General hospital psychiatry最新文献

{"title":"Associations between participation in a diabetes pay-for-performance program and health outcomes and healthcare utilization among people with comorbid schizophrenia and type 2 diabetes in Taiwan","authors":"Hui-Min Hsieh ,&nbsp;Yu-Hsin Wang ,&nbsp;Hsueh-Fen Chen","doi":"10.1016/j.genhosppsych.2025.02.025","DOIUrl":"10.1016/j.genhosppsych.2025.02.025","url":null,"abstract":"<div><h3>Objective</h3><div>Few population-based studies with large sample sizes have examined the long-term effects of integrated diabetes care in patients with schizophrenia. This study aimed to examine the association between participation in the nationwide diabetes Pay-for-Performance (DM-P4P) program and both health outcomes and healthcare utilization in individuals with schizophrenia comorbid with type 2 diabetes in Taiwan.</div></div><div><h3>Study setting and design</h3><div>This was a longitudinal, real-world, nested case-control follow-up study from 2015 to 2021 in Taiwan.</div></div><div><h3>Data source and analytical sample</h3><div>Multiple national population-based databases were used, including Taiwanese population-based longitudinal National Health Insurance (NHI) claims database, registry for NHI enrollment, catastrophic illness registry, board-certificated specialist registry, and registry for health care facilities. A total of 6172 schizophrenia patients with type 2 diabetes and matched controls were compared on a set of process outcome, health utilization, and direct medical cost measures between DM-P4P and non-P4P patients, with a follow-up period of at least three years. Generalized linear regression models were used to investigate the factors influencing participation in the DM-P4P program and to compare health outcomes.</div></div><div><h3>Principle findings</h3><div>Schizophrenia patients with more severe diabetes complications and chronic comorbid conditions, or those who had previously participated in a schizophrenia P4P program, were more likely to participate in the program. Those who participated in the DM-P4P program were more likely to receive regular diabetes check-ups, and to have had more DM-related outpatient visits but fewer emergency room visits, hospitalizations, and related expenditures, as well as lower all-cause mortality, than non-DM-P4P patients.</div></div><div><h3>Conclusions</h3><div>The nationwide DM-P4P program positively affected health outcomes and healthcare utilization among people with schizophrenia comorbid with type 2 diabetes. Policymakers should consider establishing incentive mechanisms to encourage integrated care for schizophrenia patients with diabetes.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 99-107"},"PeriodicalIF":4.1,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551376","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":"Sustaining evidence-based practices in mental health: The role of the EPIS framework","authors":"Monica Widyaswari ,&nbsp;Ali Fakhrudin ,&nbsp;Shobri Firman Susanto","doi":"10.1016/j.genhosppsych.2025.02.021","DOIUrl":"10.1016/j.genhosppsych.2025.02.021","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 97-98"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534185","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 effectiveness of immersive virtual reality on the psychology of older adults: A systematic review and Meta-analysis of randomized controlled trials","authors":"Zhilan Ke ,&nbsp;Meng Wei ,&nbsp;Fen Yang ,&nbsp;Yufei Qiu ,&nbsp;Xinhong Zhu ,&nbsp;Xiaolian Gao ,&nbsp;Jing Zhou ,&nbsp;Guiyuan Qiao","doi":"10.1016/j.genhosppsych.2025.02.024","DOIUrl":"10.1016/j.genhosppsych.2025.02.024","url":null,"abstract":"<div><h3>Background</h3><div>The increasing prevalence of psychological issues among older adults is a significant public health concern. Immersive Virtual Reality (IVR) is being investigated and tested as a potential intervention tool for addressing these issues.</div></div><div><h3>Objective</h3><div>This review aims to assess the effectiveness of IVR devices in enhancing the psychological well-being of older adults.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted across the PubMed, EMBASE, Web of Science, and Cochrane Library databases up to January 24, 2024. The Cochrane Risk of Bias Tool for Randomized Trials, version 2, was used to assess the methodological quality of the studies and determine the levels of evidence for the outcomes. Results are reported as Standardized Mean Differences (SMDs) with 95 % Confidence Intervals (CIs).</div></div><div><h3>Results</h3><div>The primary outcomes of this review were depression and anxiety, with psychological well-being as the secondary outcome. Among the 15 randomized controlled trials (RCTs) included (<em>n</em> = 15), for overall methodological quality, 1 study showed high risk, 6 studies showed some concerns and 8 studies showed low risk. A total of 802 older adults participated across the studies. Compared with control groups, IVR intervention was more effective in reducing depression (SMD -0.608, 95 % CI -0.900 ∼ −0.315, <em>P</em> &lt; 0.001), anxiety (SMD -0.708, 95 % CI -1.119 ∼ −0.297, <em>P</em> = 0.001), and more effective in improving psychological well-being (SMD 0.641, 95 % CI 0.068–1.214, <em>P</em> = 0.028).</div></div><div><h3>Conclusions</h3><div>IVR has the potential to improve the psychological health of older adults and may be widely applicable in promoting successful aging.