General hospital psychiatry最新文献

{"title":"Development of a perceived eHealth literacy scale for individuals with serious mental illness: A cross-sectional study","authors":"Li-Ting Huang ,&nbsp;Ling-Ling Yeh ,&nbsp;Chieh-Yu Liu ,&nbsp;Yia-Ping Liu ,&nbsp;Chi-Wen Chen ,&nbsp;Chiu-Yueh Yang","doi":"10.1016/j.genhosppsych.2024.12.016","DOIUrl":"10.1016/j.genhosppsych.2024.12.016","url":null,"abstract":"<div><h3>Background</h3><div>The development of an electronic health literacy scale for the population with serious mental illness (SMI) is needed due to individuals' characteristics.</div></div><div><h3>Aim</h3><div>Develop a graphic-based perceived electronic health literacy scale for SMI (GP-eHLS-SMI).</div></div><div><h3>Design</h3><div>A cross-section study.</div></div><div><h3>Methods</h3><div>This study was conducted from May 2023 to February 2024. The GP-eHLS-SMI was constructed based on qualitative interviews. Experts reviewed the items, and a pilot questionnaire was developed. A total of 436 community-dwelling participants with SMI from 20 medical facilities were recruited for psychometric analysis. Ten questionnaires were invalid, and 426 questionnaires were used for analysis. We used the first 220 questionnaires to perform the item and exploratory factor analyses. The last 206 questionnaires were used for confirmatory factor analysis. All valid questionnaires were used to examine test-retest reliability and criterion validity. Research tools included a demographic data questionnaire, the GP-eHLS-SMI, and the Chinese eHealth Literacy Scale (C-eHEALS). The C-eHEALS was used as the gold standard to explore the area under the receiver operating characteristic (ROC) curve (AUC) and cut-off point of the GP-eHLS-SMI.</div></div><div><h3>Results</h3><div>The <em>Cronbach's alpha</em> for the 16-item GP-eHLS-SMI was 0.882. The GP-eHLS-SMI score was significantly correlated with the C-eHEALS score (<em>r</em> = 0.733, <em>p</em> &lt; .001). The AUC was 0.863 (95 % CI: 0.828, 0.897), and the cut-off point was 41. The test-retest reliability was <em>r</em> = 0.929 (<em>p</em> &lt; .001), and the intraclass correlation coefficient (ICC) was 0.961.</div></div><div><h3>Conclusion</h3><div>The GP-eHLS-SMI is a valuable tool.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 67-74"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902809","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":"Development of a short form of the Geriatric Depression Scale-30 based on item response theory and the RiskSLIM algorithm","authors":"Fei Wang ,&nbsp;Junying Zhang ,&nbsp;Zhanjun Zhang ,&nbsp;Xin Li","doi":"10.1016/j.genhosppsych.2024.12.019","DOIUrl":"10.1016/j.genhosppsych.2024.12.019","url":null,"abstract":"<div><div>Recently, methods of quickly and accurately screening for geriatric depression have attracted substantial attention. Short forms of the 30-item Geriatric Depression Scale have been developed based on classical test theory, such as the GDS-4, GDS-5, and GDS-15, but they have shown low diagnostic accuracy. Therefore, in this study, we developed a new short form of the GDS-30 based on item response theory and the RiskSLIM, a machine learning method, and validated it based on gray matter volume. We found that the short form based on IRT (GDS-9) and the short form based on the RiskSLIM (GDS-14) had higher diagnostic accuracy than other short forms of the scale. In addition, in the Region of Interest based brain analysis, we found that the GDS-9 was significantly negatively correlated with the gray matter volumes of the right hippocampus, the right parahippocampal gyrus, and the right superior temporal gyrus, whereas the other short forms were not significantly associated with the gray matter volumes of any regions. This implies that the GDS-9 has higher empirical validity than other short forms and corresponds with brain structure. Therefore, the GDS-9 can be used to screen for geriatric depression and may improve the efficiency and accuracy of screening.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 84-92"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909509","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":"Telehealth approaches for improving depression and anxiety among patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis","authors":"Yuwei Zhang ,&nbsp;Yurou Zhao ,&nbsp;Xiao Jiang ,&nbsp;Huifang Xu ,&nbsp;Wenqi Lü ,&nbsp;Xin Yang ,&nbsp;Jin Li ,&nbsp;Weihong Kuang","doi":"10.1016/j.genhosppsych.2024.12.009","DOIUrl":"10.1016/j.genhosppsych.2024.12.