International Journal of Social Psychiatry最新文献

{"title":"Resilience of young adults in Korea: Navigating the impact of collective trauma and anxiety.","authors":"Jeesoo Jung, Jiyun Shin, Wonhyung Lee","doi":"10.1177/00207640241303023","DOIUrl":"https://doi.org/10.1177/00207640241303023","url":null,"abstract":"<p><strong>Background: </strong>Amidst increasing occurrences of disasters and traumatic events, there is growing concern about the declining mental health of young adults, who are facing rising societal pressures and uncertainty about their futures.</p><p><strong>Aims: </strong>This study investigates the interplay between collective trauma, anxiety, and resilience among young adults in the Korean context. Based on survey data collected in 2023 from 323 Korean young adults aged 18 to 34 years, a multiple linear regression and independent <i>t</i>-tests were used to examine their experiences of collective trauma, collective anxiety, and resilience, taking gender differences into account.</p><p><strong>Results: </strong>Collective anxiety was associated with resilience, but collective trauma was not. Gender differences were observed: competition- and security-related anxiety, education, and income were positively associated with resilience only for men, while fairness-related anxiety was negatively associated only with women's resilience. Adaptation-related anxiety was a significant factor for both groups.</p><p><strong>Discussion/conclusion: </strong>Certain types of collective anxiety and socioeconomic status may act as protective factors against trauma. Gender should be considered when designing mental health assessments and services for young adults to address the unique needs and challenges in building resilience and managing anxiety.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241303023"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853849","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":"Life-course perspective on the causal mechanism of social functioning in schizophrenia spectrum disorder.","authors":"Dominika A Osicka, Jiasi Hao, Natalia Tiles-Sar, Mariam P Ali, Richard Bruggeman, Lisette van der Meer, Behrooz Z Alizadeh","doi":"10.1177/00207640241298894","DOIUrl":"https://doi.org/10.1177/00207640241298894","url":null,"abstract":"<p><strong>Background: </strong>Due to prior emphasis on clinical recovery in Schizophrenia Spectrum Disorder (SSD), improving social functioning (SF) was oftentimes neglected, with ⩽15% of patients achieving social recovery. Priorly, we and others have shown that life-course factors, including childhood adversities, play a role in the occurrence and severity of postmorbid SF impairments, highlighting the need to understand these factors for effective interventions.</p><p><strong>Aim: </strong>This study investigates the mechanisms influencing SF in SSD and examines the causal roles of childhood trauma, premorbid adjustment, perceived stigma, self-esteem, and quality of life.</p><p><strong>Methods: </strong>This longitudinal study utilized data of 1,057 SSD patients, with measures at baseline, 3 and 6-year follow-up, from the Genetic Risk and Outcome of Psychosis cohort, to unravel the causal mechanism underlying SF utilizing Structural Equation Modeling. Determinants were assessed using validated retrospective and self-report questionnaires. Model development and testing involved a multistage process, encompassing relationships exploration, fit evaluation and model comparison.</p><p><strong>Results: </strong>We developed a probable causal model. Impaired premorbid adjustment emerged as a crucial factor, exerting negative influence on long-term SF, with a direct effect of β = -.252, <i>p</i> < .001 on SF at 3-year follow-up and β = -.056, <i>p</i> = .073 at 6-year follow-up. Childhood trauma exhibited a negative direct effect on SF at 3-year follow-up (β = -.087, <i>p</i> = .039), while demonstrating a substantial carry-over, indirect effect. Elevated perceived stigma negatively affected SF at 3-year follow-up (β = -.112, <i>p</i> = .008). The model explained 9.9% of SF variation at the 3-year follow-up and 54.3% at the 6-year follow-up.</p><p><strong>Conclusions: </strong>While validation is necessary, we found a foundational basis for causal interpretation. Premorbid adjustment, childhood trauma, and perceived stigma are essential life-course factors shaping postmorbid SF in SSD. We recommend interventions covering both prevention and treatment for individuals with established symptoms-addressing childhood trauma, premorbid adjustment, and perceived stigma-to enhance long-term social outcomes and offer actionable insights for clinicians.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241298894"},"PeriodicalIF":2.