European Journal of Psychiatry最新文献

{"title":"Eating disorders and cardiovascular outcomes: A systematic review with meta-analysis","authors":"Cristiane Buzanello-Donin ,&nbsp;Monica Augusta Mombelli ,&nbsp;Márcia Rosângela Buzanello ,&nbsp;Clenise Maria Reis Capellani dos Santos ,&nbsp;Cassia Cristina Paes de Almeida ,&nbsp;Rogério da Luz ,&nbsp;Miguel Morita Fernandes da Silva","doi":"10.1016/j.ejpsy.2024.100274","DOIUrl":"10.1016/j.ejpsy.2024.100274","url":null,"abstract":"<div><h3>Background and objective</h3><div>To conduct a literature review to assess the association between eating disorders (ED), cardiovascular outcomes and all-cause mortality.</div></div><div><h3>Methods</h3><div>Observational studies that presented a measure of association between mortality (or cardiac outcomes) and EDs in adult or adolescent patients were included. The databases PubMed, Web of Science, EMBASE, Livivo, Scopus, PsycINFO and Lilacs were consulted. The random effect was adopted to group the findings of the primary studies in the meta-analysis using the Hazzard Ratio (HR) as a measure of association.</div></div><div><h3>Results</h3><div>The meta-analysis with 50,263 patients with ED showed a higher risk of mortality from all causes in patients compared to controls. The associated risk of death from all causes was higher with anorexia (AN) compared to other ED (AN: HR 5.38; 95 %CI 4.42 to 6.56; binge ED: HR 2.48; 95 %CI 1.13 to 5.46; bulimia: HR 2.21; 95 %CI 1.70 to 2.87). Additionally, one study demonstrated an association between bulimia and an increased risk of developing cardiovascular disease (HR 4.25; 95 %CI 2.98 to 6.07) and another study showed a higher risk of cardiovascular events in people with bulimia than in healthy controls (HR 1.4; 95 %CI 0.7 to 2.8). Finally, a higher risk of cardiovascular events in people with AN (HR 10.4; 95 %CI 2.6 to 41.6) was demonstrated in one study, when compared to healthy controls.</div></div><div><h3>Conclusions</h3><div>There is an association between EDs and all-cause mortality, with AN being associated with the highest risk, followed by binge ED and bulimia.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100274"},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172281","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":"Effectiveness of bright light therapy in patients suffering from unipolar or bipolar depression; A naturalistic study","authors":"M.A. Riedinger ,&nbsp;G.E. van Son ,&nbsp;N.J.A. van der Wee ,&nbsp;E.J. Giltay ,&nbsp;M. de Leeuw","doi":"10.1016/j.ejpsy.2025.100294","DOIUrl":"10.1016/j.ejpsy.2025.100294","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive disorders, both unipolar (MDD) and bipolar (BD), impact patients and society greatly. In bipolar depression and seasonal affective disorder the episodic nature and periodicity relate to changes in circadian rhythms. Bright light therapy (BLT) is thought to ameliorate symptoms of depression through its influence on circadian rhythms. Effectiveness of BLT has not been thoroughly established in real-world clinical samples.</div></div><div><h3>Methods</h3><div>For seventy-four patients with depression Inventory of Depressive Symptoms – Self Rated (IDS-SR) scores were available through Routine Outcome Monitoring (ROM) used in BLT in the outpatient clinic for mood disorders. Patients received one or two weeks of add-on BLT as usual care. Patients suffering from MDD (<em>n</em> = 33, 60.6 % female, mean age 36.1 ± 11.5 years) were compared to patients suffering from BD (<em>n</em> = 41, 70.7 % female, mean age 45.0 ± 14.5 years) and changes in individual symptoms were analyzed for these two groups as well as the whole cohort.</div></div><div><h3>Results</h3><div>IDS-SR scores decreased significantly in both groups of patients and did not differ in effect size between the groups. Explorative analyses of the effects on individual items of the IDS-SR showed that items related to core symptoms of depression such a as mood, concentration and energy level showed the largest improvements.</div></div><div><h3>Conclusion</h3><div>Self-report depressive symptoms in patients suffering from either MDD or BD decreased in this naturalistic cohort after receiving BLT.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100294"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136440","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":"Difference in degree centrality of brain functional connectivity between patients with treatment-resistant depression and patients with non-treatment-resistant depression compared with healthy individuals","authors":"Li-Kai Cheng ,&nbsp;Li-Fen Chen ,&nbsp;Tung-Ping Su ,&nbsp;Cheng-Ta Li ,&nbsp;Wei-Chen Lin ,&nbsp;Shih-Jen Tsai ,&nbsp;Ya-Mei Bai ,&nbsp;Pei-Chi Tu ,&nbsp;Mu-Hong Chen","doi":"10.1016/j.ejpsy.2025.100292","DOIUrl":"10.1016/j.ejpsy.2025.100292","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Evidence suggests that treatment-resistant depression (TRD) is associated with more prominent and widespread brain alterations in areas related to mood and cognition compared with non-treatment-resistant depression (nTRD). However, direct comparisons of brain functioning between TRD and nTRD are scarce.