Comprehensive psychiatry最新文献

{"title":"Self-reported cognition in body dysmorphic disorder: A mixed-methods investigation of lived experiences and functional impact.","authors":"Katrina Holmes À Court, Tamsyn E Van Rheenen, Susan L Rossell","doi":"10.1016/j.comppsych.2026.152708","DOIUrl":"https://doi.org/10.1016/j.comppsych.2026.152708","url":null,"abstract":"<p><strong>Objective: </strong>A recent systematic review has demonstrated objective neurocognitive difficulties in people with body dysmorphic disorder (BDD). Limited research has also shown that individuals with BDD frequently self-report cognitive difficulties, but little is known about how they understand these difficulties in relation to their disorder or daily and life functioning. This study aimed to comprehensively examine adults' perceptions of cognitive difficulties in BDD.</p><p><strong>Method: </strong>A mixed-methods design was employed using an international online survey, which analysed quantitative and qualitative data (Interpretative Phenomenological Analysis) of lived experiences of cognitive difficulties from participants who self-reported a BDD diagnosis or severe BDD symptomatology via the Dysmorphic Concern Questionnaire (N = 433).</p><p><strong>Results: </strong>Most participants (82%) endorsed significant cognitive difficulties they believed were linked to their disorder, with 75% reporting substantial effects on daily life and overall quality of life. Few had discussed these concerns with clinicians due to shame, misattribution, or uncertainty about their relevance. Participants expressed strong support for research into cognitive aspects of BDD.</p><p><strong>Conclusions: </strong>Perceived cognitive difficulties are widespread, distressing, and functionally impactful for individuals with BDD. These findings highlight the need for clinicians to actively assess cognitive difficulties, consider the possibility of co-occurring conditions such as ADHD, and incorporate this understanding into treatment planning to enhance engagement and therapeutic outcomes.</p><p><strong>Statement of research significance: </strong>Research Question(s) or Topic(s): How do adults with body dysmorphic disorder perceive their cognitive difficulties and what impacts do they report?</p><p><strong>Main findings: </strong>Adults who reported a diagnosis of body dysmorphic disorder or severe dysmorphic concerns described frequent cognitive difficulties they believed were connected to their condition. Most reported effects on daily functioning and quality of life, yet many had not discussed these concerns with clinicians due to shame, uncertainty about their cause, or not recognising their significance. Study Contributions: This study offers the most detailed account to date of how people with body dysmorphic disorder understand and experience their cognitive difficulties. It identifies barriers to disclosure, emphasises the need for clinicians to enquire proactively about cognitive concerns, and calls for further research to clarify their role in the disorder.</p>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"152708"},"PeriodicalIF":4.2,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856021","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":"Corrigendum to Validation of the Camouflaging Autistic Traits Questionnaire Short Form (CATQ-SF). Comprehensive Psychiatry 135 (2024) Nov:135:152525.","authors":"Laura Hull, Will Mandy, Hannah Belcher, K V Petrides","doi":"10.1016/j.comppsych.2026.152703","DOIUrl":"https://doi.org/10.1016/j.comppsych.2026.152703","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":" ","pages":"152703"},"PeriodicalIF":4.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764782","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":"Real-world effectiveness of antipsychotic polytherapy on rehospitalization in psychotic disorders: A French nationwide cohort analysis.","authors":"Pierre-Michel Llorca, Bruno Falissard, Emmanuelle Baloche, Riad Bournane, Aurélie Schmidt, Mallory Cals-Maurette, Arnaud Panes, Philippe Nuss","doi":"10.1016/j.comppsych.2026.152704","DOIUrl":"https://doi.org/10.1016/j.comppsych.2026.152704","url":null,"abstract":"<p><strong>Background: </strong>Antipsychotic polytherapy (APP) is common in clinical practice for psychotic disorders. Previous studies suggest that APP may offer advantages over monotherapy (APM) regarding effectiveness and all-cause discontinuation. This nationwide study assessed the reproducibility and robustness of these findings. The primary objective was to compare psychiatric readmission rates between APP and APM in psychotic disorder patients