Comprehensive psychiatry最新文献

{"title":"A dialectical perspective on smartphone use in borderline personality disorder: Communication fosters inner tension and dissociation, while entertainment provides momentary relief","authors":"Ana Macchia ,&nbsp;Dimitri Löchner ,&nbsp;Ann-Christin Haag ,&nbsp;Christian Montag ,&nbsp;Birgit Abler","doi":"10.1016/j.comppsych.2026.152717","DOIUrl":"10.1016/j.comppsych.2026.152717","url":null,"abstract":"<div><div>While digital phenotyping has shown potential in linking smartphone use to mental health, there is no evidence on how specific smartphone behaviors are associated with symptom dynamics in borderline personality disorder (BPD) in real time. This study examines how communication versus entertainment app use relates to inner tension and state dissociation, both in terms of momentary associations within individuals and in terms of average associations across individuals.</div><div>We tracked smartphone use in 49 individuals with BPD during an 8-week inpatient Dialectical Behavior Therapy and concurrently assessed inner tension and state dissociation every two hours. For up to 56 treatment days, we recorded hourly app session usage duration and frequency for communication (e.g., WhatsApp) and entertainment (e.g., Netflix), along with phone calls. Between-person associations based on mean scores for inner tension, state dissociation, and smartphone usage were examined with Spearman correlations. We investigated within-person momentary associations per hour with linear mixed models applied to the first 21 treatment days with sufficient data.</div><div>Higher mean inner tension levels were linked to longer daily use of communication apps. We found an association between a greater average number of incoming, but not outgoing, phone calls and higher mean levels of inner tension and state dissociation. Within-person analyses related a longer use of entertainment applications to reduced inner tension, but not dissociation, both at the category and at the app level (Netflix and YouTube). In contrast, more frequent communication app uses increased state inner tension and dissociation, which was mirrored in app-level analyses with WhatsApp.</div><div>Our findings are consistent with a dialectical perspective of smartphone use in BPD: While passive entertainment may represent an adaptive short-term self-regulation strategy, smartphone communication may trigger BPD-related emotional or dissociative responses.</div><div>Trial registration: <span><span>https://osf.io/dfq9y/?view_only=4c19b891bb6448009b22f60b2552bd73</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152717"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148053178","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":"Selective attention in adults with major depressive disorder: A systematic review and meta-analysis of task-specific differences and negative bias","authors":"Jessica K. Hur ,&nbsp;Natalie C.W. Ho ,&nbsp;Marta M. Maslej ,&nbsp;Paul W. Andrews ,&nbsp;Meryl A. Butters ,&nbsp;Bruce Milliken ,&nbsp;Benoit H. Mulsant","doi":"10.1016/j.comppsych.2026.152720","DOIUrl":"10.1016/j.comppsych.2026.152720","url":null,"abstract":"<div><div>Several studies report that adults with Major Depressive Disorder (MDD) present with a negative attentional bias compared to individuals without a history of MDD. We conducted a systematic review and meta-analysis to: evaluate the hypothesis that selective attention differs in adults with MDD; determine whether this difference consists of a negative attentional bias (e.g., paying more attention to negative stimuli); and assess whether it is more severe with more severe MDD. Following PRISMA guidelines, we conducted a literature search of MEDLINE, PsycINFO, and EMBASE from inception through April 11, 2025, supplemented by manual searches, to identify published peer-reviewed manuscripts in English, French, or Korean comparing measures of selective attention in adults with MDD and non-psychiatric controls (HC). Results were synthesized narratively, and measures of selective attention in studies that used some versions of the Stroop task, or the dot-probe task were extracted and meta-analyzed. Of the 87 included studies, 73 (83.9%) showed a difference in selective attention (with 40 of 54 [74.1%] showing a negative bias) in adults with MDD compared to HC. Qualitatively, attention was impaired in the MDD group compared to HCs with all tasks. However, a significant difference in attention and negative bias was observed only with the dot-probe task in quantitative synthesis. Given the small number of relevant studies, power to identify moderators was limited. Age significantly moderated negative attentional bias for the dot-probe task, which increased with age. Future larger, higher-powered studies are needed to confirm selective attention differences in MDD and identify additional moderators.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"148 ","pages":"Article 152720"},"PeriodicalIF":4.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148053126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“When is it late”? Optimal threshold for duration of untreated illness (DUI) to predict SSRI-treatment resistance in obsessive-compulsive disorder (OCD)","authors":"L. Pellegrini ,&nbsp;A. Paci ,&nbsp;G. Di Salvo ,&nbsp;G. Maina ,&nbsp;U. Albert","doi":"10.1016/j.comppsych.2026.152680","DOIUrl":"10.1016/j.comppsych.2026.152680","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152680"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital engagement profiles and binge eating symptoms in adolescents: A person-centred, longitudinal analysis","authors":"Taylor Brown ,&nbsp;Vanessa Tanti ,&nbsp;Natasha Wilson ,&nbsp;Mark D. Griffiths ,&nbsp;Dan Lubman ,&nbsp;Kaiden Hein ,&nbsp;Vasileios Stavropoulos","doi":"10.1016/j.comppsych.2026.152694","DOIUrl":"10.1016/j.comppsych.2026.152694","url":null,"abstract":"<div><h3>Background</h3><div>Binge eating symptoms emerge in early adolescence and are clinically meaningful below diagnostic thresholds. Digital media engagement may be relevant, yet most studies rely on aggregate screen time and rarely separate patterns of use from addiction-like features. This study tested whether screen use profiles and social media addiction risk were associated with binge eating symptom indicators in a large longitudinal cohort.