</div></div><div><h3>Methods</h3><div>We applied graph theory-based resting-state functional magnetic resonance imaging analysis to compare the degree centrality (DC) of brain functional connectivity among 31 patients with TRD, 28 patients with nTRD, and 30 healthy controls. Cognitive function was assessed using working memory and go/no-go tasks.</div></div><div><h3>Results</h3><div>Compared with controls, patients with TRD exhibited reduced DC in the left cuneus, right frontal operculum cortex, cerebellum vermis I, II, and IX, and left cerebellum lobule X. The DC in the right cerebellum lobule III was lower in patients with TRD compared with those with nTRD. Among patients with TRD, we discovered positive associations between mean reaction time on the go/no-go task and DC in the left cuneus (<em>r</em> = 0.44, <em>p</em> = 0.015) and the right frontal operculum cortex (<em>r</em> = 0.41, <em>p</em> = 0.025). Conversely, the mean reaction time on the working memory task was inversely correlated with DC in the left cerebellar lobule X (<em>r</em> = −0.43, <em>p</em> = 0.019).</div></div><div><h3>Conclusion</h3><div>Our findings highlight the important roles of the cerebellum (specifically, lobule X, and the right lobule III), frontal operculum, and cuneus in TRD. Dysfunction in these brain regions, which are integral to the salience and default mode networks, is likely associated with TRD-related cognitive dysfunction.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100292"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136443","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 of studies using translated versions of the Attribution Questionnaire (AQ-27) to measure public stigma towards people with schizophrenia","authors":"Claire Thirkettle ,&nbsp;Sheri Oduola ,&nbsp;Sharon Black ,&nbsp;Lucy McEntegart ,&nbsp;Peter Beazley","doi":"10.1016/j.ejpsy.2025.100290","DOIUrl":"10.1016/j.ejpsy.2025.100290","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>The Attribution Questionnaire (AQ-27) is a widely used measure of public mental illness stigma. The AQ-27 was originally developed in the USA in the English language. Since its inception in 2003, several translations of the measure have been produced. This is the first review to explore the use of translated versions of the AQ-27 to measure stigma towards people with schizophrenia.</div></div><div><h3>Methods</h3><div>A systematic review was conducted. MEDLINE, PsycInfo and Web of Science were systematically searched between 2003 and 2024. The COSMIN Study Design Checklist was adapted to appraise the quality of the translation processes. Data were extracted relating to measurement properties (reliability and validity) of the translated measures.</div></div><div><h3>Results</h3><div>Forty-one studies were identified, spanning fifteen countries and eleven languages. Most studies (<em>n</em> = 26, 63.4 %) were located in Europe. Twelve original translations of the AQ-27 were identified, of which, four studies were primarily focused on translation and validation of the measure. The Turkish, Italian and Arabic translations were rated highest for methodological quality of the translation process.</div></div><div><h3>Conclusions</h3><div>Researchers should consider the quality of the methodology used to develop existing translated versions of the AQ-27 before adopting them, as this may have implications for the validity and equivalence of the measure within the target culture. Translation frameworks are available to support the high-quality translation and cross-cultural adaptation of self-report measures.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100290"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136442","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":"Prognostic value of a two-dimensional trauma-neglect model: Two-year course of the Dutch Friesland study cohort","authors":"Sanne Swart ,&nbsp;Marleen Wildschut ,&nbsp;Willemien Langeland ,&nbsp;Adriaan W. Hoogendoorn ,&nbsp;Nel Draijer","doi":"10.1016/j.ejpsy.2025.100291","DOIUrl":"10.1016/j.ejpsy.2025.100291","url":null,"abstract":"<div><h3>Background and objectives</h3><div>This study tested the prognostic value of a two-dimensional trauma-neglect model by determining clinically relevant change in symptomatology of patients with (comorbid) trauma-related disorders, dissociative disorders and personality disorders after 2-year follow-up</div></div><div><h3>Methods</h3><div>Our cohort consisted of 150 patients who were referred to specialized treatment programs for trauma-related disorders, dissociative disorders or personality disorders. We determined clinically relevant change using the Relevant Change Index and used logistic regression analysis to test the prognostic value of the trauma-neglect model.