International Journal of Social Psychiatry最新文献

{"title":"Unveiling climate distress: Examining the psychological impact of adverse weather events in India - A systematic review.","authors":"Adarsh Tripathi, Pritanshi Jeswani, Rashmi Shukla, Vikrant Patel","doi":"10.1177/00207640251362911","DOIUrl":"https://doi.org/10.1177/00207640251362911","url":null,"abstract":"<p><strong>Background: </strong>Climate distress is a psychological reaction to adverse weather events and climate change. These events can increase people's vulnerability to develop psychiatric disorders like anxiety, depression, and PTSD particularly in disaster-prone regions like India.</p><p><strong>Aim: </strong>To explore the relationship between climate distress and psychological impact with a particular emphasis on women, elderly, and other at risk populations who owing to their health vulnerabilities, lack of resources or social roles that make them dependent on others, experience stress in the face of climate change. We synthesized findings from 75 studies involving 8,895,217 individuals, to understand the psychological impact of events like floods, cyclones, tsunamis, and air pollution. All related studies conducted in India from inception of the web search engines to December 9, 2024 were included in this study.</p><p><strong>Method: </strong>This systematic review was conducted as per the PRISMA guidelines. Studies were identified from CINAHL, PubMed, Scopus, and EMBASE and data was extracted using a custom extraction form.</p><p><strong>Result: </strong>We report a high prevalence of mental health conditions like PTSD, anxiety, and depression after extreme weather events like floods, cyclones, tsunamis, and air pollution. Subclinical conditions like sleep disturbances, stress, cognitive decline, and fear; along with, positive mental health outcomes like resilience, pro-environmental behavior, appreciation for life, and post traumatic growth post such events were commonly reported. Female gender, older age, financial instability, low education levels, and disaster exposure were the major risk factors. Social support, high education, and high socioeconomic status were the protective factors.</p><p><strong>Conclusion: </strong>Findings imply the need for having practical strategies for community-based resilience for the at risk population, starting at policy planning levels to address climate-related psychological distress. Our review highlights the need for further research to define and measure climate distress and psychological impact in the context of climate-induced heat, particularly in underrepresented regions.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251362911"},"PeriodicalIF":2.7,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023233","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 Systematic Review and Meta-Analysis of the Global Prevalence of ICD-11 Complex Post-Traumatic Stress Disorder in the Community.","authors":"Luis Hualparuca-Olivera, Elsa Vigo-Ayasta, Julio Torales, Cristian Ramos-Vera, Tomás Caycho-Rodríguez, Margarita Calle-Arancibia, Dennis Calle, Antonio Ventriglio","doi":"10.1177/00207640251368064","DOIUrl":"https://doi.org/10.1177/00207640251368064","url":null,"abstract":"<p><strong>Background: </strong>Complex post-traumatic stress disorder (C-PTSD) has been included in the International Classification of Diseases 11th Revision (ICD-11) to capture symptomatology caused by extreme, prolonged, or multiple forms of trauma.</p><p><strong>Aims: </strong>The present systematic review and meta-analysis sought to assess the one-month prevalence of this disorder in the community setting.</p><p><strong>Method: </strong>A systematic search was conducted in four databases (Google Scholar, PubMed, Web of Science, and Scopus) where relevant studies were subjected to explicit eligibility criteria, resulting in 16 included studies and 22 effect sizes. Study characteristics were tabulated, their methodological quality was assessed and findings were synthesized using a random-effects meta-analysis.</p><p><strong>Results: </strong>Findings indicated overall that C-PTSD has a moderate prevalence in this population (PREV = 8.59%, 95% CI [5.84%, 11.34%], I² = 98.6%). Moderator analyses indicated that prevalence differed significantly by continent, scale, sample type, country, and language.</p><p><strong>Conclusions: </strong>The results of this study strongly indicate that 9 out of 100 people in the community are at risk for C-PTSD, making it a primary focus of attention and the public policies that it represents. Future research should further explore the prevalence of C-PTSD among specific population groups who experienced specific episodes of trauma.