Frontiers in Psychiatry最新文献

{"title":"When \"Aging\" meets \"Intelligence\": smart health cognition and intentions of older adults in rural Western China.","authors":"Xiao-Yu Li, Jun Li, Ning-Li Zhu, Lei Luo, Si-Yu Zhang, Wen-Wen Cheng, Jia-Xue Li, Chen Yu, Song-He Lu, Liang Zhu","doi":"10.3389/fpsyt.2024.1493376","DOIUrl":"https://doi.org/10.3389/fpsyt.2024.1493376","url":null,"abstract":"<p><strong>Background: </strong>Population aging is occurring at an unprecedented pace, rendering \"healthy aging\" a critical issue of global importance. China is at the forefront of this demographic transformation and faces substantial challenges, especially in its western rural regions. In this context, smart health technology, propelled by advancements in medical care and information technology, emerges as a vital strategy to address the challenges associated with aging. Despite smart technologies' promising potential, the cognitive and behavioral intentions of older adults living in underdeveloped areas remain poorly understood.</p><p><strong>Methods: </strong>This study focuses on individuals aged 60 years and older residing in the rural regions of Western China. A total of 311 comprehensive datasets were collected using a questionnaire. These datasets encompass the fundamental cognitive understanding, usage requirements, and barriers faced by rural older adults regarding various aspects of their lives. The study aims to explore the attitudes, expectations, and personal perspectives of elderly rural residents towards smart health technology, as well as their views on its adoption. Finally, drawing on the literature, we constructed a structural equation model to analyze the primary factors influencing the cognitive and behavioral intentions of rural older adults toward smart health.</p><p><strong>Results: </strong>The survey results indicate significant progress in promoting smart health initiatives within the rural areas of western China. While the older adult population demonstrates a basic understanding of smart health, particularly concerning wearable devices such as blood pressure monitors and oximeters, this understanding also underscores the urgent need for improved health management and enhanced quality of life among rural older adults. As their comprehension of smart health deepens, a majority of older respondents recognize its potential to benefit personal health management, fulfill their daily needs, and highlight its importance for rural development. In terms of cognitive pathways toward adopting smart health, older individuals prefer recommendations from their children or spouses, as well as guidance from healthcare professionals such as doctors or nurses. Overall, older residents in rural western China exhibited a strong willingness to embrace smart health practices. After experiencing smart health technology, they were inclined to adopt it as their primary method of health management and recommend it to others, thereby presenting promising prospects for future smart health promotion in underdeveloped regions.</p><p><strong>Conclusion: </strong>Smart health has immense potential to enhance the quality of life of older adults, driven by a genuine and pressing demand expressed by rural older adults and a strong behavioral intention toward adoption. Despite facing challenges, such as limited cognitive diversity in smart health, econ","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1493376"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and psychological profiles of patients with different patterns of nonsuicidal self-injury.","authors":"Mikhail Zinchuk, Georgii Kustov, Ilya Mishin, Sofya Popova, Ekaterina Sviatskaia, Alexander Yakovlev, Alla Guekht","doi":"10.3389/fpsyt.2025.1570880","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1570880","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide remains a significant public health problem worldwide, particularly in Eastern European countries. Previous studies have shown that nonsuicidal self-injury (NSSI) is one of the most important risk factors for suicide attempts, particularly among people with mental disorders. At the same time, the risk of various dramatic outcomes, including suicide, is likely to vary among different NSSI subtypes. The aim of this study was to evaluate the relationships between NSSI parameters and clinical/psychological variables in Russian patients with non-psychotic mental disorders and suicidal ideation.</p><p><strong>Methods: </strong>The Inventory of Statements About Self-Injury-1 (ISAS) was translated and adapted in the sample of Russian patients with NSSI. The study sample consisted of 614 consecutively enrolled patients with NSSI and suicidal ideation. The data were clustered based on the method and frequency of NSSI, and the relationships between frequency and method patterns and other NSSI parameters (age at onset of NSSI, experience of physical pain during NSSI, etc.), clinical characteristics (anxiety and depression levels, psychiatric diagnosis), psychological profiles, and quality of life were evaluated.