Pub Date : 2026-01-19DOI: 10.1016/j.psycom.2026.100244
Al Muktadir Munam , Mst Fahmida Akter
Objective
Adolescent depression is linked to poor academic, social, and long-term health outcomes. This study aimed to assess the association between parent daughter relationship quality (PDRQ) and depression among unmarried adolescent girls in Bangladesh.
Methods
Data from 3851 never-married girls (ages 15–19) in the 2019–2020 Bangladesh Adolescent Health and Wellbeing Survey were analyzed in this cross-sectional study. Depression was assessed using the PHQ-9. A binary PDRQ variable (high vs low) was developed capturing how much adolescents enjoy time with parents, share private matters, and emotional closeness. Survey-weighted ordinal logistic regression examined associations, adjusting for age, residence, wealth, schooling, and employment.
Findings
50.18% of participants reported at least mild depressive symptoms. Higher PDRQ was significantly associated with lower depression severity (adjusted OR=0.92, 95% CI: 0.89–0.95, p<0.001). Older age (19 vs. 15: adjusted OR=1.29, 95% CI: 1.03–1.64, p=0.026) and rural residence (ref: urban; adjusted OR=0.83, 95% CI: 0.72–0.95, p=0.008) were associated with greater depression severity.
Conclusion
The findings suggest that enhancing parents-daughter relationships could reduce depressive symptoms among adolescent females in Bangladesh. Interventions focusing on improving family communication and emotional support may contribute to better mental health outcomes in this population.
{"title":"Parent daughter relationship quality and depressive symptoms among unmarried adolescent girls in Bangladesh: Evidence from 2019/20 Bangladesh Adolescent Health and Wellbeing Survey","authors":"Al Muktadir Munam , Mst Fahmida Akter","doi":"10.1016/j.psycom.2026.100244","DOIUrl":"10.1016/j.psycom.2026.100244","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescent depression is linked to poor academic, social, and long-term health outcomes. This study aimed to assess the association between parent daughter relationship quality (PDRQ) and depression among unmarried adolescent girls in Bangladesh.</div></div><div><h3>Methods</h3><div>Data from 3851 never-married girls (ages 15–19) in the 2019–2020 Bangladesh Adolescent Health and Wellbeing Survey were analyzed in this cross-sectional study. Depression was assessed using the PHQ-9. A binary PDRQ variable (high vs low) was developed capturing how much adolescents enjoy time with parents, share private matters, and emotional closeness. Survey-weighted ordinal logistic regression examined associations, adjusting for age, residence, wealth, schooling, and employment.</div></div><div><h3>Findings</h3><div>50.18% of participants reported at least mild depressive symptoms. Higher PDRQ was significantly associated with lower depression severity (adjusted OR=0.92, 95% CI: 0.89–0.95, p<0.001). Older age (19 vs. 15: adjusted OR=1.29, 95% CI: 1.03–1.64, p=0.026) and rural residence (ref: urban; adjusted OR=0.83, 95% CI: 0.72–0.95, p=0.008) were associated with greater depression severity.</div></div><div><h3>Conclusion</h3><div>The findings suggest that enhancing parents-daughter relationships could reduce depressive symptoms among adolescent females in Bangladesh. Interventions focusing on improving family communication and emotional support may contribute to better mental health outcomes in this population.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"6 1","pages":"Article 100244"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038145","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 : 2025-12-10DOI: 10.1016/j.psycom.2025.100242
Tyler Hamby , Suteera Pinyakorn , Seth Frndak , Nitiya Chomchey , Ratchapong Kanaprach , Phillip Chan , Glenna Schluck , Eugène Kroon , Duanghathai Suttichom , Luxe-naree Poonpitak , Somchai Sriplienchan , Serena Spudich , Nittaya Phanuphak , Lydie Trautmann , Robert Paul , Carlo Sacdalan , Trevor A. Crowell , the RV254/SEARCH010 Study Group
Background
The Patient Health Questionnaire-9 (PHQ-9) is a commonly used depression inventory, but its psychometric properties have not been thoroughly examined in either people living with HIV (PLWH) or in developing nations. We examined the psychometric properties of the PHQ-9 in PLWH in Thailand.