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251368064"},"PeriodicalIF":2.7,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015342","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":"Peer Support and Relational Recovery in a Rural Community-Based <i>Ibasho</i>: Implications for Hikikomori Support Models.","authors":"Roseline Yong, Koji Fujita, Masato Kitajima","doi":"10.1177/00207640251371337","DOIUrl":"https://doi.org/10.1177/00207640251371337","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251371337"},"PeriodicalIF":2.7,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008300","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 Adolescent Psychiatric Day Care Incorporating Japanese Youth Culture Attract Adolescent Patients in Japan? A Novel Approach to Creating a Culturally Acceptable Clinical Environment.","authors":"Yu Ogata, Taiga Hosokawa","doi":"10.1177/00207640251366714","DOIUrl":"https://doi.org/10.1177/00207640251366714","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric day care is widely used in Japan, but adolescent-focused programs remain scarce, despite rising school absenteeism and suicide rates. Stigma toward mental illness and low continuity of care hinder engagement. Incorporating youth culture into therapeutic activities may improve participation.</p><p><strong>Objective: </strong>To describe an adolescent-oriented psychiatric day care program integrating youth culture and to examine attendance patterns, participant characteristics, and withdrawal reasons.</p><p><strong>Results: </strong>In February 2024, 88 adolescents (46 male, 42 female; mostly early to mid-teens) participated. Fourteen (15.9%) attended regularly for over one year. High-attendance programs included Social Skills Training and Psychodrama, Cognitive Behavioral Therapy, Analog Art, and Digital Art. Digital Art attracted younger users, including those with chronic school refusal but no diagnosis, while Analog Games were popular among participants with autism spectrum disorder, social anxiety disorder, or selective mutism. Lower-attendance programs included Acceptance and Commitment Therapy, Dance, Sports, Yoga, and Short Video Production. Reasons for withdrawal included relocation, return to school, transition to other services, symptom improvement, and loss of interest. Notably, some culturally relevant activities (Dance, Short Video Production) had low attendance, indicating that popularity alone does not ensure engagement.</p><p><strong>Conclusion: </strong>Integrating youth culture into adolescent psychiatric day care can enhance engagement, particularly when paired with structured therapeutic approaches. Program design should account for participants' cognitive, emotional, and practical needs to sustain involvement. Further research should evaluate long-term outcomes and adapt such models for diverse cultural and healthcare settings.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251366714"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000503","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":"Urban geographies of suicide in three Latin American capital cities.","authors":"Carlos M Leveau","doi":"10.1177/00207640251361693","DOIUrl":"https://doi.org/10.1177/00207640251361693","url":null,"abstract":"<p><strong>Background: </strong>Although a handful of studies have examined the geography of suicide in Latin American cities, comparative analyses across different cities remain scarce. Therefore, the objective of this paper is to describe the geography of suicide and its associated area-level factors in Lima, San José and Santiago during the period 2017 to 2023.</p><p><strong>Methods: </strong>Bayesian hierarchical models were used to estimate suicide risk and its association with two key area-level factors: (1) an index of social fragmentation and (2) the percentage of the population aged 25 or older with completed tertiary or university education, as an indicator of socioeconomic status.</p><p><strong>Results: </strong>The relative risk of suicide revealed distinct geographic concentrations in the three cities. In Lima, suicide risk was positively associated with the social fragmentation index but showed no association with socioeconomic status. In Santiago, only a negative association was observed between suicide risk and socioeconomic status. In contrast, San José showed no significant associations between suicide risk and either socioeconomic status or social fragmentation indicators. Additionally, in San José, suicide risk was positively associated with the percentage of the migrant population.</p><p><strong>Conclusion: </strong>Our findings provide evidence of weakened social ties associated with increased suicide risk in Lima and San José, though this pattern was not observed in Santiago, where poverty emerged as a key factor linked to suicide.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251361693"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145000512","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":"Addressing the challenges of integrating community mental health services in Arab countries: A scoping review.","authors":"Mohammed Qutishat, Nahla M Al Ali, Mohammed Albalushi, Salim Al-Huseini","doi":"10.1177/00207640251360283","DOIUrl":"10.1177/00207640251360283","url":null,"abstract":"<p><strong>Background: </strong>In Arab countries, the integration of community mental health services is a meaningful way to improve access to culturally sensitive mental health care that promotes the recovery process and reduces societal stigma. However, despite the most recent movements that are leaning more toward the community, there are barriers to effective treatment: a lack of resources and stigma associated with mental health still make the delivery of mental health services difficult.