Frontiers in Psychiatry最新文献

{"title":"Exploring the relation between media usage frequency and anxiety among Chinese residents: a latent profile analysis.","authors":"Yi Guo, Zhuliu Gong, Ziyi Zhang, Baotong Ma, Ruitong Xia, Yuanwei Lu, Jingwen Liu, Hanjia Xin, Yumeng Cao, Saier Yang, Runqing Li, Yi Liu, Siyuan Fan","doi":"10.3389/fpsyt.2025.1475626","DOIUrl":"10.3389/fpsyt.2025.1475626","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the relationship between media usage patterns and anxiety levels, specifically examining how different media usage profiles influence anxiety across various demographic groups.</p><p><strong>Methodology: </strong>A total of 11,031 respondents from 120 cities across China were classified into three media usage profiles-Traditional Media-Dominant Users, New Media-Dominant Users, and Omni-Media Users-using Latent Profile Analysis (LPA) based on their media usage frequency. Demographic covariates were excluded during the initial profiling to ensure the analysis focused solely on media usage patterns. Multiple linear regression analyses were then conducted to examine the relationship between media usage types and anxiety levels. Finally, factors influencing anxiety across the different media usage profiles were explored separately.</p><p><strong>Results: </strong>The analysis revealed that both Traditional Media-Dominant and Omni-Media Users exhibited significantly higher levels of anxiety compared to New Media-Dominant Users. Factors such as geographic region, health literacy, income, debt, employment stability, and property ownership showed varying effects on anxiety across the profiles. Additionally, perceived stress and depression were identified as consistent, positive predictors of anxiety in all media usage groups.</p><p><strong>Conclusions: </strong>Compared to New Media-Dominant Users, both Traditional Media-Dominant and Omni-Media Users exhibited stronger associations with anxiety. These findings suggest that anxiety is influenced by multiple intersecting factors across media usage profiles, highlighting the need for tailored interventions that consider individuals' specific media engagement patterns.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1475626"},"PeriodicalIF":3.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709596","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":"Measuring cognitive and affective empathy across positive and negative emotions: psychometric properties and measurement invariance of the Perth Empathy Scale.","authors":"Arezou Lashkari, Jack D Brett, Ghasem Abdolpour, Mahdi Mazidi","doi":"10.3389/fpsyt.2025.1533611","DOIUrl":"10.3389/fpsyt.2025.1533611","url":null,"abstract":"<p><strong>Introduction: </strong>Empathy, a complex and multidimensional construct essential for social functioning and mental health, has been extensively studied in both research and clinical settings. The Perth Empathy Scale (PES), a recently developed self-report measure, assesses cognitive and affective empathy across both positive and negative emotions and is based on the self-other model of empathy. This study aimed to evaluate the psychometric properties of the Persian version of the PES in large Iranian sample.</p><p><strong>Methods: </strong>A total of 868 Iranian adults participated in this study. Factorial validity was examined through Confirmatory Factor Analysis (CFA).Internal consistency and concurrent validity were assessed by examining correlations with established empathy measures, including the Interpersonal Reactivity Index (IRI) and the Questionnaire of Cognitive and Affective Empathy (QCAE), as well as the Perth Alexithymia Questionnaire (PAQ) and the Social Phobia Inventory (SPIN). Measurement invariance was also tested between Iranian and Australian samples.</p><p><strong>Results: </strong>The findings supported a three-factor model comprising cognitive empathy, negative affective empathy, and positive affective empathy. The Persian PES demonstrated structural validity, internal consistency, and concurrent validity, suggesting it is a reliable measure for empathy assessment across cultural contexts.</p><p><strong>Discussion: </strong>This study provides empirical support for the validity of the Persian PES and contributes to the expanding body of research on empathy assessment. The results suggest that the PES can be effectively used in Persian- speaking populations.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1533611"},"PeriodicalIF":3.