Comprehensive psychiatry最新文献

{"title":"Beyond the surface: Understanding obsessive symptoms and body perceptions, from shape concerns to fear of blushing","authors":"S. Tempia Valenta ,&nbsp;G. Campanile ,&nbsp;U. Albert ,&nbsp;F. Marcolini ,&nbsp;G. Faedi ,&nbsp;D. De Ronchi ,&nbsp;A.R. Atti","doi":"10.1016/j.comppsych.2024.152481","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152481","url":null,"abstract":"<div><h3>Introduction</h3><p>Recent reclassifications have expanded the understanding of Obsessive-Compulsive Disorders (OCDs), now incorporated into a broader category known as Obsessive-Compulsive Disorder and Related Disorders (OCRDs). This study sought to assess obsessive-compulsive symptoms and body uneasiness among outpatients seeking treatment for Eating Disorders (ED). Additionally, we aimed to explore associations and potential mediation effects between obsessive-compulsive symptoms and body uneasiness. This investigation extended beyond concerns related solely to body shape and weight, encompassing fears associated with specific body components (such as facial features, abdominal region, and limbs) or functions (including sweating, blushing, emitting noises, and releasing odors).</p></div><div><h3>Methods</h3><p>Psychometric assessments included the Obsessive-Compulsive Inventory-Revised (OCI-R) and the Body Uneasiness Test (BUT). Statistical analyses involved bivariate correlations, linear regression, and mediation analysis to explore the associations and potential mediation effects between obsessive-compulsive symptoms and different manifestations of body uneasiness.</p></div><div><h3>Results</h3><p>The sample (<em>N</em> = 210) demonstrated substantial obsessive-compulsive symptoms and notable body discomfort. OCI-R scores positively correlated with various dimensions of body dissatisfaction, including shape, weight, and specific body components or functions. Linear regression revealed significant associations between OCI-R scores and overall body uneasiness (BUT-A) as well as concerns about body components or functions (BUT<img>B). Mediation analysis indicated that BUT-A mediated the relationship between obsessive-compulsive symptoms and BUT<img>B.</p></div><div><h3>Conclusion</h3><p>This study offers new insights into the comprehensive landscape of OCRDs. It specifically emphasizes the association between obsessive-compulsive symptoms and body uneasiness, embracing not only concerns about body shape and weight but also extending to body components and functions.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152481"},"PeriodicalIF":7.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000324/pdfft?md5=34407f4a0e171253670bcfbe51f65b5d&pid=1-s2.0-S0010440X24000324-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321461","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":"Meta-analysis of the comparative efficacy of benzodiazepines and antidepressants for psychic versus somatic symptoms of generalized anxiety disorder","authors":"Chad Beyer ,&nbsp;Christopher B. Currin ,&nbsp;Taryn Williams ,&nbsp;Dan J. Stein","doi":"10.1016/j.comppsych.2024.152479","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152479","url":null,"abstract":"<div><h3>Background</h3><p>Benzodiazepines and antidepressants are effective agents for the treatment of generalized anxiety disorder (GAD), with the HAM-A frequently used as a primary outcome measure. The GAD literature is inconsistent regarding which medications are more effective for somatic versus psychic symptoms of GAD, and treatment guidelines do not advocate for prescribing based on subtype. This meta-analysis aimed to determine whether benzodiazepines and antidepressants have a differential impact on the somatic versus psychic subscales of the HAM-A in GAD.</p></div><div><h3>Methods</h3><p>An electronic search was undertaken for randomized controlled trials of either benzodiazepines or antidepressants for GAD that reported treatment response using the HAM-A subscales. Data were extracted by independent reviewers. A random effects assessment of weighted mean difference with 95% confidence intervals and subgroup difference was applied. All analysis was done on SPSS 26. An assessment of bias, and of quality of evidence was performed.