International Journal of Social Psychiatry最新文献

{"title":"Culture and Somatization: A Cross-Sectional Survey of Somatic Symptom Disorder and Pathways to Care in Eastern India.","authors":"Bandita Abhijita, Ilambaridhi Balasubramanian, Susanta Kumar Padhy, Shree Mishra","doi":"10.1177/00207640251374137","DOIUrl":"https://doi.org/10.1177/00207640251374137","url":null,"abstract":"<p><strong>Background: </strong>Somatic Symptom Disorder (SSD) involves excessive focus on physical symptoms that lack sufficient medical explanation, leading to frequent medical consultations and delays in psychiatric care. Cultural factors significantly influence the experience and reporting of somatic symptoms, yet little research has explored these factors in India, where cultural beliefs and healthcare systems largely shape illness perceptions.</p><p><strong>Objective and methods: </strong>This cross-sectional study aimed to investigate somatic symptom profiles, healthcare-seeking behaviors, and illness beliefs among 100 SSD patients visiting psychiatric department of a tertiary care hospital in India. The Bradford Somatic Inventory (BSI) assessed patients' reported somatic symptoms, while the World Health Organization (WHO) encounter form was used to evaluate their pathways to care.</p><p><strong>Results: </strong>Results showed the average age of participants was 38.62 (±10.59) years, with a slight female predominance (51%). Most patients were from rural areas, and the average illness duration was 7.28 (±6.11) years. On average, patients consulted eight different healthcare providers before being referred to a psychiatrist, resulting in substantial financial costs (mean of 50,000 INR). Common symptoms included lack of energy (81%), neck and shoulder pain (79%), headaches (76%), and feeling of constriction of head (76%). Participants had an average of 21.95 (±6.82) symptoms. Most of the patients had moderate or severe degree of symptoms. The prevalence and number of somatic symptoms were not influenced by the socio-demographic variables. A major finding was the discrepancy between patients' beliefs and psychiatric diagnoses. Only 10% believed their symptoms were psychiatric in origin, with most attributing them to medical conditions or stress. This led to indirect healthcare pathways, as 90% sought help from non-psychiatric providers, causing delays in appropriate care.</p><p><strong>Conclusion: </strong>This study highlights the need for greater awareness regarding SSD and culturally sensitive interventions to reduce delays in psychiatric referrals, improve patient outcomes, and lower unnecessary healthcare costs in India.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251374137"},"PeriodicalIF":2.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137447","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":"Predictors and Protective Factors of Mental Health Outcomes Among Indonesian Adolescents: An SCT-Based Multi-Center Study.","authors":"Rika Sarfika, I Made Moh Yanuar Saifudin, Anggi Lukman Wicaksana, Hema Malini, Bunga Permata Wenny, Atih Rahayuningsih, Nindy Eka Wijaya, Dewi Eka Putri, Khatijah Lim Abdullah","doi":"10.1177/00207640251372672","DOIUrl":"https://doi.org/10.1177/00207640251372672","url":null,"abstract":"<p><strong>Background: </strong>Mental health issues among adolescents are a growing global concern, particularly in Southeast Asia. While the role of psychosocial factors in shaping mental health outcomes is widely acknowledged, there is limited understanding of the specific predictors and protective factors in Indonesia. This study applies Social Cognitive Theory (SCT) to explore how individual, social, and environmental factors influence depression, anxiety, and stress among Indonesian adolescents.</p><p><strong>Aims: </strong>To identify psychosocial predictors and protective factors associated with depression, anxiety, and stress among Indonesian adolescents, to inform more targeted interventions.</p><p><strong>Methods: </strong>A multi-center cross-sectional study was conducted between July and October 2023, involving 2,984 adolescents from 19 public senior high schools in West Sumatra, Yogyakarta, and Central Kalimantan. Participants completed anonymous self-administered surveys, including eight validated instruments, including the PAQ-A, PPPS, IDASS-Y, RSES, MSPSS, ESSA, CYRM-R, and SIS. Descriptive statistics, Pearson correlations, and hierarchical multiple regression analyses were used to identify key factors.</p><p><strong>Results: </strong>Gender was a significant predictor, with females exhibiting higher levels of depressive symptoms (β = .083, <i>p</i> < .001), anxiety (β = .179, <i>p</i> < .001), and stress (β = .171, <i>p</i> < .001). Peer pressure and academic stress were significant predictors of psychological distress (all <i>p</i> < .05). Higher levels of depression, anxiety, and stress were strongly associated with increased suicidal ideation (all <i>p</i> < .001). Protective factors such as self-esteem, resilience, social support, and physical activity were associated with lower levels of depression, anxiety, and stress (all <i>p</i> < .05). The regression models explained 57.1% of the variance in depression, 42.8% in anxiety, and 46.3% in stress.