European Journal of Psychiatry最新文献

{"title":"Impact of pet ownership and animal-assisted therapy on suicidal ideation and suicide deaths: A scoping review","authors":"Carl Zhou ,&nbsp;Nicholas Fabiano ,&nbsp;Stanley Wong ,&nbsp;Philip Yu ,&nbsp;Henry Cheng ,&nbsp;Risa Shorr ,&nbsp;Marco Solmi","doi":"10.1016/j.ejpsy.2025.100309","DOIUrl":"10.1016/j.ejpsy.2025.100309","url":null,"abstract":"<div><h3>Background</h3><div>There is growing research on therapeutic benefits of animals. However, their impact on suicide-related outcomes such as suicidal ideation (SI), suicide attempts (SA), and suicide deaths remains unclear. This scoping review consolidates existing literature on the role of pet ownership and animal assisted therapy (AAT) on suicide-related outcomes.</div></div><div><h3>Methods</h3><div>A PRISMA-compliant systematic search of MEDLINE, EMBASE, and PsycINFO was conducted up to March 10, 2025. Articles reporting the impact of pet ownership or AAT on SI, SA, or suicide deaths were included. Screening and data extraction were performed in duplicate, with risk of bias assessed using appropriate tools for each study design except for case reports and interviews. Study findings were descriptively summarized.</div></div><div><h3>Results</h3><div>25 studies were included: one RCT, five pre- and post-studies, two cohort studies, one case-control study, three case reports/series, and 13 surveys/interviews. For pet ownership, a cohort study (n=709) found a positive association between time with dog and SI (r=0.17, p&lt;0.001). Two other observational studies yielded non-significant results against suicide deaths. For AAT, one pre- and post-study of veterans (n=71) reported significant SI reductions (t(54)=4.87, p&lt;0.001) while another pre- and post-study of adolescents (n=30) also found significant SI reductions (χ² McNemar=6.75; p&lt;0.05). Four other experimental studies, including one RCT, yielded non-significant results. Qualitative findings suggested pet ownership and AAT may have a perceived protective effect against SI. No articles reported on SA. Most articles had a high or moderate risk of bias.</div></div><div><h3>Conclusion</h3><div>While there is a reported perceived protective effect of pet ownership and AAT against SI, the evidence for pet ownership and AAT remains inconclusive in relations to SI, SA, and suicide deaths. Future research should focus on high-quality with stringent methodology, large-scale, experimental studies with standardized outcome measures to clarify the role of animals in suicide prevention.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100309"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808068","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":"Functional impairments in attention-deficit/hyperactivity disorder and emotional dysregulation subgroups: A latent profile analysis in a large cohort of 13,207 children and adolescents","authors":"Wenyan Zhang ,&nbsp;Xiaohui Song ,&nbsp;Xianbin Wang ,&nbsp;Zhongliang Jiang ,&nbsp;Xu Hong ,&nbsp;Tianyuan Lei ,&nbsp;Yonghua Cui","doi":"10.1016/j.ejpsy.2025.100310","DOIUrl":"10.1016/j.ejpsy.2025.100310","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The co-occurrence of attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional dysregulation is highly prevalent. This study aims to explore potential subgroups within child and adolescent cohorts concerning ADHD symptoms and emotional dysregulation.</div></div><div><h3>Methods</h3><div>The sample comprised 13,207 children and adolescents aged 4–16 years diagnosed with ADHD recruited from outpatient services at the Beijing Children's Hospital. Latent profile analysis (LPA) was used to identify subgroups based on ADHD symptoms and emotional dysregulation across different age groups (children, 4–9 years, vs. adolescents, 10–16 years). Furthermore, analysis of covariance (ANCOVA) was employed to compare differences in behavioral problems, cognitive impairments, and social dysfunctions among these subgroups.</div></div><div><h3>Results</h3><div>We identified four distinct latent subgroups in children and three in adolescents. Significant differences in behavioral problems, cognitive impairments, and social dysfunctions were observed across these subgroups in both cohorts. Subgroups with high levels of ADHD symptoms and emotional dysregulation exhibited more severe functional impairments across both age groups.</div></div><div><h3>Conclusions</h3><div>This study highlights developmental variations in the relationship between ADHD symptoms and emotional dysregulation, underscoring the need for tailored interventions based on age-specific profiles.