Comprehensive psychiatry最新文献

{"title":"A national survey of pandemic fear and cyberchondria after ending zero-COVID policy: The chain mediating role of alexithymia and psychological distress","authors":"Jinbo Fang ,&nbsp;Changjian Qiu ,&nbsp;Zeyuan Sun ,&nbsp;Jing Zhou ,&nbsp;Ping He ,&nbsp;Aldo Conti ,&nbsp;Yi Lu ,&nbsp;Xia Huang ,&nbsp;Jiuping Xu ,&nbsp;Wanjie Tang","doi":"10.1016/j.comppsych.2024.152505","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152505","url":null,"abstract":"<div><h3>Background</h3><p>More than half the domestic population in China were infected with COVID-19 in two months after ending “zero-infection policy”, which severely overwhelmed frontline healthcare providers with stress and fear. However, there is no study to date investigating the associations between nurses' fear of pandemic and cyberchondria. This study aimed to 1) investigate the correlations between fear pandemic and cyberchondria among frontline nurses, and 2) discover its potential mechanism.</p></div><div><h3>Methods</h3><p>A cross-sectional sample of frontline nurses (<em>N</em> = 8161) was recruited from 98 hospitals across China in February 2023. Participants were invited to complete an online, self-rated standardized questionnaire focused on pandemic fear, alexithymia, psychological distress, and cyberchondria. Environmental, clinical and socioeconomic information were collected for adjustment while conducting chain mediation analysis.</p></div><div><h3>Results</h3><p>When other covariates were controlled, it was found that fear of the pandemic significantly contributed to cyberchondria (<em>b</em> = 0.58, 95%CI [0.56, 0.60], <em>p</em> &lt; .001). The chain mediation model suggested that both alexithymia and psychological distress were mediating factors between pandemic fear and cyberchondria.</p></div><div><h3>Conclusions</h3><p>The higher the perceived fear, the greater the cyberchondria, which suggests that reducing fear about the pandemic and providing adequate support could reduce the incidence of cyberchondria. As alexithymia and psychological distress may be transdiagnostic mechanisms between fear and cyberchondria, targeted interventions focused on expression dysregulation and emotional identification could be useful.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152505"},"PeriodicalIF":7.3,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000567/pdfft?md5=007514b8092095047816c7bb299b2d48&pid=1-s2.0-S0010440X24000567-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141291864","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":"Relationships between trauma types and psychotic symptoms: A network analysis of patients with psychotic disorders in a large, multi-country study in East Africa","authors":"Anne Stevenson ,&nbsp;Supriya Misra ,&nbsp;Engida Girma ,&nbsp;Adela-Maria Isvoranu ,&nbsp;Dickens Akena ,&nbsp;Melkam Alemayehu ,&nbsp;Lukoye Atwoli ,&nbsp;Bizu Gelaye ,&nbsp;Stella Gichuru ,&nbsp;Symon M. Kariuki ,&nbsp;Edith Kamaru Kwobah ,&nbsp;Joseph Kyebuzibwa ,&nbsp;Rehema M. Mwema ,&nbsp;Carter P. Newman ,&nbsp;Charles R.J.C. Newton ,&nbsp;Linnet Ongeri ,&nbsp;Rocky E. Stroud II ,&nbsp;Solomon Teferra ,&nbsp;Karestan C. Koenen ,&nbsp;Soraya Seedat","doi":"10.1016/j.comppsych.2024.152504","DOIUrl":"10.1016/j.comppsych.2024.152504","url":null,"abstract":"<div><h3>Background</h3><p>The link between trauma exposure and psychotic disorders is well-established. Further, specific types of trauma may be associated with specific psychotic symptoms. Network analysis is an approach that can advance our understanding of the associations across trauma types and psychotic symptoms.</p></div><div><h3>Methods</h3><p>We conducted a network analysis with data from 16,628 adult participants (mean age [standard deviation] = 36.3 years [11.5]; 55.8% males) with psychotic disorders in East Africa recruited between 2018 and 2023. We used the Life Events Checklist and the Mini International Neuropsychiatric Interview to determine whether specific trauma types experienced over the life course and specific psychotic symptoms were connected. We used an Ising model to estimate the network connections and bridge centrality statistics to identify nodes that may influence trauma types and psychotic symptoms.</p></div><div><h3>Results</h3><p>The trauma type “exposure to a war zone” had the highest bridge strength, betweenness, and closeness. The psychotic symptom “odd or unusual beliefs” had the second highest bridge strength. Exposure to a war zone was directly connected to visual hallucinations, odd or unusual beliefs, passivity phenomena, and disorganized speech. Odd or unusual beliefs were directly connected to transportation accidents, physical assault, war, and witnessing sudden accidental death.</p></div><div><h3>Conclusion</h3><p>Specific trauma types and psychotic symptoms may interact bidirectionally. Screening for psychotic symptoms in patients with war-related trauma and evaluating lifetime trauma in patients with odd or unusual beliefs in clinical care may be considered points of intervention to limit stimulating additional psychotic symptoms and trauma exposure. This work reaffirms the importance of trauma-informed care for patients with psychotic disorders.