</p><p><strong>Conclusion: </strong>Gender, academic stress, and peer pressure were major predictors of mental distress, while self-esteem, resilience, and physical activity acted as protective factors. Interventions targeting these areas, grounded in SCT, are essential to improving adolescent mental health in Indonesia.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251372672"},"PeriodicalIF":2.7,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137414","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 Comparative Study of Family Caregiver Burden of Schizophrenia and Bipolar Affective Disorder.","authors":"Souganya Vijayan, Arun Selvaraj, Barath Ramanathan, Iyshwarya Neelakantan","doi":"10.1177/00207640251369140","DOIUrl":"https://doi.org/10.1177/00207640251369140","url":null,"abstract":"<p><strong>Background: </strong>The concept of family caregiving came into the limelight following the deinstitutionalization movement. The caregiver provides physical, emotional, and economic support, and in the process, they undergo considerable stress, like sleep deprivation, physical pain, emotional turmoil, financial issues, and social strains. Major chronic mental illnesses like Schizophrenia and bipolar disorder differ significantly in the symptomatology, course, outcome, response to medications, and degree of dependency, and thus impact the caregivers differently.</p><p><strong>Aim: </strong>This study aimed to compare the caregiver burden among schizophrenia and bipolar affective disorder (BPAD) and identify factors associated with higher caregiver strain.</p><p><strong>Method: </strong>It was a hospital-based cross-sectional study, with a total sample of 110 participants, with 55 each with schizophrenia and BPAD. The severity of symptoms and level of functioning were assessed in patients with schizophrenia and Bipolar affective disorder (BPAD). The caregiver burden was measured using the Caregiver Strain Index (CSI). A multivariate regression model was constructed to determine predictors of caregiver burden.</p><p><strong>Results: </strong>The baseline demographic data was comparable between the groups. The caregivers of schizophrenia and BPAD groups expressed similar burden. The patient factors contributed to about 64.5% of the burden, and the key factors were duration of illness and level of functioning. The caregiver factors accounted for 20.4%, and the key factors were the caregiver's relationship with the patient and the duration of caregiving. The caregiver burden had a strong association with the severity of psychopathology with schizophrenia and the manic subgroup of BPAD.</p><p><strong>Conclusions: </strong>The study brings out the major levels of burden experienced by the carers of chronic mental illness. This proves the necessity to provide adequate and routine screening for difficulties faced by caregivers to pick up early signs of burnout. Psychotherapy targeting the coping strategies and effective functioning of the caregivers is essential, along with patient management.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251369140"},"PeriodicalIF":2.7,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102992","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":"Acceptability and Feasibility of a Social Contact Based Intervention for Reduction of Public Stigma Against Persons With Opioid Use Disorder.","authors":"Arshia Sood, Abhishek Ghosh, Kathirvel Soundappan, Renjith Ramakrishna Pillai, Debasish Basu","doi":"10.1177/00207640251370404","DOIUrl":"https://doi.org/10.1177/00207640251370404","url":null,"abstract":"<p><strong>Background and aim: </strong>Opioid Use Disorder (OUD) is a major public health issue, exacerbated by public stigma that hinders treatment-seeking and social integration. This study aimed to adapt and validate a social-contact-based intervention to reduce public stigma against individuals with OUD in India, ensuring cultural relevance and feasibility.</p><p><strong>Methods: </strong>The study followed a two-phase approach: adaptation and validation using the ADAPT framework and Delphi method with 14 multi-disciplinary experts and people with lived experience (PWLE), and pre-experimental, open-label pilot study assessing feasibility, acceptability, and preliminary impact on stigma. Participants (<i>n</i> = 30) attended a 60- to 90-min session combining an educational component with direct social contact with PWLE. Stigma was assessed using a validated questionnaire at baseline, 48 hr, and 3 months. Correlation analysis was done between total stigma and domain-wise scores.