Comprehensive psychiatry最新文献

{"title":"Resilient coping during the Russian-Ukrainian war: Does it buffer the effects of cumulative trauma on ICD-11 posttraumatic stress disorder symptoms?","authors":"Annett Lotzin ,&nbsp;Olha Morozova-Larina ,&nbsp;Antje Paetow ,&nbsp;Lisa Schratz ,&nbsp;Vladyslava Keller ,&nbsp;Illia Zarubin ,&nbsp;Liudmyla Krupelnytska","doi":"10.1016/j.comppsych.2025.152592","DOIUrl":"10.1016/j.comppsych.2025.152592","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with higher resilient coping may manage war-related trauma better than individuals with lower resilient coping. If so, resilient coping may weaken the relationship between war trauma and posttraumatic stress disorders.</div></div><div><h3>Objective</h3><div>This study aimed to investigate the role of resilient coping in moderating the associations between cumulative war trauma exposure and ICD-11 posttraumatic stress disorders during war.</div></div><div><h3>Methods</h3><div>This cross-sectional study included <em>N</em> = 851 Ukrainian students living in the Ukraine between December 2022 and January 2023 during the Russian-Ukrainian war. We tested a model in which resilient coping was specified as a moderator of the effect of war-related cumulative trauma exposure (Harvard Trauma Questionnaire-R) on ICD-11 posttraumatic stress disorder (PTSD), and disturbances in self-organization (DSO) symptom levels (International Trauma Questionnaire-R), respectively. We used Structural Equation Modeling and controlled our analysis for previous trauma exposure, gender, years of study, and level of income.</div></div><div><h3>Results</h3><div>In contrast to our hypothesis, the level of resilient coping did not moderate the effect of cumulative war trauma exposure on PTSD and DSO symptom levels. Instead, we found a strong direct effect of the level of resilient coping on PTSD and DSO symptom levels.</div></div><div><h3>Conclusions</h3><div>Resilient coping may directly affect the level of PTSD and DSO symptoms but may not weaken the association between trauma exposure and posttraumatic stress disorders during war.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"140 ","pages":"Article 152592"},"PeriodicalIF":4.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815603","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":"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":"2025-03-13","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":"Contingency-based flexibility mechanisms through a reinforcement learning model in adults with attention-deficit/hyperactivity disorder and obsessive-compulsive disorder","authors":"Rocío Rodríguez-Herrera ,&nbsp;José Juan León ,&nbsp;Pilar Fernández-Martín ,&nbsp;Ana Sánchez-Kuhn ,&nbsp;Miguel Soto-Ontoso ,&nbsp;Laura Amaya-Pascasio ,&nbsp;Patricia Martínez-Sánchez ,&nbsp;Pilar Flores","doi":"10.1016/j.comppsych.2025.152589","DOIUrl":"10.1016/j.comppsych.2025.152589","url":null,"abstract":"<div><h3>Background and aims</h3><div>Impaired cognitive flexibility is associated with the characteristic symptomatology of ADHD and OCD. However, the mechanisms underlying learning and flexibility under uncertainty in adults with OCD or ADHD remain unclear. This study aimed to identify the mechanisms underlying contingency-based flexibility in a sample of adults with ADHD or OCD, using probabilistic learning reversal task, functional near-infrared spectroscopy, and computational modelling.</div></div><div><h3>Methods</h3><div>148 Spanish-speaking adults (43 OCD, 53 ADHD and 52 healthy controls) completed a probabilistic learning reversal task. Previously, we obtained a resting-state functional connectivity (rsFC) record between several frontoparietal network regions using functional near-infrared spectroscopy. Contingency-based flexibility was explored by reinforcement learning model in combination with a Bayesian Generalized Logistic Model (GLM). The reinforcement learning parameters included reward and punishment learning rates (feedback sensitivity), and inverse temperature (decision consistency). Bayesian GLM parameters were defined to measure final accuracy, learning and speed of learning.</div></div><div><h3>Results</h3><div>We found that the groups showed optimal performance in the discrimination block and a higher performance of healthy controls compared to patients in the reversal block. Model parameters predicted task performance differently by phase and group. In the discrimination block, while the performance of healthy controls was predicted by a combination of parameters such as high inverse temperature and punishment learning rate together with low values of reward learning rate, in the case of the clinical groups it was only by high inverse temperature. In the reversal block, the performance of OCD was predicted by high punishment learning rate and that of ADHD by low reward learning rate; in contrast, the performance of healthy controls was also predicted by a combination of parameters with high punishment learning rate and inverse temperature as predictors. We found the rsFC between the left and right posterior parietal cortex appears to credibly predict performance in the discrimination block in healthy controls.