Comprehensive psychiatry最新文献

{"title":"Adaption and validation of the Rwandese version of the Mood Disorder Questionnaire for the screening of bipolar disorder","authors":"E. Musoni-Rwililiza ,&nbsp;C.J. Arnbjerg ,&nbsp;N.U. Rurangwa ,&nbsp;J. Carlsson ,&nbsp;P. Kallestrup ,&nbsp;E. Vindbjerg ,&nbsp;D. Gishoma","doi":"10.1016/j.comppsych.2024.152477","DOIUrl":"10.1016/j.comppsych.2024.152477","url":null,"abstract":"<div><h3>Background</h3><p>Bipolar disorder is challenging to diagnose. In Rwanda, a sub-Saharan country with a limited number of psychiatrists, the number of people with an undetected diagnosis of bipolar disorder could be high. Still, no screening tool for the disorder is available in the country. This study aimed to adapt and validate the Mood Disorder Questionnaire in the Rwandan population.</p></div><div><h3>Methods</h3><p>The Mood Disorder Questionnaire was translated into Kinyarwanda. The process involved back-translation, cross-cultural adaptation, field testing of the pre-final version, and final adjustments. A total of 331 patients with either bipolar disorder or unipolar major depression from two psychiatric outpatient hospitals were included. The statistical analysis included reliability and validity analyses and receiver operating characteristic curve (ROC) analysis. The optimal cut-off was chosen by maximizing Younden's index.</p></div><div><h3>Results</h3><p>The Rwandese version of The Mood Disorder Questionnaire had adequate internal consistency (Cronbach's alpha =0.91). The optimal threshold value was at least six positive items, which yielded excellent sensitivity (94.7%), and specificity (97.3%). The ROC area under the curve (AUC) was 0.99.</p></div><div><h3>Conclusion</h3><p>The adapted tool showed good psychometric properties in terms of reliability and validity for the screening of bipolar disorder, with a recommended cutoff value of six items on the symptom checklist for a positive score and an exclusion of items 14 and 15. The tool has the potential to be a crucial instrument to identify otherwise undetected cases of bipolar disorder in Rwanda, improving access to mental health treatment, thus enhancing the living conditions of people with bipolar disorder.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152477"},"PeriodicalIF":7.3,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000282/pdfft?md5=9d197b518b0f5a5195f70ca1e1aa46f6&pid=1-s2.0-S0010440X24000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199491","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}

{"title":"Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China","authors":"Xinyu Huang ,&nbsp;Beifang Fan ,&nbsp;Yingcheng Jiang ,&nbsp;Yanzhi Li ,&nbsp;Ya Chen ,&nbsp;Hao Zhao ,&nbsp;Yunbin Jiang ,&nbsp;Wanxin Wang ,&nbsp;Lan Guo ,&nbsp;Yan Chen ,&nbsp;Yifeng Liu ,&nbsp;Zehui Li ,&nbsp;Sabrina Wong ,&nbsp;Roger S. McIntyre ,&nbsp;Xue Han ,&nbsp;Ciyong Lu","doi":"10.1016/j.comppsych.2024.152472","DOIUrl":"10.1016/j.comppsych.2024.152472","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to explore the longitudinal associations of rumination with suicidal ideation and suicide attempts in individuals with major depressive disorder (MDD).</p></div><div><h3>Methods</h3><p>Participants were derived from the Depression Cohort in China study (DCC). Those who completed at least one follow-up visit during the 12 months were included in the analysis. Dimensions of rumination including brooding and reflection were each measured using five items of the Ruminative Responses Scale. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation. Suicide attempts were also assessed and all were analyzed with generalized estimating equations.</p></div><div><h3>Results</h3><p>Our final sample included 532 participants aged 18 to 59 years (mean [SD], 26.91 [6.94] years) consisting of 148 (27.8%) males and 384 (72.2%) females. After adjusting for temporal trend and potential confounders, individuals with higher levels of reflection were more likely to report suicidal ideation (AOR =1.11, 95% CI:1.01–1.22). However, no statistically significant association was found between brooding and suicidal ideation (AOR =1.06, 95% CI:0.96–1.17). Conversely, individuals with higher levels of brooding were more likely to report suicide attempts (AOR =1.13, 95% CI:1.02–1.24), while no statistically significant association was observed between reflection and suicide attempts (AOR =0.91, 95% CI:0.82–1.01).</p></div><div><h3>Conclusion</h3><p>Rumination reflects a disturbance in cognitive emotional processing and manifests in different dimensions. Our findings suggest that high levels of reflection and brooding may be associated with a higher likelihood of having suicidal ideation and suicide attempts, respectively. However, it should be interpreted with caution, given that effect sizes are small.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152472"},"PeriodicalIF":7.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000233/pdfft?md5=cc8ca8942ece36f0a92e3b02d55e1882&pid=1-s2.0-S0010440X24000233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140126174","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}