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100310"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821264","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 growing phenomenon of sharenting and its implications for psychiatry","authors":"Luis M. Rojo-Bofill","doi":"10.1016/j.ejpsy.2025.100295","DOIUrl":"10.1016/j.ejpsy.2025.100295","url":null,"abstract":"","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100295"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350228","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":"2025-07-01","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":"Effectiveness of a 12-month telemedicine-based follow-up in reducing suicide reattempts: A multicentre non-randomized controlled study","authors":"María Irigoyen-Otiñano ,&nbsp;Vicent Llorca-Bofí ,&nbsp;Purificación López-Pena ,&nbsp;Andrea Gabilondo Cuéllar ,&nbsp;Guillermo Cano Escalera ,&nbsp;Raquel Roca ,&nbsp;Iñaki Zorrilla ,&nbsp;Ana González-Pinto","doi":"10.1016/j.ejpsy.2025.100311","DOIUrl":"10.1016/j.ejpsy.2025.100311","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Suicide attempts are a significant public health issue, with a high risk of relapse within 3–12 months following an initial attempt. Telemedicine-based follow-up interventions have emerged as a promising low-cost strategy for preventing reattempts, but the optimal duration and structure of these programs remain unclear. This study aimed to evaluate the effectiveness of a 12-month telemedicine-based follow-up intervention in reducing suicide reattempts compared to treatment as usual (TAU).</div></div><div><h3>Methods</h3><div>This multicenter, prospective, non-randomized controlled study was conducted in two hospitals in the Basque Country, Spain. A total of 140 patients with a recent suicide attempt were included, with 70 receiving a structured 12-month telephone follow-up in addition to TAU, and 70 receiving TAU alone. The primary outcome was the proportion of patients who reattempted suicide within 12 months. Secondary outcomes included time to first reattempt and the impact of adherence to the intervention response.</div></div><div><h3>Results</h3><div>Patients in the intervention group had a significantly lower rate of reattempts (21.4 % vs. 41.4 %, <em>p</em> = 0.011), fewer total reattempts (<em>p</em> = 0.031), and a longer time to first reattempt (<em>p</em> = 0.032) compared to the control group. Cox regression analysis showed a 54 % reduction in the risk of reattempts in the intervention group (HR=0.46, <em>p</em> = 0.001).</div></div><div><h3>Conclusion</h3><div>A 12-month telemedicine-based follow-up significantly reduces suicide reattempts and delays relapse, supporting its integration into standard mental health care for individuals at high risk of suicide.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100311"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864815","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":"National suicide prevention Spanish platform: Creation and components","authors":"Elizabeth Suárez-Soto ,&nbsp;Yolanda Sánchez-Carro ,&nbsp;Andrés Pemau ,&nbsp;Adriana García-Ramos ,&nbsp;Marina Díaz-Marsá ,&nbsp;Iria Grande ,&nbsp;Pilar Alejandra Sáiz ,&nbsp;Miguel Ruiz-Veguilla ,&nbsp;Ángela Palao-Tarrero ,&nbsp;Annabel Cebrià ,&nbsp;Matilde Elices ,&nbsp;Ana González-Pinto ,&nbsp;José Luis Ayuso ,&nbsp;Víctor Pérez Solà ,&nbsp;Alejandro de la Torre-Luque","doi":"10.1016/j.ejpsy.2025.100314","DOIUrl":"10.1016/j.ejpsy.2025.100314","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Suicide represents a significant global public health challenge, with a concerning increase in Spain, particularly among young adults. In response, the National Platform for the Study and Prevention of Suicide was established. This article provides a descriptive overview of its creation, structural components, and public engagement data.</div></div><div><h3>Methods</h3><div>The platform integrates multiple components, including geospatial and temporal epidemiological surveillance models, annual reports on suicide trends, and user-friendly data visualization tools that provide regional and national insights. It also addresses public interest by disseminating evidence-based information and preventive resources.</div></div><div><h3>Results</h3><div>Since its launch in October 2021 through January 13, 2025, the platform recorded 53,159 visits, indicating significant public interest in geographic suicide data and preventive resources. Most visitors are from Spain (86 %), with notable international interest, particularly from the United States and Latin America.</div></div><div><h3>Conclusion</h3><div>The National Platform has proven to be a valuable tool for suicide prevention in Spain, leveraging digital innovation to enhance public awareness and epidemiological monitoring. Its focus on geospatial data and user interaction underscores its potential to inform public health responses and support evidence-based interventions.