European Psychiatry最新文献

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The use of antipsychotics in the treatment of catatonia: a systematic review. 抗精神病药物在治疗紧张症中的应用:系统综述。
IF 6.7 2区 医学
European Psychiatry Pub Date : 2025-03-24 DOI: 10.1192/j.eurpsy.2025.9
Maximilien Redon, Jordan Virolle, François Montastruc, Simon Taïb, Alexis Revet, Julien Da Costa, Etienne Very
{"title":"The use of antipsychotics in the treatment of catatonia: a systematic review.","authors":"Maximilien Redon, Jordan Virolle, François Montastruc, Simon Taïb, Alexis Revet, Julien Da Costa, Etienne Very","doi":"10.1192/j.eurpsy.2025.9","DOIUrl":"10.1192/j.eurpsy.2025.9","url":null,"abstract":"<p><strong>Background: </strong>Catatonia in psychotic patients presents unique challenges. While antipsychotics are the cornerstone of schizophrenia treatment, their use in catatonic patients is sometimes discouraged for fear of worsening the signs. Reports on the successful use of second-generation antipsychotics have been published. We conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines to describe the outcomes of antipsychotic-treated catatonic events.</p><p><strong>Methods: </strong>We searched Medline and Web of Science databases from 2000 to 2023 using search terms including \"catatonia\" and \"antipsychotic agents\" for all original peer-reviewed articles, including clinical trials, observational studies, and case-reports. We included antipsychotic-treated catatonic events and extracted data on patient characteristics, pharmacological context, agent involved, and treatment outcomes for each antipsychotic trial.</p><p><strong>Results: </strong>After screening 6,219 records, 79 full-text articles were included. Among them, we identified 175 antipsychotic trials (in 110 patients). Only 41.1% of the patients benefited from a previous benzodiazepine trial. Antipsychotic use was considered beneficial in 60.0% of the trials, neutral in 29.1%, and harmful in 10.9%. Trials tended to be reported as beneficial for amisulpride, clozapine, and risperidone, equivocal for aripiprazole and olanzapine, and mostly detrimental for haloperidol and quetiapine. Psychotic disorders were the most common underlying etiology (65.8%).</p><p><strong>Conclusions: </strong>Antipsychotics could be an option in the treatment of catatonia in psychotic patients. However, with few exceptions, we found non-beneficial outcomes with all second-generation antipsychotics in varying proportions in this largest review to date. Although olanzapine is widely used, it is associated with mitigated reported outcomes.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e48"},"PeriodicalIF":6.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
End-of-life care for people with severe and persistent mental illness and a life-limiting disease: An umbrella review. 严重和持续性精神疾病患者的临终关怀:概括性综述。
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-03-24 DOI: 10.1192/j.eurpsy.2025.2440
Jonas Denduyver, Johan Detraux, Justien Weydts, Marc De Hert
{"title":"End-of-life care for people with severe and persistent mental illness and a life-limiting disease: An umbrella review.","authors":"Jonas Denduyver, Johan Detraux, Justien Weydts, Marc De Hert","doi":"10.1192/j.eurpsy.2025.2440","DOIUrl":"10.1192/j.eurpsy.2025.2440","url":null,"abstract":"<p><strong>Background: </strong>It is widely known that people with a severe and persistent mental illness (SPMI) are more at risk of poor physical health outcomes because of disparities in healthcare access and provision. Less is known about the quality of end-of-life (EoL) care in people with SPMI who have a life-limiting disease.</p><p><strong>Methods: </strong>A comprehensive and systematic literature search in PubMed, Embase, Web of Science, Scopus, and CINAHL electronic databases (from inception to November 2023) was conducted, without language restriction, for reviews on EoL care and/or palliative sedation for people with SPMI and a life-limiting disease. A critical appraisal of the selected reviews was performed. Data were analyzed according to the four principles of biomedical ethics.