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152504"},"PeriodicalIF":7.3,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000555/pdfft?md5=db4f2f5a924f512dcfb2412cfefb26d0&pid=1-s2.0-S0010440X24000555-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141320725","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 genetics of trichotillomania and excoriation disorder: A systematic review","authors":"Madison Reid ,&nbsp;Ashley Lin ,&nbsp;Luis C. Farhat ,&nbsp;Thomas V. Fernandez ,&nbsp;Emily Olfson","doi":"10.1016/j.comppsych.2024.152506","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152506","url":null,"abstract":"<div><h3>Background</h3><p>Trichotillomania (TTM) and excoriation disorder (ED) are impairing obsessive-compulsive related disorders that are common in the general population and for which there are no clear first-line medications, highlighting the need to better understand the underlying biology of these disorders to inform treatments. Given the importance of genetics in obsessive-compulsive disorder (OCD), evaluating genetic factors underlying TTM and ED may advance knowledge about the pathophysiology of these body-focused repetitive behaviors.</p></div><div><h3>Aim</h3><p>In this systematic review, we summarize the available evidence on the genetics of TTM and ED and highlight gaps in the field warranting further research.</p></div><div><h3>Method</h3><p>We systematically searched Embase, PsycInfo, PubMed, Medline, Scopus, and Web of Science for original studies in genetic epidemiology (family or twin studies) and molecular genetics (candidate gene and genome-wide) published up to June 2023.</p></div><div><h3>Results</h3><p>Of the 3536 records identified, 109 studies were included in this review. These studies indicated that genetic factors play an important role in the development of TTM and ED, some of which may be shared across the OCD spectrum, but there are no known high-confidence specific genetic risk factors for either TTM or ED.</p></div><div><h3>Conclusions</h3><p>Our review underscores the need for additional genome-wide research conducted on the genetics of TTM and ED, for instance, genome-wide association and whole-genome/whole-exome DNA sequencing studies. Recent advances in genomics have led to the discovery of risk genes in several psychiatric disorders, including related conditions such as OCD, but to date, TTM and ED have remained understudied.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152506"},"PeriodicalIF":7.3,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000579/pdfft?md5=532f2b718b9e3b92a43d24a408748944&pid=1-s2.0-S0010440X24000579-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141241726","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":"Physician homicide: Reports in the National Violent Death Reporting System (2003–2018)","authors":"Brooke E. Palmer ,&nbsp;Rachel D. Barnes ,&nbsp;Rebecca L. Freese ,&nbsp;Michael H. Kim ,&nbsp;William N. Robiner","doi":"10.1016/j.comppsych.2024.152503","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152503","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the occurrence, demographics, and circumstances of homicides of physicians.</p></div><div><h3>Method</h3><p>Authors interrogated the National Violent Death Reporting System (NVDRS), the Centers for Disease Control and Prevention's surveillance system tracking violent deaths between 2003 and 2018 which integrates data from law enforcement and coroner/medical examiner reports. Authors identified cases of homicide decedents whose profession was physician, surgeon, or psychiatrist. Data collected included decedents' demographics as well as circumstances of death.</p></div><div><h3>Results</h3><p>Data were provided by 7–41 states as participating states increased over time. Fifty-six homicides were reported, most were male (73.2%) and white (76.8%). Most (67.9%) identified assailants reportedly knew decedents: 23.2% were perpetrated by partners/ex-partners; 10.7% by patients/patients' family members. Deaths were mainly due to gunshot wounds (44.6%), stabbing (16.1%), and blunt force trauma (16.1%). More (58.9%) homicides occurred at victims' homes than work (16.1%).</p></div><div><h3>Conclusions</h3><p>Physician homicides are relatively rare and occur at lower rates than in the general population. Physicians were more frequently killed by partners or ex-partners than by patients. Most homicides occurred away from the workplace. Broader efforts are needed to promote interventions throughout America's violent society to reduce domestic/partner violence and gun violence.