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709600","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":"Near-infrared brain imaging study of depressive disorder with liver qi stagnation syndrome before and after treatment.","authors":"Gui-Fang Chen, Meng-Chai Mao, Chen-Chao Yu, Kun Feng, Xin-Yu Wang, Dong-Sheng Xu, Po-Zi Liu","doi":"10.3389/fpsyt.2025.1529575","DOIUrl":"10.3389/fpsyt.2025.1529575","url":null,"abstract":"<p><strong>Objective: </strong>This study is a cohort study of depressive disorder patients with liver qi stagnation syndrome specified under the theory of Integrated Chinese and Western Medicine (ICWM). They were measured hemodynamic activity, using fNIRS assessment with verbal fluency task (VFT) pre-treatment and post-treatment, to examine the neurophysiological characteristics, and to explore the impact of drug treatment on it.</p><p><strong>Methods: </strong>This study recruited patients who were diagnosed with depressive episodes according to the DSM-V diagnostic and Traditional Chinese Medicine (TCM) diagnostic criteria in the outpatient department of Yuquan Hospital Tsinghua University. 35 patients who met the criteria were recruited. All patients were treated with selective serotonin reuptake inhibitors (SSRIs) drugs. The clinical evaluation, VFT and fNIRS assessment were performed pre-treatment and post-treatment two times. After 3 months of treatment, the clinical evaluation, VFT and fNIRS assessment were performed again as a follow-up assessment for the third time.</p><p><strong>Results: </strong>There were statistically significant differences in HAMD scores between pre-treatment and follow-up assessment (<i>p</i> =0.037), with the total scores of HAMD significantly decreased in follow-up assessment. The lDLPFC and mPFC activation in fNIRS during VFT was significantly increased after treatment, as compared to pretreatment assessment, in CH13(<i>p</i> = 0.003) and CH30 (<i>p</i> = 0.035), and the improvement at lDLPFC remained in the follow-up assessment in CH13 (<i>p</i> = 0.007).</p><p><strong>Conclusion: </strong>This indicates that the activation of the lDLPFC improved after the treatment, and this improvement can remain stable. Hemodynamic activation can reflect the changes of brain function after the one-month treatment, even before the changes of clinical symptoms in depression liver-qi stagnation syndrome. Physiological indicators like fNIRS result may better reflect the improvement of depression liver-qi stagnation syndrome than ethological indicators like HAMD.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1529575"},"PeriodicalIF":3.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709614","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":"Assisted suicide within long-term care facilities for older adults: organizational issues and processes experienced by health and social care providers in Switzerland.","authors":"Dolores Angela Castelli Dransart, Elena Pedrazzini Scozzari","doi":"10.3389/fpsyt.2025.1537038","DOIUrl":"10.3389/fpsyt.2025.1537038","url":null,"abstract":"<p><strong>Introduction: </strong>Assisted suicide is still a controversial issue among health and social care providers. They are likely to face challenges in end-of-life care in long-term facilities for older adults, both on organizational and professional levels. Although Swiss professionals are not involved in the final act, they are involved to various extents in the process which leads to the death.</p><p><strong>Methods: </strong>This qualitative study was carried out in 12 facilities in French-speaking Switzerland, which had been faced with requests for suicide assistance from older adults. A total of 36 professionals (physicians, nurses, nursing assistants, social workers, directors) were interviewed. Data were analyzed according to Grounded Theory principles.</p><p><strong>Results: </strong>The results uniquely describe how the process unfolds within facilities, from the initial request for suicide assistance to the aftermath of death. This process gives rise to many questions concerning the most appropriate ethical, professional and organizational way to respond to the requests and provide specific support to the requesting person, their family, and staff within the institution. Institutional life and daily operations are significantly impacted. Major adjustments are required to procedures, usual care routines, resource allocation and communication management within the facility. Institutions that set out a clear framework for the way in which the request is handled and provide sufficient and appropriate support for staff are the least disrupted, not only in terms of their operations, but also in terms of cohesion within teams and relationships between care teams and management.Throughout the process, communication within the institution is fundamental to enable staff members to find their bearings and make sense of the situation.