{"title":"Epidemiology of DSM-5 psychiatric disorders in Kenyan Youth with Low and High Psychosis Risk","authors":"Rebekka H. Sæle ,&nbsp;David M. Ndetei ,&nbsp;Victoria N. Mutiso ,&nbsp;Daniel Mamah","doi":"10.1016/j.comppsych.2024.152473","DOIUrl":"10.1016/j.comppsych.2024.152473","url":null,"abstract":"<div><h3>Introduction</h3><p>There are few psychiatric epidemiology studies among Kenyan youth and fewer among those at high psychosis risk (HR).</p></div><div><h3>Methods</h3><p>This study assessed the epidemiology of DSM-5 psychiatric disorders in HR and low-risk (LR) individuals to inform research and mental health services. 567 participants (aged 15–25) in HR (<em>n</em> = 246) and LR (<em>n</em> = 260) groups based on Washington Early Recognition Center Affectivity and Psychosis (WERCAP) Screen scores. Diagnostic Interview Schedule, version 5 (DIS-5) assessed DSM-5 psychiatric disorder prevalence. Diagnostic comorbidity and demographic relationships were investigated.</p></div><div><h3>Results</h3><p>A higher prevalence was observed for all DSM-5 disorders in the HR group, significantly for gambling disorder (13% vs. 5.8%), major depressive disorder (9.8% vs. 3.8%), antisocial personality disorder (5.7% vs. 2.3%), general anxiety disorder (4.9% vs. 0.4%), oppositional defiant disorder (3.3% vs. 0.4%), panic disorder (2.8% vs. 0.8%), and anorexia nervosa (2.8% vs. 0%). Gambling disorder was the most prevalent and showed significant gender effects (males&gt;females).</p></div><div><h3>Discussion</h3><p>Psychiatric disorders occur at increased rates among HR compared to LR. Prevalence rates found are lower than in US studies, except for gambling disorder which was highly prevalent. Large-population-based epidemiology studies in Africa are needed to estimate rates, particularly of disorders such as schizophrenia, accurately.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152473"},"PeriodicalIF":7.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000245/pdfft?md5=c8962ba95a2bbcd3c2ec23d406dcaa45&pid=1-s2.0-S0010440X24000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140126075","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}

{"title":"Symptoms and functional impairments in patients with Internet Use Disorders participating in an online short-term therapy","authors":"Lara Basenach ,&nbsp;Hans-Jürgen Rumpf ,&nbsp;Michael Dreier ,&nbsp;Harriet Salbach ,&nbsp;Babette Renneberg ,&nbsp;Olivia Gnauert ,&nbsp;Klaus Wölfling","doi":"10.1016/j.comppsych.2024.152471","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152471","url":null,"abstract":"<div><h3>Background</h3><p>Internet use disorders (IUD) have been recognized as a serious mental health concern. In order to promote consensus on core features of IUD, further studies involving clinical samples are required.</p></div><div><h3>Aims</h3><p>A clinical evaluation of patients with IUD was conducted as part of the scientific monitoring of a novel online short-term therapy, embedded in the randomized controlled trial Stepped Care Approach for Problematic Internet use Treatment (SCAPIT; ID: DRKS00025994).</p></div><div><h3>Methods</h3><p>An online diagnostic and a clinical assessment were performed at the baseline measurement of the online intervention. The self-report version of the Assessment of Internet and Computer Game Addiction (AICA-S) was applied to assess symptom severity of IUD. The impact of psychopathological symptoms and impairments of functioning on IUD symptomatology was examined in the sample of patients. Based on a dichotomous classification of the symptom severity of IUD, differences among participants presenting moderate compared to severe addictive Internet behavior were analyzed.</p></div><div><h3>Results</h3><p>The sample of this an analysis consisted of 57 patients (57.9% males, mean age of 29.12 years) participating in the online short-term therapy for IUD. Based on the AICA-S sum score (M = 11.60; SD = 3.30) participants exhibited moderate (<em>n</em> = 44; 77.2%) to severe (<em>n</em> = 13; 22.8%) symptoms of addictive Internet use. Psychopathological symptoms and impairments of psychosocial functioning had an effect on symptom severity of IUD. Participants with severe symptoms of IUD showed higher psychopathological strains compared to patients with moderate addictive Internet behavior.