Comprehensive psychiatry最新文献

{"title":"Mental health disorder symptom changes among public safety personnel after emotional resilience skills training","authors":"R.N. Carleton ,&nbsp;S. Sauer-Zavala ,&nbsp;T.A. Teckchandani ,&nbsp;K.Q. Maguire ,&nbsp;L. Jamshidi ,&nbsp;R.E. Shields ,&nbsp;T.O. Afifi ,&nbsp;J. Nisbet ,&nbsp;K.L. Andrews ,&nbsp;S.H. Stewart ,&nbsp;A.J. Fletcher ,&nbsp;R. Martin ,&nbsp;R.S. MacPhee ,&nbsp;J.C. MacDermid ,&nbsp;T.M. Keane ,&nbsp;A. Brunet ,&nbsp;M. McCarron ,&nbsp;L.M. Lix ,&nbsp;N.A. Jones ,&nbsp;G.P. Krätzig ,&nbsp;G.J.G. Asmundson","doi":"10.1016/j.comppsych.2025.152580","DOIUrl":"10.1016/j.comppsych.2025.152580","url":null,"abstract":"<div><h3>Objectives</h3><div>Public safety personnel (PSP) are frequently exposed to psychologically traumatic events. The exposures potentiate posttraumatic stress injuries (PTSIs), including posttraumatic stress disorder (PTSD). The Royal Canadian Mounted Police (RCMP) Protocol was designed to mitigate PTSIs using ongoing monitoring and PSP-delivered Emotional Resilience Skills Training (ERST) based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders. The current study pilot-tested ERST effectiveness among diverse PSP.</div></div><div><h3>Methods</h3><div>A 16-month longitudinal design engaged serving PSP (<em>n</em> <em>=</em> 119; 34 % female; firefighters, municipal police, paramedics, public safety communicators) who completed PSP-delivered ERST. Participants were assessed for symptoms of PTSIs, including but not limited to PTSD, at pre- and post-training, and 1-year follow-up using self-report measures and clinical interviews.</div></div><div><h3>Results</h3><div>There were reductions in self-report and clinical diagnostic interview positive screens for PTSD and other PTSI from pre- to post-training (<em>p</em>s &lt; 0.05), with mental health sustained or improved at 1-year follow-up. Improvements were observed among firefighters (Cohen's <em>d</em> = 0.40 to 0.71), police (Cohen's <em>d</em> = 0.28 to 0.38), paramedics (Cohen's <em>d</em> = 0.20 to 0.56), and communicators (Cohen's <em>d</em> = 0.05 to 0.14).</div></div><div><h3>Conclusion</h3><div>Ongoing monitoring and PSP-delivered ERST, can produce small to large mental health improvements among diverse PSP, or mitigate PSP mental health challenges, with variations influenced by pre-training factors and organizational supports. ERST replication and extension research appears warranted.</div></div><div><h3>Trial registration</h3><div>Hypotheses Registration: <span><span>aspredicted.org</span><svg><path></path></svg></span>, #90136. Registered 7 March 2022 - Prospectively registered. Trial registration: <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, <span><span>NCT05530642</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"138 ","pages":"Article 152580"},"PeriodicalIF":4.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349796","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":"A cognitive model of perceptual anomalies: The role of source monitoring, top-down influence and inhibitory processes for hallucinations in schizophrenia spectrum disorders and hallucinatory-like experiences in the general population","authors":"Adrianna Aleksandrowicz ,&nbsp;Joachim Kowalski ,&nbsp;Steffen Moritz ,&nbsp;Izabela Stefaniak ,&nbsp;Łukasz Gawęda","doi":"10.1016/j.comppsych.2025.152583","DOIUrl":"10.1016/j.comppsych.2025.152583","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive models emphasise that source monitoring, top-down processes, and inhibitory control are mechanisms of perceptual anomalies, particularly auditory hallucinations (AHs) and hallucinatory-like experiences (HLEs). Nonetheless, limited research integrates clinical and non-clinical perceptual anomalies to examine these cognitive mechanisms and the connections between them. The present study aimed to investigate the role of three cognitive processes within the perceptual anomalies continuum. Moreover, the study examines the relationship between perceptual anomalies, cognitive processes, self-disturbances, and general functioning.</div></div><div><h3>Methods</h3><div>Eighty-nine patients with schizophrenia spectrum disorders (SSD) were divided into two groups based on AHs presence - 46 with AHs and 43 - non-hallucinating, 43 matched healthy controls (HC), and a sample selected from the general population of 40 participants with high HLEs and 43 with low HLEs performed three experimental tasks assessing top-down processes (False Perception Task - FPT), source monitoring (Action Memory Task - AMT), and inhibitory control (Go/No-Go Task).