptoms (t = 4.23, df=186, p<.001) and were more likely to fulfill the diagnostic criteria for a depressive episode with onset during or after the pregnancy (χ²=6.5354, df=1, p< .05). The unique contribution of childhood maltreatment to depressive symptoms was 7 % (F(184,1) = 21.52, p < .001), the unique contribution of difficulties in emotion regulation to depressive symptoms was 28 % (F(183,1) = 80.70, p < .001).

Limitations

Limitations include the cross-sectional design and self-selected sample. Furthermore, only participants with unintended pregnancies were included, impeding comparisons with intended pregnancies.

Conclusions

Individuals with childhood maltreatment are specifically vulnerable to developing depressive symptoms after an unintended pregnancy. Preventive interventions should identify these individuals and provide individualized support as early as possible. Emotion regulation may be a promising intervention target for reducing depressive symptoms after an unintended pregnancy.
背景:经历意外怀孕的个体,无论是否终止妊娠或足月妊娠,都有出现抑郁症状的风险。关于意外怀孕后特别脆弱的个体以及潜在的改变机制的知识很少。方法本研究调查了儿童期受虐者是否在意外怀孕(流产或分娩)后发生过意外怀孕,以及情绪调节困难是否在儿童期受虐影响之外对抑郁症状有显著影响。采用Welch t检验、卡方检验和分层回归分析。结果我们纳入190名参与者,其中46.8%的人曾经历过童年虐待。儿童期遭受虐待的参与者报告了更大的抑郁症状(t = 4.23, df=186, p<.001),并且更有可能在怀孕期间或之后出现抑郁发作的诊断标准(χ²=6.5354,df=1, p<;. 05)。儿童期虐待对抑郁症状的独特贡献为7% (F(184,1) = 21.52, p <;.001),情绪调节困难对抑郁症状的独特贡献为28% (F(183,1) = 80.70, p <;措施)。局限性局限性包括横断面设计和自选样本。此外,只有意外怀孕的参与者被包括在内,阻碍了与计划怀孕的比较。结论儿童期受虐待的个体在意外怀孕后特别容易出现抑郁症状。预防性干预应尽早识别这些个体并提供个性化支持。情绪调节可能是减少意外怀孕后抑郁症状的一个有希望的干预目标。
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引用次数: 0
Predictors of disordered eating and/or eating disorders in children and adolescents in the Arab World: A systematic review and meta-analysis 阿拉伯世界儿童和青少年饮食失调和/或饮食失调的预测因素:系统回顾和荟萃分析
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-04-24 DOI: 10.1016/j.jadr.2025.100920
Rana Rizk , Lara Chamma , Nour Chamma , Celine El Khoury , Lara Saade , Pia Tohme

Introduction

The prevalence of disordered eating (DE) among children and adolescents is increasing in Arab countries. This systematic review explores the predictors of DE and eating disorders (EDs) in this demographic.

Methods

We searched PUBMED, MEDLINE, CINAHL, EMBASE, PsycINFO, Google Scholar, Web of Science Core Collection, ProQuest, Al Manhal, Al-Masdar, the website of the World Bank, and the grey literature for relevant studies, without language or time restrictions. We extracted data on study characteristics, methods, and results, and assessed the risk of bias using the MMAT tool. We performed an operate narrative synthesis of the studies adopting a bivariate vs. multivariate analysis, and meta-analyzed homogeneous studies adopting a multivariate analysis using RevMan 5.4.

Results

We included 36 studies and meta-analyzed 8. The risk of bias was assessed as high to unclear for a large proportion of the included studies. The predictors were categorized across biological, social, and psychological domains, but there was no consistency across studies, except for peer pressure. In the meta-analysis, excess body weight (OR=1.89; 95 %CI: 1.44, 2.49), female sex (OR=1.61; 95 %CI: 1.26, 2.06), urbanicity (OR=3.21; 95 %CI: 2.53, 4.08), perceived media pressure (OR=1.40; 95 %CI: 1.27, 1.54), and body shape dissatisfaction (OR=4.89; 95 %CI: 3.60, 6.66) predicted DE/EDs.