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853833","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 state of mental health in Greece: An international comparative analysis using data from the Global Mental Health Countdown 2030.","authors":"Konstantinos Kotsis, Lauro Estivalete Marchionatti, André Simioni, Julia Luiza Schafer, Sara Evans-Lacko, Shekhar Saxena, Sarah Kline, Antonis Kousoulis, Anastasia Koumoula, Giovanni Abrahão Salum","doi":"10.1177/00207640241303029","DOIUrl":"https://doi.org/10.1177/00207640241303029","url":null,"abstract":"<p><strong>Background: </strong>Effective mental health systems depend on the functioning of a variety of factors that can be systematically monitored across countries. Macro-level assessments are needed to identify potential areas for improvement in the health sector, particularly in countries that face significant access barriers such as Greece.</p><p><strong>Aim: </strong>To analyze Greece's mental health-related indicators in comparison to countries with similar socioeconomic contexts and geography and identify priority areas for the national mental health system.</p><p><strong>Methods: </strong>Data was sourced from the Global Mental Health Countdown 2030, an initiative gathering 48 indicators from 193 countries, classifying metrics into four domains: mental health system performance, determinants of mental health, factors influencing the demand for care, and wellbeing. We analyzed 39 indicators available for Greece to perform a comparative analysis with three groups of countries (27 European Union, 55 high-income, and 52 upper-middle income nations). We employed content analysis to organize mental health system indicators into a framework to inform policy and practice.</p><p><strong>Results: </strong>Greece exhibited low performance in several indicators related to mental health provision, with four metrics falling below the 12.5th centile for all comparative groups ('interventions in primary care', 'policy implementation', 'promotion and prevention', and 'frequency of collection of data'). A content-analysis framework grouped indicators into categories related to the mental health system, with low-scoring metrics clustering around 'policy and planning', 'affordability of care', 'coordination of services', and 'data collection and quality assessment'.</p><p><strong>Conclusion: </strong>This analysis provides a contextualized overview of Greece's mental health system, identifying areas for improvement based on a panel of evidence-based indicators. Priority policy actions should focus on enhancing mental health insurance coverage and freely-available mental health services, organizing provision into a stepped-care and coordinated service network, and establishing systematic data monitoring mechanisms with unified electronic registers.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241303029"},"PeriodicalIF":2.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812783","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":"Understanding the current provisions of support for people with an intellectual disabilities and/or autism in crisis: A mixed methods study.","authors":"Samuel Tromans, Ian Summers, Shahbaz Abdullah, Joanne Ledger, Sarah Lennard, Paul Bassett, Remie Colledge, Danielle Bilkey, Chloe Staples, Samuel Edwards, Grahame Carr, Richard Laugharne, Rohit Shankar","doi":"10.1177/00207640241303831","DOIUrl":"https://doi.org/10.1177/00207640241303831","url":null,"abstract":"<p><strong>Background: </strong>There has been significant reduction in inpatient beds for people with intellectual disability and/or autism (PwID/A) in the UK in the last decade following high profile national scandals in specialist psychiatric hospitals. To reduce inappropriate admissions a new strategy (Blue-Light, an emergency multi-disciplinary meeting to prevent admission to hospital) was introduced. However, there is no research on the influence of Blue-Light on crisis management for PwID/A.</p><p><strong>Aim: </strong>To assess Blue-Light's impact on PwID/A's crisis presentations.</p><p><strong>Methods: </strong>Co-produced with experts-by-experience, a mixed methods approach using a 13 question Likert based survey of health and social-care professionals along with semi-structured interviews of carers involved with consecutive Blue-Light patient reviews was undertaken in Cornwall UK (population: 538,000). Patient data was accessed to understand the patient journey. All data analysis was descriptive in nature. Semi-structured interviews were transcribed and thematically analysed using Braun and Clarke's six-step process.