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 86-96"},"PeriodicalIF":4.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534184","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":"Large-scale validation of the Kessler-10 Scale's psychometric properties among healthcare professionals in China","authors":"Ye Wang ,&nbsp;Zheng Zeng ,&nbsp;Changqun Huang ,&nbsp;Jing Ma ,&nbsp;Jialu Ye ,&nbsp;Jiafeng Li ,&nbsp;Xiuliang Deng ,&nbsp;Lan Zhang","doi":"10.1016/j.genhosppsych.2025.02.017","DOIUrl":"10.1016/j.genhosppsych.2025.02.017","url":null,"abstract":"<div><h3>Objectives</h3><div>The Kessler Psychological Distress Scale (K10) is a 10-item questionnaire designed to measure psychological distress. The present study aimed to validate the factor structure of the K10 and its reliability and validity using a large sample from healthcare professionals in China mainland.</div></div><div><h3>Methods</h3><div>K10 data were collected in September 19 to October 20, 2023 via anonymous online survey (total sample, <em>N</em> = 8602).</div><div>The internal consistency reliability of the K10 was examined. Exploratory factor analysis (<em>N</em> = 4301) and confirmatory factor analysis(N = 4301) were conducted to validate the structural validity.</div></div><div><h3>Results</h3><div>Exploratory factor analysis revealed two factors, depression (DEP) and anxiety (ANX), which together accounted for 75.91 % of the total variance. Confirmatory factor analysis further supported the two-factor oblique model as the best fit, outperforming the one-factor model. The internal consistency of the K10 was α = 0.952, while the internal consistency coefficients for ANX and DEP were 0.883 and 0.940, respectively.</div></div><div><h3>Conclusions</h3><div>K10 is a validated and concise tool that serves a dual purpose of screening psychological distress and assessing depressive and anxiety symptoms among healthcare professionals in China.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 112-117"},"PeriodicalIF":4.1,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551377","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":"Targeted beta-blocker use in moderate cardiac anxiety: Implications from recent findings","authors":"Rikas Saputra ,&nbsp;Yenni Lidyawati","doi":"10.1016/j.genhosppsych.2025.02.019","DOIUrl":"10.1016/j.genhosppsych.2025.02.019","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 84-85"},"PeriodicalIF":4.1,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508949","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":"DCARD checklist: A simple screening tool for Lewy body disease-related early symptoms in memory clinic","authors":"Koji Kasanuki ,&nbsp;Moto Nishiguchi ,&nbsp;Mikiko Hagiwara ,&nbsp;Motoyuki Higa ,&nbsp;Shuntaro Natsume ,&nbsp;Takao Saida ,&nbsp;Noemi Endo ,&nbsp;Hideki Sugiyama ,&nbsp;Kiyoshi Sato","doi":"10.1016/j.genhosppsych.2025.02.011","DOIUrl":"10.1016/j.genhosppsych.2025.02.011","url":null,"abstract":"<div><h3>Objective</h3><div>Despite the relatively high prevalence of Lewy body disease (LBD) in over middle-aged people, physicians and patients show poor awareness of early symptoms. We examined the clinical utility of a simple checklist for screening for the early symptoms of LBD.</div></div><div><h3>Methods</h3><div>We administered a 7-item screening checklist assessing the five representative early symptoms of LBD (dizziness, constipation, anosmia, REM sleep behavior disorder, and depression: the acronym is “DCARD”) to 450 consecutive individuals who visited the memory clinic at our university hospital. The aim of this retrospective study was to evaluate the usefulness of the DCARD checklist in differentiating neurocognitive disorders (NCD) due to LBD (i.e., NCD with Lewy bodies and NCD due to Parkinson's disease) from NCD due to non-LBD (e.g., Alzheimer's disease). We also associated the DCARD score with current depressive symptoms using the 15-item Geriatric Depression Scale (GDS-15).</div></div><div><h3>Results</h3><div>Fifty-five participants (12.2 %) had a higher DCARD score (≥4 out of 7 points) regardless of the global cognitive level. The subgroup with higher DCARD scores had higher GDS-15 scores than the subgroup with lower DCARD scores (<em>p</em> &lt; 0.001). With a DCARD cut-off score of 3/4, the sensitivity and specificity were 65 % and 95 %, respectively, for diagnosing NCD due to LBDs. Receiver operating characteristic curve analysis showed good discriminatory ability (area under the curve: 0.89).</div></div><div><h3>Conclusions</h3><div>This simple LBD screening checklist may be useful as a diagnostic tool for the early diagnosis of LBD in memory clinics.</div><div>Clinical trial registry: None.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 66-73"},"PeriodicalIF":4.1,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479232","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":"Depressive symptoms and risk of all-cause mortality among middle-aged and older populations with and without prediabetes in China","authors":"Jing Hu ,&nbsp;Lin Zhuo ,&nbsp;Jiaxin Zuo ,&nbsp;Tiantian Zhou ,&nbsp;Feifei Lin ,&nbsp;Houyu Zhao ,&nbsp;Chen Zhang ,&nbsp;Weiwei Wang ,&nbsp;Gang Wang ,&nbsp;Lei Feng","doi":"10.1016/j.genhosppsych.2025.02.014","DOIUrl":"10.1016/j.genhosppsych.2025.02.014","url":null,"abstract":"<div><h3>Background</h3><div>Although depressive symptoms have been associated with increased mortality risk in diabetes patients, the potential implications for individuals with prediabetes remain underexplored. This study aimed to investigate the association between depressive symptoms and all-cause mortality and to determine whether these associations differ between individuals with and without prediabetes in middle-aged and older Chinese adults.