</p><p><strong>Results: </strong>Cluster analysis identified three subtypes of NSSI. Patients with a greater frequency and variety of methods of NSSI attempted suicide more often, were more clinically severe, had significantly higher scores on most pathological personality traits, had less resilience to suicide, and had a lower quality of life.</p><p><strong>Discussion: </strong>Our findings support the need for a high level of clinical attention to people with mental disorders who frequently engage in NSSI using a variety of methods. The significant differences in many of the parameters studied between the other two clusters highlighted the importance of further research into the typologization of NSSI behavior, which could lead to increased certainty in the prognosis of NSSI patients and become the basis for targeted therapy.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1570880"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting the wellbeing of the whole person: a within-subjects mixed-methods study exploring the effects of the flourishing intervention among individuals with depressive symptoms.","authors":"Camilla Casaletti Braghetta, Juliane Piasseschi de Bernardin Gonçalves, Willyane de Andrade Alvarenga, Richard G Cowden, Clarice Gorenstein, Giancarlo Lucchetti, Homero Vallada","doi":"10.3389/fpsyt.2025.1532843","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1532843","url":null,"abstract":"<p><strong>Objective: </strong>This study examines the effect of the Flourishing Intervention on depressive symptoms and wellbeing among individuals with moderate to moderately severe depressive symptoms. The study also seeks to understand participants' experiences, acceptability, and satisfaction with the intervention.</p><p><strong>Methods: </strong>A quasi-experimental pre-post mixed-methods design was used, incorporating an embedded approach in which descriptive qualitative data complemented quantitative data. The Flourishing Intervention consisted of a 12-week online group-based program, with each session lasting approximately 90 minutes. The study included 98 participants (18-59 years) with moderate to moderately severe depressive symptoms on the Patient Health Questionnaire-9 (PHQ-9), who had completed elementary school or better, resided in São Paulo, and had internet access. All participants were assessed immediately before and after the intervention using the PHQ-9, the Beck Depression Inventory-II (BDI-II), and a range of secondary outcome measures.</p><p><strong>Results: </strong>Evidence supported improvements in depressive symptoms postintervention (d=-1.14 for PHQ-9 and d=-1.24 for BDI-II). Positive postintervention changes were also observed for anxiety symptoms, personal flourishing, spirituality, quality of life, religious/spiritual coping, social support, happiness, gratitude, forgiveness, and life satisfaction.</p><p><strong>Conclusion: </strong>The Flourishing Intervention has the potential to be an effective approach for adults with depressive symptoms. It provides support for the idea that a multidimensional intervention focused on promoting whole-person functioning can alleviate these symptoms. Lessons learned from this study can be used to guide evaluation strategies for a controlled trial, which is an important next step in research on this intervention.</p><p><strong>Clinical trial registration: </strong>https://ensaiosclinicos.gov.br/rg/RBR-776skr9, identifier RBR-776skr9.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1532843"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychotherapy Research Domain Criteria: functional mechanisms of treatment and a basic theory of the mind.","authors":"Nico Rohlfing, Martin Pum, Udo Bonnet, Katja Koelkebeck, Norbert Scherbaum","doi":"10.3389/fpsyt.2025.1549976","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1549976","url":null,"abstract":"<p><p>The Research Domain Criteria (RDoC) approach is a tipping point in psychotherapy and introduces a new development in the treatment of mental disorders. The linking of clinical syndromes with their biological foundation shifts the emphasis of research and methodology on biology and increases the falsifiability of therapy schools, trends, and paradigms in psychotherapy. Interventions are not exclusively assessed according to their efficacy anymore; they focus on biological mechanisms and aim to alter them in an evidence-based way. At the same time, research benefits from the clinical expertise of experienced practitioners and proven treatment concepts. With this heterogeneity and with the decline of diagnosis-specific