Methods
The RV254/SEARCH010 cohort enrolls adults with acute HIV in Bangkok, Thailand. Most study participants initiate antiretroviral therapy (ART) at enrollment. We analyzed responses to the PHQ-9 at weeks 0 (enrollment), 4, and 24. Confirmatory factor analysis (CFA) was used to compare a 1-factor model, three 2-factor models, and a bi-factor model. Longitudinal measurement invariance (LMI) was assessed for the 1-factor, optimal 2-factor, and bi-factor models. Internal consistency and test-retest reliability were calculated. Correlations between factors and item response theory (IRT) were used to further examine performance.
Results
There were 734 (97.8 % male) participants with a median (Q1-Q3) age of 27 (23–32) years. CFA confirmed that the bi-factor model had the best fit. Regardless, LMI was confirmed for the 1-, 2-, and bi-factor models. The PHQ-9 was reliable (coefficient alpha = 0.86–0.89; test-retest reliability, r = 0.43–0.65) in this sample. Correlation and IRT analyses produced evidence that the bi-factor model's subfactors lack practical utility.
Conclusions
These results support the use of the PHQ-9 in Thai PLWH. Despite the superior fit indices of the bi-factor model, the subfactors were strongly correlated with the general factor, so we recommend that the 1-factor model be used in practice. The evidence for LMI support use of the PHQ-9 in longitudinal research involving Thai PLWH.
{"title":"A psychometric assessment of the Patient Health Questionnaire-9 for people living with acutely-treated HIV in Thailand","authors":"Tyler Hamby , Suteera Pinyakorn , Seth Frndak , Nitiya Chomchey , Ratchapong Kanaprach , Phillip Chan , Glenna Schluck , Eugène Kroon , Duanghathai Suttichom , Luxe-naree Poonpitak , Somchai Sriplienchan , Serena Spudich , Nittaya Phanuphak , Lydie Trautmann , Robert Paul , Carlo Sacdalan , Trevor A. Crowell , the RV254/SEARCH010 Study Group","doi":"10.1016/j.psycom.2025.100242","DOIUrl":"10.1016/j.psycom.2025.100242","url":null,"abstract":"<div><h3>Background</h3><div>The Patient Health Questionnaire-9 (PHQ-9) is a commonly used depression inventory, but its psychometric properties have not been thoroughly examined in either people living with HIV (PLWH) or in developing nations. We examined the psychometric properties of the PHQ-9 in PLWH in Thailand.</div></div><div><h3>Methods</h3><div>The RV254/SEARCH010 cohort enrolls adults with acute HIV in Bangkok, Thailand. Most study participants initiate antiretroviral therapy (ART) at enrollment. We analyzed responses to the PHQ-9 at weeks 0 (enrollment), 4, and 24. Confirmatory factor analysis (CFA) was used to compare a 1-factor model, three 2-factor models, and a bi-factor model. Longitudinal measurement invariance (LMI) was assessed for the 1-factor, optimal 2-factor, and bi-factor models. Internal consistency and test-retest reliability were calculated. Correlations between factors and item response theory (IRT) were used to further examine performance.</div></div><div><h3>Results</h3><div>There were 734 (97.8 % male) participants with a median (Q1-Q3) age of 27 (23–32) years. CFA confirmed that the bi-factor model had the best fit. Regardless, LMI was confirmed for the 1-, 2-, and bi-factor models. The PHQ-9 was reliable (coefficient alpha = 0.86–0.89; test-retest reliability, <em>r</em> = 0.43–0.65) in this sample. Correlation and IRT analyses produced evidence that the bi-factor model's subfactors lack practical utility.</div></div><div><h3>Conclusions</h3><div>These results support the use of the PHQ-9 in Thai PLWH. Despite the superior fit indices of the bi-factor model, the subfactors were strongly correlated with the general factor, so we recommend that the 1-factor model be used in practice. The evidence for LMI support use of the PHQ-9 in longitudinal research involving Thai PLWH.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"6 1","pages":"Article 100242"},"PeriodicalIF":0.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145750056","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}
This study examined whether chronic accessibility of suicide-related constructs differs across individuals with a history of suicidal ideation, planning, or attempts. Although situational increases in suicide-related accessibility have been documented experimentally, its chronic elevation among individuals with suicidal histories remains understudied.
Method
A large purposive sample of young adults (N = 952) with moderate-to-high depressive symptoms completed a word-completion task assessing chronic cognitive accessibility of suicide- and sadness-related constructs. Participants were classified into four groups based on lifetime history: no suicidal behavior, ideation, planning, and attempts.
Results
Suicide-related constructs were more chronically accessible among individuals with a history of suicide planning or attempts, but not among those reporting suicidal ideation alone, compared with individuals with no suicidal history. No comparable pattern was observed for sadness-related constructs.
