{"title":"A cationic complex scavenges radicals to suppress chain reaction and enhance sulfite denitration: mechanism and kinetics.","authors":"Jingwen Qian, Zheng Lian, Shule Zhang, Qin Zhong","doi":"10.1016/j.jcis.2026.141062","DOIUrl":"10.1016/j.jcis.2026.141062","url":null,"abstract":"<p><p>The inefficient capture of industrially emitted NO<sub>x</sub> in wet absorption denitration technology owing to the substantial ineffective oxidation of active component in conventional aqueous absorbent by O<sub>2</sub> in flue gas impedes atmospheric pollution mitigation. The central point is the fast oxidation kinetics of SO<sub>3</sub><sup>2-</sup> through O<sub>2</sub>-mediated SO<sub>3</sub><sup>·-</sup> radical chain reactions. This work developed an oxidation-resistant aqueous absorbent by combining the cationic trapping agent 18-Crown-6 (18C6) with a typical sulfite solution. IC, <sup>1</sup>H NMR, ESI-MS, EPR, ion competition, and simulations at the DFT level collectively verified a new antioxidant pathway to block the chain reaction, including the precise trap of key radicals intermediate by self-assembled [18C6·Na]<sup>+</sup> cations. Compared to the sulfite solution, the 18C6/Na<sub>2</sub>SO<sub>3</sub> absorbent increased its optimal absorption efficiency from 93.5% to 97% and extended its effective absorption time from 16 to 30 min. Furthermore, FT-IR, <sup>1</sup>H NMR, and a 1135-min continuous absorption demonstrated the promising recyclability of 18C6. Additionally, denitration performance under varied operating conditions was evaluated, and a macro-kinetic model based on multiple parameters was established, offering guidance for practical wet flue gas denitration (WFGD). This antioxidant method avoids additive consumption, utilizes often-overlooked alkali metal cations, and expands application prospects for aqueous absorbents.</p>","PeriodicalId":351,"journal":{"name":"Journal of Colloid and Interface Science","volume":"724 Pt 1","pages":"141062"},"PeriodicalIF":9.6,"publicationDate":"2026-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148417401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling the synergy of Interface and defects in V<sub>2</sub>O<sub>3</sub>/VN heterojunctions for high-performance aqueous zinc-ion batteries.","authors":"Dongfei Sun, Minghui Xue, Huanle Niu, Ni Zhang, Junlin Yang, Jingxin Zhao, Bingang Xu","doi":"10.1016/j.jcis.2026.141130","DOIUrl":"10.1016/j.jcis.2026.141130","url":null,"abstract":"<p><p>Aqueous zinc-ion batteries (AZIBs) represent promising candidates for large-scale energy storage owing to their inherent safety, low cost, and environmental friendliness. However, developing cathode materials that simultaneously achieve high capacity and long-term cycling stability remains a critical challenge. Herein, we report the rational design and synthesis of a series of Vanadium trioxide/Vanadium nitride (V<sub>2</sub>O<sub>3</sub>/VN) heterostructured composites through a controlled partial nitridation process using a vanadium-based metal-organic framework as a precursor. This strategy enables the in-situ formation of a conductive carbon matrix and the construction of an intimate heterointerface between V<sub>2</sub>O<sub>3</sub> and VN. A key innovation lies in the precise tuning of the V<sub>2</sub>O<sub>3</sub>-to-VN ratio, which governs the heterostructure morphology, defect concentration, and resulting electrochemical properties. The optimized V<sub>2</sub>O<sub>3</sub>/VN composite leverages the complementary attributes of its constituents: the structural stability and high theoretical capacity of V<sub>2</sub>O<sub>3</sub>, along with the superior electrical conductivity and electrochemical activity of VN. Synergistic effects at the heterointerface not only facilitate rapid electron and ion transport but also effectively accommodate volume variations during repeated cycling. Moreover, the presence of oxygen vacancies enhances Zn<sup>2+</sup> adsorption and diffusion kinetics. Therefore, the V<sub>2</sub>O<sub>3</sub>/VN cathode delivers a high specific capacity of 528 mAh g<sup>-1</sup> at 0.1 A g<sup>-1</sup>, and retains 244 mAh g<sup>-1</sup> after 2000 cycles at 5 A g<sup>-1</sup>, corresponding to a capacity fading rate of 0.025% per cycle. This work highlights the critical roles of component ratio optimization and interface engineering, providing a promising strategy for the development of advanced AZIB cathodes.</p>","PeriodicalId":351,"journal":{"name":"Journal of Colloid and Interface Science","volume":"724 Pt 1","pages":"141130"},"PeriodicalIF":9.6,"publicationDate":"2026-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148454130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bo Li, Peng Hei, Yulai Lin, Jianming Meng, Yuqing Wang, Lei Wang, Xiao-Xia Liu, Xiaoqi Sun, Weibin Cui, Yu Song
