European Journal of Psychiatry最新文献

{"title":"A collective case study of mental health systems’ response to COVID-19: Impact on patterns of care provision for depression and anxiety in two comparable regions of Southern Europe","authors":"G Castelpietra ,&nbsp;T Niyonsenga ,&nbsp;A Iruin ,&nbsp;U Albert ,&nbsp;A Gabilondo ,&nbsp;L Salvador-Carulla","doi":"10.1016/j.ejpsy.2024.100278","DOIUrl":"10.1016/j.ejpsy.2024.100278","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>COVID-19 pandemic has affected the mental health system (MHS) globally, although significant geographical variation was found, particularly for depression and anxiety. The understanding of its impact at the regional level of the context of care is limited when compared to national evaluations.</div></div><div><h3>Methods</h3><div>Collective case study comparing the prior pattern of care with the first 11 months of COVID-19 in two sites: Gipuzkoa (Spain) and Friuli Venezia Giulia - FVG (Italy). Information from both sites derive from administrative data of MHS in the two regions harmonized for comparison. Data included prevalence of psychiatric diagnoses (ICD-10 F30-F39 and F40-F49 codes), number of hospitalisations, mean and range of psychiatric and psychological interventions. Significance of time-period and location difference was assessed using the Chi-square and the T-statistics for prevalence and count data, respectively.</div></div><div><h3>Results</h3><div>MHS is community-based in both sites. The prevalence of anxiety decreased in FVG, while a decrease in hospitalisations was found in Gipuzkoa. Both sites registered an increase in psychiatric visits for anxiety and depression. In both periods, FVG showed significant lower prevalence of diagnoses, but higher mean number of psychiatric interventions.</div></div><div><h3>Conclusions</h3><div><strong>:</strong> The COVID-19 outbreak is a paradigmatic example of complex dynamic systems in public health and illustrates the importance of considering its local context and time dependency. The Standard mapping and coding of local MHS provision is essential to allow comparison and reduce ambiguity. This study highlights the importance of ecosystem research to better interpret epidemiological data and support the development of evidence-informed policymaking.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100278"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701758","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":"Has psychiatric emergency care changed after the COVID-19 pandemic? A retrospective study in a tertiary hospital in Madrid, Spain","authors":"Carolina Fajardo ,&nbsp;Simona Sciacchitano ,&nbsp;Alba Maria Pozo-Prados ,&nbsp;Ana Izquierdo ,&nbsp;Álvaro Orosa-Duarte ,&nbsp;Eduardo Delgado-Parada ,&nbsp;Jose Luis Ayuso-Mateos ,&nbsp;Iosune Torio","doi":"10.1016/j.ejpsy.2024.100281","DOIUrl":"10.1016/j.ejpsy.2024.100281","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The COVID-19 pandemic and the ensuing restrictive measures had a detrimental impact on the mental health of the population, potentially altering the pattern of seeking psychiatric care. A retrospective cross-sectional study was conducted to compare Psychiatric Emergencies after the most restrictive phases of the pandemic with an equivalent pre-pandemic period. Additionally, we aimed to investigate a possible association between the influx of patients to the emergency department (ED) and the cumulative incidence of COVID-19 cases.</div></div><div><h3>Methods</h3><div>Data from the psychiatric ED of a tertiary hospital in Madrid, Spain, during the so-called “new normal” phase (October 2020 - May 2021) were compared with a corresponding period (October 2018 - May 2019).</div></div><div><h3>Results</h3><div>The number of visits to the ED significantly increased from 879 to 980 after the pandemic. Patients were more likely to be compulsorily transferred (<em>M</em> = 281, SD 28.7 vs. <em>M</em> = 209, SD 23.8) and had a higher likelihood of requiring psychiatric hospitalization (<em>M</em> = 323, SD 33.0 vs. <em>M</em> = 246, SD 28.0). Notably, the number of visits related to suicide attempts was significantly higher during the pandemic (<em>M</em> = 147, SD 15.0 vs. <em>M</em> = 86, SD 9.8), while the proportion of patients with bipolar disorder decreased (<em>M</em> = 89, SD 9.1 vs. <em>M</em> = 121, SD 13.8). No significant results were found regarding a possible association between the number of patients in the ED and the COVID-19 incidence rate.</div></div><div><h3>Conclusions</h3><div>These results suggest critical changes in psychiatric emergency care and an increasing trend of suicide attempts during the pandemic, emphasizing the need for the reorganization of emergency care in future health crises.