International Journal of Social Psychiatry最新文献

{"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":"https://doi.org/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":"207640251379256"},"PeriodicalIF":2.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental Enrichment: An Underestimated Factor Associated With Depression.","authors":"Ana Fresán, Mónica Flores-Ramos, Celene Gallegos Zavala, Gerardo Bernabé Ramírez-Rodríguez","doi":"10.1177/00207640251368244","DOIUrl":"https://doi.org/10.1177/00207640251368244","url":null,"abstract":"<p><strong>Background: </strong>Despite the well-documented benefits of environmental enrichment (EE) in animal models of depression, the application of these findings to humans is complex due to individual variability and environmental constraints.</p><p><strong>Aim: </strong>This study aims to investigate the relationship between EE and depression by comparing demographic features and EE levels between individuals with depression and controls.</p><p><strong>Methods: </strong>A cross-sectional, comparative retrospective study was conducted in a specialized psychiatric facility in Mexico City. Ninety-six control subjects and 86 individuals with major depression (MD) were recruited. Participants with MD were diagnosed according to DSM-5 criteria and scored a minimum of 13 on the 17-item Hamilton Depression Rating Scale (HDRS). Demographic information and EE were assessed using the Environmental Enrichment indicator (EEI), which includes cognitive, social, and physical activity dimensions. Statistical analyses included chi-square tests, <i>t</i>-tests, and logistic regression to identify associations between demographic variables, EE, and depression.</p><p><strong>Results: </strong>The findings indicated that individuals with MD had lower EE levels compared to controls. Significant predictors of depression included low EE, being unemployed or a housewife, and female gender, while higher education decreased depression risk. Low EE mediated the relationship between occupation and depression. Additionally, the impact of demographic factors on depression was also strongly influenced by the levels of EE.</p><p><strong>Conclusion: </strong>Socio-demographic characteristics, such as female gender and occupation were associated with depression; additionally, a low level of EE was a predictor of depression. A higher education diminished the depression risk.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251368244"},"PeriodicalIF":2.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251016","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":"Prevalence and Associated Factors of Mental Health Problems Among Internally Displaced Persons In-Transit in Mexico.","authors":"Ietza Bojorquez, Israel Ibarra-González, Gabriel Pérez-Duperou, Carlos Hernández","doi":"10.1177/00207640251377112","DOIUrl":"https://doi.org/10.1177/00207640251377112","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the mental health of internally displaced persons (IDPs) in-transit to their intended destinations. Many Mexican IDPs travel to the Mexico-United States border to apply for asylum, and remain there for weeks or months.</p><p><strong>Aims: </strong>To assess the prevalence and associated factors of depression, anxiety, and post-traumatic stress symptoms among in-transit IDPs in the Mexico-United States border.</p><p><strong>Method: </strong>Cross-sectional, non-probability survey in shelters in Tijuana (September-October 2023). Participants were adult, Mexican IDPs. We evaluated depression and anxiety with the Patient Health Questionnaire (PHQ-4), and post-traumatic stress symptoms with the Primary Care PTSD Screen for <i>DSM-5</i> (PC-PTSD-5). As independent variables, we considered social stratifiers, loss of social networks, time since displacement and in Tijuana, and direct experiences of violence.</p><p><strong>Results: </strong>Among 247 participants, 69% had mild-severe depression and anxiety (50% in heterosexual cis-men, 76% in heterosexual cis-women, and 64% in sex- and gender-diverse persons), and 50% post-traumatic stress symptoms (33% in heterosexual cis-men, 56% in heterosexual cis-women, and 33% in sexually- and gender-diverse persons). Heterosexual cis-women had higher scores than heterosexual cis-men (β = .67, <i>p</i> < .001 in the PHQ-4, and β = .59, <i>p</i> < .001 in the PC-PTSD-5). Having left a family member in the place of origin was associated with lower scores in the PHQ-4 (β = -.22, <i>p</i> = .057). Longer time since displacement was associated with lower scores in the PHQ-4 (β = -.09, <i>p</i> = .031). Longer time in Tijuana was associated with higher scores (β = .10, <i>p</i> = .050). Having experienced more types of direct violence was associated with higher scores in the PHQ-4 (β = .12, <i>p</i> = .037) and the PC-PTSD-5 (β = .16, <i>p</i> = .011).