{"title":"Dual-doped polypyrrole for high-capacity aqueous zinc-ion batteries.","authors":"Bo Li, Peng Hei, Yulai Lin, Jianming Meng, Yuqing Wang, Lei Wang, Xiao-Xia Liu, Xiaoqi Sun, Weibin Cui, Yu Song","doi":"10.1016/j.jcis.2026.141125","DOIUrl":"10.1016/j.jcis.2026.141125","url":null,"abstract":"<p><p>Cathode materials for aqueous zinc-ion batteries (AZIBs) often encounter challenges related to low electronic conductivity and sluggish ion transport, particularly when using thick electrode materials. Here, we report for the first time the fabrication of an iodide and heptamolybdate dual-doped polypyrrole (PPy-I-Mo) cathode, prepared through an electrodeposition method for AZIBs. The redox-active dopants not only contribute additional capacity to the composite but also modulate the morphology and electronic structure of the polymer, thereby enhancing both ion and electron transport. Moreover, the strong interactions between heptamolybdate and the I-based species not only effectively confine the dopants within the PPy matrix, preventing counterion depletion, but also facilitate the redox kinetics of iodine. As a result, the PPy-I-Mo electrode, with a high mass loading of 125 mg cm<sup>-2</sup>, achieves an exceptional areal capacity of approximately 7 mAh cm<sup>-2</sup>, significantly surpassing the capacities of mono-doped PPy-Mo (0.83 mAh cm<sup>-2</sup>) and PPy-I (2.07 mAh cm<sup>-2</sup>). This performance outperforms other reported conducting polymer-based electrodes for AZIBs. Furthermore, this dual-doping strategy can be extended to fabricate other high-performance conducting polymers, such as poly(3,4-ethylenedioxythiophene) and polyaniline. These findings open new avenues for designing high-performance conducting polymers for advanced energy storage devices.</p>","PeriodicalId":351,"journal":{"name":"Journal of Colloid and Interface Science","volume":"724 Pt 1","pages":"141125"},"PeriodicalIF":9.6,"publicationDate":"2026-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148454127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of exercise on episodic memory in patients with depression: a three-level meta-analysis.","authors":"Jiawen Ma, Xiaoyu Xie, Yansong Li, Xue Xia","doi":"10.1016/j.jad.2026.122418","DOIUrl":"10.1016/j.jad.2026.122418","url":null,"abstract":"<p><strong>Objective: </strong>Using a three-level meta-analysis approach, this study evaluated the effects of exercise on episodic memory in patients with depression and explored its moderating variables.</p><p><strong>Methods: </strong>A systematic search was conducted across seven databases to identify randomized controlled trials examining the effects of exercise interventions on episodic memory in patients with depression. Two researchers independently screened studies, extracted data, and assessed the risk of bias. A three-level meta-analysis was performed to calculate the pooled effect size (Hedges' g), and subgroup analyses were conducted to explore moderating variables.</p><p><strong>Results: </strong>A total of 13 randomized controlled trials (1098 participants) were included. Exercise showed a significant small-to-moderate positive effect on episodic memory in patients with depression (g = 0.210, 95% CI [0.10, 0.32]). Descriptively, significant improvements were observed for delayed recall (g = 0.213) and immediate recall (g = 0.206), whereas the effect for total learning was not significant (g = 0.243). No significant differences were found across memory indices or exercise characteristics (all ps > 0.05). Sensitivity analyses confirmed the robustness of the findings, and the certainty of evidence was rated as moderate.</p><p><strong>Conclusion: </strong>Exercise may provide small-to-moderate benefits for the episodic memory of patients with depression. No significant differences were observed among different memory indices or exercise characteristics, suggesting that these benefits are generally consistent under the conditions studied. Future research should standardize the assessment of episodic memory, extend the follow-up period, and further determine the optimal exercise prescriptions and its underlying mechanisms.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"122418"},"PeriodicalIF":5.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TalantaPub Date : 2026-12-01Epub Date: 2026-06-21DOI: 10.1016/j.talanta.2026.130180
