Frontiers in Psychiatry最新文献

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Sentence-level multi-modal feature learning for depression recognition. 句子级多模态特征学习用于抑郁症识别。
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1439577
Guanghua Zhang, Guangping Zhuo, Yang Yang, Guohua Xu, Shukui Ma, Hao Liu, Zhiyong Ren
{"title":"Sentence-level multi-modal feature learning for depression recognition.","authors":"Guanghua Zhang, Guangping Zhuo, Yang Yang, Guohua Xu, Shukui Ma, Hao Liu, Zhiyong Ren","doi":"10.3389/fpsyt.2025.1439577","DOIUrl":"10.3389/fpsyt.2025.1439577","url":null,"abstract":"<p><strong>Background: </strong>The global prevalence of depression has escalated, exacerbated by societal and economic pressures. Current diagnostic methodologies predominantly utilize single-modality data, which, despite the existence of certain multi-modal strategies, often fail to effectively harness the distinct contributions of each modality in depression detection.</p><p><strong>Methods: </strong>This study collected multi-modal features from 100 participants (67 depressed patients and 33 non-depressed individuals) to formulate a MMD2023 dataset, and introduces the Sentence-level Multi-modal Feature Learning (SMFL) approach, an automated system designed to enhance depression recognition. SMFL analyzes synchronized sentence-level segments of facial expressions, vocal features, and transcribed texts obtained from patient-doctor interactions. It incorporates Temporal Convolutional Networks (TCN) and Long Short-Term Memory (LSTM) networks to meticulously extract features from each modality, aligned with the structured temporal flow of dialogues. Additionally, the novel Cross-Modal Joint Attention (CMJAT) mechanism is developed to reconcile variances in feature representation across modalities, adeptly adjusting the influence of each modality and amplifying weaker signals to equate with more pronounced features.</p><p><strong>Results: </strong>Validated on our collected MMD2023 dataset and a public available DAIC-WOZ containing 192 patients dataset, the SMFL achieves accuracies of 91% and 89% respectively, demonstrating superior performance in binary depression classification. This advanced approach not only achieves a higher precision in identifying depression but also ensures a balanced and unified multi-modal feature representation.</p><p><strong>Conclusion: </strong>The SMFL methodology represents a significant advancement in the diagnostic processes of depression, promising a cost-effective, private, and accessible diagnostic tool that aligns with the PHQ-8 clinical standard. By broadening the accessibility of mental health resources, this methodology has the potential to revolutionize the landscape of psychiatric evaluation, augmenting the precision of depression identification and enhancing the overall mental health management infrastructure.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1439577"},"PeriodicalIF":3.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794833","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}
引用次数: 0
The impact of depression on the quality of life of lung cancer patients undergoing chemotherapy: mediating effects of perceived social support. 抑郁对肺癌化疗患者生活质量的影响:感知社会支持的中介作用
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1526217
Fan Xu, Shaoju Xie, Qiao Li, Xiaoli Zhong, Jiquan Zhang
{"title":"The impact of depression on the quality of life of lung cancer patients undergoing chemotherapy: mediating effects of perceived social support.","authors":"Fan Xu, Shaoju Xie, Qiao Li, Xiaoli Zhong, Jiquan Zhang","doi":"10.3389/fpsyt.2025.1526217","DOIUrl":"10.3389/fpsyt.2025.1526217","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QOL) in patients undergoing chemotherapy for lung cancer has been a key research area. Numerous studies have examined the relationships among depression, perceived social support (PSS), and QOL. However, the mechanisms underlying PSS in lung cancer patients receiving chemotherapy remain underexplored.</p><p><strong>Objective: </strong>To investigate the mediating role of PSS in the relationship between depression and QOL in lung cancer patients undergoing chemotherapy.