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100314"},"PeriodicalIF":2.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167460","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":"Mental illness discussion variations on X: Topic modelling and sentiment analysis","authors":"Javier Domingo-Espiñeira ,&nbsp;Andrea Varaona-Santos ,&nbsp;Francisco J. Lara Abelenda ,&nbsp;María Montero ,&nbsp;Emilio Fernandez-Egea ,&nbsp;Leticia I Muñoz-Manchado ,&nbsp;Miguel A. Ortega ,&nbsp;Melchor Álvarez-Mon ,&nbsp;Miguel Ángel Álvarez-Mon","doi":"10.1016/j.ejpsy.2025.100300","DOIUrl":"10.1016/j.ejpsy.2025.100300","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Social Media Listening has become essential for understanding societal attitudes about mental health. However, there is a lack of studies focusing on Spanish-language discussions and long-term analyses. This study aims to investigate the evolution of Spanish and English public discourse on nine psychiatric disorders over 15 years on X, identifying frequently addressed topics and associated emotions.</div></div><div><h3>Methods</h3><div>We collected and analyzed tweets in English and Spanish from 2007 to 2022, referring to nine psychiatric disorders (autism, ADHD, schizophrenia, bipolar disorder, depressive episode, anxiety, addictions, insomnia, and suicide). Advanced topic modeling and sentiment analysis were applied.</div></div><div><h3>Results</h3><div>The study revealed differences in tweet volumes across disorders and languages. Anxiety was the most prevalent term in both Spanish and English tweets. Spanish discussions emphasized insomnia and suicide attempts, while English tweets highlighted autism and schizophrenia. Tweets about bipolar disorder, depressive episode, and addictions were consistently low in both languages. Over time, Spanish tweets on insomnia, anxiety, and suicide attempts increased, while English tweets on autism, anxiety, suicide attempts, and schizophrenia spiked in 2018 and 2019. Topic modeling indicated that Spanish tweets focused on personal experiences with mental disorders and their impact on life, primarily associated with anger, fear, sadness, and joy. English tweets centered on social awareness and advocacy, eliciting fear, followed by treatment and prevention, associated with fear and sadness.</div></div><div><h3>Conclusions</h3><div>Despite fewer discussions on X about severe mental disorders like bipolar disorder, schizophrenia, and addictions, X serves as a supportive environment for mental health discourse. Spanish-speaking users share personal experiences, fostering self-expression, while English users promote social awareness and advocacy. This highlights X's role in normalizing mental health conversations, reducing stigma, and increasing support.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100300"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679447","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":"Investigating an intervention program to reduce suicidal behavior in adolescents with psychiatric disorders: A protocol design","authors":"Veronica Fernandez-Rodrigues ,&nbsp;Wala Ayad-Ahmed ,&nbsp;Paola Marin-Santos ,&nbsp;Jose Manuel Lopez-Villatoro ,&nbsp;Alejandro de la Torre-Luque ,&nbsp;Teresa Bobes-Bascaran ,&nbsp;Jose Luis Carrasco ,&nbsp;Luis Olivares ,&nbsp;Marina Diaz-Marsa","doi":"10.1016/j.ejpsy.2025.100298","DOIUrl":"10.1016/j.ejpsy.2025.100298","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicide is the leading cause of unnatural death in adolescents. In addition, between 7 and 17% of adolescents may engage in at least one suicide attempt, with prevalence being dramatically higher in adolescents with psychiatric pathology. Death by suicide is usually preceded by several attempts to take one's own life. Among the risk factors most consistently associated with suicidal intent is suicidal ideation. This study aims to evaluate the efficacy of the Self-Awareness of Mental Health (SAM) program enriching standard care, for adolescents at high suicide risk (mental disorder and high suicidal ideation).</div></div><div><h3>Methodology</h3><div>A randomized single-blind controlled clinical trial will be conducted with a sample of 116 adolescents with suicidal ideation and/or suicide attempt, referred by their psychiatrists from the Hospital Clínico San Carlos (Madrid, Spain). The cohort will be divided into two groups (an intervention group, in which the SAM intervention will be administered as an adjuvant to standard treatment; and a treatment-as-usual group). An extensive clinical assessment on risk factors for suicidal behavior and psychiatric symptoms will be applied up to four times: baseline, post (5 weeks), 3 and 6 months.