Comprehensive psychiatry最新文献

{"title":"Intolerance of uncertainty and symptom-level associations between generalized anxiety and depression in adolescence: A large-scale subgroup network analysis","authors":"Haoxian Ye,&nbsp;Dan Chen,&nbsp;Shiyi Lin,&nbsp;Zifan Cai,&nbsp;Sisi He,&nbsp;Fang Fan","doi":"10.1016/j.comppsych.2026.152730","DOIUrl":"10.1016/j.comppsych.2026.152730","url":null,"abstract":"<div><h3>Background</h3><div>Intolerance of uncertainty (IU), defined as a dispositional tendency to perceive uncertain situations as distressing and unacceptable, is increasingly recognized as a transdiagnostic risk factor for internalizing psychopathology such as generalized anxiety and depression, particularly during adolescence. However, its role in the organization of symptom-level associations between these conditions remains unclear. This study examined whether generalized anxiety-depression symptom networks differed between adolescents with high versus low levels of IU using a network analytic framework.</div></div><div><h3>Methods</h3><div>A large-scale longitudinal sample of 53,872 school-aged youths from southern China (M _age-baseline = 13.00 years, SD _age-baseline = 1.79, aged 9–19; 46.8% were girls) completed assessments of generalized anxiety and depressive symptoms at two time points over a six-month interval. Participants were categorized into high- and low-IU groups based on their IU scale scores. Cross-sectional symptom networks and cross-lagged panel networks were estimated separately for the two groups to compare symptom-level associations between generalized anxiety and depression across IU-defined subgroups.</div></div><div><h3>Results</h3><div>Compared with the low-IU group, adolescents with high IU exhibited more densely connected cross-sectional symptom networks and stronger longitudinal associations between generalized anxiety and depressive symptoms. Within the high-IU network, uncontrollable worry demonstrated the strongest outgoing temporal connectivity, whereas excessive worry showed the strongest incoming temporal connectivity.</div></div><div><h3>Conclusions</h3><div>These findings suggest that generalized anxiety-depression symptom networks differ across adolescents with high versus low levels of IU. Adolescents with high IU exhibited more strongly interconnected internalizing symptom networks and more pronounced longitudinal symptom associations over time, which highlights IU as a potentially important factor related to the organization of internalizing symptom networks during adolescence. Findings may help inform future prevention and intervention efforts targeting IU and worry-related cognitive processes (e.g., uncontrollable worry).</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"149 ","pages":"Article 152730"},"PeriodicalIF":4.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307292","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":"Neuroimaging insights on sleep disturbances and risk for major depressive disorder in youth: A systematic review","authors":"Nicolas Gauthier,&nbsp;Laiba Irfan Butt,&nbsp;Sidney H. Kennedy,&nbsp;Venkat Bhat,&nbsp;Andre C. Tonon,&nbsp;Katharine Dunlop","doi":"10.1016/j.comppsych.2026.152728","DOIUrl":"10.1016/j.comppsych.2026.152728","url":null,"abstract":"<div><h3>Background</h3><div>Sleep is critical for brain function and cognitive development, especially in children and adolescents. Sleep disturbances or insufficient sleep may pose a risk for poor long-term health outcomes, including major depressive disorder (MDD). This systematic review sought to the neurobiological relationship between sleep and risk for future depressive disorders or symptoms.</div></div><div><h3>Methods</h3><div>A pre-registered, systematic search was conducted using MEDLINE, PsychInfo, and Embase databases from January 2000 to February 2025. Studies included investigated neurobiological changes related to sleep in predicting subsequent risk for first episode MDD or depressive symptoms in children, adolescents, and young adults (mean age &lt; 30 years). We narratively synthesized the results and completed a quality assessment using a modified Newcastle-Ottawa scale.</div></div><div><h3>Results</h3><div>The search yielded four cross-sectional studies comparing high and low MDD risk individuals, and seven longitudinal studies predicting risk of future depressive symptoms. Sleep neurophysiological markers like rapid eye movement latency and sleep spindle density, white matter integrity in the cingulum bundle and superior longitudinal fasciculus, and activity within the salience network and dorsomedial prefrontal cortex associated with sleep quality and differed in individuals with an increased risk for MDD. A low-to-moderate risk of bias was detected among all studies.</div></div><div><h3>Conclusions</h3><div>Due to the limited number of studies and methodological heterogeneity, the highlighted evidence remains preliminary. This review emphasizes the importance of addressing sleep problems in youth before they potentially contribute to lasting changes in emotional and mental health, as well as the need to further study the relationship between sleep disturbances and risk for MDD.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"149 ","pages":"Article 152728"},"PeriodicalIF":4.