Asian journal of psychiatry最新文献

英文中文

The ban on alcohol consumption and the tragedy of death by alcohol poisoning in Iran 伊朗的禁酒令与酒精中毒死亡悲剧

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-22 DOI: 10.1016/j.ajp.2024.104286

Bijan Pirnia, Alireza Ellieen

引用次数: 0

Spiritual integration in counseling for student suicide prevention in higher education in Indonesia 印尼高校预防学生自杀辅导中的精神整合

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-22 DOI: 10.1016/j.ajp.2024.104287

Rizky Andana Pohan, Aidir Husni, Mustika Delima, Putri Bunga Aisyah Pohan, Ririn Dwi Astuti, Marhaban Marhaban

引用次数: 0

Depressive symptoms among Chinese adolescents from single parent families present a downward trend in the past 25 years: A cross-temporal meta-analysis 中国单亲家庭青少年的抑郁症状在过去25年中呈下降趋势：跨时空荟萃分析

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-22 DOI: 10.1016/j.ajp.2024.104288

Xiaohan Liu , Sijia Guo , Mingyu Zhang , Ning Huang , Yongqi Huang , La Mang , Siying Zhu , Jing Guo

Background

In recent decades, depressive symptoms have intensified among Chinese adolescents, particularly those from single-parent homes, who are presumed to face heightened mental health risks. Nonetheless, economic growth, fertility policy reforms, and cultural openness have enhanced the adaptability of these adolescents, enabling them to better manage depressive symptom risks.

Aim and method

This study aims to scrutinize the evolving trends of depressive symptoms and explore the related social factors among Chinese adolescents from single-parent families. We involved 109 studies by a Cross-temporal meta-analysis.

Results

Over the past 25 years, the prevalence of depressive symptoms in adolescents from single-parent homes has annually declined. Economic status negatively correlates with depressive symptoms in the current year and 5 years prior. Birth rate, household size negatively impact symptoms, while urbanization level inversely correlates in the present and 5 years ago. Unemployment rate shows negative correlations 5 years apart but positive in the current year. Divorce rates exhibit similar patterns, negative before and now.

Conclusion

The above results indicate that depressive symptoms among Chinese adolescents from single-parent families present a downward trend over time with social development. Macro-level factors such as economic instability, policy dynamics, and shifting attitudes towards marriage had a correlation with depression among adolescents from single-parent families. Future studies can dig into the details of the impact on the mental health of adolescents from single-parent families.

背景：近几十年来，中国青少年抑郁症状加剧，尤其是来自单亲家庭的青少年，他们被认为面临着更高的心理健康风险。然而，经济增长、生育政策改革和文化开放提高了这些青少年的适应能力，使他们能够更好地控制抑郁症状风险：本研究旨在观察中国单亲家庭青少年抑郁症状的演变趋势，并探讨与之相关的社会因素。我们通过跨时空荟萃分析法对109项研究进行了分析：结果：在过去的 25 年中，单亲家庭青少年抑郁症状的发生率逐年下降。经济状况与当年及五年前的抑郁症状呈负相关。出生率和家庭规模对抑郁症状有负面影响，而城市化水平与当年和 5 年前的抑郁症状呈反向关系。失业率在 5 年前呈负相关，但在当年呈正相关。离婚率表现出类似的模式，以前和现在均为负相关：上述结果表明，随着社会的发展，中国单亲家庭青少年的抑郁症状呈下降趋势。经济不稳定、政策动态、婚姻观念转变等宏观因素与单亲家庭青少年抑郁有一定的相关性。未来的研究可以深入探讨单亲家庭青少年心理健康的影响细节。

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引用次数: 0

New paradigm for mental health in the Middle East: Integrating digital innovations and cultural models to reduce stigma and improve access to services 中东心理健康的新模式：整合数字创新和文化模式，减少耻辱感并改善服务获取途径

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-22 DOI: 10.1016/j.ajp.2024.104289

Mahdi Naeim

The following study proposes a new framework for mental health care in the Middle East that incorporates digital innovation along with culturally sensitive models to reduce stigma and improve access to mental health services. This framework will make use of technology and community-based strategies to overcome the region-specific problems in creating a more inclusive and effective mental health system.

