International Journal of Social Psychiatry最新文献

{"title":"Depression and academic performance among youths in armed conflict areas in North Wollo, Ethiopia: Structural equation modeling.","authors":"Minale Tareke, Biksegn Asrat Yirdaw, Tilahun Belete Mossie, Abebaw Gebeyehu, Bizu Gelaye, Telake Azale","doi":"10.1177/00207640251323350","DOIUrl":"10.1177/00207640251323350","url":null,"abstract":"<p><strong>Background: </strong>Adolescents living in war-affected areas are more likely to suffer from depression than adolescents living outside war-affected areas. However, there is limited evidence from Northern Ethiopia that was affected by armed conflicts. This study was conducted to assess the magnitude of depression and to identify inter-related factors with depression and academic performance in armed conflict-affected areas of North Wollo Zone, Ethiopia.</p><p><strong>Methods: </strong>A school-based cross-sectional study was conducted among high school students in North Wollo Zone, Ethiopia. A multistage sampling method was used, and the study participants were selected using simple random sampling. The Structural Equation Model was used to verify the hypothesized relationship between various internal and external or mediating factors. The effect size was provided using standardized beta coefficients, 95% CI, and statistical significance defined as a <i>p</i>-value <.05.</p><p><strong>Results: </strong>Out of 3,400 study participants, 48.1% (95% CI [46.5%, 49.8%]) endorsed depressive symptoms. Being female (β = .05, 95% CI [0.011, 0.087]), far from family because of education (β = .10, 95% CI [0.060, 0.134]), anxiety (β = .95, 95% CI [0.893, 1.011]), and alcohol use (β = .14, 95% CI [0.108, 0.180]) had a significant and positive association with a total direct effect on depression. Conversely, academic performance (β = -.04, 95% CI [-0.061, -0.011]) had a significant and negative association with a total direct effect on depression.</p><p><strong>Conclusion: </strong>This study found a much higher magnitude of depression among students in conflict-affected areas compared to non-affected areas. High school students, particularly girls in conflict-affected areas, need social support and special protection. Additional efforts are needed to ensure safety and security in high schools and establish student support systems such as student counseling and guidance services.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1086-1099"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647845","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 effect of empathy and callous-unemotional traits on externalizing behavior in juvenile offenders: The mediating role of moral disengagement.","authors":"Anyerson Stiths Gomez Tabares, Jorge Emiro Restrepo, David Andres Montoya","doi":"10.1177/00207640251328818","DOIUrl":"10.1177/00207640251328818","url":null,"abstract":"<p><strong>Background: </strong>Recent research suggests that externalizing behaviors may influence the severity of delinquent behavior and may also be associated with low affective empathy and sensitivity to the well-being of others, as well as a decreased ability to recognize the emotions of others and to experience reciprocal psychological distress.</p><p><strong>Aim: </strong>This study examines the effects of empathy and callous unemotional traits-and the mediating role of moral disengagement-in explaining externalizing behavior in juvenile offenders.</p><p><strong>Method: </strong>The study was observational-analytic, correlational-exploratory, and involved 376 juvenile offenders (<i>M</i> = 17.36 years, <i>SD</i> = 1.445) who were sanctioned with a custodial measure.</p><p><strong>Results: </strong>Results indicated that empathy, callous-unemotional traits, and moral disengagement had significant associations and differential effects on externalizing behavior. In addition, moral disengagement was identified as a psychological mechanism mediating the effects of empathy and callous-unemotional traits on externalizing behavior, and the age invariance of the mediation model was determined.</p><p><strong>Conclusion: </strong>These findings provide valuable information for specific interventions aimed at reducing externalizing behaviors in juvenile offenders and highlight the importance of the fundamental mediating role of moral disengagement in the relationship between emotional factors and antisocial behavior.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1141-1154"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752314","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":"Commodified upbringings: A narrative review on commercial determinants of child and adolescent mental health.","authors":"Juan Pablo Carrasco, Pablo Estrella-Porter, Álvaro Cerame","doi":"10.1177/00207640251341078","DOIUrl":"10.1177/00207640251341078","url":null,"abstract":"<p><strong>Introduction: </strong>The mental health of children and adolescents has become a major global health concern, with increasing diagnoses and use of psychotropic drugs. The commercial determinants of health (CDoH) paradigm links economic and social forces to health outcomes. Highlighting the influence of industries such as food, pharmaceuticals, technology, social media, gambling, alcohol, tobacco and pornography on the mental health of this population is crucial.