</div></div><div><h3>Results</h3><div>Data collection is ongoing. This study will provide data on the effectiveness of the SAM intervention in reducing ideation, preventing the occurrence of suicide attempts, and mitigating emotional symptomatology, such as for anxiety and depression.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100298"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519317","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":"Genetic evidence of increased schizophrenia risk due to antidepressant use in European and East Asian populations","authors":"Zhiqiang Du ,&nbsp;Xiangjun Zhou ,&nbsp;Qin Zhou,&nbsp;Rongrong Lu,&nbsp;Ying Jiang,&nbsp;Haohao Zhu","doi":"10.1016/j.ejpsy.2025.100302","DOIUrl":"10.1016/j.ejpsy.2025.100302","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Understanding the relationship between antipsychotic drugs (ATDs) use and schizophrenia (SCZ) is crucial. Thus, the objective is to explore the bidirectional causal relationship between ATDs use and SCZ via Two-Sample Mendelian Randomization (TSMR) analysis, aiming to offer new insights for the clinical treatment of SCZ.</div></div><div><h3>Methods</h3><div>We employed data from Genome-Wide Association Studies (GWAS) and conducted TSMR analysis using the Inverse Variance Weighted (IVW) method. The results were evaluated using P-values, OR values, and 95% Confidence Intervals (95% CI) to assess the bidirectional causal relationship.</div></div><div><h3>Results</h3><div>At the genetic level, we found a bidirectional positive correlation between European ATDs use and SCZ [OR: 1.283, 95% CI: 1.136–1.449; P = 5.73E-05] and [OR: 1.130, 95% CI: 1.082–1.180; P = 4.27E-08]. East Asian ATDs use and SCZ also showed a positive correlation [OR: 1.174, 95% CI: 1.038–1.328; P = 0.011], while no significant causal relationship was found between East Asian SCZ and ATDs use [OR: 1.004, 95% CI: 0.999–1.009; P = 0.161]. Sensitivity analysis further supported the robustness and reliability of these findings.</div></div><div><h3>Conclusion</h3><div>At the genetic level, we found that European and East Asian ATDs use may increase the risk of developing SCZ. This can help in formulating clinical medication strategies, where more caution may be needed in deciding whether to prescribe ATDs to SCZ patients. Additionally, we discovered that European SCZ might increase ATDs use, whereas no such risk was found in East Asians.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100302"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519316","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":"Scale to measure dialectical thinking from dialectical behavior therapy perspective.","authors":"Joaquim Soler ,&nbsp;Maria Arqueros ,&nbsp;Carlos Schmidt ,&nbsp;Daniela Otero ,&nbsp;Anna Soria-Madrid ,&nbsp;María José Campins ,&nbsp;Anna Catalan ,&nbsp;Elisabet Casellas ,&nbsp;Rocío Espeso ,&nbsp;Juan Carlos Pascual","doi":"10.1016/j.ejpsy.2025.100305","DOIUrl":"10.1016/j.ejpsy.2025.100305","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Dialectical thinking is a core component of dialectical behavior therapy (DBT), characterized by the synthesis of seemingly opposing ideas to develop a more comprehensive perspective. This study aimed to create a reliable and valid instrument for measuring dialectical thinking.</div></div><div><h3>Method</h3><div>We analyzed the psychometric properties of the Dialectical Thinking Scale in a mixed sample of 205 participants. Factor structure with both exploratory and confirmatory factor analyses, reliability, test-retest stability, sensitivity to change, and convergent validity were evaluated.</div></div><div><h3>Results</h3><div>The final resulting questionnaire consisted of a 5-item self-reported scale. The analyses revealed a distinct two-factor structure: \"Both Sides\" (the capacity to recognize and accept opposing perspectives as simultaneously valid, thereby fostering cognitive flexibility and reducing polarized thinking) and \"Both Sides in Me\" (the ability to integrate and accept internal contradictions). The scale exhibited high internal consistency (Cronbach's alpha = 0.81), and robust test-retest reliability (ICC = 0.82 for \"Both Sides\" and 0.64 for \"Both Sides in Me\"). The scale demonstrated satisfactory sensitivity to change after psychotherapeutic intervention and showed significant negative correlations with psychopathological symptoms.</div></div><div><h3>Conclusions</h3><div>This scale addresses a critical gap in clinical assessment tools for DBT and it holds promise for applications across mental disorders and social studies.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 2","pages":"Article 100305"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679446","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}