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Network analysis of childhood maltreatment and internet addiction in adolescents with major depressive disorder. 对患有重度抑郁症的青少年的童年虐待和网络成瘾进行网络分析。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-05 DOI: 10.1186/s12888-024-06224-x
Song Wang, Feng Geng, Mengyue Gu, Jingyang Gu, Yudong Shi, Yating Yang, Ling Zhang, Mengdie Li, Lei Xia, Huanzhong Liu

Background: Childhood maltreatment (CM) is closely linked to internet addiction (IA), especially in adolescents with Major Depressive Disorder (MDD). Previous studies have shown that adolescents who experience CM are more likely to develop IA and other psychological problems. This study aims to explore the complex relationship between CM and IA through network analysis, particularly identifying the core symptoms and bridge symptoms to better understand the development of IA in these adolescents.

Methods: A cross-sectional study was conducted in seven hospitals in Anhui Province, China, involving 332 adolescents diagnosed with MDD using DSM-5 criteria. The Childhood Trauma Questionnaire - Short Form (CTQ-SF) and the Internet Addiction Test (IAT) were used to assess CM and IA symptoms, respectively. Gender-based network analysis was also performed.

Results: Network analysis constructed a CM-IA network and identified core and bridge symptoms. "Depress/moody/nervous being offline", "Request an extension for longer time", "Sleep loss due to late-night logins", and "emotional abuse" emerged as central symptoms within the CM-IA network. Additionally, "emotional abuse", "sexual abuse", and "complaints about online time" were identified as key bridge symptoms linking CM and IA. These symptoms demonstrated significant connectivity, underscoring their critical role in linking CM and IA.

Conclusion: The findings highlight the complex relationship between CM and IA in adolescents with MDD. Specific symptoms, such as emotional abuse and online-related symptoms, play important roles in understanding and intervening in adolescent IA. Future interventions should target these core and bridge symptoms for more effective prevention and treatment.

背景:童年虐待(CM)与网络成瘾(IA)密切相关,尤其是在患有重度抑郁症(MDD)的青少年中。以往的研究表明,经历过儿童虐待的青少年更有可能出现网络成瘾和其他心理问题。本研究旨在通过网络分析探讨CM与IA之间的复杂关系,特别是识别核心症状和桥接症状,以更好地了解这些青少年IA的发展情况:方法:在中国安徽省的七家医院开展了一项横断面研究,共有332名青少年参与了该研究,这些青少年均根据DSM-5标准被诊断为MDD。研究采用儿童创伤问卷简表(CTQ-SF)和网络成瘾测试(IAT)分别评估CM和IA症状。此外,还进行了基于性别的网络分析:网络分析构建了 CM-IA 网络,并确定了核心症状和桥接症状。在 CM-IA 网络中,"离线时抑郁/情绪低落/紧张"、"要求延长时间"、"深夜登录导致失眠 "和 "情感滥用 "成为核心症状。此外,"情感虐待"、"性虐待 "和 "对在线时间的抱怨 "也被认为是连接 CM 和 IA 的关键桥梁症状。这些症状表现出明显的连通性,强调了它们在联系 CM 和 IA 方面的关键作用:研究结果凸显了患有 MDD 的青少年中 CM 与 IA 之间的复杂关系。特定症状,如情感虐待和与网络相关的症状,在理解和干预青少年 IA 方面发挥着重要作用。未来的干预措施应针对这些核心症状和桥接症状,以实现更有效的预防和治疗。
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引用次数: 0
Nationwide trends in the use of ADHD medications in the period 2006-2022: a study from the Norwegian prescription database. 2006-2022年全国多动症药物使用趋势:挪威处方数据库研究。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-05 DOI: 10.1186/s12888-024-06199-9
Ingeborg Hartz, Nils Henry Haugen Madsstuen, Per Normann Andersen, Marte Handal, Ingvild Odsbu

Background: The use of medication for Attention-Deficit/Hyperactivity Disorder (ADHD) increased globally throughout the early 2000s. This study examine trends in prevalences and incidences of medication use in Norway from 2006 to 2022.

Methods: Data from the Norwegian Prescription Database were used to present one-year-prevalence and incidence rates of ADHD medication (ATC-group N06BA and C02AC02) for the overall population (ages 6-64) and within sex and age subgroups of children (ages 6-17) and adults (ages 18-64). Incident use was defined as the dispensing of medication, with no recorded use in the previous two calendar years.