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148307342","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":"Interpersonal problems across anxiety and depressive disorders","authors":"Jacqueline Peters,&nbsp;Marije aan het Rot","doi":"10.1016/j.comppsych.2026.152726","DOIUrl":"10.1016/j.comppsych.2026.152726","url":null,"abstract":"<div><div>Individuals with a Diagnostic and Statistical Manual of Mental Disorders (DSM) anxiety or depressive disorder tend to report a lack of agency in social situations. Agency represents one dimension in the interpersonal circumplex model while communion represents the other dimension. In the present study, we mapped six anxiety and depressive disorders examined within the Netherlands Study of Depression and Anxiety (NESDA) onto this model. To this end, we used the structural summary method to reduce Inventory of Interpersonal Problems scores of NESDA Wave 6 participants with a current diagnosis (<em>n</em> = 412) to interpersonal profiles for each of the six examined disorders. The Displacement parameter represents the blend of agency and communion and provided insight into which interpersonal problem theme is most characteristic for a disorder. Amplitude represents the distinctiveness of this theme, and Elevation provides an indication of the level of general interpersonal distress associated with the disorder. Unexpectedly, general interpersonal distress was highest for dysthymia, not major depressive disorder. As expected, however, all disorders (social phobia, generalized anxiety disorder, panic disorder, agoraphobia, dysthymia, and major depressive disorder) were primarily characterized by a submissive interpersonal style. Additionally, we found greater general interpersonal distress among participants with comorbid anxiety and depression than among participants with depression or anxiety alone. The main finding was that the different anxiety and depressive disorders had comparable interpersonal profiles. This supports the notion that interpersonal style may be a transdiagnostic factor in the emergence and maintenance of these disorders, contributing to interpersonal distress particularly in individuals with comorbid disorders.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"149 ","pages":"Article 152726"},"PeriodicalIF":4.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257469","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":"Stroop task data does not improve prediction of CBT partial hospital treatment outcomes beyond routine clinical data: An elastic net analysis","authors":"Jenna M. Traynor,&nbsp;Chloe C. Hudson,&nbsp;Boyu Ren,&nbsp;Courtney Beard,&nbsp;Throstur Bjorgvinsson,&nbsp;Marie Forgeard,&nbsp;Kean J. Hsu","doi":"10.1016/j.comppsych.2026.152732","DOIUrl":"10.1016/j.comppsych.2026.152732","url":null,"abstract":"<div><h3>Background</h3><div>Partial hospitalization is a psychiatric treatment for patients who require structured, intensive outpatient intervention, many of whom present with features of borderline personality disorder (BPD). Findings to date suggest that baseline clinical severity and demographic characteristics are predictive of partial hospital outcomes, but it is possible that prediction could be further improved by including cognitive data into predictive models.</div></div><div><h3>Methods</h3><div>Naturalistic data from 113 patients admitted to a brief CBT partial hospital were analyzed. Elastic net regression was employed to compare prediction of four outcomes using i) baseline severity and demographics only and ii) models that included cognitive data derived from Classic and Emotional Stroop Tasks. Interactions between BPD trait severity and Stroop performance were also included as predictors in the Stroop Task models. Predicted outcomes included depression, interpersonal functioning, emotional lability, and self-harm ideation.</div></div><div><h3>Results</h3><div>Including Stroop Task data did not improve the prediction outcomes. RMSE values for models with and without data from the Stroop Tasks were virtually equivalent or differed in magnitude by only 0.1 on the five-point outcome scale. Baseline symptom severity was the most robust predictor of all outcomes.</div></div><div><h3>Conclusions</h3><div>The addition of Stroop Task data did not improve prediction of partial hospital outcomes in a naturalistic sample. Findings underscore the importance of examining clinical data routinely collected at admission when considering who may benefit from a partial hospital treatment.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"149 ","pages":"Article 152732"},"PeriodicalIF":4.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396310","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":"Probable obsessive-compulsive disorder among youth in Singapore: Prevalence, sociodemographic correlates, and the association with psychological distress, harmful alcohol use and functional impairment","authors":"S. Archana,&nbsp;J.A. Vaingankar,&nbsp;B.C.W. Tan,&nbsp;S. Chang,&nbsp;Y.W.B. Tan,&nbsp;E. Samari,&nbsp;Y.C. Chua,&nbsp;Y.P. Lee,&nbsp;C. Tang,&nbsp;S.A. Chong,&nbsp;K.R.R. Krishnan,&nbsp;M. Subramaniam,&nbsp;S. Verma","doi":"10.1016/j.comppsych.2026.152731","DOIUrl":"10.1016/j.comppsych.2026.152731","url":null,"abstract":"<div><h3>Background</h3><div>Obsessive-compulsive disorder (OCD) is a debilitating mental health condition with comparatively increased prevalence in Singapore. However, little is known about the prevalence of OCD among youth. Therefore, this study aims to examine the prevalence of probable OCD, explore its sociodemographic correlates, and investigate its associations with psychological distress (depression, anxiety, and stress), harmful alcohol use, and functional impairment among youth in Singapore.