Comprehensive psychiatry最新文献

{"title":"The impact of events scale-revised (IES-R): Validation of the Ukrainian version","authors":"Liudmyla Krupelnytska ,&nbsp;Nazar Yatsenko ,&nbsp;Vladyslava Keller ,&nbsp;Olha Morozova-Larina","doi":"10.1016/j.comppsych.2025.152593","DOIUrl":"10.1016/j.comppsych.2025.152593","url":null,"abstract":"<div><h3>Background</h3><div>The aftermath of warfare in Ukraine has witnessed traumatic experiences emerge as a significant concern. This highlights the need for strengthened secondary prevention strategies targeting trauma and stress-related disorders. Providing mental health professionals with tools to support refugees is crucial. The Impact of Events Scale – Revised (IES-R) stands out as the prevalent early diagnostic and clinical assessment tool for measuring the traumatic stress symptoms. However, this questionnaire has yet to be psychometrically adapted to the Ukrainian linguistic and cultural context.</div></div><div><h3>Objective</h3><div>This study sought to verify the reliability and validity of the Ukrainian version of the Impact of Events Scale – Revised for adult Ukrainian refugees.</div></div><div><h3>Method</h3><div>A psychometric evaluation was conducted within broader longitudinal research on refugee mental health. The study incorporated a convenience sample of 584 Ukrainian refugees located in Germany. The Ukrainian IES-R's factorial structure underwent validation using CFA with the DWLS estimator. Internal consistency was ascertained using both Cronbach's α and MacDonald's ω. The convergent and divergent validity of the questionnaire were established through Pearson's correlation coefficient. The DIF analysis evaluated diagnostic disparities between groups of respondents identifying as women and men. The ICC, derived from a two-way mixed ANOVA model, and Pearson's correlation coefficients were employed to gauge the test-retest reliability of the IES-R over an 8-month interval between the two data collection waves.</div></div><div><h3>Results</h3><div>The Ukrainian version of the IES-R retains a three-factor, classification-free structure, with a modification of item No. 12 being shifted to the Hyperarousal subscale. Confirmatory metrics (CMIN/DF = 2.874, RMSEA = 0.049, SRMR = 0.065, CFI = 0.977, TLI = 0.974) bolster the model's fit. Consistency coefficients (α, ω) for each subscale ranged from 0.75 to 0.84, with the IES-R's overall values being ω = 0.92 and α = 0.91. The IES-R total score and individual factor values displayed significant (moderate to high) correlations with PSS-10 and either weak or inverse correlations with SWLS, TIPI, and ZTPI-S, aligning with expectations. The test-retest measures showed low temporal stability with an ICC of 0.206 for the total score and a moderate correlation (<em>r</em> = 0.412, <em>p</em> &lt; 0.01), indicating the questionnaire assesses trauma and stressor-related symptoms rather than underlying traits.</div></div><div><h3>Conclusion</h3><div>The data reveal the IES-R as an efficacious diagnostic tool to discern trauma-induced distress in adult Ukrainian refugees. Given its robust psychometric properties, the IES-R is relevant for screening wartime impact.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152593"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737827","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 physical activity and sleep with mental health during and post-COVID-19 pandemic in chinese college students: a longitudinal cohort study","authors":"Haonan Wang ,&nbsp;Yixiao Ding ,&nbsp;Yinghong Dai ,&nbsp;Zilin Fan ,&nbsp;Shubo Wen ,&nbsp;Xinying Wang ,&nbsp;Jie Yuan ,&nbsp;Yibo Wu ,&nbsp;Liang Yu","doi":"10.1016/j.comppsych.2025.152591","DOIUrl":"10.1016/j.comppsych.2025.152591","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic seriously impacted people's lifestyles, leading to changes in physical activity, sleep and mental health. This study aimed to assess the recovery of these indicators in Chinese university students post-COVID-19 pandemic, and explore the association between lifestyle changes and psychological problems.</div></div><div><h3>Methods</h3><div>A two-wave longitudinal study was conducted with 2,748 college students in Hebei, China. Self-report questionnaires measured physical activity, sleep and psychological variables (depression symptoms, anxiety symptoms, and perceived stress) in 2022 and 2024. McNemar chi-square test compared differences between the two waves. Additionally, univariate and multivariate logistic regression analyses were performed to examine the independent and joint associations between changes in lifestyle behaviors and psychological problems across this period.</div></div><div><h3>Results</h3><div>Proportion of physical inactivity decreased from 22.5% to 16.2%, and poor sleep quality reduced from 18.3% to 16.2% after the pandemic (P &lt; 0.05). Depression symptoms and anxiety symptoms also improved (P &lt; 0.05), while perceived stress remained high (64.5%). Compared to consistently inactive students, those becoming physically active (depression OR = 0.40, anxiety OR = 0.34, stress 0.56) and those persistently active (depression OR = 0.43, anxiety OR = 0.38, stress 0.47) had reduced psychological symptoms. However, after adjusting for confounders, the association between improved physical activity and mental health problems was insignificant (P &gt; 0.05). Improved sleep (depression OR = 0.42, anxiety OR = 0.24, stress 0.42) and consistently good sleep (depression OR = 0.20, anxiety OR = 0.20, stress 0.37) also demonstrated a protective effect after fully adjusting for demographics and socioeconomic status.