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100281"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701759","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":"Testing implementation support strategies to facilitate an evidence-based substance use and mental health care intervention in veterans treatment courts: A hybrid type III trial protocol","authors":"David A. Smelson ,&nbsp;Vera Yakovchenko ,&nbsp;Kathryn E. Bruzios ,&nbsp;Thomas Byrne ,&nbsp;Megan Mccullough ,&nbsp;Paige M. Shaffer ,&nbsp;A. Rani Elwy","doi":"10.1016/j.ejpsy.2024.100282","DOIUrl":"10.1016/j.ejpsy.2024.100282","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Veterans Treatment Courts (VTCs) are alternative to incarceration programs for veterans involved in the criminal legal system. VTC participants have high rates of co-occurring mental health and substance use disorders (COD). Maintaining Independence and Sobriety Through Systems Integration, Outreach and Networking – Criminal Justice (MISSION<img>CJ) is an evidence-based, multicomponent intervention offered alongside VTCs to support veterans’ complex needs. Multicomponent interventions are often difficult to implement nationally, let alone when care is offered and coordinated across multiple systems. This protocol offers an overview of an implementation-effectiveness trial of MISSION<img>CJ in VTCs.</div></div><div><h3>Methods</h3><div>This quality improvement (QI) project will involve an adaptive, randomized design, in which VA staff in four geographically-dispersed regions across the U.S. will be invited to participate and receive varying implementation facilitation (IF) support (i.e., low/passive and high/active) for implementing MISSION<img>CJ. Sites will have a 9-month run-in period (e.g., orientation) followed by 9-months of low/passive IF. Sites that meet an implementation benchmark will then be randomized to continue low/passive IF or discontinue; and sites that do not meet the benchmark will be randomized to continue low/passive IF, or receive high/active IF for 12-months. Implementation outcomes are based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework (e.g., reaching eligible veterans, adoption rates, fidelity to MISSION<img>CJ, and maintenance/sustainment). MISSION<img>CJ effectiveness outcomes include treatment engagement and COD improvements.</div></div><div><h3>Discussion</h3><div>This QI project aims to determine the most effective type and intensity of IF to increase MISSION<img>CJ, while improving outcomes among VTC participants. As the first national trial to implement MISSION<img>CJ in VTCs, it has important implications for the criminal legal and implementation science fields.</div></div><div><h3>Trial Registration</h3><div>ISRCTN registry, ISRCTN13576289, Registered 21 December 2022, https://www.isrctn.com/ISRCTN13576289</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100282"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701768","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":"Systematic review of psychological assessment tools in emergencies, crises, and disasters","authors":"Alba Pérez-González ,&nbsp;Adolfo Jarne","doi":"10.1016/j.ejpsy.2024.100271","DOIUrl":"10.1016/j.ejpsy.2024.100271","url":null,"abstract":"<div><h3>Objectives</h3><div>We conducted a systematic review to determine which psychological assessment measures are most commonly used by emergency services to assess the psychological response of the general population in a crisis event and the time point at which the assessment is carried out.</div></div><div><h3>Method</h3><div>A systematic review was performed based on PRISMA recommendations and registered with PROSPERO by searching in electronic citation databases (Web of Science, PubMed, and PsycInfo).</div></div><div><h3>Results</h3><div>Twelve studies were included. The flowchart shows the entire decision-making process. Among the variables assessed, self-report measures that assess PTSD stand out above all others, followed by self-report measures that assess negative emotional states (anxiety and depression). Psychologists frequently appeared among the professionals involved in the assessments. None of the experiences analyzed were an assessment carried out immediately after the event.</div></div><div><h3>Conclusion</h3><div>Very few psychological assessment instruments have been developed in the context of emergencies, and those that are used are translations of others designed in a clinical context. According to the latest research, studies tend to overlook the importance of the time elapsed between the event and assessment.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100271"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701766","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":"Problematic gaming use and psychological distress among Spanish young adults: A comprehensive study","authors":"E. Suárez-Soto ,&nbsp;A. Peris-de la Hoz ,&nbsp;A. Sanchez-Fernandez-Quejo ,&nbsp;E. Rodriguez-Toscano ,&nbsp;N. Lagunas ,&nbsp;B. Reneses ,&nbsp;A. De la Torre-Luque","doi":"10.1016/j.ejpsy.2024.100279","DOIUrl":"10.1016/j.ejpsy.2024.100279","url":null,"abstract":"<div><h3>Background and objectives</h3><div>This study examined problematic video game use and its sociodemographic and clinical correlates in a sample of 1,410 Spanish video game players (33.6% women; mean age = 21.12 years, SD = 3.29).</div></div><div><h3>Methods</h3><div>The participants completed a comprehensive set of assessment scales to evaluate clinical features: a sociodemographic interview, problematic video gaming (using the GAS-7), emotional symptoms (with the Goldberg Anxiety and Depression scales), suicidal ideation (with the Paykel Suicidal Ideation Scale), loneliness (De Jong Gierveld Loneliness Scale) and impulsivity (UPPS-P scale). Participants were classified based on problematic gaming severity. Differences between groups were explored for the clinical features assessed.