</p></div><div><h3>Conclusions</h3><p>The clinical evaluation of patients participating in a novel online short-term therapy for IUD indicated that psychopathological symptoms and impairments of functioning have an impact on addictive Internet behaviors and consequently, need to be addressed in the treatment of IUD. Based on the results, further implications for clinical practice and research on addictive Internet behavior are derived.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152471"},"PeriodicalIF":7.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000221/pdfft?md5=632d0721008e1a4c1ecf86f1a91234b6&pid=1-s2.0-S0010440X24000221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122314","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}

{"title":"Development and validation of the Autonomy Scale Amsterdam","authors":"Jessy Bergamin ,&nbsp;Monja Hoven ,&nbsp;Ruth J. van Holst ,&nbsp;Claudi L. Bockting ,&nbsp;Damiaan Denys ,&nbsp;Barbara Nevicka ,&nbsp;Judy Luigjes","doi":"10.1016/j.comppsych.2024.152466","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152466","url":null,"abstract":"<div><p>This paper describes the development and validation of the Autonomy Scale Amsterdam (ASA). We propose that a new measure of autonomy is needed and, as such, we developed and validated an autonomy scale relevant for psychiatry. Based on literature, an expert meeting and three samples of the general population (<em>N</em> = 298, <em>N</em> = 207, <em>N</em> = 309) we provide evidence (a) that supports a 6-factor structure model as a better fit than alternative models with a high reliability to capture the concept of autonomy consisting of: Self-integration, Engagement with life, Goal-directedness, Self-control, External constraints and Social support, (b) for the scale's convergent and discriminant validity with constructs in autonomy's nomological network and (c) for the scale's criterion validity with well-established well-being outcomes, and (d) that the measure is not redundant with a prior measure of autonomy, the autonomy-connectedness scale, and demonstrates incremental validity in the prediction of mental health over and above an existing measure of autonomy. Taken together, the results suggest that the ASA is a useful scale that shows positive evidence of psychometric quality to measure autonomy in a sample of the general population (total <em>N</em> = 856), accounting for a unique predictive value over and above an existing measure of autonomy concerning several mental health outcomes. The ASA can further help our understanding of the role of autonomy in mental disorders.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152466"},"PeriodicalIF":7.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000178/pdfft?md5=0bfb6f103c26477b2c888cfdf090096b&pid=1-s2.0-S0010440X24000178-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140103503","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}

{"title":"Prevalence and factors associated with depression and anxiety among young school-going adolescents in the Western Cape Province of South Africa","authors":"Mirriam Mkhize,&nbsp;Claire van der Westhuizen,&nbsp;Katherine Sorsdahl","doi":"10.1016/j.comppsych.2024.152469","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152469","url":null,"abstract":"<div><h3>Introduction</h3><p>Between 10 and 20% of children and adolescents globally experience common mental health conditions such as depression or anxiety. Given the dearth of mental health services in low- and middle-income countries, most mental health conditions among adolescents remain undiagnosed and untreated. In South Africa, few studies have explored the prevalence of depression and anxiety among young adolescents aged 10–14 years. This study examined the prevalence of, and factors associated with depression and anxiety among young school-going adolescents in the Western Cape Province of South Africa.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted in 10 schools in the Western Cape Province from February to July 2022. Data were collected using a tablet-based survey and included sociodemographic items, the Generalized Anxiety Disorder 7-item scale (GAD-7), the Patient Health Questionnaire for Adolescents (PHQ-A) and other psychosocial measures. The prevalence of depression and anxiety was estimated based on cut-off scores for the GAD-7 and PHQ-A. Multivariable logistic regression models were used to investigate the associations between sociodemographic and psychosocial factors, and depression and anxiety.