</p><p><strong>Results: </strong>Ten patient journeys were examined. Staff interviewed had a good understanding of the Blue-Light process, Blue-Light activation practical challenges and considered Blue-Light reactive. Nearly half wanted ID/A specialist beds recommissioned. A majority wanted improved supervision and standards for third sector providers. Semi-structured interviews of 10 patient-carers identified a lack of consistency from professionals, limited infrastructure provision, the prolongation of crises and a lack of definition of crisis as carers did not feel supported by services.</p><p><strong>Conclusions: </strong>Current crisis support systems are not standardised and often leave carers feeling unsupported in crises. An evidence-based debate of crisis support and the inpatient role for PwID/A is required.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241303831"},"PeriodicalIF":2.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800714","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":"Experiences of migrant seasonal agricultural worker mothers in earthquakes: A phenomenological study.","authors":"Tuğba Kontaş Azakli, Mükerrem Kabataş Yildiz, Sema Sal","doi":"10.1177/00207640241299351","DOIUrl":"https://doi.org/10.1177/00207640241299351","url":null,"abstract":"<p><strong>Objective: </strong>Seasonal agricultural migration leads to both economic hardship and humanitarian challenges. Individuals involved in this migration face severe poverty and deprivation, with mothers critical participants in agrarian work, being especially vulnerable due to challenging conditions and family responsibilities. This study explores the experiences of migratory seasonal agricultural worker mothers and their children, particularly how the earthquake in Turkey impacted them on February 6, 2023.</p><p><strong>Method: </strong>This descriptive phenomenological study was conducted with seasonal agricultural worker mothers who participated in hazelnut harvest in northern Turkey between August and September 2023. Study data were obtained from 22 mothers who agreed to participate. Data were analyzed using the MAXQDA 2022 qualitative data analysis program.</p><p><strong>Results: </strong>It has been determined that the earthquake affects both mothers and children, creates confusion in mothers, creates fear, anxiety, and insecurity in children, and causes behavioral problems such as insomnia and loss of appetite. It has also been determined that positive changes occur in mothers' parenting practices and strengthen family ties. It has been revealed that mothers derive their psychological resilience from their belief systems and social interactions.</p><p><strong>Conclusions: </strong>It was concluded that earthquake experiences positively and negatively affected migratory seasonal agricultural worker mothers and caused emotional and behavioral problems in children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241299351"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791637","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 Eating Symptoms in the LGBTQIA+ Population: Do Discrimination and Adverse Conditions Matter?","authors":"Silvia Tempia Valenta, Fabio Porru, Anna Bornioli, Matteo Di Vincenzo, Andrea Fiorillo, Diana De Ronchi, Anna Rita Atti","doi":"10.1177/00207640241300969","DOIUrl":"https://doi.org/10.1177/00207640241300969","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) have traditionally been studied among heterosexual cisgender women, but recent research highlights a higher prevalence in LGBTQIA+ individuals.</p><p><strong>Aims: </strong>This study aims (1) to investigate the association between different groups based on gender identity and sexual orientation (GISO) and experiencing eating symptoms, and (2) to explore the extent to which self-perceived discrimination and adverse conditions explain this association.</p><p><strong>Methods: </strong>We administered an online survey to assess eating symptoms using the Eating Disorder Examination Questionnaire (EDE-Q 6.0) and measures of self-perceived discrimination and adverse conditions. Multistep logistic regressions were employed to analyze the associations between GISO and eating symptoms, initially unadjusted, then adjusted for sociodemographic variables, and finally adjusted for self-perceived discrimination and/or adverse conditions.</p><p><strong>Results: </strong>A total of 560 adults aged 30 ± 10.9 years old were included. After adjusting for socio-demographics all groups were more likely to experience eating symptoms compared to heterosexual men, with odds ratios (ORs) of 5.7 [95% CI: 1.3, 24.3] for cisgender heterosexual women, 6.7 [95% CI: 1.5, 29.8] for cisgender non-heterosexual women, and 9.3 [95% CI: 1.8, 47.5] for non-cisgender individuals. After adjusting for self-perceived discrimination and adverse conditions, the associations for women were attenuated, while the associations for non-cisgender individuals were no longer significant.