</p><p><strong>Conclusions: </strong>over half of IDPs experienced mental health problems that required attention. Women, and those who spend longer time in interrupted transit, may be especially affected. Actions should be taken to provide care according to the needs of this population.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251377112"},"PeriodicalIF":2.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238675","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 Displacement to Belonging: How Social Integration Shapes Psychological Resilience and Self-Compassion in Migrant Children.","authors":"Aylin Arici, Taner Artan, Fatih Cebeci","doi":"10.1177/00207640251368025","DOIUrl":"https://doi.org/10.1177/00207640251368025","url":null,"abstract":"<p><strong>Purpose: </strong>Forced migration due to war and conflict has profound psychological effects on children. Psychological resilience and self-compassion are essential for the well-being of migrant children; however, the role of social integration in shaping this relationship remains unclear. This study examines the mediating effect of social integration on the relationship between psychological resilience and self-compassion among Syrian migrant children.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 463 Syrian migrant children aged 11 to 18 years living in Türkiye. Data were collected using the Children and Youth Psychological Resilience Scale-12, the Self-Compassion Scale-Short Form, and the Social Integration Scale. Mediation analysis was performed using the PROCESS macro for SPSS.</p><p><strong>Results: </strong>The findings revealed a significant positive relationship between psychological resilience and self-compassion, as well as between psychological resilience and social integration. A weaker but significant relationship was observed between self-compassion and social integration. Mediation analysis showed that social integration fully mediates the effect of psychological resilience on self-compassion.</p><p><strong>Conclusion: </strong>The results indicate that social integration plays a crucial role in enhancing the self-compassion of migrant children by strengthening psychological resilience. These findings highlight the importance of social policies and interventions aimed at fostering social integration to support the mental health of migrant children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251368025"},"PeriodicalIF":2.7,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232562","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":"Suicidality and Aggressive Behaviors in Migrants: Results From an Observational Study.","authors":"Cipolla Salvatore, Della Rocca Bianca, Di Vincenzo Matteo, Giallanella Daniela, Gaggiano Costanza, Ricci Fabiana, Sampogna Gaia, Luciano Mario, Ventriglio Antonio, Bellomo Antonello, Andrea Fiorillo","doi":"10.1177/00207640251376741","DOIUrl":"https://doi.org/10.1177/00207640251376741","url":null,"abstract":"<p><strong>Background: </strong>Suicide and aggression are significant public health concerns, particularly in vulnerable populations such as migrants. Emotional dysregulation, compounded by acculturation stress and socio-cultural challenges, may underlie both suicidality and aggression in migrants. However, little is known about the clinical profiles and predictors of these behaviors in psychiatric inpatient settings.</p><p><strong>Methods: </strong>We retrospectively analyzed 268 migrant patients admitted to a psychiatric unit in Italy between 2004 and 2019. Sociodemographic, cultural, and clinical information, including psychiatric diagnoses, acculturation stress, and clinical status, were collected. Logistic regression models were used to identify predictors of suicidality and aggression.