International Journal of Social Psychiatry最新文献

{"title":"The Relationship Between Dyadic Adjustment, Internalized Stigma, Psychological Inflexibility, and Playfulness in Bipolar Disorder: A Mediation Model.","authors":"Veysel Güleç, Sevinç Ulusoy, Enver Denizhan Ramakan, Erhan Kurt","doi":"10.1177/00207640261446100","DOIUrl":"https://doi.org/10.1177/00207640261446100","url":null,"abstract":"<p><strong>Background and objectives: </strong>The study investigates the influence of patients' levels of psychological inflexibility, internalized stigma, and couple playfulness on their dyadic adjustment and proposes a novel model elucidating the interrelationships among these factors.</p><p><strong>Methods: </strong>The study included 99 patients diagnosed with bipolar disorder who were in remission and receiving follow-up care. The interviewer filled out the Socio-demographic Data Form, Hamilton Depression Scale, and Young Mania Rating Scale. Afterward, the participants filled out the Revised Dyadic Adjustment Scale (RDAS), Internalized Stigma of Mental Illness Scale (ISMI), Acceptance and Action Questionnaire-II (AAQ-II), and Play Questionnaire II (PQ-II).</p><p><strong>Results: </strong>The data from a total of 99 married participants diagnosed with bipolar disorder, including 41 men and 58 women, were examined in our study. Psychological inflexibility, internalized stigma, couple playfulness, and dyadic adjustment were all significantly correlated. Mediation analysis revealed that internalized stigma indirectly predicted dyadic adjustment negatively and that couple playfulness played a mediating role in this relationship.</p><p><strong>Conclusion: </strong>The hypothesis that couple playfulness mediates the effect of internalized stigma on dyadic adjustment was substantiated. However, psychological inflexibility did not mediate this relationship. These findings may inform the assessment of factors influencing dyadic adjustment in patients with bipolar disorder and the development of interventions to enhance it.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261446100"},"PeriodicalIF":2.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837713","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":"From Mood Episodes to Digital Signatures: Passive and Active Phenotyping of Bipolar Disorder Over Time.","authors":"Julio Torales, Marcelo O'Higgins, Iván Barrios, Antonio Ventriglio, João Mauricio Castaldelli-Maia, Alexander Smith, Michael Liebrenz","doi":"10.1177/00207640261449667","DOIUrl":"https://doi.org/10.1177/00207640261449667","url":null,"abstract":"<p><strong>Background: </strong>Digital phenotyping has emerged as a promising approach to capture real-time behavioral and physiological data in individuals with bipolar disorder (BD). By integrating passive and active data streams, this approach may enable the identification of dynamic patterns associated with mood instability. However, the conceptual integration of these data into clinically meaningful digital signatures remains insufficiently defined and lacks standardized operational frameworks.</p><p><strong>Methods: </strong>This narrative review synthesizes current evidence on digital phenotyping in BD and proposes a conceptual framework integrating passive sensing (e.g. smartphones, wearables, mobility and communication data, physiological signals) and active assessments (e.g. ecological momentary assessment, self-reported mood, cognitive tasks). The framework outlines how multimodal digital biomarkers can be analyzed using computational approaches, including machine learning and longitudinal modeling, to derive individualized digital signatures.</p><p><strong>Results: </strong>The proposed framework describes how continuous behavioral and physiological data can be transformed into multimodal digital biomarkers reflecting sleep-wake rhythms, motor activity, mobility patterns, social interaction dynamics, and autonomic physiology. Through multimodal data integration and personalized baselines, computational models can identify temporal deviations associated with mood changes. These individualized digital signatures capture the dynamic processes underlying mood regulation and may provide early warning signals of relapse, as well as markers of treatment response.</p><p><strong>Conclusions: </strong>Digital signatures derived from integrated digital phenotyping data represent a promising step toward precision psychiatry in BD. However, this concept remains an emerging framework requiring further empirical validation and methodological standardization. This approach highlights the potential for early detection of mood instability, prediction of mood episodes, and personalized clinical decision-making. Future research should focus on validation in longitudinal clinical cohorts, standardization of methodologies, and ethical considerations related to data privacy and implementation.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261449667"},"PeriodicalIF":2.