</p><p><strong>Results: </strong>Ten reviews were included. These show that people with SPMI are at risk of suboptimal EoL care. Stigma among healthcare professionals, lack of integrated care policies, absence of advanced care planning, and insufficient expertise and training in palliative care of psychiatrists have been identified as key challenges to the provision of adequate EoL care for people with SPMI. No data were found about palliative sedation.</p><p><strong>Conclusions: </strong>To optimize palliative and EoL care for SPMI patients with a life-limiting disease, a policy of coordinated and integrated mental and physical healthcare is needed. Moreover, education and training initiatives to reduce stigma and discrimination among all healthcare workers and to enhance palliative care skills in psychiatrists should be offered. Finally, more research is needed on EoL particularly on palliative sedation for people with SPMI and a life-limiting disease.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e49"},"PeriodicalIF":7.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical activity in older adults as a predictor of alcohol consumption - a longitudinal analysis of 3133 individuals in the SHARE study. 老年人的身体活动作为饮酒的预测因子——SHARE研究中对3133个人的纵向分析。
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-03-20 DOI: 10.1192/j.eurpsy.2025.2417
Sabine Weber, Daniel König, Thomas Waldhoer, Brendon Stubbs, Theresa Lichtenstein, Armin Trojer, Lea Sommer, Benjamin Vyssoki, Melanie Trimmel, Fabian Friedrich, Stephan Listabarth
{"title":"Physical activity in older adults as a predictor of alcohol consumption - a longitudinal analysis of 3133 individuals in the SHARE study.","authors":"Sabine Weber, Daniel König, Thomas Waldhoer, Brendon Stubbs, Theresa Lichtenstein, Armin Trojer, Lea Sommer, Benjamin Vyssoki, Melanie Trimmel, Fabian Friedrich, Stephan Listabarth","doi":"10.1192/j.eurpsy.2025.2417","DOIUrl":"10.1192/j.eurpsy.2025.2417","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of alcohol use disorder among older adults is increasing, with this population being particularly vulnerable to alcohol's detrimental effects. While knowledge of preventative factors is scarce, physical activity has emerged as a potential modifiable protective factor. This study aimed to examine associations between alcohol consumption and physical activity in a large-scale, multi-national prospective study of the older adult population.</p><p><strong>Methods: </strong>Longitudinal data from the SHARE study on physical activity, alcohol consumption, demographic, socioeconomic, and health variables, were analyzed in older adults. Individual-level data were examined using logistic regression models. Both cross-sectional and longitudinal models were calculated to account for potential latency in the association between physical activity and alcohol consumption.</p><p><strong>Results: </strong>The study included 3133 participants from 13 countries. Higher physical activity levels were significantly associated with higher alcohol consumption in cross-sectional (<i>p</i> = 0.0004) and longitudinal analyses (<i>p</i> = 0.0045) over a median follow-up of 6 years. While the presence of depressive symptoms and higher educational attainment were associated with higher alcohol consumption, female sex and persons with lower perceived health showed lower frequency of alcohol consumption. Additionally, the country of residence also proved to be a relevant factor for alcohol consumption.</p><p><strong>Conclusions: </strong>Higher levels of physical activity showed an association with higher alcohol consumption in older adults. Future research should investigate whether this association is causal and underpinned by neurobiological, social, or methodological factors.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e47"},"PeriodicalIF":7.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender differences in like-sex middle-aged twins: an extended network analysis of depressive symptoms, cognitive functions and leisure activities. 同性中年双胞胎的性别差异:抑郁症状、认知功能和休闲活动的扩展网络分析
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-03-12 DOI: 10.1192/j.eurpsy.2025.31
Daiyan Zhang, Maria Semkovska