Conclusion

Culturally-sensitive prevention and intervention strategies with particular attention to perceived media pressure, are needed to address DE in children and adolescents.
在阿拉伯国家,儿童和青少年中饮食失调(DE)的患病率正在上升。本系统综述探讨了这一人群中DE和饮食失调(EDs)的预测因素。方法检索PUBMED、MEDLINE、CINAHL、EMBASE、PsycINFO、谷歌Scholar、Web of Science Core Collection、ProQuest、Al Manhal、Al- masdar、世界银行网站及灰色文献等相关研究,不受语言和时间限制。我们提取有关研究特征、方法和结果的数据,并使用MMAT工具评估偏倚风险。我们使用RevMan 5.4对采用双变量和多变量分析的研究进行了综合叙述,并对采用多变量分析的同质研究进行了荟萃分析。结果纳入36项研究,荟萃分析8项。在纳入的大部分研究中,偏倚风险被评估为高至不明确。预测因素在生物学、社会和心理学领域被分类,但除了同伴压力外,其他研究没有一致性。在meta分析中,体重超标(OR=1.89;95% CI: 1.44, 2.49),女性(OR=1.61;95% CI: 1.26, 2.06),城市化(OR=3.21;95% CI: 2.53, 4.08),感知介质压力(OR=1.40;95% CI: 1.27, 1.54)和体型不满意(OR=4.89;95% CI: 3.60, 6.66)预测DE/EDs。结论针对儿童和青少年的DE,需要采取文化敏感的预防和干预策略,特别关注感知到的媒体压力。
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引用次数: 0
What you think is what you get: Fear of happiness and its causal effect on current depressed mood in depressed patients and nondepressed controls 你所想的就是你所得到的:对快乐的恐惧及其对抑郁症患者和非抑郁症患者当前抑郁情绪的因果影响
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-04-20 DOI: 10.1016/j.jadr.2025.100925
Elisabeth A. Arens , Johannes Falck , Igor Nenadic , Ulrich Stangier
There is evidence that depressed patients differ from non-depressed controls in their fear of happiness. This raises the question of whether fear of happiness causally impact depressive symptoms. The present study investigates the causal impact of fear of happiness on current depressed mood in depressed patients (n = 40) and nondepressed controls (n = 60) by experimentally manipulating fear of happiness. Level of depressed mood state was assessed before and after the manipulation. Depressed patients scored significantly higher on fear of happiness than nondepressed controls. Compared to a control group, participants who were experimentally induced to fear happiness, subsequently exhibited higher levels of depressed mood. This finding was evident in both groups, depressed patients and nondepressed controls. While further research is needed, the present results suggest the importance of fostering positive conceptions of happiness in the treatment of clinical depression as well as in its prevention.
有证据表明,抑郁症患者对幸福的恐惧与非抑郁症患者不同。这就提出了一个问题:对幸福的恐惧是否会导致抑郁症状。本研究通过实验操纵快乐恐惧,探讨了40名抑郁症患者和60名非抑郁症患者对快乐恐惧对当前抑郁情绪的影响。评估操作前后抑郁情绪状态水平。抑郁症患者对幸福的恐惧得分明显高于非抑郁症患者。与对照组相比,实验诱导害怕幸福的参与者随后表现出更高程度的抑郁情绪。这一发现在两组中都很明显,抑郁患者和非抑郁对照组。虽然还需要进一步的研究,但目前的结果表明,在临床抑郁症的治疗和预防中,培养积极的幸福观念是很重要的。
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引用次数: 0
Examining the latent structure of adverse childhood experiences in a sample of adults from the United States using exploratory structural equation modelling 利用探索性结构方程模型研究美国成人样本中不良童年经历的潜在结构
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-04-20 DOI: 10.1016/j.jadr.2025.100923
Christa McCutchen, Philip Hyland

Background

A considerable amount of research has been conducted to determine the detrimental impacts that adverse childhood experiences (ACEs) can have on physical and mental health. Many studies have used ACE questionnaires to measure these events; however, there is some debate regarding the proper theoretical model for ACEs. This study was conducted to evaluate the most commonly used 10-item ACE questionnaire to determine the latent structure of ACEs in the context of psychological wellbeing and internalizing psychopathology.

Methods

A representative sample of adults (n = 1839) in the United States completed self-report measures. Exploratory Structural Equation Modelling (ESEM) was utilized to explore the latent structure of ACEs in the presence of negative and positive mental health outcomes and controlling for sex and race/ethnic categories.