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837688","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":"Association of Social Determinants of Health with Incident Mental Health Outcomes in U.S. Military Veterans.","authors":"Peter Jongho Na, Rachel Kim, Ria Sunwoo An, Ian C Fischer, Dilip V Jeste, Robert H Pietrzak","doi":"10.1177/00207640261449691","DOIUrl":"https://doi.org/10.1177/00207640261449691","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261449691"},"PeriodicalIF":2.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837606","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":"Evaluation of the Emergency Response Mental Health Support Program for Ukrainian Refugee Families in Poland.","authors":"Katarzyna Okulicz-Kozaryn, Lyubomir Sherstyuk, Anna Dzielska","doi":"10.1177/00207640261438837","DOIUrl":"https://doi.org/10.1177/00207640261438837","url":null,"abstract":"<p><strong>Background: </strong>The Russian aggression on Ukraine of February 24, 2022 caused the massive influx of war refugees, mainly mothers and children, to Poland. One of the initiatives to support their mental health was undertaken in a frame of the agreement between UNICEF and the Ministry of Health.</p><p><strong>Aims: </strong>This study aimed to evaluate the emergency response mental health support program on Ukrainian refugee parents' resilience, mental health and competencies to enhance children's wellbeing in the face of adversity.</p><p><strong>Methods: </strong>The project was organized in accordance with the EDPQS model. The intervention was based on the needs and resources assessment and designed in cooperation with Ukrainian specialists. It consists of 10, 2 hr sessions implemented onsite by trained Ukrainian trainers with a group of 10 to 15 parents. The outcomes were assessed using a pretest-posttest design, with comparisons made across groups participating in the program at different but overlapping periods (<i>n</i> = 630). The anonymous questionnaire covered the key components of the program: health (HRQL-14), wellbeing (WHO-5), coping with stress (BRIEF-COPE), resilience (CD-RISC), post-traumatic growth (PTGI), and parenting practices (PRS).</p><p><strong>Results: </strong>Significant positive changes were observed in wellbeing (<i>OR</i> = 9.2), mental and physical health (<i>OR</i> = 3.7 and <i>OR</i> = 8.8), resilience (η² = 0.10), post-traumatic growth in terms of positive self-perception (η² = 0.13), positive perception of others (η² = 0.11), and perception of new opportunities (η² = 0.11). Increase in use of constructive coping strategies and parenting practices based on child's acceptance, as well as, decrease in excessive protection, excessive demands and inconsistency in parenting were significant, too although the effect sizes were moderate.</p><p><strong>Conclusions: </strong>Presented evidence suggests the <i>Add Strengths</i> program usefulness for emergent mental health support of parents affected by war. However, several factors should be taken into account when interpreting this results, including the temporality and specificity of the psychological needs of the target population, the role of trainers and methodological constraints.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261438837"},"PeriodicalIF":2.7,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837681","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":"Early Mental Health Treatment and Domestic Violence Outcomes in Psychosis: A Population-Based Cohort Study.","authors":"Emaediong I Akpanekpo, Nabila Z Chowdhury, Armita Adily, George Karystianis, Tony Butler","doi":"10.1177/00207640261446101","DOIUrl":"https://doi.org/10.1177/00207640261446101","url":null,"abstract":"<p><strong>Background: </strong>Evidence for effective interventions among individuals with psychosis who perpetrate domestic violence (DV) remains limited. In this population, justice system involvement frequently occurs during periods of inadequately managed mental health symptoms.</p><p><strong>Aims: </strong>We examined whether early mental health treatment following a DV charge reduces subsequent DV reoffending among individuals with psychosis.</p><p><strong>Methods: </strong>We conducted a population-based retrospective cohort study of individuals in New South Wales, Australia, with a recorded diagnosis of psychosis who were subsequently charged with a DV offense. The primary exposure was receipt of mental health treatment within 1 month following the index DV charge. The primary outcome was time to the first subsequent DV charge. Secondary outcomes included time to first DV conviction, violent DV charge, and violent DV conviction. Time-to-event analyses were performed using competing risks regression.</p><p><strong>Results: </strong>During a median follow-up of 4 years, 3,513 of 8,458 individuals (41.5%) were charged with a subsequent DV offense. Among men, early mental health treatment was associated with reduced risk across all DV outcomes, including any DV charge (adjusted sub distribution hazard ratio [sHR] 0.86, 95% CI [0.79, 0.93]), conviction (sHR 0.81, 95% CI [0.73, 0.89]), violent charge (sHR 0.83, 95% CI [0.75, 0.93]), and violent conviction (sHR 0.78, 95% CI [0.68, 0.89]). There was no evidence of an association between early treatment and DV reoffending among women.