Results: The overall prevalence of ADHD medication use in 6- to 64-year-olds increased from 5.2 to 19.4 per 1000 in the period, most pronounced from 2020 and onwards. While males experienced a nearly threefold increase in use (from 7.3 to 20.6 per 1000), the use among females increased almost sixfold during the study period (from 3.0 to 18.1 per 1000). Consequently, the male-to-female prevalence-ratio decreased from 2.4 to 1. Children exhibited a higher prevalence of use compared to adults throughout the period, although the largest relative increase was observed in adults, particularly in female adults. In children the male-to-female ratio decreased from 3.2 to 2.0, primarily due to an increasing use in 13-17-year-old females. Among adults, prevalences were similar across most age groups, with the highest rates observed among those aged 18-24, where female use exceeded male use by the end of the period. The male-to-female prevalence-ratio in adults decreased from 1.6 to 0.9 during the period. Parallel to prevalent use, overall incident use increased from 1.4 to 5.0 per 1000 during the period, with the most pronounced increase occurring from 2020 and onwards. From this point, incident use among females aged 13-17, 18-24, and 25-34, exceeded that of males. The male-to-female incidence-ratio decreased from 1.8 to 0.9. The overall incidence to prevalence ratio remained similar throughout the period, being 0.27 in 2006 and 0.25 in 2022.

Conclusion: A sustained increase in the prevalence of ADHD medication use was observed, with the most pronounced rise occurring among females and adults from 2020 and onwards. By 2022, the overall gender disparity in ADHD medication use had diminished, which should be considered in the context of a steep increase in incident use among adolescent and young adult females starting from 2020.

背景:本世纪初,全球范围内注意力缺陷/多动症(ADHD)的用药量有所增加。本研究探讨了2006年至2022年挪威药物治疗的流行率和发病率趋势:研究利用挪威处方数据库的数据,对挪威总人口(6-64岁)以及儿童(6-17岁)和成人(18-64岁)等性别和年龄分组的多动症药物(ATC组N06BA和C02AC02)一年的流行率和发病率进行了分析。事件性用药的定义是在前两个日历年中没有用药记录的配药行为:结果:在此期间,6 至 64 岁人群中多动症药物的总体使用率从千分之 5.2 上升至千分之 19.4,其中 2020 年及以后最为明显。在研究期间,男性的用药量增加了近三倍(从每 1000 人中 7.3 人增加到 20.6 人),而女性的用药量则增加了近六倍(从每 1000 人中 3.0 人增加到 18.1 人)。因此,男女流行率之比从 2.4 降至 1。在整个研究期间,儿童的使用率高于成人,但相对增幅最大的是成人,尤其是女性成人。在儿童中,男女比例从 3.2 降至 2.0,这主要是由于 13-17 岁女性的使用率有所上升。在成人中,大多数年龄组的流行率相似,18-24 岁年龄组的流行率最高,在这一时期结束时,女性的使用率超过了男性。在此期间,成人中的男女流行率之比从 1.6 降至 0.9。与流行率相同的是,在此期间,总体事件使用率从 1.4%.增至 5.0%.,其中 2020 年及以后的增幅最为明显。从这一点来看,13-17 岁、18-24 岁和 25-34 岁女性的事件使用率超过了男性。男女发病率比从 1.8 降至 0.9。在此期间,总体发病率与患病率之比保持相似,2006 年为 0.27,2022 年为 0.25:结论:多动症药物使用率呈持续上升趋势,女性和成人的上升幅度在 2020 年及以后最为明显。到 2022 年,ADHD 药物使用率的总体性别差异有所缩小,但应考虑到从 2020 年开始,青少年和年轻成年女性的药物使用率急剧上升。
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引用次数: 0
Effect of weighted blankets on sleep quality among adults with insomnia: a pilot randomized controlled trial. 负重毯对失眠症成人睡眠质量的影响:随机对照试验。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-05 DOI: 10.1186/s12888-024-06218-9
Jie Yu, Junan Du, Zhenqing Yang, Weiran Chen, Sudan Sun, Maji Gan, Yuchen Cai, Liming Zhang, Kaili Sun, Jiahui Xu, Qinglin Xu, Juan Ke, Lisan Zhang, Yubo Zhu, Zuyun Liu

Background: Weighted blanket is an emerging non-pharmacotherapy for sleep disorders, but its effect on sleep among relatively healthy adults with insomnia remains uncertain. This study aimed to evaluate whether weighted blankets could better improve sleep quality and sleep-related symptoms among adults with insomnia.

Methods: In a prospective, pilot randomized controlled trial conducted in three tertiary hospitals in China, participants with clinical insomnia were randomized (1:1) to receive weighted blanket intervention or normal blanket intervention for 1 month by random-number tables. The primary outcomes were sleep quality assessed with Pittsburgh Sleep Quality Index (PSQI) and insomnia severity assessed with Insomnia Severity Index. Subjective outcomes were measured at baseline, 1 week, and 1-month post-intervention. Sleep was also objectively monitored by actigraphy. We did analysis by intention to treat.