</p><p><strong>Results: </strong>Suicide attempts were reported in 22.4% of patients and were associated with acculturation stress, with higher levels on suicidality and guilt at the BPRS, and with lower functioning. Aggressive behaviors were observed in 22.5% of patients and were linked to young age, low educational level, unstable legal status, low Italian proficiency, and high levels of hostility and motor hyperactivity. We found only a minimal overlap (3.7%) between suicidality and aggression. At the logistic regression analyses, suicidality was predicted by severe psychiatric symptoms and impaired psychosocial functioning, while aggression was predicted by hostility and low guilt.</p><p><strong>Conclusions: </strong>This study demonstrates that, among migrant patients, both self-harm and aggressive behaviors are modifiable expressions of emotional dysregulation rather than inherent traits of migration. Our findings emphasize the need for culturally sensitive, trauma-informed interventions addressing acculturation stress and emotional dysregulation. Tailored approaches can improve psychiatric outcomes and foster resilience in migrant populations.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251376741"},"PeriodicalIF":2.7,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232590","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":"Prevalence and Correlates of Insomnia and Their Relationship With Quality of Life Among College Students in China: A Multi-Center Network Study.","authors":"Yuan-Yuan Jiang, Meng-Yi Chen, Li-Ya A, Pan Chen, Hui-Ting Huang, Shou Liu, Shuai Yuan, Yi Ma, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang","doi":"10.1177/00207640251359065","DOIUrl":"https://doi.org/10.1177/00207640251359065","url":null,"abstract":"<p><strong>Background: </strong>Insomnia is a common sleep problem among college students. There is insufficient research on the inter-relationships between different insomnia symptoms and their associated factors and quality of life (QoL). This study examined the prevalence and correlates of insomnia symptoms (insomnia hereafter) among Chinese college students as well as their association with QoL from a network perspective.</p><p><strong>Methods: </strong>A multi-center, cross-sectional study was conducted between September and December 2023 in China. Insomnia symptoms were assessed using Insomnia Severity Index (ISI). The centrality index of \"Expected influence\" was applied to identify the most central symptoms in the network, and the \"flow\" function was used to identify specific symptoms that were directly related to QoL.</p><p><strong>Results: </strong>The prevalence of insomnia among the 6,514 college students was 26.42% (<i>n</i> = 1,721; 95% confidence interval [95% CI] [25.17, 27.67%]). The logistic regression analysis revealed that having a history of psychiatric problems (odds ratio [OR] = 1.316, <i>p</i> = .003), being quarantined during the COVID-19 pandemic (OR = 1.134, <i>p</i> = .035), and currently smoking (OR = 1.431, <i>p</i> = .005) and drinking (OR = 1.386, <i>p</i> < .001) were associated with an increased risk of insomnia. In contrast, being a freshman (OR = 0.782, <i>p</i> = .001), majoring in a health-related discipline (OR = 0.747, <i>p</i> < .001), and having good health status (OR = 0.415-0.594, <i>p</i> < .001) and good economy status (OR = 0.413, <i>p</i> < .001) were associated with a reduced risk of insomnia. The most central symptoms included ISI7 (\"Distress caused by the sleep difficulties\"), ISI2 (\"Sleep maintenance\"), and ISI1 (\"Severity of sleep onset\"), while ISI2 (\"Sleep maintenance\"), ISI7 (\"Distress caused by the sleep difficulties\"), and ISI5 (\"Interference with daytime functioning\") had the strongest negative association with QoL.</p><p><strong>Conclusion: </strong>Among Chinese college students, insomnia was common and had a negative impact on QoL. Addressing these symptoms and implementing measures to improve insomnia could enhance students' well-being and QoL.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251359065"},"PeriodicalIF":2.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206475","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":"Trauma and Stress-Related Symptoms Among Yazidi Survivors of the 2014 ISIS Genocide in Iraq.","authors":"Fuaad Mohammed Freh, Carol S North","doi":"10.1177/00207640251377113","DOIUrl":"https://doi.org/10.1177/00207640251377113","url":null,"abstract":"<p><strong>Background: </strong>There is a paucity of published research on the prevalence of specific traumatic events and disaster-related psychopathology in Yazidi survivors related to the 2014 ISIS genocide in Iraq.