International Journal of Social Psychiatry最新文献

{"title":"Suicidal behavior, depression, generalized anxiety and associated factors among a national sample of adults in Mozambique in 2022 to 2023.","authors":"Supa Pengpid, Karl Peltzer, Boia Efraime","doi":"10.1177/00207640251337957","DOIUrl":"https://doi.org/10.1177/00207640251337957","url":null,"abstract":"<p><strong>Background: </strong>The study's objective was to assess adult Mozambicans' past 12-month suicidal behavior (PSB), major depressive disorder (MDD), and generalized anxiety disorder (GAD).</p><p><strong>Methods: </strong>Data from 10,074 women (aged 20-49 years) and 3,941 men (aged 20-54 years) that participated in the 2022 to 2023 Mozambique Demographic and health Survey were analyzed.</p><p><strong>Results: </strong>The prevalence of PSB among women (attempt 1.0%, plan 1.8%, and ideation 4.2%) was 4.6% and among men (attempt 0.6%, plan 1.6%, and ideation 3.1%) was 3.4%. Among women and men, the prevalence of MDD was 10.6% and 2.3%, respectively, and the prevalence of GAD was 11.9% and 2.3%, respectively. In adjusted logistic regression analysis, among women and men, MDD was positively and being married or cohabiting was negatively associated with PSB, while among women being HIV positive and among men history of sexually transmitted infection (STI) were positively associated with PSB. Among women and men, having a history of STI was positively, and currently working was negatively associated with MDD. In addition, among women, low dietary diversity and 'big problem to get money for medical treatment' were positively, and among men, having hypertension, lung disease, and early sexual debut were associated with MDD. Among women, having a history of STI, low dietary diversity, 'big problem to get money for medical treatment', and the use of solid cooking fuel were positively, and currently working and early sexual debut were negatively associated with GAD. Among men, having hypertension and having been diagnosed with lung disease were positively associated with GAD.</p><p><strong>Conclusion: </strong>Almost 4% of participants had PSB, among women more than 10% had MDD and GAD, respectively, and among men more than 2% had MDD and GAD, respectively. Public health interventions can be guided by a number of associated factors that have been identified.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251337957"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assertive community-based treatment program in a day care center in Athens, Greece: Results from a retrospective cohort study.","authors":"Kyriaki Tsikou, Sofia Nikolaidi, Dimitrios Trivellas, Fotis Vasilopoulos, Dimitris Galanis, Venetsanos Mavreas, Stelios Stylianidis, George Konstantakopoulos","doi":"10.1177/00207640251336739","DOIUrl":"https://doi.org/10.1177/00207640251336739","url":null,"abstract":"<p><strong>Objective: </strong>Over recent decades, a number of outpatient care models, including highly specialized community services such as Assertive Community Treatment (ACT), have been developed to treat patients with Severe Mental Illness (SMI). ACT has been rigorously evaluated for its effectiveness and is suggested as the most clinically effective treatment for people with SMI.</p><p><strong>Materials and methods: </strong>The present retrospective cohort study sought to investigate the efficacy of an Assertive Community-based Treatment Program, based on the core principles of ACT, with an emphasis on psychiatric hospitalizations before and after treatment initiation. All individuals referred to the Assertive Community-based Treatment Program at the 'Franco Basaglia' Day Care Center for Psychosocial Interventions during a 7-year period (2013-2020) were included in the study. A 41.9% of patients had been hospitalized for mental illness 2 years before treatment initiation.</p><p><strong>Results and discussion: </strong>The findings show that ACT reduced the odds of admission 1 year after patients received the intervention, as well as a statistically significant decrease in the number of admissions compared to the year before treatment. Moreover, high levels of functioning at baseline were related to lower odds of hospitalization during the ACT intervention, suggesting that functioning may be an early prognostic factor for hospitalization among patients with SMI.</p><p><strong>Conclusion: </strong>Our results stress the need for strengthening community-based mental health services in Greece and developing policies that support the broader implementation of ACT and improve continuity of care. Further research is needed to assess the long-term efficacy of ACT teams in Greece and to inform national mental health strategies regarding its accurate application across populations and settings.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251336739"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prolonged grief disorder in psychiatric patients: Assessing the PG-13-R scale and clinical implications.","authors":"Pietro Carmellini, Alessandro Cuomo, Alessandra Cartocci, Gabriele Cevenini, Andrea Fagiolini","doi":"10.1177/00207640251339508","DOIUrl":"https://doi.org/10.1177/00207640251339508","url":null,"abstract":"<p><strong>Background: </strong>Prolonged Grief Disorder (PGD) was recently included in the DSM-5-TR. Although the diagnostic criteria for PGD have been established, its prevalence among psychiatric patients and its implications remain underexplored. This study aimed to determine the rate and characteristics of PGD among psychiatric patients and assess the utility of the PG-13-R scale as a potential predictive screening tool within this population.