Results: A total of 102 participants were randomly assigned to receive weighted blanket intervention (n = 52) or normal blanket intervention (n = 50). 95 (93.1%) participants completed the follow-up, and 7 (6.9%) participants dropped out of the study. The weighted blanket group had significant improvements in sleep quality compared to the normal blanket group after 1 month of intervention (changes in the mean [SD] of PSQI score: -4.1 [4.1] vs. -2.0 [3.2], P = 0.006). Similar results were observed for daytime sleepiness, stress, anxiety, fatigue, and bodily pain (all P < 0.05). Recordings from actigraphy showed a decrease in the mean (SD) of the number of awakenings in weighted blanket group (-1.4 [9.5]) and an increase in normal blanket group (+ 1.0 [7.9]) (P = 0.280). No severe adverse events occurred.

Conclusions: Weighted blanket might be an effective, safe and promising non-pharmacotherapy tool for improving sleep-related symptoms among adults with insomnia, although validation with a larger sample size is needed.

Trial registration: Chinese Clinical Trial Registry: ChiCTR2300078011, date of registration: 11/27/2023, retrospectively registered.

背景:配重毯是一种新兴的治疗睡眠障碍的非药物疗法,但它对相对健康的失眠成年人的睡眠效果仍不确定。本研究旨在评估配重毯是否能更好地改善失眠症成人患者的睡眠质量和睡眠相关症状:在中国三家三甲医院进行的一项前瞻性试点随机对照试验中,临床失眠患者通过随机数字表随机(1:1)接受加权毯干预或普通毯干预1个月。主要结果是以匹兹堡睡眠质量指数(PSQI)评估睡眠质量,以失眠严重程度指数评估失眠严重程度。主观结果在干预后的基线、1周和1个月进行测量。此外,我们还使用行动计对睡眠进行了客观监测。我们进行了意向治疗分析:共有 102 名参与者被随机分配接受加权毯干预(52 人)或普通毯干预(50 人)。95名参与者(93.1%)完成了随访,7名参与者(6.9%)退出了研究。干预一个月后,与普通毯子组相比,加权毯子组的睡眠质量有明显改善(PSQI评分的平均值[标度]变化:-4.1 [4.1] vs. -2.0 [3.2],P = 0.006)。在白天嗜睡、压力、焦虑、疲劳和身体疼痛方面也观察到了类似的结果(均为 P 结论:配重毯可能是一种有效、安全且有前景的非药物治疗工具,可改善成人失眠症患者的睡眠相关症状,但还需要更大样本量的验证:试验注册:中国临床试验注册中心:试验注册:中国临床试验注册中心:ChiCTR2300078011,注册日期:2023 年 11 月 27 日:试验注册:中国临床试验注册中心:ChiCTR2300078011,注册日期:2023 年 11 月 27 日,回顾性注册。
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引用次数: 0
Correction: Effects of yoga on impulsivity in patients with and without mental disorders: a systematic review. 更正:瑜伽对有精神障碍和无精神障碍患者冲动性的影响:系统综述。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1186/s12888-024-05976-w
Yuri de Castro Machado, Mariana Oliveira, Jogiely Larissa Ferreira Lima, Hemant Bhargav, Shivarama Varambally, Débora Marques de Miranda, Marco Aurélio Romano-Silva
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引用次数: 0
Prevalence of depression and anxiety in women with polycystic ovary syndrome (PCOS) and associated factors in a quaternary hospital in Thailand: a cross-sectional study. 泰国一家四级医院多囊卵巢综合征(PCOS)妇女抑郁和焦虑的患病率及相关因素:一项横断面研究。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1186/s12888-024-06154-8
Pattra Keeratibharat, Areepan Sophonsritsuk, Ratana Saipanish, Penpun Wattanakrai, Makaramas Anantaburana, Siriluk Tantanavipas

Background: Polycystic ovary syndrome (PCOS) is a common gynaecological problem for women of reproductive age. Depression and anxiety are common conditions that occur in women with PCOS and have an impact on mental well-being. However, there is a lack of data on their prevalence and its associated factors in the Thai population. This cross-sectional study aimed to evaluate the prevalence of depression and anxiety among women with PCOS and identify the factors associated with depression and anxiety in women with PCOS as well as their impact on mental well-being in Thailand.

Methods: A total of 260 women aged 15 to 40 years diagnosed with PCOS based on the Rotterdam criteria were included in the study. Physical examinations were conducted, and participants completed Hospital Anxiety and Depression Scale (HADS) and Thai version WHO-Five Well-Being Index (WHO-5 Thai) questionnaires to assess depression, anxiety, and mental well-being, respectively. The prevalence and prevalence rations (PR) with 95% confidence interval (CI) for depression and anxiety were analysed using modified Poisson regression analyses with robust variance estimators.