Discussion
These findings suggest that chronic accessibility of suicide-related cognitions may be a content-specific cognitive marker associated with more severe suicidal behavior. Further research is required to clarify its temporal dynamics and potential implications for suicide risk assessment.
{"title":"Chronic accessibility of suicide-related constructs in suicidal behavior","authors":"Armand Chatard , Alexia Delbreil , Ghina Harika-Germaneau , Marc Besnier , Leila Selimbegovic , Nemat Jaafari","doi":"10.1016/j.psycom.2025.100243","DOIUrl":"10.1016/j.psycom.2025.100243","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined whether chronic accessibility of suicide-related constructs differs across individuals with a history of suicidal ideation, planning, or attempts. Although situational increases in suicide-related accessibility have been documented experimentally, its chronic elevation among individuals with suicidal histories remains understudied.</div></div><div><h3>Method</h3><div>A large purposive sample of young adults (N = 952) with moderate-to-high depressive symptoms completed a word-completion task assessing chronic cognitive accessibility of suicide- and sadness-related constructs. Participants were classified into four groups based on lifetime history: no suicidal behavior, ideation, planning, and attempts.</div></div><div><h3>Results</h3><div>Suicide-related constructs were more chronically accessible among individuals with a history of suicide planning or attempts, but not among those reporting suicidal ideation alone, compared with individuals with no suicidal history. No comparable pattern was observed for sadness-related constructs.</div></div><div><h3>Discussion</h3><div>These findings suggest that chronic accessibility of suicide-related cognitions may be a content-specific cognitive marker associated with more severe suicidal behavior. Further research is required to clarify its temporal dynamics and potential implications for suicide risk assessment.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"6 1","pages":"Article 100243"},"PeriodicalIF":0.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798906","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 : 2025-12-01DOI: 10.1016/j.psycom.2025.100237
Serena Chaudhry , Ashley Weiss , Ramin Mojtabai , Ian Farrow , Reeya Shrestha , Sydney Long
Psychosis can be the first indication of serious mental illness such as schizophrenia or bipolar disorder. Some literature suggests that the longer the duration of untreated psychosis (DUP), the worse the prognostic outcomes of psychosis are. At this point, there is no evidence-based intervention to reduce the DUP and therefore, DUP remains a major barrier in attempts to reduce duration of untreated serious mental illnesses. This study provides a more granular look at DUP by examining the socio-demographic and clinical characteristics of 489 patients enrolled at an early psychosis intervention clinic and their association with short vs. long DUP. We also examined the association of DUP with trajectories of functioning over 36 months derived by group trajectory modeling. Findings demonstrate that DUP was significantly associated with referral source, and that longer DUP was associated with poorer functioning during treatment at the clinic. This study also presents an innovative strategy to reduce DUP through a psychosis early detection campaign in the home community of the early psychosis intervention clinic. This illustration of an early psychosis intervention clinic working in concert with a community-based psychosis early detection campaign highlights the need for a collaborative approach to streamline pathways to specialized care for young people to reduce DUP and improve functioning of these patients.
{"title":"Duration of untreated psychosis and functional trajectories: A 36-month analysis from EPIC-NOLA clinic, a community early intervention clinic","authors":"Serena Chaudhry , Ashley Weiss , Ramin Mojtabai , Ian Farrow , Reeya Shrestha , Sydney Long","doi":"10.1016/j.psycom.2025.100237","DOIUrl":"10.1016/j.psycom.2025.100237","url":null,"abstract":"<div><div>Psychosis can be the first indication of serious mental illness such as schizophrenia or bipolar disorder. Some literature suggests that the longer the duration of untreated psychosis (DUP), the worse the prognostic outcomes of psychosis are. At this point, there is no evidence-based intervention to reduce the DUP and therefore, DUP remains a major barrier in attempts to reduce duration of untreated serious mental illnesses. This study provides a more granular look at DUP by examining the socio-demographic and clinical characteristics of 489 patients enrolled at an early psychosis intervention clinic and their association with short vs. long DUP. We also examined the association of DUP with trajectories of functioning over 36 months derived by group trajectory modeling. Findings demonstrate that DUP was significantly associated with referral source, and that longer DUP was associated with poorer functioning during treatment at the clinic. This study also presents an innovative strategy to reduce DUP through a psychosis early detection campaign in the home community of the early psychosis intervention clinic. This illustration of an early psychosis intervention clinic working in concert with a community-based psychosis early detection campaign highlights the need for a collaborative approach to streamline pathways to specialized care for young people to reduce DUP and improve functioning of these patients.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100237"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624149","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 : 2025-12-01DOI: 10.1016/j.psycom.2025.100241
