General hospital psychiatry最新文献

{"title":"Anxiety and depression in patients with an implantable cardioverter defibrillator: Do personality and ICD expectations play a role?","authors":"S.S. Pedersen ,&nbsp;J.B. Johansen ,&nbsp;J.C. Nielsen ,&nbsp;C.E. Larroude ,&nbsp;S. Riahi ,&nbsp;T.M. Melchior ,&nbsp;M. Vinther ,&nbsp;S.J. Skovbakke ,&nbsp;O. Skov","doi":"10.1016/j.genhosppsych.2025.03.002","DOIUrl":"10.1016/j.genhosppsych.2025.03.002","url":null,"abstract":"<div><h3>Objective</h3><div>To examine if Type D personality and expectations towards implantable cardioverter defibrillator (ICD) therapy are associated with symptoms of anxiety and depression in ICD patients one year after ICD implantation.</div></div><div><h3>Methods</h3><div>Secondary analysis of first-time ICD patients from the national Danish ACQUIRE-ICD trial. Multiple linear regression analyses were conducted, adjusting for baseline outcome scores and potential confounders.</div></div><div><h3>Results</h3><div>Of the 478 patients in the study, the mean age was 59.6 ± 11.6 and the majority were male (<em>n</em> = 397; 83.1 %). 73 patients (15.3 %) had a Type D personality. Baseline mean scores on positive expectations towards ICD implantation were 12.8 ± 3.18 and mean scores on negative expectations were 5.37 ± 3.30. Patients were followed up after one year with 352 (73.6 %) patients providing complete follow-up data. Type D personality was independently associated with 12 months depression scores (B = 2.44, 95 % CI [1.34, 3.55], <em>p</em> &lt; .001) and 12 months anxiety scores (B = 1.92, 95 % CI [1.02, 2.82], p &lt; .001), over and above initial distress levels. Neither positive nor negative ICD expectations were significantly associated with anxiety or depression at 12 months follow-up.</div></div><div><h3>Conclusion</h3><div>Type D personality was predictive of increased anxiety and depression symptoms from ICD implantation to one-year follow-up. No significant association was found for ICD expectations.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 145-149"},"PeriodicalIF":4.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619113","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}

{"title":"Optimism and quality of life post-PCI: Integrating psychological resilience into holistic rehabilitation","authors":"Mila Yunita ,&nbsp;Palasara Brahmani Laras ,&nbsp;Abdul Hadi ,&nbsp;Eka Aryani ,&nbsp;Fiki Prayogi ,&nbsp;Oka Rahmawati Istiqomah","doi":"10.1016/j.genhosppsych.2025.03.007","DOIUrl":"10.1016/j.genhosppsych.2025.03.007","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"95 ","pages":"Pages 3-4"},"PeriodicalIF":4.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An updated psychometric evaluation of the Brief Betrayal Trauma Survey","authors":"Hong Wang Fung ,&nbsp;Grace Wing Ka Ho ,&nbsp;Stanley Kam Ki Lam ,&nbsp;Colin A. Ross ,&nbsp;Edward K.S. Wang ,&nbsp;Chak Hei Ocean Huang ,&nbsp;Cherry Tin Yan Cheung ,&nbsp;Henry Wai-Hang Ling ,&nbsp;Anson Kai Chun Chau ,&nbsp;Janet Yuen-Ha Wong","doi":"10.1016/j.genhosppsych.2025.03.006","DOIUrl":"10.1016/j.genhosppsych.2025.03.006","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 142-144"},"PeriodicalIF":4.1,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological resilience in cardiac care: The case for optimism","authors":"Fiki Prayogi ,&nbsp;Palasara Brahmani Laras ,&nbsp;Ade Sri Madona ,&nbsp;Arlina Yuza ,&nbsp;Risa Yulisna ,&nbsp;Afdhal Ilahi ,&nbsp;Erfan Ramadhani ,&nbsp;Ramtia Darma Putri","doi":"10.1016/j.genhosppsych.2025.03.004","DOIUrl":"10.1016/j.genhosppsych.2025.03.004","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"95 ","pages":"Pages 1-2"},"PeriodicalIF":4.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-driven report-generation tools in mental healthcare: A review of commercial tools","authors":"Ayoub Bouguettaya ,&nbsp;Victoria Team ,&nbsp;Elizabeth M. Stuart ,&nbsp;Elias Aboujaoude","doi":"10.1016/j.genhosppsych.2025.02.018","DOIUrl":"10.1016/j.genhosppsych.2025.02.018","url":null,"abstract":"<div><div>Artificial intelligence (AI) systems are increasingly being integrated in clinical care, including for AI-powered note-writing. We aimed to develop and apply a scale for assessing mental health electronic health records (EHRs) that use large language models (LLMs) for note-writing, focusing on their features, security, and ethics. The assessment involved analyzing product information and directly querying vendors about their systems. On their websites, the majority of vendors provided comprehensive information on data protection, privacy measures, multi-platform availability, patient access features, software update history, and Meaningful Use compliance. Most products clearly indicated the LLM's capabilities in creating