</p><p><strong>Conclusions: </strong>These findings support integrating timely psychiatric care into DV offender management for men with psychosis, while indicating that alternative, sex-responsive strategies may be required for women with psychosis.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261446101"},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837727","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":"India's NCRB Suicide Report 2023: Implications for Implementation of National Suicide Prevention Strategy.","authors":"Arya Thirumeni, Anish V Cherian, Vikas Menon, Sujita Kumar Kar","doi":"10.1177/00207640261438825","DOIUrl":"https://doi.org/10.1177/00207640261438825","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640261438825"},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815331","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 Mental Health Challenges and Risk Factors in the South India Homeless Population: A Descriptive Cross-Sectional Study.","authors":"Subahani Shaik, Dinesh Panati, Ganesh Kumar Mallaram, Saikiran Pasupula, K Uday Kumar","doi":"10.1177/00207640251368029","DOIUrl":"10.1177/00207640251368029","url":null,"abstract":"<p><strong>Background: </strong>Homelessness is a growing public health concern, particularly in developing countries, where individuals face severe physical and psychological challenges. Mental health among the homeless is often neglected due to stigma, limited access to care, and competing survival needs.</p><p><strong>Objectives: </strong>To assess the prevalence of psychiatric morbidity and identify associated risk factors among the homeless population in urban slums.</p><p><strong>Materials and methods: </strong>A community-based cross-sectional study was conducted from March to June 2023 in the urban slums of Nellore, Andhra Pradesh. A total of 192 homeless individuals aged over 18 years were enrolled after obtaining informed consent. Data were collected using a semi-structured questionnaire, including socio-demographic details and standardised psychiatric tools: the Mini International Neuropsychiatric Interview (M.I.N.I), International Classification of Diseases (ICD-10), Hamilton Depression Rating Scale (HAM-D), and Hamilton Anxiety Rating Scale (HAM-A). Data were analysed using SPSS version 22.0.</p><p><strong>Results: </strong>The mean age of participants was 36.4 ± 12 years, with 58.9% being male. Most were illiterate (43.2%) and unemployed (39.6%). Tobacco and alcohol use were reported by 73% and 48.5%, respectively. The overall prevalence of psychiatric morbidity was 46.4%, with depression (24.5%) and post-traumatic stress disorder (16.7%) being the most common. Psychiatric morbidity was significantly associated with unemployment, substance use, and living alone.</p><p><strong>Conclusion: </strong>The high prevalence of psychiatric disorders among the homeless underscores the urgent need for integrated mental health services and social support systems tailored to this vulnerable population.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"465-470"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075294","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":"Privacy: Impact of Social Media-A Study on University Students.","authors":"Donatella Marazziti, Francesca Diolaiuti, Riccardo Gurrieri, Manuel Glauco Carbone, Roberto Di Quirico, Andrea Pozza, Federico Mucci","doi":"10.1177/00207640251379130","DOIUrl":"10.1177/00207640251379130","url":null,"abstract":"<p><p>The study investigates how social media affects privacy perceptions among university students, combining a historical perspective on privacy with contemporary data on young adults; interactions with digital platforms. An online survey of 219 students (122 women and 97 men) assessed their awareness of social media's overt and hidden influences on personal decisions and privacy concerns. Statistical analyses included <i>t</i>-tests, Wilcoxon-Mann-Whitney tests, χ² tests, and correlation measures. Results highlighted significant gender differences. Women were more aware of social media's influence (54.9% vs. 38.1% of men) and expressed greater privacy concerns (41.8% vs. 36.1%). These findings emphasize the need for gender-sensitive educational initiatives to improve privacy awareness and inform policies to safeguard user rights. Further research is recommended to explore broader demographics for a comprehensive understanding of social media's impact on privacy.