Mehdi Molaei Yasavoli , Parviz Fadakar Gabalou , Mahdieh Shafieetabar
Cognitive distortions are central to contemporary clinical theory and practice, yet psychometric evidence for the Persian Cognitive Distortions Questionnaire (CD-Quest) has been limited. This study evaluated the psychometric properties of the Persian CD-Quest in Iranian adults. Participants (N = 567; 18–60 years) were recruited in 2023 from Arak, Iran, using quota-based stratification by gender and recruitment site (ten high-traffic urban locations, e.g., city bazaar, main square, university, service centers). Measures included the CD-Quest, Automatic Thoughts Questionnaire, and General Health Questionnaire. Analyses combined Classical Test Theory (CTT) and Item Response Theory (IRT). CTT results showed acceptable item–total correlations (≥0.30). IRT supported unidimensionality and favored the generalized partial credit model; item parameters (discrimination and ordered thresholds) were satisfactory. The test information function indicated greatest precision at moderate-to-high levels of the latent trait (peak around θ ≈ 1.70; high-information band θ ≈ 0.34–3.02); marginal reliability was ρ = 0.701. Gender-based DIF (Wald/Lord χ2, Holm–Bonferroni) was not detected, supporting item-level measurement invariance (women vs. men). Findings suggest the Persian CD-Quest was psychometrically sound and informative for clinical screening and research in Iranian adults, thereby advancing cross-cultural assessment of self-related distorted thinking within Beck's cognitive framework while enabling valid comparisons across gender.
{"title":"Psychometric properties and factor structure of the cognitive distortions questionnaire (CD Quest)","authors":"Mehdi Molaei Yasavoli , Parviz Fadakar Gabalou , Mahdieh Shafieetabar","doi":"10.1016/j.psycom.2025.100241","DOIUrl":"10.1016/j.psycom.2025.100241","url":null,"abstract":"<div><div>Cognitive distortions are central to contemporary clinical theory and practice, yet psychometric evidence for the Persian <em>Cognitive Distortions Questionnaire</em> (CD-Quest) has been limited. This study evaluated the psychometric properties of the Persian CD-Quest in Iranian adults. Participants (N = 567; 18–60 years) were recruited in 2023 from Arak, Iran, using quota-based stratification by gender and recruitment site (ten high-traffic urban locations, e.g., city bazaar, main square, university, service centers). Measures included the CD-Quest, Automatic Thoughts Questionnaire, and General Health Questionnaire. Analyses combined Classical Test Theory (CTT) and Item Response Theory (IRT). CTT results showed acceptable item–total correlations (≥0.30). IRT supported unidimensionality and favored the generalized partial credit model; item parameters (discrimination and ordered thresholds) were satisfactory. The test information function indicated greatest precision at moderate-to-high levels of the latent trait (peak around θ ≈ 1.70; high-information band θ ≈ 0.34–3.02); marginal reliability was ρ = 0.701. Gender-based DIF (Wald/Lord χ<sup>2</sup>, Holm–Bonferroni) was not detected, supporting item-level measurement invariance (women vs. men). Findings suggest the Persian CD-Quest was psychometrically sound and informative for clinical screening and research in Iranian adults, thereby advancing cross-cultural assessment of self-related distorted thinking within Beck's cognitive framework while enabling valid comparisons across gender.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100241"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684504","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 : 2025-12-01DOI: 10.1016/j.psycom.2025.100239
Dharani Keyan, Nadine Garland, Polly Rise, Suzanna Azevedo, Richard A. Bryant
Background
The COVID-19 pandemic resulted in many people being bereaved under extremely stressful circumstances. The present review aimed to assess the prevalence of problematic grief reactions in bereaved adults during the COVID-19 pandemic, and identify potential correlates.
Methods
Five databases (Pubmed (MEDLINE), PsycINFO (Ovid), PTSDpubs, Web of Science and SCOPUS) were systematically searched in this study from December 2019 to 22nd January 2025. Studies assessing the prevalence of problematic grief reactions in adults bereaved since the start of the COVID-19 pandemic and using validated instruments were included. Fifty-five articles comprising 58 unique samples and 20,264 participants were identified. Across studies, the data collection endpoint ranged from August 2020 to May 2023.