Results

A one-factor model of the ACEs questionnaire provided reasonable fit to sample data and was deemed the most interpretable solution. The ACEs latent variables were positively correlated with internalizing psychopathology (β = 0.52) and negatively associated with psychological wellbeing (β = −0.44). Females had higher ACE scores and several racial/ethnic group differences were evident.

Conclusion

The optimal representation of the latent structure of the ten ACE items is a unidimensional structure. Implications for assessment and research are discussed.
背景:为了确定不良童年经历(ace)对身心健康的有害影响,已经进行了大量的研究。许多研究使用ACE问卷来测量这些事件;然而,关于ace的正确理论模型存在一些争论。本研究评估了最常用的10项ACE问卷,以确定ACE在心理健康和内化精神病理学背景下的潜在结构。方法在美国选取具有代表性的成人样本(n = 1839)完成自我报告测量。采用探索性结构方程模型(探索性结构方程模型)探讨消极和积极心理健康结果存在的潜在结构,并控制性别和种族/民族类别。结果ace问卷的单因素模型与样本数据拟合合理,是最具解释性的解决方案。ace潜在变量与内化精神病理呈正相关(β = 0.52),与心理健康负相关(β = - 0.44)。女性的ACE分数更高,几个种族/民族的差异也很明显。结论10个ACE项目潜在结构的最优表征为单维结构。讨论了评估和研究的意义。
{"title":"Examining the latent structure of adverse childhood experiences in a sample of adults from the United States using exploratory structural equation modelling","authors":"Christa McCutchen,&nbsp;Philip Hyland","doi":"10.1016/j.jadr.2025.100923","DOIUrl":"10.1016/j.jadr.2025.100923","url":null,"abstract":"<div><h3>Background</h3><div>A considerable amount of research has been conducted to determine the detrimental impacts that adverse childhood experiences (ACEs) can have on physical and mental health. Many studies have used ACE questionnaires to measure these events; however, there is some debate regarding the proper theoretical model for ACEs. This study was conducted to evaluate the most commonly used 10-item ACE questionnaire to determine the latent structure of ACEs in the context of psychological wellbeing and internalizing psychopathology.</div></div><div><h3>Methods</h3><div>A representative sample of adults (<em>n</em> = 1839) in the United States completed self-report measures. Exploratory Structural Equation Modelling (ESEM) was utilized to explore the latent structure of ACEs in the presence of negative and positive mental health outcomes and controlling for sex and race/ethnic categories.</div></div><div><h3>Results</h3><div>A one-factor model of the ACEs questionnaire provided reasonable fit to sample data and was deemed the most interpretable solution. The ACEs latent variables were positively correlated with internalizing psychopathology (β = 0.52) and negatively associated with psychological wellbeing (β = −0.44). Females had higher ACE scores and several racial/ethnic group differences were evident.</div></div><div><h3>Conclusion</h3><div>The optimal representation of the latent structure of the ten ACE items is a unidimensional structure. Implications for assessment and research are discussed.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100923"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873888","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}
引用次数: 0
The echoes of childhood: How parental bonding and emotional trauma shape loneliness in young adults 童年的回声:父母的联系和情感创伤如何塑造年轻人的孤独感
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-06-09 DOI: 10.1016/j.jadr.2025.100938
Ilenia Rosa , Chiara Conti , Roberta Lanzara , Irene Ceccato , Chiara Gallelli , Pasquale La Malva , Alberto Di Domenico , Piero Porcelli

Background

Loneliness is a subjective and painful experience resulting from an imbalance between desired and perceived social relationships. Several situational factors may increase loneliness in young adults. The study aimed to explore the association between parental bonding and loneliness by including childhood traumatic experiences and current psychological distress as potential mediators.

Method

A sample of 608 college students in psychology (Mage = 21.23, SD = 2.10) was consecutively enrolled. Sociodemographic characteristics, parental bonding (PBI), loneliness (UCLA), childhood traumatic emotional experiences (CTQ), anxiety (GAD-7), depressive (PHQ-9), and somatic symptoms (PHQ-15) were assessed through an online survey. After preliminarily assessing frequency distributions, descriptive statistics, and correlation, we performed a path analysis to examine both direct and indirect effects among the variables of interest.