Results: The prevalence of depression, anxiety, and poor mental well-being among women with PCOS was found to be 3.85%, 11.92%, and 16.92%, respectively. Abdominal obesity (PR 24.25, 95% CI: 2.75-219.50; p = 0.004), poor mental well-being (PR 16.68, 95% CI: 4.02-69.18; p = < 0.001), and snoring (PR 10.26, 95% CI: 2.06-51.14; p = 0.005) were identified as factors associated with depression in women with PCOS. Having children (PR 6.22, 95% CI: 2.90-13.35; p = < 0.001), alcohol drinking (PR 3.41, 95% CI: 1.52-7.65; p = 0.003), poor mental well-being (PR 2.32, 95% CI: 1.14-4.74; p = 0.021), and hirsutism (PR 2.23, 95% CI: 1.18-4.22; p = 0.014) were found to be relative factors for anxiety in women with PCOS.

Conclusion: Women with PCOS is associated with high prevalences of depression and anxiety. Poor mental well-being was identified as key factors associated with both depression and anxiety in women with PCOS. Based on these findings, the present study suggests that screening for depression and anxiety should be conducted for all women with PCOS, especially those who present with poor mental well-being.

背景:多囊卵巢综合征(PCOS多囊卵巢综合症(PCOS)是育龄妇女常见的妇科问题。抑郁和焦虑是多囊卵巢综合症妇女的常见病,会影响她们的心理健康。然而,在泰国人群中,有关其患病率及其相关因素的数据却十分匮乏。这项横断面研究旨在评估泰国患有多囊卵巢综合症的女性中抑郁和焦虑的患病率,并确定与患有多囊卵巢综合症的女性抑郁和焦虑相关的因素及其对心理健康的影响:研究共纳入了 260 名根据鹿特丹标准确诊为多囊卵巢综合症的 15 至 40 岁女性。研究人员进行了体格检查,并填写了医院焦虑抑郁量表(HADS)和泰语版 WHO-Five Well-Being Index(WHO-5 泰语版)问卷,以分别评估抑郁、焦虑和精神健康状况。采用改进的泊松回归分析法和稳健方差估计法分析了抑郁和焦虑的患病率和患病率比率(PR)以及 95% 的置信区间(CI):结果发现,患有多囊卵巢综合症的妇女中抑郁、焦虑和精神不佳的患病率分别为 3.85%、11.92% 和 16.92%。腹部肥胖(PR 24.25,95% CI:2.75-219.50;P = 0.004)、精神状况不佳(PR 16.68,95% CI:4.02-69.18;P = 0.004 结论:多囊卵巢综合症女性患者的抑郁、焦虑和精神状况不佳的发生率与多囊卵巢综合症有关:患有多囊卵巢综合症的妇女抑郁和焦虑的患病率很高。心理健康状况不佳被认为是与多囊卵巢综合症妇女抑郁和焦虑相关的关键因素。基于这些研究结果,本研究建议应对所有患有多囊卵巢综合症的妇女进行抑郁和焦虑筛查,尤其是那些精神状况不佳的妇女。
{"title":"Prevalence of depression and anxiety in women with polycystic ovary syndrome (PCOS) and associated factors in a quaternary hospital in Thailand: a cross-sectional study.","authors":"Pattra Keeratibharat, Areepan Sophonsritsuk, Ratana Saipanish, Penpun Wattanakrai, Makaramas Anantaburana, Siriluk Tantanavipas","doi":"10.1186/s12888-024-06154-8","DOIUrl":"10.1186/s12888-024-06154-8","url":null,"abstract":"<p><strong>Background: </strong>Polycystic ovary syndrome (PCOS) is a common gynaecological problem for women of reproductive age. Depression and anxiety are common conditions that occur in women with PCOS and have an impact on mental well-being. However, there is a lack of data on their prevalence and its associated factors in the Thai population. This cross-sectional study aimed to evaluate the prevalence of depression and anxiety among women with PCOS and identify the factors associated with depression and anxiety in women with PCOS as well as their impact on mental well-being in Thailand.</p><p><strong>Methods: </strong>A total of 260 women aged 15 to 40 years diagnosed with PCOS based on the Rotterdam criteria were included in the study. Physical examinations were conducted, and participants completed Hospital Anxiety and Depression Scale (HADS) and Thai version WHO-Five Well-Being Index (WHO-5 Thai) questionnaires to assess depression, anxiety, and mental well-being, respectively. The prevalence and prevalence rations (PR) with 95% confidence interval (CI) for depression and anxiety were analysed using modified Poisson regression analyses with robust variance estimators.</p><p><strong>Results: </strong>The prevalence of depression, anxiety, and poor mental well-being among women with PCOS was found to be 3.85%, 11.92%, and 16.92%, respectively. Abdominal obesity (PR 24.25, 95% CI: 2.75-219.50; p = 0.004), poor mental well-being (PR 16.68, 95% CI: 4.02-69.18; p = < 0.001), and snoring (PR 10.26, 95% CI: 2.06-51.14; p = 0.005) were identified as factors associated with depression in women with PCOS. Having children (PR 6.22, 95% CI: 2.90-13.35; p = < 0.001), alcohol drinking (PR 3.41, 95% CI: 1.52-7.65; p = 0.003), poor mental well-being (PR 2.32, 95% CI: 1.14-4.74; p = 0.021), and hirsutism (PR 2.23, 95% CI: 1.18-4.22; p = 0.014) were found to be relative factors for anxiety in women with PCOS.</p><p><strong>Conclusion: </strong>Women with PCOS is associated with high prevalences of depression and anxiety. Poor mental well-being was identified as key factors associated with both depression and anxiety in women with PCOS. Based on these findings, the present study suggests that screening for depression and anxiety should be conducted for all women with PCOS, especially those who present with poor mental well-being.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alterations of subcortical structure volume in pediatric bipolar disorder patients with manic or depressive first-episode. 躁狂或抑郁首发小儿双相情感障碍患者皮层下结构体积的变化。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1186/s12888-024-06208-x
Weijia Gao, Yue Chen, Dong Cui, Ce Zhu, Qing Jiao, Linyan Su, Shaojia Lu, Rongwang Yang