</p><p><strong>Conclusion: </strong>This study (1) confirms that sexual and gender minorities may be at higher risk for EDs, and (2) suggests that discrimination and adverse conditions may contribute to the higher prevalence of eating symptoms in this population. Additional research is needed to investigate these minority stressors as they may represent targets for effective interventions to prevent eating symptoms in the LGBTQIA+ community.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241300969"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791639","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":"Persisting unhealthy eating behaviors and the role of dieting in outpatients treated for severe mental illness: Findings from a longitudinal study.","authors":"Florian Hotzy, Erich Seifritz, Stefan Vetter, Sonja Mötteli","doi":"10.1177/00207640241303033","DOIUrl":"https://doi.org/10.1177/00207640241303033","url":null,"abstract":"<p><strong>Background: </strong>Individuals living with severe mental illness (SMI) are at higher risk of being overweight and obese. In addition to medication side effects, poor dietary habits are considered as modifiable factors. However, individuals with SMI face a variety of barriers to healthy eating, and it is still unclear which dietary strategies are best.</p><p><strong>Aims: </strong>The current study aimed to examine the course of dietary habits in dieting and non-dieting patients treated at a psychiatric day clinic.</p><p><strong>Method: </strong>In this longitudinal observational study, symptom severity, dietary habits, and other health-risk behaviors of <i>n</i> = 53 psychiatric outpatients with a primary ICD-10 diagnosis (85% F3 and 15% F2) were assessed at the start of treatment in a psychiatric day clinic and after 3 months using semi-structured interview data and anthropometric measurements.</p><p><strong>Results: </strong>Patients' mental health improved after 3 months of treatment (e.g. lower scores on a modified Global Assessment of Functioning Scale (m-GAF) and on the 9-item Patient Health Questionnaire (PHQ-D)). However, BMI and lifestyle behaviors (e.g. diet quality, physical activity, and smoking) remained unchanged. Fewer depressive symptoms and dieting were even associated with weight gain over the 3 months (+1.7 kg). Compared with non-dieters, dieters had higher levels of neuroticism and ambivalence about eating, were more likely to overeat and were more dissatisfied with their body weight.</p><p><strong>Conclusions: </strong>The group of dieters may benefit from professional support to achieve a healthier lifestyle.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241303033"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791641","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":"Perspectives of healthcare professionals on cross-sectoral collaboration between mental health centers and municipalities: A qualitative study.","authors":"Kim Jørgensen, Rikke Juhl, Morten Hansen, Birgitte Lerbæk, Jesper Frederiksen, Emma Watson, Merete Bjerrum, Bengt Karlsson","doi":"10.1177/00207640241299387","DOIUrl":"https://doi.org/10.1177/00207640241299387","url":null,"abstract":"<p><strong>Aims: </strong>This paper aims to explore the intricacies of cross-sectoral collaboration in mental health care, focusing on the perspectives of health professionals across various disciplines. It seeks to understand how collaboration can enhance service delivery and patient outcomes while identifying existing challenges.</p><p><strong>Background: </strong>The evolving healthcare landscape emphasizes the importance of integrating services across sectors, particularly in mental health care, to improve continuity and efficiency of care.</p><p><strong>Design: </strong>The study utilizes qualitative methods to investigate health professionals' experiences with cross-sectoral collaboration in mental health services.</p><p><strong>Methods: </strong>Purposive sampling was used to select 21 health professionals for focus group discussions held at a mental health center in Region Zealand, Denmark. Data was collected through these discussions, and content analysis was performed to extract key themes. The data collection took place in 2022.</p><p><strong>Results/findings: </strong>Health professionals recognized the potential benefits of cross-sectoral collaboration, such as enhanced service delivery and improved patient outcomes. However, significant barriers were identified, including bureaucratic obstacles, communication gaps, and insufficient organizational support.</p><p><strong>Conclusion: </strong>Cross-sectoral collaboration in mental health care offers significant advantages, but challenges must be addressed to fully realize its potential. Efforts should focus on policy reforms, organizational support, and fostering interdisciplinary communication to improve care delivery.