以下研究为中东地区的心理保健提出了一个新框架，该框架将数字创新与文化敏感模式相结合，以减少耻辱感并改善心理保健服务的获取。该框架将利用技术和基于社区的战略，克服该地区在创建更具包容性和更有效的心理健康系统方面存在的具体问题。

引用次数: 0

Validity and reliability of the new NIMHANS intellectual disability screening instrument (NID-Screener) for children and adolescents in India 印度儿童和青少年新的 NIMHANS 智力残疾筛查工具（NID-Screener）的有效性和可靠性。

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-22 DOI: 10.1016/j.ajp.2024.104282

Aaheli Roy , Gautham M. Sukumar , Rajendra Kiragasur Madegowda , Gayatri Tamuli , Banandur S. Pradeep

Introduction

There is a gap in tools specifically designed for assessing Intellectual Disability (ID) in Indian settings. To address this, the NIMHANS intellectual disability screening instrument (NID-Screener) was developed by the Department of Child and Adolescent Psychiatry, National Institute of Mental Health and Neuro Sciences.

Methods

Ten non experts/language and ten experts rated face and content validity of NID-Screener respectively. Content validity was measured by Content Validity Ratio, Content Validity Indices (I-CVI, S-CVI) and Modified Kappa statistics. Construct validity was calculated by performing Exploratory Factor Analysis(EFA) on responses from 275 parent(s)/guardian(s) of children and adolescents (6–17 years). Criterion Validity was tested against Brief Intellectual Disability Scale (BIDS) and Clinical Diagnosis by Child and Adolescent Psychiatrist. Kappa Statistics was used to calculate inter – method and inter-Rater Reliability. Cronbach’s alpha was used to assess Internal Consistency. This study was approved by NIMHANS ethics committee.

Results

Findings revealed that NID-Screener has good face and content validity (S-CVI/Average = 0.917). Criterion Validity was excellent (Kappa Value=0.862, p-value<0.001) when compared with BIDS. Sensitivity and specificity were found to be 84.7 %, 89 % respectively against Clinical Diagnosis. On EFA, only one underlying factor with Eigen value > 1 was identified (55.8 % of total variance). Kappa value was found to be 0.971 and 0.942 for inter- rater and inter –method reliability respectively(p-value<0.001). NID-Screener has good internal consistency [Cronbach’s alpha = 0.841].

Conclusions

NID-Screener is a reliable and valid tool for screening ID among children and adolescents in India, facilitating its early detection through diagnostic assessments and subsequent interventions.

导言：在印度，专门用于评估智力障碍（ID）的工具还很缺乏。为解决这一问题，印度国家精神卫生和神经科学研究所儿童和青少年精神病学部开发了印度国家精神卫生和神经科学研究所智力残疾筛查工具（NID-Screener）：方法：10 位非专家/语言专家和 10 位专家分别对 NID-Screener 的表面效度和内容效度进行了评定。内容效度通过内容效度比、内容效度指数（I-CVI、S-CVI）和修正卡帕统计来衡量。结构效度是通过对 275 名儿童和青少年（6-17 岁）的家长/监护人的回答进行探索性因子分析（EFA）来计算的。标准效度根据简明智力障碍量表（BIDS）和儿童及青少年精神科医生的临床诊断进行测试。Kappa 统计法用于计算方法间和评分者间的可靠性。Cronbach's alpha 用于评估内部一致性。这项研究获得了 NIMHANS 伦理委员会的批准：研究结果表明，NID-Screener 具有良好的表面效度和内容效度（S-CVI/Average = 0.917）。标准效度非常好（Kappa 值=0.862，P 值为 1（占总方差的 55.8%）。评分者之间和方法之间的 Kappa 值分别为 0.971 和 0.942（p 值）：NID筛查器是筛查印度儿童和青少年智障的可靠有效工具，有助于通过诊断评估和后续干预措施及早发现智障。

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引用次数: 0

The role of gender and SES in exacerbating ACEs in children and adolescents 性别和社会经济地位在加剧儿童和青少年 ACE 中的作用。

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-21 DOI: 10.1016/j.ajp.2024.104281

Syafrida Selfiardy , Mint Husen Raya Aditama , Meisie Lenny Mangantes , Julduz Ruland Paus

引用次数: 0

Addressing the misuse and abuse of trihexyphenidyl 解决三苯氧胺的误用和滥用问题。

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-20 DOI: 10.1016/j.ajp.2024.104284

Lateef Olabisi Okeleji , Ayodeji Folorunsho Ajayi

引用次数: 0

Heightened suicidal risk in ADHD and subthreshold ADHD: Understanding the role of psychiatric comorbidities 多动症和阈下多动症自杀风险增加：了解精神病合并症的作用。

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-20 DOI: 10.1016/j.ajp.2024.104277

Yunhye Oh , Yangsik Kim , Vin Ryu

Objectives

Recently, adult ADHD diagnoses have increased, complicating treatment when comorbid with other disorders. Subthreshold ADHD(sADHD) also poses challenges, especially with comorbidities and suicidality. This study explores psychiatric comorbidities' role in ADHD and sADHD suicidality.

Methods

We analyzed microdata from the National Mental Health Survey of Korea 2021 to examine the association of ADHD on comorbidities and suicide-related behaviors.