Background: Bipolar disorder may begin as depression or mania, which can affect the treatment and prognosis. The physiological and pathological differences among pediatric bipolar disorder (PBD) patients with different onset symptoms are not clear. The aims of the present study were to investigate subcortical structural alterations in PBD patients with first-episode depressive (PBD-FED) and first-episode manic (PBD-FEM).

Methods: A total of 59 individuals including 28 PBD-FED, 13 PBD-FEM, and 18 healthy controls (HCs) underwent high-resolution structural magnetic resonance scans. FreeSurfer 7.2 was used to detect changes in subcortical volumes. Simultaneously, thalamic, hippocampal, and amygdala subregion volumes were compared between the three groups.

Results: Analysis of covariance controlling for age, sex, education, and estimated intracranial volume shows third and fourth ventricle enlargement in patients with PBD. Compared with the PBD-FED and HCs, the PBD-FEM group had reduced gray matter volume in the left thalamus, bilateral hippocampus, and right amygdala. Subsequent subregion analyses showed right cortico-amygdaloid transient, bilateral accessory-basal nucleus, left hippocampal tail, right hippocampal head, and body volume reduction in the PBD-FEM group.

Conclusions: The present findings provided evidence of decreased subcortical structure in PBD-FEM patients, which might present its trait feature.

背景:双相情感障碍开始时可能表现为抑郁或躁狂,这会影响治疗和预后。不同发病症状的儿童双相情感障碍(PBD)患者之间的生理和病理差异尚不清楚。本研究旨在调查首次发病的抑郁型(PBD-FED)和首次发病的躁狂型(PBD-FEM)双相情感障碍患者的皮层下结构改变:共有59人接受了高分辨率结构磁共振扫描,其中包括28名PBD-FED患者、13名PBD-FEM患者和18名健康对照者(HCs)。FreeSurfer 7.2 用于检测皮层下体积的变化。同时,比较了三组患者丘脑、海马和杏仁核亚区的体积:结果:控制年龄、性别、教育程度和估计颅内容积的协方差分析表明,PBD 患者的第三脑室和第四脑室增大。与 PBD-FED 组和 HC 组相比,PBD-FEM 组左侧丘脑、双侧海马和右侧杏仁核的灰质体积减少。随后的亚区分析显示,PBD-FEM 组的右侧皮质杏仁核瞬时、双侧附属基底核、左侧海马尾部、右侧海马头部和体部体积减少:结论:本研究结果提供了 PBD-FEM 患者皮层下结构减少的证据,这可能是其特征性表现。
{"title":"Alterations of subcortical structure volume in pediatric bipolar disorder patients with manic or depressive first-episode.","authors":"Weijia Gao, Yue Chen, Dong Cui, Ce Zhu, Qing Jiao, Linyan Su, Shaojia Lu, Rongwang Yang","doi":"10.1186/s12888-024-06208-x","DOIUrl":"10.1186/s12888-024-06208-x","url":null,"abstract":"<p><strong>Background: </strong>Bipolar disorder may begin as depression or mania, which can affect the treatment and prognosis. The physiological and pathological differences among pediatric bipolar disorder (PBD) patients with different onset symptoms are not clear. The aims of the present study were to investigate subcortical structural alterations in PBD patients with first-episode depressive (PBD-FED) and first-episode manic (PBD-FEM).</p><p><strong>Methods: </strong>A total of 59 individuals including 28 PBD-FED, 13 PBD-FEM, and 18 healthy controls (HCs) underwent high-resolution structural magnetic resonance scans. FreeSurfer 7.2 was used to detect changes in subcortical volumes. Simultaneously, thalamic, hippocampal, and amygdala subregion volumes were compared between the three groups.</p><p><strong>Results: </strong>Analysis of covariance controlling for age, sex, education, and estimated intracranial volume shows third and fourth ventricle enlargement in patients with PBD. Compared with the PBD-FED and HCs, the PBD-FEM group had reduced gray matter volume in the left thalamus, bilateral hippocampus, and right amygdala. Subsequent subregion analyses showed right cortico-amygdaloid transient, bilateral accessory-basal nucleus, left hippocampal tail, right hippocampal head, and body volume reduction in the PBD-FEM group.</p><p><strong>Conclusions: </strong>The present findings provided evidence of decreased subcortical structure in PBD-FEM patients, which might present its trait feature.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers and facilitators of collaboration during the implementation of vocational rehabilitation interventions: a systematic review. 职业康复干预措施实施过程中的合作障碍与促进因素:系统综述。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1186/s12888-024-06223-y
Yvonne Noteboom, Alexandra W A Montanus, Femke van Nassau, George Burchell, Johannes R Anema, Maaike A Huysmans