</p><p><strong>Discussion: </strong>Several cross-cutting issues are identified: the need to strike a balance between respecting the procedures laid down by law or the directives of professional associations, and the need to open up spaces for exchange and the construction of meaning for those involved in the process. Further issues include the preparation and training of professionals, and the support provided to them throughout the process. Training and support seem critical to maintaining the continuity and quality of care, motivation and the health of staff.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1537038"},"PeriodicalIF":3.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709575","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":"Association between triglyceride-glucose index and its combination with obesity indicators and depression: findings from NHANES 2005-2020.","authors":"Hongli Sun, Wei He, Jingyu Bu, Huifang Zhang, Huimei Huang, Kai Ma","doi":"10.3389/fpsyt.2025.1533819","DOIUrl":"10.3389/fpsyt.2025.1533819","url":null,"abstract":"<p><strong>Background: </strong>The relationship between the triglyceride-glucose (TyG) index, its combination with obesity indicators, and depression remains understudied in the American population.</p><p><strong>Methods: </strong>This cross-sectional study analyzed data from 10,423 adults in the National Health and Nutrition Examination Survey (NHANES) conducted between 2005 and 2020. We employed multivariable logistic regression analysis, smoothing techniques, generalized additive models, stratified analyses, and sensitivity analyses to examine the relationship between TyG, its combination (TyG-WC, TyG-WHtR, TyG-BMI) with obesity indicators, and depression.</p><p><strong>Results: </strong>The results indicate that the TyG index, TyG-WC, TyG-WHtR, TyG-BMI, and depression exhibited a significant statistical association with depressive symptoms (all P for trend < 0.001). Specifically, a one-unit increase in the TyG index correlated with a 37% increase in the risk of depressive symptoms (95% CI: 1.21-1.55), a one-unit increase in TyG-WC correlated with a 3.26 times increase in the risk of depressive symptoms (95% CI: 2.22-4.80), a one-unit increase in TyG-WHtR correlated with a 27% increase in the risk of depressive symptoms (95% CI: 1.18-1.36), and a one-unit increase in TyG-BMI correlated with a 2.30 times increase in the risk of depressive symptoms (95% CI: 1.72-3.08). There was a significant nonlinear correlation between TyG-WC, TyG-WHtR, and TyG-BMI with depressive symptoms (all P for nonlinearity < 0.001), except for a linear correlation between the TyG index and depressive symptoms (P for linearity < 0.001).</p><p><strong>Conclusion: </strong>Monitoring the TyG index, TyG-WC, TyG-WHtR, TyG-BMI may facilitate depression risk assessment and prevention.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1533819"},"PeriodicalIF":3.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699546","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":"Compassion fatigue and satisfaction among frontline staff in long term care facilities: psychometric properties of the Serbian version of the professional quality of life scale.","authors":"Milutin Vracevic, Vedrana Pavlovic, Natasa Todorovic, Natasa M Milic, Bojana Matejic, Predrag Brkic, Nikola V Milic, Marko Savic, Srdjan Masic, Andrija Pavlovic, Vladislav Stanisic, Ana Tasic, Dragan Spaic, Sandra Matovic, Danijela Tiosavljevic, Dejana Stanisavljevic","doi":"10.3389/fpsyt.2025.1479190","DOIUrl":"10.3389/fpsyt.2025.1479190","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the complex relationship between anxiety, depression, compassion fatigue, and satisfaction among long-term care (LTC) workers following the COVID-19 pandemic. In addition, the study assessed psychometric properties of the Professional Quality of Life (ProQOL) scale, to ensure a reliable and valid instrument for identifying compassion fatigue and satisfaction in the Serbian healthcare system.</p><p><strong>Methods: </strong>A cross-sectional study was conducted across LTC facilities in the Republic of Serbia. A ProQOL was administered to physicians, nurses, and aids, to measure compassion fatigue (including burnout and secondary traumatic stress) and compassion satisfaction. The following standardized instruments were also distributed: Secondary Traumatic Stress Scale (STSS), Depression Anxiety and Stress Scale 21 (DASS-21) and 12-Item Short-Form Health 36 Survey (SF-12).