Results
The prevalence of problematic grief reported during the COVID-19 pandemic was 27.8 % ([95 % CI: 22.8, 33.5]) with high between-study heterogeneity (Q[df] = 3615.41 [57], I2 = 98.42, p < 0.0001). Exploratory moderation analyses revealed that experiencing a sudden death event was associated with a higher prevalence of problematic grief. It should be noted that the included studies were methodologically heterogenous, where all but one study utilised convenience sampling, and approximately half of all studies reported on non-response rates.
Conclusions
The prevalence of problematic grief during the COVID-19 pandemic may be higher than the expected prevalence reported outside of this pandemic context. Additional representative research is needed to help clarify the prevalence and correlates of problematic grief related to the COVID-19 pandemic. This will allow for context- and time sensitive bereavement support in future pandemics.
2019冠状病毒病大流行导致许多人在极度紧张的情况下失去亲人。本综述旨在评估COVID-19大流行期间丧亲成人中有问题的悲伤反应的患病率，并确定潜在的相关性。方法本研究于2019年12月至2025年1月22日系统检索Pubmed （MEDLINE）、PsycINFO （Ovid）、PTSDpubs、Web of Science和SCOPUS五大数据库。研究评估了自COVID-19大流行开始以来失去亲人的成年人中有问题的悲伤反应的普遍性，并使用了经过验证的工具。共鉴定了55篇文章，包括58个独特样本和20,264名参与者。在所有研究中，数据收集终点为2020年8月至2023年5月。结果2019冠状病毒病大流行期间报告的问题悲伤患病率为27.8% ([95% CI: 22.8, 33.5])，研究间异质性较高（Q[df] = 3615.41 [57], I2 = 98.42, p < 0.0001）。探索性适度分析显示，经历突然死亡事件与问题悲伤的较高患病率相关。值得注意的是，纳入的研究在方法学上是异质性的，除一项研究外，所有研究都采用了方便抽样，大约一半的研究报告了无反应率。结论COVID-19大流行期间问题性悲伤的流行率可能高于本次大流行背景外报告的预期流行率。需要更多的代表性研究来帮助澄清与COVID-19大流行相关的问题悲伤的患病率和相关性。这将允许在未来的大流行中提供情境和时间敏感的丧亲支助。
{"title":"Prevalence and correlates of problematic grief in bereaved adults in the wake of the COVID-19 pandemic: A systematic review and meta-analysis","authors":"Dharani Keyan, Nadine Garland, Polly Rise, Suzanna Azevedo, Richard A. Bryant","doi":"10.1016/j.psycom.2025.100239","DOIUrl":"10.1016/j.psycom.2025.100239","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic resulted in many people being bereaved under extremely stressful circumstances. The present review aimed to assess the prevalence of problematic grief reactions in bereaved adults during the COVID-19 pandemic, and identify potential correlates.</div></div><div><h3>Methods</h3><div>Five databases (Pubmed (MEDLINE), PsycINFO (Ovid), PTSDpubs, Web of Science and SCOPUS) were systematically searched in this study from December 2019 to 22<sup>nd</sup> January 2025. Studies assessing the prevalence of problematic grief reactions in adults bereaved since the start of the COVID-19 pandemic and using validated instruments were included. Fifty-five articles comprising 58 unique samples and 20,264 participants were identified. Across studies, the data collection endpoint ranged from August 2020 to May 2023.</div></div><div><h3>Results</h3><div>The prevalence of problematic grief reported during the COVID-19 pandemic was 27.8 % ([95 % CI: 22.8, 33.5]) with high between-study heterogeneity (Q[df] = 3615.41 [57], I<sup>2</sup> = 98.42, p < 0.0001). Exploratory moderation analyses revealed that experiencing a sudden death event was associated with a higher prevalence of problematic grief. It should be noted that the included studies were methodologically heterogenous, where all but one study utilised convenience sampling, and approximately half of all studies reported on non-response rates.</div></div><div><h3>Conclusions</h3><div>The prevalence of problematic grief during the COVID-19 pandemic may be higher than the expected prevalence reported outside of this pandemic context. Additional representative research is needed to help clarify the prevalence and correlates of problematic grief related to the COVID-19 pandemic. This will allow for context- and time sensitive bereavement support in future pandemics.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100239"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624148","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 : 2025-11-17DOI: 10.1016/j.psycom.2025.100240
Nicola S. Gray , Jennifer Pink , Robert J. Snowden
Impulsivity is seen as a key feature of borderline personality disorder (BPD) with rash action due to emotional states (or urgency) being prominent. Previous studies examining both positive and negative urgency have been equivocal as to which is most prominent. Further, issue due to the possible influence of impression management and self-deceptive enhancement have not been considered. Self-reported impulsivity was assessed as a function of traits of BPD in a large (>400) community sample. Zero-order correlations showed all scales of the UPPS-P were related to BPD traits. However, regression analysis showed that only impulsivity related to high negative emotions (Negative Urgency) was uniquely predictive of BPD traits. While both impression management and self-deceptive enhancement were negatively related to BPD traits, they did not influence the relationship between impulsivity and BPD. No major gender differences were noted. The results differ from a previous report that suggested that BPD traits were related to Positive Urgency and support that BPD is characterised by rash actions when feeling negative emotions.