</div></div><div><h3>Methods</h3><div>2600 youth aged 15–35 were recruited via convenience sampling for the National Youth Mental Health Study, a cross-sectional nationwide survey. Information on sociodemographic background, probable OCD, psychological distress, harmful alcohol use and functional impairment was collected using a self-administered questionnaire. Associations were examined using logistic regression.</div></div><div><h3>Results</h3><div>The point prevalence of probable OCD was 22.1% among youth in Singapore. Significantly higher odds of probable OCD were observed among youths aged 15–19 and 20–24 (vs. 30–35), of Indian, Malay and other ethnicities (vs. Chinese), and those with educational attainment below university level (vs. university and above). Economically inactive youth had significantly lower odds of probable OCD. Youth with severe to very severe symptoms of psychological distress and functional impairment were also significantly more likely to exhibit probable OCD.</div></div><div><h3>Conclusion</h3><div>Probable OCD is highly prevalent among youth in Singapore, with elevated risk among specific sub-populations. Our findings emphasize the urgent need for comprehensive screening and tailored intervention, particularly for those with severe to very severe symptoms of psychological distress and functional impairment.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"149 ","pages":"Article 152731"},"PeriodicalIF":4.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387391","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":"Effectiveness of electroconvulsive therapy for depression: comparing research studies with real-world clinical data from the Dutch ECT consortium","authors":"Robin C. Cobben ,&nbsp;Dore Loef ,&nbsp;Edwin van Dellen ,&nbsp;Karin Hagoort ,&nbsp;Peter M. van de Ven ,&nbsp;Bart Schut ,&nbsp;Anja Lok ,&nbsp;Roel J.T. Mocking ,&nbsp;Karel W.F. Scheepstra ,&nbsp;Eric van Exel ,&nbsp;Mardien L. Oudega ,&nbsp;Birit F.P. Broekman ,&nbsp;Anton C.M. Vergouwen ,&nbsp;Thomas J.C. Zoon ,&nbsp;Rob M. Kok ,&nbsp;Milou Angevaare ,&nbsp;Esmée Verwijk ,&nbsp;Jordy J.E. Rovers ,&nbsp;Indira Tendolkar ,&nbsp;Julia C.M. Pottkämper ,&nbsp;Annemiek Dols","doi":"10.1016/j.comppsych.2026.152723","DOIUrl":"10.1016/j.comppsych.2026.152723","url":null,"abstract":"<div><h3>Background</h3><div>Electroconvulsive therapy (ECT) is an effective treatment for major depressive disorder, yet real-world outcomes may differ from research studies. We compared ECT effectiveness in research versus real-world cohorts and examined whether in- and exclusion criteria and treatment characteristics explain potential differences.</div></div><div><h3>Method</h3><div>1892 patients with MDD from the Dutch ECT Consortium (12 research, 10 real-world cohorts) were included. Outcomes were response (≥50% HDRS reduction), remission (HDRS &lt;8), and change in depression severity (Δ-HDRS). Cohorts were compared on effectiveness and demographic, clinical and treatment characteristics. Logistic and linear regression estimated associations between cohort type and outcomes, unadjusted and adjusted for in- and exclusion criteria and additional clinical confounders.</div></div><div><h3>Results</h3><div>Research cohorts demonstrated higher response rates (66.8% vs. 58.9%, OR 1.46, 95% CI [1.09–1.95]) and greater symptom reduction (B 2.88, 95% CI [1.86–3.90]), while remission rates did not differ significantly. Cohorts differed on several clinical and treatment characteristics, partly reflecting in- and exclusion criteria used in research cohorts. After adjusting for these selection criteria, differences in response and Δ-HDRS were no longer significant (OR 1.20, 95% CI [0.86–1.69]; B 0.61, 95% CI [−0.29–1.51]). Adjustment for additional confounders marginally changed these estimates. In sensitivity analyses restricted to mixed-sites, differences were not significant in unadjusted and adjusted models.</div></div><div><h3>Conclusion</h3><div>In the Dutch ECT consortium, ECT demonstrates comparable effectiveness across research and real-world settings once patient selection is accounted for. These findings underscore the importance of considering cohort composition when interpreting treatment outcomes.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152723"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148053169","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 ,&nbsp;Will Mandy ,&nbsp;Hannah Belcher ,&nbsp;K.V. Petrides","doi":"10.1016/j.comppsych.2026.152703","DOIUrl":"10.1016/j.comppsych.2026.152703","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152703"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","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":"Neuropsychological functions as trait markers in OCD: A 10-year follow-up study","authors":"M. Puialto ,&nbsp;J. Mar ,&nbsp;P. Alonso ,&nbsp;E. Real ,&nbsp;L. Mar-Barrutia ,&nbsp;J.M. Menchón ,&nbsp;S. Bertolín ,&nbsp;O. Ibarrondo ,&nbsp;C. Segalàs","doi":"10.1016/j.comppsych.2026.152724","DOIUrl":"10.1016/j.comppsych.2026.152724","url":null,"abstract":"<div><h3>Background</h3><div>The alterations in neuropsychological performance described in Obsessive-Compulsive Disorder (OCD) reflect dysfunctions of the neurobiological structures underlying the disorder. Cognitive functions are influenced by clinical variables and are considered a potential endophenotype of the disorder. Although OCD is a chronic illness, data regarding the course of cognitive impairment are scarce.