</p></div><div><h3>Results</h3><p>24 randomized controlled trials met the inclusion criteria: 18 antidepressant trials, 5 benzodiazepine trials and 1 of both. 14 studies were assessed as having between some and high risk of bias, while 10 were assessed as having low risk of bias. Benzodiazepines (WMD of 1.81 [CI 1.03, 2.58]) were significantly more effective than antidepressants (WMD of 0.83 [CI 0.64, 1.02]) for reducing somatic symptoms of GAD (Chi² = 5.81, <em>p</em> = 0.02), and were also more effective (WMD of 2.46 [CI 1.83, 3.09]) in reducing psychic symptoms than antidepressants (WMD of 1.83 [CI 1.55, 2.10]), although this comparison did not reach statistical significance (Chi² = 3.31, <em>p</em> = 0.07).</p></div><div><h3>Conclusion</h3><p>The finding that benzodiazepines were significantly more effective than antidepressants for somatic symptoms needs to be weighed up against potential benefits of antidepressants over benzodiazepines. It may be useful for future treatment guidelines for GAD to explicitly consider symptom subtype.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152479"},"PeriodicalIF":7.3,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000300/pdfft?md5=cc132f10aaaf4b34147d3bbeb980b53a&pid=1-s2.0-S0010440X24000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332476","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 course of borderline personality disorder from adolescence to early adulthood: A 5-year follow-up study","authors":"Mie Sedoc Jørgensen ,&nbsp;Lise Møller ,&nbsp;Sune Bo ,&nbsp;Mickey Kongerslev ,&nbsp;Lene Halling Hastrup ,&nbsp;Andrew Chanen ,&nbsp;Ole Jakob Storebø ,&nbsp;Stig Poulsen ,&nbsp;Emma Beck ,&nbsp;Erik Simonsen","doi":"10.1016/j.comppsych.2024.152478","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152478","url":null,"abstract":"<div><h3>Background</h3><p>Studies of the medium- to long-term clinical and functional course for treatment-seeking adolescents with borderline personality disorder (BPD) are lacking. This study aims to outline the psychopathological and functional status of participants, five years after being diagnosed with BPD during adolescence.</p></div><div><h3>Methods</h3><p>Participants were originally enrolled in a randomized clinical trial that compared mentalization-based group treatment with treatment as usual for adolescents with BPD. Semi-structured interview assessments at five-year follow-up included the Schedules for Clinical Assessment in Neuropsychiatry and the Structured Clinical Interview for DSM-5 Personality Disorders. Attention deficit hyperactivity disorder (ADHD), alcohol, substance and tobacco use, posttraumatic stress disorder (PTSD), complex PTSD, and general functioning were assessed using self-report instruments.</p></div><div><h3>Results</h3><p>97 of the original sample of 111 participants (87%) participated. They were aged 19–23 years. The most prevalent disorders were ADHD (59%), any personality disorder (47%) of which half continued to meet criteria for BPD (24%), anxiety disorders (37%), depressive disorders (32%), PTSD or complex PTSD (20%), schizophrenia (16%), and eating disorders (13%). Only 16% did not meet criteria for any mental disorder. Approximately half of the sample were in psychological and/or psychopharmacological treatment at the time of follow-up. Their general functioning remained impaired, with 36% not engaged in education, employment or training (NEET), which is nearly four times the rate of NEET in the same age group in the general population.</p></div><div><h3>Conclusions</h3><p>Although stability of the categorical BPD diagnosis is modest, adolescents meeting diagnostic criteria for BPD show a broad range of poor outcomes at five-year follow-up. BPD appears to be a marker of general maladjustment during adolescence and a harbinger of severe problems during the transition to young adulthood. Early intervention programs for adolescents diagnosed with BPD should focus upon a broad range of functional and psychopathological outcomes, especially social and vocational support, rather than the narrow BPD diagnosis.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152478"},"PeriodicalIF":7.3,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000294/pdfft?md5=5035205a3b801ccdc3e809ace5ed18cb&pid=1-s2.0-S0010440X24000294-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195577","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":"Individual stigma in people with severe mental illness: Associations with public stigma, psychological capital, cognitive appraisal and coping orientations","authors":"Xiuxiu Shi ,&nbsp;Xuhai Sun ,&nbsp;Chong Zhang ,&nbsp;Zheng Li","doi":"10.1016/j.comppsych.2024.152474","DOIUrl":"10.1016/j.comppsych.2024.152474","url":null,"abstract":"<div><h3>Introduction</h3><p>The reason why some people with severe mental illness (SMI) maintain positive self-identity, while some are affected by the stigmatized environment is unclear.