</p><p><strong>Methods: </strong>A convenience sample of 390 lung cancer patients undergoing chemotherapy was selected from the outpatient clinics and wards of the Department of Oncology at a tertiary hospital in Deyang City between January 2024 and June 2024. Participants completed a general information questionnaire, Self-Rating Depression Scale (SDS), Multidimensional Scale of Perceived Social Support (MPSSS), and Functional Assessment of Cancer Therapy-Lung Cancer (FACT-L) scale. SPSS 26.0 was used to analyze correlations between depression, PSS, and QOL, while AMOS 26.0 assessed the mediating effect of PSS on the relationship between depression and QOL.</p><p><strong>Results: </strong>The mean scores for depression, PSS, and QOL were 39.79 ± 11.63, 68.96 ± 13.09, and 66.43 ± 23.67, respectively. Pearson's correlation analysis showed that depression was negatively correlated with QOL (r = -0.319, <i>P</i> < 0.001) and positively correlated with PSS (r = -0.484, <i>P</i> < 0.001). Additionally, PSS was positively correlated with QOL (r = 0.349, <i>P</i> < 0.001). PSS partially mediated the relationship between depression and QOL, with a mediating effect value of -0.165, accounting for 50.3% of the total effect.</p><p><strong>Conclusion: </strong>Depression in lung cancer patients undergoing chemotherapy directly impacts QOL and indirectly affects it through PSS. Clinically, healthcare providers should address depression in these patients and offer psychological support and interventions as needed. Additionally, medical institutions can implement targeted strategies to help patients build a strong social support system, reduce negative emotions, enhance psychological well-being, and improve overall QOL.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1526217"},"PeriodicalIF":3.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794836","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}
引用次数: 0
Association between catheter ablation and psychiatric disorder risk in adults with atrial fibrillation: a multi-institutional retrospective cohort study. 房颤患者导管消融与精神障碍风险的关系:一项多机构回顾性队列研究
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1467876
Ting-Hui Liu, Jheng-Yan Wu, Po-Yu Huang, Wan-Hsuan Hsu, Min-Hsiang Chuang, Ya-Wen Tsai, Kuang-Yang Hsieh, Chih-Cheng Lai
{"title":"Association between catheter ablation and psychiatric disorder risk in adults with atrial fibrillation: a multi-institutional retrospective cohort study.","authors":"Ting-Hui Liu, Jheng-Yan Wu, Po-Yu Huang, Wan-Hsuan Hsu, Min-Hsiang Chuang, Ya-Wen Tsai, Kuang-Yang Hsieh, Chih-Cheng Lai","doi":"10.3389/fpsyt.2025.1467876","DOIUrl":"10.3389/fpsyt.2025.1467876","url":null,"abstract":"<p><strong>Background: </strong>Given that atrial fibrillation (AF) s associated with a high risk of psychiatric disorders, understanding the potential benefits of catheter ablation is clinically significant. This study was conducted to examine whether catheter ablation can prevent psychiatric disorders in patients with AF.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted over two years using data from the TriNetX electronic health record network. The study included adults diagnosed with AF and treated with either antiarrhythmic or rate-control medications. Participants were divided into two groups: those who underwent catheter ablation and a control group without ablation. The primary outcome measured was a composite of anxiety, depression, and insomnia occurrence within one to three years post-treatment. Secondary outcomes included individual psychiatric disorders, suicidal ideation or attempts, dementia, cerebral infarction, and atopic dermatitis (as a negative control).</p><p><strong>Results: </strong>We included 21,019 patients in each matched group. The ablation group demonstrated a lower risk of the primary combined outcome (hazard ratio(HR):0.873, 95% confidence interval (CI) 0.784-0.973, p<0.01), and secondary outcomes including anxiety (HR:0.822, 95% CI:0.700-0.964; p=0.016), depression (HR:0.614, 95% CI:0.508-0.743; p<0.001), suicidal ideation or attempts (HR:0.392, 95% CI:0.165-0.934; p=0.028), dementia (HR:0.569, 95% CI:0.422-0.767; p<0.001), and cerebral infarction (HR:0.704, 95% CI:0.622-0.797; p<0.001) compared to the non-ablation group.</p><p><strong>Conclusions: </strong>In patients with atrial fibrillation, catheter ablation was associated with a reduced risk of developing psychiatric disorders, including anxiety, depression, insomnia, suicidal ideation or attempt, and dementia, in comparison to those who did not undergo ablation. Clinicians should consider incorporating psychiatric risk factors into their comprehensive patient assessment when evaluating candidates for catheter ablation.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1467876"},"PeriodicalIF":3.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795410","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}