</div></div><div><h3>Conclusions</h3><div>These results suggest that OCD and ADHD in adults could be associated with poor behavioral adaptation when reinforcement-punishment contingencies changed. The difficulties observed in ADHD and OCD likely stem from different underlying mechanisms that affect both learning and switching processes. Findings highlighted how OCD appears to show greater sensitivity to punishment when there is uncertainty about the behavior-outcome association. Instead, the ADHD group can be guided by sensitivity to reinforcement. Interhemispheric rsFC posterior parietal cortex could be important for optimal learning of the task.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152589"},"PeriodicalIF":4.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669314","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":"Parent-child mental health in Ukraine in relation to war trauma and drone attacks","authors":"Amna Naeem ,&nbsp;Iftikhar Sikder ,&nbsp;Shanshan Wang ,&nbsp;Emily S. Barrett ,&nbsp;Nancy Fiedler ,&nbsp;Miraj Ahmad ,&nbsp;Uyen-Sa D.T. Nguyen ,&nbsp;Dmytro Martsenkovskyi ,&nbsp;Irina Holovanova ,&nbsp;Madelyn Hsiao-Rei Hicks ,&nbsp;Ubydul Haque","doi":"10.1016/j.comppsych.2025.152590","DOIUrl":"10.1016/j.comppsych.2025.152590","url":null,"abstract":"<div><h3>Background</h3><div>We aimed to address the knowledge gap regarding mental health in Ukrainian children and parents one year after Russia's 2022 full-scale invasion including associations with exposure to drone attacks.</div></div><div><h3>Methods</h3><div>A cross-sectional, quota-sampled survey was conducted among parents of children aged 3–17 in Ukraine one year after the invasion (<em>n</em> = 858). Participants completed self-reported screening measures of the Pediatric Symptom Checklist-17, Child and Adolescent Trauma Screen–Caregiver, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, the International Trauma Questionnaire, and the University of California, Los Angeles (UCLA) 3-Item Loneliness Scale. We analyzed scores in relation to drone attack exposure using logistic regression.</div></div><div><h3>Findings</h3><div>Many children aged 3–6 years had scores suggestive of ADHD (24.2 %), conduct disorder (20.5 %), and anxiety/mood disorder (12.1 %). Results were similar among children aged 7–17 (anxiety/mood disorder: 24.1 %, conduct disorder: 14.5 %, and ADHD: 14 %). Of the 45.0 % of children aged 3–6 and 57.0 % aged 7–17 exposed to post-invasion trauma, 21.8 % and 17.6 % had clinically relevant levels of PTSD symptoms, respectively. Parental symptoms met screening criteria for depressive disorder in 46.7 % and for anxiety disorder in 24.2 %. All parents reported post-invasion trauma, with 24.5 % screening positive for PTSD. Child mental health disorder odds increased with parental PTSD (OR 1.85, 95 %CI 1.29–2.72) and symptoms meeting screening criteria for depressive disorder (OR 1.99, 95 %CI 1.15–2.56). The odds of children aged 7–17 having clinically relevant levels of PTSD symptoms increased with parental symptoms screening positive for depressive disorder (OR 6.0, 95 %CI 2.0–18.3), anxiety disorder (OR 3.48, 95 %CI 1.76–6.8), and PTSD (OR 3.23, 95 % 1.67–6.2). Parents had a higher prevalence of screening positive for PTSD in high-intensity drone attack regions (28.9 %) than low- and moderate-intensity regions (25.0 % and 20.5 %, respectively, <em>p</em> = 0.04).</div></div><div><h3>Interpretation</h3><div>The high prevalence of children and parents in Ukraine with symptoms screening positive for mental disorders indicates an urgent need for services for school-age children and parents in this war-affected region. High-intensity drone attacks increase the risk of parents screening positive for PTSD.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152590"},"PeriodicalIF":4.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629190","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":"Translation and validation of the Portuguese version of the internet severity and activities addiction questionnaire (ISAAQ-10) towards the identification of problematic social media use: A population study","authors":"Artemisa R. Dores ,&nbsp;Cátia Antunes ,&nbsp;Andreia Geraldo ,&nbsp;Irene P. Carvalho ,&nbsp;António Marques ,&nbsp;Ilídio Pereira ,&nbsp;Samuel R. Chamberlain ,&nbsp;Christine Lochner ,&nbsp;Konstantinos Ioannidis","doi":"10.1016/j.comppsych.2025.152585","DOIUrl":"10.1016/j.comppsych.2025.152585","url":null,"abstract":"<div><h3>Background</h3><div>Problematic usage of the internet (PUI) refers to a pattern of internet use that results in negative consequences in an individual's life. It encompasses a broad spectrum of activities, which require assessment in terms of both severity and diversity, for a comprehensive understanding. This study aimed to translate the Internet Severity and Activities Questionnaire (ISAAQ-10) into Portuguese, to analyze its psychometric properties and to explore the validity of the ISAAQ-10 social networking use activity score towards identifying problematic social media use.