</div></div><div><h3>Results</h3><div>Both patient groups committed significantly more source monitoring errors and more false perceptions (after accounting for response bias) than HC, with no differences between SSD with AH vs SSD without current AH and high HLEs vs low HLEs. No significant group differences were found for false alarms in the Go/No-Go Task. However, there was a significant relationship between perceptual anomalies and all the cognitive processes as well as self-disturbances and functioning in the entire sample.</div></div><div><h3>Conclusions</h3><div>This study sheds further light on the mechanisms and correlates of perceptual anomalies in clinical and non-clinical populations.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"138 ","pages":"Article 152583"},"PeriodicalIF":4.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373075","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":"Personality organization and anxiety symptoms: Investigating the mediation of perfectionism","authors":"Krisztina Csáky-Pallavicini ,&nbsp;Zsolt Horváth ,&nbsp;Zsolt Unoka ,&nbsp;Bernadette Kun ,&nbsp;Zsolt Demetrovics","doi":"10.1016/j.comppsych.2025.152582","DOIUrl":"10.1016/j.comppsych.2025.152582","url":null,"abstract":"<div><h3>Background and aims</h3><div>Personality functioning has increasing significance in the assessment of mental health and mental disorders. Otto Kernberg's model of personality organization is an extensively applied, theoretically grounded approach to categorizing the severity of personality impairment based on intrapsychic and interpersonal functioning. The Inventory of Personality Organization (IPO) self-report rating scale and its 16-item short version were developed to assess personality organization based on this model. This study aimed (i) to examine the factor structure of the short, 16-item version of the IPO, and (ii) to investigate the mediating effect of perfectionism on the relationship between personality organization and anxiety.</div></div><div><h3>Methods</h3><div>4340 individuals (mean age 37.7 years; 50.7 % females) were assessed for anxiety (Brief Symptom Inventory) and perfectionism (Multidimensional Perfectionism Scale) besides applying the 16-item IPO<em>.</em></div></div><div><h3>Results</h3><div>A bifactor model with three specific factors showed the most optimal levels of model fit for the IPO-16. Only the general personality dysfunction factor was characterized by high levels of internal reliability. Self-oriented and socially prescribed perfectionism mediated the relationship between the general personality dysfunction factor and anxiety symptoms. Higher levels of GPD predicted higher rates of self-oriented and socially prescribed perfectionism, which contributed to more severe symptoms of anxiety.</div></div><div><h3>Conclusion</h3><div>The IPO-16 can be usefully applied to assess a general level of personality dysfunction both in research and in clinical use.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"138 ","pages":"Article 152582"},"PeriodicalIF":4.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349795","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":"The neural correlates of guilt highlight preclinical manifestations between bipolar and major depressive disorders","authors":"Yu-Chi Lo ,&nbsp;Chenyi Chen ,&nbsp;Yawei Cheng","doi":"10.1016/j.comppsych.2024.152567","DOIUrl":"10.1016/j.comppsych.2024.152567","url":null,"abstract":"<div><h3>Background</h3><div>Over 25 % of bipolar disorder (BD) patients are misdiagnosed with major depressive disorder (MDD). An urgent need exists for a biomarker to differentiate BD from MDD. Various manifestations and intensities of maladaptive guilt processing might uniquely contribute to the pathogenesis of BD compared to MDD.</div></div><div><h3>Method</h3><div>This study adopted a first-person perspective guilt-provoking functional magnetic resonance imaging (fMRI) task, respectively induced by painful and ambiguous scenarios in 111 individuals: 35 with remitted MDD, 38 with remitted bipolar I disorder (BD-I), and 38 matched controls.