International Journal of Social Psychiatry最新文献

{"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}

{"title":"Network structure of rumination and resilience in adolescents with traumatic experiences: A comparison of PTSD and non-PTSD groups.","authors":"Liying Yang, Yiming Liang, Qi Huang, Yuancheng Wu, Ziqi Guan, Kang Ju, Xiaohua Bian, Juzhe Xi","doi":"10.1177/00207640251361657","DOIUrl":"https://doi.org/10.1177/00207640251361657","url":null,"abstract":"<p><strong>Background: </strong>Prior research on rumination and resilience in trauma contexts has primarily utilized traditional statistical methods, single-sample designs, and community-based participants. As a result, symptom-level interaction patterns and network structures across varying risk levels remain unclear. This study aims to address these limitations by comparing the network structures of rumination and resilience among adolescents exposed to a public health crisis, both with and without PTSD.</p><p><strong>Methods: </strong>A total of 1,273 adolescents (mean age = 13.84 years, 50.4% female) from post-COVID-19 China participated. Using the PTSD Checklist-Civilian Version (PCL-C), 229 were identified with PTSD, and 1,044 were classified as non-PTSD. Network analysis was employed to identify key interactions and central nodes between rumination and resilience in both groups.</p><p><strong>Results: </strong>Positive cognition and goal concentration consistently emerged as central bridge nodes of resilience in both groups. Reflection showed a positive association with resilience in the non-PTSD group but demonstrated inconsistent links with resilience factors among the PTSD group. In contrast, brooding predominantly displayed negative associations with resilience, suggesting maladaptive cognitive patterns. Notably, reflection-related connections differed between groups: adolescents with PTSD had stronger links with emotional regulation and goal concentration, whereas those without PTSD exhibited stronger connections with emotional regulation and positive cognition.</p><p><strong>Conclusion: </strong>Positive cognition and emotional regulation were identified as key resilience factors. Reflection appeared adaptive in non-PTSD adolescents, whereas brooding was maladaptive across both groups. Among adolescents with PTSD, both rumination patterns disrupted cognitive-emotional regulation, indicating that interventions should focus on restructuring maladaptive cognitive patterns and preventing negative cognition.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251361657"},"PeriodicalIF":2.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954161","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 self-compassion as serial mediators of relationship between childhood maltreatment and psychological distress.","authors":"Rukiye Kızıltepe, Servet Kaçar-Başaran","doi":"10.1177/00207640251362726","DOIUrl":"https://doi.org/10.1177/00207640251362726","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have consistently found a robust relationship between childhood maltreatment and psychological distress. Despite the increasing number of studies in recent years that have identified social support or self-compassion as potential mechanisms in this relationship, no study examines the mediating role of both social support and self-compassion in adults.</p><p><strong>Aim: </strong>This study aimed to investigate social support and self-compassion as potential mediators in the relationship between childhood maltreatment and psychological distress using a serial mediation model.</p><p><strong>Method: </strong>Using online surveys, a total of 310 participants (<i>M</i>_age = 28.83, <i>SD</i> = 6.07) were included in this study. The data was collected using the Childhood Trauma Questionnaire, Self-Compassion Scale-Short Form, Multidimensional Scale of Perceived Social Support, and Depression Anxiety Stress Scales - Short Form. The proposed serial mediation model was conducted using PROCESS macro for SPSS.</p><p><strong>Results: </strong>After controlling age and gender, the results showed that: (a) there was a direct effect of childhood maltreatment on psychological distress (<i>B</i> = 0.192, <i>p</i> < .001); (b) self-compassion mediated the relationship between childhood maltreatment and psychological distress (effect = 0.107, <i>SE</i> = 0.03, 95% CI [0.051, 0.170]) whereas social support did not mediate this relationship (effect = 0.026, <i>SE</i> = 0.01, 95% CI [-0.009, 0.065]); and (c) social support and self-compassion mediated the relationship between childhood maltreatment and psychological distress in a sequential way (effect = 0.053, <i>SE</i> = 0.01, 95% CI [0.031, 0.083]).</p><p><strong>Conclusions: </strong>This study demonstrated that increasing social support resources and particularly addressing self-compassion in therapy may help individuals exposed to childhood maltreatment.