Results

The path model showed that PBI care was negatively associated with traumatic experiences in childhood (ps ≤ 0.01). Both emotional abuse and neglect during childhood predicted higher levels of anxiety and depression (ps ≤ 0.05). Emotional abuse further predicted somatic symptoms (p < .001). Finally, loneliness was positively predicted by childhood traumatic emotional experiences, both neglect and abuse (ps < 0.001), as well as by depression (p < .001). Overall, the model explained a significant amount of variance in the UCLA scale (R2 = 0.44, p < .001).

Conclusions

Childhood trauma and adult depressive symptoms mediate the link between low parental care and loneliness. Recognizing early negative parental bonding's impact allows for tailored interventions to enhance psychological well-being by addressing early attachment issues.
孤独是一种主观的、痛苦的体验,是由期望的和感知的社会关系之间的不平衡所导致的。一些情境因素可能会增加年轻人的孤独感。本研究旨在通过将童年创伤经历和当前心理困扰作为潜在的中介因素来探索父母关系与孤独感之间的关系。方法随机抽取608名心理学专业大学生(Mage = 21.23, SD = 2.10)。通过在线调查评估社会人口学特征、父母关系(PBI)、孤独感(UCLA)、童年创伤性情绪经历(CTQ)、焦虑(GAD-7)、抑郁(PHQ-9)和躯体症状(PHQ-15)。在初步评估了频率分布、描述性统计和相关性之后,我们进行了通径分析,以检查感兴趣的变量之间的直接和间接影响。结果路径模型显示PBI护理与儿童创伤经历呈负相关(ps≤0.01)。儿童时期的情绪虐待和忽视预示着更高水平的焦虑和抑郁(ps≤0.05)。情绪虐待进一步预测躯体症状(p <;措施)。最后,童年创伤性情感经历(忽视和虐待)对孤独感有正向预测作用(ps <;0.001),以及抑郁症(p <;措施)。总体而言,该模型解释了UCLA量表的显著差异(R2 = 0.44, p <;措施)。结论童年创伤和成年抑郁症状在低亲代关爱与孤独感之间起中介作用。认识到早期负面父母关系的影响,可以通过解决早期依恋问题来定制干预措施,以增强心理健康。
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引用次数: 0
Intranasal racemic ketamine in treatment-resistant depression: Efficacy and tolerability in outpatient treatment 鼻内消旋氯胺酮治疗难治性抑郁症:门诊治疗的疗效和耐受性
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-07-17 DOI: 10.1016/j.jadr.2025.100954
Jan Sarlon , Timur Liwinski , Annette Beatrix Bruehl , Deanne Thomi , Undine Emmi Lang

Background and aim

Intranasal racemic ketamine is an off-label alternative for treatment-resistant depression (TRD), offering a non-invasive and compared to esketamine less expensive option. However, its efficacy and safety in outpatient settings remain underexplored. This study aimed to assess the safety, tolerability, and efficacy of intranasal racemic ketamine in patients with TRD.

Methods

This retrospective analysis included 45 patients (mean age 50.7 years, 21 women) who completed an induction phase of eight treatments with intranasal racemic ketamine over four weeks. Symptom severity was measured using the Montgomery-Åsberg Depression Rating Scale (MADRS). A complete response was defined as a ≥ 50 % reduction in MADRS scores from baseline, and a partial response as a 25–50 % reduction.

Results

The mean racemic ketamine dose was 114.0 mg, the mean MADRS score reduction after four weeks was 34.5 %. The mean increase in blood pressure was 7.4 mmHg systolic and 6.9 mmHg diastolic. A paired t-test comparing baseline and week 8 MADRS scores revealed a statistically significant reduction in scores, with a mean difference of 10.04. Cohen’s d for MADRS reduction was 1.30, indicating a large effect. A total of 31.1 % of patients achieved a complete response, and 33.3 % had a partial response. Euphoria was a significant predictor of treatment response (p < 0.001). Adverse events requiring medical intervention occurred in four patients, and the drop-out rate due to adverse effects was 4.2 %.

