Psychiatry research communications最新文献

An investigation into the relationship between adverse childhood experiences and food addiction: The role of urgency and emotion dysregulation

Psychiatry research communications

Pub Date : 2025-03-01 DOI: 10.1016/j.psycom.2025.100206

Nalan Guney, Lindsey A. Snaychuk, Hyoun S. Kim

Food addiction is one of the most common substance or behavioural addictions and is linked to negative consequences. Thus, there is a need to investigate the risk factors associated with food addiction. The current study examined if emotion dysregulation mediated the relationship between adverse childhood experiences and food addiction and whether affective impulsivity (negative and positive urgency) uniquely moderated this relationship. Participants (N = 602) recruited from a large university completed an online survey consisting of several self-report measures, including symptoms of food addiction, childhood adversity, emotion dysregulation and affective impulsivity. A total of 6.5% of the participants met the cut-off for mild (n = 39) levels of food addiction, 3.8% met the cut-off for moderate (n = 23), and 5.0% met the cut-off for severe (n = 30) food addiction. Logistic regression results demonstrated that physical neglect, emotional abuse, physical abuse and household substance use were significant predictors of whether someone met the criteria for food addiction. Moderated mediation results indicated that adverse childhood experiences were positively associated with emotion dysregulation, affective impulsivity, and food addiction. However, contrary to our hypothesis we did not find significant moderated-mediation between emotion dysregulation, food addiction and affective impulsivity. The findings may carry implications for preventing and treating food addiction among university students with adverse childhood experiences. Future longitudinal research is necessary to understand how experiences of childhood adversities and emotion dysregulation can increase the risk of developing food addiction.

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引用次数: 0

Factors related to painful somatic symptoms in patients with depression: The role of gender and anhedonia

Psychiatry research communications

Pub Date : 2025-02-03 DOI: 10.1016/j.psycom.2025.100204

A. Pérez-Morenilla , A. Salazar , I. Failde , F. González-Sáiz , J.A. Micó

Background

Pain is common in Major Depressive Disorder (MDD), but other related factors have received scant attention. The aim was to know the factors related to Painful Somatic Symptoms (PSS) in MDD patients, especially gender and anhedonia.

Methods

Cross-sectional study in MDD patients (DSM-5) with positive screening on the Hospital Anxiety and Depression Scale (HADS). Anhedonia (SHAPS), somatic symptoms (SSI-28), and Quality of Life (QoL; SF-36) were evaluated. A multiple linear regression model was used to identify factors related to PSS.

Results

In N = 111 patients, PSS were related to gender, rheumatic disease and anxiety, and worsened QoL. Anhedonia was detected in 93 patients (83.8%), with no significant gender differences in PSS. However, compared to men, depressed women with anhedonia had significantly higher scores on the SSI-28 and the non-painful somatic symptom scale (SSI-21). In the group without anhedonia (n = 18), a higher percentage of women had PSS.

Conclusions

Some factors, including gender or anhedonia, influence the presence of PSS in MDD patients. In depressed patients with anhedonia, gender differences in the perception of pain were smaller than in patients without anhedonia. This suggests a diminished capacity to perceive pain. This small difference between gender was not evidenced for non-painful somatic symptoms.

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引用次数: 0

rtfMRI neurofeedback interventions are not cost prohibitive rtfMRI 神经反馈干预的成本并不高

Psychiatry research communications

Pub Date : 2025-01-30 DOI: 10.1016/j.psycom.2025.100203

Kymberly D. Young

Evidence is accumulating that real-time fMRI neurofeedback is an effective treatment for various psychiatric disorders, including major depressive disorder (MDD). However, it is often dismissed as too expensive to ever be available clinically. This special communication compares the cost of real-time functional magnetic resonance imaging neurofeedback to both standard and novel interventions for MDD.

While SSRI medications remain the most inexpensive treatment option, all other available treatments for major depressive disorder cost as much or more than a course of fMRI neurofeedback. It is concluded that rtfMRI neurofeedback is not cost prohibitive and should not be dismissed for this reason.