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251362726"},"PeriodicalIF":2.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144954145","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":"Cross-national variation in how members of the community define flourishing mental health.","authors":"Richard Andrew Burns, Kerry Sargent, Dimity Ann Crisp","doi":"10.1177/00207640251323345","DOIUrl":"10.1177/00207640251323345","url":null,"abstract":"<p><strong>Background: </strong>The experience of flourishing (i.e. high wellbeing) is informing our understanding of psychological health beyond psychopathology.</p><p><strong>Aims: </strong>This study examines whether community members define their sense of flourishing in terms of the presence of wellbeing and/or the absence of psychopathology.</p><p><strong>Methods: </strong>Participants (<i>n</i> = 1,094) were stratified by sex and age (18-39 years, 40-59 years and 60 years+), resided in Australia, the United Kingdom, Singapore, South Africa and Malaysia. Participants were presented with 12 items from the European Social Survey Wellbeing Module and 9 symptoms from the Diagnostic Statistical Manual for Major Depressive Disorder and Generalized Anxiety Disorder; mental health items were rephrased to reflect an absence of psychopathology. Respondents selected and ranked the five statements that best reflected their sense of flourishing.</p><p><strong>Results: </strong>Wellbeing statements were the most frequently endorsed items for example, 'Feeling calm and peaceful', 'Life is valuable and worthwhile', 'Having people who care' and 'Feeling positive about oneself', but they were only endorsed by approximately 35% to 38% of respondents. Three pathology items were amongst the top 10 items endorsed.</p><p><strong>Conclusions: </strong>That not one indicator was endorsed by the majority of respondents suggests that flourishing definitions of positive mental health need to be defined by both the presence of wellbeing and absence of psychopathology. Notably, there were few between-nation differences in items endorsed, and those differences reported were not of a large magnitude suggesting consistency in the endorsement of indicators between nations.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1067-1077"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental alienation syndrome (PAS) in India: A complex legal and psychological challenge.","authors":"Prerna Sharma","doi":"10.1177/00207640251325836","DOIUrl":"10.1177/00207640251325836","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1193-1194"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605085","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 shared psychosis: Insights from the Burari family tragedy in Delhi, India.","authors":"Shrishti Prakash Khetan, Shruti Suresh Suvarna","doi":"10.1177/00207640251333985","DOIUrl":"10.1177/00207640251333985","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1195-1197"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024748","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 impact of workplace violence on the risk of suicide among Chinese correctional personnel: A chain mediation model with insomnia and depression as mediating variables.","authors":"Jingyan Sun, Ruihan Lin, Siyuan Wang, Ying Huang, Sze Tung Lam, Nan Wang, Yixin Zhao, Huijuan Guo, Yuqiong He, Hanrui Peng, Hui Chen, Xiaoping Wang","doi":"10.1177/00207640251317023","DOIUrl":"10.1177/00207640251317023","url":null,"abstract":"<p><strong>Background: </strong>Prison correctional personnel often experience increased workplace violence (WPV) and higher risk of suicide, but the link between the two is not yet clear. This study aims to explore the specific mediating variables and mediating paths between WPV and suicide.</p><p><strong>Methods: </strong>This is a cross-sectional study of 472 Chinese correctional personnel conducted through an online survey. We used the Workplace Violence Scale (WVS), the Athens Insomnia Scale (AIS), the Chinese version of the Depression Anxiety Stress Scale (DASS), and the revised Beck Suicidal Ideation scale (BSI) to quantify the WPV experienced by subjects and their mental health status. Data analysis, including mediation and network analysis, was performed using SPSS and R software.</p><p><strong>Results: </strong>Presence of insomnia and/or depression mediated the relationship between WPV and suicide risk, which accounted for 36.62% of the total effect. Insomnia alone accounted for 9.87%, depression alone accounted for 12.73%, whereas both put together accounted for 14.03%. Male personnel experienced more WPV than their female counterparts, and WPV in men had a stronger association with suicide risk. Network analysis indicated that daytime dysfunction and downheartedness were important nodes in mediating pathways.