Comprehensive psychiatry最新文献

{"title":"Mapping the pathway to anabolic-androgenic steroids (AAS) use","authors":"Nora M. Laskowski ,&nbsp;Christopher Zaiser ,&nbsp;Roland Müller ,&nbsp;Gerrit Brandt ,&nbsp;Georgios Paslakis","doi":"10.1016/j.comppsych.2025.152602","DOIUrl":"10.1016/j.comppsych.2025.152602","url":null,"abstract":"<div><div>This short communication introduces a model for the use of anabolic-androgenic steroids (AAS), with body dissatisfaction as the central factor, shaped by sociocultural, psychological, and behavioral influences. Media-driven body ideals, gender, and sexual orientation may significantly influence body image, while low self-esteem and certain personality traits also contribute to dissatisfaction. Disordered eating behaviors (DEB) and intense physical exercise act as indirect contributors, particularly in fitness communities, where “conventional” body modification methods (i.e., exercise and diet) may fail to meet internalized ideals.</div><div>The model highlights a vicious cycle: body dissatisfaction drives AAS use, which, in turn, worsens dissatisfaction. Social media amplify this cycle by promoting unrealistic standards, while marginalized groups, including LGBTQI+ populations, face additional pressures to conform to heteronormative beauty norms. The overlap between body dissatisfaction, DEB, and intense physical exercise underscores the need for nuanced research to disentangle these inferences.</div><div>The model predominantly reflects Western body ideals, limiting its applicability across cultures. Addressing body dissatisfaction through early interventions targeting both societal standards and individual vulnerabilities is critical. Also, approaches accounting for aspects of sex and gender diversity are essential to promote body acceptance and reduce the risk of AAS use and DEB.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"141 ","pages":"Article 152602"},"PeriodicalIF":4.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071475","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 “Neural mechanism of non-adaptive cognitive emotion regulation in patients with non-suicidal self-injury” [Comprehensive Psychiatry Volume 133 (2024) 152487]","authors":"Nan Lang ,&nbsp;Sichu Wu ,&nbsp;Yuan Zhong ,&nbsp;Wenkun Lei ,&nbsp;Yiwen Xiao ,&nbsp;Yaming Hang ,&nbsp;Ya Xie ,&nbsp;Zhangwei Lv ,&nbsp;Yumin Zhang ,&nbsp;Xinyao Liu ,&nbsp;Minlu Liang ,&nbsp;Congjie Zhang ,&nbsp;Pei Zhang ,&nbsp;Hua Yang ,&nbsp;Yun Wu ,&nbsp;Qiuyu Wang ,&nbsp;Kun Yang ,&nbsp;Jing Long ,&nbsp;Yuan Liu ,&nbsp;Suhong Wang ,&nbsp;Chun Wang","doi":"10.1016/j.comppsych.2025.152601","DOIUrl":"10.1016/j.comppsych.2025.152601","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"142 ","pages":"Article 152601"},"PeriodicalIF":4.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076553","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 LEADING guideline: Reporting standards for expert panel, best-estimate diagnosis, and longitudinal expert all data (LEAD) methods","authors":"Veerle C. Eijsbroek ,&nbsp;Katarina Kjell ,&nbsp;H. Andrew Schwartz ,&nbsp;Jan R. Boehnke ,&nbsp;Eiko I. Fried ,&nbsp;Daniel N. Klein ,&nbsp;Peik Gustafsson ,&nbsp;Isabelle Augenstein ,&nbsp;Patrick M.M. Bossuyt ,&nbsp;Oscar N.E. Kjell","doi":"10.1016/j.comppsych.2025.152603","DOIUrl":"10.1016/j.comppsych.2025.152603","url":null,"abstract":"<div><div>Accurate assessments of symptoms and illnesses are essential for health research and clinical practice but face many challenges. The absence of a single error-free measure is currently addressed by assessment methods involving experts reviewing several sources of information to achieve a <em>best-estimate assessment</em>. This assessment method is called the <em>Expert Panel</em> method in medicine, and the <em>Best-Estimate Diagnosis</em> or <em>Longitudinal Expert All Data</em> (LEAD) method in psychiatry and psychology. However, due to poor reporting of the assessment methods, the quality of pro-claimed best-estimate assessments is typically difficult to evaluate, and when the method is reported, the reporting quality varies substantially. To tackle this gap, we have developed a reporting guideline following a four-stage approach: 1) drafting reporting standards accompanied by empirical evidence, which were further developed