</p></div><div><h3>Results</h3><p>Of the 621 adolescents, 33.5% (<em>n</em> = 208) reported experiencing symptoms of depression and 20.9% (<em>n</em> = 130) symptoms of anxiety potentially indicative of a diagnosis. The results of the multivariable logistic regression model indicate that being in a higher grade in school (AOR = 1.65, CI:1.43–1.92), any lifetime alcohol use (AOR = 1.62, CI:1.04–2.64), other drug use (AOR = 2.07, CI:1.06–4.04), and witnessing violence among adults at home (AOR = 2.12, CI:1.07–1.41) were significantly associated with experiencing depressive symptoms. Being in a higher grade in school (AOR = 1.69, CI: 1.42–2.01), poor emotional regulation skills (AOR = 1.03, CI: 1.00–1.07), and the use of cannabis (AOR = 1.03, CI: 1.00–1.07) were significantly associated with experiencing anxiety symptoms.</p></div><div><h3>Conclusion</h3><p>These findings add to our understanding of school-going adolescents' pressing mental health needs and suggest that mental health adolescent and caregiver interventions may be required to address mental health symptoms and associated risk factors.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152469"},"PeriodicalIF":7.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000208/pdfft?md5=7fe50dff8db4c1107bcb269d278278a1&pid=1-s2.0-S0010440X24000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140069446","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}

{"title":"When a test is more than just a test: Findings from patient interviews and survey in the trial of a technology to measure antidepressant medication response (the PReDicT Trial)","authors":"Susan Brown ,&nbsp;Cornelia Ploeger ,&nbsp;Boliang Guo ,&nbsp;Juliana J. Petersen ,&nbsp;Amy C. Beckenstrom ,&nbsp;Michael Browning ,&nbsp;Gerard R. Dawson ,&nbsp;Jürgen Deckert ,&nbsp;Rebecca Dias ,&nbsp;Colin T. Dourish ,&nbsp;Philip Gorwood ,&nbsp;Jonathan Kingslake ,&nbsp;Andreas Menke ,&nbsp;Victor Perez Sola ,&nbsp;Andreas Reif ,&nbsp;Henricus Ruhe ,&nbsp;Judit Simon ,&nbsp;Michael Stäblein ,&nbsp;Anneke van Schaik ,&nbsp;Dick J. Veltman ,&nbsp;Richard Morriss","doi":"10.1016/j.comppsych.2024.152467","DOIUrl":"10.1016/j.comppsych.2024.152467","url":null,"abstract":"<div><h3>Background</h3><p>A RCT of a novel intervention to detect antidepressant medication response (the PReDicT Test) took place in five European countries, accompanied by a nested study of its acceptability and implementation presented here. The RCT results indicated no effect of the intervention on depression at 8 weeks (primary outcome), although effects on anxiety at 8 weeks and functioning at 24 weeks were found.</p></div><div><h3>Methods</h3><p>The nested study used mixed methods. The aim was to explore patient experiences of the Test including acceptability and implementation, to inform its use within care. A bespoke survey was completed by trial participants in five countries (<em>n</em> = 778) at week 8. Semi-structured interviews were carried out in two countries soon after week 8 (UK <em>n</em> = 22, Germany <em>n</em> = 20). Quantitative data was analysed descriptively; for qualitative data, thematic analysis was carried out using a framework approach. Results of the two datasets were interrogated together.</p></div><div><h3>Outcomes</h3><p>Survey results showed the intervention was well received, with a majority of participants indicating they would use it again, and it gave them helpful extra information; a small minority indicated the Test made them feel worse. Qualitative data showed the Test had unexpected properties, including: instigating a process of reflection, giving participants feedback on progress and new understanding about their illness, and making participants feel supported and more engaged in treatment.</p></div><div><h3>Interpretation</h3><p>The qualitative and quantitative results are generally consistent. The Test's unexpected properties may explain why the RCT showed little effect, as properties were experienced across both trial arms. Beyond the RCT, the qualitative data sheds light on measurement reactivity, i.e., how measurements of depression can impact patients.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152467"},"PeriodicalIF":7.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X2400018X/pdfft?md5=eace4d667e0ac8859eebb725e7587acd&pid=1-s2.0-S0010440X2400018X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140282990","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}