</p><p><strong>Aim: </strong>This review aims to examine the challenges and opportunities involved in integrating community mental health services (CMHS) in Arab countries.</p><p><strong>Methods: </strong>This scoping review explored the literature in PubMed and Scopus, focusing on studies published between 2015 and 2024. Utilizing the Arksey and O'Malley framework and following PRISMA guidelines, we reviewed 16 articles to pinpoint barriers to the implementation of community mental health services in the Arab world. Two independent reviewers meticulously evaluated the data extracted from each study. A narrative synthesis analysis was conducted to evaluate the effectiveness of community mental health services (CMHS) in Arab nations, based on a theoretical framework designed to understand their role.</p><p><strong>Results: </strong>Key barriers identified were stigma associated with mental illness of these conditions, lack of resources, inadequate training of health care practitioners, and fragmentation of services. Cultural constraints and legal inadequacies contribute to the challenges surrounding service provision, as social media fosters new trends in self-diagnosis and self-medication.</p><p><strong>Discussion: </strong>To enhance the quality and access of community mental health facilities, the integral barriers must be resolved. Strategies must improve public awareness, foster cultural sensitivity in service delivery, and reform policies to support mental health initiatives.</p><p><strong>Conclusion: </strong>Community mental health training, investment in resources, and targeted mental health policies can facilitate the successful integration of community mental health services into existing healthcare infrastructures in Arab countries.</p><p><strong>Clinical relevance: </strong>This paper provides a comprehensive overview of the barriers to integrating community mental health services in Arab countries, highlighting critical issues such as stigma, resource limitations, and cultural challenges. It emphasizes the need for targeted strategies to enhance public awareness, improve training for healthcare providers, and develop supportive policies and initiatives.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251360283"},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954175","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 the Invisible Struggle With Anorexia Nervosa in Pakistani Males.","authors":"Syeda Verisha Batool, Mehak Faisal, Areeba Ali","doi":"10.1177/00207640251368256","DOIUrl":"10.1177/00207640251368256","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251368256"},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954148","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":"Effectiveness of psychosocial interventions in eating disorders: A meta-analysis study.","authors":"Nurten Gülsüm Bayrak, Sevda Uzun","doi":"10.1177/00207640251360286","DOIUrl":"https://doi.org/10.1177/00207640251360286","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial interventions are an essential component in the treatment of eating disorders that can negatively affect both mental and physical health.</p><p><strong>Aims: </strong>This study was conducted to determine the effect size of psychosocial interventions in eating disorders.</p><p><strong>Methods: </strong>For this meta-analysis study, researches were obtained by searching PubMed, Web of Science, EBSCO host, Google Scholar, and YÖK Thesis Centre databases in August to September 2024 without any year limitation. After the reviews, 15 studies were included. The data were synthesized by meta-analysis and narrative methods.</p><p><strong>Results: </strong>In this meta-analysis, psychosocial interventions in eating disorders were found to improve depression (SMD = -0.371, 95% CI [-0.697, -0.045]; <i>Z</i> = -2.228, <i>p</i> = <i>.026</i>); stress (SMD = -0.545, 95% CI [-1.080, -0.011]; <i>Z</i> = -1.999, <i>p</i> = <i>.046</i>); self-control (SMD = 0.476, 95% CI [0.116, 0.835]; <i>Z</i> = 2.594, <i>p</i> = <i>.009</i>); and emotional eating (SMD = 0.224, 95% CI [-4.305, -0.164]; <i>Z</i> = -2.115, <i>p</i> = <i>.034</i>).</p><p><strong>Discussion: </strong>The results of the study showed that psychosocial interventions in eating disorders are effective in disease symptoms (depression, stress, self-control, and emotional eating). In addition to psychopharmacological treatment, psychosocial interventions should be included in the treatment of eating disorders.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251360286"},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954099","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":"Delivery and delay of guideline pharmacological, psychological, and social interventions for adults with complex psychosis in Dutch inpatient rehabilitation units: A retrospective study.","authors":"Thijs J Burger, Hans J de Haas, Robin M Van Eck, Martijn Kikkert, Frederike Schirmbeck, Astrid Vellinga, Lieuwe de Haan, Mariken B de Koning","doi":"10.1177/00207640251358418","DOIUrl":"10.1177/00207640251358418","url":null,"abstract":"<p><strong>Background: </strong>People with complex psychosis admitted to inpatient mental health rehabilitation units (IMRU) constitute a low volume, high need, high cost group with a complicated recovery process.