with a patient organization for depression, 2) incorporating expert feedback through a two-round Delphi procedure, 3) refining the guideline based on an expert consensus meeting, and 4) testing the guideline by i) having researchers test it and ii) applying it to previously published studies. The last step also provides evidence for the need for the guideline: 10–63 % (Mean 33 %) of the standards were not reported across thirty randomly selected published studies. The result is the LEADING guideline comprising 20 reporting standards in four groups: the <em>Longitudinal design</em>, the <em>Appropriate data</em>, the <em>Evaluation – experts, materials and procedures</em>, and the <em>Validity</em> group. We hope that the LEADING guideline will assist researchers in planning, conducting, reporting, and evaluating research aiming to achieve best-estimate assessments.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"141 ","pages":"Article 152603"},"PeriodicalIF":4.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213296","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":"A comparative evaluation of 23 projects on mental health and wellbeing for veterans and first responders","authors":"S. Lukersmith ,&nbsp;C. Woods ,&nbsp;L. Salvador-Carulla ,&nbsp;T. Niyonsenga ,&nbsp;I. Mohanty ,&nbsp;M.R. Gutierrez-Colosia ,&nbsp;D. Diaz-Milanes ,&nbsp;C.R. Garcia-Alonso ,&nbsp;C.J. Büsst","doi":"10.1016/j.comppsych.2025.152599","DOIUrl":"10.1016/j.comppsych.2025.152599","url":null,"abstract":"<div><h3>Background</h3><div>Veterans and First Responders (VFR) are at risk of developing a range of mental health disorders because of cumulative exposure to critical incidents at work. Two Philanthropic organisations funded 15 organisations, which collectively implemented 23 highly heterogeneous and international early intervention mental ill-health and suicide prevention Projects. The aim was identify and collaborate with Projects with a multi-project evaluation. The evaluation examined multiple domains including intervention effectiveness but critically the implementation processes impacts for potential replication or scale up. This paper reports on the methods and evaluation results of implementation processes, impact analysis and sustainability.</div></div><div><h3>Method</h3><div>The evaluation involved ecosystems and complex systems approaches using novel methods and tools. There was multiple preparatory evaluation steps including developing indices for complexity and context. The Global Impact Analytics Framework (GIAF) toolkit was used to evaluate the implementation processes. Methodological tools included qualitative analysis, descriptive statistics, GIAF ladders/scales and checklists (qualitative and quantitative data).</div></div><div><h3>Results</h3><div>We provide the results on characteristics (organisational, Project and participants), GIAF process components (planning, pre-engagement, pre-readiness/readiness, dissemination/diffusion, usability/sustainability, adoption and uptake). All Project interventions were assessed as usable, adoptable and have capacity to be sustained, with financial resources. Uptake of the intervention was mostly high.</div></div><div><h3>Conclusion</h3><div>Complex multi-project evaluation of highly heterogenous Projects implemented in the real world across different countries is possible and provides valuable information and learnings. The evaluation results establish benchmarks including Project pre-engagement with potential end-users, continuous, frequent collaboration between Project and evaluation teams, adequate contract duration for sufficient recruitment and intervention.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"141 ","pages":"Article 152599"},"PeriodicalIF":4.3,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928331","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":"Obsessive-compulsive spectrum disorders and the menstrual cycle: 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.2024.152554","DOIUrl":"10.1016/j.comppsych.2024.152554","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152554"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885956","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":"Immuno-moodulin (Imood) and its potential role in OCD","authors":"Fulvio