{"title":"Validation of the ACSID-11 for consistent screening of specific Internet-use disorders based on ICD-11 criteria for gaming disorder: A multitrait-multimethod approach","authors":"Andreas Oelker ,&nbsp;Hans-Jürgen Rumpf ,&nbsp;Matthias Brand ,&nbsp;Silke M. Müller","doi":"10.1016/j.comppsych.2024.152470","DOIUrl":"10.1016/j.comppsych.2024.152470","url":null,"abstract":"<div><h3>Introduction</h3><p>With the inclusion of gaming disorder in the ICD-11, diagnostic criteria were introduced for this relatively new disorder. These criteria may be applied to other potential specific Internet-use disorders. The 11-item Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) was developed for consistent screening of gaming disorder, online buying-shopping disorder, online pornography-use disorder, social networks-use disorder, and online gambling disorder. This study tested the construct validity of the ACSID-11, including convergent and divergent measures.</p></div><div><h3>Methods</h3><p>The ACSID-11 measures five behavioral addictions with the same set of items by following the principles of the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). The ACSID-11 was administered to a convenience sample of active Internet users (<em>N</em> = 1597) together with validated and established measures of each specific Internet-use disorder along with screeners for mental health. Included are the Ten-Item Internet Gaming Disorder Test (IGDT-10), the Bergen Shopping Addiction Scale (BSAS), the Problematic Pornography Consumption Scale (PPCS), the Bergen Social Media Addiction Scale (BSMAS) and the Berlin Inventory of Gambling behavior – Screening (BIG-S). The ACSID-11 was compared convergently and divergently through a multitrait-multimethod approach along with contingency tables with the other Internet-use disorder screeners.</p></div><div><h3>Results</h3><p>The multitrait-multimethod results shows that each behavior assessed with the ACSID-11 has moderate to strong correlations (<em>r's</em> from 0.462 to 0.609) with the scores of the corresponding established measures and, furthermore, positive correlations (<em>r's</em> from 0.122 to 0.434) with measures of psychological distress and further shows that the ACSID-11 can be used for a comprehensive assessment of different behaviors. The contingency tables reveal large divergences between the ACSID-11 and other screening instruments concerning the classification of problematic specific Internet use based on the given cut-off values.</p></div><div><h3>Conclusion</h3><p>The current work provides additional validation for the ACSID-11. Accordingly, this tool can be considered as reliable and valid for the simultaneous assessment of different Internet-use disorders: gaming disorder, online buying-shopping disorder, online pornography use disorder, social networks use disorder, and online gambling disorder. With a subsequent clinical validation of the scale and the proposed cut-off score, the ACSID-11 will be a thoroughly validated useful screening tool for clinical practice.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152470"},"PeriodicalIF":7.3,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X2400021X/pdfft?md5=3a3c76f31fe8470d012a68a233db5d88&pid=1-s2.0-S0010440X2400021X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275488","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}

{"title":"Staging models in eating disorders: A systematic scoping review of the literature","authors":"E. Tomba,&nbsp;L. Tecuta,&nbsp;V. Gardini,&nbsp;G. Tomei,&nbsp;E. Lo Dato","doi":"10.1016/j.comppsych.2024.152468","DOIUrl":"10.1016/j.comppsych.2024.152468","url":null,"abstract":"<div><p>Eating Disorders (ED) are characterized by low remission rates, treatment drop-out, and residual symptoms. To improve assessment and treatment of ED, the staging approach has been proposed. This systematic scoping review is aimed at mapping the existing staging models that explicitly propose stages of the progression of ED.</p><p>A systematic search of PubMed, PsycINFO, Scopus was conducted with the terms <em>staging, anorexia nervosa, bulimia nervosa, binge-eating disorders, eating disorders.