Comprehensive psychiatry最新文献

{"title":"Examining heterogeneity: A systematic review of quantitative person-centered studies on adversity, mental health, and resilience in children and young adults with refugee backgrounds","authors":"Johan Andersson ,&nbsp;Reeta Kankaanpää ,&nbsp;Kirsi Peltonen ,&nbsp;Ann-Charlotte Münger ,&nbsp;Laura Korhonen","doi":"10.1016/j.comppsych.2024.152522","DOIUrl":"10.1016/j.comppsych.2024.152522","url":null,"abstract":"<div><h3>Background</h3><p>Child and young adult refugees are a heterogeneous group comprising both vulnerable and resilient individuals. Person-centered statistical methods could help disentangle this heterogeneity, enabling tailored interventions. This systematic review examined person-centered studies on adversity, mental health, and resilience in children and young adults with refugee backgrounds to identify subgroups and assess their theoretical and practical relevance.</p></div><div><h3>Methods</h3><p>The strategy included three search blocks: 1) refugee, 2) child and/or youth, and 3) person-centered method. Studies were identified through searches of PubMed, Academic Search Complete, Scopus, PsycINFO, CINAHL, ERIC, and Cochrane. The search included all published studies until December 2023. Studies were eligible for review if they used adversity, mental health or resilience variables as indicators in a person-centered analysis. The study population needed to have a refugee background with a mean age of ≤25. The reporting quality of the studies was assessed using the adapted version of the Guidelines for Reporting on Latent Trajectory Studies (GRoLTS) checklist. The results were analyzed in a narrative format and using summary tables.</p></div><div><h3>Results</h3><p>A total of 6706 <strong>studies</strong> were initially identified, of which seven were eligible for review. The studies included 2409 individuals and were conducted in refugee camps, communities, and institutional and clinical settings across Africa, the Middle East, Europe, Asia, and North America. Five of the seven studies included adversity as an indicator, and three articles mental ill-health. Only one article specifically investigated resilience. All studies identified subgroups, but the findings regarding predictors of group membership were inconclusive. Risks for adverse outcomes, such as mental health problems, also varied across subgroups. The studies generally displayed inadequate reporting of important methodological aspects of the data analysis, a lack of theoretical consideration, and an absence of reliability testing.</p></div><div><h3>Conclusions</h3><p>The use of person-centered approaches in research on children and young adults with refugee backgrounds, focusing on adversity, mental health, and resilience, is currently limited. Nevertheless, the reviewed studies provided valuable insights into subgroups within this population, indicating that person-centered approaches can be employed when studying this group. Future research should consider theory and prior knowledge in the selection of the final number of groups, thoroughly report quality criteria, and rigorously test the reliability of classes.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152522"},"PeriodicalIF":4.3,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000737/pdfft?md5=fef3a1f4b2efcc306fa6f66596a37236&pid=1-s2.0-S0010440X24000737-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978332","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":"Diligent for better or worse: Conscientiousness is associated with higher likelihood of suicidal behavior and more severe suicidal intent in later life","authors":"Anna Szücs ,&nbsp;Hanga Galfalvy ,&nbsp;Maria G. Alessi ,&nbsp;Laura B. Kenneally ,&nbsp;Jose M. Valderas ,&nbsp;Andrea B. Maier ,&nbsp;Katalin Szanto","doi":"10.1016/j.comppsych.2024.152523","DOIUrl":"10.1016/j.comppsych.2024.152523","url":null,"abstract":"<div><h3>Background</h3><p>Contradictory findings link trait conscientiousness in mid- and late life to increased healthspan and lifespan, as well as to death by suicide. It remains unclear whether conscientiousness is associated with higher odds of attempting suicide or with more severe suicidal behavior among attempters, and whether its relationship to suicide risk varies with aging-related stressors, such as declining health.