</div></div><div><h3>Methods</h3><div>The present study assessed 60 OCD patients and 30 healthy controls (HC). Both groups were followed for a period of 10.6 years (range 5–18 years). Neuropsychological performance was assessed with a battery measuring executive subcomponents and non-verbal memory at baseline and after follow-up, using repeated-measures mixed models. Several clinical variables were also assessed in the patient group.</div></div><div><h3>Results</h3><div>At baseline, patients with OCD demonstrated significantly poorer performance on neuropsychological tests than HC. Overall, the patterns of specific executive processes (organizational strategies and working memory) and non-verbal memory remained unchanged during the follow-up period in both groups. A reduction in severity of depression and obsessive-compulsive symptomatology was observed at the end of follow-up in OCD patients. In the sample, female sex was associated with worse performance on certain executive functions, and age with greater impairment in non-verbal memory after a decade of follow-up.</div></div><div><h3>Conclusions</h3><div>OCD patients showed significant impairments on neuropsychological tests compared to HC at baseline. After follow-up, both groups showed a similar decline in neuropsychological performance, with no significant differences. These findings suggest that cognitive deficits in OCD remain stable over time and may reflect trait-like characteristics, and that sex may differentially affect cognitive performance with aging.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152724"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148745","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":"Acceptability of DBS for psychiatric disorders by French psychiatrists: a network clustering analysis based on a mixed method study","authors":"Stephane Mouchabac ,&nbsp;Vincent P. Martin ,&nbsp;Arnaud Pouchon ,&nbsp;Dihia Ikene ,&nbsp;Florian Ferreri ,&nbsp;Bruno Millet ,&nbsp;Alexis Bourla ,&nbsp;Mircea Polosan","doi":"10.1016/j.comppsych.2026.152707","DOIUrl":"10.1016/j.comppsych.2026.152707","url":null,"abstract":"<div><h3>Background</h3><div>Deep brain stimulation (DBS) is an emerging intervention for treatment-resistant psychiatric disorders, particularly obsessive-compulsive disorder (OCD). Despite strong evidence of efficacy, its acceptability remains limited among psychiatrists, especially in France. Understanding professional attitudes is essential for its clinical integration.</div></div><div><h3>Methods</h3><div>We conducted a mixed-method study using the script method, combining qualitative item development with quantitative analysis through a self-administered online questionnaire. The survey, based on a multidimensional model of acceptability, assessed French psychiatrists' perceptions of DBS across dimensions such as utility, usability, reliability, risk, and professional culture. Data were analyzed using network clustering analysis, centrality metrics, and community detection, allowing exploration of structural relationships among acceptability factors. Subgroup analyses were conducted by gender, professional seniority, practice type, and theoretical orientation.</div></div><div><h3>Results</h3><div>Among 418 respondents, the most central determinant of DBS acceptability was adherence to professional guidelines. Other influential factors included perceived utility, self-acceptability, and the classification of DBS as part of psychiatry's therapeutic arsenal. Peripheral concerns, such as cost or multidisciplinary logistics, were weakly connected to the core network. Gender and seniority influenced network structure: male psychiatrists showed stronger associations between adherence to professional guidelines and viewing DBS as a legitimate psychiatric treatment, while senior psychiatrists exhibited denser patterns of associations between acceptability-related factors. No significant differences were found by practice type or theoretical orientation.</div></div><div><h3>Conclusions</h3><div>DBS acceptability among French psychiatrists hinges on institutional validation and perceived alignment with psychiatric norms. These findings highlight the need for guideline-based dissemination strategies and tailored communication to support the ethical and effective adoption of DBS in psychiatric care.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152707"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148716","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":"Hooked on our devices: Problematic internet use as a contemporary mental health challenges","authors":"Konstantinos Ioannidis","doi":"10.1016/j.comppsych.2026.152706","DOIUrl":"10.1016/j.comppsych.2026.152706","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152706"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863640","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}