Background: Stakeholders from the mental health care sector and the social security sector are often involved in the implementation of vocational rehabilitation (VR) interventions, so-called coordinated or integrated program, as clients need support from both fields. Collaboration of the involved stakeholders from both sectors is therefore important. In this study, a review was performed to provide an overview of the barriers and facilitators for collaboration during the implementation of coordinated or integrated vocational rehabilitation interventions.

Methods: A systematic review (PROSPERO ID CRD42023404823) was performed in the databases of Medline PubMed (n = 11.511), Web of Science (n = 4821), and PSYCINFO (n = 368). We used the AI-driven tool ASReview to support the screening process, conducted by two researchers independently. A thematic content analysis was performed to analyse the reported barriers and facilitators. Appraisal of the quality of included studies was conducted using Critical Appraisal Skills Programme (CASP).

Results: We included 105 of the 11,873 identified articles for full text screening, of which 26 were included for final analysis. Six themes of barriers and facilitators were found: attitude and beliefs, engagement and trust, governance and structure, practical issues, professionals involved, and client-centeredness. We found a reporting quality between 8 and 20, based on CASP.

Conclusion: We found that a positive attitude towards and belief of those involved in collaboration during coordinated of integrated VR interventions can enhance collaboration. Moreover, a negative attitude or lack of trust, most often found among mental health professionals, hindered collaboration. Collaboration between stakeholders from different sectors could be increased by improving positive attitudes and mutual trust and increasing knowledge about each other's expertise. Also sharing success stories, co-location of professionals, and having a clear governance were found to be a factor in collaborations' success.

背景:在实施职业康复(VR)干预措施(即所谓的协调或综合计划)时,精神卫生保健部门和社会保障部门的利益相关者通常都会参与其中,因为客户需要这两个领域的支持。因此,这两个部门的相关人员之间的合作非常重要。本研究对协调或综合职业康复干预措施实施过程中的合作障碍和促进因素进行了综述:在 Medline PubMed(n = 11.511)、Web of Science(n = 4821)和 PSYCINFO(n = 368)数据库中进行了系统性综述(PROSPERO ID CRD42023404823)。我们使用人工智能驱动工具 ASReview 支持筛选过程,由两名研究人员独立完成。我们对报告的障碍和促进因素进行了专题内容分析。使用批判性评估技能计划(CASP)对纳入研究的质量进行了评估:我们对 11,873 篇已确认文章中的 105 篇进行了全文筛选,其中 26 篇被纳入最终分析。我们发现了六个关于障碍和促进因素的主题:态度和信念、参与和信任、管理和结构、实际问题、参与的专业人员以及以客户为中心。根据 CASP,我们发现报告质量介于 8 和 20 之间:我们发现,在协调综合性虚拟现实干预过程中,参与合作者的积极态度和信念可以促进合作。此外,消极态度或缺乏信任(最常见于心理健康专业人员)会阻碍合作。通过改善积极态度和相互信任,增加对彼此专业知识的了解,可以加强不同部门利益相关者之间的合作。此外,分享成功案例、专业人员合用同一地点以及明确的管理也是合作取得成功的一个因素。
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引用次数: 0
Dissociation as a mediator of interpersonal trauma and depression: adulthood versus childhood interpersonal traumas3. 解离是人际创伤和抑郁的中介:成年期与童年期的人际创伤3。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1186/s12888-024-06095-2
Seungyun Y Shim, Daeho Kim, Eunkyung K Kim

