Early Intervention in Psychiatry最新文献

{"title":"Understanding Participation in Integrated Youth Mental Health Service Research: Lessons Learned From a Feasibility Study With Jigsaw","authors":"Niall Mac Dhonnagáin,&nbsp;Aileen O'Reilly,&nbsp;Gillian O'Brien,&nbsp;Barbara Dooley","doi":"10.1111/eip.70000","DOIUrl":"10.1111/eip.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Research with integrated youth mental health services (IYMHS) has been criticised for low quality, with difficulties in recruiting and retaining participants in studies which can introduce bias. This feasibility study aimed to investigate the “real-world research” barriers and facilitators to recruitment and retention arising in a longitudinal study with Jigsaw, the National Centre for Youth Mental Health in Ireland, and to provide recommendations for conducting IYMHS research in future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted to investigate recruitment and retention difficulties. Participants were young people attending Jigsaw (<i>n</i> = 14) and members of clinical staff (<i>n</i> = 29), who provided feedback on facilitators and barriers to recruiting and retaining participants in a wider youth mental health intervention study. Data were collected via online surveys. Content analysis was conducted on the findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Facilitators included the prosocial motivation of young people to support others through research, providing incentives for participants, clear communication and information sharing, and the supportive role of parents/guardians. Identified barriers included the timing of recruitment, communication difficulties, gatekeeping, and reluctance to participate in research. Suggestions provided to address barriers in future were integrating research teams into services, addressing communication difficulties, and timing the recruitment of youth participants appropriately.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Where possible, IYMHS should conduct research in person in services to improve communication and reduce gatekeeping. In addition, services should consider remunerating participating young people in research and involve parents/guardians when designing research in this context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Criminal Offending and Incarceration in United States Adults With Early Phase Psychosis and Comorbid Substance Use Disorder","authors":"Kyle D. Webster,&nbsp;Tracy D. Gunter,&nbsp;Jenifer L. Vohs,&nbsp;Alan Breier","doi":"10.1111/eip.70005","DOIUrl":"10.1111/eip.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Studies have shown that people experiencing early phase psychosis (EPP) are at increased risk for criminal conviction and incarceration. However, there is limited data looking at overall legal burden. To address these gaps in the literature, the goal of this study was to categorise criminal charges and convictions using the United States Federal Bureau of Investigation (FBI) uniform crime reporting (UCR) program, assess frequency of incarcerations, and describe the frequency of substance use disorder (SUD) diagnoses and its relationship to criminal offending and incarceration in a well categorised EPP population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of 309 adults experiencing EPP were enrolled in a specialty care clinic. The research team expanded upon prior work and collected data from three public databases to identify legal burden in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Almost 50% (<i>n</i> = 155) of subjects had a history of a criminal charge, 34% (<i>n</i> = 104) of subjects had a history of criminal conviction, and 40% (<i>n</i> = 123) of subjects had at least one incarceration event. The most common typology of criminal offence were crimes against society. Lastly, a dual diagnosis was statistically associated with incarcerations (<i>χ</i>² = 10.152, <i>p</i> &lt; 0.0011), crimes against society (<i>χ</i>² = 13.172, <i>p</i> &lt; 0.0002), and crimes against persons (<i>χ</i>² = 9.136, <i>p</i> &lt; 0.0023).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These data highlight the high legal burden people experiencing EPP face and the need for future work to examine the risks incarceration places on this population. This work also shows the need for specialty care clinics managing EPP to be proficient in treating a dual diagnosis or the need to partner with an appropriate clinic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Adult Perspectives on Treatment Engagement and Family Communication During Psychosis","authors":"Bediha Ipekci,&nbsp;Heather Thibeau,&nbsp;Jada Gibbs,&nbsp;Emily Barnard,&nbsp;Emily R. Kline","doi":"10.1111/eip.70006","DOIUrl":"10.1111/eip.