Conclusions

Intranasal racemic ketamine is an effective, well-tolerated treatment for TRD, with favorable safety outcomes and substantial antidepressant effects.
背景和目的经鼻外消旋氯胺酮是治疗难治性抑郁症(TRD)的一种标签外替代药物,提供了一种非侵入性的选择,与艾氯胺酮相比更便宜。然而,其在门诊的有效性和安全性仍有待进一步研究。本研究旨在评估TRD患者鼻内消旋氯胺酮的安全性、耐受性和有效性。方法回顾性分析45例患者(平均年龄50.7岁,21例女性),这些患者在4周内完成了8次鼻内消旋氯胺酮治疗的诱导期。使用Montgomery-Åsberg抑郁评定量表(MADRS)测量症状严重程度。完全缓解定义为MADRS评分较基线降低≥50%,部分缓解定义为降低25 - 50%。结果外消旋氯胺酮平均剂量为114.0 mg, 4周后平均MADRS评分降低34.5%。血压平均增加7.4 mmHg收缩压和6.9 mmHg舒张压。配对t检验比较基线和第8周MADRS评分,结果显示得分有统计学意义的降低,平均差值为10.04。MADRS降低的Cohen的d值为1.30,表明效果很大。31.1%的患者达到完全缓解,33.3%的患者达到部分缓解。欣快感是治疗反应的显著预测因子(p <;0.001)。4例患者发生了需要医疗干预的不良事件,不良反应导致的退出率为4.2%。结论经鼻外消旋氯胺酮治疗TRD疗效好,耐受性好,安全性好,抗抑郁效果显著。
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引用次数: 0
Living alone and 12-month major depressive episode in men and women from 2005 to 2021 2005年至2021年期间男性和女性独居和12个月重度抑郁症发作的情况
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-09-03 DOI: 10.1016/j.jadr.2025.100971
Mathilde M. Husky , Hélène Amieva , Valérie Bergua , Karine Peres , Océane Pic , François Beck , Christophe Léon , Ingrid Gillaizeau , Helen-Maria Vasiliadis

Objective

The objective of the present study is to determine whether living alone is associated with major depression among men and women after adjusting for sociodemographics known to be associated with depression.

Methods

Data from the 2005, 2010, 2017, and 2021 nationally representative cross-sectional French Health Barometer surveys were pooled covering n = 71,168 adults ages 18 to 75. Logistic regressions were performed to identify associations between 12-month major depressive episode and living alone overall, and stratified by sex.

Results

An increasing portion of adults 18 to 75 lives alone in France: 11.2 % in 2005, 16.7 % in 2010, 17.4 % in 2017, and 19.0 % in 2021. Among men, in our study, those living alone represented 10.3 % in 2005 to 20.0 % in 2021, among women, 12.1 % in 2005 and 18.0 % in 2021. Men are more likely than women to live alone before age 55, the reverse is true thereafter. In parallel, the prevalence of depression has increased from 8.0 % in 2005 to 13.3 % in 2021. In multivariable models adjusting for age, sex, education, occupation, income level, urbanicity and study wave, living alone was associated with higher odds of depression (AOR=1.50, 95 %CI=1.41–1.60). No significant interactions were found for living alone x sex, while living alone was significantly associated with depression only among those 25 or older.

Limitations

Cross-sectional surveys.

Conclusion

Living alone is becoming more frequent and is a strongly associated with major depression. This finding should raise attention to groups of men and women at increased risk of mental health problems.
本研究的目的是在调整了已知与抑郁相关的社会人口统计学因素后,确定独居是否与男性和女性的重度抑郁有关。方法收集2005年、2010年、2017年和2021年具有全国代表性的法国健康晴雨表横断面调查的数据,涵盖年龄在18至75岁之间的71168名成年人。进行逻辑回归以确定12个月重度抑郁发作与总体独居之间的关联,并按性别分层。结果在法国,18 - 75岁的成年人独居的比例越来越高:2005年为11.2%,2010年为16.7%,2017年为17.4%,2021年为19.0%。在我们的研究中,男性独居者的比例从2005年的10.3%上升到2021年的20.0%;女性独居者的比例从2005年的12.1%上升到2021年的18.0%。男性在55岁之前比女性更有可能独自生活,55岁之后则相反。与此同时,抑郁症的患病率从2005年的8.0%上升到2021年的13.3%。在调整了年龄、性别、教育程度、职业、收入水平、城市化程度和学习浪潮的多变量模型中,独居与较高的抑郁几率相关(AOR=1.50, 95% CI= 1.41-1.60)。没有发现独居与性别之间有显著的相互作用,而独居与抑郁症的显著关联仅存在于25岁及以上的人群中。LimitationsCross-sectional调查。结论独居越来越频繁,且与重度抑郁症密切相关。这一发现应该引起人们对心理健康问题风险增加的男性和女性群体的关注。
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引用次数: 0
How does maternal “belief in a dangerous world” affect maternal and child depressive symptoms during times of crisis? 在危机时期,母亲“对危险世界的信念”如何影响母亲和儿童的抑郁症状?
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-08-31 DOI: 10.1016/j.jadr.2025.100968
Ning Huang , Evelyn Law , Helen Chen , Birit Broekman , Jonathan Huang , Shirong Cai , Ai Peng Tan , Jerry Chan , Chong Yap Seng , Bobby Cheon , Anne Rifkin-Graboi