{"title":"Gender differences in like-sex middle-aged twins: an extended network analysis of depressive symptoms, cognitive functions and leisure activities.","authors":"Daiyan Zhang, Maria Semkovska","doi":"10.1192/j.eurpsy.2025.31","DOIUrl":"10.1192/j.eurpsy.2025.31","url":null,"abstract":"<p><strong>Background: </strong>Depression affects twice as many women as men. Risk factors for depression certainly impact this difference, but their strong interconnectedness challenges the assessment of standalone contributions. Network models allow the identification of systematic independent relationships between individual symptoms and risk factors. This study aimed to evaluate whether the extended networks of depressive symptoms, cognitive functions, and leisure activities in like-sex twins differ depending on gender or zygosity.</p><p><strong>Methods: </strong>Twins, including 2,040 women (918 monozygotic and 1,122 dizygotic) and 1,712 men (730 monozygotic and 982 dizygotic), were selected from the Danish Twin Registry for having, along with their like-sex co-twin, completed measures of depressive symptoms, cognition, and leisure activities (physical, intellectual, and social). Network models were estimated and compared at three levels: co-twins to each other within groups defined by gender and zygosity; monozygotic to dizygotic twins within the same gender, and between genders.</p><p><strong>Results: </strong>No significant differences were observed when co-twins were compared to each other, regardless of the pair's zygosity or gender, nor when monozygotic twins were compared to dizygotic twins within gender. However, the gendered networks differed significantly in global strength, structure, and partial correlations between specific depressive symptoms and risk factors, all indicating stronger connectedness in women relative to men.</p><p><strong>Conclusions: </strong>Environmental factors appear to best explain between-gender network differences. Women's networks showed significantly stronger associations both among depressive symptoms and between depressive symptoms and risk factors (i.e., decreased cognition and leisure activities). Longitudinal research is needed to determine the causality and directionality of these relationships.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e46"},"PeriodicalIF":7.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding social media discourse on antidepressants: unsupervised and sentiment analysis using X. 理解抗抑郁药物的社交媒体话语:使用X的无监督和情绪分析。
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-03-05 DOI: 10.1192/j.eurpsy.2025.10
Juan Pablo Chart-Pascual, Javier Goena, Francisco Lara, María Montero Torres, Julen Marin Napal, Rodrigo Muñoz, Cielo García Montero, Oscar Fraile Martínez, Miguel Ángel Ortega, Gonzalo Salazar de Pablo, Ana González Pinto, Javier Quintero, Melchor Alvarez-Mon, Miguel Ángel Álvarez-Mon
{"title":"Understanding social media discourse on antidepressants: unsupervised and sentiment analysis using X.","authors":"Juan Pablo Chart-Pascual, Javier Goena, Francisco Lara, María Montero Torres, Julen Marin Napal, Rodrigo Muñoz, Cielo García Montero, Oscar Fraile Martínez, Miguel Ángel Ortega, Gonzalo Salazar de Pablo, Ana González Pinto, Javier Quintero, Melchor Alvarez-Mon, Miguel Ángel Álvarez-Mon","doi":"10.1192/j.eurpsy.2025.10","DOIUrl":"10.1192/j.eurpsy.2025.10","url":null,"abstract":"<p><strong>Background: </strong>Antidepressants are essential in managing depression, including treatment-resistant cases. Public perceptions of these medications, shaped by social media platforms like X (formerly Twitter), can influence treatment adherence and outcomes. This study explores public attitudes toward antidepressants through sentiment and topic modeling analysis of tweets in English and Spanish from 2007 to 2022.</p><p><strong>Methods: </strong>Tweets mentioning antidepressants approved for depression were collected. The analysis focused on selective serotonin reuptake inhibitors (SSRIs) and glutamatergic drugs. Sentiment analysis and topic modeling were conducted to identify trends, concerns, and emotions in discussions across both languages.</p><p><strong>Results: </strong>A total of 1,448,674 tweets were analyzed (1,013,128 in English and 435,546 in Spanish). SSRIs were the most mentioned antidepressants (27.9% in English, 58.91% in Spanish). Pricing and availability were key concerns in English tweets, while Spanish tweets highlighted availability, efficacy, and sexual side effects. Glutamatergic drugs, especially esketamine, gained attention (15.61% in English, 25.23% in Spanish), evoking emotions such as fear, sadness, and anger. Temporal analysis showed significant increases in discussions, with peaks in 2012 and 2021 for SSRIs in Spanish, and exponential growth from 2018 to 2021 for glutamatergic drugs. Emotional tones varied across languages, reflecting cultural differences.