</p></div><div><h3>Methods</h3><p>In this cross-sectional study comprising 313 depressed adults aged ≥40 years and participating in the Longitudinal Research Program in Late-Life Suicide (Pittsburgh, USA), we employed logistic and linear regression to test whether conscientiousness was associated with the presence of recent suicidal behavior (≤2 years) and with intent severity in recent attempters (<em>n</em> = 84). We further tested whether the above relationships varied based on mental, cognitive, and physical health status, measured as depression severity, cognitive functioning, and the presence/absence of severe physical illness.</p></div><div><h3>Results</h3><p>Participants were 62.1 years old on average (SD = 7.6), 85% White, and 53% female. Recent attempters had a mean age of 61.8 years at their most recent attempt (SD = 8.5), had lower cognitive functioning and were more likely severely physically ill than comparisons. Conscientiousness was positively associated with a higher likelihood of recent suicidal behavior overall (adjusted OR = 1.44, 95% CI = 1.09, 1.90, <em>p</em> = .010), but not in case of co-occurring severe physical illness (interaction OR = 0.54, 95% CI = 0.30, 0.97, <em>p</em> = .039). Conscientiousness was also positively associated with suicidal intent at the most recent attempt (adjusted β = 1.60, SE = 0.62, <em>p</em> = .012), explaining 7% of its variance, although this association lost significance after adjusting for other personality dimensions.</p></div><div><h3>Conclusions</h3><p>Highly conscientious middle-aged and older adults may be at increased risk of resolute suicidal behavior, although conscientiousness may not confer additional suicide risk among those severely physically ill.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152523"},"PeriodicalIF":4.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000749/pdfft?md5=fcc4919199ad2021b23bd479271df746&pid=1-s2.0-S0010440X24000749-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912082","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":"Corrigendum to “The global assessment of OCD” [comprehensive psychiatry, volume 118, October 2022, 152,342 1–17]","authors":"Ilenia Pampaloni ,&nbsp;Sabina Marriott ,&nbsp;Enrico Pessina ,&nbsp;Claire Fischer ,&nbsp;Anusha Govender ,&nbsp;Heba Mohammed ,&nbsp;Augusta Chandler ,&nbsp;Tyagi Himanshu ,&nbsp;Lucy Morris ,&nbsp;Stefano Pallanti","doi":"10.1016/j.comppsych.2024.152518","DOIUrl":"10.1016/j.comppsych.2024.152518","url":null,"abstract":"","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152518"},"PeriodicalIF":4.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874408","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":"Does social isolation predict the emergence of psychotic-like experiences? Results from the experience sampling method study","authors":"Błażej Misiak ,&nbsp;Krzysztof Kowalski ,&nbsp;Bogna Bogudzińska ,&nbsp;Patryk Piotrowski ,&nbsp;Hanna Gelner ,&nbsp;Łukasz Gawęda ,&nbsp;Tomasz Grąźlewski ,&nbsp;Jerzy Samochowiec","doi":"10.1016/j.comppsych.2024.152521","DOIUrl":"10.1016/j.comppsych.2024.152521","url":null,"abstract":"<div><h3>Background</h3><p>Several studies have shown that social isolation and loneliness are associated with the occurrence of psychotic experiences. However, dynamics of these phenomena in people with subclinical experiences, commonly referred to as psychotic-like experiences (PLEs), remains largely unknown. Therefore, in this study we performed a temporal network analysis to model dynamic predictions between social isolation, loneliness, negative affect, social stress, and PLEs.</p></div><div><h3>Methods</h3><p>A total of 77 drug-naïve individuals with PLEs from a transdiagnostic sample were enrolled. Data were obtained using the experience sampling method (ESM). The ESM questionnaires were delivered during 7 consecutive days (6 assessments per day). Therefore, 3234 data entries were analyzed.