Background

Crises like a pandemic can exacerbate maternal and child depressive symptoms. The relationship between a pre-existing maternal dangerous world belief (BDWPre) with subsequent maternal (DEPPost_Mat) and child depressive symptoms (DEPPost_Child) during the actual crisis, and related mechanisms, remain unclear. This study 1) examines associations between BDWPre, DEPPost_Mat and DEPPost_Child, and 2) explores moderating and mediating roles of COVID-19 stress and pre-pandemic maternal depressive symptoms (DEPPre_Mat), along with the mediating effect of household conflict (HCpost).

Methods

This cohort data were from the Singapore PREconception Study of Long-Term Maternal and Child Outcomes, including 90 complete cases and 373 imputed cases. Multiple linear regression detected longitudinal associations between BDWPre, DEPPost_Mat, and DEPPost_Child, with COVID-19 stress and DEPPre_Mat as moderators. Structural equation modeling tested mediating roles of COVID-19 stress, DEPPre_Mat, and HCpost; insensitive maternal behavior was examined as an additional mediator.

Results

There were total associations of BDWPre with DEPPost_Mat (β = 0.172, 90 % CI [0.039, 0.306]) and DEPPost_Child (β = 0.161, 90 % CI [0.031,0.291]). DEPPre_Mat directly associated with an increase in DEPPost_Mat (β = 0.361, 90 % CI [0.248, 0.475]) and DEPPost_Child (β = 0.262, 90 % CI [0.121, 0.401]). COVID-19 stress and HCPost sequentially mediated the association between DEPPre_Mat and DEPPost_Mat, and this relationship could be independently mediated by the HCPost.