</div></div><div><h3>Results</h3><div>A significant interaction between group and sense of agency in predicting guilt ratings for ambiguous, rather than painful, scenarios. The association between sense of agency and guilt was significant in MDD but not in BD-I patients or controls. Activation in the dorsomedial prefrontal cortex (dmPFC), pregenual anterior cingulate cortex (pgACC), and right inferior parietal lobule (IPL) was higher in BD-I than MDD subjects in response to ambiguous scenarios, whereas these were comparable to painful ones. The correlation between guilt ratings and activation in the dorsal anterior cingulate cortex (dACC) to ambiguous scenarios was significant in MDD, but not in BD-I or controls. The results of the multivariate pattern classification analysis showed that in the ambiguous scenarios, the accuracy of using brain activation patterns in the dmPFC, pgACC, and IPL to distinguish between participants with MDD and BD-I was 70.0 %, 71.5 %, and 68.7 %, respectively. An additional test of the classification model, employing a combined mask of the three ROIs to distinguish between the two mood disorders in ambiguous scenarios, achieved an accuracy of 78.6 % and an AUC value of 0.84.</div></div><div><h3>Conclusions</h3><div>Subjective reports and neural correlates of guilt in ambiguous social situations, as well as a sense of agency, could provide to be a potential biomarker to help distinguish between BD-I and MDD even in the remitted stage.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152567"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876103","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":"Obsessive-compulsive personality disorder increases cognitive inflexibility in people with coronary artery disease","authors":"Agne Stanyte ,&nbsp;Naomi A. Fineberg ,&nbsp;Julija Gecaite-Stonciene ,&nbsp;Aurelija Podlipskyte ,&nbsp;Julius Neverauskas ,&nbsp;Alicja Juskiene ,&nbsp;Vesta Steibliene ,&nbsp;Nijole Kazukauskiene ,&nbsp;Julius Burkauskas","doi":"10.1016/j.comppsych.2024.152570","DOIUrl":"10.1016/j.comppsych.2024.152570","url":null,"abstract":"<div><h3>Background</h3><div>Cardiovascular diseases such as coronary artery disease (CAD) have a high prevalence of psychiatric comorbidities, that may impact clinically relevant outcomes (e.g., cognitive impairment and executive dysfunction). Obsessive-compulsive personality disorder (OCPD) is a common psychiatric comorbidity in CAD. It has a distinct cognitive profile characterised by inflexible thinking and executive dysfunction, which in turn may affect treatment adherence. However, the impact of OCPD on cognitive functioning in CAD is under-researched. We aimed to investigate the impact of OCPD on executive function in individuals with CAD undergoing rehabilitation, using cognitive tests relating to inflexibility and executive planning.</div></div><div><h3>Methods</h3><div>Seventy-eight adults (median age 59 [53.0–66.0] years) with CAD were tested within three days of hospital admission for cardiac rehabilitation occurring within two weeks of experiencing an episode of unstable angina or myocardial infarction. The Compulsive Personality Assessment Scale (CPAS) was used to evaluate OCPD traits. Neurocognitive testing was performed using the Cambridge Automated Neuropsychological Test Battery (CANTAB) including tests of set shifting (Intra-Extra Dimensional [IED] Set Shifting), and executive planning (Stockings of Cambridge [SOC]).</div></div><div><h3>Results</h3><div>Ten individuals with CAD fulfilled the operational criteria for DSM-5 OCPD. Individuals with comorbid OCPD made more IED intra-dimensional shift reversal errors (2.0 [2.0–4.0] vs. 1.0 [1.0–2.0], <em>p</em> = .004), reflecting a difficulty inhibiting previously learnt responses. When all participants were analysed as a group, negative associations were found between individual OCPD traits and other aspects of cognitive performance. Hoarding trait was associated with increased initial thinking time on the SOC at five moves (ρ = 0.242, <em>p</em> = .033), while the need for control and rigidity traits were each associated with increased initial thinking time on the SOC at two moves (respectively, ρ = 0.259, <em>p</em> = .022; ρ = 0.239, <em>p</em> = .035), reflecting slower executive planning. A preoccupation with details trait was associated with fewer errors on a compound discrimination stage of the IED (ρ = −0.251, <em>p</em> = .026). After controlling these correlations for gender and age, significant associations remained with hoarding (β = 0.243, <em>p</em> = .036), need for control (β = 0.341, <em>p</em> = .005) and rigidity (β = 0.259, <em>p</em> = .038) traits.</div></div><div><h3>Conclusions</h3><div>Preliminary evidence suggests that individuals with CAD and comorbid OCPD traits show greater inflexibility than those without OCPD. Several OCPD traits were associated with slower planning, even after controlling them for age and gender. This may have implications for the success of rehabilitation.