Pub Date : 2026-01-26DOI: 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.
{"title":"Metacognitive functioning in love addiction: An exploratory brief report","authors":"Roberta Gabriella Cavalli, Serena Bruno, Camilla Tacchino, Patrizia Velotti","doi":"10.1016/j.jadr.2026.101029","DOIUrl":"10.1016/j.jadr.2026.101029","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101029"},"PeriodicalIF":0.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080638","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}
Pub Date : 2026-01-26DOI: 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.
{"title":"Barriers to PTSD treatment in veterans with traumatic brain injury: A mixed-methods analysis","authors":"Tamar Rodney, Kara Elizabeth Leonard, Marcus Charles Dyson, Akasi Aryitey, Emma Mangano","doi":"10.1016/j.jadr.2026.101027","DOIUrl":"10.1016/j.jadr.2026.101027","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101027"},"PeriodicalIF":0.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080639","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}
Pub Date : 2026-01-25DOI: 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.
{"title":"Enhancing professional competencies to tackle depression and suicidal ideation: outcomes of the EAAD 4-level intervention across seven European countries","authors":"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","doi":"10.1016/j.jadr.2026.101026","DOIUrl":"10.1016/j.jadr.2026.101026","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>Linear mixed models showed significant improvements in <strong>perceived competence</strong> (Level 1: +14.7 %; Level 3: +26.7 %) and <strong>behavioural intention</strong> (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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101026"},"PeriodicalIF":0.0,"publicationDate":"2026-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080640","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}
Pub Date : 2026-01-16DOI: 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; Mage = 29.57; SDage = 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.
{"title":"Thwarted belongingness as a predictor of suicidal ideation: A question of operationalization?","authors":"J. Eimen , H. Schiemann , J.J. Schroers , I. Höller , D. Schreiber , T. Teismann , T. Forkmann","doi":"10.1016/j.jadr.2026.101025","DOIUrl":"10.1016/j.jadr.2026.101025","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>411 participants (75.4% female; <em>M<sub>age</sub></em> = 29.57; <em>SD<sub>age</sub></em> = 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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101025"},"PeriodicalIF":0.0,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996211","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}
Pub Date : 2026-01-09DOI: 10.1016/j.jadr.2025.101019
Jeoffrey Bispham , Christopher Blair , Sagar V. Parikh , Roger S. McIntyre , Mark Opler , Erlyn Macarayan , Mary C. Burke , Alina Karim , Michael Martin , Priscilla Driscoll Shempp , Ian Robinson , Maggie McCue
Background
Major depressive disorder (MDD) remains a clinical challenge, showing low remission rates with standard-of-care (SOC) antidepressants (ADs). This study evaluated real-world treatment experience with vortioxetine vs SOC ADs through the online peer community PatientsLikeMe (PLM).
Methods
This observational, prospective, patient-centric, decentralized study recruited adults with MDD using the PLM platform. In this 2-part study, qualitative surveys informed study flow. The quantitative study enrolled participants who started or switched SOC AD monotherapy or vortioxetine within 180 days and had baseline Patient Health Questionnaire-9 scores ≥5. Primary endpoint was proportion with Patient Global Impression of Improvement (PGI-I) score <2 at week 12 (W12). Secondary endpoints included MDD severity, MDD symptoms, and quality of life (QoL).
Results
Qualitative survey responses refined the quantitative study design. Quantitative study enrolled 352 receiving SOC and 151 receiving vortioxetine. At W12, proportions with PGI-I scores <2 were similar (vortioxetine vs SOC: 4.5% vs 1.8%; P = 0.830). Mean PGI-I scores were similar at W12 (vortioxetine vs SOC: 3.5 vs 3.6; P = 0.831) and lower with vortioxetine at W24 (vortioxetine vs SOC: 3.0 vs 3.4; P < 0.001). Remission rates at W24 were higher with vortioxetine (11.4%) vs SOC (2.5%; P < 0.001). Feelings of anhedonia were significantly less frequent with vortioxetine (P = 0.005).
Limitations
Self-reported data may introduce recall bias. PLM users may have higher health literacy than the general population.
Conclusions
Although primary endpoint was not met, long-term vortioxetine was associated with improved global impression, QoL and life satisfaction, and a higher rate of remission, which can guide clinical decisions and empower patients.