Conclusions

Early interventions for pre-existing maternal depressive symptoms and BDW are critical to protect maternal and preschooler mental health during crises. Interventions prioritizing household conflict, alongside crises-related stress, livelihood impacts, and media exposure, may be beneficial for susceptible preschoolers and their mothers during crises.
大流行等危机会加剧孕产妇和儿童的抑郁症状。在实际危机中,母亲的危险世界信念(BDWPre)与随后的母亲抑郁症状(DEPPost_Mat)和儿童抑郁症状(DEPPost_Child)之间的关系及其相关机制尚不清楚。本研究1)探讨了BDWPre、DEPPost_Mat和DEPPost_Child之间的关系;2)探讨了COVID-19应激对大流行前孕产妇抑郁症状(DEPPre_Mat)的调节和中介作用,以及家庭冲突(HCpost)的中介作用。方法本队列数据来自新加坡孕前长期母婴结局研究,包括90例完整病例和373例输入病例。多元线性回归发现BDWPre、DEPPost_Mat和DEPPost_Child之间存在纵向关联,COVID-19应激和DEPPre_Mat是调节因子。结构方程模型检验了COVID-19应激、DEPPre_Mat和HCpost的中介作用;不敏感的母亲行为被检查为一个额外的中介。结果BDWPre与DEPPost_Mat (β = 0.172, 90% CI[0.039, 0.306])和DEPPost_Child (β = 0.161, 90% CI[0.031,0.291])存在总相关性。DEPPre_Mat与DEPPost_Mat (β = 0.361, 90% CI[0.248, 0.475])和DEPPost_Child (β = 0.262, 90% CI[0.121, 0.401])的增加直接相关。COVID-19应激和HCPost依次介导了DEPPre_Mat和DEPPost_Mat之间的关联,这种关系可能由HCPost独立介导。结论早期干预已存在的母亲抑郁症状和BDW对保护危机期间母亲和学龄前儿童的心理健康至关重要。在危机期间,优先考虑家庭冲突以及与危机相关的压力、生计影响和媒体曝光的干预措施可能对易感学龄前儿童及其母亲有益。
{"title":"How does maternal “belief in a dangerous world” affect maternal and child depressive symptoms during times of crisis?","authors":"Ning Huang ,&nbsp;Evelyn Law ,&nbsp;Helen Chen ,&nbsp;Birit Broekman ,&nbsp;Jonathan Huang ,&nbsp;Shirong Cai ,&nbsp;Ai Peng Tan ,&nbsp;Jerry Chan ,&nbsp;Chong Yap Seng ,&nbsp;Bobby Cheon ,&nbsp;Anne Rifkin-Graboi","doi":"10.1016/j.jadr.2025.100968","DOIUrl":"10.1016/j.jadr.2025.100968","url":null,"abstract":"<div><h3>Background</h3><div>Crises like a pandemic can exacerbate maternal and child depressive symptoms. The relationship between a pre-existing maternal dangerous world belief (BDW<sub>Pre</sub>) with subsequent maternal (DEP<sub>Post_Mat)</sub> and child depressive symptoms (DEP<sub>Post_Child</sub>) during the actual crisis, and related mechanisms, remain unclear. This study 1) examines associations between BDW<sub>Pre</sub>, DEP<sub>Post_Mat</sub> and DEP<sub>Post_Child</sub>, and 2) explores moderating and mediating roles of COVID-19 stress and pre-pandemic maternal depressive symptoms (DEP<sub>Pre_Mat</sub>), along with the mediating effect of household conflict (HC<sub>post</sub>).</div></div><div><h3>Methods</h3><div>This cohort data were from the Singapore PREconception Study of Long-Term Maternal and Child Outcomes, including 90 complete cases and 373 imputed cases. Multiple linear regression detected longitudinal associations between BDW<sub>Pre</sub>, DEP<sub>Post_Mat</sub>, and DEP<sub>Post_Child</sub>, with COVID-19 stress and DEP<sub>Pre_Mat</sub> as moderators. Structural equation modeling tested mediating roles of COVID-19 stress, DEP<sub>Pre_Mat</sub>, and HC<sub>post</sub>; insensitive maternal behavior was examined as an additional mediator.</div></div><div><h3>Results</h3><div>There were total associations of BDW<sub>Pre</sub> with DEP<sub>Post_Mat</sub> (β = 0.172, 90 % CI [0.039, 0.306]) and DEP<sub>Post_Child</sub> (β = 0.161, 90 % CI [0.031,0.291]). DEP<sub>Pre_Mat</sub> directly associated with an increase in DEP<sub>Post_Mat</sub> (β = 0.361, 90 % CI [0.248, 0.475]) and DEP<sub>Post_Child</sub> (β = 0.262, 90 % CI [0.121, 0.401]). COVID-19 stress and HC<sub>Post</sub> sequentially mediated the association between DEP<sub>Pre_Mat</sub> and DEP<sub>Post_Mat</sub>, and this relationship could be independently mediated by the HC<sub>Post</sub>.</div></div><div><h3>Conclusions</h3><div>Early interventions for pre-existing maternal depressive symptoms and BDW are critical to protect maternal and preschooler mental health during crises. Interventions prioritizing household conflict, alongside crises-related stress, livelihood impacts, and media exposure, may be beneficial for susceptible preschoolers and their mothers during crises.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100968"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007606","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}
引用次数: 0
Migration and separation among Latinx asylum seekers: Experiences and relations with anxiety and depression 拉丁裔寻求庇护者的迁移和分离:与焦虑和抑郁的经历和关系
Q3 Psychology Pub Date : 2025-07-01 Epub Date: 2025-08-19 DOI: 10.1016/j.jadr.2025.100963
Amanda Venta , Ashley Bautista , Maria Cuervo , Alfonso Mercado , Luz Garcini , Cecilia Colunga-Rodríguez , Mario Ángel-González