Extensive research has established that interpersonal trauma is related to depression and dissociation severity. Extending prior research, this study found that childhood and adulthood interpersonal traumas are related to depressive symptoms and examined the role of dissociative process as a mediator. Two hundred eighty-nine adult participants retrospectively reported on traumatic experiences and current symptoms of dissociation and depression, indicating that both childhood and adulthood interpersonal traumas are related to the severity of depression. However, childhood interpersonal trauma was associated with a higher level of dissociative symptoms. Moreover, it was suggested that dissociation serves as a pathway through which childhood interpersonal trauma influences depression, although this relationship was not observed for adulthood interpersonal trauma. In conclusion, this study highlights the potential role of dissociation in the development and maintenance of depression, particularly among individuals who have experienced childhood interpersonal trauma. These findings suggest that interventions targeting dissociation show potential for mitigating retrospective depression, especially for survivors of childhood interpersonal trauma.

大量研究证实,人际创伤与抑郁症和解离严重程度有关。本研究扩展了之前的研究,发现童年和成年期的人际创伤与抑郁症状有关,并研究了解离过程作为中介的作用。289 名成年参与者回顾性地报告了创伤经历以及当前的解离和抑郁症状,表明童年和成年期的人际创伤都与抑郁症的严重程度有关。然而,童年时期的人际创伤与较高程度的解离症状相关。此外,研究还表明,解离症状是童年人际创伤影响抑郁症的一个途径,尽管成年人际创伤与抑郁症之间并不存在这种关系。总之,本研究强调了解离在抑郁症的发展和维持中的潜在作用,尤其是在经历过童年人际创伤的人中。这些研究结果表明,针对解离的干预措施显示出减轻回顾性抑郁的潜力,尤其是对童年人际创伤幸存者而言。
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引用次数: 0
An inverted U-shaped relationship between work-family conflict and job burnout among village clinic doctors: the moderating effect of information and communication technology use. 乡村诊所医生工作-家庭冲突与工作倦怠之间的倒 U 型关系:信息和通信技术使用的调节作用。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-11-01 DOI: 10.1186/s12888-024-06221-0
Lifang Zhou, Haiyuan Lv, Yuncong Yu, Jiaxian Shao, Yixuan Wu, Xiaona Li, Min Gao, Wenqiang Yin, Qianqian Yu, Zhongming Chen

Background: Village clinic doctors are an integral part of the rural healthcare workforce. With the advancement of science and technology and the coronavirus disease 2019 (COVID-19) pandemic, the prevalence of remote work and the use of information and communication technologies (ICT) have increased significantly. However, these developments have also had an impact on the work family balance and mental well-being of village clinic doctors. The study aimed to explore how work-family conflict affected job burnout and what the role of ICT use was in this relationship.

Methods: This was a cross-sectional study. Data were collected collected through an anonymous self-administered questionnaire survey conducted in December 2021 in Shandong Province, China. A total of 1,093 village clinic doctors participated in the survey. The data were analyzed using multiple linear regression and the PROCESS macro in SPSS.

Results: The results showed that an inverted U-shaped relationship between work-family conflict and job burnout among village clinic doctors. Specifically, the squared term of work-family conflict had a negative coefficient (-0.324). The slope was positive (SL=2.291) at the low end of the X-range and negative (SH=-0.379) at the high end. The turning point occurred at X = 1.227(-2.309 ≤ X ≤ 1.812). Additionally, ICT use positively moderated between work-family conflict and job burnout (β1β42β3 = 0.217, β4 > 0).

Conclusions: The work-family conflict has an inverted U-shaped effect on job burnout, while the use of ICT positively moderates this relationship between work-family conflict and job burnout. Policymakers should pay attention to the effects of ICT use and work-family conflict on job burnout among village clinic doctors.

背景:乡村诊所医生是农村医疗卫生队伍的重要组成部分。随着科学技术的进步和 2019 年冠状病毒病(COVID-19)的流行,远程工作的普及和信息通信技术(ICT)的使用显著增加。然而,这些发展也对乡村诊所医生的工作家庭平衡和心理健康产生了影响。本研究旨在探讨工作与家庭的冲突如何影响工作倦怠,以及信息和通信技术的使用在这一关系中的作用:这是一项横断面研究。数据是通过 2021 年 12 月在中国山东省进行的匿名自填式问卷调查收集的。共有 1,093 名乡村诊所医生参与了调查。数据采用多元线性回归和 SPSS 的 PROCESS 宏进行分析:结果显示,工作-家庭冲突与村医工作倦怠之间呈倒 U 型关系。具体而言,工作-家庭冲突的平方项系数为负(-0.324)。斜率在 X 范围的低端为正(SL=2.291),在高端为负(SH=-0.379)。转折点出现在 X = 1.227(-2.309 ≤ X ≤ 1.812)。此外,信息和通信技术的使用对工作-家庭冲突和工作倦怠有正向调节作用(β1β4-β2β3 = 0.217,β4 > 0):工作-家庭冲突对工作倦怠有倒 U 型的影响,而信息和通信技术的使用对工作-家庭冲突与工作倦怠之间的关系有积极的调节作用。政策制定者应关注信息与传播技术的使用和工作-家庭冲突对乡村诊所医生工作倦怠的影响。
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引用次数: 0
Mendelian randomisation analysis to explore the association between cathepsins and bipolar disorder. 孟德尔随机分析法探索 cathepsins 与双相情感障碍之间的关联。
IF 3.4 2区 医学 Q2 PSYCHIATRY Pub Date : 2024-10-31 DOI: 10.1186/s12888-024-06210-3
Chenshuang Dong, Yecheng Han, Siqiao Chen, Guiling Wang