</p></div><div><h3>Aims</h3><p>To describe the status of individual stigma and explore the relationship between self-stigma, stigma resistance and related variables in people with SMI.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted from April 2021 to March 2022. The Chinese version of Internalized Stigma of Mental Illness Scale and Stigma Resistance Scale were used to assess individual stigma. Perceived public stigma, psychological capital, stigma stress appraisal and coping orientations were also measured by scales. Data was provided by 422 patients with schizophrenia or bipolar disorder, from one psychiatric hospital and four community healthcare centers in China. A structural equation model was applied for analysis.</p></div><div><h3>Results</h3><p>The total mean scores of self-stigma and stigma resistance were (2.06 ± 0.65), and (3.95 ± 0.84). Perceived public stigma was the primary condition for constructing individual stigma, which indirectly affected self-stigma (<em>β</em> = 0.268) and stigma resistance (<em>β</em> = −0.145). Stigma stress appraisal mediated the transformation of public stigma into individual, which had direct and indirect effects on self-stigma (<em>β</em> = 0.417, 0.166), and an indirect effect on stigma resistance (<em>β</em> = −0.374). Secrecy positively affected self-stigma (<em>β</em> = 0.117), while positive coping positively affected stigma resistance (<em>β</em> = 0.380). Psychological capital significantly directly impacted individual stigma.</p></div><div><h3>Conclusions</h3><p>Findings highlighted how public stigma determines the degree to which patients with SMI deal with stigma stress appraisal, and how this influences individuals. Anti-stigma programs and interventions to improve individuals' psychological capital and coping capabilities should be emphasized.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152474"},"PeriodicalIF":7.3,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000257/pdfft?md5=1c827808363d6e4a1afe13e69d501ea6&pid=1-s2.0-S0010440X24000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277374","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":"An investigation into symptoms of depression and anxiety and emotion regulation among older adolescents from low-income settings in South Africa","authors":"C. Ward-Smith,&nbsp;K. Sorsdahl,&nbsp;C. van der Westhuizen","doi":"10.1016/j.comppsych.2024.152476","DOIUrl":"10.1016/j.comppsych.2024.152476","url":null,"abstract":"<div><h3>Introduction</h3><p>Mental health conditions (MHC) among adolescents in low- and middle-income countries, including South Africa, are estimated to be high. Adaptive emotion regulation (ER) skills can protect against MHC among adolescents. In South Africa, there is limited adolescent mental health prevalence data as well as little understanding of the associations between MHC and ER among adolescents. This study aimed to address these gaps by describing the psychosocial characteristics of older South African adolescents from low-income settings as well as investigating associations between depression and anxiety symptoms and ER.</p></div><div><h3>Methods</h3><p>We selected 12 schools in collaboration with two NGOs. Learners aged 15–18-years were recruited to complete a tablet-based survey. ER, depression, anxiety, and other psychosocial measures were included. Two multiple linear regression models were used to determine associations between depression symptoms, anxiety symptoms, other psychosocial factors, and ER.</p></div><div><h3>Results</h3><p>Of the 733 participants from 12 Western Cape schools, 417 (56.90%) screened at risk for clinically significant anxiety symptoms, 423 (57.70%) participants for depression symptoms, 229 (31.40%) participants for PTSD symptoms and 263 (35.90%) for risky alcohol use. Depression and anxiety scores were found to be significantly positively correlated with ER difficulties and adolescents struggled most with identifying and utilizing adaptive ER strategies. The adjusted linear regression model reported that female gender, clinically significant depressive, anxiety, post-traumatic stress symptoms and risky-alcohol use were all significantly associated with poorer ER scores, while self-esteem was significantly associated with better ER scores.