</p><p><strong>Conclusions: </strong>Social media platforms like X provide valuable insights into public perceptions of antidepressants, highlighting cultural variations in attitudes. Understanding these perceptions can help clinicians address concerns and misconceptions, fostering informed treatment decisions. The limitations of social media data call for careful interpretation, emphasizing the need for continued research to improve pharmacovigilance and public health strategies.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e51"},"PeriodicalIF":7.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Repetitive transcranial magnetic stimulation for the treatment of suicidality in opioid use disorder: a pilot feasibility randomized controlled trial. 重复经颅磁刺激治疗阿片类药物使用障碍患者自杀:一项试点可行性随机对照试验。
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-03-05 DOI: 10.1192/j.eurpsy.2025.28
Victor M Tang, Bernard Le Foll, Zafiris J Daskalakis, An-Li Wang, Leslie Buckley, Daniel M Blumberger, Daphne Voineskos
{"title":"Repetitive transcranial magnetic stimulation for the treatment of suicidality in opioid use disorder: a pilot feasibility randomized controlled trial.","authors":"Victor M Tang, Bernard Le Foll, Zafiris J Daskalakis, An-Li Wang, Leslie Buckley, Daniel M Blumberger, Daphne Voineskos","doi":"10.1192/j.eurpsy.2025.28","DOIUrl":"10.1192/j.eurpsy.2025.28","url":null,"abstract":"<p><strong>Background: </strong>Opioid use disorder (OUD) is a devastating condition with frequent suicidality, contributing to overdose deaths. Theta burst stimulation (TBS) to the dorsolateral prefrontal cortex (DLPFC) is used to treat major depressive disorder (MDD) and is effective in treating suicidal ideation. We piloted a randomized, double-blind, sham-controlled trial of bilateral rTMS for patients with OUD and MDD experiencing suicidality.</p><p><strong>Methods: </strong>Sequential bilateral TBS was delivered guided by structural neuroimaging: continuous TBS to the right then intermittent TBS to the left DLPFC, daily (20 treatments). The primary objective was to determine the feasibility of this population. The primary clinical outcome was the scale for suicidal ideation (SSI), secondary outcomes included depressive symptoms and opioid cue-induced craving. ClinicalTrials.gov: NCT04785456.</p><p><strong>Results: </strong>Eighty-seven individuals were pre-screened. The most common reasons for ineligibility included being unreachable by the study team, difficulty with scheduling/travel requirements, and medical/psychiatric instability. Six participants (5:1 M:F) were enrolled (3/arm), four had a fentanyl use history; two completed per protocol (1/arm). Of the participants with follow-up data, SSI scores decreased in 2/3 in the sham arm and 2/2 in the active arm; depression and opioid craving scores decreased in all participants.</p><p><strong>Conclusion: </strong>We present the first data piloting a structural neuroimaging-guided, multi-session rTMS treatment course in outpatients with suicidality and OUD in the current North American context. Recruitment and retention were the main challenges given the highly unstable medical and psychosocial context of this patient population. Future trials should consider a suitable environment to improve the feasibility of delivering this treatment.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e63"},"PeriodicalIF":7.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex differences in psychosocial functioning and neurocognition in bipolar disorder: a systematic review and meta-analysis. 双相情感障碍患者心理社会功能和神经认知的性别差异:系统回顾和荟萃分析。
IF 6.7 2区 医学
European Psychiatry Pub Date : 2025-03-05 DOI: 10.1192/j.eurpsy.2025.27
Maria Serra-Navarro, Derek Clougher, Vincenzo Oliva, Clàudia Valenzuela-Pascual, Michele De Prisco, María Florencia Forte, Marina Garriga, Brisa Solé, Jose Sánchez-Moreno, Norma Verdolini, Giulia Menculini, Alfonso Tortorella, Miquel Bernardo, J Antoni Ramos-Quiroga, Anabel Martinez-Aran, Eduard Vieta, Silvia Amoretti, Carla Torrent