</p><p><strong>Materials and methods: </strong>This narrative review synthesises existing literature on the impact of commercial determinants on child and adolescent mental health. A comprehensive search was conducted using PubMed, PsycINFO and Google Scholar, covering publications from 2000 to 2024. The review focused on peer-reviewed articles, reports and relevant grey literature examining the influence of commercial practices on mental health.</p><p><strong>Results and discussion: </strong>The review found 45 studies from different countries and industries, highlighting how commercial practices and exposure to their content negatively impact children's and adolescents' mental health. Beyond traditional industries like tobacco, food and alcohol, the review explores others. Social media use is associated with increased anxiety and depression due to social comparison and cyberbullying. Easy access to pornographic content distorts perceptions of relationships and sexuality, contributing to anxiety, depression and behavioural disorders. The gambling industry's normalisation of betting through advertising influences addictive behaviour from an early age. Aggressive marketing by the pharmaceutical industry can lead to excessive or inappropriate use of diagnostic labels and psychotropic medications, exacerbating mental health problems and posing significant ethical and public health challenges.</p><p><strong>Conclusion: </strong>Commercial determinants significantly impact child and adolescent mental health, necessitating a multifaceted approach to address these challenges. Parents and children's education, implementation of public policies and regulation of harmful commercial practices are essential to protect and promote mental health in future generations. Understanding and mitigating the effects of CDoH are crucial for ensuring a healthy developmental environment for children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1014-1029"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142575","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":"Association between ambient temperature and emergency psychiatric consultations: A case-crossover study in a South American emergency setting (2021-2023).","authors":"Julio Torales, Martín Laterza, Albert Persaud, Marcelo O'Higgins, Anthon Daniel Torres-Romero, Tomás Caycho-Rodríguez, Antonio Ventriglio, João Mauricio Castaldelli-Maia, Joseph El-Khoury, Egor Chumakov, Michael Liebrenz, Alexander Smith, Rachel Tribe, Afzal Javed, Dinesh Bhugra, Iván Barrios","doi":"10.1177/00207640251336725","DOIUrl":"10.1177/00207640251336725","url":null,"abstract":"<p><strong>Background: </strong>Although environmental factors have been studied for their impact on mental health, the link between ambient temperature and mental disorders remains insufficiently explored.</p><p><strong>Aim: </strong>This study aimed to explore the relationship between ambient temperature and the frequency of emergency psychiatric consultations at the sole university hospital in Paraguay from 2021 to 2023.</p><p><strong>Methods: </strong>This investigation adopted a quantitative, observational, cross-sectional design, using a case-crossover approach. Data collection entailed reviewing patient records and meteorological data, focusing on the daily mean temperatures and other meteorological variables. Statistical analysis was conducted using RStudio and SPSS, applying a distributed lag non-linear model (DLNM) for a seven-day lag period. Multinomial logistic regression was used to estimate odds ratios (ORs) for the likelihood of specific diagnoses resulting in emergency consultations in relation to temperature exposure.</p><p><strong>Results: </strong>The analysis covered 2,186 first-time emergency psychiatric consultations, with anxiety disorders being the most frequent diagnosis (24.3%), followed by depressive disorders (23.4%) and personality disorders (15.8%). Women accounted for 70.6% of all patients. The findings indicated that higher temperatures were associated with a greater frequency of consultations for certain disorders, including bipolar (OR up to 27.12 at Lag 1) and eating disorders (OR up to 100 at Lag 1). Conversely, a negative association was observed for schizophrenia, dissociative disorders, and trauma- and stressor-related disorders as temperature increased. Additionally, a linear relationship was found between lower relative humidity and increased number of consultations.</p><p><strong>Conclusions: </strong>The findings underscore the impact of ambient temperature on psychiatric emergency consultations, revealing that the frequency of consultations for different conditions varies with temperature. These insights could inform public health strategies to mitigate the effects of climatic variation on mental health. These findings suggest the need for targeted mental health interventions to address vulnerabilities during periods of climatic stress, particularly in resource-limited settings.