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152503"},"PeriodicalIF":7.3,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000543/pdfft?md5=b43de0a58f674becadb737dd4a22268f&pid=1-s2.0-S0010440X24000543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090942","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 clinical utility and relevance in clinical practice of DSM-5 specifiers for major depressive disorder: A Delphi expert consensus study","authors":"Andrea Fiorillo ,&nbsp;Umberto Albert ,&nbsp;Bernardo Dell'Osso ,&nbsp;Maurizio Pompili ,&nbsp;Gabriele Sani ,&nbsp;Gaia Sampogna","doi":"10.1016/j.comppsych.2024.152502","DOIUrl":"10.1016/j.comppsych.2024.152502","url":null,"abstract":"<div><p>Major depressive disorder (MDD) is a heterogeneous syndrome, associated with different levels of severity and impairment on the personal functioning for each patient. Classification systems in psychiatry, including ICD-11 and DSM-5, are used by clinicians in order to simplify the complexity of clinical manifestations. In particular, the DSM-5 introduced specifiers, subtypes, severity ratings, and cross-cutting symptom assessments allowing clinicians to better describe the specific clinical features of each patient. However, the use of DSM-5 specifiers for major depressive disorder in ordinary clinical practice is quite heterogeneous.</p><p>The present study, using a Delphi method, aims to evaluate the consensus of a representative group of expert psychiatrists on a series of statements regarding the clinical utility and relevance of DSM-5 specifiers for major depressive disorder in ordinary clinical practice. Experts reached an almost perfect agreement on statements related to the use and clinical utility of DSM-5 specifiers in ordinary clinical practice. In particular, a complete consensus was found regarding the clinical utility for ordinary clinical practice of using DSM-5 specifiers. The use of specifiers is considered a first step toward a “dimensional” approach to the diagnosis of mental disorders.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152502"},"PeriodicalIF":7.3,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000531/pdfft?md5=c623e5bda2de6cdabf8a3b93004cfb25&pid=1-s2.0-S0010440X24000531-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141132639","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":"Impact of psychopathology on day-to-day living in patients with schizophrenia: A network analysis","authors":"Mona Redlich Bossy ,&nbsp;Daniel R. Müller ,&nbsp;Daryl W. Niedermoser ,&nbsp;Achim Burrer ,&nbsp;Tobias R. Spiller ,&nbsp;Stefan Vetter ,&nbsp;Erich Seifritz ,&nbsp;Stephan T. Egger","doi":"10.1016/j.comppsych.2024.152501","DOIUrl":"10.1016/j.comppsych.2024.152501","url":null,"abstract":"<div><p>Although the relationship between schizophrenia and disability is well established, the association between the symptoms of the disorder and functional domains remains unclear. The current study explored the nuances of the relationship between symptoms and domains of functioning in a sample of 1127 patients with schizophrenia. We assessed the symptoms of schizophrenia with the Positive and Negative Syndrome Scale (PANSS) and psychosocial functioning with the mini-ICF-APP (mini-International Classification of Functioning Rating for Limitations of Activities and Participation in Psychological Disorders). The mean PANSS score was 94.28 (27.20), and the mean mini-ICF-APP score was 25.25 (8.96), both of which are indicative of severe symptom load and impairment. We were able to show a strong relationship and overlap between symptoms and disability in patients with schizophrenia. We identified several symptoms related to functional impairment. Deficits in judgment and abstract thinking contribute to impairment through poor adherence (to routines and compliance with rules) and difficulties in planning and organizing. We believe that in schizophrenia, symptoms and their interactions constitute a disorder beyond any single manifestation. Furthermore, we suggest that cognitive testing and cognitive treatment should become part of the standard of care for patients with schizophrenia.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152501"},"PeriodicalIF":7.3,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X2400052X/pdfft?md5=fe9c94278b4a8b603977ffb185a028bc&pid=1-s2.0-S0010440X2400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038620","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":"Identifying internalizing transdiagnostic profiles through motivational and cognitive control systems: Relations with symptoms, functionality, and quality of life","authors":"A. Verdejo-Garcia ,&nbsp;G. Rossi ,&nbsp;N. Albein-Urios ,&nbsp;O.M. Lozano ,&nbsp;C. Diaz-Batanero","doi":"10.1016/j.comppsych.2024.152498","DOIUrl":"10.1016/j.comppsych.2024.152498","url":null,"abstract":"<div><h3>Background</h3><p>The diversity of patients' symptomatology among people seeking treatment on community-based mental health services poses significant challenges to traditional models of care. Recent approaches favor identifying transdiagnostic factors that allow a better understanding of patient heterogeneity and designing more effective and quality interventions. This study examines the heterogeneity of patients with internalizing symptoms based on profiles identified with cognitive and motivational control variables. Differences between these profiles on dimensional measures of psychopathology and quality of life are examined.