</p><p><strong>Results: </strong>A total of 300 LTC workers participated, mostly women (86.3%), with an average age of 45.4 ± 10.5 years and a median work experience of 15 years (range: 1 to 42 years). The study reported a significant presence of anxiety and depression symptoms (53.3% and 43.3%, respectively), with LTC workers experiencing moderate levels of compassion fatigue, as indicated by burnout (58.3%) and stress (57.3%) subscales, and moderate or high levels of compassion satisfaction (49.0% and 50.0%, respectively). The study demonstrated that anxiety impacts depression both directly and indirectly (p<0.05). Specifically, burnout and compassion satisfaction mediated the positive effect of anxiety on depression, indicating that increased anxiety led to higher burnout and lower compassion satisfaction, which resulted in greater depression (p<0.05). The three-factor structure of the ProQOL was validated (IFI, TLI, and CFI were above the cut-off of ≥0.95, and the RMSEA was below the suggested value of ≤ 0.06). The Cronbach α of the three subscales was above 0.8, indicating good scale reliability.</p><p><strong>Conclusion: </strong>This study contributes to the broader literature on LTC workers wellbeing by examining the complex interplay between professional quality of life, anxiety, and depression. The findings should guide decision-makers in developing targeted interventions and policies that promote the psychological resilience and well-being of LTC workers, thereby enhancing both individual and organizational outcomes in the healthcare sector.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1479190"},"PeriodicalIF":3.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11931146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699957","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":"Problem-sustaining patterns: redesigning the concept of mental disorder.","authors":"Sander A Voerman, Derek W Strijbos, Anton B P Staring, Femke de Boer, Matthijs van Dijk, Jim Driessen, Gerrit Glas, Rutger Goekoop, Annemarie Mulder, Nynke Tromp, Marloes Verhaar, David van den Berg","doi":"10.3389/fpsyt.2025.1382915","DOIUrl":"10.3389/fpsyt.2025.1382915","url":null,"abstract":"<p><p>We propose the concept of a <i>problem-sustaining pattern</i> as a revision of the established concept of mental disorder. The proposed concept preserves valuable features of the established concept, such as recognition of the client's hardships and scientifically informed justification of specific interventions. However, several assumptions behind the established concept have been widely criticized, both in terms of their clinical and moral normativity as well as their ontological and empirical soundness. We argue that a focus on problem-sustainment allows us to reframe the issue of demarcation in a way that helps avoid stigmatization while clarifying the role of client agency in diagnosis. We also propose a shift toward thinking in terms of patterns of dynamic interaction, which is more in line with current developments in complexity science. We conclude the article with a discussion of further research that would be needed to address various questions raised by our proposal.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1382915"},"PeriodicalIF":3.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709587","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":"A study of the effects of dance/movement therapy on parenting stress and emotions in mothers of children with autism spectrum disorder.","authors":"Xiang Yang, Xiaomei Zhan, Xiafang Li, Yuqing Wang, Ziwei Kuang","doi":"10.3389/fpsyt.2025.1465677","DOIUrl":"10.3389/fpsyt.2025.1465677","url":null,"abstract":"<p><strong>Objective: </strong>Currently, many scholars are working to improve the core symptoms of children with autism spectrum disorder, while neglecting the mental health of caregivers of children with ASD. This study examined the effectiveness of dance/movement therapy (DMT) in reducing parenting stress in mothers of children with autism spectrum disorder and whether depression and anxiety mediated the effects thereof.</p><p><strong>Methods: </strong>Forty mothers of children with autism spectrum disorder were recruited in Nanchang, China, and divided into an experimental group (20) and a control group (20). The subjects were assessed before and after 12 weeks of dance/movement therapy (DMT) using the Parenting Stress Index/Short Form (PSI-SF), Self-Rating Depression Scale (SDS), and Self-Rating Anxiety Scale (SAS) as the assessment tools.</p><p><strong>Results: </strong>The results found that parenting stress, depression, and anxiety scores of mothers of children with autism spectrum disorder were significantly reduced after the dance/movement therapy (DMT) intervention.</p><p><strong>Conclusion: </strong>The mediating effects of depression and anxiety were significant, indicating that dance/movement therapy (DMT) is effective in reducing the levels of parenting stress, depression, and anxiety in mothers of children with autism spectrum disorder, and can indirectly play a role in reducing the levels of parenting stress in mothers of children with autism spectrum disorder by reducing their depression and anxiety.