</p></div><div><h3>Results</h3><p>Social isolation predicted next-moment emergence of PLEs through the effects on loneliness and negative affect. Also, PLEs appeared to predict next-moment loneliness, but not social isolation, through the effects on negative affect. Social stress did not predict any variables in the network. However, it was predicted by previous-moment PLEs and social isolation. Negative affect had the highest in-strength and out-strength centrality.</p></div><div><h3>Conclusions</h3><p>Findings from the present study indicate that social isolation might predict the emergence of PLEs through the effects of momentary loneliness and negative affect. Also, loneliness might be bidirectionally associated with PLEs. Interventions targeting negative affect and social isolation might be beneficial in people with PLEs.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152521"},"PeriodicalIF":4.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000725/pdfft?md5=0a272d18d53ef5b7a7c6fd7a3094a26d&pid=1-s2.0-S0010440X24000725-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874407","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 of young talented football players in an African context: A cross-sectional observational study","authors":"Boris Tachom Waffo ,&nbsp;Denis Hauw","doi":"10.1016/j.comppsych.2024.152519","DOIUrl":"10.1016/j.comppsych.2024.152519","url":null,"abstract":"<div><h3>Background</h3><p>Elite sport is a potentially pathogenic environment due to stressors like dual-career, high training demands, and performance pressure. Recent evidence suggests that athletes are at high risk of mental health issues. Even though the FIFA is increasingly paying attention, efforts directed towards young talented footballers are scarce. Few studies have even been conducted on young talented footballers in Africa. The majority of epidemiological studies on athletes also suffer from an analytical approach that does not highlight athletes' mental health profiles. This study aims to describe the mental health profile and their prevalence of young talented footballers in three African representative countries.</p></div><div><h3>Methods</h3><p>The study applied an observational-based cross-sectional research design with aspiring footballers from three sub-regions of Africa and aged between 10 and 23. The data was collected face-to-face from March to November 2022. Three screening tools were used to measure three mental health outcomes: Satisfaction With Life Scale (subjective well-being), Patient Health Questionnaire 9-item (depression), and Generalized Anxiety Disorder 7-item scale (anxiety). The mental health outcomes were rates and scores of well-being, depression, and anxiety, used in latent profile analysis.</p></div><div><h3>Findings</h3><p>507 male young talented footballers (263[51∙9%] Cameroonians, 73[14∙4%] Moroccans, and 171[33∙7%] Ivorians) were included in the analysis with a mean age of 15∙1 (SD 2∙37) years. Screening of mental health states revealed that 367(72∙3%) and 412(81∙8%) of these players experienced anxiety and depressive symptoms respectively and 155(30∙7%) experienced low well-being. Differences in mental health outcomes were noted between countries, age groups and competition levels. Three profiles of mental health condition were also identified, namely moderate mental health (Profile 1), languishing (Profile 2) and flourishing (Profile 3).</p></div><div><h3>Interpretation</h3><p>The youth of football academies in the three African countries studied have a specific mental health profile, revealing a high prevalence of common mental disorders in the African context. These findings underline the need to enhance the awareness of mental health issues in young African players and provide tailored support.</p></div><div><h3>Funding</h3><p>FIFA.