</p><p><strong>Methods: </strong>The sample for this cross-sectional study was a large nationally-representative cohort of 488 adult Yazidi men and women who were members of the Duhok camps in Iraq. They were assessed 10 years after the ISIS attacks for their experience of various traumatic events and their association with posttraumatic stress, depression, and complicated grief (CG) symptoms related to the genocide. Participants completed the Life Events Checklist for the <i>Diagnostic and Statistical Manual of Mental Disorders</i>, 5th Edition (<i>DSM-5</i>) (LEC-5), the PTSD Checklist for <i>DSM-5</i> (PCL-5), the Hamilton Depression Scale, and the Inventory of Complicated Grief (ICG). Modified Poisson log-linear models provided prevalence ratios of posttraumatic stress symptoms by types of traumatic events and exposures and associations with the number of traumatic events.</p><p><strong>Results: </strong>The vast majority (94.67%) reported direct personal exposure to any traumatic event. Trauma prevalence by trauma type ranged from 6.4% for war/armed conflict-related events to 74.6% for sexual/physical assault by ISIS terrorists. Overall posttraumatic stress symptom threshold varied substantially across trauma types, being lowest for natural disaster (29/56, 4.21%) and highest for sexual assault (215/287, 31.3%), with 193/488, 39.4% exceeding PTSD threshold for any trauma. The proportions exceeding symptom thresholds for depression and CG were 28.9% and 66.6% respectively.</p><p><strong>Conclusions: </strong>The extensive exposure to trauma by Yazidi people and the resulting psychological toll calls for a major community effort to prevent sexual and physical violence and provide desperately needed mental health services.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251377113"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206562","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":"Elevated Suicide Risk Among Earthquake-Exposed Adolescents in Türkiye: The Role of Mental Well-Being and Perceived Social Support.","authors":"Fethiye Kılıçaslan, Mehmet Emin Düken, Huseyin Bayazit, Arzu Çalışkan Demir, Şevval Ocak, Ceylan Carık, Abdurrahman Öz, Fatma Kızıldağ, Bahaddin Çolak, Berna Polat Tüysüz, Meryem Özlem Kütük, Ali Evren Tufan","doi":"10.1177/00207640251377923","DOIUrl":"https://doi.org/10.1177/00207640251377923","url":null,"abstract":"<p><strong>Background: </strong>The 2023 Kahramanmaraş earthquakes significantly impacted the mental health of adolescent survivors. This study examines the prevalence of elevated suicide risk and suicide attempt (SA) among these adolescents. It explores the roles of mental well-being and perceived social support in mitigating suicidality.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between June 2023 and January 2024 at the child psychiatry clinics of Harran University and Inonu University Medical Schools. The sample comprised 1,417 adolescents aged 14 to 18 years who presented for initial psychiatric assessment. Data were collected on demographics, earthquake experiences, and mental health status using the Multidimensional Scale of Perceived Social Support (MSPSS), the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS), and the Suicide Probability Scale (SPS).</p><p><strong>Results: </strong>The prevalence of elevated suicide risk was 47.1%, and SA was 9.4% among participants. Multiple traumas, including witnessing deaths and spending time under rubble, were associated with elevated suicide risk. Male gender, damage to one's home, residing in temporary housing, and sleep disturbances were significant predictors of elevated suicide risk. Conversely, higher MSPSS and WE-MWBS scores were associated with reduced suicide risk, collectively explaining 59.9% of its variance.</p><p><strong>Conclusions: </strong>The findings underscore the critical need for targeted interventions that enhance mental well-being and strengthen social support networks to mitigate suicidality among earthquake-affected adolescents. Future research should explore longitudinal effects and develop strategies to bolster resilience in this vulnerable population.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251377923"},"PeriodicalIF":2.