Víctor Pérez-Ginés, Rebeca M Torrente-Rodríguez, Raquel Rejas-González, Ana Montero-Calle, María Pedrero, José M Pingarrón, Rodrigo Barderas, Susana Campuzano
{"title":"Immunoelectroanalytical multiplexing of RNA methylation signatures to decode oncogenic point mutations in cancer cells.","authors":"Víctor Pérez-Ginés, Rebeca M Torrente-Rodríguez, Raquel Rejas-González, Ana Montero-Calle, María Pedrero, José M Pingarrón, Rodrigo Barderas, Susana Campuzano","doi":"10.1016/j.talanta.2026.130180","DOIUrl":"10.1016/j.talanta.2026.130180","url":null,"abstract":"<p><p>Epigenomic and epitranscriptomic alterations-particularly RNA methylations such as N<sup>6</sup>-methyladenosine (m6A), N<sup>5</sup>-methylcytosine (m5C), N<sup>1</sup>-methyladenosine (m1A), and N<sup>7</sup>-methylguanosine (m7G)-are increasingly recognized as pivotal regulators in the pathobiology of colorectal cancer (CRC) and other highly prevalent disorders. Despite their growing clinical and biological relevance, rapid and robust electrochemical strategies enabling the single (m1A, m7G) or multiplexed quantification of these RNA modifications remain unavailable. Herein, we report an indirect competitive, four-analyte amperometric immunoassay that enables the simultaneous determination of m6A, m5C, m1A, and m7G. BSA-conjugated methylated synthetic nucleotides covalently attached to magnetic carboxylated microsized-beads (HOOC-MμBs) competed with freely methylated nucleotides in the target sample for specific anti-epimark detection antibodies. Thereafter, labeling with horseradish peroxidase (HRP)-conjugated secondary antibodies (Ab2-HRP) enabled amperometric readout at screen-printed carbon electrodes (SPCEs) for single or multiplexed transduction. The developed bioplatforms exhibited high selectivity, negligible cross-interference, and a significantly reduced assay time (30 min), supporting their integration into a robust multiplexed format. Application in CRC cellular scenarios, using only nanograms of total RNA, allowed differential profiling of basal and pathway-activated states across five cell lines, revealing distinct RNA methylation patterns associated with diverse biological and genetic backgrounds. Moreover, as proof of concept, an octuple-detection configuration was implemented for parallel analysis of the four methylations in two cell types, wild-type and harboring the clinically relevant KRAS G12V mutation, allowing the evaluation of associations between the target epimark expression levels and this oncogenic point mutation.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"310 ","pages":"130180"},"PeriodicalIF":6.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148292926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TalantaPub Date : 2026-12-01Epub Date: 2026-06-20DOI: 10.1016/j.talanta.2026.130192
Yi Liu, Yinxia Yang, Jialin Liang, Lei Han, Qian Zhao, Jie Luo, Shi Gang Liu
{"title":"Colorimetric swab and turbidimetric sensing for dual-mode point-of-use testing of demeton pesticide in foods based on oxidase-like Cu<sub>2</sub>O@Ag nanoprobe.","authors":"Yi Liu, Yinxia Yang, Jialin Liang, Lei Han, Qian Zhao, Jie Luo, Shi Gang Liu","doi":"10.1016/j.talanta.2026.130192","DOIUrl":"10.1016/j.talanta.2026.130192","url":null,"abstract":"<p><p>Dual-mode sensing can enhance detection reliability by cross-validating results from distinct signals. Herein, a colorimetric and turbidimetric dual-mode sensing platform based on Cu<sub>2</sub>O@Ag nanozyme with robust oxidase-like activity is developed for point-of-use (POU) detection of demeton. The Cu<sub>2</sub>O@Ag efficiently catalyzes the oxidation of 3,3',5,5'-tetramethylbenzidine (TMB), producing concurrent absorbance and turbidity signals. Demeton blocks active sites and suppresses catalytic activity in a concentration-dependent manner. Based on the principle, two modes for POU testing of demeton are developed. The first mode is based on a smartphone-assisted colorimetric swab and shows a linear range of 50 - 4000 ng/mL with the detection limit of 0.190 ng/mL. The other is based on a portable turbidimeter and exhibits a linear detection range of 50 to 3000 ng/mL with a detection limit of 2.997 ng/mL. The approaches are successfully validated in real food samples including baby cabbage, lettuce, cilantro, and tea leaves. This work presents a rapid, low-cost, and instrument-flexible dual-mode sensing strategy for on-site analysis of demeton residue. Also, the dual-mode detection based on colorimetric and turbidimetric signals for the first time offers a novel insight for dual-mode sensing.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"310 ","pages":"130192"},"PeriodicalIF":6.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148300393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TalantaPub Date : 2026-12-01Epub Date: 2026-06-19DOI: 10.1016/j.talanta.2026.130168