</p><p><strong>Methods: </strong>Data were collected from 259 psychiatric patients at a University Hospital's Psychiatry Unit. Patients completed the PG-13-R scale and provided details about the loss and its circumstances. Descriptive statistics, inferential statistics, and ROC analysis were conducted to analyze the data.</p><p><strong>Results: </strong>Overall, 15.4% of participants met the DSM-5-TR criteria for PGD, with no significant demographic differences observed. Notably, these patients were more likely to have lost a first-degree relative. The PG-13-R mean total score was 23.76 (SD 11.47). Although a cutoff score of 30 aligned with syndromal-level PGD, additional ROC analyses identified threshold scores of 24 for patients whose loss occurred less than 6 months prior (AUC 0.73) and 27 for those whose loss occurred more than 6 but less than 12 months prior (AUC 0.97), each demonstrating over 90% sensitivity in detecting high-risk cases. Patients re-evaluated 12 months post-loss showed a significant decrease in grief scores (<i>p</i> < .001), yet those initially at higher risk often maintained elevated symptom levels.</p><p><strong>Conclusions: </strong>Our study highlights the significant burden of PGD among psychiatric patients and emphasizes the importance of integrating grief assessment and intervention into psychiatric care to improve outcomes for individuals at risk of PGD. The PG-13-R emerges as a valuable tool for screening and addressing prolonged grief in this population.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251339508"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Armed conflict exposure types are not equally associated with access to psychosocial support: A study of over 8 million victims of the Colombian armed conflict.","authors":"Charlotte Constable Fernandez, Alida Acosta-Ortiz, María Camila García Durán, Rob Saunders, Francesca Solmi, William Tamayo-Agudelo, Fabio Idrobo, Vaughan Bell","doi":"10.1177/00207640251336726","DOIUrl":"https://doi.org/10.1177/00207640251336726","url":null,"abstract":"<p><strong>Background: </strong>The Colombian armed conflict has endured for almost 60 years. Colombia has a national psychosocial support service, called PAPSIVI, which is the largest initiative in history to address the psychosocial needs of civilians.</p><p><strong>Aims: </strong>Understand the extent to which PAPSIVI reaches priority groups and provides access to psychosocial support for victims of the conflict, something only previously tested in small studies.</p><p><strong>Methods: </strong>We used anonymised data from the register of victims of the armed conflict, including over 8 million individuals, with linked data to identify PAPSIVI access at the national level. We conducted univariable logistic regressions and multilevel logistic regression models adjusted for a range of potential confounders to examine associations.</p><p><strong>Results: </strong>Higher odds of PAPSIVI access were observed for females, those who register sex as 'other', older people, individuals from ethnic minorities, those on subsidised healthcare regimes and people with disabilities. Many specific exposures to the armed conflict were associated with increased levels of PAPSIVI access, including some of those reflecting the most severe exposures - namely, sexual violence, torture, physical injury, psychological injury and forced disappearance. Nevertheless, those affected by confinement, child recruitment to armed groups and homicide showed reliably lower levels of PAPSIVI access. In key marginalised groups, exposure to displacement and sexual violence was associated with lower rates of access.</p><p><strong>Conclusions: </strong>PAPSIVI successfully provides access to mental health support for key demographic groups and for a range of exposures to the armed conflict although areas of under-access indicate the need to better understand and address barriers to care.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251336726"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Affective temperament, attachment, emotional problems, and parenting in mothers of children with selective mutism: A case-control study.","authors":"Merve Onat, Büşra Bahadır, Yaren Özgü Akın Soyupek, Hanife Avcı, Gülser Şenses Dinç, Esra Çöp, Aynur Pekcanlar Akay","doi":"10.1177/00207640251341506","DOIUrl":"https://doi.org/10.1177/00207640251341506","url":null,"abstract":"<p><strong>Background: </strong>Selective mutism (SM) is a rare psychiatric disorder, and there are maternal factors that may play a role in its development.</p><p><strong>Aims: </strong>The aims of our study are to determine the differences between mothers of children with SM and controls concerning affective temperament, attachment, emotional problems, and parenting attitudes and to reveal how these factors affect the emotional symptoms of the children.</p><p><strong>Method: </strong>The study included 74 children, 37 diagnosed with SM and 37 healthy controls. We evaluated the children using the Strengths and Difficulties Questionnaire and examined their mothers using the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Autoquestionnaire, Relationship Scales Questionnaire, Beck Anxiety Inventory, Beck Depression Inventory, and Parental Attitude Research Instrument. We conducted statistical analysis using SPSS 23.0 and R 4.3.1.</p><p><strong>Results: </strong>In our study, mothers of children diagnosed with SM showed more cyclothymic temperament, fearful attachment styles, and less secure attachment compared to controls. These mothers exhibited higher levels of anxiety and depression, and they tended to adopt over-parenting and authoritarian attitudes, along with fewer democratic behaviors. In addition, we identified maternal depressive temperament and overprotective parental attitude as potential factors that may be associated with SM in the child.