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1465677"},"PeriodicalIF":3.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691776","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":"The influence of negative events on adolescents' mobile phone addiction: the chain mediating role of personality traits and emotional regulation style.","authors":"Mingxin Ji, Yi Qi, Huixin Tu, Siyi Wu, Xingrui Wang","doi":"10.3389/fpsyt.2025.1530212","DOIUrl":"10.3389/fpsyt.2025.1530212","url":null,"abstract":"<p><strong>Introduction: </strong>Teenagers' excessive dependence on mobile phones has aroused widespread concern in society. However, the complex mechanisms underlying the relationship between negative events and adolescent mobile phone addiction have not been thoroughly studied. The study aims to delve into the specific relationship between negative events and adolescent mobile phone addiction, and further explore the mediating role of personality traits (neuroticism) and emotional regulation (expression inhibition) in this relationship.</p><p><strong>Methods: </strong>This article is based on an empirical study involving 1399 randomly selected survey questionnaires from ordinary higher education institutions in Jiangsu and Zhejiang regions of China. The Adolescent Life Events Scale is employed to assess the impact of negative events on adolescents. The College Student Mobile Phone Addiction Scale is utilized to explore adolescent mobile phone usage behavior and addiction tendencies. The Big Five Personality Questionnaire is used to analyze personality tendencies, while the Emotion Regulation Scale is used to evaluate the frequency of using emotion regulation strategies.</p><p><strong>Results: </strong>(1) A notable positive correlation exists between negative events and mobile phone addiction. (2) Neurotic personality and expression inhibition play a mediating role in the chain effect between negative events and mobile phone addiction.</p><p><strong>Discussion: </strong>This study enriches relevant research on adolescent mobile phone addiction and offers a guide for educators and parents to solve the issue of adolescent mobile phone addiction. Negative events are positively correlated with mobile phone addiction, and neurotic personality and expressive inhibition play a chain mediating role between them.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1530212"},"PeriodicalIF":3.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691801","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":"A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting.","authors":"Xing-Yan Liu, Shu-Hui Xu, Wen-Jing Yan, Li-Li Zhu, Cheng-Han Li","doi":"10.3389/fpsyt.2025.1541993","DOIUrl":"10.3389/fpsyt.2025.1541993","url":null,"abstract":"<p><strong>Background: </strong>Family environmental factors are known to contribute to adolescent suicidal ideation (SI), but how these factors interact and relate to SI needs further investigation.</p><p><strong>Aims: </strong>To examine how family factors interact with each other and are associated with adolescent SI in a psychiatric clinical setting, using network analysis with regularization methods.</p><p><strong>Method: </strong>Utilizing a quantitative research design, this study analyzed data from 293 adolescents aged 12 to 18 years seeking care in a psychiatric hospital. Data collection involved standardized interviews and self-report measures to assess SI, anxiety, depression, and various family environmental factors. Network analysis with regularization methods, including LASSO regression, was employed to elucidate the relationships among these variables.</p><p><strong>Results: </strong>Over 40% of adolescents reported SI, with positive relationship quality(RQ) significantly reducing SI. Network analysis indicated that family economic status did not directly relate to SI but through RQ. Additionally, anxiety was found to mediate the relationship between RQ and SI significantly, with a mediation effect of 53.34%. Parental marital status directly related to SI, whereas parental education level, particularly mothers', was not directly associated with SI or other mental health outcomes.</p><p><strong>Conclusions: </strong>This study reveals the complex interplay between family environmental factors and psychiatric symptoms in adolescents, highlighting family relationship quality as a critical risk mechanism. These findings underscore the importance of family-centered interventions and public mental health policies to reduce suicidal ideation in adolescents.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"16 ","pages":"1541993"},"PeriodicalIF":3.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691773","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}