International Journal of Social Psychiatry最新文献

{"title":"The effect of empathy and callous-unemotional traits on externalizing behavior in juvenile offenders: The mediating role of moral disengagement.","authors":"Anyerson Stiths Gomez Tabares, Jorge Emiro Restrepo, David Andres Montoya","doi":"10.1177/00207640251328818","DOIUrl":"https://doi.org/10.1177/00207640251328818","url":null,"abstract":"<p><strong>Background: </strong>Recent research suggests that externalizing behaviors may influence the severity of delinquent behavior and may also be associated with low affective empathy and sensitivity to the well-being of others, as well as a decreased ability to recognize the emotions of others and to experience reciprocal psychological distress.</p><p><strong>Aim: </strong>This study examines the effects of empathy and callous unemotional traits-and the mediating role of moral disengagement-in explaining externalizing behavior in juvenile offenders.</p><p><strong>Method: </strong>The study was observational-analytic, correlational-exploratory, and involved 376 juvenile offenders (<i>M</i> = 17.36 years, <i>SD</i> = 1.445) who were sanctioned with a custodial measure.</p><p><strong>Results: </strong>Results indicated that empathy, callous-unemotional traits, and moral disengagement had significant associations and differential effects on externalizing behavior. In addition, moral disengagement was identified as a psychological mechanism mediating the effects of empathy and callous-unemotional traits on externalizing behavior, and the age invariance of the mediation model was determined.</p><p><strong>Conclusion: </strong>These findings provide valuable information for specific interventions aimed at reducing externalizing behaviors in juvenile offenders and highlight the importance of the fundamental mediating role of moral disengagement in the relationship between emotional factors and antisocial behavior.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251328818"},"PeriodicalIF":2.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752314","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":"Implementation of the modified NAVIGATE program for early schizophrenia in Shanghai through the specialized hospital and community integration: A comparative study.","authors":"Lihua Wang, Huijie Lu, Yihua Jiang, Dianming Zhu, Ping Sun, Haiming Sun, Lanlan Wang, Wenhui Jiang, Yanru Wu, Zeping Xiao","doi":"10.1177/00207640241311031","DOIUrl":"https://doi.org/10.1177/00207640241311031","url":null,"abstract":"<p><strong>Background: </strong>The modified NAVIGATE program for early schizophrenia, called the Recovery program, was implemented in the Minhang district of Shanghai, China, with a population of approximately 2.7 million, representing 11% of the city's population of about 24 million. The specialized hospital and communities integrated to form multidisciplinary treatment teams to provide multi-component treatment and services, and to receive group training and supervision together. The aim of the study is to evaluate and compare the effects of the Recovery program with conventional care on psychiatric symptoms and social functioning.</p><p><strong>Method: </strong>A total of 128 participants with a diagnosis of schizophrenia, aged 15 to 40 years, and illness duration ⩽5 years were enrolled. Patients living in the Minhang district were assigned to the Recovery program, and those living in other districts of Shanghai received the conventional care. Patients were followed up at baseline and after 2, 4, 6, 8, 10, and 12 months with assessments of symptoms, social functioning, treatment adherence, relapse, community activities, and school/work attendance using the Positive and Negative Symptom Scale (PANSS), the Clinical Global Impression Scale (CGI), and the Personal Social Functioning Scale (PSP).</p><p><strong>Results: </strong>Sixty-three participants receiving the Recovery program care showed greater improvement in psychotic symptoms and social functioning than 65 participants receiving conventional care. Participants in the Recovery program had lower rates of missed psychiatric visits >2 months (3.2% vs. 49.2%), antipsychotic discontinuation (7.9% vs. 36.9%), and relapse (4.8% vs. 26.2%) compared with conventional care.</p><p><strong>Conclusions: </strong>The modified NAVIGATE program can be implemented in the Minhang district of Shanghai, China, through the integration of the specialized hospital and community, and improves clinical outcomes for patients with early schizophrenia compared to conventional care. It has great potential for implementation in other districts in China.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241311031"},"PeriodicalIF":2.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751929","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":"Gender difference in prevalence and network structure of subclinical Hikikomori and depression among college students.","authors":"Wei Zhang, Meng-Yi Chen, Li-Ya A, Yuan-Yuan Jiang, Hui-Ting Huang, Shou Liu, Yi Ma, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Todd Jackson, Yu-Tao Xiang","doi":"10.1177/00207640251325059","DOIUrl":"https://doi.org/10.1177/00207640251325059","url":null,"abstract":"<p><strong>Background: </strong>Subclinical Hikikomori and depression are common among college students, yet gender differences in their prevalence and interrelationships are under-explored. This study evaluated gender differences in prevalence and symptom networks of these disturbances.