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152570"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926655","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":"Typological and cumulative approaches to risk and adversity in Child and Adolescent Mental Health Services (CAMHS): Retrospective cohort analysis in South London","authors":"Barry Coughlan ,&nbsp;Nicole Marshall ,&nbsp;Matt Woolgar ,&nbsp;Julia Mannes ,&nbsp;Paige Erkiert ,&nbsp;Ayla Humphrey ,&nbsp;Jack Smith ,&nbsp;Taliah Drayak ,&nbsp;Francesca Crozier-Roche ,&nbsp;Tessa Morgan ,&nbsp;Dustin Hutchinson ,&nbsp;David Graham ,&nbsp;Rick Hood ,&nbsp;Robbie Duschinsky","doi":"10.1016/j.comppsych.2024.152568","DOIUrl":"10.1016/j.comppsych.2024.152568","url":null,"abstract":"<div><h3>Background</h3><div>Childhood adversity is robustly associated with mental ill-health. Yet questions remain about how different ways of conceptualising adversity relate to psychiatric diagnoses and service activity. This research aims to examine associations between typological and cumulative conceptualisations of adversity, and psychiatric diagnosis and service activity.</div></div><div><h3>Methods</h3><div>We analysed risk assessment data from 21,072 young people attending mental health services in South London. These assessments include items relating to maltreatment, parental mental health difficulties, substance misuse, self-harm, and violent behaviour. Using latent class analysis, we identified the following risk typologies: ‘Maltreatment and externalising behaviours’ (<em>n</em> = 971, 4·6 %), ‘Maltreatment but low risk to self and others’ (<em>n</em> = 2526, 12·0 %), ‘Anti-social behaviour’ (<em>n</em> = 2669, 12·7 %), ‘Inadequate caregiver supervision and risk to self and others’ (<em>n</em> = 907, 4·3 %), ‘Risk to self but not to others’ (<em>n</em> = 1725, 8·2 %), and ‘Mental health needs but low risk to self and others’ (<em>n</em> = 12,274, 58·2 %).</div><div>Two cumulative risk models were created: 1) all risk items 2) Adverse Childhood Experiences-related cumulative risk (ACES-CR). Controlling for gender, ethnicity, age, and deprivation, we examined associations between risk typologies, cumulative risk, and the following outcomes: 1) psychiatric diagnosis 2) face-to-face appointments 3) missed appointments 4) referral to social services.</div></div><div><h3>Outcomes</h3><div>Risk in its various conceptualisations was consistently and robustly associated with conduct disorder. Risk also tended to be associated with more face-to-face appointments, missed appointments, and referral to social services. Associations between individual risk typologies and psychiatric diagnosis and service activity are discussed.</div></div><div><h3>Interpretation</h3><div>Our findings suggest that typological and cumulative approaches to risk and adversity can produce unique insights about diagnostic practices and service activity. This work provides further evidence for the contribution of contextual factors to mental ill-health and further work is required to explore the longer-term trajectories of these young people.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152568"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142964083","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":"The relationship between cognitive and affective control and symptoms of depression and anxiety across the lifespan: A 3-wave longitudinal study","authors":"Anson Kai Chun Chau,&nbsp;Savannah Minihan,&nbsp;Sakiko Okayama,&nbsp;Susanne Schweizer","doi":"10.1016/j.comppsych.2024.152564","DOIUrl":"10.1016/j.comppsych.2024.152564","url":null,"abstract":"<div><h3>Introduction</h3><div>The association between cognitive functioning and mental health symptoms across the lifespan remains poorly understood. Understanding the directionality of the association between mental health and cognition is important as most gold-standard psychological therapies, such as cognitive-behaviour therapy, are cognitively demanding. Here, we examined the directionality of the association between cognitive and affective control with symptoms of depression and anxiety across the lifespan.</div></div><div><h3>Methods</h3><div>1002 participants (87.2 % female, age range: 11–89 years) completed self-report measures of depressive and anxiety symptoms and an affective backward digit span task thrice at 3-month intervals. Cross-lagged panel models (CLPMs) were used to model the longitudinal relationships between affective and cognitive control with depressive and anxiety symptoms. Multiple-group CLPMs were applied to test the model invariance between adolescents and adults.