</p></div><div><h3>Methods</h3><p>263 patients were selected by non-probabilistic sampling procedures on mental health services in the province of Huelva (Spain). A latent class analysis on the standardized scale scores of The Behavioral Inhibition/Behavioral Activation System Scales and the Effortful Control Scale of the Adult Temperament Questionnaire Short-Form was conducted. Profiles were compared on the scores of the Inventory of Depression and Anxiety Symptoms-II, the WHO Disability Assessment Schedule II, and the Health Assessment Questionnaire SF-36.</p></div><div><h3>Results</h3><p>The four latent profile solution is the one that showed the best fit indicators and substantive interpretability, with a kappa of 0.94 in the cross-validation procedure with 75% of the sample. No sex differences were found between the profiles (χ₃² 5.17, <em>p</em> = .160). Profiles #1 and #3, both characterized by an imbalance between low activation and high inhibition, had lower well-being, lower functionality, and quality of life. When comparing profile #2 (featuring the highest inhibitory control) lower scores on most internalizing scales are observed, specially claustrophobia, social anxiety, panic mania. Profile #4 (low control, high activation, and high inhibition) showed greater scores on both mania and euphoria and lower scores on emotional role.</p></div><div><h3>Conclusions</h3><p>We identified four distinctive profiles that had overly increased behavioral inhibition (as expected in internalizing disorders) and differed in the degree of imbalance between inhibition and activation systems, and between motivational systems and top-down cognitive control. The profile characterized by high activation and reduced cognitive (inhibitory) control was the one showing greater mood-related symptoms and lower levels of quality of life. These profiles could be generated by treatment providers to guide clinical management in an evidence-based manner.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152498"},"PeriodicalIF":7.3,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X2400049X/pdfft?md5=d6efb5f0fca3e81fed887b7bb2701e9c&pid=1-s2.0-S0010440X2400049X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048023","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":"Going beyond video game consumption when considering Internet Gaming Disorder","authors":"Sezen Cekic ,&nbsp;Benoît Bediou ,&nbsp;Sophia Achab ,&nbsp;Michael Rich ,&nbsp;C. Shawn Green ,&nbsp;Daphné Bavelier","doi":"10.1016/j.comppsych.2024.152500","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152500","url":null,"abstract":"<div><h3>Background</h3><p>Recognizing the crucial importance of understanding the impact of video games on health in today's gaming-dominated world, our study aimed to investigate the relationship between gaming time and Internet Gaming Disorder (IGD). Despite the widespread assumption that a connection exists between both, previous studies have revealed highly variable associations, highlighting significant weaknesses in establishing a robust link.</p></div><div><h3>Methods</h3><p>To unravel this complex relationship, we recruited two independent samples of League of Legends players. We combined the collection of self-reported and actual gameplay data, together with assessments of mental health, personality traits, and cognitive abilities.</p></div><div><h3>Results</h3><p>Surprisingly, none of the gaming variables demonstrated a robust and stable association with IGD, regardless of whether players spent less than or more than 30 hours per week gaming—a threshold suggested by the American Psychiatric Association as a potential indicator of disordered gaming. Notably, mental health factors, such as anxiety, depression and ADHD, emerged as the most influential predictors of IGD.</p></div><div><h3>Conclusion</h3><p>These findings, replicated across two independent samples, challenge the prevailing belief that limiting screen time alone effectively combats IGD. Instead, mental health factors play a crucial role in mitigating risks associated with gaming. Policies focusing solely on restricting screen time are insufficient in reducing the prevalence or symptoms of IGD. Rather, a comprehensive approach that considers mental health and key personality traits must be adopted to safeguard the well-being of individuals engaged in gaming.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152500"},"PeriodicalIF":7.