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to systematically review the efficacy of telehealth approaches in alleviating depressive and anxiety symptoms in patients with chronic obstructive pulmonary disease (COPD) using evidence from randomized controlled trials (RCTs).</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist. Databases including PubMed, Embase, Web of Science, and the Cochrane Library were searched for RCTs from database inception to June 2024. All statistical analyses were performed using RevMan 5.3. The standard mean difference (SMD) was used to pool the fixed effects of continuous outcomes.</div></div><div><h3>Results</h3><div>Seven RCTs comprising 1174 participants were included in this review. The pooled analysis demonstrated that, compared with the control group, telemonitoring significantly affected anxiety among patients with COPD (SMD = −0.12, 95 % confidence interval [CI]: [−0.24, −0.01], <em>p</em> = 0.04), whereas the effect on depression was not significant (SMD = −0.10, 95 % CI: [−0.22, 0.02], <em>p</em> = 0.09).</div></div><div><h3>Conclusion</h3><div>Telemonitoring effectively reduced anxiety in patients with COPD but had no significant effect on depression. The relatively small number of studies suggests that this area of research is still developing. Additional high-quality, enriched, and more widely distributed intervention studies are needed to further assess the effectiveness of telehealth approaches on mental health among patients with COPD.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 28-35"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846333","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":"Association between psychological inflexibility, distress and health-related quality of life in people with cardiovascular disease","authors":"M. Habibović ,&nbsp;P. Leissner ,&nbsp;I. Nyklíček ,&nbsp;J. Widdershoven ,&nbsp;E. Olsson","doi":"10.1016/j.genhosppsych.2024.12.018","DOIUrl":"10.1016/j.genhosppsych.2024.12.018","url":null,"abstract":"<div><h3>Objective</h3><div>Psychological inflexibility (PIF), the inability to adapt to changing circumstances and engage in behaviors that are consistent with one's values, has been associated with distress and impaired quality of life. To date only a paucity of studies have examined the role of PIF in people with cardiovascular disease. Hence, the current study will examine the association between PIF and depression, anxiety, and health-related quality of life in a large, prospective, Dutch, cardiac sample.</div></div><div><h3>Methods</h3><div>A total of <em>N</em> = 302 cardiac patients were recruited at the Elisabeth-TweeSteden Hospital in The Netherlands. Data were collected at baseline, 3- and 6-months follow-up using online questionnaires. Pearson's correlation and Linear Mixed Models (LMM) analysis was performed to answer the research question.</div></div><div><h3>Results</h3><div>The mean age of the sample was 64 ± 10 and <em>N</em> = 111(37 %) were females. Results showed that at baseline, PIF correlated positively with depression (<em>r</em> = 0.58) and anxiety (<em>r</em> = 0.64) symptoms, and negatively with both health-related quality of life subscales (MCS <em>r</em> = −0.56; PCS <em>r</em> = −0.27). After adjusting for covariate, LMM showed that, over time, PIF was positively associated with depression (B = 0.32;<em>p</em> &lt; .001), anxiety (B = 0.32;p &lt; .001), and negatively with Mental (B = -0.81; p &lt; .001) and Physical Component Scale (B = -0.45; p &lt; .001).</div></div><div><h3>Conclusions</h3><div>This is the first prospective study to examine the association between PIF and mental health in cardiac patients. Results showed that PIF was positively associated with depression and anxiety symptoms and negatively with health-related quality of life. Intervention studies are needed to examine whether decreasing PIF associates with a decrease in distress and increase in health-related quality of life.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 95-99"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143159439","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":"The silent epidemic of burnout in Neurosurgery: Implications for mental health","authors":"Irving Gabriel Calisaya-Madariaga ,&nbsp;Alison Korelly Madueño ,&nbsp;Alejandra Reategui Velazco ,&nbsp;Sandra Yparraguirre ,&nbsp;Sofia Allende ,&nbsp;Gonzalo Jair Callahuanca-Flores","doi":"10.1016/j.genhosppsych.2024.11.013","DOIUrl":"10.1016/j.genhosppsych.2024.11.013","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 22-23"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817626","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":"Disparities in school based mental health service use among US