{"title":"Sex differences in psychosocial functioning and neurocognition in bipolar disorder: a systematic review and meta-analysis.","authors":"Maria Serra-Navarro, Derek Clougher, Vincenzo Oliva, Clàudia Valenzuela-Pascual, Michele De Prisco, María Florencia Forte, Marina Garriga, Brisa Solé, Jose Sánchez-Moreno, Norma Verdolini, Giulia Menculini, Alfonso Tortorella, Miquel Bernardo, J Antoni Ramos-Quiroga, Anabel Martinez-Aran, Eduard Vieta, Silvia Amoretti, Carla Torrent","doi":"10.1192/j.eurpsy.2025.27","DOIUrl":"10.1192/j.eurpsy.2025.27","url":null,"abstract":"<p><strong>Introduction: </strong>Impairment in both psychosocial functioning and neurocognition (NC) performance is present in bipolar disorder (BD) yet the role of sex differences in these deficits remains unclear. The present systematic review and meta-analysis examined whether males and females with BD demonstrate differences in psychosocial functioning and NC performance.</p><p><strong>Methods: </strong>The Cochrane Library, EMBASE, PsycINFO, PubMed, Scopus, and Web of Science databases were systematically searched from inception until November 20, 2023.</p><p><strong>Results: </strong>Twenty studies published between 2005 and 2023 with a total sample size of 2286 patients with BD were included. A random effects meta-analysis revealed a statistically significant result with a small effect (SMD = 0.313) for sex differences in verbal learning and memory as well as visual learning and memory (SMD = 0.263). Females outperformed males in both domains. No significant sex differences were observed for any other NC outcome or psychosocial functioning. High heterogeneity and differences in assessment scales used should be considered when interpreting these findings, given their potential impact on results.</p><p><strong>Conclusions: </strong>Future research should adopt a more homogenous, standardized approach using longitudinal designs to gain a clearer insight into sex differences in this population. This approach so may increase the use of preventative therapeutic options to address the difficult clinical challenge of reaching cognitive and functional recovery.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e45"},"PeriodicalIF":6.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence, nature, and determinants of COVID-19-related conspiracy theories among healthcare workers: a scoping review. 卫生保健工作者中与covid -19相关的阴谋论的流行、性质和决定因素:范围审查
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-03-03 DOI: 10.1192/j.eurpsy.2025.12
Hanne Loyens, Johan Detraux, Marc De Hert
{"title":"Prevalence, nature, and determinants of COVID-19-related conspiracy theories among healthcare workers: a scoping review.","authors":"Hanne Loyens, Johan Detraux, Marc De Hert","doi":"10.1192/j.eurpsy.2025.12","DOIUrl":"10.1192/j.eurpsy.2025.12","url":null,"abstract":"<p><strong>Background: </strong>COVID-19-related conspiracy theories (CTs) have been observed among healthcare workers (HCWs). There exists, however, a lack of research investigating the extent, nature, and determinants of CTs among HCWs worldwide.</p><p><strong>Methods: </strong>A systematic literature search of Medline, EMBASE, Web of Science, Scopus, and CINAHL electronic databases (from inception to October 2023) was conducted for studies examining the prevalence and nature of COVID-19-related CTs among HCWs and health students and/or factors driving HCWs into believing these CTs.</p><p><strong>Results: </strong>Prevalence rates of COVID-19-related CTs among HCWs varied widely across studies, ranging from 0.89% to 75.6%. These prevalence rates mainly concern vaccine-hesitant HCWs (although a minority of vaccinated HCWs also endorse CTs). Higher prevalence rates of CTs were found in the Arab world, Ethiopia, and Nigeria, compared to other African and Western countries. While in European countries and Northern America, an increased belief of HCWs in the \"destabilization and power gain\" narrative was found, African HCWs particularly endorsed the \"population reduction\" and \"liberty restriction\" narratives. Limited and heterogeneous data prevented conclusive findings on the relationship between CTs and sociodemographic factors, ethnicity, and psychological traits among HCWs. However, a consistent observation emerged regarding the level of education, indicating HCWs with higher educational attainment (e.g., physicians) tend to endorse CTs less frequently.