Introduction: Bipolar disorder is a psychiatric condition characterized by the coexistence of depression and mania. Diagnosis of this disorder can be challenging due to limited pathologic and experimental tools. Treatment compliance is often poor due to medication side effects. Although cathepsin is known to play a significant role in diseases such as tumors and osteoporosis, its role in psychiatric disorders is not yet fully understood.

Objective: The aim of this study was to investigate the relationship between cathepsin in the blood circulation and bipolar disorder.

Methods: The causal relationship between cathepsin and different subtypes of bipolar affective disorder was explored using bidirectional Mendelian randomization analysis and multivariate analysis.

Results: It was found that cathepsin H level was a protective factor for type II bipolar disorder. No potential causal relationship was found between cathepsin H and type I bipolar disorder, but cathepsin B changes with the development of type I bipolar disorder. A causal relationship was found between cathepsin H and cerebral dopamine neurotrophic factor.

Conclusions: In conclusion, cathepsin H may be a diagnostic target for bipolar II disorder and may play a guiding role in clinical diagnosis. Cathepsin H may have an effect on BD through cerebral dopamine neurotrophic factor.

导言躁郁症是一种以抑郁和躁狂并存为特征的精神疾病。由于病理和实验手段有限,诊断这种疾病具有挑战性。由于药物副作用,治疗依从性通常较差。尽管人们知道 cathepsin 在肿瘤和骨质疏松症等疾病中发挥着重要作用,但其在精神疾病中的作用尚未完全明了:本研究旨在探讨血液循环中的 cathepsin 与躁郁症之间的关系:方法:采用双向孟德尔随机分析法和多变量分析法探讨 cathepsin 与双相情感障碍不同亚型之间的因果关系:结果:研究发现 cathepsin H 水平是 II 型双相情感障碍的保护因素。在 cathepsin H 和 I 型躁狂症之间没有发现潜在的因果关系,但 cathepsin B 会随着 I 型躁狂症的发展而变化。研究发现,酪蛋白酶 H 与大脑多巴胺神经营养因子之间存在因果关系:总之,酪蛋白酶 H 可能是双相情感障碍 II 的诊断目标,在临床诊断中可能发挥指导作用。酪蛋白酶H可能通过脑多巴胺神经营养因子对躁狂症产生影响。
{"title":"Mendelian randomisation analysis to explore the association between cathepsins and bipolar disorder.","authors":"Chenshuang Dong, Yecheng Han, Siqiao Chen, Guiling Wang","doi":"10.1186/s12888-024-06210-3","DOIUrl":"10.1186/s12888-024-06210-3","url":null,"abstract":"<p><strong>Introduction: </strong>Bipolar disorder is a psychiatric condition characterized by the coexistence of depression and mania. Diagnosis of this disorder can be challenging due to limited pathologic and experimental tools. Treatment compliance is often poor due to medication side effects. Although cathepsin is known to play a significant role in diseases such as tumors and osteoporosis, its role in psychiatric disorders is not yet fully understood.</p><p><strong>Objective: </strong>The aim of this study was to investigate the relationship between cathepsin in the blood circulation and bipolar disorder.</p><p><strong>Methods: </strong>The causal relationship between cathepsin and different subtypes of bipolar affective disorder was explored using bidirectional Mendelian randomization analysis and multivariate analysis.</p><p><strong>Results: </strong>It was found that cathepsin H level was a protective factor for type II bipolar disorder. No potential causal relationship was found between cathepsin H and type I bipolar disorder, but cathepsin B changes with the development of type I bipolar disorder. A causal relationship was found between cathepsin H and cerebral dopamine neurotrophic factor.</p><p><strong>Conclusions: </strong>In conclusion, cathepsin H may be a diagnostic target for bipolar II disorder and may play a guiding role in clinical diagnosis. Cathepsin H may have an effect on BD through cerebral dopamine neurotrophic factor.</p>","PeriodicalId":9029,"journal":{"name":"BMC Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11529291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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BMC Psychiatry
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