重度抑郁症（MDD）仍然是一个临床挑战，使用标准治疗（SOC）抗抑郁药（ADs）的缓解率很低。本研究通过在线同行社区PatientsLikeMe （PLM）评估了沃替西汀与SOC ad的真实治疗体验。方法：这项观察性、前瞻性、以患者为中心、分散的研究使用PLM平台招募成年重度抑郁症患者。在这个由两部分组成的研究中，定性调查告知了研究流程。定量研究纳入了在180天内开始或转换SOC AD单药治疗或沃替西汀的参与者，并且基线患者健康问卷-9得分≥5。主要终点是第12周（W12）患者总体改善印象（PGI-I）评分<；2的比例。次要终点包括MDD严重程度、MDD症状和生活质量（QoL）。结果定性调查结果完善了定量研究设计。定量研究入组352例接受SOC治疗，151例接受vortioxetine治疗。在W12时，pg - i评分为<；2的比例相似（vortioxetine vs SOC: 4.5% vs 1.8%; P = 0.830）。在W12时，平均gi - i评分相似（沃替西汀与SOC: 3.5 vs 3.6; P = 0.831），而在W24时，沃替西汀的评分较低（沃替西汀与SOC: 3.0 vs 3.4; P < 0.001）。沃替西汀组的缓解率（11.4%）高于SOC组（2.5%;P < 0.001）。沃替西汀组的快感缺乏症发生率明显降低（P = 0.005）。局限性：自我报告的数据可能会引入回忆偏差。PLM用户的健康素养可能高于一般人群。结论长期使用沃替西汀虽未达到主要终点，但总体印象、生活质量和生活满意度均有所改善，缓解率较高，可指导临床决策，赋予患者权力。
{"title":"Effectiveness and the patient experience with vortioxetine vs other standard-of-care antidepressants in major depressive disorder: Real-world insights from an observational, prospective, decentralized study using the PatientsLikeMe platform","authors":"Jeoffrey Bispham , Christopher Blair , Sagar V. Parikh , Roger S. McIntyre , Mark Opler , Erlyn Macarayan , Mary C. Burke , Alina Karim , Michael Martin , Priscilla Driscoll Shempp , Ian Robinson , Maggie McCue","doi":"10.1016/j.jadr.2025.101019","DOIUrl":"10.1016/j.jadr.2025.101019","url":null,"abstract":"<div><h3>Background</h3><div>Major depressive disorder (MDD) remains a clinical challenge, showing low remission rates with standard-of-care (SOC) antidepressants (ADs). This study evaluated real-world treatment experience with vortioxetine vs SOC ADs through the online peer community PatientsLikeMe (PLM).</div></div><div><h3>Methods</h3><div>This observational, prospective, patient-centric, decentralized study recruited adults with MDD using the PLM platform. In this 2-part study, qualitative surveys informed study flow. The quantitative study enrolled participants who started or switched SOC AD monotherapy or vortioxetine within 180 days and had baseline Patient Health Questionnaire-9 scores ≥5. Primary endpoint was proportion with Patient Global Impression of Improvement (PGI-I) score <2 at week 12 (W12). Secondary endpoints included MDD severity, MDD symptoms, and quality of life (QoL).</div></div><div><h3>Results</h3><div>Qualitative survey responses refined the quantitative study design. Quantitative study enrolled 352 receiving SOC and 151 receiving vortioxetine. At W12, proportions with PGI-I scores <2 were similar (vortioxetine vs SOC: 4.5% vs 1.8%; <em>P</em> = 0.830). Mean PGI-I scores were similar at W12 (vortioxetine vs SOC: 3.5 vs 3.6; <em>P</em> = 0.831) and lower with vortioxetine at W24 (vortioxetine vs SOC: 3.0 vs 3.4; <em>P</em> < 0.001). Remission rates at W24 were higher with vortioxetine (11.4%) vs SOC (2.5%; <em>P</em> < 0.001). Feelings of anhedonia were significantly less frequent with vortioxetine (<em>P</em> = 0.005).</div></div><div><h3>Limitations</h3><div>Self-reported data may introduce recall bias. PLM users may have higher health literacy than the general population.</div></div><div><h3>Conclusions</h3><div>Although primary endpoint was not met, long-term vortioxetine was associated with improved global impression, QoL and life satisfaction, and a higher rate of remission, which can guide clinical decisions and empower patients.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101019"},"PeriodicalIF":0.0,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190161","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}
The efficacy of light therapy for seasonal affective disorder (SAD) has been supported in several studies. However, the duration of the effectiveness of light therapy at different time points has not been robustly examined.
Objective
To investigate the effect of light therapy at different time points of treatment and at post-treatment follow-up among individuals with seasonal affective disorder.
Design
A meta-analysis of randomized controlled and crossover trials.
Method
Articles were searched in nine electronic databases from inception to April 2025, and 17 eligible randomized controlled trials and crossover trials were included. The risk of bias for each included study was assessed using the criteria in the Cochrane Handbook for Systematic Reviews of Interventions, Version 2.0.