Results

Of the 5511 participants, 194(3.52 %) were diagnosed with ADHD, and 775(14.1 %) had sADHD. In 12-month prevalence, suicidal ideation and plans were more prevalent in both ADHD and sADHD patients than in controls, with higher odds ratios(ADHD vs. control OR 12.87; suicidal ideation, 54.06; suicidal plan, sADHD vs control OR 8.26; suicidal ideation, 17.63; suicidal plans). Lifetime suicidal ideation and plans were notably associated with alcohol use disorder(OR 6.15 in ideation, 3.83; plan) and nicotine use disorder in participants with ADHD(OR 5.36 in ideation, 5.31; plan), whereas sADHD associations were found with alcohol use disorder(OR 1.80 in ideation) and depressive disorder(OR 1.90 in ideation) compared to the controls. Additionally, differences in suicidal behavior between sADHD and ADHD were identified for alcohol use disorder(OR 3.42 in ideation, 4.15; plan) and nicotine use disorder(OR 4.02 in ideation, 4.98 in plan).

Conclusion

These results indicated a heightened risk of psychiatric comorbidities and suicidal ideation or plans in the ADHD and sADHD groups. These results suggest the need for a more diverse focus on comprehensive mental health assessments and proactive support for patients with ADHD, regardless of symptom severity.

目的：最近，成人多动症（ADHD）的诊断有所增加，当合并其他疾病时，治疗会变得更加复杂。阈下多动症（sADHD）也带来了挑战，尤其是合并症和自杀。本研究探讨了精神科合并症在多动症和亚阈多动症自杀中的作用：我们分析了韩国 2021 年全国心理健康调查的微观数据，以研究多动症与合并症和自杀相关行为的关联：在 5511 名参与者中，194 人（3.52%）被诊断为多动症，775 人（14.1%）患有 sADHD。在 12 个月的患病率中，ADHD 和 sADHD 患者的自杀意念和自杀计划的发生率均高于对照组，其几率比（ADHD vs. 对照组 OR 12.87；自杀意念，54.06；自杀计划，sADHD vs. 对照组 OR 8.26；自杀意念，17.63；自杀计划）也更高。与对照组相比，ADHD 患者的终生自杀意念和计划与酗酒障碍（意念 OR 6.15，计划 OR 3.83）和尼古丁使用障碍（意念 OR 5.36，计划 OR 5.31）明显相关，而 SADHD 患者则与酗酒障碍（意念 OR 1.80）和抑郁障碍（意念 OR 1.90）相关。此外，在酒精使用障碍（意念中 OR 3.42，计划中 OR 4.15）和尼古丁使用障碍（意念中 OR 4.02，计划中 OR 4.98）方面，sADHD 和 ADHD 的自杀行为存在差异：这些结果表明，ADHD 和 sADHD 组合并精神疾病和有自杀意念或计划的风险较高。这些结果表明，无论症状严重程度如何，都有必要对多动症患者进行更全面的心理健康评估，并为其提供积极的支持。

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引用次数: 0

The prevalence of alexithymia in schizophrenia: A systematic review and meta-analysis 精神分裂症患者亚历山大症的患病率：系统回顾和荟萃分析。

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-18 DOI: 10.1016/j.ajp.2024.104280

Yi Xiao , Jing Tian , Yu-Fan Pan , Yu Dai , Yu-Jian Sun , Yue Zhou , Yu-Feng Yu

Objectives

This study aims to systematically evaluate the prevalence of alexithymia in patients with schizophrenia.

Methods

Computer searches were conducted in PubMed, PsycInfo, Web of Science, The Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, and China Biology Medicine (CBM) electronic databases to collect studies that utilized the TAS-20 scale as a measurement tool with clearly defined diagnostic criteria to determine the prevalence of alexithymia in patients with schizophrenia, from the inception of the databases to December 29, 2023. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias in the included studies, followed by meta-analysis using Stata 16.0 software.

Results

A total of 17 studies with 5628 participants were included. The results of the meta-analysis showed that the prevalence of alexithymia in patients with schizophrenia was 35 % (95 % CI: 32–38 %). Subgroup analysis indicated that male gender, smoking, Asian ethnicity, case-control design and divorce were associated with higher rates of alexithymia (all P<0.05).

Conclusion

The prevalence of alexithymia in patients with schizophrenia is relatively high (35 %). However, due to limitations in the quality and quantity of included studies, further high-quality literature is needed to confirm the above conclusion.