</div></div><div><h3>Methods</h3><div>This is a cohort study from the 2011–2020 China Health and Retirement Longitudinal Study (CHARLS). Depressive symptoms were assessed by the 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10). All-cause mortality was documented from the baseline through the end of follow-up in 2020. Cox proportional hazards regression was used to evaluate the association of depressive symptoms with all-cause mortality among adults with and without prediabetes, adjusting for potential confounders.</div></div><div><h3>Results</h3><div>After multivariable adjustments, depressive symptoms were associated with a higher risk of all-cause mortality (HR, 1.40; 95 % CI: 1.16–1.68) for those with prediabetes, participants with moderate depressive symptoms exhibited an HR of 1.36 (95 %CI, 1.13–1.65), while those with severe depressive symptoms had an HR of 1.62 (95 %CI, 1.13–2.32) compared to those without depressive symptoms (P for trend &lt;0.001). However, among individuals without prediabetes, depressive symptoms didn't increase the risk of all-cause mortality.</div></div><div><h3>Conclusions</h3><div>Elevated depressive symptoms are significantly associated with an increased risk of all-cause mortality among populations with prediabetes, the risk of death increased with the severity of depressive symptoms. Our findings suggest that careful monitoring and intervention in individuals with both prediabetes and depressive symptoms is needed.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 46-55"},"PeriodicalIF":4.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474163","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":"Identifying anti-LGI-1 encephalitis in psychotic disorders: A clinically focused review","authors":"Yujie Yi ,&nbsp;Yingzhu Zhao ,&nbsp;Hong Zhou,&nbsp;Jie Wang","doi":"10.1016/j.genhosppsych.2025.02.016","DOIUrl":"10.1016/j.genhosppsych.2025.02.016","url":null,"abstract":"<div><h3>Introduction</h3><div>Anti-LGI-1 limbic encephalitis, the second most common autoimmune encephalitis, typically presents with psychotic symptoms. However, systematic characterization of psychotic features in this disease remains scarce, with insufficient granularity in existing symptom descriptions. This systematic review aims to characterize the psychotic manifestations in anti-LGI-1 encephalitis through a comprehensive analysis of published cases and institutional data.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, we systematically searched PubMed, Embase, and Web of Science for case reports of anti-LGI-1 encephalitis, specifically focusing on cases with confirmed diagnoses and psychotic symptoms. Additionally, clinical data from patients diagnosed with anti-LGI-1 encephalitis and admitted to Shanxi Medical University First Hospital between January 2018 and June 2024 who also exhibited psychotic symptoms were collected. The data were then classified and statistically analyzed to assess patient characteristics.</div></div><div><h3>Results</h3><div>31articles and 24 clinical cases were found, leading to 74 cases that met the inclusion criteria. Among these, 59.46 % of patients showed initial psychotic symptoms during their illness. Common positive symptoms included hallucinations, delusions, and delirium presenting with disorganized speech, while negative symptoms often involved apathy/indifference, depression, and catatonia-related physical issues. Sleep disturbances were also common.</div></div><div><h3>Conclusion</h3><div>When a patient presents with an unexplained alteration in mental status, the potential diagnosis of anti-LGI-1 encephalitis must be considered. This consideration facilitates timely and accurate diagnosis for patients suffering from anti-LGI-1 encephalitis, ultimately enhancing their prognosis.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 74-83"},"PeriodicalIF":4.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508948","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":"Cognitive, symptomatic, and pharmacological factors contributing to objective social functioning improvement in schizophrenia rehabilitation: A prospective study","authors":"Xin Zhao ,&nbsp;Xue Yang ,&nbsp;Wen Wang ,&nbsp;Wei Jiang ,&nbsp;Wen-qing Jin ,&nbsp;Yi-lang Tang ,&nbsp;Cun-li Xiao ,&nbsp;Yan-ping Ren","doi":"10.1016/j.genhosppsych.2025.02.015","DOIUrl":"10.1016/j.genhosppsych.2025.02.015","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 63-65"},"PeriodicalIF":4.1,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479231","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":"E-Cigarettes and Mental Health: A Critical Examination of Their Role in Smoking Cessation Programs","authors":"Fiki Prayogi ,&nbsp;Palasara Brahmani Laras ,&nbsp;Hendra Pribadi ,&nbsp;Mareyke Jessy Tanod ,&nbsp;Prio Utomo","doi":"10.1016/j.genhosppsych.2025.02.013","DOIUrl":"10.1016/j.genhosppsych.2025.02.013","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"94 ","pages":"Pages 35-36"},"PeriodicalIF":4.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464699","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}