</em> Eleven studies met inclusion criteria presenting nine ED staging models, mostly for anorexia nervosa. Three were empirically tested, one of which was through an objective measure specifically developed to differentiate between stages. Most staging models featured early stages in which the exacerbation of EDs unfolds and acute phases are followed by chronic stages. Intermediate stages were not limited to acute stages, but also residual phases, remission, relapse, and recovery. The criteria for stage differentiation encompassed behavioral, psychological, cognitive, and physical features including body mass index and illness duration. One study recommended stage-oriented interventions. The current review underscores the need to empirically test the available staging models and to develop and test new proposals of staging models for other ED populations. The inclusion of criteria based on medical features and biomarkers is recommended. Staging models can potentially guide assessment and interventions in daily clinical settings.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152468"},"PeriodicalIF":7.3,"publicationDate":"2024-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000191/pdfft?md5=046008c2c3a1a579fab4e6fabc3906c2&pid=1-s2.0-S0010440X24000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140046282","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}

{"title":"COVID-19 and mental health services in Sub-Saharan Africa: A critical literature review","authors":"Tafadzwa Dzinamarira ,&nbsp;Patrick Gad Iradukunda ,&nbsp;Eric Saramba ,&nbsp;Pierre Gashema ,&nbsp;Enos Moyo ,&nbsp;Walter Mangezi ,&nbsp;Godfrey Musuka","doi":"10.1016/j.comppsych.2024.152465","DOIUrl":"10.1016/j.comppsych.2024.152465","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic has wrought a profound impact on mental health in Sub- Saharan Africa, exacerbating existing disparities and rendering individuals undergoing treatment particularly susceptible. This comprehensive critical review delves into the scope, nature, and extent of COVID-19 impact on mental health services in Sub- Saharan Africa, while concurrently elucidating pivotal lessons and exemplary practices learnt from periods of lockdown.</p></div><div><h3>Methods</h3><p>The methodology was guided by Jesson &amp; Laccy's guide on how to conduct critical literature reviews. Articles were comprehensively sought through two academic databases (PubMed and Google Scholar), complemented by targeted searches on the WHO website and official public health websites of relevant Sub-Saharan African countries.</p></div><div><h3>Results</h3><p>The investigation reveals a surge in mental health challenges, notably marked by a significant escalation in anxiety, depression, and post-traumatic stress disorder. Disruptions to care services, financial hardships, and the pervasive effects of social isolation further compound this escalation. The pre-existing inequalities in access to and quality of care were accentuated during this crisis, with marginalized groups encountering heightened impediments to essential services. In navigating this unprecedented challenge, communities emerged as integral agents in establishing supportive networks and implementing culturally sensitive interventions. Technology, such as telemedicine and online resources, played a pivotal role in bridging access gaps, particularly in remote areas. The synthesis of best practices for supporting mental health patients during lockdowns encompasses targeted interventions for vulnerable groups, including adolescents and pregnant women. Empowering communities through economic support and mental health literacy programs was identified as crucial. The integration of technology, such as the development of robust telemedicine frameworks, virtual training in curricula, and the utilization of digital platforms for interventions and public messaging, emerged as a cornerstone in addressing access disparities. Community engagement and resilience-building strategies gained prominence, emphasizing the necessity of collaboration between healthcare providers and communities. Promotion of peer support groups, home-based care, and the preservation of traditional healing practices were underscored as essential components.</p></div><div><h3>Conclusion</h3><p>The study underscores the need to adapt and optimize mental health services during emergencies. This entails prioritizing mental health within emergency response frameworks, exploring alternative service delivery methods, and fortifying data collection and research efforts.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152465"},"PeriodicalIF":7.3,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000166/pdfft?md5=37e53039a0ae10aade2d76a2a09e1ad6&pid=1-s2.0-S0010440X24000166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139928252","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}