treatment, a vacuum occurs with respect to a basic theory on the functionality of the mind and the central approach for treatment. The mind can be assessed precisely by biologically based functional mechanisms. Needs could be moved into the center of treatment and their neural mechanisms, which overlap with addiction and reward processing, are the interface between universally valid or nomothetic processes and an individualized idiographic treatment. The RDoC approach will prospectively lead to a huge integration of proven treatment concepts to develop innovative evidence-based interventions and a basic theory of the mind in the sense of a universally valid neuropsychotherapy. The rationale was to define a central approach to and a RDoC perspective on psychotherapy.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1549976"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of music intervention on pain and anxiety in patients undergoing cataract surgery: a systematic review and meta-analysis.","authors":"Lanzhu Su, Yuanyuan Zhang, Lixin Lu","doi":"10.3389/fpsyt.2025.1600359","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1600359","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of music therapy in reducing anxiety and pain among patients undergoing cataract surgery.</p><p><strong>Methods: </strong>Relevant studies up to May 2024 were identified by searching PubMed, Embase, Cochrane, Web of Science, CNKI, and Wanfang databases. Literature selection followed PICOS criteria, with methodological quality assessed using the Cochrane risk of bias tool. Meta-analysis employed standardized mean differences (SMD). Sensitivity and subgroup analyses explored result stability and heterogeneity, utilizing Review Manager 5.4 and STATA 15.0 for analysis.</p><p><strong>Results: </strong>Eighteen studies with 2,262 participants were included. Music therapy significantly reduced anxiety levels, as demonstrated by a notable decrease in Visual Analog Scale (VAS) anxiety scores (SMD = -7.10, 95% CI: -12.25 to -1.95) and State-Trait Anxiety Inventory (STAI) scores (SMD = -1.26, 95% CI: -1.85 to -0.66). Self-Rating Anxiety Scale (SAS) scores were also significantly lower in the music therapy group (SMD = -0.27, 95% CI: -0.42 to -0.12). Regarding physiological parameters, music therapy significantly reduced systolic blood pressure (SBP) (SMD = -0.58, 95% CI: -0.80 to -0.35), diastolic blood pressure (DBP) (SMD = -0.27, 95% CI: -0.42 to -0.12), and heart rate (HR) (SMD = -0.31, 95% CI: -0.45 to -0.17). Subgroup analysis indicated greater therapeutic efficacy among Asian populations compared to European populations.</p><p><strong>Conclusion: </strong>Music therapy significantly reduces anxiety and pain in cataract surgery patients and improves vital signs to some extent. However, due to heterogeneity in certain results, further high-quality randomized controlled trials (RCTs) are needed to confirm its effectiveness.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/prospero/, identifier CRD42024586504.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1600359"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interparental violence: child emotional awareness, protective factors, and symptom profiles in a comparative analysis.","authors":"Eva M Ortiz Jiménez, Juana Gómez-Benito, Selene Liz Llach, María Lamarca, Susana Ochoa","doi":"10.3389/fpsyt.2025.1418332","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1418332","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the differences between children exposed to interparental violence (EIPV) and non-EIPV children aged 8-12, in a) Emotional awareness (EA), b) Protective factors of resilience (external and internal) c) Externalizing/internalizing symptoms, somatic complaints and moods.</p><p><strong>Method: </strong>A descriptive design study was conducted with a total of 115 participants (60 boys and 55 girls) from three Child and Adolescent Mental Health Centers in the metropolitan area of Barcelona, Spain. Student's t-test was used to compare the EIPV and non-EIPV groups, and logistic regression models were employed to identify the most relevant factors associated with EIPV.</p><p><strong>Results: </strong>EIPV children exhibited significantly lower scores in differentiating emotions (DIE) and analyzing one's own emotions (ANE) compared to non-EIPV children. Additionally, EIPV children demonstrated more social skills problems, lower loneliness/social anxiety, lower resilience, mainly in empathy and internal protective factors, autonomy, and reduced self-esteem. They also reported higher levels of externalizing and internalizing symptoms, somatic complaints, and negative mood states such as fear, sadness, and anger. The variables that explained group membership in EIPV were DIE, ANE, and total externalizing symptoms.