引用次数: 0

The impact of childhood sexual, physical and emotional abuse and neglect on suicidal behavior and non-suicidal self-injury: A systematic review of meta-analyses

Psychiatry research communications

Pub Date : 2025-01-10 DOI: 10.1016/j.psycom.2025.100202

Alicia Y.Y. Chia, Andree Hartanto, Tse Shuen Wan, Shauna S.M. Teo, Lester Sim, K.T. A. Sandeeshwara Kasturiratna

Self-injurious thoughts and behavior, encompassing suicidal ideation, attempts and non-suicidal self-injury, represent a critical global health concern. Amidst the multifaceted nature of these behaviors and the various underlying risk factors, childhood maltreatment emerges as significant risk factor. The current umbrella review synthesizes literature across diverse geographical regions including Africa, Asia & Pacific, Europe, Middle East, North America, Latin America and Oceania incorporating findings from 24 meta-analyses that cumulatively analyze 81 effect sizes. The review reveals a consistent association between various forms of childhood maltreatment and an increased risk of self-injurious thoughts and behaviors across different populations. Importantly, our findings show that childhood physical (Mdn OR = 2.52), emotional (Mdn OR = 2.75), and sexual abuse (Mdn OR = 2.56) have comparable impacts on such behaviors, highlighting the severity of all childhood abuse sub-types. Similarly, we also found that emotional neglect (Mdn OR = 1.89) has a similar impact as physical neglect (Mdn OR = 1.57) in predicting self-injurious thoughts and behavior. Our findings underscore that all forms of childhood maltreatment pose comparable significant risks and highlight the necessity for comprehensive, trauma-informed interventions to mitigate the risk of self-injurious thoughts and behaviors.

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引用次数: 0

Convergent and predictive validity of the Mini MoCA and considerations for use among older adults Mini MoCA 的收敛性和预测性以及在老年人中使用的注意事项

Psychiatry research communications

Pub Date : 2024-11-10 DOI: 10.1016/j.psycom.2024.100201

Katie L. Granier, Daniel L. Segal

The Mini MoCA is a cognitive screening instrument designed for quick administration that can be completed via telephone. The Mini MoCA has not received the same level of research attention as the original MoCA, and no articles have explored its validity and feasibility of use with older adults using the officially published administration/scoring protocol. This study examined the convergent and predictive validity of the Mini MoCA among community-dwelling older adults (N = 68, M age=74.5 years) and identified considerations for use as a telephone cognitive screener. Correlations examined the Mini MoCA’s convergent validity with a measure of general cognitive functioning (RBANS). A significant positive correlation was found (r = .34), such that higher Mini MoCA scores were associated with higher overall scores on the RBANS. Additionally, the Mini MoCA was uncorrelated with measures of problem-solving ability and inhibition (M-WCST, D-KEFS Color-Word Interference Test) providing evidence for discriminant validity. Multiple regression analyses revealed total Mini MoCA scores predicted RBANS total scores when accounting for demographic variables. Overall, the current study provides preliminary support for the Mini MoCA as a valid screening measure of general cognitive functioning among older adults. However, several barriers to valid administration of the Mini MoCA arose that warrant attention.

Mini MoCA 是一种认知筛查工具，设计用于快速施测，可通过电话完成。Mini MoCA 并未受到与原始 MoCA 相同程度的研究关注，也没有文章探讨过其在老年人中使用官方公布的施测/评分方案的有效性和可行性。本研究考察了 Mini MoCA 在社区老年人（人数=68，平均年龄=74.5 岁）中的收敛性和预测有效性，并确定了将其用作电话认知筛选器的注意事项。相关性检验了 Mini MoCA 与一般认知功能测量（RBANS）的收敛有效性。结果发现两者之间存在明显的正相关（r = .34），即 Mini MoCA 分数越高，RBANS 的总分就越高。此外，Mini MoCA 与问题解决能力和抑制能力（M-WCST、D-KEFS 颜色词干扰测试）的测量结果无相关性，这为判别有效性提供了证据。多元回归分析表明，在考虑人口统计学变量的情况下，Mini MoCA 的总分可以预测 RBANS 的总分。总之，目前的研究初步支持 Mini MoCA 作为老年人一般认知功能的有效筛查测量方法。然而，在有效实施 Mini MoCA 的过程中也出现了一些障碍，需要引起注意。