</div></div><div><h3>Results</h3><div>Our results showed that severity of a trauma-related diagnosis predicted clinically relevant change in dissociative symptoms, but not in other symptomatology. The number of personality disorders did not predict clinically relevant change in symptomatology.</div></div><div><h3>Conclusions</h3><div>We found little support for the prognostic value of the trauma-neglect model, and, contrary to our expectation, the severity of symptoms did not predict course in a negative way.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100291"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136444","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":"Sex differences in death by suicide versus the rest of external causes of death across the lifespan. A population study","authors":"Alicia Padron-Monedero ,&nbsp;Isabel Noguer-Zambano ,&nbsp;Alejandro G. Arleth ,&nbsp;M. Pilar Martin ,&nbsp;Jerónimo Saiz Ruiz","doi":"10.1016/j.ejpsy.2024.100261","DOIUrl":"10.1016/j.ejpsy.2024.100261","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Men, compared to women, have higher rates of mortality by suicide and the rest of external causes in all age groups. However, it is unclear if the higher tendency of men to die by suicide, it is largely related to men higher propensity to die by external causes in general. As far as we know, only one study (US population) assessed sex differences in suicide versus other external causes of death, finding important differences across the lifespan. Thus, our study aims to assess, in Spanish population, if there are differences between sexes in death by suicide versus the rest of external causes of death and its variation across lifespan.</div></div><div><h3>Methods</h3><div>Cross-sectional study of all Spanish residents that died from suicide and rest of external causes between 2016 and 2018, and which consisted of 45,389 fatalities. To assess sex differences in deaths by suicide versus the rest of external causes of death, we built logistic regression models stratifying by age groups.</div></div><div><h3>Results</h3><div>Compared to women who died by external causes, men who died by external causes had OR (95 % CI) of 1.94(1.85–2.03) of dying by suicide. The OR were 0.78 (0.64–0.96), 0.57 (0.49–0.67), 0.73 (0.64–0.84) and 0.75 (0.65–0.85) for those 25–34, 35–44, 45–54 and 55–64 years respectively. For those 65–74, 75–84 and ≥ 85 years the trend changed, and OR were 1.15 (1.01–1.31), 2.38 (2.10–2.72), and 3.81 (3.28–4.44) respectively.</div></div><div><h3>Conclusions</h3><div>Men, compared to women, are more likely to die by suicide versus the rest of external deaths. Nevertheless, there are important differences across the lifespan.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100261"},"PeriodicalIF":2.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133780","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":"Adaptation and validation of the inventory of psychotic-like anomalous self-experiences (IPASE) into spanish to assess anomalous self-experiences","authors":"Marta Hernández-García ,&nbsp;Rosa M. Beño-Ruiz-de-la-Sierra ,&nbsp;José Luis Quintana-Velasco ,&nbsp;Inés Fernández-Linsenbarth ,&nbsp;Olga Santesteban-Echarri ,&nbsp;Vicente Molina Rodríguez","doi":"10.1016/j.ejpsy.2024.100276","DOIUrl":"10.1016/j.ejpsy.2024.100276","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Anomalous self-experience, or the experience of the self, are frequently present but underexplored in patients with schizophrenia. Unfortunately, to date, there are no available inventories in Spanish to assess these self-experiences. The present study aims to adapt and validate the Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) in the Spanish population.</div></div><div><h3>Methods</h3><div>A total of 171 participants were included: 112 cases (patients) and 59 healthy controls. Among them, 87 patients were diagnosed with schizophrenia (70 chronic and 17 first-episode patients) and 25 patients with bipolar disorder. The participants were evaluated using the structured clinical interview DSM-IV and were tasked with completing the Spanish version of the IPASE. The properties of the scale were analysed in terms of internal consistency, stability, and correlation between scores on the subscales with sociodemographic and clinical variables.