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fostering positive relationships with mental health professionals and involving family in treatment can reduce untreated psychosis duration and prevent dropout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The present study explores the experiences of young adults with psychosis as they engage in mental health treatment and communicate with family caregivers. Describing their lived experiences would inform the clinical engagement process and pathways to clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted qualitative interviews with 12 individuals who have been diagnosed with a psychotic disorder within the past 5 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Major themes include (1) Facilitators and barriers to robust treatment engagement, (2) Family involvement with treatment and communication about psychosis, and (3) Determinants of family communication quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These themes highlight the pivotal role of the therapeutic alliance, measured family involvement, and positive family communication in facilitating treatment engagement. We discuss these qualitative findings in the context of patient-centered care and family interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Effects of Mental Health e-Learning on the Knowledge, Attitudes and Practices of Primary Healthcare Professionals in Mali. A Pilot Study","authors":"Lara Mroueh,&nbsp;Pierre-Emile Bruand,&nbsp;Oumar Poudiougou,&nbsp;Line Kleinebreil,&nbsp;Amy Fall Ndao,&nbsp;Driss Moussaoui,&nbsp;Pierre-Marie Preux,&nbsp;Cheick Oumar Bagayoko,&nbsp;Farid Boumediene","doi":"10.1111/eip.70001","DOIUrl":"10.1111/eip.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite their high prevalence and significant burden, mental disorders remain grossly under-diagnosed and under-treated. In low-and-middle-income countries, such as Mali, integrating mental health services into primary care is the most viable way of closing the treatment gap. The aim of this study was to assess the effects of a mental health e-learning program on the knowledge, attitudes and practices of primary healthcare professionals in Mali.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An e-learning platform including 12 interactive modules was used to train 46 healthcare professionals. Changes in knowledge, attitudes and practices, as well as in satisfaction with knowledge and in ability to diagnose and manage patients were evaluated by comparing data collected pre and post e-learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes</h3>\u0000 \u0000 <p>Knowledge and practices scores increased significantly post e-learning for all modules, except the practices score for anxiety disorders. Similarly, scores regarding satisfaction with knowledge and ability to diagnose and manage patients increased significantly, and more so than the knowledge and practices scores. Changes in attitudes however were not significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite the difficult conditions of implementation in isolated areas of rural Mali, preliminary results suggest a positive effect of the e-learning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Reliable Improvements in Primary Care Youth Mental Health","authors":"Jeff Moore,&nbsp;Elizabeth Doyle,&nbsp;Eleanor Carey,&nbsp;Anna Blix,&nbsp;Ailbhe Booth,&nbsp;Joe Rossouw,&nbsp;Aileen O'Reilly,&nbsp;Siobhan O'Brien,&nbsp;Joseph Duffy","doi":"10.1111/eip.13637","DOIUrl":"10.1111/eip.13637","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Amid a youth mental health crisis, community-based early intervention services have shown promising outcomes. Understanding the specific factors that predict clinical outcomes is crucial for enhancing intervention efficacy, yet these factors remain insufficiently understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the individual and service-related factors associated with reliable improvement for young people (<i>n</i> = 4565) aged 12–25 years attending a brief primary care youth talk therapy mental health service across 14 sites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Reliable improvement was measured using the clinical outcomes in routine evaluation (YP-CORE and CORE-10) measure at baseline and follow up. Poisson regression was used to identify individual and service-related factors associated with reliable improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher initial distress levels predicted increased levels of reliable improvement (adjusted risk ratios ranged from 235.7 to 415.1, <i>p</i> &lt; 0.001), indicating that this intervention is particularly effective for individuals with higher initial distress levels. Conversely, extended wait times negatively affected therapeutic outcomes for young people aged 12–16, with waiting times exceeding 60 days associated with lower likelihoods of improvement (adjusted risk ratio = 89.2 for &gt; 60 days, <i>p</i> &lt; 0.01). Waiting times did not significantly impact individuals aged 17–25. Attending nine or more sessions was associated with a lower likelihood of reliable improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study underscores the critical importance of minimising wait times for young people and the importance of tailored approaches to early intervention services. Addressing these factors can enhance the efficacy of early intervention services and better support the mental well-being of young people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Systematic Review Exploring the Relationship Between Family Factors and Symptom Severity, Relapse and Social or Occupational Functioning in First-Episode Psychosis","authors":"Clodagh Keegan,&nbsp;Katie Brown,&nbsp;Keith Gaynor","doi":"10.1111/eip.13643","DOIUrl":"10.1111/eip.13643","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Research on family functioning in psychosis has typically focused on specific family-related factors and their impact on