</div></div><div><h3>Results</h3><div>As a result, most participants showed a low-risk gaming pattern (88.2%), in comparison to those showing either excessive use of video games (10% of participants) or problematic (pathological) gaming use (almost 2%). Risk groups differed by sex (<em>p</em> &lt; .01), but not age, education, or employment. Game time and frequency varied across risk groups, indicating higher use with greater risk. Clinical correlates were examined, with higher risk groups showing more depressive symptoms (<em>p</em> &lt; .01), anxiety symptoms (<em>p</em> &lt; .01), suicidal ideation (<em>p</em> &lt; .01), and loneliness (<em>p</em> &lt; .01). Impulsiveness dimensions also showed significant group differences, except for sensation seeking. In conclusion, problematic video game use was linked to higher levels of depressive symptoms, anxiety, suicidal ideation, loneliness, and impulsiveness.</div></div><div><h3>Conclusion</h3><div>This study sheds light on the clinical aspects associated with different levels of problematic gaming.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100279"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701757","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":"Dissociation and dysfunctional personality traits in patients with borderline personality disorder: A study based On DSM-5 alternative model","authors":"Margherita Alfieri ,&nbsp;Anna Caterina Leucci ,&nbsp;Biancamaria Bortolotti ,&nbsp;Sara Gibiino ,&nbsp;Loredana Lia ,&nbsp;Lorenzo Pelizza ,&nbsp;Marco Menchetti","doi":"10.1016/j.ejpsy.2024.100283","DOIUrl":"10.1016/j.ejpsy.2024.100283","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Borderline Personality Disorder (BPD) and dissociative experiences are frequently co-occurring conditions. This study aimed to assess the relationship between DSM-5 Alternative Model of Personality Disorder (AMPD) maladaptive personality facets and self-report dissociation in a sample of patients with BPD.</div></div><div><h3>Methods</h3><div>Our sample consisted of 178 Italian adult patients who met the criteria for BPD diagnosed by Structured Clinical Interview for DSM IV-Axis II. They were administered the Personality Inventory for DSM-5 (PID-5) and the Dissociative Experiences Scale (DES). An agglomerative hierarchical cluster analysis was performed using facets as clustering variables. Multivariable regression analysis was performed to identify the PID-5 characteristics which could suggest a dissociative dimension.</div></div><div><h3>Results</h3><div>Our results showed the potential of PID-5 to hypothesize a dissociative dimension towards DES scores. Therefore, we theorized a specific BPD phenotype characterized by high levels of Unusual Behaviors and Beliefs, high levels of Perceptual Dysregulation, high levels of Withdrawal, low levels of Impulsivity and Irritability, low levels of Callousness and low levels of Avoidance, for which it may be assumed a dissociative framework. Moreover, it could be postulated that patients with dissociative symptoms who will be diagnosed with BPD according to the AMDP would have the domain of Psychoticism as “specifier”.</div><div>Lastly, we highlighted the role of gender as a moderator between personality traits and dissociative symptoms.</div></div><div><h3>Conclusion</h3><div>Consistently with this study, an initial assessment with PID-5 personality facets may detect an underlying dissociative psychopathology, suggesting significant clinical implications for both treatment and prognosis.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100283"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701760","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":"Neural bases of referential thinking in schizophrenia spectrum disorders and high-risk mental states: A systematic review","authors":"Daniel Santos-Carrasco ,&nbsp;Juan Francisco Rodríguez-Testal ,&nbsp;Manuel Vázquez-Marrufo","doi":"10.1016/j.ejpsy.2024.100280","DOIUrl":"10.1016/j.ejpsy.2024.100280","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Nowadays, schizophrenia research is moving towards the search for early signs of illness. One of the psychosis progression markers highlighted in scientific literature is referential thinking. Thus, the main objective of this work is to analyze the main forms of assessment of referential thinking, as well as the neural bases underlying this process in people with high-risk mental states and psychotic spectrum disorders.</div></div><div><h3>Methods</h3><div>A systematic search was carried out in three electronic databases (Web of Science, PsycInfo, and PubMed). Experimental studies with case-control designs were searched, and then analyzed both bibliographically and based on their potential risk of bias through the Newcastle-Ottawa scale. The protocol was registered in PROSPERO [CRD42021291691].</div></div><div><h3>Results</h3><div>Of the 200 potentially relevant studies, 28 met the inclusion criteria. The results showed that the most common way of assessment was the experimental task of making self-reflection about personality phrases and traits. In the studies reviewed, there was a greater number of negative self-references and a greater response latency among the patients when compared to controls. Regarding neural bases, patients showed more neural activity associated with referential thinking in areas such as the dorsomedial and ventromedial prefrontal cortices, the anterior and posterior cingulate cortices, or the precuneus.