</p><p><strong>Conclusions: </strong>This study provides valuable insights into the role of EA, symptoms, and protective factors in EIPV children in a clinical sample. Lower EA, fewer protective factors, and higher levels of internalizing and externalizing symptoms in EIPV children when compared to their non-EIPV counterparts. Including a structures evaluation of EA and Protective Factors in the EIPV child population would improve diagnostic accuracy of trauma and the design of specific psychotherapies interventions aimed at reducing symptoms and promoting mental well-being in children aged 8 to 12 exposed to IPV.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1418332"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding suicidality in adolescents and young adults at clinical high risk for psychosis: a narrative review on risk factors and clinical insights.","authors":"Maria Pontillo, Cristina Di Vincenzo, Michelangelo Di Luzio, Francesco Demaria, Barbara D'Aiello, Ilaria Bertoncini, Massimo Apicella, Milena Labonia, Gino Maglio, Roberto Averna, Stefano Vicari","doi":"10.3389/fpsyt.2025.1580646","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1580646","url":null,"abstract":"<p><p>The prodromal stage of psychosis, referred to as the Clinical High Risk (CHR) phase, represents a critical period of heightened vulnerability to suicidality. Although suicidality is highly prevalent in CHR for psychosis (CHR-P) populations, research on this topic remains limited, often focusing more on the prevalence rates rather than the clinical implications. In this review, covering the past decade, we examined the prevalence and clinical significance of suicidality in adolescents and young adults at CHR-P. Our findings suggest that suicidality in CHR individuals arises from a complex interplay of depressive symptoms and both negative and positive symptomatology. Additionally, psychosocial stressors such as perceived stigma and discrimination further exacerbate suicide risk. Key risk factors include prior suicide attempts, impaired social functioning, psychiatric comorbidities, and stigma-related distress. Furthermore, anhedonia and suspiciousness emerged as independent predictors of suicidality. Suicidality rates vary by context, with higher prevalence in community-recruited CHR samples than in help-seeking individuals. This review highlights the need for a multidimensional suicide prevention approach, integrating early identification, comprehensive assessment, and targeted interventions. Future research should refine diagnostic tools, clarify the clinical trajectory from CHR to psychosis, and develop tailored intervention strategies to mitigate suicide risk in this population.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1580646"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes toward lithium prescription among psychiatrists in Saudi Arabia: a cross-sectional study.","authors":"Mohammad A Alolayan, Ahmad H Almadani, Ghada K Alrashed, Jamal Alothaim, Weam Hussein","doi":"10.3389/fpsyt.2025.1609038","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1609038","url":null,"abstract":"<p><strong>Background: </strong>Bipolar disorder (BD) is a mental illness with an estimated overall lifetime prevalence of 2.4% worldwide. Various pharmacological agents are available for treating BD, one of which is lithium. Lithium is commonly recommended as a first-line treatment during the maintenance phase of BD. However, prescribing patterns for mood disorders vary among countries, with notable regional differences in lithium use.</p><p><strong>Methods: </strong>This cross-sectional study included 287 psychiatrists and psychiatry trainees in Saudi Arabia. A survey consisting of 22 multiple-choice questions was sent via WhatsApp to all participants. Data were collected between January and May, 2024.</p><p><strong>Results: </strong>Lithium was prescribed to BD patients by 72.5% of the participants. Most participants (70.7%) prescribed lithium to up to 25% of their patients. The primary reasons for not prescribing lithium were concerns about its adverse effects (64.8%), followed by the need for monitoring (53.7%), and the unavailability/shortage of lithium supply in Saudi Arabia (45.6%). Psychiatrists working in general hospitals (p=0.017) were more likely to prescribe lithium to patients with BD. In contrast, psychiatrists with limited experience or those who were unfamiliar with lithium treatment (p=0.001) were less likely to prescribe lithium.</p><p><strong>Conclusion: </strong>The use of lithium in Saudi Arabia is often influenced by concerns about its side effects, the need for monitoring, and product availability. Psychiatrists' familiarity with lithium and the settings in which they practice are significant factors shaping prescribing behavior. Future efforts should focus on addressing the barriers to lithium prescription, including enhancing clinician training and improving access to lithium.