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引用次数: 0

Motivators and barriers to help-seeking and treatment adherence in major depressive disorder: A patient perspective 重度抑郁症患者寻求帮助和坚持治疗的动机和障碍：患者视角

Psychiatry research communications

Pub Date : 2024-11-10 DOI: 10.1016/j.psycom.2024.100200

Rahn K. Bailey , Kristin M. Clemens , Bex Portela , Hannah Bowrey , Samantha N. Pfeiffer , Gabrielle Geonnotti , Anna Riley , Jay Sminchak , Susan Lakey Kevo , Ronaldo R. Naranjo

Understanding patients’ lived experiences can identify knowledge gaps, informing better care. The objective of the study was to gain a better understanding of the lived experiences of patients from diverse backgrounds diagnosed with major depressive disorder (MDD). US patients aged ≥18 years who self-reported having MDD diagnosed by healthcare professionals (HCPs) completed demographic surveys and one-on-one (1:1) semi-structured interviews. Participants were recruited from a Patient Engagement Research Council and the study was classified as market research. Transcripts were evaluated with thematic analyses using the Braun and Clarke approach, quantifying theme frequencies across demographic categories. Among 14 interview respondents, key motivators for help-seeking and treatment adherence were positive patient–HCP relationships, accessible resources on MDD, and a sense of personal responsibility. Key barriers included stigma surrounding mental health issues, feelings of ethnic/cultural mismatch with their HCP, and inconsistencies/changes in HCP support. Patients suggested increasing access to credible educational resources within the community at the help-seeking phase to locate appropriate HCPs and encourage adherence to treatment. Carefully pairing HCPs and patients with MDD to build trusting and respectful relationships can improve shared decision-making and patient outcomes, facilitating high-quality continued care. Accessible, credible resources relevant to all patients and efforts to destigmatize mental health diagnoses may encourage help-seeking and treatment adherence in MDD.

了解患者的生活经历可以找出知识差距，为更好的治疗提供依据。本研究旨在更好地了解不同背景的重度抑郁障碍（MDD）患者的生活经历。年龄≥18 岁、自称被医护人员（HCPs）诊断为重度抑郁症的美国患者完成了人口统计学调查和一对一（1:1）半结构化访谈。参与者是从患者参与研究委员会招募的，该研究被归类为市场调研。采用布劳恩和克拉克方法对访谈记录进行了主题分析评估，量化了不同人口统计类别的主题频率。在 14 位受访者中，寻求帮助和坚持治疗的主要动机是积极的患者-医生关系、可获得的有关 MDD 的资源以及个人责任感。主要障碍包括心理健康问题的耻辱感、与主治医生的种族/文化不匹配感以及主治医生支持的不一致/变化。患者建议在求助阶段增加社区内可信教育资源的获取途径，以找到合适的保健医生并鼓励坚持治疗。将初级保健人员与 MDD 患者精心配对，建立相互信任和尊重的关系，可以改善共同决策和患者疗效，促进高质量的持续护理。为所有患者提供可获取的可靠资源，并努力消除精神健康诊断的污名化，可以鼓励 MDD 患者寻求帮助并坚持治疗。

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引用次数: 0

Compulsive buying disorder: Conceptualization based on addictive, impulsive, and obsessive-compulsive features and comorbidity 强迫性购买障碍：基于成瘾、冲动和强迫特征及合并症的概念化

Psychiatry research communications

Pub Date : 2024-10-11 DOI: 10.1016/j.psycom.2024.100199

Jon E. Grant , Samuel R. Chamberlain

Background

This study sought to examine the conceptualization of compulsive buying disorder in a sample of adults drawn from the community and its associated mental health correlates.

Methods

An online survey of “Personality, Mental Health, and Well-Being” was distributed to 300 adults aged 18–75 years. The survey measured a range of behaviors, such as buying behavior, alcohol and drug use, impulse control disorders, and dimensional constructs of impulsivity and obsessive-compulsiveness.

Results

A total of 294 participants (54.7% female) completed the survey and were included in the analysis. The overall frequency of probable compulsive buying disorder was 5.4% (n = 16). Compared to adults without compulsive buying disorder, those with probable compulsive buying disorder were significantly less likely to identify as heterosexual and were significantly more likely to endorse attention-deficit hyperactivity disorder, drug use problems, symptoms of borderline personality disorder, binge eating disorder, and had higher levels of compulsivity plus impulsivity.