</p></div><div><h3>Conclusion</h3><p>These findings contribute to the South African adolescent mental health literature and to the research gap on the links between depression and anxiety and ER. Future research should consider further exploration of the relationships between psychosocial factors and ER to inform the urgent development and testing of appropriate adolescent interventions in this setting.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152476"},"PeriodicalIF":7.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000270/pdfft?md5=9b4f698dc9dc4e57823944240add2bbc&pid=1-s2.0-S0010440X24000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199434","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":"Subjective and objective assessments of executive functions are independently predictive of aggressive tendencies in patients with substance use disorder","authors":"Sebastian Pichlmeier ,&nbsp;Judith Streb ,&nbsp;Franziska Anna Rösel ,&nbsp;Hannah Dobler ,&nbsp;Manuela Dudeck ,&nbsp;Michael Fritz","doi":"10.1016/j.comppsych.2024.152475","DOIUrl":"10.1016/j.comppsych.2024.152475","url":null,"abstract":"<div><h3>Background and aims</h3><p>Impairments in executive functions have been found to influence violent behavior. Executive functions are crucial in the treatment of patients with substance use disorders because substance use generally impairs cognitive processes and is therefore detrimental for executive functions thereby reducing control of behavior and thus of consumption impulses. We studied correlations between subjective, i.e. self-report, and objective, i.e. behavior-based, assessment of executive functions and the predictive validity of these measures for aggression in patients with substance use disorder.</p></div><div><h3>Methods</h3><p>The study included 64 patients with a diagnosed substance use disorder who were convicted according to the German Criminal Code for crimes they committed in the context of their disorder and were therefore in treatment in forensic psychiatric departments in Germany. Multiple self-report and behavior-based instruments were used to assess executive functions, appetitive and facilitative aggression as well as clinical and sociodemographic variables.</p></div><div><h3>Results</h3><p>Participants showed impaired executive functions, and measures of executive functions predicted aggressive tendencies and violent offenses. Despite ecological validity of the findings, the subjective and objective assessments of executive functions did not correlate with each other, which corroborates studies in other clinical settings.</p></div><div><h3>Conclusions</h3><p>We discuss that this finding may be due to the conceptual differences between subjective and objective measures. Therefore, self-report and behavior-based measures should not be used as proxies of each other but as complementary measures that are useful for comprehensive diagnostics of cognitive impairments and assessment of risks for violent behavior.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152475"},"PeriodicalIF":7.3,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000269/pdfft?md5=29807bd650324b44b0a820acd6723e5a&pid=1-s2.0-S0010440X24000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199388","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":"Adaption and validation of the Rwandese version of the Mood Disorder Questionnaire for the screening of bipolar disorder","authors":"E. Musoni-Rwililiza ,&nbsp;C.J. Arnbjerg ,&nbsp;N.U. Rurangwa ,&nbsp;J. Carlsson ,&nbsp;P. Kallestrup ,&nbsp;E. Vindbjerg ,&nbsp;D. Gishoma","doi":"10.1016/j.comppsych.2024.152477","DOIUrl":"10.1016/j.comppsych.2024.152477","url":null,"abstract":"<div><h3>Background</h3><p>Bipolar disorder is challenging to diagnose. In Rwanda, a sub-Saharan country with a limited number of psychiatrists, the number of people with an undetected diagnosis of bipolar disorder could be high. Still, no screening tool for the disorder is available in the country. This study aimed to adapt and validate the Mood Disorder Questionnaire in the Rwandan population.</p></div><div><h3>Methods</h3><p>The Mood Disorder Questionnaire was translated into Kinyarwanda. The process involved back-translation, cross-cultural adaptation, field testing of the pre-final version, and final adjustments. A total of 331 patients with either bipolar disorder or unipolar major depression from two psychiatric outpatient hospitals were included. The statistical analysis included reliability and validity analyses and receiver operating characteristic curve (ROC) analysis. The optimal cut-off was chosen by maximizing Younden's index.