</p><p><strong>Results: </strong>The intervention achieved a 90% session completion rate, with 69.2% of approached individuals consenting to participate. Acceptability measures indicated high engagement, with 90% of participants rating the session as useful, although 36.6% found it challenging to reconcile with pre-existing beliefs. Stigma scores significantly improved at 48 hr post-intervention in the Attribution Blame domain (<i>p</i> = .002) and Attribution Exoneration domain (<i>p</i> = .079, trend toward significance). Partial attenuation of stigma reduction effects was observed at 3 months. The Total Stigma Score was significantly correlated with Punishment (<i>r</i> = .733, <i>p</i> < .001), Social Threat (<i>r</i> = .681, <i>p</i> < .001), and Attribution Blame (<i>r</i> = .609, <i>p</i> < .001). Attribution Exoneration negatively correlated with Punishment (<i>r</i> = -.373, <i>p</i> < .05).</p><p><strong>Conclusion: </strong>This study demonstrates the feasibility and acceptability of a culturally adapted, social-contact-based intervention for reducing public stigma against OUD. Shifting blame perceptions may help reduce punitive attitudes.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251370404"},"PeriodicalIF":2.7,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Central and Bridge Symptoms of Depression and Anxiety in China Rural Children With and Without Non-Suicidal Self-Injury: A Network Analysis Approach.","authors":"Yuke Yang, Zhihao Ma","doi":"10.1177/00207640251370514","DOIUrl":"https://doi.org/10.1177/00207640251370514","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the central and bridge symptoms of the comorbidity between depression and anxiety in rural Chinese children with and without non-suicidal self-injury (NSSI). The aim was to utilize psychological network analysis to identify distinct symptom patterns across these two groups.</p><p><strong>Methods: </strong>Data were collected from 1,731 rural Chinese children. Symptoms of depression and anxiety were analyzed using psychological network analysis to determine central and bridge symptoms, and to identify differences between children with and without NSSI.</p><p><strong>Results: </strong>The findings revealed that children with NSSI exhibited higher levels of depression and anxiety compared to those without NSSI. In the comorbidity network, \"anhedonia\" and \"negative mood\" emerged as central symptoms in both groups. Additionally, these two symptoms of depression were identified as bridge symptoms linking anxiety in both groups. Unique to children with NSSI, \"negative self-esteem\" was also a central symptom, while the central symptom for anxiety was \"nervous\". For children without NSSI, the central symptom of anxiety was \"afraid\". The bridge symptoms also differed: in children with NSSI, \"nervous\" and \"irritable\" linked depression and anxiety, whereas \"afraid\" served as the bridge symptom in children without NSSI.</p><p><strong>Conclusion: </strong>This network analysis highlights critical differences in the comorbidity of depression and anxiety between children with and without NSSI. The findings provide valuable insights for developing targeted interventions to prevent mental health issues and NSSI in rural Chinese children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251370514"},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075305","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":"https://doi.org/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":"207640251368029"},"PeriodicalIF":2.7,"publicationDate":"2025-09-16","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":"Barriers and Facilitators of Psychological Help-Seeking of People With Depression, Anxiety, and Stress Symptoms Among ASEAN Countries: A Systematic Review.","authors":"Diany U Syafitri, Shofia Mawaddah, Jennifer Y F Lau, June S L Brown","doi":"10.1177/00207640251367289","DOIUrl":"https://doi.org/10.1177/00207640251367289","url":null,"abstract":"<p><strong>Background: </strong>Despite growing rates of common mental health disorders among country members of the Association of Southeast Asia Nations (ASEAN), there continue to be treatment gaps in these countries.</p><p><strong>Aim: </strong>To systematically identify and synthesise barriers and facilitators to accessing formal psychological help for common mental health disorders in the existing literature.</p><p><strong>Methods: </strong>APA PsycINFO, Web of Science, Scopus, and the Indonesian Portal Garuda were searched for studies reporting barriers or facilitators to individuals' engaging in formal psychological help-seeking for common mental health disorders in country members of ASEAN. Participants in the studies were aged 18 years and above and included both quantitative and qualitative designs. Results were reported using PRISMA guidelines. Due to the heterogeneity of data and study designs, a narrative synthesis was chosen as an analysis strategy.