引用次数: 0
Prevalence, incidence, and Disability-Adjusted Life Years of self-harm and suicide mortality in the Middle East and North Africa: a sex-specific study based on Global Burden of Disease. 中东和北非地区自我伤害和自杀死亡率的患病率、发病率和残疾调整生命年:一项基于全球疾病负担的性别研究
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1529941
Moien Ab Khan, Sohrab Amiri
{"title":"Prevalence, incidence, and Disability-Adjusted Life Years of self-harm and suicide mortality in the Middle East and North Africa: a sex-specific study based on Global Burden of Disease.","authors":"Moien Ab Khan, Sohrab Amiri","doi":"10.3389/fpsyt.2025.1529941","DOIUrl":"10.3389/fpsyt.2025.1529941","url":null,"abstract":"<p><strong>Objectives: </strong>The study examined the prevalence, incidence, and Disability-Adjusted Life Years (DALYs) associated with self-harm across countries in the Middle East and North Africa, while also analyzing suicide mortality. It aims to explore the variations in self-harm and suicide mortality by sex and assess trends in these phenomena from 1990 to 2021.</p><p><strong>Methods: </strong>Global Burden of Disease 2021 data sources were used in this study. Estimates for all-age counts and age-standardized prevalence rates (per 100,000) were determined for prevalence, incidence, Disability-Adjusted Life Years (DALYs), and suicide mortality. These disease burden indicators were analyzed across the period from 1990 to 2021, and the results were further stratified by sex and location. Additionally, the percentage change observed between 1990 and 2021 was documented. A 95% uncertainty interval was used for each estimate reported.</p><p><strong>Results: </strong>The age-standardized prevalence of self-harm in the MENA region was 111.82 per 100,000 in 1990, decreasing to 105.84 by 2021. The global age-standardized prevalence rate of self-harm is 182.24 per 100,000 in 2021. Throughout this period, the self-harm rates in the MENA region remained lower than the global average. In 2021, approximately 621,509 individuals in the region were reported to engage in self-harm. In the same year, the age-standardized suicide mortality rate in MENA stood at 3.43 per 100,000, with an estimated total of over 21,000 suicide deaths. The age-standardized DALYs rate of self-harm in MENA was 246.03 per 100,000 in 1990 and decrease to 177.44 per 100,000 in 2021. The gender disparity in 2021 revealed higher self-harm rates among females than males, at 112.57 vs. 99.67 per 100,000, respectively. In contrast, suicide mortality rates were higher in males than females, recorded at 4.83 vs. 1.92 per 100,000.</p><p><strong>Conclusions: </strong>Although the rates of suicide mortality and self-harm have declined, the overall number of cases has risen alongside population growth. This highlights the necessity for more comprehensive efforts in mental health care, including screening, prevention, treatment, and the accurate identification of risk factors.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1529941"},"PeriodicalIF":3.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143794778","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}
引用次数: 0
Latent profile analysis of depression in elderly patients with cardio- and cerebrovascular diseases in China- based on CLHLS data. 基于CLHLS数据的中国老年心脑血管疾病患者抑郁的潜在特征分析
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1556054
Man Meng, Chen Zheng, Qi Hu
{"title":"Latent profile analysis of depression in elderly patients with cardio- and cerebrovascular diseases in China- based on CLHLS data.","authors":"Man Meng, Chen Zheng, Qi Hu","doi":"10.3389/fpsyt.2025.1556054","DOIUrl":"10.3389/fpsyt.2025.1556054","url":null,"abstract":"<p><strong>Background: </strong>This study explored the depressive status of elderly patients with cardio- and cerebrovascular disease, using latent profile analysis to explore different profiles of depression. It also explored the factors influencing different profile of depression in patients with cardio- and cerebrovascular diseases to provide reference to healthcare workers to identify the high-risk group of anxiety and depression symptoms at an early stage.</p><p><strong>Methods: </strong>Data came from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). In this study, we used latent profile analysis (LPA) to develop a latent profile model of elderly patients with cardio- and cerebrovascular disease combined with depression and to explore its influencing factors.