This study sought to describe the experiences of families seeking asylum at the U.S./Mexico border and explore how traveling with and without family was associated with mental health in a large group of Latinx adults. Additionally, we explored relations between experiences of family separation due to migration and anxiety and depression. N = 400 participants were recruited from two main locations: an encampment site along the Rio Grande River in Reynosa Tamaulipas, Mexico and a respite center serving families recently released by U.S. Customs and Border Protection in McAllen, Texas. The average age of participants was 31.35 years (SD = 9.30), and the gender distribution was as follows: 56.5 % identified as female, 41.8 % identified as male, and 1.8 % identified as transgender. All participants identified as Latinx and completed interview-based measures, including a demographic form, migration interview, and the Patient Health Questionnaire in Spanish. Results indicated that most participants (56 %) traveled with minor children and doing so was associated with increased anxiety and depressive symptoms, with neutralization of this effect when traveling with a spouse. All participants endorsed experiencing family separation due to migration and a relation between separation and symptoms of depression was noted, with particular vulnerability among a subset of participants who declined to discuss the separation. The findings of this study bring attention to a large and ongoing humanitarian crisis at the U.S.’s Southern border which renders Latinx asylum seeking families more vulnerable to affective disorders due to the traumatic and destabilizing effects of family separation.
本研究试图描述在美国/墨西哥边境寻求庇护的家庭的经历,并探讨在一大群拉丁裔成年人中,与家人一起或没有家人一起旅行与心理健康之间的关系。此外,我们还探讨了移民导致的家庭分离经历与焦虑和抑郁之间的关系。N = 400名参与者从两个主要地点招募:墨西哥雷诺萨塔毛利帕斯州里约热内卢格兰德河沿岸的营地,以及德克萨斯州麦卡伦市最近由美国海关和边境保护局释放的为家庭服务的临时中心。参与者的平均年龄为31.35岁(SD = 9.30),性别分布如下:56.5%为女性,41.8%为男性,1.8%为变性人。所有参与者都被确定为拉丁裔,并完成了基于访谈的措施,包括人口统计表格、移民访谈和西班牙语患者健康问卷。结果表明,大多数参与者(56%)与未成年子女一起旅行,这样做与焦虑和抑郁症状增加有关,当与配偶一起旅行时,这种影响被抵消。所有与会者都赞同因移民而与家人分离的经历,并指出了分离与抑郁症状之间的关系,其中有一部分与会者拒绝讨论分离问题,他们特别容易受到伤害。这项研究的发现引起了人们对美国南部边境持续不断的大规模人道主义危机的关注,由于家庭分离的创伤和不稳定影响,拉丁裔寻求庇护的家庭更容易受到情感障碍的影响。
{"title":"Migration and separation among Latinx asylum seekers: Experiences and relations with anxiety and depression","authors":"Amanda Venta ,&nbsp;Ashley Bautista ,&nbsp;Maria Cuervo ,&nbsp;Alfonso Mercado ,&nbsp;Luz Garcini ,&nbsp;Cecilia Colunga-Rodríguez ,&nbsp;Mario Ángel-González","doi":"10.1016/j.jadr.2025.100963","DOIUrl":"10.1016/j.jadr.2025.100963","url":null,"abstract":"<div><div>This study sought to describe the experiences of families seeking asylum at the U.S./Mexico border and explore how traveling with and without family was associated with mental health in a large group of Latinx adults. Additionally, we explored relations between experiences of family separation due to migration and anxiety and depression. <em>N</em> = 400 participants were recruited from two main locations: an encampment site along the Rio Grande River in Reynosa Tamaulipas, Mexico and a respite center serving families recently released by U.S. Customs and Border Protection in McAllen, Texas. The average age of participants was 31.35 years (<em>SD</em> = 9.30), and the gender distribution was as follows: 56.5 % identified as female, 41.8 % identified as male, and 1.8 % identified as transgender. All participants identified as Latinx and completed interview-based measures, including a demographic form, migration interview, and the Patient Health Questionnaire in Spanish. Results indicated that most participants (56 %) traveled with minor children and doing so was associated with increased anxiety and depressive symptoms, with neutralization of this effect when traveling with a spouse. All participants endorsed experiencing family separation due to migration and a relation between separation and symptoms of depression was noted, with particular vulnerability among a subset of participants who declined to discuss the separation. The findings of this study bring attention to a large and ongoing humanitarian crisis at the U.S.’s Southern border which renders Latinx asylum seeking families more vulnerable to affective disorders due to the traumatic and destabilizing effects of family separation.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"21 ","pages":"Article 100963"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889894","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}
引用次数: 0
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Journal of Affective Disorders Reports
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