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1609038"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing anxiety symptoms in adolescents with pre-existing depression: results from a randomized control trial.","authors":"Henriette Solberg, Thormod Idsoe, Serap Keles","doi":"10.3389/fpsyt.2025.1461887","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1461887","url":null,"abstract":"<p><strong>Introduction: </strong>Depression and anxiety have a long history of co-occurrence, with a relatively high prevalence in the Norwegian population both separate and combined. In adolescence, this prevalence increases significantly and may impact youths' social and academic functioning drastically. Having effective treatments aimed at adolescents may have potential to prevent both short and long-term effects associated with these disorders. The aim of the current study was to examine whether the \"Adolescent Coping with Depression Course\" (ACDC), a cognitive behaviour therapy (CBT)-based group intervention aimed at adolescents with subclinical mild-to-moderate depressive symptoms, would also be effective in reducing anxiety symptoms.</p><p><strong>Methods: </strong>Data, which came from a two-arm parallel cluster randomised control trial conducted in Norway, were collected from 228 adolescents, 133 of whom were assigned to the 14-week ACDC intervention and 95 were assigned to the usual care condition. The data were analysed with structural equation modelling.</p><p><strong>Results: </strong>The results indicated that the intervention is effective in reducing anxiety symptoms via reducing the depressive symptoms, thus illustrating an indirect effect.</p><p><strong>Discussion: </strong>The findings suggested that ACDC has the potential to reduce anxiety symptoms over time through its effect on depressive symptoms. Implications of the results are presented.</p><p><strong>Clinical trial registration: </strong>https://www.isrctn.com, identifier ISRCTN19700389.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1461887"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Informed Care in the health-care for transgender and gender-diverse adults: a scoping review.","authors":"Hannah Borcherding, Marlena L Itz, Bernhard Strauß, Timo O Nieder","doi":"10.3389/fpsyt.2025.1577225","DOIUrl":"https://doi.org/10.3389/fpsyt.2025.1577225","url":null,"abstract":"<p><p>Transgender and gender-diverse (TGD) individuals frequently experience discrimination, minority stress, microaggressions, and traumatic events, including physical and sexual violence. It is essential to consider these traumatic experiences in clinical practice, as negative experiences within the health-care system can deter TGD individuals from seeking necessary support. However, many health-care professionals lack adequate training to respond effectively to the needs of TGD individuals. Trauma-Informed Care (TIC) presents a potential solution by encouraging professionals to recognize trauma, prioritize safety and transparency, and adapt their behavior to minimize distress. This scoping review aims to provide an overview of the existing empirical literature for the application of TIC in TGD health-care settings. A comprehensive literature search was conducted using the EBSCO, PubMed, and Scopus databases to identify studies examining TIC specifically within TGD health-care contexts. The review followed the PRISMA checklist extension for scoping reviews. Inclusion criteria required that studies analyze original data on the implementation of TIC in TGD health-care settings. The included studies were analyzed to assess the TIC principles included and their impact on health outcomes. The review identified four studies that met the eligibility criteria. Findings suggest that while TIC can provide significant benefits in fostering safe and affirming health-care environments for TGD individuals, the literature remains mixed and scarce. Methodological diversity and varying definitions of TIC complicate the synthesis of results. Gaps in research and inconsistencies in its application were highlighted. The findings underscore the potential of integrating TIC principles into health-care for TGD populations, as current frameworks often overlook their unique needs. For future research it seems crucial to conduct effectiveness studies of TIC such as randomized-controlled trails, standardize TIC definitions, develop robust outcome measures and explore TIC in various contexts. This review highlights the potential of TIC in the healthcare for TGD individuals while emphasizing the need and providing directions for further research.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1577225"},"PeriodicalIF":3.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}