Minh-Quan Nguyen, Mizuki Tsuta, Mito Kokawa
{"title":"Enhancing spectral interpretability and band selection prior to prediction model development via CAKE.","authors":"Minh-Quan Nguyen, Mizuki Tsuta, Mito Kokawa","doi":"10.1016/j.talanta.2026.130168","DOIUrl":"10.1016/j.talanta.2026.130168","url":null,"abstract":"<p><p>A direct, singular causal relationship between the objective variable and spectral data underpins reliable and robust prediction models that avoid spurious correlations. However, machine learning models often lack causal interpretability due to their \"black-box\" nature. To address this, we developed the Causal Analysis via Kernel Estimation (CAKE), a framework that reveals single-component bands using only variables from the calibration model. CAKE employs an information-theoretic approach by calculating the differences in mutual information between variables and regression residuals to indicate causal direction. A Kernel Density Estimation (KDE) classifier further distinguishes causal structures prone to spurious correlations. The framework was optimized on simulated data and validated on real-world spectral measurements. Seven causal structures were constructed for the simulated data, while real-world data came from near-infrared and fluorescence spectroscopy of three-solvent mixtures (dimethyl sulfoxide, ethylene glycol, and glycerol). Three causality types - spectral bands with a single direct cause, hidden causes, and confounders - were distinctly characterized by density functions within the framework, enabling the accurate classification of all single-component bands into their respective causal structures. Compared with post-hoc approaches, such as external model validation and common variable selection indices, CAKE identifies reliable spectral bands that exclude spurious correlations across diverse spectroscopic applications while operating independently of the calibration process and requiring no prior knowledge of pure spectra. Although CAKE is designed as a pre-calibration method rather than a prediction-optimized variable selector, it achieves improved predictive accuracy, demonstrating that causal reliability and practical performance are not mutually exclusive.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"310 ","pages":"130168"},"PeriodicalIF":6.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multicomponent recognition and on-site detection of oral antidiabetic drugs based on a host-guest fluorescent sensor array.","authors":"Hong-Yuan Hu, Qing Tang, Qing Fan, Jin-Xian Luo, Nan Dong, Zhu Tao, Ying Huang","doi":"10.1016/j.talanta.2026.130165","DOIUrl":"10.1016/j.talanta.2026.130165","url":null,"abstract":"<p><p>Hypoglycemia, a serious complication of diabetes, requires prompt identification of its underlying cause. Unlike conventional lock-and-key methods, which generally require a dedicated sensor for each analyte, we constructed a supramolecular fluorescent sensor array for multiplex oral antidiabetic drug (OAD) detection using only two sensing units: cucurbit[8]uril (Q[8]) as the host, along with a synthesized bpep-Am derivative and palmatine as fluorescent probes. Upon introduction of OADs, competitive guest displacement generates differential fluorescence \"fingerprints\". In combination with linear discriminant analysis, the array fully discriminated five OADs (metformin, phenformin, buformin, rosiglitazone, and sitagliptin), with a detection limit as low as 0.218 μM, 100% classification accuracy in artificial urine and guinea pig serum, and >93% recovery for spiked sitagliptin and phenformin. The sensor array was further integrated into a smartphone-enabled portable device for rapid on-site visual quantification of sitagliptin. This strategy provides a promising tool for OAD screening and assessment of hypoglycemia etiology.</p>","PeriodicalId":435,"journal":{"name":"Talanta","volume":"310 ","pages":"130165"},"PeriodicalIF":6.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148306395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ava Avolio, John Merranko, Mary Kay Gill, Jessica C Levenson, Tina R Goldstein, Danella Hafeman, Boris Birmaher
