International Journal of Social Psychiatry最新文献

{"title":"Predictors of social inclusion among adults with severe mental illness: Results of a cross-sectional study.","authors":"Mara Ohlhoff, Alexander Pabst, Johanna Breilmann, Thomas Becker, Andreas Allgöwer, Reinhold Kilian, Alkomiet Hasan, Peter Falkai, Klemens Ajayi, Theresa Halms, Peter Brieger, Karel Frasch, Stephan Heres, Markus Jäger, Andreas Küthmann, Albert Putzhammer, Steffi G Riedel-Heller, Bertram Schneeweiß, Michael Schwarz, Markus Kösters, Uta Gühne","doi":"10.1177/00207640251350218","DOIUrl":"https://doi.org/10.1177/00207640251350218","url":null,"abstract":"<p><strong>Background: </strong>Promoting social inclusion is crucial for people living with severe mental illness (SMI), who often experience high levels of social exclusion. However, research that uses a psychometric social inclusion measure to identify factors that determine varying levels of social inclusion in individuals with SMI is scarce.</p><p><strong>Aims: </strong>This study aimed to examine to what extent people with SMI feel socially included and to identify factors associated with perceived social inclusion among people with SMI.</p><p><strong>Method: </strong>A cross-sectional multicenter investigation of psychiatric inpatients and day hospital patients with SMI aged 18 to 65 years (<i>n</i> = 358) was conducted. Perceived social inclusion, sociodemographic, and clinical characteristics were assessed using the Measure of Participation and Social Inclusion for Use in People with a Chronic Mental Disorder (F-INK). Hierarchical multiple linear regression was performed to analyse the association between social inclusion and potential predictors.</p><p><strong>Results: </strong>The participants' overall level of social inclusion was moderate (F-INK social inclusion total score <i>M</i> = 1.9, <i>SD</i> = 0.6). Age, relationship status, diagnostic group, employment status, and living situation emerged as predictors of social inclusion. Greater subjective social inclusion was predicted by older age (<i>p</i> = .027), being in a committed intimate relationship (<i>p</i> = .037), diagnosis of schizophrenia spectrum disorder (compared to diagnosis of depression, <i>p</i> = .020), being competitively employed or in education (compared to being in sheltered employment, <i>p</i> = .022; compared to being unemployed or receiving a disability pension, <i>p</i> = .007), and living with other people (<i>p</i> = .042).</p><p><strong>Conclusions: </strong>The results confirm deficiencies in social inclusion of people with SMI. Individuals with SMI who are younger, single, have a diagnosis of depression, are in sheltered employment, are unemployed or receiving a disability pension, and are living alone seem to be particularly at risk of experiencing low social inclusion. These findings highlight the importance of psychosocial interventions in rehabilitative mental healthcare.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251350218"},"PeriodicalIF":2.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759978","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":"Profile of female homeless individuals with intellectual developmental disorder admitted to a government-run shelter home: An observational study.","authors":"Guru S Gowda, Gopika G Gopakumar, Mude Jeevan Naik, Adesh Kumar, Biju Viswanath, Sojan Antony, Sydney Moirangthem, Venakata Senthil Kumar Reddi, Sanjeev Jain","doi":"10.1177/00207640251353673","DOIUrl":"https://doi.org/10.1177/00207640251353673","url":null,"abstract":"<p><strong>Background: </strong>Homeless Individuals with Intellectual Developmental Disabilities (IDDs) are living in institutional settings. Understanding the prevalence of physical and mental health conditions and daily life abilities is essential for developing informed service strategies.</p><p><strong>Aims: </strong>The study aims to examine the prevalence and pattern of neuropsychiatric comorbidities and their association with the severity of IDD.</p><p><strong>Methods: </strong>This observational study is based on a retrospective chart review of 93 female homeless individuals with IDD residing in a shelter home for women. Descriptive statistics were used to analyse sociodemographic and clinical characteristics and other psychosocial factors.</p><p><strong>Results: </strong>The mean age of the sample was 39.9 ± 9.9 years, with an average stay in the shelter home is 12.6 years. Most (93.5%) were unmarried or had no information about their family of origin. 86.0% had moderate to profound IDDs, and almost half (43.0%) also had comorbid psychiatric disorders. Furthermore, 20.4% had a seizure disorder, 21.5% had expressive speech and 17.2% had hearing disorders. Nearly half (49.5%) required help in activities of daily living.