</p><p><strong>Methods: </strong>A large-scale, multi-center study was conducted across Xinjiang, Qinghai, and Guangdong provinces, China between September and December 2023. Subclinical Hikikomori and depression were assessed with the 1-month 25-item Hikikomori Questionnaire (HQ-25M) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Gender differences in prevalence were tested with univariate analyses, while network analyses assessed symptom structures within each gender. Expected Influence (EI) identified the most central symptoms, with higher EI indicating greater impact. Bridge EI identified specific symptoms that linked Hikikomori and depression symptom communities.</p><p><strong>Results: </strong>Among 6,222 college students, no significant gender differences were found in the prevalence of subclinical Hikikomori (males: 11.4% and females: 13.3%) or depression (males: 19.1% and females: 18.3%). Network analysis revealed 'I avoid talking with other people' (HQ18) as the most central symptom for both males (EI = 1.60) and females (EI = 1.73), followed by 'It is hard for me to join in groups' (HQ13, EI = 1.442) and 'I have little contact with other people' (HQ19, EI = 1.437) in males, and followed by 'Loss of energy' (PHQ4, EI = 1.17) and 'I have little contact with other people' (HQ19, EI = 1.09) in females. The key bridge symptoms were identified as 'Guilt feelings' (PHQ6) for males (Bridge EI = 0.14) and 'Suicidal ideation' (PHQ9) for females (Bridge EI = 0.13). Significant overall gender differences in networks were observed (<i>M</i> = 0.12, <i>p</i> = .01).</p><p><strong>Conclusion: </strong>Depression and subclinical Hikikomori are common among Chinese college students although we observed no significant gender differences in its prevalence. The most influential central and bridge symptoms from network models are viable targets for intervention for both genders.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251325059"},"PeriodicalIF":2.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676895","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":"Exploring the barriers to mental health help-seeking among African Migrants in Australia: A qualitative study.","authors":"Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N Botchway-Commey, David Chisanga, Ahmed A Moustafa, Kerrie E Doyle, Uchechukwu Levi Osuagwu","doi":"10.1177/00207640251323050","DOIUrl":"https://doi.org/10.1177/00207640251323050","url":null,"abstract":"<p><strong>Background: </strong>The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.</p><p><strong>Aims: </strong>This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.</p><p><strong>Methods: </strong>In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed verbatim, utilizing a thematic analysis as the primary data analysis method.</p><p><strong>Results: </strong>African migrants were more inclined to seek support for mental health conditions from religious figures such as priests instead of seeking professional help. Religion and poor knowledge about mental illness were highlighted as barriers to mental health help-seeking. Participants also considered cultural beliefs, fear of stigma as well as the high cost of healthcare in Australia as significant barriers to mental health help-seeking among African migrants.</p><p><strong>Conclusions: </strong>Findings reinforce the critical need for culturally competent mental health services tailored to the beliefs, values, religion, and experiences of African and other migrant communities in Australia. Given the strong attachment of many African migrants in Australia to their cultural and religious beliefs, such services are essential for practical support and intervention.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251323050"},"PeriodicalIF":2.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657055","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":"Depression and academic performance among youths in armed conflict areas in North Wollo, Ethiopia: Structural equation modeling.","authors":"Minale Tareke, Biksegn Asrat Yirdaw, Tilahun Belete Mossie, Abebaw Gebeyehu, Bizu Gelaye, Telake Azale","doi":"10.1177/00207640251323350","DOIUrl":"https://doi.org/10.1177/00207640251323350","url":null,"abstract":"<p><strong>Background: </strong>Adolescents living in war-affected areas are more likely to suffer from depression than adolescents living outside war-affected areas. However, there is limited evidence from Northern Ethiopia that was affected by armed conflicts. This study was conducted to assess the magnitude of depression and to identify inter-related factors with depression and academic performance in armed conflict-affected areas of North Wollo Zone, Ethiopia.</p><p><strong>Methods: </strong>A school-based cross-sectional study was conducted among high school students in North Wollo Zone, Ethiopia. A multistage sampling method was used, and the study participants were selected using simple random sampling. The Structural Equation Model was used to verify the hypothesized relationship between various internal and external or mediating factors. The effect size was provided using standardized beta coefficients, 95% CI, and statistical significance defined as a <i>p</i>-value <.05.