Conclusion

Compulsive buying disorder appears to be fairly common in adults and appears to have symptom or diagnostic overlap with obsessive-compulsive problems, addictive disorders, and impulse control disorders. Findings highlight the need for careful clinical screening to identify often overlooked comorbidities and treat them on an individual patient basis, as well as the need to conduct high-quality clinical trials for compulsive buying disorder itself and to explore its presentation longitudinally at large scale.

背景本研究试图从社区成人样本中研究强迫性购买障碍的概念及其相关的心理健康相关因素。方法向 300 名 18-75 岁的成人发放了 "人格、心理健康和幸福感 "在线调查问卷。调查测量了一系列行为，如购买行为、酗酒和吸毒、冲动控制障碍以及冲动性和强迫性的维度建构。结果共有 294 名参与者（54.7% 为女性）完成了调查并被纳入分析。可能患有强迫性购买障碍的总体比例为 5.4%（n = 16）。与没有强迫性购买障碍的成年人相比，可能患有强迫性购买障碍的人认同异性恋的可能性要低得多，认同注意力缺陷多动障碍、药物使用问题、边缘型人格障碍症状、暴饮暴食障碍的可能性要高得多，强迫性和冲动性水平也更高。结论强迫性购买障碍似乎在成年人中相当常见，而且似乎与强迫症、成瘾性障碍和冲动控制障碍有症状或诊断上的重叠。研究结果突出表明，有必要进行仔细的临床筛查，以发现经常被忽视的合并症，并根据患者的具体情况对其进行治疗，同时有必要对强迫性购买障碍本身进行高质量的临床试验，并对其表现形式进行大规模的纵向研究。

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引用次数: 0

Prevalence and relationships of dating application usage, cyber-fraud and mental health among emerging adults in Hong Kong 香港新兴成年人使用交友软件、网络诈骗和心理健康的普遍程度及其关系

Psychiatry research communications

Pub Date : 2024-10-10 DOI: 10.1016/j.psycom.2024.100197

Chee-kit Chan , Xin Wang , Xue Yang

This study aimed to investigate the prevalence and relationships of cyber fraud on dating applications and mental health among emerging adults. An online survey was conducted in Hong Kong (n = 401). Results showed that 32% of the dating application users encountered cyber-fraud in the last 2 weeks. Users encountering cyber-fraud had significantly poorer mental health than non-victim users and non-users. Education levels, being female, financial loss, and the leakage of private information were positively related to mental health problems of cyber-fraud victims. Education programs and supporting services are warranted to enhance youth's awareness and minimize the detrimental effects caused by cyber fraud.

本研究旨在调查约会应用程序网络欺诈在新兴成年人中的普遍程度及其与心理健康之间的关系。研究在香港进行了一项在线调查（n = 401）。结果显示，32%的交友应用程序用户在过去两周内遭遇过网络欺诈。遭遇网络欺诈的用户的心理健康状况明显差于未遭遇网络欺诈的用户和非用户。教育水平、女性、经济损失和私人信息泄露与网络欺诈受害者的心理健康问题呈正相关。因此，有必要开展教育计划和提供支援服务，以提高青少年对网络欺诈的认识，并将其造成的不利影响降至最低。

引用次数: 0

Factor structure of the CES-D-20 scale in young adults in Singapore: An examination of six alternative structures and measurement invariance by sex 新加坡年轻成人 CES-D-20 量表的因子结构：对六种备选结构和性别测量不变性的研究

Psychiatry research communications

Pub Date : 2024-10-10 DOI: 10.1016/j.psycom.2024.100196

Nadyanna M. Majeed , K.T.A. Sandeeshwara Kasturiratna , Nicole R.Y. Chen , Andree Hartanto

Building on past research that has indicated cultural variations in the factor structure of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D-20), as well as several limitations validating the CES-D-20 within a Singapore context, this study investigated the CES-D-20's factor structure and sex-based measurement invariance in Singapore. A large young adult sample in Singapore (N = 1008) was utilised, and the original CES-D-20 was administered to all participants. The findings confirmed the four-factor model's robustness over five other alternative models (RMSEA = .05, SRMR = .04), where each of the 20 items loaded significantly onto its respective factor (all loadings≥.42, all ps < .001). All four factors were also significantly inter-correlated to a medium to very large extent (all ps < .001). Configural and weak invariance were established across sexes; however, strong invariance required modification, where the release of a single intercept constraint resulted in strong partial invariance, implying sex differences in the expression of crying. Homogeneity tests suggested no significant sex differences in latent factor means, variances, and covariances. The importance of cultural- and sex-specific considerations when utilising the CES-D-20 are discussed.