</div></div><div><h3>Methods</h3><div>Data were drawn from the Adolescent Brain Cognitive Development (ABCD) Study at Time 3 (T3; <em>n</em> = 10,465; ages 10–13 years) and Time 5 (T5; <em>n</em> = 9257; ages 12–16 years). Latent profile analysis of six screen modalities derived screen use profiles. Social media addiction risk was classified using the Social Media Addiction Questionnaire. Four binge eating symptom indicators were assessed at each wave using item-level data from the Kiddie Schedule for Affective Disorders and Schizophrenia. Binomial logistic regression models tested associations, adjusting for sex, family conflict, and school environment.</div></div><div><h3>Results</h3><div>Two profiles were supported: High Screen Usage (44.5%) and Low Screen Usage (55.5%). At T3, High Screen Usage and higher social media addiction risk were each associated with higher odds of all symptom indicators after adjustment. At T5, High Screen Usage remained associated with binge-related distress, binge eating behaviour, and recurrent binge eating, while social media addiction risk differentiated all four symptoms. Family conflict showed the strongest associations, whereas a more positive school environment was associated with lower odds of symptoms.</div></div><div><h3>Conclusions</h3><div>Higher overall screen engagement and addiction-like social media use were independently associated with binge eating symptoms across early to mid-adolescence. Social media addiction risk showed more consistent symptom differentiation than screen use profiles, suggesting engagement quality may be more clinically informative than duration.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152694"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brief intensive CBT for adolescents with obsessive-compulsive disorder: A 5-day add-on program","authors":"Leonie Spring ,&nbsp;Juliane Ball ,&nbsp;Lukasz Smigielski ,&nbsp;Susanne Walitza ,&nbsp;Veronika Mailänder","doi":"10.1016/j.comppsych.2026.152681","DOIUrl":"10.1016/j.comppsych.2026.152681","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152681"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy and acceptability of intervenions for paediatric obsessive-compulsive disorder: Preliminary findings from a network meta-analysis","authors":"Damir Krinitski ,&nbsp;Susanne Walitza ,&nbsp;Nadine Kirchen ,&nbsp;Lukasz Smigielski","doi":"10.1016/j.comppsych.2026.152683","DOIUrl":"10.1016/j.comppsych.2026.152683","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152683"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to ‘Substance use behaviours among sexual and gender minorities with a history of adverse childhood experiences: a systematic review and narrative-synthesis’. [Comprehensive Psychiatry 146 (2026) 152669]","authors":"Eleanor J. Ong ,&nbsp;Kuhanesan N.C. Naidu ,&nbsp;Mervin Tee ,&nbsp;Rayner Kay Jin Tan ,&nbsp;Natasha Howard","doi":"10.1016/j.comppsych.2026.152693","DOIUrl":"10.1016/j.comppsych.2026.152693","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152693"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of the menstrual cycle on obsessive-compulsive and related disorders: A scoping review","authors":"Juliette S. Mojgani ,&nbsp;Anna M. Rzepka ,&nbsp;Yejin Kang ,&nbsp;Hashim Al-Bya ,&nbsp;Beth Patterson ,&nbsp;Michael Van Ameringen","doi":"10.1016/j.comppsych.2026.152696","DOIUrl":"10.1016/j.comppsych.2026.152696","url":null,"abstract":"<div><h3>Introduction</h3><div>Anecdotal evidence suggests that the menstrual cycle influences symptoms of Obsessive-Compulsive and Related Disorders (OCRD), although scientific literature investigating this effect is scarce. The premenstrual phase has been associated with the exacerbation of certain psychiatric conditions, with some reports showing premenstrual worsening of OCD. This scoping review aimed to systematically synthesize the evidence on the effect of the menstrual cycle on OCRD symptoms.</div></div><div><h3>Methods</h3><div>Systematic searches were conducted on MEDLINE, EMBASE, APA PsycINFO, Cochrane Database of Systematic Reviews, and Web of Science for peer-reviewed studies investigating the menstrual cycle and OCRD. Data examining study methodology, participant demographics, OCRD symptoms, and menstrual cycles were extracted and analyzed.</div></div><div><h3>Results</h3><div>The systematic search identified 12 studies, where ten studies examined OCD symptoms across the menstrual cycle, one examined trichotillomania, and one examined both OCD and trichotillomania. Eight retrospective cross-sectional studies, one longitudinal study were included. Three case reports were identified but not included in the results. Symptom fluctuations were predominantly assessed through self-reports, except for the longitudinal study, which used the Yale-Brown Obsessive Compulsive Scale. In all the studies participants reported worsening OCRD symptoms during the premenstrual phase.</div></div><div><h3>Conclusion</h3><div>Preliminary research suggests OCRD symptoms fluctuate across the menstrual cycle, with premenstrual worsening of OCRD being reported in all studies. Significant gaps exist in the literature emphasizing the need for longitudinal study designs and reliable instruments to improve reliability and clarify the potential relationship between female sex hormones and OCD symptoms.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152696"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insight, resistance, and control: Associations among CY-BOCS dimensions in pediatric obsessive-compulsive disorder with implications for treatment resistance","authors":"Madeline A. Morton ,&nbsp;Daniel A. Geller","doi":"10.1016/j.comppsych.2026.152679","DOIUrl":"10.1016/j.comppsych.2026.152679","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152679"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive inflexibility adversely affects adherence to psychotherapy in individuals with obsessive-compulsive & related disorders and eating disorders","authors":"Shaunak Deshpande ,&nbsp;Keith Sullivan ,&nbsp;Naomi A. Fineberg","doi":"10.1016/j.comppsych.2026.152682","DOIUrl":"10.1016/j.comppsych.2026.152682","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"147 ","pages":"Article 152682"},"PeriodicalIF":4.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147756259","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}