</div></div><div><h3>Conclusions</h3><div>This study found that high perceived stress persisted. Although physical activity improved across this period, its change was not significantly associated with mental health after adjustments. However, improved sleep quality was significantly associated with reductions in depression levels, anxiety levels, and perceived stress. These findings highlight the importance of sleep and physical activity in mental health recovery post-pandemic and the need for targeted interventions.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152591"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643503","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 between exposure to potentially psychologically traumatic events and mental ill health among New Zealand firefighters: A cross-sectional study","authors":"Lisa Mackay ,&nbsp;Jessica L. Campbell ,&nbsp;Josh Darby ,&nbsp;Kate Pendergast ,&nbsp;Grant Schofield","doi":"10.1016/j.comppsych.2025.152595","DOIUrl":"10.1016/j.comppsych.2025.152595","url":null,"abstract":"<div><h3>Background</h3><div>Fire and emergency services personnel face unique occupational hazards, including repeated exposure to potentially psychologically traumatic events (PPTEs), which can impact their mental health. Despite growing awareness, comprehensive data on the mental health of fire and emergency services personnel in New Zealand remains sparse.</div></div><div><h3>Purpose</h3><div>This study examined the prevalence of symptoms of mental health disorders, including PTSD, Major Depressive Disorder, and Generalized Anxiety Disorder, and assessed the association between PPTE exposure, coping mechanisms, and mental ill health among New Zealand firefighters and commanders.</div></div><div><h3>Methods</h3><div>A comprehensive online survey using the Qualtrics platform was administered to fire and emergency personnel, assessing exposure to PPTEs and various mental health parameters. The survey utilized standard assessment tools including the PHQ-9, GAD-7, SPRINT, and AUDIT-C alongside measures of life satisfaction, emotional numbing and demographic questions.</div></div><div><h3>Main findings</h3><div>The prevalence of symptoms of Major Depressive Disorder (24 %), Generalized Anxiety Disorder (13 %), and probable PTSD (13 %) among 1264 fire and emergency personnel are higher than those observed in the general population. High exposure to PPTEs was associated with higher odds of reporting moderate-to-severe symptoms of Major Depressive Disorder, Generalized Anxiety Disorder, and probable PTSD. Also of note were findings revealing a high prevalence of potentially hazardous drinking patterns (68 %).</div></div><div><h3>Conclusions</h3><div>Highlights a critical need for effective mental ill health prevention and support programs tailored to fire and emergency personnel, considering their high exposure to PPTEs and elevated risk of experiencing symptoms of Major Depressive Disorder, Generalized Anxiety Disorder, and PTSD</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152595"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747784","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":"Immuno-moodulin (Imood) and its potential role in OCD","authors":"Fulvio D'Acquisto","doi":"10.1016/j.comppsych.2024.152550","DOIUrl":"10.1016/j.comppsych.2024.152550","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152550"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887153","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":"To hoard or not to hoard purchased items - does it matter? A clinical cross-sectional study on compulsive buying-shopping disorder","authors":"Justus Varvaras ,&nbsp;Patricia Schaar ,&nbsp;Nora M. Laskowski ,&nbsp;Ekaterini Georgiadou ,&nbsp;Melissa M. Norberg ,&nbsp;Astrid Müller","doi":"10.1016/j.comppsych.2025.152588","DOIUrl":"10.1016/j.comppsych.2025.152588","url":null,"abstract":"<div><h3>Background</h3><div>Research with individuals with compulsive buying-shopping disorder (CBSD) indicated that comorbid hoarding disorder (HD), as determined by questionnaire cutoffs, is associated with more severe CBSD. This study investigated a clinical sample with CBSD and determined the prevalence of HD by clinical interview, explored whether hoarding refers to consumer goods and/or non-purchased, free items, and compared patients with (HD+) and without (HD-) comorbid HD regarding materialism, impulsiveness, general psychopathology, CBSD and HD symptoms. Additionally, the relationship between CBSD symptoms and other study variables was explored in the total sample.</div></div><div><h3>Method</h3><div>All patients (<em>N</em> = 81) underwent a clinical interview and answered the Pathological Buying Screener (PBS), the German Saving Inventory-Revised (GSI-R), and measures for materialism, impulsiveness, depression and anxiety.</div></div><div><h3>Results</h3><div>Seventeen patients had comorbid HD, of which 82 % hoarded predominantly purchased items. The HD+ group scored higher than the HD- group on the clutter and difficulty discarding GSI-R subscales, but not on the excessive acquisition GSI-R subscale or the PBS. There were no group differences in materialism, impulsiveness, and general psychopathology. The correlation between the PBS and the GSI-R in the total sample was driven by the high correlation between the PBS and the excessive acquisition GSI-R subscale. Higher PBS/GSI-R excessive acquisition scores were related to higher materialism and more psychopathology.