</p><p><strong>Aims: </strong>To generate hypotheses regarding successful delivery of guideline care to patients with complex psychosis in IMRUs, based on clinical profiles and (historical) patterns of care delivery.</p><p><strong>Method: </strong>A retrospective passive consent chart study of patients with complex psychosis in IMRUs in The Netherlands, mapping sociodemographic and clinical profiles, care trajectories and delivery of pharmacological (focusing on clozapine delay), psychological and social guideline interventions. We assessed relationships between non-delivery of psychological and social interventions, delay in clozapine treatment, and current symptom severity.</p><p><strong>Results: </strong>The 62 included patients had a mean illness duration of 21.6 years (<i>SD</i> 9.4); 89% were diagnosed with a schizophrenia spectrum disorder. They exhibited severe symptoms (GAF-s: mean 33, <i>SD</i> 12.2), substantial functional impairment (GAF-f: mean 32, <i>SD</i> 9.5), a history of physical violence (74%) and/or severe substance use problems (61%), and limited or absent insight (87%). Care trajectories showed long-term instability of living environment, and frequent current compulsory care (76%). Of 54 patients with a clozapine treatment indication, 65% currently used it, of whom 94% started in IMRU setting, and 43% had one or more earlier aborted trials. Support in developing day activities was accepted by 87% of total sample, including patients without a day activity goal on beforehand. 66% developed day activities. We found associations between symptom severity, clozapine delay, declining psychological treatment, and not having day activity goals.</p><p><strong>Conclusions: </strong>For some people with complex psychosis, clozapine treatment and psychosocial interventions may only materialize in specialized, long term, high structure settings offering continuity of care. Support in developing day activities may present a pathway to collaborative engagement. Early identification of those in need remains a challenge.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251358418"},"PeriodicalIF":2.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954137","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 subjective experience of trauma within structural marginality: An ethnography of mental health among survivors of gender-based violence in Italy.","authors":"Emanuela Nadia Borghi, Joseph Tay Wee Teck, Laura Roe, Giedre Zlatkute, Alexander Mario Baldacchino","doi":"10.1177/00207640251362317","DOIUrl":"https://doi.org/10.1177/00207640251362317","url":null,"abstract":"<p><strong>Background: </strong>Gender-based violence (GBV) has multi-dimensional impacts on women's mental health and everyday life, often leading to experiences of trauma, PTSD and co-morbid mental health conditions. Institutional practices and strategies designed to support survivors of gender-based violence can collide with, overshadow and misapprehend women's own subjective experiences.</p><p><strong>Aims: </strong>This study aims to highlight the importance of subjective accounts in understanding women's mental health and the complexity of trauma experienced by female survivors of gender-based violence. It aims to put forward survivors' voices that are often excluded from research.</p><p><strong>Method: </strong>This study draws on 12 months of ethnographic fieldwork (2021-2022) among 38 women seeking psychological support from anti-violence centres in Milan, Italy. The participants, including 12 migrant women, represented a diverse set of demographic backgrounds. The study also incorporated accounts from mental health professionals and NGO coordinators. Using anthropological and phenomenological approaches, this qualitative analysis is based on themes which illustrate survivors' lived experiences of trauma.</p><p><strong>Results: </strong>This ethnography identified several pathways contributing to poor mental health among GBV survivors. Key findings reveal that survivors engage with trauma and mental health symptoms through subjective, embodied and temporally informed processes, affecting their recovery and societal vulnerability. Structural marginalisation, including insufficient government funding, prolonged legal procedures and invasive medical practices, further impacted survivors' well-being. Themes from the analysis demonstrated that structural marginality and isolation exacerbated mental health issues, hindering empowerment and autonomy; thus trapping survivors in a state of long-term vulnerability.</p><p><strong>Conclusion: </strong>This study emphasises the importance of incorporating subjective accounts to understand women's mental health in-depth. The findings highlight that current services often fail to address the complexity of trauma, leading to inadequate support and prolonged marginalisation. To improve outcomes, it is crucial to offer tailored mental health support, address socio-economic challenges and implement trauma-informed care that fosters safety, empowerment and resilience.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251362317"},"PeriodicalIF":2.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954102","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}