Results
Light therapy significantly reduced symptoms of seasonal affective disorder during week 2 (Hedges’ g = -0.62, p < 0.001), while the effect at weeks 1, 3, and 4 were non-significant (g = -0.17, p = 0.066, g = -0.60, p = 0.134, g = -0.15, p = 0.313). These effects correspond to estimated reductions of approximately 0.8, 3.1, 3.05, and 0.8 points, respectively, on the SIGH-SAD scale. At 1-week post-treatment follow-up, the maintenance effects of light therapy were not statistically significant for either 1-week (g = -0.52, p = 0.078) or 2-week (g = -0.36, p = 0.090) treatment durations. Measurement period was the significant moderator at week 2.
Conclusion
Light therapy can reduce symptoms of seasonal affective disorder, with a minimum of two weeks recommended to achieve desirable outcomes.
背景：光疗治疗季节性情感障碍（SAD）的疗效已得到多项研究的支持。然而，光疗在不同时间点的有效性持续时间尚未得到有力的检验。目的探讨光疗在不同治疗时间点及治疗后随访对季节性情感障碍患者的影响。设计随机对照试验和交叉试验的荟萃分析。方法检索9个电子数据库自创刊至2025年4月的文献，纳入17项符合条件的随机对照试验和交叉试验。每个纳入研究的偏倚风险采用Cochrane干预措施系统评价手册2.0版中的标准进行评估。结果光疗在第2周显著减轻了季节性情感障碍的症状（Hedges ' g = -0.62, p < 0.001），而在第1、3和4周效果不显著（g = -0.17, p = 0.066, g = -0.60, p = 0.134, g = -0.15, p = 0.313）。这些影响对应于在叹息-悲伤量表上分别减少大约0.8、3.1、3.05和0.8个点。在治疗后1周的随访中，光疗在1周（g = -0.52, p = 0.078）和2周（g = -0.36, p = 0.090）治疗期间的维持效果均无统计学意义。测量期在第2周显著调节。结论光疗可减轻季节性情感障碍的症状，建议至少两周即可达到理想效果。
{"title":"Light therapy in seasonal affective disorder: a systematic review and meta-analysis of randomized controlled and crossover trials","authors":"Chiung-Jane Wu , Doreen Phiri , Hsiu-Ju Jen , Anggi Setyowati , Min-Huey Chung","doi":"10.1016/j.jadr.2025.101021","DOIUrl":"10.1016/j.jadr.2025.101021","url":null,"abstract":"<div><h3>Background</h3><div>The efficacy of light therapy for seasonal affective disorder (SAD) has been supported in several studies. However, the duration of the effectiveness of light therapy at different time points has not been robustly examined.</div></div><div><h3>Objective</h3><div>To investigate the effect of light therapy at different time points of treatment and at post-treatment follow-up among individuals with seasonal affective disorder.</div></div><div><h3>Design</h3><div>A meta-analysis of randomized controlled and crossover trials.</div></div><div><h3>Method</h3><div>Articles were searched in nine electronic databases from inception to April 2025, and 17 eligible randomized controlled trials and crossover trials were included. The risk of bias for each included study was assessed using the criteria in the Cochrane Handbook for Systematic Reviews of Interventions, Version 2.0.</div></div><div><h3>Results</h3><div>Light therapy significantly reduced symptoms of seasonal affective disorder during week 2 (Hedges’ <em>g</em> = -0.62, <em>p</em> < 0.001), while the effect at weeks 1, 3, and 4 were non-significant (<em>g</em> = -0.17, <em>p</em> = 0.066, <em>g</em> = -0.60, <em>p</em> = 0.134, <em>g</em> = -0.15, <em>p</em> = 0.313). These effects correspond to estimated reductions of approximately 0.8, 3.1, 3.05, and 0.8 points, respectively, on the SIGH-SAD scale. At 1-week post-treatment follow-up, the maintenance effects of light therapy were not statistically significant for either 1-week (<em>g</em> = -0.52, <em>p</em> = 0.078) or 2-week (<em>g</em> = -0.36, <em>p</em> = 0.090) treatment durations. Measurement period was the significant moderator at week 2.</div></div><div><h3>Conclusion</h3><div>Light therapy can reduce symptoms of seasonal affective disorder, with a minimum of two weeks recommended to achieve desirable outcomes.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101021"},"PeriodicalIF":0.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190156","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}
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.