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152519"},"PeriodicalIF":4.3,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000701/pdfft?md5=20106b452ab7df65023cd05b7f2b636c&pid=1-s2.0-S0010440X24000701-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787416","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":"Assessing the effectiveness of high-definition transcranial direct current stimulation for treating obsessive-compulsive disorder: Results from a randomized, double-blind, controlled trial","authors":"Yang Wang ,&nbsp;Jiayue Cheng ,&nbsp;Hanyang Ruan ,&nbsp;Jiazhe Zhang ,&nbsp;Zifeng Zheng ,&nbsp;Liangjun Lin ,&nbsp;Jian Gao ,&nbsp;Chenyu Yuan ,&nbsp;Huiqin Han ,&nbsp;Qing Fan ,&nbsp;Zhen Wang","doi":"10.1016/j.comppsych.2024.152520","DOIUrl":"10.1016/j.comppsych.2024.152520","url":null,"abstract":"<div><h3>Objective</h3><p>Characterized by its disabling nature, obsessive compulsive disorder (OCD) affects individuals profoundly, with nearly 40% of patients showing resistance to initial treatment methods. Despite being safe and easily accessible, transcranial direct current stimulation (tDCS) lacks extensive substantiation supporting its efficacy in treating OCD. The objective of this study was to evaluate how cathodal high-definition transcranial direct current stimulation (HD-tDCS) applied to the right orbitofrontal cortex affected patients with OCD in terms of efficacy.</p></div><div><h3>Method</h3><p>47 patients with OCD were enrolled. They were randomly allocated to active or sham stimulation groups, and underwent HD-tDCS stimulation treatment for 2 weeks. The central electrode located in the right orbitofrontal cortex region was cathodic. The severity of the patients' obsessive-compulsive symptoms, depression and anxiety were assessed before and after treatment.</p></div><div><h3>Result</h3><p>Out of the total, 44 patients concluded the treatment, comprising 23 participants from the active stimulation group and 21 from the sham stimulation group. Notably, substantial reductions in symptoms related to OCD, depression, and anxiety were exhibited in both groups. With a response rate of 26.1% in the active stimulation group and 23.8% in the sham stimulation group, there was no significant difference in efficacy observed. Furthermore, the reduction in depression and anxiety symptoms at the conclusion of the treatment was not notably superior in the active stimulation group.</p></div><div><h3>Conclusion</h3><p>This study provided evidence for the acceptability and safety of HD-tDCS. Nevertheless, the study did not reveal notable clinical effectiveness of tDCS in addressing moderate to severe OCD in comparison to the sham stimulation group.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152520"},"PeriodicalIF":4.3,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000713/pdfft?md5=41772d7c92f5c5dbfe7e86ef20d48756&pid=1-s2.0-S0010440X24000713-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844104","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":"Clarifying the prevalence of OCD: A response to reader comments","authors":"Ilenia Pampaloni ,&nbsp;Lucy Morris ,&nbsp;Himanshu Tyagi ,&nbsp;Enrico Pessina ,&nbsp;Sabina Marriott ,&nbsp;Claire Fischer ,&nbsp;Heba Mohamed ,&nbsp;Anusha Govender ,&nbsp;Augusta Chandler ,&nbsp;Stefano Pallanti","doi":"10.1016/j.comppsych.2024.152492","DOIUrl":"10.1016/j.comppsych.2024.152492","url":null,"abstract":"<div><p>This response to a reader's comment on our paper “The Global Assessment of OCD” addresses the critique regarding the stated prevalence of OCD as the fourth most common mental disorder. We acknowledge an oversight in our initial reference, discuss the variable prevalence rates from various studies, and highlight the significant disability caused by OCD. We have requested a correction to the original citation to reflect more recent findings, aiming to ensure accuracy in the discourse on OCD's public health impact.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"135 ","pages":"Article 152492"},"PeriodicalIF":4.3,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000439/pdfft?md5=bcb53af0a6d2590b09d18f058121451d&pid=1-s2.0-S0010440X24000439-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706293","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":"A comprehensive measure assessing different types of problematic use of the internet among Chinese adolescents: The Assessment of Criteria for Specific Internet-use Disorders (ACSID-11)","authors":"Mohsen Saffari ,&nbsp;Chao-Ying Chen ,&nbsp;I-Hua Chen ,&nbsp;Kamolthip Ruckwongpatr ,&nbsp;Mark D. Griffiths ,&nbsp;Marc N. Potenza ,&nbsp;Xue Lian Wang ,&nbsp;Yu-Ting Huang ,&nbsp;Jung-Sheng Chen ,&nbsp;Ching-Chung Tsai ,&nbsp;Chung-Ying Lin","doi":"10.1016/j.comppsych.2024.152517","DOIUrl":"10.1016/j.comppsych.2024.152517","url":null,"abstract":"<div><h3>Background</h3><p>Problematic