METHODS: Data were extracted from the French National Health insurance database (SNDS). Patients aged 18 or older with at least one psychiatric hospitalization between 1 January 2014 and 31 December 2020 were included. The primary outcome was time to psychiatric readmission. A within-individual study design was applied to limit confounding, by comparing periods with different treatment exposures within the same patient FINDINGS: A total of 234,959 adults with at least one hospitalization for a psychotic condition were included, with a median follow-up of 7 years. Antipsychotic treatment was associated with a (20%-50%) reduction in psychiatric readmission risk compared with no treatment. Rehospitalization remained common (71.6%). The median cumulative rehospitalization duration was 67 days, and 21.8% of patients had more than four admissions. Among the 71.1% exposed to APP, several combinations demonstrated distinct benefits. Clozapine-inclusive combinations (with risperidone or amisulpride) and loxapine-amisulpride combinations reduced rehospitalization risk. Quetiapine combinations also lowered risk by (10%- 20%) compared with quetiapine monotherapy INTERPRETATION: Derived from a large cohort, our findings corroborate previous evidence that APP's benefit reduces psychiatric rehospitalization and support its utility for psychotic specific patient subpopulations. This study confirms the reproducibility and robustness of APP's effectiveness in real-world settings.</p>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"152704"},"PeriodicalIF":4.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834871","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":"“When is it late”? Optimal threshold for duration of untreated illness (DUI) to predict SSRI-treatment resistance in obsessive-compulsive disorder (OCD)","authors":"L. Pellegrini ,&nbsp;A. Paci ,&nbsp;G. Di Salvo ,&nbsp;G. Maina ,&nbsp;U. Albert","doi":"10.1016/j.comppsych.2026.152680","DOIUrl":"10.1016/j.comppsych.2026.152680","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152680"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756257","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":"Brief intensive CBT for adolescents with obsessive-compulsive disorder: A 5-day add-on program","authors":"Leonie Spring ,&nbsp;Juliane Ball ,&nbsp;Lukasz Smigielski ,&nbsp;Susanne Walitza ,&nbsp;Veronika Mailänder","doi":"10.1016/j.comppsych.2026.152681","DOIUrl":"10.1016/j.comppsych.2026.152681","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152681"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756258","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":"Comparative efficacy and acceptability of intervenions for paediatric obsessive-compulsive disorder: Preliminary findings from a network meta-analysis","authors":"Damir Krinitski ,&nbsp;Susanne Walitza ,&nbsp;Nadine Kirchen ,&nbsp;Lukasz Smigielski","doi":"10.1016/j.comppsych.2026.152683","DOIUrl":"10.1016/j.comppsych.2026.152683","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152683"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756260","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":"Corrigendum to ‘Substance use behaviours among sexual and gender minorities with a history of adverse childhood experiences: a systematic review and narrative-synthesis’. [Comprehensive Psychiatry 146 (2026) 152669]","authors":"Eleanor J. Ong ,&nbsp;Kuhanesan N.C. Naidu ,&nbsp;Mervin Tee ,&nbsp;Rayner Kay Jin Tan ,&nbsp;Natasha Howard","doi":"10.1016/j.comppsych.2026.152693","DOIUrl":"10.1016/j.comppsych.2026.152693","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152693"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618286","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":"Digital engagement profiles and binge eating symptoms in adolescents: A person-centred, longitudinal analysis","authors":"Taylor Brown ,&nbsp;Vanessa Tanti ,&nbsp;Natasha Wilson ,&nbsp;Mark D. Griffiths ,&nbsp;Dan Lubman ,&nbsp;Kaiden Hein ,&nbsp;Vasileios Stavropoulos","doi":"10.1016/j.comppsych.2026.152694","DOIUrl":"10.1016/j.comppsych.2026.152694","url":null,"abstract":"<div><h3>Background</h3><div>Binge eating symptoms emerge in early adolescence and are clinically meaningful below diagnostic thresholds. Digital media engagement may be relevant, yet most studies rely on aggregate screen time and rarely separate patterns of use from addiction-like features. This study tested whether screen use profiles and social media addiction risk were associated with binge eating symptom indicators in a large longitudinal cohort.