</div></div><div><h3>Results</h3><div>The IPASE showed good reliability (Cronbach's alpha coefficient of 0.847) and intraclass correlation,with a value of 0.837 for the patient group and 0.812 for the control group. The variables of age and sex did not significantly correlate with the total IPASE score. Compared to healthy controls, cases obtained significantly higher overall scores on the IPASE and its five subscales; total scores on the IPASE (Cases: (20.96 ± 42.5)vs. control:(80.56 ± 20.6), <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The Spanish version of the IPASE scale shows good psychometric properties in terms of reliability and validity for its application in assessing alterations in subjective self-experiences in patients with schizophrenia. This demonstrates the value of the IPASE as a tool in both clinical practice and research.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100276"},"PeriodicalIF":2.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172282","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":"Development of the Spanish version of the Parents' Self-Stigma Scale","authors":"Andreu Nolasco ,&nbsp;Giovanna Tassara ,&nbsp;Laura Borredà ,&nbsp;Manuel Giron ,&nbsp;Nayara Tamayo-Fonseca ,&nbsp;Joaquín Moncho ,&nbsp;Pamela Pereyra-Zamora ,&nbsp;Manuel Gómez-Beneyto","doi":"10.1016/j.ejpsy.2024.100275","DOIUrl":"10.1016/j.ejpsy.2024.100275","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>It is known that those who regularly interact with people with mental illness, such as family members, caregivers and mental health professionals, can be subjected to public stigmatization and that they may eventually develop self-stigmatization. Despite the relevance of parental self-stigma for the upbringing and treatment of children with psychiatric problems, only one instrument has been developed to identify it, the Parents' Self-Stigma Scale (PSSS). The lack of a similar instrument in Spanish motivated the present study, with the aim of developing a Spanish version of the PSSS.</div></div><div><h3>Methods</h3><div>After translating the PSSS, it was administered to two samples of parents of children who were treated consecutively in child-adolescent mental health centres in Reus and Valencia. The Reus sample was subjected to Exploratory Factor Analysis (EFA) and the Valencia sample to Confirmatory Factor Analysis (CFA), taking as reference the factor load matrix obtained in Reus. Temporal stability was estimated by calculating the ICC between the results obtained in two administrations of the questionnaire separated by four weeks. To estimate convergent validity, the correlation of the questionnaire score with the scores of the Rosenberg Self-Esteem Scale and the Schwarzer General Self-Efficacy Scale was calculated.</div></div><div><h3>Results</h3><div>The EFA showed the existence of three factors, “Bad Father”, “Self-blame” and “Self-shame”, which confirms the structural equivalence of the Spanish version and the original PSSS. Likewise, it was confirmed that the Spanish version is temporarily stable and valid.</div></div><div><h3>Conclusions</h3><div>The results obtained show that the Spanish version of the PSSS is semantically and psychometrically equivalent to the original PSSS, and that it has acceptable temporal stability and convergent validity.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100275"},"PeriodicalIF":2.5,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172284","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":"Screening time for delirium in dementia patients matters: Validation of the Spanish version of the RADAR","authors":"Esteban Sepúlveda ,&nbsp;Ester Bermúdez ,&nbsp;Lourdes Vallinoto ,&nbsp;Julia Sánchez ,&nbsp;Paola Saura ,&nbsp;Pau Piany ,&nbsp;Eva Viñuelas ,&nbsp;Marta Ciutat ,&nbsp;José Palma ,&nbsp;Imma Grau ,&nbsp;Elisabet Vilella ,&nbsp;Philippe Voyer ,&nbsp;José G. Franco","doi":"10.1016/j.ejpsy.2024.100272","DOIUrl":"10.1016/j.ejpsy.2024.100272","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Delirium is frequently underdiagnosed in patients with dementia. The <em>Repérage Actif du Delirium Adapté à la Routine</em> (RADAR) can be adapted to nursing routines for delirium screening. We validated the Spanish RADAR version and determined the best time of day for its administration.</div></div><div><h3>Methods</h3><div>All dementia patients admitted to a postacute care centre on one day were independently assessed by nurses using the RADAR at the morning and midday and by geriatricians with the Delirium Diagnostic Tool-Provisional (DDT-Pro) reference standard for delirium and subsyndromal delirium (SSD). We evaluated the test–retest temporal stability of the morning and midday RADAR assessments, the RADAR validity considering these two time points and then, the suitability of the DDT-Pro for diagnostic confirmation.