</div></div><div><h3>Conclusions</h3><div>The results confirm the hypothesis of referential thinking as an indicator of progression in the psychotic continuum, while highlighting a set of areas that could be hyperactivated in a network of postero-anterior functional connectivity. This antero-posterior hub could underlie the referential thinking deficit in neuropsychiatric disorders.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 1","pages":"Article 100280"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701767","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 and cardiometabolic efficacy of a nutritional education intervention based on symbiotics in schizophrenia spectrum disorders. Two-arm Randomised Clinical Trial","authors":"Alfonso Sevillano-Jiménez ,&nbsp;Guillermo Molina-Recio ,&nbsp;Juan Antonio García-Mellado ,&nbsp;Rafael Molina-Luque ,&nbsp;Manuel Romero-Saldaña","doi":"10.1016/j.ejpsy.2024.100262","DOIUrl":"10.1016/j.ejpsy.2024.100262","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Advances in knowledge have contributed to the global understanding of nutritional patterns' influence on mental health. The aim was to determine the impact of a high-symbiotic diet on cardio-metabolic and psychopathological outcomes in schizophrenia.</p></div><div><h3>Methods</h3><p>A randomised clinical trial (two-arm, double-blind, balanced-block, six-month intervention) was conducted on 50 individuals diagnosed with schizophrenia spectrum disorder. The control group received conventional dietary advice individually. The intervention group received intensive dietary advice based on the increasing consumption of food with high symbiotic content (fermented foods, whole grains, green leafy vegetables and fruits high in dietary fibre, among others). Researchers collected data on cardiovascular and psychopathological status at baseline, three and six months. In addition, anthropometric parameters were analysed monthly.</p></div><div><h3>Results</h3><p>Forty-four subjects were analysed. Compared to the control group, the intervention group demonstrated improvements in the PANSS-GP subscale and the PSP scale scores over 3–6 months (<em>p</em> &lt; 0.05). Anthropometric values were decreased in all the variables (<em>p</em> &lt; 0.05). Systolic blood pressure decreased between 3 and 6 months (<em>p</em> = 0.049).</p></div><div><h3>Conclusions</h3><p>Nutrition education for increasing the consumption of foods with high symbiotic content has positively impacted the cardio-metabolic and psychopathological profile in patients with schizophrenia spectrum disorders. In addition, advanced practice mental health nurses have been shown to play a prominent role in developing nutrition education and promoting healthy lifestyles in these patients.</p></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"38 4","pages":"Article 100262"},"PeriodicalIF":2.5,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629987","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":"Is it possible to circumnavigate the APIcalypse? On challenges to study mental health in the age of digitalization and AI","authors":"Christian Montag ,&nbsp;Brian J. Hall ,&nbsp;Yu-Hsuan Lin","doi":"10.1016/j.ejpsy.2024.100273","DOIUrl":"https://doi.org/10.1016/j.ejpsy.2024.100273","url":null,"abstract":"","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"38 4","pages":"Article 100273"},"PeriodicalIF":2.5,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0213616324000235/pdfft?md5=d8fe96d081bc08632f6324c08fb9c496&pid=1-s2.0-S0213616324000235-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604908","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":"An expert Delphi consensus for the characteristics of an ideal clozapine-specific side effect scale","authors":"Emilio Fernández-Egea","doi":"10.1016/j.ejpsy.2024.100267","DOIUrl":"https://doi.org/10.1016/j.ejpsy.2024.100267","url":null,"abstract":"<div><p>This study employed the Delphi method to identify the ideal characteristics of a clozapine adverse drug reaction (ADR) scale, engaging 34 clozapine specialists at the 6th NEMEA meeting. Participants emphasized the integration of clinician-rated (CROM) and patient-rated (PROM) outcomes in the scale, aiming for a balance between comprehensiveness and practicality. Key consensus points included the inclusion of specific ADRs like somnolence, sialorrhea, and compulsivity, while metabolic complications were considered less relevant. This research highlights the need for a practical, patient-inclusive tool for monitoring clozapine ADRs, reflective of both clinical expertise and patient experiences in managing treatment-resistant schizophrenia.</p></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"38 4","pages":"Article 100267"},"PeriodicalIF":2.5,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S021361632400017X/pdfft?md5=7e4cd7af1f684971a9518815882cd2ed&pid=1-s2.0-S021361632400017X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582788","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}