use of the internet (PUI) is prevalent, particularly among adolescents and young adults. Given the limited measures to assess specific types of PUI, which encompasses a broad spectrum of activities such as online gaming, social media use, pornography use, shopping, gambling, and web-streaming, Muller et al. (2022) developed the Assessment of Criteria for Specific Internet-use Disorders (ACSID-11) to comprehensively assess different types of PUI (i.e., gaming, shopping, social media use, gambling, and pornography use). The present study aimed to validate the Chinese ACSID-11 among adolescents incorporating cross-cultural adaptations.</p></div><div><h3>Methods</h3><p>Using forward-backward translation method, a culturally adapted version of the ACSID-11 was prepared. Then, a cross-sectional online survey was administered between September 8 and September 26, 2023. Adolescents, using a convenience sample (<em>N</em> = 11,492; mean age = 16.42 years [SD ± 0.91]; 59.1% male), were recruited from six schools to complete the translated ACSID-11, Internet Gaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), and Smartphone Application Based Addiction Scale (SABAS) via an online platform. Pearson correlation coefficients assessed convergent/discriminant validity. Factor structure and measurement invariance were examined through confirmatory factor analysis (CFA) and multi-group CFA. Cronbach's alpha and McDonald's omega tested internal consistency.</p></div><div><h3>Results</h3><p>Associations between the ACSID-11 components and other scales supported convergent validity (i.e., ACSID-11 gaming scale with IGDS9-SF [0.37 ≤ <em>r</em> ≤ 0.41]; social networks use scale with BSMAS [0.24 ≤ <em>r</em> ≤ 0.31]) and discriminant validity (i.e., online gambling scale with BSMAS [0.16 ≤ <em>r</em> ≤ 0.19] and with SABAS [0.11 ≤ <em>r</em> ≤ 0.13]). A four-factor solution indicated good fit with comparative fit index (CFI) ranging from 0.982 to 0.958. The ACSID-11 was measurement invariant across sexes (∆CFI = -0.001 to 0.000) and different levels of related addictive behaviors (∆CFI = -0.001 to 0.000). Both Cronbach's alpha and McDonald's omega (0.63 to 0.97) were acceptable for both frequency and intensity of responses.</p></div><div><h3>Conclusions</h3><p>The ACSID-11 is an appropriate scale to assess different kinds of PUI among Chinese adolescents and students. Psychometric assessment of the measure in other cultures and among clinical samples is recommended.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152517"},"PeriodicalIF":4.3,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000683/pdfft?md5=8a35dc669d465800ca6ea4a8b39f6bf9&pid=1-s2.0-S0010440X24000683-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141632911","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":"Predictors of treatment attendance in patients with posttraumatic stress disorder and comorbid personality disorders","authors":"Arne van den End ,&nbsp;Aishah Snoek ,&nbsp;Inga Aarts ,&nbsp;Aartjan T.F. Beekman ,&nbsp;Jack Dekker ,&nbsp;Matthijs Blankers ,&nbsp;Nick Lommerse ,&nbsp;Kathleen Thomaes","doi":"10.1016/j.comppsych.2024.152516","DOIUrl":"10.1016/j.comppsych.2024.152516","url":null,"abstract":"<div><h3>Introduction</h3><p>High dropout and low treatment attendance rates among patients with posttraumatic stress disorder (PTSD) and personality disorders (PDs) continue to pose a significant challenge. Despite numerous studies focusing on enhancing treatment attendance, the identification of consistent and reliable predictors in patients with PTSD and comorbid PDs remains limited.</p></div><div><h3>Objectives</h3><p>This study aims to investigate a wide range of potential predictors of treatment attendance, encompassing demographic, patient-severity, treatment, and therapist-related variables in patients with PTSD and comorbid borderline and/or cluster C PDs.</p></div><div><h3>Methods</h3><p>Utilizing data from 255 patients participating in two randomized controlled trials comparing trauma-focused treatment with or without concurrent PD treatment, candidate predictors were individually analyzed in univariate regression models. Significant predictors were then combined in a multiple ordinal regression model.