</p><p><strong>Results: </strong>The 1890 study participants were divided into a low-level group (11%), a medium-level group (52%), and a high-level group (37%). The results of the univariate analysis showed statistically significant differences in the distribution of gender, age, co-residence, self-reported health, main source of financial support, marital status, diabetes, smoke, drank, exercise, level of anxiety, and IADL in the three profiles. Multiple logistic regression showed that good or fair self-reported health and exercise were associated with the low-level of depression; no spouse, and anxiety level were associated with moderately severe depressive conditions; and retirement wages, and local government or community predicted the appearance of low-level of depression compared to medium-level of depression.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1556054"},"PeriodicalIF":3.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795414","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}
引用次数: 0
Vitamin D insufficiency and sleep disturbances in children with ADHD: a case-control study. 多动症儿童的维生素D不足和睡眠障碍:一项病例对照研究。
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1546692
Panpan Zhang, Yang Liu, Yan Ma, Tingting Zhao, Chan Zhang, Hao Sun
{"title":"Vitamin D insufficiency and sleep disturbances in children with ADHD: a case-control study.","authors":"Panpan Zhang, Yang Liu, Yan Ma, Tingting Zhao, Chan Zhang, Hao Sun","doi":"10.3389/fpsyt.2025.1546692","DOIUrl":"10.3389/fpsyt.2025.1546692","url":null,"abstract":"<p><strong>Introduction: </strong>Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorders often co-occurring with sleep problems and other physical disorders. Vitamin D regulates sleep and supports normal brain function. Regrettably, no studies have looked at whether vitamin D insufficiency exacerbates sleep problems in ADHD children and further affects ADHD symptoms.</p><p><strong>Objective: </strong>This study aimed to examine whether vitamin D insufficiency exacerbates sleep problems and ADHD symptoms in children aged 6-14 years.</p><p><strong>Methods: </strong>This is a case-control study, 260 ADHD children (aged 6-14 years) were enrolled in, of whom 95 had vitamin D insufficiency and 165 had sufficiency. Collected all ADHD symptom severity and functional impairment scales, including Swanson, Nolan and Pelham (SNAP) scale, Integrated Visual and Auditory Continuous Performance Test (IVA-CPT), Conners parents symptom questionnaire (PSQ) and Weiss Functional Impairment Rating Scale-Parent Form (WFIRS-P). All guardians of children with ADHD complete the Children's Sleep Habits Questionnaire (CSHQ).</p><p><strong>Results: </strong>The CSHQ total scores of the ADHD children in both groups were significantly higher than 41, which means that ADHD children overall have sleep problems. Compared to ADHD children with vitamin D sufficiency group, we observed significantly higher sleep duration and sleep disordered breathing scores in ADHD children with vitamin D insufficiency group (all <i>p</i>< 0.05). However, there was no direct effect of vitamin D insufficiency on the type of ADHD, symptoms or functional impairment (all <i>p</i>> 0.05). Further analyses showed a correlation between the CSHQ and symptoms, functional impairment scores in children with ADHD.</p><p><strong>Conclusion: </strong>Sleep problems are highly prevalent in children with ADHD. Vitamin D insufficiency has a significant impact on both sleep duration and sleep disordered breathing, but no notable direct effects on ADHD symptoms or functional impairment. Our findings underscore the importance of screening for vitamin D insufficiency in children with ADHD, particularly given its association with sleep disturbances, which may indirectly affect symptom severity.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1546692"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779420","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}
引用次数: 0
Classification of intrusive thought patterns based on differences in the mechanisms of occurrence and persistence. 基于发生和持续机制差异的侵入性思维模式分类。
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1520496
Saki Hinuma, Hiroyoshi Ogishima, Hironori Shimada, Yuki Tanaka, Masumi Osao, Chihiro Moriishi, Shugo Obata