</p></div><div><h3>Results</h3><p>The Rwandese version of The Mood Disorder Questionnaire had adequate internal consistency (Cronbach's alpha =0.91). The optimal threshold value was at least six positive items, which yielded excellent sensitivity (94.7%), and specificity (97.3%). The ROC area under the curve (AUC) was 0.99.</p></div><div><h3>Conclusion</h3><p>The adapted tool showed good psychometric properties in terms of reliability and validity for the screening of bipolar disorder, with a recommended cutoff value of six items on the symptom checklist for a positive score and an exclusion of items 14 and 15. The tool has the potential to be a crucial instrument to identify otherwise undetected cases of bipolar disorder in Rwanda, improving access to mental health treatment, thus enhancing the living conditions of people with bipolar disorder.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152477"},"PeriodicalIF":7.3,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000282/pdfft?md5=9d197b518b0f5a5195f70ca1e1aa46f6&pid=1-s2.0-S0010440X24000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140199491","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":"Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China","authors":"Xinyu Huang ,&nbsp;Beifang Fan ,&nbsp;Yingcheng Jiang ,&nbsp;Yanzhi Li ,&nbsp;Ya Chen ,&nbsp;Hao Zhao ,&nbsp;Yunbin Jiang ,&nbsp;Wanxin Wang ,&nbsp;Lan Guo ,&nbsp;Yan Chen ,&nbsp;Yifeng Liu ,&nbsp;Zehui Li ,&nbsp;Sabrina Wong ,&nbsp;Roger S. McIntyre ,&nbsp;Xue Han ,&nbsp;Ciyong Lu","doi":"10.1016/j.comppsych.2024.152472","DOIUrl":"10.1016/j.comppsych.2024.152472","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to explore the longitudinal associations of rumination with suicidal ideation and suicide attempts in individuals with major depressive disorder (MDD).</p></div><div><h3>Methods</h3><p>Participants were derived from the Depression Cohort in China study (DCC). Those who completed at least one follow-up visit during the 12 months were included in the analysis. Dimensions of rumination including brooding and reflection were each measured using five items of the Ruminative Responses Scale. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation. Suicide attempts were also assessed and all were analyzed with generalized estimating equations.</p></div><div><h3>Results</h3><p>Our final sample included 532 participants aged 18 to 59 years (mean [SD], 26.91 [6.94] years) consisting of 148 (27.8%) males and 384 (72.2%) females. After adjusting for temporal trend and potential confounders, individuals with higher levels of reflection were more likely to report suicidal ideation (AOR =1.11, 95% CI:1.01–1.22). However, no statistically significant association was found between brooding and suicidal ideation (AOR =1.06, 95% CI:0.96–1.17). Conversely, individuals with higher levels of brooding were more likely to report suicide attempts (AOR =1.13, 95% CI:1.02–1.24), while no statistically significant association was observed between reflection and suicide attempts (AOR =0.91, 95% CI:0.82–1.01).</p></div><div><h3>Conclusion</h3><p>Rumination reflects a disturbance in cognitive emotional processing and manifests in different dimensions. Our findings suggest that high levels of reflection and brooding may be associated with a higher likelihood of having suicidal ideation and suicide attempts, respectively. However, it should be interpreted with caution, given that effect sizes are small.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"132 ","pages":"Article 152472"},"PeriodicalIF":7.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000233/pdfft?md5=cc8ca8942ece36f0a92e3b02d55e1882&pid=1-s2.0-S0010440X24000233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140126174","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":"Epidemiology of DSM-5 psychiatric disorders in Kenyan Youth with Low and High Psychosis Risk","authors":"Rebekka H. Sæle ,&nbsp;David M. Ndetei ,&nbsp;Victoria N. Mutiso ,&nbsp;Daniel Mamah","doi":"10.1016/j.comppsych.2024.152473","DOIUrl":"10.1016/j.comppsych.2024.152473","url":null,"abstract":"<div><h3>Introduction</h3><p>There are few psychiatric epidemiology studies among Kenyan youth and fewer among those at high psychosis risk (HR).</p></div><div><h3>Methods</h3><p>This study assessed the epidemiology of DSM-5 psychiatric disorders in HR and low-risk (LR) individuals to inform research and mental health services. 