</div></div><div><h3>Conclusion</h3><div>The findings indicate that hoarding in CBSD is mostly related to purchased consumer goods and not associated with a higher symptom severity of CBSD. Further investigation into the specifics of hoarding in the context of CBSD is necessary.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152588"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551521","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":"Association of dimension-specific stressful life events with obsessive-compulsive disorder compared to social anxiety disorder","authors":"V. Hühne ,&nbsp;S. dos Santos-Ribeiro ,&nbsp;M.E. Moreira-de-Oliveira ,&nbsp;L.D. Laurito ,&nbsp;C.P. Loureiro ,&nbsp;G.B. de Menezes ,&nbsp;L.F. Fontenelle","doi":"10.1016/j.comppsych.2024.152558","DOIUrl":"10.1016/j.comppsych.2024.152558","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152558"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885552","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":"Augmentative transcranial magnetic stimulation over the left orbitofrontal cortex in patients with treatment-resistant obsessive-compulsive disorder: An acute and follow-up study","authors":"Kevin La Monica ,&nbsp;Matteo Vismara ,&nbsp;Sara Torriero ,&nbsp;Beatrice Benatti ,&nbsp;Luca Larini ,&nbsp;Chiara Bucca ,&nbsp;Nicolaja Girone ,&nbsp;Monica Bosi ,&nbsp;Bernardo Dell'Osso","doi":"10.1016/j.comppsych.2024.152559","DOIUrl":"10.1016/j.comppsych.2024.152559","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152559"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885553","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":"Olfactory reference syndrome: A nosological conundrum?","authors":"Kayleigh Beukes ,&nbsp;Dan J. Stein ,&nbsp;Christine Lochner","doi":"10.1016/j.comppsych.2024.152555","DOIUrl":"10.1016/j.comppsych.2024.152555","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with olfactory reference syndrome (ORS) erroneously believe that they have unpleasant body odour or halitosis, often leading to compulsive washing or toothbrushing, self-consciousness, and social withdrawal [<span><span>3</span></span>], symptoms shared with obsessive-compulsive disorder (OCD) and social anxiety disorder (SAD) [<span><span>1</span></span>,<span><span>2</span></span>,<span><span>4</span></span>], respectively. ORS is classified as an ORCD, but the literature on comorbidity of ORS with OCD and SAD is sparse. We therefore examined ORS's prevalence in people with OCD and/or SAD.</div></div><div><h3>Methods</h3><div>In a South African clinical sample (<em>n</em> = 371; male = 164 [44.2 %], female = 207 [55.8 %], mean age: 32.3 [SD: 11.5 years]), ages ranging between 14 and 64 years), rates of ORS in people with primary OCD without SAD (OCD-SAD; <em>n</em> = 211) were compared using a chi square test with those with primary SAD without OCD (SAD-OCD; <em>n</em> = 118), and those with both OCD and SAD (OCD + SAD; <em>n</em> = 42). The study was formally approved by the research ethics committee of Stellenbosch University (reference number: 99/013). All participants provided written informed consent prior to participation in the study.</div></div><div><h3>Results</h3><div>In the combined dataset, ORS rates were low (<em>n</em> = 6/371; 1.6 %). There were significantly higher rates of comorbid ORS in the SAD-OCD group (<em>n</em> = 5/118; 4.2 %) compared to the OCD-SAD patients (<em>n</em> = 0/211; <em>p</em> = .005) and OCD + SAD (<em>n</em> = 1/42; 2.4 %; <em>p</em> = .022), with no significant difference between OCD-SAD and OCD + SAD (<em>p</em> = .677).</div></div><div><h3>Conclusion</h3><div>Our findings suggest a stronger link between ORS and SAD than between ORS and OCD, which may have nosological implications. Further research on the psychobiology and management of ORS may be useful in determining whether it is more closely related to SAD or to OCD.</div></div><div><h3>Funding</h3><div>This work has not been funded specifically. The authors are supported by the <span>South African Medical Research Council</span>.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152555"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887156","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":"Problematic use of the internet in individuals with psychiatric disorders – A scoping review and meta-analysis","authors":"T. Radhakrishnan ,&nbsp;E. Chris-Okoro ,&nbsp;F. Bodunwa ,&nbsp;M. Lee ,&nbsp;O. Aina ,&nbsp;L. Pellegrini ,&nbsp;R. Leuzzi ,&nbsp;A.M. Frota Lisboa Pereira De Souza ,&nbsp;J.E. Solly ,&nbsp;N.A. Fineberg","doi":"10.1016/j.comppsych.2024.152562","DOIUrl":"10.1016/j.comppsych.2024.152562","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152562"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885954","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":"Is comorbid obsessive-compulsive personality disorder responsible for a longer duration of untreated illness in obsessive-compulsive disorder?","authors":"Nicolaja Girone ,&nbsp;Chiara Bucca ,&nbsp;Beatrice Benatti ,&nbsp;Matteo E.M. Vismara ,&nbsp;Bernardo M. Dell'Osso","doi":"10.1016/j.comppsych.2024.152563","DOIUrl":"10.1016/j.comppsych.2024.152563","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152563"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885955","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}