{"title":"Classification of intrusive thought patterns based on differences in the mechanisms of occurrence and persistence.","authors":"Saki Hinuma, Hiroyoshi Ogishima, Hironori Shimada, Yuki Tanaka, Masumi Osao, Chihiro Moriishi, Shugo Obata","doi":"10.3389/fpsyt.2025.1520496","DOIUrl":"10.3389/fpsyt.2025.1520496","url":null,"abstract":"<p><strong>Introduction: </strong>Intrusive thoughts occurring independently of intention are symptoms of obsessive-compulsive disorders (OCD). However, they also appear in various other disorders, including substance use disorders, depression, post-traumatic stress disorder, and anxiety disorders, as well as in healthy individuals. Despite this, the diversity of intrusive thoughts remains largely unexplored. In this study, we aimed to (1) classify the factors causing intrusive thoughts as identified in previous research and (2) elucidate differences in the psychological states of intrusive thoughts.</p><p><strong>Methods: </strong>We investigated 298 participants over 20 years old using a questionnaire that includes scales such as \"obsessive-compulsive belief,\" \"stress responses,\" \"thought suppression,\" and \"evaluation of intrusive thoughts.\" To analyze data, we applied co-clustering, a machine-learning technique, to the data obtained from the investigation.</p><p><strong>Results: </strong>We identified three factors that affect the occurrence of intrusive thoughts: \"Negative Evaluation of Intrusive Thoughts,\" \"Stress Responses,\" and \"Excessive Control of Intrusive Thoughts.\" Furthermore, based on the scoring patterns of these three factors, participants were classified into five subtypes characterized by their degree of OCD tendencies. Further analysis revealed that the three factors could not be explained by OCD tendencies. Additionally, it was found that the five subtypes employed different coping strategies.</p><p><strong>Discussion: </strong>These findings suggest that intrusive thoughts cannot be fully explained solely by the degree of OCD tendencies, which could provide valuable insights into cognitive-behavioral support targeting the various psychological states associated with intrusive thoughts.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1520496"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779757","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}
引用次数: 0
Modern perspectives on psychoses: dissociation, automatism, and temporality across exogenous and endogenous dimensions. 对精神病的现代观点:分离,自动性,和时间性跨越外源性和内源性的维度。
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1543673
Valerio Ricci, Maria Celeste Ciavarella, Carlotta Marrangone, Guilherme Messas, Giuseppe Maina, Giovanni Martinotti
{"title":"Modern perspectives on psychoses: dissociation, automatism, and temporality across exogenous and endogenous dimensions.","authors":"Valerio Ricci, Maria Celeste Ciavarella, Carlotta Marrangone, Guilherme Messas, Giuseppe Maina, Giovanni Martinotti","doi":"10.3389/fpsyt.2025.1543673","DOIUrl":"10.3389/fpsyt.2025.1543673","url":null,"abstract":"<p><p>Substance use and the emergence of Novel Psychoactive Substances (NPS) present a significant public health challenge and diagnostic dilemma, particularly in the context of psychosis. The increasing availability of psychoactive substances among youth has led to a rise in Substance Use Disorders (SUDs), with profound implications for mental health. This paper explores the psychopathological distinctions between substance-induced psychoses (SIPs) and endogenous psychoses, such as schizophrenia, from a phenomenological perspective. We emphasize three key aspects: dissociation, mental automatism, and temporality, to elucidate the underlying mechanisms of these conditions. Dissociation, as a psychopathological organizer, is central to exogenous psychoses, particularly those triggered by NPS. This phenomenon leads to a fragmentation of consciousness, detachment from reality, and disintegration of identity, distinct from the spaltung observed in endogenous psychoses. The concept of mental automatism, as theorized by De Clerambault, is also explored, highlighting its role in the early stages of exogenous psychoses, where cognitive disruptions precede delusions and hallucinations. Furthermore, the temporal experience in SIPs is characterized by a disconnection from past and future, trapping individuals in an \"eternal present.