</div></div><div><h3>Methods</h3><div>A snowball sampling method was used, with participants completing an online survey comprising sociodemographic questions and the Portuguese versions of the ISAAQ-10, Internet Addiction Test-10 (IAT-10), Internet Gaming Disorder Scale–Short-Form (IGDS9-SF), and Bergen Social Media Addiction Scale (BSMAS). The psychometric analysis included internal reliability testing using Cronbach's <em>alphas</em> and test-retest reliability, a confirmatory factor analysis (CFA), and convergent validity testing between the ISAAQ-10 and IAT-10. The concurrent validity of the ISAAQ-10 was also examined.</div></div><div><h3>Results</h3><div>A total of 590 young adults (85.1 % female), aged between 18 and 35 years, participated in this study. The ISAAQ-10 presented good internal consistency (<em>α</em> = 0.93), with a test-retest correlation of <em>r = 0</em>.865; 95 % CI: 0.669–0.939. and a unidimensional structure that explained 48.3 % of the total variance. The convergent validity of the ISAAQ-10's total score was established through a high Pearson's correlation (<em>r</em> = 0.574; <em>p</em> ≤ .001) with the IAT-10's total score. Pearson's correlations between the ISAAQ-10 gaming activity score and the IGDS9-SF (<em>r</em> = 0.873; <em>p</em> &lt; .001), and between the ISAAQ-10 social networking use activity score and the BSMAS (<em>r</em> = 0.670; <em>p</em> &lt; .001), respectively, supported the instrument's concurrent validity.</div></div><div><h3>Conclusion</h3><div>This work provides support for the Portuguese translation of the ISAAQ-10, which can be employed to identify the severity of problematic usage of the internet in a population sample. It also provides the first validation of the ISAAQ-10 social networking use activity score, which can be employed to identify problematic social media use within a predominately female university student sample. This study further establishes the ISAAQ-10 as a valid and reliable tool for population studies and, specifically, for the identification of problematic social media use.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152585"},"PeriodicalIF":4.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601236","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":"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":"2025-02-24","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":"Adverse childhood experiences and problematic use of the internet among a child and adolescent psychiatric clinical population.","authors":"Kornelius Winds ,&nbsp;Belinda Plattner ,&nbsp;Bernhard Salcher ,&nbsp;Patrick Benjamin Langthaler ,&nbsp;Gabriele Kohlböck ,&nbsp;Martin Fuchs ,&nbsp;Pauline Schaffer ,&nbsp;Lucas Johannes Rainer","doi":"10.1016/j.comppsych.2025.152586","DOIUrl":"10.1016/j.comppsych.2025.152586","url":null,"abstract":"<div><h3>Background</h3><div>Internet use, specifically problematic use of the internet (PUI), needs to be considered in child and adolescent psychiatric (CAP) settings. Besides psychological symptomatology, childhood trauma (intrafamilial abuse and neglect) has been associated with PUI. The impact of various adverse childhood experiences (ACEs) on PUI, particularly in CAP populations, is understudied.</div></div><div><h3>Objective</h3><div>This study aimed to investigate associations between PUI and various ACEs in a CAP population, considering gender differences and psychological symptomatology.</div></div><div><h3>Methods and materials</h3><div>104 adolescents (69 girls) were included, aged 14–17 years, undergoing inpatient CAP treatment, between August 2018 and March 2020. Participants completed the Interview for the Assessment of Internet and Computer Game Addiction (AICA), the Youth Self-Report (YSR), and the Multidimensional Clinical Screening Inventory (MCSI). Statistical analyses examined associations between PUI and ACEs, after controlling for age, gender, and psychological symptomatology.</div></div><div><h3>Results</h3><div>Extrafamilial emotional abuse was significantly associated with higher AICA scores and likelihood of PUI. Extrafamilial separation and loss was associated with a significant decrease in the internet use and to the likelihood of PUI. Suicide of a mother significantly increased the odds of moderate to severe PUI. School absenteeism and alcohol abuse were associated with higher AICA scores irrespective of age and gender, though these associations diminished when controlling for psychological symptomatology.</div></div><div><h3>Conclusions</h3><div>Extrafamilial emotional abuse, particularly social receptive environments and relationships, play a significant role in developing PUI among CAP populations. The complex interplay of emotional trauma, family dynamics, peer relationships and individual behaviors regarding PUI should be addressed in CAP interventions.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152586"},"PeriodicalIF":4.