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"679-686"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477024","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":"Socio-Demographic Characteristics: Barriers or Facilitators of Children's Cognitive Development? Findings From a Longitudinal Pediatric Analysis.","authors":"Morteza Charkhabi, Margarita Gavrilova, Kristina Tarasova","doi":"10.1177/00207640251381852","DOIUrl":"10.1177/00207640251381852","url":null,"abstract":"<p><strong>Background: </strong>Cognitive functions play a crucial role in children's lives. This role is especially important during the transition from preschool to elementary school, as it assists children adapt to the new educational setting. Understanding factors that may exacerbate the development of cognitive functions during this transition can contribute to a successful transition to school. It also helps explain how the observed individual differences among children in schools are associated with varying levels of cognitive functions development.</p><p><strong>Aims: </strong>The first aim of this study is to monitor changes in children's cognitive functions over two consecutive years. The second aim is to examine the contributions of gender, sibling position, and family composition to the development of these cognitive functions over time.</p><p><strong>Method: </strong>We sampled a group of children (<i>n</i> = 333) from preschool and monitored them until the end of their first year of elementary school.</p><p><strong>Results: </strong>The results of a paired-samples <i>t</i>-test suggested that there is a significant difference in cognitive functions between preschool and school ages. Also, repeated measure analysis revealed that gender interacts with verbal working memory, indicating that boys exhibit greater increase in verbal working memory compared to girls. The same analysis suggested that sibling position interacts with visual working memory, with the oldest child showing greater overall growth in visual working memory than siblings in other positions.</p><p><strong>Conclusion: </strong>The findings provide evidence that not only time is a key factor in the overall growth of cognitive functions from preschool to the school period, but depending on the type of cognitive function, gender, and sibling position can also amplify or accelerate this growth over time.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"701-713"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145345110","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":"Revictimization and Mental Health Service Use in Intimate Partner Violence: A Comparison of Single and Multiple Reports Using Linked Police and Health Registers.","authors":"Tomomi Hisasue, Marie Kruse, Johanna Hietamäki, Jani Raitanen, Visa Martikainen, Kimmo Suokas, Pekka Rissanen, Sami Pirkola","doi":"10.1177/00207640251379256","DOIUrl":"10.1177/00207640251379256","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) contributes to the development and severity of mental health problems, and pre-existing mental disorders are also associated with victimization. IPV is rarely a single event, and the consequences of revictimization appear to be more severe. However, little is known about patterns of mental health service utilization among individuals exposed to IPV revictimization.</p><p><strong>Aims: </strong>The study aims to estimate the associations between IPV revictimization and mental health service use over a 2-year period. Furthermore, we examine the association between pre-existing mental disorders and the risk of IPV revictimization.</p><p><strong>Methods: </strong>We conducted a register-based study including IPV victims identified from police reports in Finland, aged 19 to 54 years (<i>N</i> = 10,195), comparing single (<i>N</i> = 7,547) and multiple reports (<i>N</i> = 2,648) between 2016 and 2018. We applied the difference-in-differences method to estimate the effects of revictimization on mental health service utilization 1 year before and after the IPV event. Risk factors for revictimization were assessed using logistic regression, adjusting for sociodemographic factors.</p><p><strong>Results: </strong>Compared to the single event group, IPV victims with multiple reports exhibited higher mental health service utilization throughout the 2-year study period. In both groups, mental health service use peaked sharply around the time of the IPV event. The increase in mental health service utilization for IPV revictimization was approximately 8.0%, with a 0.9 percentage point rise following the initial IPV event. Pre-existing substance use disorders were significant predictors of revictimization for both men and women.</p><p><strong>Conclusion: </strong>Our main finding of higher mental health service use among IPV victims with multiple reports highlights the critical importance of early intervention. These results could reflect underlying poor socioeconomic conditions, pre-existing mental health conditions, and/or traumatic experience before the initial IPV report. Developing integrated services across mental health, social, and police services is crucial for providing preventative interventions to reduce further revictimization.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"668-678"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251010","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}