</p><p><strong>Results: </strong>Out of 3,400 study participants, 48.1% (95% CI [46.5%, 49.8%]) endorsed depressive symptoms. Being female (β = .05, 95% CI [0.011, 0.087]), far from family because of education (β = .10, 95% CI [0.060, 0.134]), anxiety (β = .95, 95% CI [0.893, 1.011]), and alcohol use (β = .14, 95% CI [0.108, 0.180]) had a significant and positive association with a total direct effect on depression. Conversely, academic performance (β = -.04, 95% CI [-0.061, -0.011]) had a significant and negative association with a total direct effect on depression.</p><p><strong>Conclusion: </strong>This study found a much higher magnitude of depression among students in conflict-affected areas compared to non-affected areas. High school students, particularly girls in conflict-affected areas, need social support and special protection. Additional efforts are needed to ensure safety and security in high schools and establish student support systems such as student counseling and guidance services.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251323350"},"PeriodicalIF":2.5,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647845","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":"Parental alienation syndrome (PAS) in India: A complex legal and psychological challenge.","authors":"Prerna Sharma","doi":"10.1177/00207640251325836","DOIUrl":"https://doi.org/10.1177/00207640251325836","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251325836"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605085","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":"Investigating the component structure of the Health of the Nation Outcomes Scales for people with Learning Disabilities (HoNOS-LD).","authors":"Jon Painter, Kiran Purandare, Joanne McCabe, Ashok Roy, Rohit Shankar","doi":"10.1177/00207640251323819","DOIUrl":"10.1177/00207640251323819","url":null,"abstract":"<p><strong>Background: </strong>Outcome measurement is increasingly recognised as a vital element of high-quality service provision, but practice remains variable in the field of intellectual disabilities. The Health of the National Outcome Scales for people with Learning Disabilities (HoNOS-LD) is a widely used Clinician Reported Outcome Measure in the UK and beyond. Over its 20-year lifespan, its psychometric properties have been frequently investigated. Multiple dimensionality reduction analyses have been published, each proposing a different latent structure.</p><p><strong>Aim: </strong>To analyse a set of HoNOS-LD ratings to test its internal consistency, to identify the optimal number of latent variables, and to propose the items that group together in each domain.</p><p><strong>Methods: </strong>A Principal Component Analysis of 169 HoNOS-LD ratings was performed to produce an initial model. The component loadings for each HoNOS-LD item were then examined, allowing the model to be adjusted to ensure the optimal balance of statistical robustness and clinical face-validity.</p><p><strong>Results: </strong>HoNOS-LD's internal consistency (18 items) was 'acceptable' (Cronbach's alpha = 0.797). On excluding three items that had no bivariate correlations with the other 15 items internal consistency rose to 'good' (Cronbach's alpha = 0.828). The final, four-component solution, using the 15 items possessed good internal reliability.</p><p><strong>Conclusion: </strong>HONOS-LD statistical properties compared favourably to the other published latent structures and adheres to the tool's rating guidance. The four-component solution offers an acceptable balance of statistical robustness and clinical face validity. It provides advantages over other models in terms of internal consistency and/or viability for use at a national level in the UK.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251323819"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605082","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":"Outcome Measures in intellectual disability: A Review and narrative synthesis of validated instruments.","authors":"Mrityunjai Kumar, Indermeet Sawhney, Verity Chester, Regi Alexander, James Mitchell, Rohit Shankar","doi":"10.1177/00207640241291517","DOIUrl":"10.1177/00207640241291517","url":null,"abstract":"<p><strong>Background: </strong>Outcome measurement is essential to determine the effectiveness of health interventions and improve the quality of services. The interplay of social, individual, and biological factors makes this a complex process in the psychiatry of people with intellectual disability (PwID).</p><p><strong>Aim: </strong>Review of outcome measures which are validated in PwID.</p><p><strong>Methods: </strong>A PRISMA-guided review was conducted, using a predefined criteria and a relevant word combination on four databases: EMBASE, Medline, CINAHL and PsycINFO. Each included study was examined for relevance to intellectual disability psychiatry. The psychometric data of each tool was critically assessed. Findings were narratively synthesised.</p><p><strong>Results: </strong>Of 1,548 articles, 35 met the inclusion criteria. Several outcome measures were identified relevant to intellectual disability psychiatry, including tools for challenging/offending behavior, specific neurodevelopmental/clinical conditions such as ADHD, epilepsy, and dementia however, psychometric properties, validity and reliability varied considerably. The tools identified were largely clinician rated, with a dearth of measures suitable for completion by patients or their family carers.