{"title":"UPPS-P impulsivity and borderline personality disorder traits in a community sample","authors":"Nicola S. Gray , Jennifer Pink , Robert J. Snowden","doi":"10.1016/j.psycom.2025.100240","DOIUrl":"10.1016/j.psycom.2025.100240","url":null,"abstract":"<div><div>Impulsivity is seen as a key feature of borderline personality disorder (BPD) with rash action due to emotional states (or urgency) being prominent. Previous studies examining both positive and negative urgency have been equivocal as to which is most prominent. Further, issue due to the possible influence of impression management and self-deceptive enhancement have not been considered. Self-reported impulsivity was assessed as a function of traits of BPD in a large (>400) community sample. Zero-order correlations showed all scales of the UPPS-P were related to BPD traits. However, regression analysis showed that only impulsivity related to high negative emotions (Negative Urgency) was uniquely predictive of BPD traits. While both impression management and self-deceptive enhancement were negatively related to BPD traits, they did not influence the relationship between impulsivity and BPD. No major gender differences were noted. The results differ from a previous report that suggested that BPD traits were related to Positive Urgency and support that BPD is characterised by rash actions when feeling negative emotions.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100240"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579209","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 : 2025-11-13DOI: 10.1016/j.psycom.2025.100238
Robert C. McMahon
Aims
This study identified sexual risk behavior subgroups among female adolescents based on the presence or absence of early sexual intercourse (ESI), forced sexual intercourse (FSI), and 4 or more lifetime sexual partners (4 or more LSP). Subgroups were compared on rates of recent alcohol abuse, depression, and suicide risk.
Method
This secondary analysis utilized data from the 2021 Youth Risk Behavior Survey, employed cluster analysis to derive subgroups of female US high school students, and multinomial regression analysis to compare subgroups on mental health problems.
Results
A total of 1967 female adolescents were identified across four cluster subgroups. Higher proportions reporting alcohol abuse (52.8 % vs 20.8 %), depressive symptoms (80.5 % vs 63.6 %), and suicide attempts (30.8 % vs 12.5 %), predicted membership in Cluster 2 (4+ Lifetime Sexual Partners) versus the Low Sexual Risk Reference Cluster 1. Higher proportions reporting suicide contemplation (69.7 % vs 32.3 %) and suicide attempts (50.0 % vs 12.5 %) predicted membership in Cluster 3 (Early Sex/Forced Sex) versus Cluster 1. Finally, alcohol abuse (33.9 % vs 20.8 %), depression (84.7 % vs 63.6 %), suicide contemplation (62.3 % vs 32.3 %), and suicide attempts (34.9 % vs 12.5 %) were linked with membership in Cluster 4 (Forced Sexual Intercourse) versus Cluster 1.
Discussion
The cluster subgroups of sexually experienced female high school students varied significantly in proportions reporting early coitus, forced sexual intercourse, and 4 or more lifetime sexual partners, and appear to represent relatively distinct sexual risk profiles. Intervention implications associated with sexual risk behavior and mental health problems identified among sexually active female high school students are discussed.