研究目的本研究旨在系统评估精神分裂症患者无情感倾向的患病率：在PubMed、PsycInfo、Web of Science、The Cochrane Library、EMBASE、中国国家知识基础设施（CNKI）、万方数据库、VIP数据库和中国生物医学（CBM）电子数据库中进行计算机检索，收集自数据库建立之初至2023年12月29日期间，以TAS-20量表为测量工具、明确诊断标准的研究，以确定精神分裂症患者无情感倾向的患病率。两名研究人员独立筛选文献、提取数据并评估纳入研究的偏倚风险，然后使用Stata 16.0软件进行荟萃分析：结果：共纳入 17 项研究，5628 名参与者。荟萃分析结果显示，精神分裂症患者的无情感倾向发生率为 35%（95% CI：32-38%）。分组分析表明，男性性别、吸烟、亚洲人种、病例对照设计和离婚与较高的无情感障碍发生率有关（全部为 PC 结论：精神分裂症患者的无情感倾向发生率相对较高（35%）。然而，由于所纳入研究的质量和数量存在局限性，因此需要更多高质量的文献来证实上述结论。

{"title":"The prevalence of alexithymia in schizophrenia: A systematic review and meta-analysis","authors":"Yi Xiao , Jing Tian , Yu-Fan Pan , Yu Dai , Yu-Jian Sun , Yue Zhou , Yu-Feng Yu","doi":"10.1016/j.ajp.2024.104280","DOIUrl":"10.1016/j.ajp.2024.104280","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to systematically evaluate the prevalence of alexithymia in patients with schizophrenia.</div></div><div><h3>Methods</h3><div>Computer searches were conducted in PubMed, PsycInfo, Web of Science, The Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, and China Biology Medicine (CBM) electronic databases to collect studies that utilized the TAS-20 scale as a measurement tool with clearly defined diagnostic criteria to determine the prevalence of alexithymia in patients with schizophrenia, from the inception of the databases to December 29, 2023. Two researchers independently screened the literature, extracted data, and evaluated the risk of bias in the included studies, followed by meta-analysis using Stata 16.0 software.</div></div><div><h3>Results</h3><div>A total of 17 studies with 5628 participants were included. The results of the meta-analysis showed that the prevalence of alexithymia in patients with schizophrenia was 35 % (95 % CI: 32–38 %). Subgroup analysis indicated that male gender, smoking, Asian ethnicity, case-control design and divorce were associated with higher rates of alexithymia (all <em>P</em><0.05).</div></div><div><h3>Conclusion</h3><div>The prevalence of alexithymia in patients with schizophrenia is relatively high (35 %). However, due to limitations in the quality and quantity of included studies, further high-quality literature is needed to confirm the above conclusion.</div></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"102 ","pages":"Article 104280"},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating intrinsic and situational predictors of depression among older adults: An analysis of the CHARLS database 调查老年人抑郁症的内在和情景预测因素：对 CHARLS 数据库的分析。

IF 3.8 4区医学 Q1 PSYCHIATRY

Asian journal of psychiatry

Pub Date : 2024-10-17 DOI: 10.1016/j.ajp.2024.104279

Yafei Wu , Chongtao Wei , Yaheng Zhang , Chenming Gu , Ya Fang

Background

This study aimed to investigate the intrinsic and situational predictors of depression under the health ecological model.

Methods

Two waves (2011 and 2013) of survey data were collected from the CHARLS. A total of 5845 older adults (≧60) were included, and depression was defined as CESD-10 score ≧10. Random forest combined with interpretable methods were utilized to select important predictors of depression. Multilevel logit model was used to examine the associations of intrinsic and situational predictors with depression.

Results

After a 2-year follow up, 1822 individuals (31.17 %) developed depression. Interpretable analyses showed that both intrinsic and situational variables were predictive for depression. Multilevel logit model showed that age, gender, number of chronic diseases, number of pain areas, life satisfaction, and toilet distance were significantly associated with depression.

Conclusion

Both intrinsic and situational factors were found to be associated with depression among community older population, highlighting their significance for early prevention from the perspective of public health.

研究背景本研究旨在探讨健康生态模型下抑郁症的内在和情景预测因素：从 CHARLS 收集了两波（2011 年和 2013 年）调查数据。共纳入5845名老年人（≧60岁），抑郁定义为CESD-10得分≧10。利用随机森林结合可解释的方法来选择抑郁症的重要预测因素。采用多层次逻辑模型检验内在和情境预测因素与抑郁的关联：经过两年的跟踪调查，有 1822 人（31.17%）患上了抑郁症。可解释性分析表明，内在变量和情境变量均可预测抑郁症。多层对数模型显示，年龄、性别、慢性病数量、疼痛部位数量、生活满意度和厕所距离与抑郁症有显著相关性：结论：研究发现，内在因素和情境因素都与社区老年人口中的抑郁症有关，这从公共卫生的角度强调了其早期预防的重要性。

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