</div></div><div><h3>Methods</h3><div>Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study at Time 3 (T3; <em>n</em> = 10,465; ages 10–13 years) and Time 5 (T5; <em>n</em> = 9257; ages 12–16 years). Latent profile analysis of six screen modalities derived screen use profiles. Social media addiction risk was classified using the Social Media Addiction Questionnaire. Four binge eating symptom indicators were assessed at each wave using item-level data from the Kiddie Schedule for Affective Disorders and Schizophrenia. Binomial logistic regression models tested associations, adjusting for sex, family conflict, and school environment.</div></div><div><h3>Results</h3><div>Two profiles were supported: High Screen Usage (44.5%) and Low Screen Usage (55.5%). At T3, High Screen Usage and higher social media addiction risk were each associated with higher odds of all symptom indicators after adjustment. At T5, High Screen Usage remained associated with binge-related distress, binge eating behaviour, and recurrent binge eating, while social media addiction risk differentiated all four symptoms. Family conflict showed the strongest associations, whereas a more positive school environment was associated with lower odds of symptoms.</div></div><div><h3>Conclusions</h3><div>Higher overall screen engagement and addiction-like social media use were independently associated with binge eating symptoms across early to mid-adolescence. Social media addiction risk showed more consistent symptom differentiation than screen use profiles, suggesting engagement quality may be more clinically informative than duration.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152694"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687597","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":"The effect of the menstrual cycle on obsessive-compulsive and related disorders: A scoping review","authors":"Juliette S. Mojgani ,&nbsp;Anna M. Rzepka ,&nbsp;Yejin Kang ,&nbsp;Hashim Al-Bya ,&nbsp;Beth Patterson ,&nbsp;Michael Van Ameringen","doi":"10.1016/j.comppsych.2026.152696","DOIUrl":"10.1016/j.comppsych.2026.152696","url":null,"abstract":"<div><h3>Introduction</h3><div>Anecdotal evidence suggests that the menstrual cycle influences symptoms of Obsessive-Compulsive and Related Disorders (OCRD), although scientific literature investigating this effect is scarce. The premenstrual phase has been associated with the exacerbation of certain psychiatric conditions, with some reports showing premenstrual worsening of OCD. This scoping review aimed to systematically synthesize the evidence on the effect of the menstrual cycle on OCRD symptoms.</div></div><div><h3>Methods</h3><div>Systematic searches were conducted on MEDLINE, EMBASE, APA PsycINFO, Cochrane Database of Systematic Reviews, and Web of Science for peer-reviewed studies investigating the menstrual cycle and OCRD. Data examining study methodology, participant demographics, OCRD symptoms, and menstrual cycles were extracted and analyzed.</div></div><div><h3>Results</h3><div>The systematic search identified 12 studies, where ten studies examined OCD symptoms across the menstrual cycle, one examined trichotillomania, and one examined both OCD and trichotillomania. Eight retrospective cross-sectional studies, one longitudinal study were included. Three case reports were identified but not included in the results. Symptom fluctuations were predominantly assessed through self-reports, except for the longitudinal study, which used the Yale-Brown Obsessive Compulsive Scale. In all the studies participants reported worsening OCRD symptoms during the premenstrual phase.</div></div><div><h3>Conclusion</h3><div>Preliminary research suggests OCRD symptoms fluctuate across the menstrual cycle, with premenstrual worsening of OCRD being reported in all studies. Significant gaps exist in the literature emphasizing the need for longitudinal study designs and reliable instruments to improve reliability and clarify the potential relationship between female sex hormones and OCD symptoms.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152696"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644493","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":"Insight, resistance, and control: Associations among CY-BOCS dimensions in pediatric obsessive-compulsive disorder with implications for treatment resistance","authors":"Madeline A. Morton ,&nbsp;Daniel A. Geller","doi":"10.1016/j.comppsych.2026.152679","DOIUrl":"10.1016/j.comppsych.2026.152679","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152679"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756334","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}