过去的研究表明，20 个项目的流行病学研究中心抑郁量表（CES-D-20）的因子结构存在文化差异，而且在新加坡环境下验证 CES-D-20 存在一些局限性，基于这些研究，本研究调查了 CES-D-20 在新加坡的因子结构和基于性别的测量不变性。本研究使用了大量的新加坡年轻成人样本（样本数= 1008），并对所有参与者施测了原始的 CES-D-20。研究结果证实，与其他五个替代模型相比，四因素模型是稳健的（RMSEA = .05，SRMR = .04），20 个项目中的每个项目都在各自的因素上有显著的负荷（所有负荷≥.42，所有 ps < .001）。所有四个因子在中等到很大程度上也有明显的相互关联（所有 ps < .001）。在不同性别间建立了配置不变性和弱不变性；然而，强不变性需要修正，即释放单一截距约束导致强部分不变性，这意味着在哭泣的表达上存在性别差异。同质性检验表明，潜在因子的平均值、方差和协方差没有明显的性别差异。本文讨论了在使用 CES-D-20 时文化和性别特定考虑因素的重要性。

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引用次数: 0

The moderating effect of maternal childhood maltreatment on the association between social support and parenting outcomes 母婴虐待对社会支持与养育结果之间关系的调节作用

Psychiatry research communications

Pub Date : 2024-10-09 DOI: 10.1016/j.psycom.2024.100198

Miho Nakajima

Although social support is generally expected to improve parenting issues, previous findings on its efficacy among parents who have experienced childhood maltreatment are inconsistent. However, the reasons for this inconsistency have not yet been clarified. To address this, the present study examined the possibility that experiencing specific subtypes of childhood maltreatment (i.e., emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect) impairs the subsequent function of social support in parenting. A cross-sectional online survey was conducted with Japanese mothers of children aged one to three years. In the survey, participants completed four scales: the Parenting Stress Index-Short Form, Parenting Skills Scales for Mothers of Toddlers, Childhood Trauma Questionnaire-Short Form, and the Brief Inventory of the Social Support Exchange Network. A total of 360 datasets were analyzed (mean age = 33.73, SD = 4.73). The results indicated that physical abuse diminished the effect of social support on the prevention of negative parenting. However, social support alleviated parenting stress regardless of childhood maltreatment subtype. The effects of social support on increased positive parenting and decreased negative parenting were unclear compared to its effect on parenting stress. These findings have important implications for supporting parenting among parents who have experienced childhood maltreatment and preventing. intergenerational transmission.

虽然社会支持通常被认为可以改善养育子女的问题，但以往关于社会支持对经历过儿童虐待的父母的功效的研究结果并不一致。然而，造成这种不一致的原因尚未明确。为了解决这个问题，本研究探讨了经历特定亚型童年虐待（即情感虐待、身体虐待、性虐待、情感忽视和身体忽视）是否会损害社会支持在养育子女方面的后续功能。我们对有一到三岁孩子的日本母亲进行了一项横断面在线调查。在调查中，参与者填写了四个量表：育儿压力指数简表、幼儿母亲育儿技能量表、童年创伤问卷简表和社会支持交流网络简表。共分析了 360 个数据集（平均年龄 = 33.73，标准差 = 4.73）。结果表明，身体虐待削弱了社会支持对预防消极养育的作用。然而，无论儿童受虐待的亚型如何，社会支持都能减轻养育压力。与社会支持对养育压力的影响相比，社会支持对增加积极养育和减少消极养育的影响并不明显。这些研究结果对于支持经历过儿童虐待的父母的养育方式以及防止代际传递具有重要意义。

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引用次数: 0