customized reports or functioning as a co-pilot. However, critical information was often absent, including details on LLM training methodologies, the specific LLM used, bias correction techniques, and methods for evaluating the evidence base. The lack of transparency regarding LLM specifics and bias mitigation strategies raises concerns about the ethical implementation and reliability of these systems in clinical practice. While LLM-enhanced EHRs show promise in alleviating the documentation burden for mental health professionals, there is a pressing need for greater transparency and standardization in reporting LLM-related information. We propose recommendations for the future development and implementation of these systems to ensure they meet the highest standards of security, ethics, and clinical care.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 150-158"},"PeriodicalIF":4.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Plasma human cartilage glycoprotein-39 and depressive symptoms among acute ischemic stroke patients","authors":"Ziyi Wang ,&nbsp;Kaixin Zhang ,&nbsp;Chongke Zhong ,&nbsp;Zhengbao Zhu ,&nbsp;Xiaowei Zheng ,&nbsp;Pinni Yang ,&nbsp;Bizhong Che ,&nbsp;Yaling Lu ,&nbsp;Yonghong Zhang ,&nbsp;Tian Xu","doi":"10.1016/j.genhosppsych.2025.03.003","DOIUrl":"10.1016/j.genhosppsych.2025.03.003","url":null,"abstract":"<div><h3>Objective</h3><div>Our study aimed at evaluating the association between plasma human cartilage glycoprotein-39 (YKL-40) and depressive symptoms at 3 months among acute ischemic stroke patients.</div></div><div><h3>Methods</h3><div>Plasma YKL-40 levels were measured in 619 patients with ischemic stroke who participated in the China Antihypertensive Trial in Acute Ischemic Stroke (CATIS). The patients' depressive symptoms at 3 months after stroke were assessed using the Hamilton Rating Scale for Depression (HRSD-24).</div></div><div><h3>Results</h3><div>During the 3-month follow-up period, 242 (39.1 %) participants were classified as experiencing depressive symptoms. Patients in the highest quartile of YKL-40 had a 1.98-fold (95 %CI: 1.19–3.30, <em>P</em> for trend = 0.02) risk of depressive symptoms compared with those in the lowest quartile. Per 1-SD increase of logarithm-transformed YKL-40 was associated with a 32 % (95 % CI: 10 %–58 %) increased risk for the depressive symptoms. The multiple-adjusted spline regression model confirmed dose-response relationships between YKL-40 levels and depressive symptoms (<em>P</em> for linearity = 0.02). Adding YKL-40 to a model containing conventional risk factors significantly improved the discriminatory power (area under the receiver operating characteristic curve improved by 0.02, <em>P</em> = 0.04) and reclassification power for depressive symptoms (net reclassification improvement = 18.77 %, <em>P</em> = 0.02; integrated discrimination improvement = 1.30 %, <em>P</em> = 0.005).</div></div><div><h3>Conclusions</h3><div>Elevated YKL-40 levels might be a potential risk marker of depressive symptoms at 3 months among acute ischemic stroke patients.</div><div><strong>Registration:</strong> URL: <span><span>https://www.clinicaltrials.gov</span><svg><path></path></svg></span>; Unique identifier: <span><span>NCT01840072</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 120-125"},"PeriodicalIF":4.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Existential distress in advanced cancer: A cohort study","authors":"Rebecca Philipp ,&nbsp;Charlotte Walbaum ,&nbsp;Uwe Koch ,&nbsp;Karin Oechsle ,&nbsp;Thies Daniels ,&nbsp;Friederike Helmich ,&nbsp;Marlitt Horn ,&nbsp;Johanna Junghans ,&nbsp;David Kissane ,&nbsp;Guntram Lock ,&nbsp;Christopher Lo ,&nbsp;Anne Mruk-Kahl ,&nbsp;Volkmar Müller ,&nbsp;Martin Reck ,&nbsp;Georgia Schilling ,&nbsp;Kornelius Schulze ,&nbsp;Johann von Felden ,&nbsp;Carsten Bokemeyer ,&nbsp;Martin Härter ,&nbsp;Sigrun Vehling","doi":"10.1016/j.genhosppsych.2025.02.023","DOIUrl":"10.1016/j.genhosppsych.2025.02.023","url":null,"abstract":"<div><h3>Objective</h3><div>Clinically significant existential distress may impair quality of life and communication about illness. We investigated the presence of existential distress in the form of demoralization, death anxiety, and dignity-related distress, and its co-occurrence with mental disorders in patients with advanced cancer.</div></div><div><h3>Methods</h3><div>We conducted structured clinical interviews and administered self-report questionnaires to assess existential distress and mental disorders. We recruited patients with different Union for International Cancer Control (UICC) stage IV solid tumors from in- and outpatient oncology and palliative care settings.