</p><p><strong>Conclusion: </strong>The study highlights the neuropsychiatric multimorbidity common in individuals with IDD residing in long-term institutional settings. Hence, it is essential to support these individuals with informed medical and psychosocial services, alongside shelter provision.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251353673"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730874","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":"Perceived social support and coping strategies in patients with depression: A longitudinal study.","authors":"Saliha Özsoy, Sümeyye Akbayrak, Özlem Olguner Eker, Mustafa Baştürk","doi":"10.1177/00207640251353680","DOIUrl":"https://doi.org/10.1177/00207640251353680","url":null,"abstract":"<p><strong>Aims: </strong>When the etiology of major depression is examined, the existence of psychosocial factors is undeniably important. Inadequate social support and use of dysfunctional coping strategies are psychosocial factors that play a role in the etiology of depression. This study investigated the perceived social support and coping strategies in patients with depression and whether they change with remission.</p><p><strong>Design: </strong>Both cross-sectional and longitudinal surveys were conducted.</p><p><strong>Methods: </strong>This study included 50 patients in the active phase of a major depressive disorder, 30 patients in the remission of depression, and 50 healthy controls. The Hamilton Depression Rating Scale (HAM-D), Multidimensional Scale of Perceived Social Support (MSPSS), and Assessment Scale for Coping Attitudes (COPE) were applied to all subjects. The same scales were repeated in 20 patients, who were in the active phase of depression at the beginning of the study and were in remission after approximately 3 years of follow-up. Psychometric test scores of three groups were compared with one-way ANOVA test, Kruskal-Wallis test, and post hoc tests. In the longitudinal analysis, the paired <i>t</i>-test and Wilcoxon tests were used.</p><p><strong>Results: </strong>The patients' perceived social support scores were lower than the remission and control groups (<i>p</i> < .001). The total scores of non-functional coping attitudes of both the patient and remission groups were higher than those of the control group (<i>p</i> < .001 and <.001). The problem-focused coping and emotion-focused coping total subscale scores of the patient group were found to be lower than both the remission group (<i>p</i> < .001 and <.001) and the control group (<i>p</i> = .001 and .001). When the follow-up patients were evaluated while in remission, perceived social support scores increased compared to those in the active phase (<i>p</i> = .008 for total social support score). Non-functional coping scores decreased (<i>p</i> = .023). Perceived social support level associated with problem-focused and emotion-focused coping attitudes.</p><p><strong>Conclusion: </strong>The prognosis of depression might be affected by the perception of social support and coping attitudes.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251353680"},"PeriodicalIF":2.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730873","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":"Comparison of earthquake survivors exposed to primary and secondary traumatic stress after the disaster in terms of post-traumatic stress disorder symptoms, suicide risk, depression and anxiety symptoms.","authors":"Nermin Kara Narici, Sengul Kocamer Sahin, Feridun Bulbul, Abdurrahman Altindag, Bahadir Demir, Gulcin Elboga, Muhammet Sancaktar","doi":"10.1177/00207640251350907","DOIUrl":"https://doi.org/10.1177/00207640251350907","url":null,"abstract":"<p><strong>Background: </strong>Earthquakes can result in mental health issues for both earthquake survivors and rescue workers.</p><p><strong>Aims: </strong>To compare the prevalence and severity of PTSD, suicide risk, depression and anxiety between adults with primary earthquake trauma and rescue-aid personnel with secondary trauma exposure.</p><p><strong>Methods: </strong>In this analytic cross-sectional study, 133 survivors - hospitalised for crush injuries or residing in Nurdağı temporary shelters - and 127 rescue-aid personnel completed a sociodemographic form and three validated measures: the Clinician-Administered PTSD Scale-5 (CAPS-5) for PTSD diagnosis and severity, the Depression Anxiety Stress Scale-21 (DASS-21) for depression, anxiety and stress symptoms and the Suicide Probability Scale (SPS) for suicide risk.</p><p><strong>Results: </strong>The sample comprised 260 adults (39.6% male; 60.4% female), classified as primary-trauma (<i>N</i>: 133) or secondary-trauma (<i>N</i>: 127). PTSD prevalence was significantly higher in the primary group (<i>N</i>: 98, 73.7%) than in the secondary group (<i>N</i>: 75, 59.1%; <i>p</i>: .012). PTSD rates were also higher in women (<i>N</i>: 117, 74.5%) and in participants with low monthly income (<i>N</i>: 55, 91.7%; <i>p</i>: .001). The primary group showed greater anxiety (6.95) and depression (9.58) scores and higher PTSD severity (<i>p</i> < .05). The secondary group scored higher on the SPS 'negative self' subscale (<i>p</i>: .001). Suicidal ideation was identified in 18.1% of all participants; younger age and being single/living alone were linked to higher suicide risk (<i>p</i> < .05).