\" This contrasts with the fragmented temporality observed in schizophrenia, where patients struggle to maintain a coherent narrative of their lives. The phenomenological approach provides critical insights into the clinical differentiation between SIPs and Primary Psychotic Disorders (PPDs), emphasizing the need for targeted interventions that address the specific temporal and cognitive disruptions in substance-induced conditions. In conclusion, this paper underscores the importance of integrating phenomenological psychopathology into clinical practice, particularly in the face of the evolving landscape of substance use and psychosis. Understanding the distinct psychopathological mechanisms underlying SIPs can inform more accurate diagnoses and effective treatments, ultimately improving patient outcomes in the context of this growing public health issue.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1543673"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779775","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}
引用次数: 0
The prevalence of workplace violence toward psychiatric nurses in Saudi Arabia and its effect on their quality of life. 沙特阿拉伯精神科护士工作场所暴力的普遍性及其对其生活质量的影响。
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1524845
Sae'd M Abu El-Kass, Osama Mahmoed Ellayan, Anas Muhmmad Turkman, Hind Mushabab Al Mansour, Musherh Alraied Alrowily, Khairyah Abdullah Alsobhan, Bushra Alraydh Alruwaili, Norah Saud Alqahtani, Hana Alraydh Alruwaili, Abdel Hamid El Bilbeisi
{"title":"The prevalence of workplace violence toward psychiatric nurses in Saudi Arabia and its effect on their quality of life.","authors":"Sae'd M Abu El-Kass, Osama Mahmoed Ellayan, Anas Muhmmad Turkman, Hind Mushabab Al Mansour, Musherh Alraied Alrowily, Khairyah Abdullah Alsobhan, Bushra Alraydh Alruwaili, Norah Saud Alqahtani, Hana Alraydh Alruwaili, Abdel Hamid El Bilbeisi","doi":"10.3389/fpsyt.2025.1524845","DOIUrl":"10.3389/fpsyt.2025.1524845","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence is a significant cause of work-related stress in nursing, affecting job performance and satisfaction and increasing burnout risk. This study aims to evaluate the prevalence of verbal and physical violence against psychiatric nurses and its impact on their quality of life.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from April to October 2024. A sample of 171 nurses was selected using a convenience sampling method. The study was carried out at Eradah Complex for Mental Health in Arar City, Eradah Hospital for Mental Health in Al Jouf City, and Mental Health Hospital in Al Qurayyat City. The authors evaluated workplace violence and quality of life among nurses using a questionnaire-based interview and a 36-item quality of life assessment tool. Statistical analysis was performed using SPSS version 25.</p><p><strong>Results: </strong>The participants' mean age was 34.85 ± 4.74 years, 67.8% were male, and 52.7% had over 10 years of experience. The overall prevalence of workplace violence was found to be 100%, with 62% exposed to verbal violence and 38% to physical violence. Regarding quality of life, 66% had an average quality of life, 12.9% had a good quality of life, and 21.1% had a poor quality of life. Statistically significant associations were found between the type of violence and quality of life (P-value < 0.05).</p><p><strong>Conclusion: </strong>The study found significant levels of verbal and physical workplace violence among psychiatric nurses, with a significant correlation between violence and their quality of life. These results highlight the need for targeted interventions, including training programs, improved workplace safety policies, and continuous monitoring to support nurse well-being and job satisfaction.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1524845"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778961","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}
引用次数: 0
Editorial: Adolescent addictions and risky behaviors: implications for health. 社论:青少年成瘾和危险行为:对健康的影响。
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.3389/fpsyt.2025.1570293
María Cristina Martínez-Fernández, Paulo Seabra, Elena Fernández-Martínez
{"title":"Editorial: Adolescent addictions and risky behaviors: implications for health.","authors":"María Cristina Martínez-Fernández, Paulo Seabra, Elena Fernández-Martínez","doi":"10.3389/fpsyt.2025.1570293","DOIUrl":"10.3389/fpsyt.2025.1570293","url":null,"abstract":"","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1570293"},"PeriodicalIF":3.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779760","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}
引用次数: 0
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