</div></div><div><h3>Results</h3><div>The results supported a unidirectional relationship, where symptoms of depression and anxiety predicted impaired affective control across time points, over and above cognitive control. There was no evidence for affective or cognitive control capacity predicting emotional disorder symptomatology. In addition, multiple-group analysis revealed that depressive symptoms also predicted impaired cognitive control among adolescents only. There were no age-related differences in the associations between cognitive and affective control with anxiety symptoms.</div></div><div><h3>Conclusions</h3><div>Our findings support depression and anxiety as antecedents, but not consequences, of impaired affective control. This suggests that timely management of emotional disorders, in particular for adolescents, is essential to prevent deterioration in cognitive functioning. The results further signal that practitioners should consider impaired affective control capacity in therapeutic contexts.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152564"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794363","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":"Corrigendum to “Personalized virtual reality exposure for panic disorder and agoraphobia: A preliminary neurophysiological study” [Comprehensive Psychiatry Volume 129 (2024) 152447]","authors":"Han Wool Jung ,&nbsp;Ki Won Jang ,&nbsp;Sangkyu Nam ,&nbsp;Moo Eob Ahn ,&nbsp;Sang-Kyu Lee ,&nbsp;Yeo Jin Kim ,&nbsp;Jae-Kyoung Shin ,&nbsp;Ju Hyun Park ,&nbsp;Daeyoung Roh","doi":"10.1016/j.comppsych.2024.152537","DOIUrl":"10.1016/j.comppsych.2024.152537","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152537"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557340","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":"Longitudinal pathways from emotional abuse to problematic gaming in adolescents: The role of psychoticism","authors":"Valeria Verrastro ,&nbsp;Valeria Saladino ,&nbsp;Fiorenza Giordano ,&nbsp;Danilo Calaresi","doi":"10.1016/j.comppsych.2024.152569","DOIUrl":"10.1016/j.comppsych.2024.152569","url":null,"abstract":"<div><h3>Background</h3><div>Problematic gaming (PG) has emerged as a major concern due to its potential impact on adolescents' everyday lives. Emotional abuse (EA) and psychoticism are considered factors influencing PG, but their long-term interactions have not been extensively studied. This research investigates these relationships over time using the Interaction of Person–Affect–Cognition–Execution (I-PACE) model. Methods: The study involved 1902 Italian adolescents (mean age = 15.45, SD = 1.10) in a three-wave longitudinal study. Surveys were conducted at the beginning (T1), after six months (T2), and after twelve months (T3). Structural equation modeling (SEM) was used to evaluate bidirectional relationships and mediation effects among the variables. Results: The findings indicated that EA consistently predicted both psychoticism and PG, while psychoticism consistently predicted PG. However, psychoticism did not predict EA, and PG did not predict either EA or psychoticism. Significant mediation effects were found from EA at T1 to PG at T3 through EA at T2, psychoticism at T2, and PG at T2, as well as from psychoticism at T1 to PG at T3 through psychoticism at T2 and PG at T2. No significant indirect effect was observed from psychoticism at T2 to PG at T3 through EA at T2. Conclusions: The results suggest that adolescents experiencing EA are more prone to PG, with psychoticism worsening this effect. Effective interventions might include emotional support programs and therapies targeting psychoticism traits. Combining these approaches could improve treatment outcomes for adolescents with PG.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152569"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902828","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":"Towards understanding and addressing mental health challenges in Africa: An integrated perspective","authors":"Christine Lochner ,&nbsp;Symon M. Kariuki","doi":"10.1016/j.comppsych.2024.152565","DOIUrl":"10.1016/j.comppsych.2024.152565","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"137 ","pages":"Article 152565"},"PeriodicalIF":4.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791182","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}