</p><p><strong>Results: </strong>This review included forty-six studies. The barriers to formal psychological help-seeking were (1) social and cultural factors, which comprised of stigma, sociocultural and religious, and treatment-related issues, (2) personal factors, such as low mental health knowledge, self-reliance and disclosure difficulty, and (3) structural factors related to the low availability and affordability of mental health services. The facilitators were (1) social and cultural factors related to social and religious aspects, (2) personal factors comprising personal motivation, the presence and severity of mental health problems, and mental health literacy, and (3) structural factors such as accessibility and the system of mental health services, as well as gender differences.</p><p><strong>Conclusions: </strong>Social, cultural, personal, and structural factors are essential for formal help-seeking in ASEAN. Future studies and intervention development might examine these factors further.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251367289"},"PeriodicalIF":2.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029685","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":"Mental Health in Sexual and Gender Minority Populations: A Systematic Review of Systematic Reviews With Narrative Synthesis and a Network Meta-Analysis of Suicide Attempts.","authors":"Mattia Marchi, Giulia Ferrazzi, Giulia Pollice, Luca Pingani, Silvia Ferrari, Antonio Ventriglio, Gian M Galeazzi","doi":"10.1177/00207640251367069","DOIUrl":"https://doi.org/10.1177/00207640251367069","url":null,"abstract":"<p><strong>Background: </strong>Sexual and gender minorities, collectively known as LGBTQIA+ individuals, experience disproportionate mental health disparities compared to their heterosexual/cisgender peers.</p><p><strong>Aims: </strong>The aim of this systematic review was to synthesize high-quality evidence from previously published systematic reviews on mental health in the LGBTQIA+ population.</p><p><strong>Method: </strong>PubMed was searched for systematic reviews on LGBTQIA+ mental health, published by September 1st, 2024. For each mental health outcome, a narrative synthesis of the findings was performed. Additionally, when included reviews reported case-control data suitable for pooled analysis, network meta-analyses with random-effects models were conducted to estimate the Odds Ratios (ORs) and 95% confidence intervals (95% CIs) for mental disorders across sexual and gender groups.</p><p><strong>Results: </strong>Twenty systematic reviews were included, accounting for 5,164,641 LGBTQIA+ individuals. These focused on the following mental health outcomes: major depressive disorder (MDD, <i>n</i> = 7), eating disorders (ED, <i>n</i> = 5), anxiety disorders (AD, <i>n</i> = 5), substance use disorder (SUD, <i>n</i> = 4), alcohol use disorder (AUD, <i>n</i> = 1), post-traumatic stress disorder (PTSD, <i>n</i> = 1), and suicidality (<i>n</i> = 11), all resulting more prevalent among LGBTQIA+ individuals compared to the general population. Network meta-analysis was possible only for suicide attempts (SA), finding the highest risk among bisexual individuals (OR = 6.43, 95% CI [4.43; 9.34]), followed by lesbian and gay individuals (OR = 4.54, 95% CI [3.42, 6.03]), sexual and gender minorities analyzed together (OR = 4.32, 95% CI [3.52, 5.30]), and transgender individuals (OR = 3.61, 95% CI [2.78, 4.67]). Geographical differences were also found, with transgender individuals being the group with the highest SA risk in Europe (OR = 7.22, 95% CI [4.83, 10.81]) and the lowest SA risk in Asia (OR = 1.84, 95% CI [0.68, 5.03]), suggesting potential socio-cultural influences or differences in participant selection.</p><p><strong>Conclusions: </strong>LGBTQIA+ individuals experience significant mental health challenges compared to the general population. To reduce these disparities, more inclusive policies, supportive social environments, affirmative mental health care, and ongoing research into minority stressors and protective factors are essential.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251367069"},"PeriodicalIF":2.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029673","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":"Night Eating Syndrome and Associated Psychosocial Health Profile among Medical Students: A Cross-Sectional Study in Central India.","authors":"Harshit Singh, Mubashshera Firdous Khan, Kalaiselvi Selvaraj, Akansha Dani, Sujiv Akkilagunta","doi":"10.1177/00207640251369135","DOIUrl":"https://doi.org/10.1177/00207640251369135","url":null,"abstract":"<p><strong>Introduction: </strong>Night Eating Syndrome (NES) is a distinct psychopathological entity variously considered as a mental health disorder, eating disorder or circadian rhythm disorder. Medical students are faced with hectic schedules, sleep interruptions and high-stakes exams as they become healthcare providers. Such social factors coupled with poor dietary practices may impact their mental health and biological clocks, leading to NES amongst this population. However, the magnitude of its occurrence and the associated factors are still not well understood, especially in an Indian context. The present study was planned to determine the prevalence of NES and to explore the association between NES and selected psychosocial health profiles amongst undergraduates.