</p><p><strong>Conclusions: </strong>The findings of this study demonstrate that both primary and secondary trauma are significant issues that should be addressed with equal seriousness. Providing necessary psychosocial support to both earthquake survivors and responders after traumatic events like earthquakes is crucial.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251350907"},"PeriodicalIF":2.7,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954094","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, complex PTSD, and somatoform dissociation among disadvantaged parents in a community center: Prevalence and relationships with parenting and children's behavioral problems.","authors":"Hong Wang Fung, Zheyuan Mai, Henry Tak Shing Chiu, Henry Wai-Hang Ling, Shu Cheng Chen, Maddie Weng Ian Ho, Kyle Langjie He, Edward Ks Wang","doi":"10.1177/00207640251355829","DOIUrl":"https://doi.org/10.1177/00207640251355829","url":null,"abstract":"<p><strong>Background: </strong>Although the health effects of trauma have been increasingly recognized, much less is known about the intergenerational effects of trauma and its outcomes.</p><p><strong>Aims: </strong>This study examined trauma and trauma-related mental health problems among socio-economically disadvantaged parents.</p><p><strong>Methods: </strong>We recruited parents in disadvantaged housing and living conditions from a community development center in Hong Kong (response rate = 74.09%). Participants completed standardized self-report measures.</p><p><strong>Results: </strong>In this sample of 203 parents, 40.39% and 43.84%, respectively, reported at least one childhood and adulthood traumatic event; 6.90% suffered from probable ICD-11 PTSD/Complex PTSD and/or somatoform dissociation. Parents' disturbances in self-organization (DSO) symptoms were associated with problematic parenting styles. Parents' childhood trauma and DSO symptoms were also associated with children's behavioral problems.</p><p><strong>Conclusions: </strong>Although trauma is not particularly prevalent in this sample, trauma and trauma-related symptoms are strongly linked to problematic parenting styles (such as over-reacting) and children's behavioral issues. More attention to the intergenerational effects of trauma is necessary from a public mental health perspective.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251355829"},"PeriodicalIF":2.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667647","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 association between parenting styles and depression symptoms in young adults with major depressive disorder: A latent profile analysis.","authors":"Fan Wang, Hao Hou, Sichen Zhou, Shufang Zhang, Li Jun Kang, Chunfeng Tian, Liandi Jing, Qinyu Wang, Jie Chen, Huijing Zou, Dan Luo, Bing Xiang Yang","doi":"10.1177/00207640251353542","DOIUrl":"https://doi.org/10.1177/00207640251353542","url":null,"abstract":"<p><strong>Background: </strong>Parenting styles (PSs) are significant risk factors for major depressive disorder (MDD) in young adults. Understanding the common features of these parenting styles and their specific effects on depression is crucial for effective intervention.</p><p><strong>Aims: </strong>To assess the profiles of paternal and maternal parenting styles and their impact on depression-related symptoms in young Chinese adults with MDD.</p><p><strong>Method: </strong>This study involved 717 young adult outpatients (24.20 ± 3.84 years) with MDD, diagnosed at Renmin Hospital of Wuhan University between April and December 2019. Participants completed the Egna Minnen av Barndoms Uppfostran (EMBU) questionnaire and scales measuring depression (PHQ-9), anxiety (GAD-7), anhedonia (SHAPS), and physical symptoms (PHQ-15). Latent profile analysis (LPA) was used to identify PS profiles. The effects of different parenting style profiles on depression, anxiety, and anhedonia were assessed using stepwise linear regression.</p><p><strong>Results: </strong>LPA identified three profiles for both paternal and maternal PSs. For fathers: 'Warm-Preference PS' (27.2%), 'moderate PS' (65.3%), and 'Harsh-Controlling PS' (7.53%). For mothers: 'Warm-Preference PS' (34.7%), 'moderate PS' (12%), and 'Harsh-Controlling PS' (53.3%). Regression analyses revealed that punitive and overprotective parenting significantly affected depression and anxiety, while emotionally warm parenting correlated with better mental health.