</p><p><strong>Conclusions: </strong>Experiencing WPV may lead to an increased risk of suicide among correctional personnel, particularly men, with insomnia and depression mediating the experienced risk. Correctional institutions should take measures to reduce the occurrence of WPV experienced by correctional personnel mitigate the impact of this occupational hazard, and prioritise the mental health of correctional personnel, particularly those already experiencing worrying symptoms.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1054-1066"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491881","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 moderating role of depressive symptoms in the relationship between earthquake exposure severity and suicidal ideation among survivors of the February 6 to 7 Kahramanmaraş Earthquakes, Turkiye.","authors":"Tugba Gorgulu","doi":"10.1177/00207640251328825","DOIUrl":"10.1177/00207640251328825","url":null,"abstract":"<p><strong>Background: </strong>Suicidal ideation (SI) is frequently observed in individuals exposed to traumatic events like earthquakes, with its intensity being influenced by factors such as the severity of earthquake exposure and depression. Therefore, identifying the key factors that contribute to suicidal ideation in individuals severely affected by earthquakes and those who have suffered significant harm is essential for minimizing the trauma's impact through targeted psychosocial interventions.</p><p><strong>Aims: </strong>This study aims to identify the risk factors contributing to SI and examine whether depressive symptoms moderate the relationship between the severity of earthquake exposure and lifetime suicidal ideation among survivors of the February 6 to 7, 2023, earthquake in Turkiye.</p><p><strong>Method: </strong>This study was carried out with 186 earthquake survivors (women: 55.9% and men: 44.1%). The study design was cross-sectional and included self-report assessments. The Earthquake Experience Questionnaire (EEQ), the Anxiety Subscale of the Depression Anxiety Stress Scale-21 (DASS-21), and the Multidimensional Scale of Perceived Social Support (MSPSS) were used in the study.</p><p><strong>Results: </strong>A significant interaction was observed only between depressive symptoms and earthquake experience in predicting lifetime SI. Among individuals with moderate to high levels of depression, SI decreased as the severity of earthquake experience increased.</p><p><strong>Conclusion: </strong>The findings suggest that positive psychological processes, such as post-traumatic growth, may reduce SI. However, depression remains a significant risk factor, highlighting the need for effective treatment and psychological recovery support after trauma.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1171-1180"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063724","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 correlation between global climate change anxiety and death anxiety in women: A case study from the zone of 6 February earthquake.","authors":"Fatma Melike Erkan, Funda Kavak Budak","doi":"10.1177/00207640251328599","DOIUrl":"10.1177/00207640251328599","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to determine the correlation between global climate change anxiety and death anxiety in women.</p><p><strong>Method: </strong>The population of this correlational descriptive study consisted of women who lived in a informal living conditions in a province due to the earthquake. Five hundred women were included in the study. The data were collected using a Descriptive Characteristics Form, the Climate Change Anxiety Scale, and the Death Anxiety Scale by holding face-to-face interviews with women who lived in the informal living conditions between June and September 2024.</p><p><strong>Findings: </strong>The total mean score of the women on the climate change anxiety scale was 20.73 ± 8.05. The total mean score of the participants on the death anxiety scale was 9.55 ± 3.34 (Table 2). A statistically significant positive weak correlation was found between the total mean score of the participants on the Climate Change Anxiety Scale and their total mean score on the Death Anxiety Scale (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>The anxiety level of the participants about climate change could be considered to be low. The death anxiety score of the women was 'severe'. As the climate change anxiety of the participants increased, so did their death anxiety.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1164-1170"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018641","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}