</p><p><strong>Conclusion: </strong>Most outcome measures used for PwID lack suitable psychometric properties including validity or reliability for use within the ID population. Of importance, those with alternative expression or are non-verbal have been excluded from the research developing and reporting on measurement instruments. There is an underserved population who risk being left behind in the era of value-based medicine and increasing use of outcome measurement when assessing the effectiveness of healthcare interventions on individual and population levels. This is the first of its kind review in this area.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"239-253"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acculturation stress and mental health outcomes in a sample of migrant inpatients: Findings from a naturalistic study.","authors":"Bianca Della Rocca, Matteo Di Vincenzo, Daniela Giallanella, Costanza Gaggiano, Flavia Martinelli, Fabiana Ricci, Gaia Sampogna, Mario Luciano, Antonio Ventriglio, Antonello Bellomo, Andrea Fiorillo","doi":"10.1177/00207640241291506","DOIUrl":"10.1177/00207640241291506","url":null,"abstract":"<p><strong>Introduction: </strong>Migrants face numerous risk factors for mental disorders, including stressors and traumatic events during the pre-, peri-, and post-migratory phases. Acculturation stress, a significant post-migratory stressor, can adversely affect mental health during the cultural adaptation process. This study aims to assess the clinical implications of acculturation stress in migrants admitted to a psychiatric intensive care unit, with a focus on identifying predictors of acculturative stress and their impact on clinical outcomes.</p><p><strong>Methods: </strong>We conducted a retrospective study of 268 immigrant patients hospitalized between 2004 and 2019 at the psychiatric inpatient unit of the University of Foggia. We collected socio-demographic and clinical data using ad hoc schedules and validated assessment instruments, including the Brief Psychiatric Rating Scale (BPRS), the Global Assessment of Functioning (GAF), and the Clinical Global Impression (CGI). Diagnoses were based on DSM-IV-TR/DSM-5 criteria. We analyzed associations between demographic and clinical characteristics of patients reporting acculturative stress and those not reporting it, using appropriate statistical methods.</p><p><strong>Results: </strong>The majority of patients were diagnosed with affective (45.1%) or psychotic disorders (31.7%), with 57.1% experiencing their first psychiatric episode. Acculturation stress was reported by 51.9% of patients (<i>N</i> = 139), predominantly among males (71.9%), single individuals (80.9%), and those of Islamic faith (56.8%). Patients experiencing acculturation stress were more likely to be unemployed (57.6%) and without a residence permit (63.3%). This stress was particularly prevalent among patients with psychotic disorders (25.9%) and first-episode psychiatric cases (64.7%). At discharge, patients with acculturation stress showed less improvement on CGI, GAF, and BPRS scores compared to those without such stress.</p><p><strong>Conclusions: </strong>Acculturation stress is influenced by several socio-demographic factors and is crucial for the full symptomatic remission of migrant patients. Culturally-oriented mental health services, including language and cultural integration programs, are essential in reducing acculturative stress and improving the overall well-being of immigrants.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"328-337"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500487","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":"Exploring the invisible threads: Social determinants of health and emotional self-perception in Colombia.","authors":"Lucas Patiño-Fernández, Consuelo Vélez Álvarez, Diana Paola Betancurth Loaiza, Natalia Sánchez Palacio","doi":"10.1177/00207640241293387","DOIUrl":"10.1177/00207640241293387","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health is essential for overall well-being, but it is affected by disorders such as depression and anxiety, which are highly prevalent both globally and regionally. The prevalence of these disorders has risen due to factors such as the SARS-CoV-2 pandemic, lack of adequate investment in mental health care, and the implementation of low-impact strategies.</p><p><strong>Objective: </strong>To establish the social determinants of health associated with the self-perception of sadness, depression, and/or anxiety in people in Colombia. <b>Materials and methods:</b> Using the DESOSA81 tool, a quantitative, cross-sectional study with a correlational phase was conducted with 2,725 participants from the five regions of the Colombian mainland. Data were collected through a digital survey and analyzed using Jamovi software to perform univariate, bivariate, and multivariate analyses (logistic regression).</p><p><strong>Results: </strong>Heterogeneity was found in the predictive determinants between regions. The Amazon presented the regression model with the highest prediction (R2N = 0.650), while Orinoco had the lowest (R2N = 0.503).</p><p><strong>Conclusion: </strong>Among the social determinants associated with a greater risk of sadness, depression, and anxiety, those found to have a significant influence on emotional self-perception are female gender, stress, support networks, and social cohesion. Stress management and interpersonal relationship programs, comprehensive family care strategies, and community support should be strengthened. Furthermore, public policies should adopt comprehensive approaches that go beyond the biomedical paradigm.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"392-403"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}