{"title":"The protective role of heart rate variability against ruminative thoughts in university students accessing Psychological Support Services","authors":"Tania Moretta , Carola Dell’Acqua , Elisabetta Patron , Gioia Bottesi , Giulia Demo , Giulia Buodo , Daniela Palomba","doi":"10.1016/j.jadr.2025.101017","DOIUrl":"10.1016/j.jadr.2025.101017","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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).</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"23 ","pages":"Article 101017"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924692","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}
Pub Date : 2026-01-01DOI: 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。
{"title":"Psychosomatic mechanisms linking food insecurity with psychological distress among artisanal miners in Ghana","authors":"Emmanuel Nyaaba , Kabila Abass , Vanessa F. Epis , Evans Adu-Siaw Annor , Lawrence Guodaar , Razak M. Gyasi","doi":"10.1016/j.jadr.2025.101020","DOIUrl":"10.1016/j.jadr.2025.101020","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"23 ","pages":"Article 101020"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924591","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}
Pub Date : 2026-01-01DOI: 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.
{"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}
Pub Date : 2026-01-01DOI: 10.1016/j.jadr.2025.101016
Mustapha Amoadu , William Akoto-Buabeng , Isaac Tetteh Commey , Frederick Acheampong Nimo , Edward Odoom , Godfred Cobbinah , Jones Abekah Baah , Jerry Paul K. Ninnoni
Background
Depression are common among heavy goods vehicle (HGV) drivers due to occupational stressors. This study examined the prevalence and risk factors of depression among HGV drivers in Ghana.
Methods
A cross-sectional survey involving 1575 HGV drivers was conducted. Depression was measured using the PHQ-9, and predictors were identified through hierarchical binary logistic regression analysis. Jamovi statistical software version 2.6.17 was used for the analysis.
Results
The study found that 75.9% of drivers exhibited some level of depression, with 28.3% reporting mild symptoms, 32.7% moderate symptoms, and 14.9% severe symptoms. In the final model, risk factors of depression among HGV drivers included being overweight or obese, lack of regular exercise, lone driving, and irregular shift work. Drivers with job insecurity, low supervisor support, low skill discretion, and low decision autonomy were also more likely to report depression. Drivers who were not using smokeless tobacco and those with regular shift work had lower odds of depression. Surprisingly, low job demands were associated with higher depression. Variables such as age, education, daily driving hours, co-worker support, RTCs, and sleep problems did not have statistically significant association with depression in the multivariate analysis.
Conclusion
Data from this study suggests that depression are highly prevalent among HGV drivers in Ghana, driven by both individual and occupational factors. These findings indicate the need for tailored mental health interventions and policy reforms to address workplace stressors and promote driver well-being in Ghana.
{"title":"Prevalence and severity of depression among heavy goods vehicle drivers in Ghana","authors":"Mustapha Amoadu , William Akoto-Buabeng , Isaac Tetteh Commey , Frederick Acheampong Nimo , Edward Odoom , Godfred Cobbinah , Jones Abekah Baah , Jerry Paul K. Ninnoni","doi":"10.1016/j.jadr.2025.101016","DOIUrl":"10.1016/j.jadr.2025.101016","url":null,"abstract":"<div><h3>Background</h3><div>Depression are common among heavy goods vehicle (HGV) drivers due to occupational stressors. This study examined the prevalence and risk factors of depression among HGV drivers in Ghana.</div></div><div><h3>Methods</h3><div>A cross-sectional survey involving 1575 HGV drivers was conducted. Depression was measured using the PHQ-9, and predictors were identified through hierarchical binary logistic regression analysis. Jamovi statistical software version 2.6.17 was used for the analysis.</div></div><div><h3>Results</h3><div>The study found that 75.9% of drivers exhibited some level of depression, with 28.3% reporting mild symptoms, 32.7% moderate symptoms, and 14.9% severe symptoms. In the final model, risk factors of depression among HGV drivers included being overweight or obese, lack of regular exercise, lone driving, and irregular shift work. Drivers with job insecurity, low supervisor support, low skill discretion, and low decision autonomy were also more likely to report depression. Drivers who were not using smokeless tobacco and those with regular shift work had lower odds of depression. Surprisingly, low job demands were associated with higher depression. Variables such as age, education, daily driving hours, co-worker support, RTCs, and sleep problems did not have statistically significant association with depression in the multivariate analysis.</div></div><div><h3>Conclusion</h3><div>Data from this study suggests that depression are highly prevalent among HGV drivers in Ghana, driven by both individual and occupational factors. These findings indicate the need for tailored mental health interventions and policy reforms to address workplace stressors and promote driver well-being in Ghana.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"23 ","pages":"Article 101016"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924686","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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