</p><p><strong>Methodology: </strong>An observational, analytical cross-sectional study was undertaken in a tertiary care hospital in Central India. The study included a total of 414 medical students representing all academic years. The data collection tool comprises a structured questionnaire comprising socio-demographic information, the Night Eating Diagnostic Questionnaire (NEDQ), Insomnia Severity Index (ISI), Simple Lifestyle Indicator Questionnaire (SLIQ) and Patient Health Questionnaire-2 (PHQ-2).</p><p><strong>Results: </strong>The overall prevalence of Night Eating Syndrome is 13.8% and the majority are mild NES syndrome (mild: 10.1%, moderate: 1.7% and severe: 1.9%). Participants with depressive symptoms were 12.8%. In unadjusted analysis, participants having insomnia (OR = 3.16, 95% CI [1.7, 5.7]) and depression (OR = 2.05, 95% CI [1.0, 4.2]) were found to be predictors of night eating syndrome. After adjusting for age, presence of depression, personal history of chronic disease, insomnia and current year of education in medical school, insomnia (OR = 3.08, 95% CI [1.6, 5.7]) was the only predictor independently associated with NES among college-going students. BMI was not found to be a predictor of NES amongst the study participants.</p><p><strong>Conclusion: </strong>Night Eating Syndrome has a significant association with insomnia when adjusted for concomitant depression implying the need to tackle sleep and mental health as lifestyle factors; which play a role in the development of NES and to elucidate further on this association, emphasising its circadian impact leading onto Non-Communicable Diseases.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251369135"},"PeriodicalIF":2.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029774","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":"Internalized Stigma Among Individuals With Bipolar Disorder: Associations With Sociodemographic and Clinical Characteristics From a Specialized Affective Disorders Unit.","authors":"Selin Tanyeri Kayahan, Simavi Vahip","doi":"10.1177/00207640251366717","DOIUrl":"https://doi.org/10.1177/00207640251366717","url":null,"abstract":"<p><strong>Background: </strong>Bipolar disorder (BD) is a complex mood disorder among the leading causes of disability worldwide. Internalized stigma refers to the awareness of negative stereotypes adopted by society and the agreement with these judgments, often associated with impaired functionality and social adaptation. Studies examining internalized stigma and related factors in BD are limited.</p><p><strong>Aims: </strong>Our study aimed to evaluate the associations between internalized stigma and sociodemographic, marital, and clinical characteristics of individuals with BD.</p><p><strong>Method: </strong>One hundred and eighteen individuals with BD followed up at a specialized affective disorders unit were included. Participants' data were collected via follow-up documents and clinical interviews. The Internalized Stigma of Mental Illness Scale (ISMIS) was administered to assess internalized stigma.</p><p><strong>Results: </strong>The mean ISMIS total score was 56.50. Being unemployed (<i>p</i> = .012, <i>B</i> = 0.208), shorter BD duration (<i>p</i> < .001, <i>B</i> = -0.302), presence of inter-episode residual symptoms (<i>p</i> = .004, <i>B</i> = 0.248), and higher depressive scores (<i>p</i> = .001, <i>B</i> = 0.275) predicted increased internalized stigma. Younger age (<i>p</i> = .002, <i>B</i> = -0.264), being female (<i>p</i> = .007, <i>B</i> = 0.226), absence of mania dominance (<i>p</i> = .019, <i>B</i> = 0.190), and higher depressive scores (<i>p</i> = .002, <i>B</i> = 0.260) predicted alienation scores. The presence of inter-episode residual symptoms predicted both stereotype endorsement (<i>p</i> < .001, <i>B</i> = 0.320) and perceived discrimination (<i>p</i> < .001, <i>B</i>= 0.358). Younger age (<i>p</i> = .001, <i>B</i>= -0.281) and a total number of depressive episodes (<i>p</i> = .015, <i>B</i> = 0.212) also predicted perceived discrimination. Shorter BD duration (<i>p</i> = .005, <i>B</i> = -0.238), absence of seasonality (<i>p</i> = .047, <i>B</i> = 0.169), and higher depressive scores (<i>p</i> < .001, <i>B</i> = 0.320) predicted social withdrawal, while a history of hospitalization (<i>p</i> = .033, <i>B</i> = 0.203) predicted stigma resistance.</p><p><strong>Conclusions: </strong>Considering that internalized stigma is increased in earlier stages of BD, as well as in individuals with inter-episode residual symptoms, it might be important to implement effective psychosocial practices for internalized stigma, which might be modifiable through targeted interventions in the earlier periods. Therefore, a multidimensional and holistic approach toward internalized stigma may positively contribute to the functionality and quality of life of patients with BD.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251366717"},"PeriodicalIF":2.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029615","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}