{"title":"Validation and extension of a risk calculator to predict mood recurrence in young people with bipolar disorder.","authors":"Ava Avolio, John Merranko, Mary Kay Gill, Jessica C Levenson, Tina R Goldstein, Danella Hafeman, Boris Birmaher","doi":"10.1016/j.jad.2026.122402","DOIUrl":"10.1016/j.jad.2026.122402","url":null,"abstract":"<p><strong>Objective: </strong>The episodic nature of bipolar disorder (BD) and the substantial variability in mood recurrences between individuals, emphasize the need for accurate prediction tools. The original Course and Outcome of Bipolar Youth (COBY) recurrence risk calculator (RC) estimates threshold recurrence risk, but its performance for subthreshold recurrences has not been established. This study extended the COBY RC to predict both threshold and subthreshold recurrences and evaluated its performance in an independent sample.</p><p><strong>Method: </strong>Adolescents and young adults with BD-I/II (N = 51; BD-I: 38, BD-II: 13; 14-24 years old) were assessed with standard instruments at intake and during follow-up on average every 6 months for a median of 54 weeks. Model performance for predicting threshold and subthreshold recurrence was evaluated using area under the receiver operating characteristic curves (AUC), with additional assessments of calibration and variable importance.</p><p><strong>Results: </strong>The model demonstrated good discrimination of any recurrence within the next six months (threshold AUC = 0.72; subthreshold or worse AUC = 0.77). Calibration analyses indicated systematic risk overestimation in the external sample, plausibly reflecting differences in ascertainment (prospective vs. retrospective) and prior remission length. Recalibration greatly improved calibration without reducing discrimination.</p><p><strong>Conclusion: </strong>The COBY RC showed good discrimination for both threshold and subthreshold recurrences in an independent young adult cohort, extending prior youth and adult validations. These findings support its potential utility for personalized monitoring and early intervention across developmental stages and symptom severity.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"122402"},"PeriodicalIF":5.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical outcomes of psychotic depression in Sweden: a nationwide register study.","authors":"Ahmed Al-Wandi, Axel Nordenskjöld","doi":"10.1016/j.jad.2026.122400","DOIUrl":"10.1016/j.jad.2026.122400","url":null,"abstract":"<p><strong>Background: </strong>Data on clinical outcomes in psychotic depression remain limited. We examined hospitalization, suicide, and treatment patterns in Swedish patients with psychotic depression.</p><p><strong>Methods: </strong>This nationwide register-based study included patients with an index diagnosis of psychotic unipolar depression during 2012-2020. Post-index psychiatric hospitalizations and suicide deaths were examined descriptively and using logistic regression adjusted for sex, age, prior admissions, psychiatric comorbidity, index care setting (inpatient or outpatient), and pharmacological treatment. For patients treated with electroconvulsive therapy (ECT) during 2012-2020, the outcomes of response and remission according to the Clinical Global Impressions Scale were assessed by logistic regression.</p><p><strong>Results: </strong>Of 8048 patients, 54.8% were women, median age was 47 years (interquartile range 30-63), and 51.8% were diagnosed in specialized outpatient care. A total of 25.1% were hospitalized and 0.8% died by suicide within 36 weeks. Index diagnosis in inpatient care, prior admissions, comorbid alcohol or substance use disorder, antipsychotic treatment, and younger age (≤25 years) were associated with increased odds of post-index hospitalization. Younger age was associated with decreased odds of suicide. Among ECT-treated patients, 89.8% achieved response and 48.4% achieved remission. Younger age and prior admissions were associated with decreased odds of remission. Age 51-75 years, compared with ≤25 years, was associated with increased odds of response.</p><p><strong>Conclusions: </strong>Psychotic depression carries a high risk of psychiatric hospitalization and suicide shortly after index diagnosis. Increased odds of hospitalization associated with antipsychotic treatment likely reflect confounding by indication. Among ECT-treated patients, response and remission rates were high.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":"414 ","pages":"122400"},"PeriodicalIF":5.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}