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000518/pdfft?md5=e6c4cd5242bf1b013f97c61d9a876e69&pid=1-s2.0-S0010440X24000518-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951795","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":"“This is it…this is our normal” - the voices of family members and first responders experiencing duty-related trauma in Ireland","authors":"Angeline Traynor ,&nbsp;Brian Doyle ,&nbsp;Walter Eppich ,&nbsp;Anna Tjin ,&nbsp;Claire Mulhall ,&nbsp;Michelle O'Toole","doi":"10.1016/j.comppsych.2024.152499","DOIUrl":"10.1016/j.comppsych.2024.152499","url":null,"abstract":"<div><h3>Background</h3><p>Compared to other occupational groups, first responders (FR) experience worse mental health outcomes due to duty-related trauma and occupational stressors. Despite their best efforts, they bring this stress home to friends and family. Consequently, FR and their supporters suffer from increased psychosocial difficulties and experience stigma and other barriers to help-seeking. Prior work offers little opportunity for open dialogue and shared understanding of the repercussions of this occupation for all members of the first responder community.</p><p>In this qualitative study, we aimed to: (i) explore the lived experience of Irish FR and their family members (FM) related to occupational stressors, and (ii) identify opportunities to engage FM with existing organizational supports available for FR.</p></div><div><h3>Methods</h3><p>Using a community based participatory research (CBPR) approach, we conducted six focus groups involving a total of fourteen participants comprising FR, organizational representatives, and FM. All focus groups were audio recorded, transcribed, and analyzed using reflexive thematic analysis.</p></div><div><h3>Findings</h3><p>FR and FM shared their experiences of both joining and learning to live as members of the FR community in Ireland. Through our analysis, we identified a main theme of ‘crossing thresholds’, characterizing their transformative learning experiences. This learning experience includes recognizing the consequences of this new role for them as individuals and for their relationships. Participants also shared how they have learned to cope with the consequences of their roles and what they need to better support each other.</p></div><div><h3>Conclusions</h3><p>FM are often unheard, hidden members of the first responder community in Ireland, highlighting an unmet need for FR organizations to acknowledge FM role in supporting FR and to provide them with the appropriate training and resources required. Training for new recruits needs to move beyond the tokenistic involvement of FM and encourage knowledge sharing among experienced and novice members. Cultural change is required to support help-seeking among FR and foster a sense of peer support and community among families.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152499"},"PeriodicalIF":7.3,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000506/pdfft?md5=4fbdc975a151a52ea713cbf55110064c&pid=1-s2.0-S0010440X24000506-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141054285","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":"Person-specific dynamics between negative emotions and suicidal thoughts","authors":"Kevin S. Kuehn ,&nbsp;Marilyn L. Piccirillo ,&nbsp;Adam M. Kuczynski ,&nbsp;Kevin M. King ,&nbsp;Colin A. Depp ,&nbsp;Katherine T. Foster","doi":"10.1016/j.comppsych.2024.152495","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152495","url":null,"abstract":"<div><h3>Introduction</h3><p>Recent technology has enabled researchers to collect ecological momentary assessments (EMA) to examine within-person correlates of suicidal thoughts. Prior studies examined generalized temporal dynamics of emotions and suicidal thinking over brief periods, but it is not yet known how variable these processes are across people.</p></div><div><h3>Method</h3><p>We use data EMA data delivered over two weeks with youth/young adults (<em>N</em> = 60) who reported past year self-injurious thoughts/behaviors. We used group iterative multiple model estimation (GIMME) to model group- and person-specific associations of negative emotions (i.e., fear, sadness, shame, guilt, and anger) and suicidal thoughts.</p></div><div><h3>Results</h3><p>29 participants (48.33%) reported at least one instance of a suicidal thought and were included in GIMME models. In group level models, we consistently observed autoregressive effects for suicidal thoughts (e.g., earlier thoughts predicting later thoughts), although the magnitude and direction of this link varied from person-to-person. Among emotions, sadness was most frequently associated with contemporaneous suicidal thoughts, but this was evident for less than half of the sample, while other emotional correlates of suicidal thoughts broadly differed across people. No emotion variable was linked to future suicidal thoughts in &gt;14% of the sample,</p></div><div><h3>Conclusions</h3><p>Emotion-based correlates of suicidal thoughts are heterogeneous across people. Better understanding of the individual-level pathways maintaining suicidal thoughts/behaviors may lead to more effective, personalized interventions.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"133 ","pages":"Article 152495"},"PeriodicalIF":7.3,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000464/pdfft?md5=54c3dae299d0c9296ce8f33d6ee44561&pid=1-s2.0-S0010440X24000464-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140902163","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}