{"title":"Depression, suicidality, and alcohol abuse among sexual risk behavior subgroups of female high school students","authors":"Robert C. McMahon","doi":"10.1016/j.psycom.2025.100238","DOIUrl":"10.1016/j.psycom.2025.100238","url":null,"abstract":"<div><h3>Aims</h3><div>This study identified sexual risk behavior subgroups among female adolescents based on the presence or absence of early sexual intercourse (ESI), forced sexual intercourse (FSI), and 4 or more lifetime sexual partners (4 or more LSP). Subgroups were compared on rates of recent alcohol abuse, depression, and suicide risk.</div></div><div><h3>Method</h3><div>This secondary analysis utilized data from the 2021 Youth Risk Behavior Survey, employed cluster analysis to derive subgroups of female US high school students, and multinomial regression analysis to compare subgroups on mental health problems.</div></div><div><h3>Results</h3><div>A total of 1967 female adolescents were identified across four cluster subgroups. Higher proportions reporting alcohol abuse (52.8 % vs 20.8 %), depressive symptoms (80.5 % vs 63.6 %), and suicide attempts (30.8 % vs 12.5 %), predicted membership in Cluster 2 (4+ Lifetime Sexual Partners) versus the Low Sexual Risk Reference Cluster 1. Higher proportions reporting suicide contemplation (69.7 % vs 32.3 %) and suicide attempts (50.0 % vs 12.5 %) predicted membership in Cluster 3 (Early Sex/Forced Sex) versus Cluster 1. Finally, alcohol abuse (33.9 % vs 20.8 %), depression (84.7 % vs 63.6 %), suicide contemplation (62.3 % vs 32.3 %), and suicide attempts (34.9 % vs 12.5 %) were linked with membership in Cluster 4 (Forced Sexual Intercourse) versus Cluster 1.</div></div><div><h3>Discussion</h3><div>The cluster subgroups of sexually experienced female high school students varied significantly in proportions reporting early coitus, forced sexual intercourse, and 4 or more lifetime sexual partners, and appear to represent relatively distinct sexual risk profiles. Intervention implications associated with sexual risk behavior and mental health problems identified among sexually active female high school students are discussed.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100238"},"PeriodicalIF":0.0,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579208","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 : 2025-11-04DOI: 10.1016/j.psycom.2025.100236
Peter J. Lagerberg , Rachel D. Woodham , Sophie Chapman , Alex de Jesus da Silva , Erfana Hanifa , Stephanie Morety , Poppy Oxbury , Cynthia H.Y. Fu
Background
Transcranial direct current stimulation (tDCS) is a non-invasive neuromodulation technique with growing evidence of efficacy in treating major depressive disorder (MDD). As a novel intervention, its uptake depends not only on clinical effectiveness but also on public acceptability. This study assessed views of tDCS and potential factors influencing acceptability.
Methods
In a cross-sectional online survey, 879 UK adults (71.4 % women, age range 18–65 years or more) provided responses. After a brief explanation of tDCS, participants completed a questionnaire informed by the Theoretical Framework of Acceptability (TFA), covering 7 domains: affective attitude, burden, ethicality, intervention coherence, opportunity costs, perceived effectiveness, and self-efficacy. Replies were provided on a 7-point anchored Likert scale. Demographic and experiential variables were examined as predictors.
Results
Overall acceptability was moderate (mean = 4.7, SD = 1.6 on a 7-point scale). Safety-related domains were the strongest predictors: long-term risk and immediate side-effects each received median importance scores of 7 (“very important”). 29.0 % of participants indicated they were “quite likely” or “definitely” willing to try tDCS themselves, whereas 20.0 % were neutral and 11.0 % were unwilling. Other than a weak correlation between age and willingness to use tDCS there were no significant associations between acceptability and any demographic or experiential variables.
Conclusion
Among the general population, attitudes toward tDCS were shaped primarily by perceptions of safety. These findings highlight the importance of clear, accessible information about risks and side effects, alongside clinical evidence, to support public understanding with emerging treatments and to facilitate patient adoption.