</p></div><div><h3>Results</h3><p>In total, 40% of patients attended fewer trauma-focused treatment sessions than the minimum recommended in treatment guidelines. Out of the 38 candidate predictors examined, five significant, independent predictors of treatment attendance emerged in a multiple ordinal regression model. Higher baseline PTSD severity (<em>OR</em> = 1.04, <em>p</em> = .036), higher education level (<em>OR</em> = 1.22, <em>p</em> = .009) and a stronger patient-rated working alliance (<em>OR</em> = 1.72, <em>p</em> = .047) with the therapist predicted higher treatment attendance. Conversely, inadequate social support from friends (<em>OR</em> = 0.90, <em>p</em> = .042) and concurrent PD treatment and trauma-focused treatment (<em>OR</em> = 0.52, <em>p</em> = .022) were associated with lower treatment attendance.</p></div><div><h3>Conclusions</h3><p>In conclusion, this constitutes the first study investigating predictors of treatment attendance in patients with PTSD and comorbid PDs. The results highlight the complexity of pinpointing reliable predictors. Nevertheless, the identification of five predictors provides valuable insights, aiding clinicians in customizing treatment strategies for individual patients and enhancing overall treatment attendance.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152516"},"PeriodicalIF":4.3,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X24000671/pdfft?md5=9c1b24933c2d76b5fc402e50c786cc5e&pid=1-s2.0-S0010440X24000671-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589839","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 emotional abuse on eating disorder psychopathology: A multiple mediation analysis","authors":"Barone Eugenia ,&nbsp;Carfagno Marco ,&nbsp;Marafioti Niccolò ,&nbsp;Bello Rosaria ,&nbsp;Arsenio Eleonora ,&nbsp;Marone Luigi ,&nbsp;Volpicelli Antonio ,&nbsp;Cascino Giammarco ,&nbsp;Monteleone Alessio Maria","doi":"10.1016/j.comppsych.2024.152515","DOIUrl":"10.1016/j.comppsych.2024.152515","url":null,"abstract":"<div><h3>Introduction</h3><p>Childhood maltreatment, particularly emotional abuse (EA), has been identified as a significant risk factor for the development of eating disorders (EDs). This study investigated the association between EA and ED symptoms while considering multiple potential mediators.</p></div><div><h3>Methods</h3><p>Participants included 151 individuals with Anorexia Nervosa (AN), 115 with Bulimia Nervosa (BN), and 108 healthy controls. The Childhood trauma questionnaire, the Toronto Alexithymia scale, the Behavioral inhibition System, and the Eating Disorder Inventory 2 scale were completed before treatment. A mediator path model was conducted in each group: EA was set as independent variable, eating symptoms as dependent variables and ineffectiveness, sensitivity to punishment, alexithymia, and impulsivity as mediators.</p></div><div><h3>Results</h3><p>In individuals with AN, impulsivity emerged as a significant mediator between EA and desire for thinness and bulimic behaviors. Conversely, in individuals with BN, sensitivity to punishment was found to mediate the association between EA and dissatisfaction with one's body.</p><p>Ineffectiveness and difficulty identifying emotions were identified as transdiagnostic mediators in both clinical groups. No mediation effect was found in healthy individuals.</p></div><div><h3>Discussion</h3><p>The simultaneous assessment of multiple mediators in a unique model outlines the complex interplay between childhood EA and ED psychopathology. Improving ineffectiveness, emotion identification, sensitivity to punishment and impulsivity and exploring their relations with early emotional abuse may represent treatment targets in individuals with EDs and childhood trauma.</p></div>","PeriodicalId":10554,"journal":{"name":"Comprehensive psychiatry","volume":"134 ","pages":"Article 152515"},"PeriodicalIF":4.3,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0010440X2400066X/pdfft?md5=38dd5c371ea2a94b49b49e46ee00bdc1&pid=1-s2.0-S0010440X2400066X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141537722","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}