symptomatology, finding strong associations between high expressed emotion and poor outcomes, especially in those with long-term illness. The objective of this review is to examine the impact of a broad range of family-related factors and their relationship with clinical, social, occupational and relational outcomes in first-episode psychosis (FEP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic search of databases PsycInfo, Pubmed, Embase and CINHAL between 1990 and August 2023 was completed. In total, 1408 articles were screened, and study quality was assessed using the JBI critical appraisal checklists for analytical cross-sectional studies and cohort studies. A narrative synthesis approach was used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 1408 identified articles, 80 full-text articles were screened. Fifteen studies were included for data extraction. The objectives and scope of the selected studies varied considerably. Studies consisted of cross-sectional and prospective cohort designs. Participants consisted of FEP patients and family members, with the patient age range varying from 15.9 to 30.8 (MD = 24.5). Significant associations were identified between family factors (high EE, family environment and carer burden) and symptom and social outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>While findings emphasised the significant impact of family factors on symptomatic and social outcomes, the literature had significant limitations due to the absence of underlying theoretical models and understanding of the dynamics of distress in families within FEP. Future research should seek to develop a model accounting for such processes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.13643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for Thinking About Suicide Among Individuals With First-Episode Psychosis: An Ecological Momentary Assessment Study","authors":"Heather M. Wastler,&nbsp;Margaret Manges,&nbsp;Elizabeth Thompson,&nbsp;Lindsay A. Bornheimer","doi":"10.1111/eip.13640","DOIUrl":"10.1111/eip.13640","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine patient perceived reasons for thinking about suicide among individuals with first-episode psychosis (FEP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants completed a baseline assessment followed by 28 days of ecological momentary assessment (EMA). Baseline measures assessed lifetime suicidal ideation and reasons for thinking about suicide. EMA items assessed real-time suicidal ideation and reasons for thinking about suicide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The average number of lifetime reasons for thinking about suicide was 11.47 ± 5.99, with the most commonly endorsed reasons being to get away or escape (81.6%), to stop bad feelings (71.1%), and to relieve feelings of aloneness, emptiness or isolation (57.9%). Only 31.6% of participants endorsed positive symptoms as a lifetime reason for thinking about suicide. EMA results were consistent with lifetime data. Participants typically endorsed multiple reasons (2.15 ± 0.71), with the desire to escape and to stop bad feelings being the most commonly endorsed items. Psychosis was endorsed as a reason for thinking about suicide during 16.3% of instances of ideation during EMA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlight the multi-faceted nature of suicide risk in psychosis. Interestingly, positive symptoms were not frequently endorsed as reasons for thinking about suicide from the patient's perspective. Further research is needed to identify when and for whom positive symptoms contribute to suicide risk. Additionally, our results identify important risk factors for further study, namely the desire to escape and/or stop bad feelings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/eip.13640","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142926723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychopathological Characteristics and Subjective Dimensions of Suicidality in Adolescents at Ultra High Risk (UHR) for Psychosis","authors":"Elena Monducci,&nbsp;Valeria Mammarella,&nbsp;Alessia Maffucci,&nbsp;Michela Colaiori,&nbsp;Olivia Cox,&nbsp;Serena Cesario,&nbsp;Luca Cammisa,&nbsp;Arianna Terrinoni,&nbsp;Ignazio Ardizzone,&nbsp;Claudia Battaglia,&nbsp;Giada Colafrancesco,&nbsp;Maria Pia Casini,&nbsp;Francesco Pisani,&nbsp;Mauro Ferrara,&nbsp;Andrea Raballo","doi":"10.1111/eip.13639","DOIUrl":"10.1111/eip.13639","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Hypothesis</h3>\u0000 \u0000 <p>Suicide and suicidal behaviour are among the most frequent and serious complications in severe mental disorders, especially in the developmental years. From the early stages of psychosis, i.e., in ultra high risk (UHR) and first psychotic episode (FEP) subjects, the suicide risk (SR) is higher than in the general population. Therefore, assessing suicidal thoughts during the high psychotic risk period is extremely important. This study aims to assess SR in a group of UHR adolescents compared to FEP and clinical help-seeking controls (CHSC) peers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Design</h3>\u0000 \u0000 <p>95 adolescents (13–18 years) were evaluated through psychopathological interviews and self-report questionnaires to assess UHR, FEP or CHSC condition, clinical suicidal behaviour and suicide thoughts, global