{"title":"Acceptability of transcranial direct current stimulation (tDCS) as a potential treatment for depression: a UK general population survey","authors":"Peter J. Lagerberg , Rachel D. Woodham , Sophie Chapman , Alex de Jesus da Silva , Erfana Hanifa , Stephanie Morety , Poppy Oxbury , Cynthia H.Y. Fu","doi":"10.1016/j.psycom.2025.100236","DOIUrl":"10.1016/j.psycom.2025.100236","url":null,"abstract":"<div><h3>Background</h3><div>Transcranial direct current stimulation (tDCS) is a non-invasive neuromodulation technique with growing evidence of efficacy in treating major depressive disorder (MDD). As a novel intervention, its uptake depends not only on clinical effectiveness but also on public acceptability. This study assessed views of tDCS and potential factors influencing acceptability.</div></div><div><h3>Methods</h3><div>In a cross-sectional online survey, 879 UK adults (71.4 % women, age range 18–65 years or more) provided responses. After a brief explanation of tDCS, participants completed a questionnaire informed by the Theoretical Framework of Acceptability (TFA), covering 7 domains: affective attitude, burden, ethicality, intervention coherence, opportunity costs, perceived effectiveness, and self-efficacy. Replies were provided on a 7-point anchored Likert scale. Demographic and experiential variables were examined as predictors.</div></div><div><h3>Results</h3><div>Overall acceptability was moderate (mean = 4.7, SD = 1.6 on a 7-point scale). Safety-related domains were the strongest predictors: long-term risk and immediate side-effects each received median importance scores of 7 (“very important”). 29.0 % of participants indicated they were “quite likely” or “definitely” willing to try tDCS themselves, whereas 20.0 % were neutral and 11.0 % were unwilling. Other than a weak correlation between age and willingness to use tDCS there were no significant associations between acceptability and any demographic or experiential variables.</div></div><div><h3>Conclusion</h3><div>Among the general population, attitudes toward tDCS were shaped primarily by perceptions of safety. These findings highlight the importance of clear, accessible information about risks and side effects, alongside clinical evidence, to support public understanding with emerging treatments and to facilitate patient adoption.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100236"},"PeriodicalIF":0.0,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520111","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 : 2025-10-25DOI: 10.1016/j.psycom.2025.100234
Elisabetta Caletti , Giuseppe Delvecchio , Margherita Herold , Nunzio Turtulici , Ylenia Barone , Cinzia Perlini , Paolo Brambilla
Mindfulness-based interventions (MBI) have been used in different psychiatric conditions. Despite that, only a few online mindfulness approaches have focused on psychiatric patients, providing limited and heterogeneous results, making the comparison with in-presence interventions complex. The objective of this pilot study is to evaluate (a) whether online mindfulness practices can improve patients' mindfulness abilities (observation, description, acting with awareness, non-judging, non-reactivity), (b) whether an online MBI can impact general distress as well as on worries and stress perception. Sixty-two psychiatric outpatients with medium-high levels of brooding (41.9 % male, mean age = 44.6, SD = 13.4; 58.1 % female, mean age = 41.7, SD = 12.6) divided into nine groups attended an online (8 sessions) mindfulness intervention. Patients were asked to complete self-assessment questionnaires before (T0) and after (T1) the intervention. We found a significant improvement in mindfulness total scores between T0 and T1, implying increased patient awareness about experiences. We also found a significant improvement in the skill of observing, indicating an ability to see and feel what occurs around and inside us, as well as increased capabilities in non-judging and non-reactivity to inner experiences. Significant differences between T0 and T1 in general distress and an improvement in perceived stress were found, suggesting that an online MBI can increase patients’ well-being.
{"title":"Online mindfulness ameliorate self-observation in psychiatric outpatients with brooding","authors":"Elisabetta Caletti , Giuseppe Delvecchio , Margherita Herold , Nunzio Turtulici , Ylenia Barone , Cinzia Perlini , Paolo Brambilla","doi":"10.1016/j.psycom.2025.100234","DOIUrl":"10.1016/j.psycom.2025.100234","url":null,"abstract":"<div><div>Mindfulness-based interventions (MBI) have been used in different psychiatric conditions. Despite that, only a few online mindfulness approaches have focused on psychiatric patients, providing limited and heterogeneous results, making the comparison with in-presence interventions complex. The objective of this pilot study is to evaluate (a) whether online mindfulness practices can improve patients' mindfulness abilities (observation, description, acting with awareness, non-judging, non-reactivity), (b) whether an online MBI can impact general distress as well as on worries and stress perception. Sixty-two psychiatric outpatients with medium-high levels of brooding (41.9 % male, mean age = 44.6, SD = 13.4; 58.1 % female, mean age = 41.7, SD = 12.6) divided into nine groups attended an online (8 sessions) mindfulness intervention. Patients were asked to complete self-assessment questionnaires before (T0) and after (T1) the intervention. We found a significant improvement in mindfulness total scores between T0 and T1, implying increased patient awareness about experiences. We also found a significant improvement in the skill of observing, indicating an ability to see and feel what occurs around and inside us, as well as increased capabilities in non-judging and non-reactivity to inner experiences. Significant differences between T0 and T1 in general distress and an improvement in perceived stress were found, suggesting that an online MBI can increase patients’ well-being.</div></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"5 4","pages":"Article 100234"},"PeriodicalIF":0.0,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520196","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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