567 participants (aged 15–25) in HR (<em>n</em> = 246) and LR (<em>n</em> = 260) groups based on Washington Early Recognition Center Affectivity and Psychosis (WERCAP) Screen scores. Diagnostic Interview Schedule, version 5 (DIS-5) assessed DSM-5 psychiatric disorder prevalence. Diagnostic comorbidity and demographic relationships were investigated.</p></div><div><h3>Results</h3><p>A higher prevalence was observed for all DSM-5 disorders in the HR group, significantly for gambling disorder (13% vs. 5.8%), major depressive disorder (9.8% vs. 3.8%), antisocial personality disorder (5.7% vs. 2.3%), general anxiety disorder (4.9% vs. 0.4%), oppositional defiant disorder (3.3% vs. 0.4%), panic disorder (2.8% vs. 0.8%), and anorexia nervosa (2.8% vs. 0%). Gambling disorder was the most prevalent and showed significant gender effects (males&gt;females).</p></div><div><h3>Discussion</h3><p>Psychiatric disorders occur at increased rates among HR compared to LR. Prevalence rates found are lower than in US studies, except for gambling disorder which was highly prevalent. Large-population-based epidemiology studies in Africa are needed to estimate rates, particularly of disorders such as schizophrenia, accurately.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152473"},"PeriodicalIF":7.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000245/pdfft?md5=c8962ba95a2bbcd3c2ec23d406dcaa45&pid=1-s2.0-S0010440X24000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140126075","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":"Symptoms and functional impairments in patients with Internet Use Disorders participating in an online short-term therapy","authors":"Lara Basenach ,&nbsp;Hans-Jürgen Rumpf ,&nbsp;Michael Dreier ,&nbsp;Harriet Salbach ,&nbsp;Babette Renneberg ,&nbsp;Olivia Gnauert ,&nbsp;Klaus Wölfling","doi":"10.1016/j.comppsych.2024.152471","DOIUrl":"https://doi.org/10.1016/j.comppsych.2024.152471","url":null,"abstract":"<div><h3>Background</h3><p>Internet use disorders (IUD) have been recognized as a serious mental health concern. In order to promote consensus on core features of IUD, further studies involving clinical samples are required.</p></div><div><h3>Aims</h3><p>A clinical evaluation of patients with IUD was conducted as part of the scientific monitoring of a novel online short-term therapy, embedded in the randomized controlled trial Stepped Care Approach for Problematic Internet use Treatment (SCAPIT; ID: DRKS00025994).</p></div><div><h3>Methods</h3><p>An online diagnostic and a clinical assessment were performed at the baseline measurement of the online intervention. The self-report version of the Assessment of Internet and Computer Game Addiction (AICA-S) was applied to assess symptom severity of IUD. The impact of psychopathological symptoms and impairments of functioning on IUD symptomatology was examined in the sample of patients. Based on a dichotomous classification of the symptom severity of IUD, differences among participants presenting moderate compared to severe addictive Internet behavior were analyzed.</p></div><div><h3>Results</h3><p>The sample of this an analysis consisted of 57 patients (57.9% males, mean age of 29.12 years) participating in the online short-term therapy for IUD. Based on the AICA-S sum score (M = 11.60; SD = 3.30) participants exhibited moderate (<em>n</em> = 44; 77.2%) to severe (<em>n</em> = 13; 22.8%) symptoms of addictive Internet use. Psychopathological symptoms and impairments of psychosocial functioning had an effect on symptom severity of IUD. Participants with severe symptoms of IUD showed higher psychopathological strains compared to patients with moderate addictive Internet behavior.</p></div><div><h3>Conclusions</h3><p>The clinical evaluation of patients participating in a novel online short-term therapy for IUD indicated that psychopathological symptoms and impairments of functioning have an impact on addictive Internet behaviors and consequently, need to be addressed in the treatment of IUD. Based on the results, further implications for clinical practice and research on addictive Internet behavior are derived.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"131 ","pages":"Article 152471"},"PeriodicalIF":7.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000221/pdfft?md5=632d0721008e1a4c1ecf86f1a91234b6&pid=1-s2.0-S0010440X24000221-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140122314","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}