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241299387"},"PeriodicalIF":2.5,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791658","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":"Risk and protective factors for suicidal ideation among Saudi adolescents: A network analysis.","authors":"Mogeda El Sayed El Keshky","doi":"10.1177/00207640241277164","DOIUrl":"10.1177/00207640241277164","url":null,"abstract":"<p><strong>Background: </strong>Suicide is among the leading cause of death in adolescence and suicidal ideation is its most critical precursor. Suicidal ideation being a complex phenomenon involving multiple factors, this study aimed to use network analysis to depict the interplay of risk and protective factors for suicidal ideation.</p><p><strong>Methods: </strong>An online survey was conducted with 614 Saudi adolescents (mean age = 16.16, <i>SD</i> = 1.88, range = 12-18, 61% female). Participants completed instruments to assess suicidal ideation, bullying victimization and perpetration, psychache, family cohesion and adaptability, positive parenting, and multidimensional social support. A psychological network analysis was estimated to determine the most central risk and protective factors for suicidal ideation.</p><p><strong>Results: </strong>As per strength and expected influence centrality, the risk factors that were central were psychache and bullying victimization, and the central protective factors were family cohesion and support from significant other. The network analysis showed that other factors directly connected with suicidal ideation were bullying perpetration, family adaptability, positive parenting, support from family, and support from friends.</p><p><strong>Conclusion: </strong>This network study highlights the importance of addressing both risk and protective factors in an attempt to deal with suicidal ideation. The findings suggest that interventions targeting psychological pain, bullying, and family bonds may be crucial in the treatment and prevention of suicidal ideation among adolescents.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1533-1541"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125594","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 mitigating role of social capital on the association between food insecurity and psychological distress among Chinese adults.","authors":"Xiang Qi, Yaolin Pei, Gen Li, Yuming Liu, Weiming Tang, Brian J Hall, Bei Wu","doi":"10.1177/00207640241277152","DOIUrl":"10.1177/00207640241277152","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity, a pervasive global issue exacerbated by the COVID-19 pandemic, has been linked to adverse mental health outcomes. However, the role of social capital in mitigating this relationship remains understudied, particularly in the Chinese context.</p><p><strong>Aims: </strong>This study investigated the associations between food insecurity and psychological distress (depressive and anxiety symptoms) and examined the potential moderating effects of bonding and bridging social capital among Chinese adults in Shanghai.</p><p><strong>Methods: </strong>This cross-sectional study included 3,220 Chinese adults (mean age: 34.45; 51.5% male) in Shanghai. Food insecurity was assessed using the modified Household Food Insecurity Access Scale, psychological distress was measured using the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7, and social capital was evaluated using the Revised Personal Social Capital Scale.</p><p><strong>Results: </strong>Multivariable linear regression analyses revealed that food insecurity was significantly positively associated with both depressive (β = 0.449, <i>SE</i> = 0.024) and anxiety symptoms (β = 0.391, <i>SE</i> = 0.022), after adjusting for sociodemographic characteristics, health status, and COVID-19-related factors. Higher levels of bonding and bridging social capital were significantly associated with fewer depressive and anxiety symptoms. Significant interactions (<i>p</i> < .001) between bonding social capital and food insecurity indicated that the associations between food insecurity and psychological distress were less pronounced among adults with higher bonding social capital.</p><p><strong>Conclusions: </strong>These findings highlight the critical role of food insecurity as a risk factor for psychological distress and the importance of bonding social capital in mitigating its impact on mental health. Policies and interventions targeting food insecurity prevention and bonding social capital enhancement may promote better mental health outcomes among Chinese adults.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1542-1551"},"PeriodicalIF":2.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125597","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}