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510409","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":"Implementing the ‘Integrated Model for Supervision’ for mental health and psychosocial support programming within humanitarian emergencies: A mixed-methods evaluation across six humanitarian contexts","authors":"Meg Ryan ,&nbsp;Charles Zemp ,&nbsp;Nadeen Abujaber ,&nbsp;Marie Sonnenstuhl ,&nbsp;Ahmad Alshibi ,&nbsp;Pia Tingsted Blum ,&nbsp;Ahlem Cheffi ,&nbsp;Robert Fox ,&nbsp;Sandra Githaiga ,&nbsp;Hannah Green ,&nbsp;Md. Saidul Islam ,&nbsp;Salam Jabbour ,&nbsp;Sabiha Jahan ,&nbsp;Cátia Sofia Peres de Matos ,&nbsp;Bhanu Pratap Maurya ,&nbsp;Kelly A. McBride ,&nbsp;Louise Marie Thorlund Nielsen ,&nbsp;Nick Ockenden ,&nbsp;Nathalie Helena Rigall ,&nbsp;Shona Whitton ,&nbsp;Frédérique Vallières","doi":"10.1016/j.comppsych.2025.152584","DOIUrl":"10.1016/j.comppsych.2025.152584","url":null,"abstract":"<div><h3>Background</h3><div>The ‘Integrated Model for Supervision’ (IMS) offers important guidance for <em>how</em> to provide supportive supervision within mental health and psychosocial support (MHPSS) programming in humanitarian emergencies. The current study sought to (i) describe <em>how</em> the IMS was implemented following IMS training; (ii) assess whether delivery of the IMS training is associated with changes in a selection of theoretically supported quantitative outcomes; and (iii) elicit feedback on the IMS and its implementation process.</div></div><div><h3>Methods</h3><div>Data was collected from a participant pool of <em>n</em> = 119 individuals from six different humanitarian organisations that had previously participated in an IMS training. For the first and third objectives, interviews at 6- and 12-months post-training were conducted and thematically analysed. For the second objective, timepoint comparison analytical techniques were used across five distinct timepoints.</div></div><div><h3>Results</h3><div>Quantitative findings showed significant increases in participant self-efficacy, supervision knowledge, and supervision confidence, alongside some evidence of reductions in participant burnout. Qualitatively, participants underscored the IMS's efficacy in creating supportive supervision structures within their organisations, identified barriers and facilitators to implementation and proposed strategies for sustainability. Additionally, they highlighted positive impacts of implementing the IMS on staff, organisational culture, and service quality.</div></div><div><h3>Discussion/conclusion</h3><div>This study supports the effectiveness and acceptability of the IMS in enhancing the capacity of organisations to provide supportive supervision in humanitarian contexts, as key to promote the wellbeing of humanitarian MHPSS workers and the quality of the services they deliver. Challenges remain, however, to ensure sustainable implementation of the IMS, which guide ongoing efforts towards its improvement.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152584"},"PeriodicalIF":4.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593106","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":"Developing families-forward innovations in public safety personnel organizations","authors":"Rachel Richmond ,&nbsp;Rosemary Ricciardelli ,&nbsp;Joy MacDermid ,&nbsp;Heidi Cramm","doi":"10.1016/j.comppsych.2025.152581","DOIUrl":"10.1016/j.comppsych.2025.152581","url":null,"abstract":"<div><h3>Introduction</h3><div>Public safety personnel (PSP) experience stressors which may affect their mental health, occupational responsibilities, performance on duty, and their families. In the current article, we explore the development and implementation of family-forward initiatives within public safety organizations. In reflecting on public safety implementation leaders' experiences of developing and implementing family-forward innovations, we aim to understand the crucial constructs involved in developing and implementing effective innovations.</div></div><div><h3>Methods</h3><div>Fifteen public safety leaders with previous experience implementing a family-forward initiative, from four public safety sectors, participated in semi-structured interviews about their experiences with implementing family-forward initiatives to reveal the conditions under which these initiatives were conducted among different public safety contexts. We mapped the interview data onto the Consolidated Framework of Implementation Research (CFIR), and present the relevant constructs needed to be considered for future initiatives.</div></div><div><h3>Results</h3><div>Participants identified four types of family-forward innovations implemented across four public safety sectors: i) community building, ii) social norming, iii) building awareness and skills, and iv) communication channels. Leadership, resources, and a climate of readiness were instrumental in the implementation of family-forward initiatives.</div></div><div><h3>Conclusion</h3><div>Knowledge of these implementation constructs can be used to improve and adapt family-forward initiatives for the future as well as for development and implementation of initiatives for other public safety sectors.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"138 ","pages":"Article 152581"},"PeriodicalIF":4.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388111","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":"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}