</p><p><strong>Conclusion: </strong>Although COVID-19-related CTs may be highly prevalent among vaccine-hesitant HCWs, gaps in understanding the drivers of CTs among HCWs remain. Given HCWs' critical role in public health, especially during pandemics, further research is therefore essential.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e62"},"PeriodicalIF":7.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suicidal risk among adolescent psychiatric inpatients: the role of insomnia, depression, and social-personal factors. 青少年精神病住院患者的自杀风险:失眠、抑郁和社会个人因素的作用。
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-02-28 DOI: 10.1192/j.eurpsy.2025.29
Valentina Baldini, Martina Gnazzo, Martina Maragno, Rebecca Biagetti, Camilla Stefanini, Francesco Canulli, Giorgia Varallo, Cristina Donati, Giovanni Neri, Andrea Fiorillo, Giuseppe Plazzi
{"title":"Suicidal risk among adolescent psychiatric inpatients: the role of insomnia, depression, and social-personal factors.","authors":"Valentina Baldini, Martina Gnazzo, Martina Maragno, Rebecca Biagetti, Camilla Stefanini, Francesco Canulli, Giorgia Varallo, Cristina Donati, Giovanni Neri, Andrea Fiorillo, Giuseppe Plazzi","doi":"10.1192/j.eurpsy.2025.29","DOIUrl":"10.1192/j.eurpsy.2025.29","url":null,"abstract":"<p><strong>Background: </strong>Adolescents with psychiatric disorders are at increased risk of suicide, with insomnia, depression, and social-personal factors playing pivotal roles. This study investigates the interplay between these factors in a sample of adolescent psychiatric inpatients in Italy, with a particular focus on their association with suicide attempts.</p><p><strong>Methods: </strong>We conducted a cross-sectional study on 95 adolescent inpatients (54 suicide attempters, 41 non-attempters) to explore their sociodemographic and clinical variables, including insomnia, depression, and social-personal factors as history of bullying. Logistic regression analyses and Pearson's correlations were used to identify significant predictors of suicide attempts and their interrelations.</p><p><strong>Results: </strong>Suicide attempters were predominantly female (90% vs. 75%, <i>p</i> = 0.04) and more likely to have a family psychiatric history (83% vs. 63%, <i>p</i> = 0.04), a history of bullying (26% vs. 9%, <i>p</i> = 0.01), and insomnia (79% vs. 53%, <i>p</i> = 0.01). Depression was strongly associated with suicide attempts (96% vs. 70%, <i>p</i> = 0.01), while physically active adolescents were significantly less likely to attempt suicide (27% vs. 53%, <i>p</i> = 0.01). Insomnia and depression were highly correlated (<i>r</i> = 0.94, <i>p</i> = 0.02), emphasizing the critical role of the former in emotional dysregulation. Behavioral factors, such as physical inactivity and bullying, emerged as additional key contributors to suicidal behavior.</p><p><strong>Conclusion: </strong>This study highlights the multifaceted nature of suicide risk in adolescent psychiatric inpatients, with sleep disturbances, depression, and behavioral factors playing central roles. These findings underscore the need for integrated interventions targeting sleep, emotional regulation, and behavioral vulnerabilities to mitigate suicide risk.</p>","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":" ","pages":"e42"},"PeriodicalIF":7.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Could the mood disorder symptoms can be predict by metabolic disturbances? - CORRIGENDUM. 代谢紊乱是否可以预测情绪障碍症状?应改正的错误。
IF 7.2 2区 医学
European Psychiatry Pub Date : 2025-02-21 DOI: 10.1192/j.eurpsy.2025.17
J Rog, M Futyma-Jędrzejewska, D Juchnowicz, R Karpiński, H Karakula-Juchnowicz
{"title":"Could the mood disorder symptoms can be predict by metabolic disturbances? - CORRIGENDUM.","authors":"J Rog, M Futyma-Jędrzejewska, D Juchnowicz, R Karpiński, H Karakula-Juchnowicz","doi":"10.1192/j.eurpsy.2025.17","DOIUrl":"10.1192/j.eurpsy.2025.17","url":null,"abstract":"","PeriodicalId":12155,"journal":{"name":"European Psychiatry","volume":"68 1","pages":"e31"},"PeriodicalIF":7.2,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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