functioning, self-disorders, and other psychiatric comorbidities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Results</h3>\u0000 \u0000 <p>We identified 17 FEP, 33 UHR, and 45 CHSC. 54.7% of the total sample is at SR, identified in 70.6% of FEP subjects, 81.8% of UHR subjects and 28.9% of CHSC patients. Furthermore, SR correlated with positive symptoms (<i>p</i> = 0.013), negative symptoms (<i>p</i> = 0.032), general symptoms (<i>p</i> = 0.009), and global functioning (<i>p</i> &lt; 0.001) as well as with the total EASE score (<i>p</i> &lt; 0.001). An increasing rate of self-disorders was associated with an increased likelihood of SR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Monitoring UHR adolescents not only for psychotic onset but also for SR is crucial due to their higher suicidality and worse prognosis. Rigorous management and monitoring can enable more targeted interventions and suicide prevention strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Chronotypes and Perceived Stress on Sleep Quality in Undergraduates in Taiwan","authors":"Ren-Rong Chen,&nbsp;Jia-Yin Syu,&nbsp;Jeff Chien-Ta Chen,&nbsp;Sue Jane Fetzer,&nbsp;Esther Ching-Lan Lin","doi":"10.1111/eip.13641","DOIUrl":"10.1111/eip.13641","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Chronotypes and perceived stress can predict psychiatric symptoms and affect sleep quality, though the relationships between these factors are not completely described. This study explores the influence of chronotypes and perceived stress on sleep quality among undergraduates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey was administered to a convenience sample of 110 undergraduates aged 18–23 years (mean age 20.32 ± 1.00) at a university in southern Taiwan, predominantly women and senior students. Three self-reporting instruments were used: the Munich Chronotype Questionnaire, the Perceived Stress Scale, and the Pittsburgh Sleep Quality Index. Multivariate regression analysis was performed to investigate the influence of chronotype and perceived stress on sleep quality in undergraduates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty-one per cent of the respondents were poor-quality sleepers. Moreover, 85.5% of the respondents were classified as “neither” chronotype, whereas 13.6% were “evening” chronotype. Sleep quality was associated with both chronotype and perceived stress level (<i>r</i> = 0.41, 0.43, <i>p</i> &lt; 0.01). Multiple regression revealed higher MCTQ scores (continuous or categorical) and higher perceived stress were significantly associated with poorer sleep quality, explaining approximately 30% of the variance (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings of this study showed evening-type undergraduates with higher perceived stress exhibited poorer sleep quality. Highlight the importance of considering chronotype in health promotion among individuals transitioning to adulthood. Early interventions may help align an individual's chronotype with their external time schedule, mitigate the negative impacts of misaligned later chronotypes, enhance sleep quality, and help to manage perceived stress levels in undergraduates.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Interpersonal Stress and Maladaptive Metacognitive Beliefs on Paranoid Ideation Among Japanese University Students","authors":"Takuma Ishigaki,&nbsp;Yuki Nishiguchi","doi":"10.1111/eip.13642","DOIUrl":"10.1111/eip.13642","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Paranoid ideation, a crucial component of psychotic-like experiences, tends to increase between early and late adolescence, even in the general population, and it negatively affects overall mental health and social adjustment. Japanese adolescents experience high levels of interpersonal stress. However, few studies have examined the relationship between paranoid ideation and interpersonal stress. This study investigated the effects of maladaptive metacognitive beliefs and interpersonal stress on paranoid ideation to provide suggestions for preventive education and early intervention for paranoid ideations among Japanese university students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online questionnaire survey involving 400 Japanese university students, aged between 18 and 22 years, was conducted. The questionnaires used were the Paranoia Checklist, the Metacognitive Questionnaire-30, and the Interpersonal Stressor Scale. The Interpersonal Stressor Scale was developed specifically for Japanese adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A multiple regression analysis was performed, which showed that the regression coefficients of the interaction between maladaptive metacognitive beliefs and interpersonal stress were significant for paranoid ideation. The results of the simple slope analysis regarding the scales on which interactions were found also indicated that the influence of maladaptive metacognitive beliefs on paranoid ideation was greater when interpersonal stress levels were higher.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The combination of interpersonal stress and maladaptive metacognitive beliefs exacerbates paranoid ideation among Japanese university students. It is important to modify metacognitive and cognitive biases in preventive education and early intervention strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}