</p><p><strong>Conclusions: </strong>This study applied LPA to classify PS in MDD patients and revealing maternal-specific effects, addressing gaps in prior research. It underscores three distinguished PSs and the significant correlations between PSs and the severity of depression, anxiety, and somatic symptoms in young adults with MDD. Specific patterns of parenting influence mental health outcomes, highlighting the importance of early intervention.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251353542"},"PeriodicalIF":2.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667633","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":"Can mindfulness-based EX/RP improve comorbid OCD-MDD treatment in South Asian mental health settings?","authors":"Mohammad Asif Sheikh, Thaddeus Alfonso","doi":"10.1177/00207640251350893","DOIUrl":"https://doi.org/10.1177/00207640251350893","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251350893"},"PeriodicalIF":2.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608326","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":"A new framework for funding foreign aid.","authors":"Neil Krishan Aggarwal, Albert Persaud, Dinesh Bhugra","doi":"10.1177/00207640251353676","DOIUrl":"https://doi.org/10.1177/00207640251353676","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251353676"},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600357","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":"Navigating stigma and building resilience: The role of perceived social support in individuals with mentally ill parents.","authors":"Özlem Gözen, Tarık Tuncay, Gülsüm Zuhal Kamış","doi":"10.1177/00207640251345979","DOIUrl":"10.1177/00207640251345979","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates the effects of perceived stigma and social support on psychological resilience among individuals with parents diagnosed with mental illness. This population faces unique challenges, including societal stigma and inadequate social support, which can undermine their well-being. The research aims to address these gaps by examining their lived experiences and contributing to the limited literature in this area.</p><p><strong>Method: </strong>Data were collected from 106 participants in Ankara using three validated scales measuring stigma, social support and psychological resilience.</p><p><strong>Results: </strong>Participants reported moderate levels of perceived stigma, predominantly linked to social withdrawal. While overall social support did not fully account for psychological resilience, support from intimate relationships (e.g. spouses or partners) significantly enhanced resilience. Gender and family structure also influenced stigma perception: men experienced higher levels of stigma and concealment, while women reported greater social withdrawal and feelings of inadequacy.</p><p><strong>Conclusions: </strong>The findings underscore the need for culturally sensitive interventions to bolster social support networks and enhance psychological resilience in this population. Future research should examine cross-cultural variations and incorporate qualitative methods to deepen understanding of stigma and resilience processes.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251345979"},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600358","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":"Social determinants of mental health: The role of proximal and distal factors.","authors":"Maša Vukčević Marković, Marko Živanović, Jana Dimoski, Matija Gvozden","doi":"10.1177/00207640251347675","DOIUrl":"https://doi.org/10.1177/00207640251347675","url":null,"abstract":"<p><strong>Background: </strong>A body of evidence indicates that mental health is influenced by social factors.</p><p><strong>Aims: </strong>This study aims to explore the social determinants of mental disorders by applying a conceptual framework for the social determinants of mental disorders.</p><p><strong>Method: </strong>The study was conducted on a representative sample of the Serbian population (N = 1,000, age range, 18-65 years). A wide spectrum of mental disorders (depression, anxiety, suicidal ideation, obsessive-compulsive symptoms, somatization, eating disorders, post-traumatic stress disorder, dissociation, and prodromal symptoms) and five domains of proximal and distal social determinants of mental health were assessed.</p><p><strong>Results: </strong>Distal variables predicted symptom severity across all disorders. Proximal variables predicted symptom severity of all disorders over and above distal predictors.</p><p><strong>Conclusions: </strong>Our study highlights the importance of a wide range of social determinants that contribute to mental health.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251347675"},"PeriodicalIF":2.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583805","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}