D'Acquisto","doi":"10.1016/j.comppsych.2024.152550","DOIUrl":"10.1016/j.comppsych.2024.152550","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152550"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of dimension-specific stressful life events with obsessive-compulsive disorder compared to social anxiety disorder","authors":"V. Hühne ,&nbsp;S. dos Santos-Ribeiro ,&nbsp;M.E. Moreira-de-Oliveira ,&nbsp;L.D. Laurito ,&nbsp;C.P. Loureiro ,&nbsp;G.B. de Menezes ,&nbsp;L.F. Fontenelle","doi":"10.1016/j.comppsych.2024.152558","DOIUrl":"10.1016/j.comppsych.2024.152558","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152558"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Augmentative transcranial magnetic stimulation over the left orbitofrontal cortex in patients with treatment-resistant obsessive-compulsive disorder: An acute and follow-up study","authors":"Kevin La Monica ,&nbsp;Matteo Vismara ,&nbsp;Sara Torriero ,&nbsp;Beatrice Benatti ,&nbsp;Luca Larini ,&nbsp;Chiara Bucca ,&nbsp;Nicolaja Girone ,&nbsp;Monica Bosi ,&nbsp;Bernardo Dell'Osso","doi":"10.1016/j.comppsych.2024.152559","DOIUrl":"10.1016/j.comppsych.2024.152559","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152559"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143885553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Olfactory reference syndrome: A nosological conundrum?","authors":"Kayleigh Beukes ,&nbsp;Dan J. Stein ,&nbsp;Christine Lochner","doi":"10.1016/j.comppsych.2024.152555","DOIUrl":"10.1016/j.comppsych.2024.152555","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with olfactory reference syndrome (ORS) erroneously believe that they have unpleasant body odour or halitosis, often leading to compulsive washing or toothbrushing, self-consciousness, and social withdrawal [<span><span>3</span></span>], symptoms shared with obsessive-compulsive disorder (OCD) and social anxiety disorder (SAD) [<span><span>1</span></span>,<span><span>2</span></span>,<span><span>4</span></span>], respectively. ORS is classified as an ORCD, but the literature on comorbidity of ORS with OCD and SAD is sparse. We therefore examined ORS's prevalence in people with OCD and/or SAD.</div></div><div><h3>Methods</h3><div>In a South African clinical sample (<em>n</em> = 371; male = 164 [44.2 %], female = 207 [55.8 %], mean age: 32.3 [SD: 11.5 years]), ages ranging between 14 and 64 years), rates of ORS in people with primary OCD without SAD (OCD-SAD; <em>n</em> = 211) were compared using a chi square test with those with primary SAD without OCD (SAD-OCD; <em>n</em> = 118), and those with both OCD and SAD (OCD + SAD; <em>n</em> = 42). The study was formally approved by the research ethics committee of Stellenbosch University (reference number: 99/013). All participants provided written informed consent prior to participation in the study.</div></div><div><h3>Results</h3><div>In the combined dataset, ORS rates were low (<em>n</em> = 6/371; 1.6 %). There were significantly higher rates of comorbid ORS in the SAD-OCD group (<em>n</em> = 5/118; 4.2 %) compared to the OCD-SAD patients (<em>n</em> = 0/211; <em>p</em> = .005) and OCD + SAD (<em>n</em> = 1/42; 2.4 %; <em>p</em> = .022), with no significant difference between OCD-SAD and OCD + SAD (<em>p</em> = .677).</div></div><div><h3>Conclusion</h3><div>Our findings suggest a stronger link between ORS and SAD than between ORS and OCD, which may have nosological implications. Further research on the psychobiology and management of ORS may be useful in determining whether it is more closely related to SAD or to OCD.</div></div><div><h3>Funding</h3><div>This work has not been funded specifically. The authors are supported by the <span>South African Medical Research Council</span>.</div></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152555"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do patients and clinicians agree on the essential features of OCD?","authors":"Maria E. Moreira-de-Oliveira,&nbsp;Gabriela B. de Menezes,&nbsp;Leonardo F. Fontenelle","doi":"10.1016/j.comppsych.2024.152557","DOIUrl":"10.1016/j.comppsych.2024.152557","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"139 ","pages":"Article 152557"},"PeriodicalIF":4.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887146","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}