</div></div><div><h3>Results</h3><div>A total of 671 patients completed assessments (55 % participation rate, 48 % female, primary tumor site: 28 % lung, 14 % prostate, 11 % breast). Clinically relevant levels of existential distress were present in 46.4 % (95 % CI, 41.7 % to 51.1 %), including demoralization, 12.5 % (95 % CI, 9.6 % to 15.9 %), death anxiety, 27.3 % (95 % CI, 23.2 % to 31.6 %), and dignity-related distress, 38.7 % (95 % CI, 34.2 % to 43.3 %). Frequent existential distress symptoms were sense of entrapment and fear of own and close others' suffering. Mental disorders occurred in 26.2 % (95 % CI, 22.2 % to 30.4 %), including major depression, 8.6 % (95 % CI, 6.2 % to 11.5 %), anxiety disorders, 8.4 % (95 % CI, 6.0 % to 11.3 %), and ICD-11-adjustment disorder, 10.5 % (95 % CI, 7.9 % to 13.7 %). Existential distress and mental disorders co-occurred in 20.0 % (95 % CI, 16.4 % to 24.0 %).</div></div><div><h3>Conclusion</h3><div>Existential distress is a common, clinically significant problem in patients with advanced cancer. Its recognition in multiprofessional clinical settings can contribute to improve quality of life. Most patients with a mental disorder show comorbid existential distress requiring treatment of both.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 184-191"},"PeriodicalIF":4.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143644306","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}

{"title":"Effects of internet-based mindfulness interventions on anxiety and depression symptoms in cancer patients: A meta-analysis","authors":"Shizhen Wang ,&nbsp;Wangjie Xia ,&nbsp;Jian Zhang ,&nbsp;Mengru Wu ,&nbsp;Li Tian","doi":"10.1016/j.genhosppsych.2025.02.022","DOIUrl":"10.1016/j.genhosppsych.2025.02.022","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-analysis aimed to evaluate the effectiveness of internet-based mindfulness interventions on anxiety and depression symptoms in patients with cancer.</div></div><div><h3>Methods</h3><div>Eight databases (Cochrane Library, PubMed, Embase, and PsycINFO CNKI, Wanfang, VIP, and CBM) were systematically searched from the inception of databases to August 2023 for randomized controlled trials (RCTs). Two independent reviewers rigorously assessed the risk of bias and extracted data using a pre-established form. The meta-analysis, conducted using Stata version 16, calculated pooled effect sizes and 95% confidence intervals (CIs). Sensitivity analysis was employed to find the source of heterogeneity, and potential publication bias was evaluated through funnel plot analysis and the Egger test.</div></div><div><h3>Results</h3><div>This study included 10 studies, involving a total of 1314 patients. The results of the meta-analysis showed that Internet-based mindfulness interventions were effective in reducing anxiety [SMD = −0.38, 95% CI (−0.51, −0.25), <em>P</em> &lt; 0.01] and depression [SMD = −0.36, 95% CI (−0.49, −0.23), P &lt; 0.01], particularly when the duration of the program was within 8 weeks and each session lasted &lt;45 min. Interventions guided by therapists proved to be more effective than those without therapist guidance in improving anxiety and depression in cancer patients, and synchronous online interaction with therapists were found to yield the most noticeable improvements in anxiety and depression.</div></div><div><h3>Conclusion</h3><div>Internet-based mindfulness interventions, especially synchronous online interaction with therapists, contribute to alleviating anxiety and depression symptoms in cancer patients. The effectiveness is more pronounced when the intervention duration per session is limited to 45 min and the overall intervention duration is within 8 weeks. The medium to long-term efficacy of the intervention needs further validation through more high-quality research.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 126-141"},"PeriodicalIF":4.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143591692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The digital mental health revolution: How AI and big data are transforming modern therapy","authors":"Monica Widyaswari ,&nbsp;Rikardus Feribertus Nikat ,&nbsp;Dyah Permata Sari","doi":"10.1016/j.genhosppsych.2025.03.001","DOIUrl":"10.1016/j.genhosppsych.2025.03.001","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 118-119"},"PeriodicalIF":4.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor in response to: Blood pressure changes during ketamine infusion for the treatment of depression","authors":"Kevin Skoblenick ,&nbsp;Ryan Yip ,&nbsp;Atul Khullar ,&nbsp;Roger S. McIntyre ,&nbsp;Jennifer Swainson","doi":"10.1016/j.genhosppsych.2025.02.026","DOIUrl":"10.1016/j.genhosppsych.2025.02.026","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 110-111"},"PeriodicalIF":4.1,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}