adolescents in 2021","authors":"Rachel Smith ,&nbsp;Mir M. Ali ,&nbsp;Priscilla Novak","doi":"10.1016/j.genhosppsych.2024.12.017","DOIUrl":"10.1016/j.genhosppsych.2024.12.017","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 64-66"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902873","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":"Prevalence and predictors of substance use in adults with cystic fibrosis: A single-center retrospective review","authors":"Margret Z. Powell ,&nbsp;Jennifer L. Goralski ,&nbsp;Agathe S. Ceppe ,&nbsp;Scott H. Donaldson ,&nbsp;Nathaniel A. Sowa","doi":"10.1016/j.genhosppsych.2024.10.009","DOIUrl":"10.1016/j.genhosppsych.2024.10.009","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 121-122"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568140","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":"Cancer screening among people with schizophrenia before and after the COVID-19 pandemic in Ontario, Canada: Retrospective cohort study","authors":"Braden O’Neill ,&nbsp;John Wang ,&nbsp;Jessica Gronsbell ,&nbsp;Debra Butt ,&nbsp;Anthony Train ,&nbsp;Angela Ortigoza ,&nbsp;Bianca Seaton ,&nbsp;Andrea Gershon ,&nbsp;Karen Tu","doi":"10.1016/j.genhosppsych.2024.10.017","DOIUrl":"10.1016/j.genhosppsych.2024.10.017","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 128-130"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142618293","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":"Psychiatric comorbidity in eating disorders: The urgency of an integrated approach","authors":"Rikas Saputra ,&nbsp;Yenni Lidyawati ,&nbsp;Roro Umi Dwi Badriyah ,&nbsp;Sri Datuti ,&nbsp;Kadek Suhardita","doi":"10.1016/j.genhosppsych.2024.12.020","DOIUrl":"10.1016/j.genhosppsych.2024.12.020","url":null,"abstract":"","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 60-61"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893824","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":"Exploring the association between hearing status and suicidal ideation among U.S. adults: An observational study","authors":"Ying Cui ,&nbsp;Tong Wu ,&nbsp;Huimin Du ,&nbsp;Wen Zhang","doi":"10.1016/j.genhosppsych.2024.12.014","DOIUrl":"10.1016/j.genhosppsych.2024.12.014","url":null,"abstract":"<div><h3>Background</h3><div>Suicidal ideation is a critical public health concern, and its relationship with hearing status has garnered increasing attention. This study aimed to investigate the association between hearing status and suicidal ideation in a nationally representative sample of U.S. adults.</div></div><div><h3>Methods</h3><div>Data were analyzed from 8095 participants in the 2015–2018 National Health and Nutrition Examination Survey (NHANES). Weighted logistic regression models, along with restricted cubic spline (RCS) analyses, explored the relationship between hearing status and suicidal ideation, adjusting for potential confounders. Subgroup analyses by sex, race, education level, marital status, family monthly poverty level, vision trouble, mobility trouble, smoking, hypertension, diabetes, coronary heart disease, stroke, and cancer were conducted. A Zero-Inflated Poisson (ZIP) regression model was applied to explore the association between hearing status and the level of suicidal ideation.</div></div><div><h3>Results</h3><div>Participants with more difficulty hearing showed a higher likelihood of experiencing suicidal ideation (<em>P</em> &lt; 0.05 for all). Further analysis using RCS regression confirmed a linear relationship between hearing status and suicidal ideation risk (<em>P</em> _nonlinear &gt; 0.05). Subgroup analyses revealed no significant interactions across different stratifications (<em>P</em> &gt; 0.05 for all). The ZIP analysis revealed that individuals with moderate hearing trouble or those identified as deaf or hard of hearing exhibited higher frequencies of suicidal ideation.</div></div><div><h3>Conclusions</h3><div>This study identifies an association between hearing status and suicidal ideation among U.S. adults. Factors such as discrimination, social isolation, environmental inaccessibility, and communication barriers may underlie this relationship. Interventions aimed at reducing suicidal ideation should focus on addressing these underlying factors, improving access to supportive resources, and promoting inclusive and accommodating environments for individuals with hearing difficulties.</div></div>","PeriodicalId":12517,"journal":{"name":"General hospital psychiatry","volume":"92 ","pages":"Pages 52-59"},"PeriodicalIF":4.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893808","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}