</p><p><strong>Conclusions: </strong>We believe that focusing on affective temperament, maternal attachment styles, and parenting attitudes could enhance our understanding of children with SM and their mothers.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251341506"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144159042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolation, withdrawal, and avoidance in the diagnostic criteria of mental health disorders in DSM-5-TR and ICD-11.","authors":"Simone Amendola","doi":"10.1177/00207640251337968","DOIUrl":"https://doi.org/10.1177/00207640251337968","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251337968"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profiting from crisis: Ethical concerns and challenges in mental health care during extreme weather events in Brazil.","authors":"Helena Ferreira Moura, Joana Narvaez, Felipe Ornell, Albert Persaud, Dinesh Bhugra","doi":"10.1177/00207640251338003","DOIUrl":"https://doi.org/10.1177/00207640251338003","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251338003"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of attitude and awareness education for children with disabilities in primary school students: A randomised study.","authors":"Buse Çildoğan, Aysel Topan","doi":"10.1177/00207640251338575","DOIUrl":"https://doi.org/10.1177/00207640251338575","url":null,"abstract":"<p><strong>Background and aims: </strong>This non-blind, randomised-controlled study evaluates the effect of attitude and awareness Education for children with disabilities in primary school students.</p><p><strong>Method: </strong>The population consisted of children 9 to 11 years-old attending the fourth grade of a primary-school in a city in Türkiye. The sample selection was not made, and the study was conducted on the entire population. One hundred twenty-seven students met the sample selection criteria. At the end of the application, 55 children in the intervention group and 55 children in the control group formed the research group. The 'Disability Attitude Development Education' programme was applied to the intervention group.</p><p><strong>Results: </strong>Children in both intervention and control groups did not exhibit statistically significant differences in pre-education attitude scores, when comparing attitude scale scores towards disabled children in pre-education, post-education and retest. However, significant differences were observed in post-education and retest attitudes.</p><p><strong>Conclusions: </strong>The education given to primary school students positively influenced their attitudes towards disabled individuals.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251338575"},"PeriodicalIF":2.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144158834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Situational impact, psychosocial risk factors, and suicidality among young adults in Hong Kong during and after the COVID-19 pandemic: A repeated cross-sectional network analysis.","authors":"Ted Ct Fong, Yu Cheng Hsu, Paul Sf Yip","doi":"10.1177/00207640251337963","DOIUrl":"https://doi.org/10.1177/00207640251337963","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has brought substantial impacts and mental distress to young adults. No existing studies have investigated the roles of situational impact and psychosocial risk factors on suicidality under the pandemic context.</p><p><strong>Aims: </strong>The present study examined the relationships between situational impact, psychosocial factors, and suicidality via a network approach during and after the COVID-19 pandemic.</p><p><strong>Method: </strong>Cross-sectional telephone surveys recruited three samples of young adults in Hong Kong via random sampling in autumns of 2021 to 2023 (N = 1,226-1,472). The respondents completed measures on situational impact, meaning in life, societal pessimism, Patient Health Questionnaire-4 (PHQ-4), hikikomori, and suicidality. Mixed graphical modeling was used to estimate the network and identify the partial correlations among the study variables in the three waves.</p><p><strong>Results: </strong>The 2023 wave showed lower levels of COVID-19 distress and PHQ-4 but higher suicidality than 2021 and 2022 waves. Social impact, physical impact, and PHQ-4 were the central nodes in the 2021 and 2023 networks. Meaning in life showed negative linkages with other psychosocial factors. Suicidality showed positive linkages with societal pessimism, hikikomori, and PHQ-4 in the networks. Network comparison found no significant differences in network structure and global strength across gender, age, and waves. Societal pessimism showed significantly stronger linkages with financial impact, meaning in life, and suicidality in 2023 than 2021.</p><p><strong>Conclusions: </strong>Our results enhance the understanding of comorbidity among psychosocial and situational risk factors of suicidality, which have implications for future interventions to improve mental health outcomes among young adults at risk.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251337963"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on: Importance of language in mental illness stigma.","authors":"Oindrilla Ghosh","doi":"10.1177/00207640251338638","DOIUrl":"https://doi.org/10.1177/00207640251338638","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251338638"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}