</div></div><div><h3>Results</h3><div>Of 34 dementia patients included, 47.1 % had delirium, and 83.3 % had behavioural, mental or neurological disturbances that made diagnostic assessment difficult. The test–retest temporal stability of the RADAR was moderate, which is consistent with the fact that the diagnostic accuracy of the midday assessment for delirium (79.4 %) was better than that of the morning (73.5 %). The screening accuracy when also considering SSD, accounting for either assessment time, was 79.4 %. Several correspondence and correlation analyses support the use of DDT-Pro for confirmation and assessment of delirium severity after RADAR screening.</div></div><div><h3>Conclusion</h3><div>The RADAR is useful for the screening of delirium and SSD by nurses in dementia patients and midday assessments have greater diagnostic validity than morning assessments. Screened patients need subsequent diagnosis confirmation before starting therapeutic measures.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100272"},"PeriodicalIF":2.5,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172285","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":"Burnout in mental health professionals and its relation with their attitudes towards mental illness","authors":"Francisco Del Olmo-Romero ,&nbsp;Carlos Rebolleda-Gil ,&nbsp;Pedro Varandas ,&nbsp;Manuel Martín-Carrasco ,&nbsp;María González-Blanco ,&nbsp;Giampaolo Perna ,&nbsp;Edith Pomarol-Clotet ,&nbsp;Ana C. Martinez-Cabezón ,&nbsp;Raúl Huerta-Ramírez ,&nbsp;Raymond Salvador ,&nbsp;The Inter NOS Working Group","doi":"10.1016/j.ejpsy.2024.100289","DOIUrl":"10.1016/j.ejpsy.2024.100289","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Staff burnout is a concern in the mental health field, in terms of its prevalence and its association with a range of undesirable outcomes. Recent research suggests there is a relationship between mental health professionals’ (MHPs) burnout and stigmatizing attitudes towards their patients, probably leading to deleterious effects on the quality of their care. We measured burnout in a sample of professionals working in a wide range of mental health facilities in Spain, Portugal and Italy, and analyzed (1) its relationship with a set of relevant sociodemographic variables and (2) its influence on their stigmatizing attitudes.</div></div><div><h3>Methods</h3><div>We administered a survey including the Maslach Burnout Inventory (MBI) and two questionnaires related to stigmatizing attitudes: The Community Attitudes towards the Mentally Ill (CAMI) and the Attribution Questionnaire (AQ-27). Sociodemographics including information on profession, work setting and country were also registered.</div></div><div><h3>Results</h3><div>1525 professionals of the surveyed population (34.06 %) completed the survey. Burnout scores were significantly related to many of the sociodemographic variables. Profession and country were the strongest and most consistently associated to the three dimensions of burnout (i.e., Emotional Exhaustion (EE), Depersonalization (Dp) and Personal Achievement (PA)) always with a <em>p</em> &lt; 0.001. Fittings of linear models predicting stigmatizing attitudes from burnout pointed to PA as the most influential variable, being statistically significant for 11 of the 13 stigma variables, followed by both EE and Dp which were significant for 6 of the variables. Finally, higher adjusted R2 from the fitted models showed that burnout was more influential than profession, work setting or country in many of the stigma variables including Anger, Dangerousness, Fear, Help, Restrictiveness and Ideology.</div></div><div><h3>Conclusion</h3><div>Results from this study indicate that burnout of MHPs is related to a wide range of sociodemographic factors, with profession and country being remarkably significant. MHPs reporting higher burnout (especially lower personal achievement at work) have more negative attitudes towards their patients and support more coercive and restrictive approaches in their care. Staff burnout seems to explain most of their stigmatizing attitudes more than personal and professional variables. Thus, interventions to diminish burnout might have a positive influence on mental health care. Future studies should include organizational variables, more specific scales for stigma in MHPs, and have a follow-up design.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100289"},"PeriodicalIF":2.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143172283","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}