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206472","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":"Family Dynamics and Mental Health in Schizophrenia: Investigating the Impact of Cohesion and Adaptability.","authors":"Seunghyong Ryu, Anna Jo, Honey Kim, Ju-Wan Kim, Bong Ju Lee, Hangoeunbi Kang, Ha-Ran Jung, Ju-Yeon Lee, Jae-Min Kim, Young-Chul Chung, Sung-Wan Kim","doi":"10.1177/00207640251369133","DOIUrl":"https://doi.org/10.1177/00207640251369133","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine how family cohesion and adaptability are associated with mental health outcomes, including functionality, mood, stress, and well-being, in individuals with schizophrenia.</p><p><strong>Methods: </strong>A total of 225 individuals diagnosed with schizophrenia spectrum and other psychotic disorders were included in the analysis. Participants were assessed using the Family Adaptability and Cohesion Evaluation Scale (FACES-III), Positive and Negative Syndrome Scale (PANSS-6), Drug Attitude Inventory (DAI-10), Social and Occupational Functioning Assessment Scale (SOFAS), Health of the Nation Outcome Scales (HoNOS), Beck Depression Inventory (BDI-I), Perceived Stress Scale (PSS-10), Subjective Well-being under Neuroleptics Scale (SWN-20), Warwick-Edinburgh Mental Well-being Scale (WEMWBS), and Multidimensional Scale of Perceived Social Support (MSPSS). K-means clustering was performed to classify participants into distinct groups based on FACES-III scores.</p><p><strong>Results: </strong>K-means clustering, based on FACES-III scores, classified participants into high cohesion and adaptability (HC-HA; <i>N</i> = 139) and low cohesion and adaptability (LC-LA; <i>N</i> = 86) groups. No significant differences were observed in symptom severity (PANSS-6), medication adherence (DAI-10), or functionality measured by SOFAS. However, overall psychosocial functioning (HoNOS) was better in the HC-HA group. The HC-HA group exhibited lower depressive symptoms (BDI-I) and stress levels (PSS-10), as well as higher subjective well-being (SWN-20) and mental well-being (WEMWBS) compared to the LC-LA group. Perceived social support (MSPSS) was significantly higher in the HC-HA group.</p><p><strong>Conclusion: </strong>Family cohesion and adaptability are associated with improved psychosocial outcomes in individuals with schizophrenia. These findings suggest that enhancing family dynamics may support recovery and well-being.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251369133"},"PeriodicalIF":2.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175335","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":"Informal Caregiving for Psychosocial Disability in the Time of the Post COVID Crisis of Welfare in Italy.","authors":"Mauro Giovanni Carta, Giulia Cossu, Antonio Egidio Nardi, Oye Gureje, Viviane Kovess-Masfety, Elisa Cantone, Michela Atzeni","doi":"10.1177/00207640251375848","DOIUrl":"https://doi.org/10.1177/00207640251375848","url":null,"abstract":"<p><strong>Background: </strong>Informal caregivers of individuals with psychosocial disabilities are at high risk of psychological distress, leading to depressive symptoms and reduced quality of life (QOL). The ongoing crisis in welfare systems, worsened by economic constraints and the COVID-19 pandemic, has further increased caregivers' burdens, especially in countries like Italy, where community-based care models are underfunded. This study aims to assess how this welfare crisis impacts informal caregivers who lack external support.</p><p><strong>Methods: </strong>A study was conducted in Sardinia, Italy, comparing the mental health and QOL of family caregivers with matched controls from the general population. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9), and health-related QOL was measured with the SF-12 scale. Statistical analyses included ANOVA and odds ratio calculations.</p><p><strong>Results: </strong>A sample of 70 caregivers showed a significantly higher prevalence of depressive symptoms (32.86%) compared to 280 controls (9.54%), with an odds ratio of 5.49. Their QOL scores were similar to those of individuals with severe chronic illnesses, reflecting substantial mental and emotional distress.</p><p><strong>Conclusions: </strong>The findings highlight the severe impact of Italy's welfare crisis on caregivers and underscore the urgent need for policy measures to support informal caregiving networks and alleviate their psychological burden.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251375848"},"PeriodicalIF":2.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137467","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}