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1181-1192"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009070","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":"Lifestyle medicine and social psychiatry: Strange bed fellows?","authors":"Dinesh Bhugra, Antonio Ventriglio","doi":"10.1177/00207640251358565","DOIUrl":"10.1177/00207640251358565","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"997-1000"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730872","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":"Commentary on: Importance of language in mental illness stigma.","authors":"Oindrilla Ghosh","doi":"10.1177/00207640251338638","DOIUrl":"10.1177/00207640251338638","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1001-1003"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142574","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 the impact of childhood trauma on obsessive-compulsive disorder: A systematic review focused on adult populations.","authors":"Valentina Baldini, Martina Gnazzo, Giorgia Varallo, Diana De Ronchi, Andrea Fiorillo","doi":"10.1177/00207640251339510","DOIUrl":"10.1177/00207640251339510","url":null,"abstract":"<p><strong>Background: </strong>Childhood trauma has been linked to various psychiatric disorders, including obsessive-compulsive disorder (OCD). However, the relationship between specific types of childhood trauma and their impact on the subtypes and severity of obsessive-compulsive symptoms remains poorly understood. This systematic review aims to consolidate current evidence on the potential associations between childhood trauma and obsessive-compulsive symptoms.</p><p><strong>Methods: </strong>We conducted a systematic search across four electronic databases, including PubMed, Web of Science, EMBASE, and PsycINFO, to identify studies examining the relationship between childhood trauma and obsessive-compulsive symptoms. Eligible studies were screened, data extracted, and methodological quality assessed.</p><p><strong>Results: </strong>The final selection consisted of 22 studies corresponding to 5603 individuals with a diagnosis of OCD (mean age: 29.8 ± 9.9 years; 52% females). The findings suggest that individuals with OCD frequently have childhood trauma. Emotional abuse and neglect were significantly associated with higher Yale-Brown Obsessive-Compulsive Scale scores and increased prevalence of religious, sexual, and aggressive obsessions. Two studies identified potential mechanisms linking trauma to OCD, including cerebellar remodeling and dysregulation of stress-response systems.</p><p><strong>Conclusions: </strong>Childhood trauma, particularly emotional abuse and neglect, appears to contribute to OCD severity and symptom specificity, with trauma histories being more pronounced in treatment-resistant cases. These findings highlight the importance of trauma-informed care in OCD assessment and treatment. Future research should address methodological heterogeneity, explore longitudinal pathways, and investigate neurobiological mechanisms to elucidate the trauma-OCD relationship further.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1004-1013"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966861","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 the barriers to mental health help-seeking among African Migrants in Australia: A qualitative study.","authors":"Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N Botchway-Commey, David Chisanga, Ahmed A Moustafa, Kerrie E Doyle, Uchechukwu Levi Osuagwu","doi":"10.1177/00207640251323050","DOIUrl":"10.1177/00207640251323050","url":null,"abstract":"<p><strong>Background: </strong>The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.</p><p><strong>Aims: </strong>This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.</p><p><strong>Methods: </strong>In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed verbatim, utilizing a thematic analysis as the primary data analysis method.</p><p><strong>Results: </strong>African migrants were more inclined to seek support for mental health conditions from religious figures such as priests instead of seeking professional help. Religion and poor knowledge about mental illness were highlighted as barriers to mental health help-seeking. Participants also considered cultural beliefs, fear of stigma as well as the high cost of healthcare in Australia as significant barriers to mental health help-seeking among African migrants.</p><p><strong>Conclusions: </strong>Findings reinforce the critical need for culturally competent mental health services tailored to the beliefs, values, religion, and experiences of African and other migrant communities in Australia. Given the strong attachment of many African migrants in Australia to their cultural and religious beliefs, such services are essential for practical support and intervention.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1100-1113"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657055","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":"Gender difference in prevalence and network structure of subclinical Hikikomori and depression among college students.","authors":"Wei Zhang, Meng-Yi Chen, Li-Ya A, Yuan-Yuan Jiang, Hui-Ting Huang, Shou Liu, Yi Ma, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Todd Jackson, Yu-Tao Xiang","doi":"10.1177/00207640251325059","DOIUrl":"10.1177/00207640251325059","url":null,"abstract":"<p><strong>Background: </strong>Subclinical Hikikomori and depression are common among college students, yet gender differences in their prevalence and interrelationships are under-explored. This study evaluated gender differences in prevalence and symptom networks of these disturbances.</p><p><strong>Methods: </strong>A large-scale, multi-center study was conducted across Xinjiang, Qinghai, and Guangdong provinces, China between September and December 2023. Subclinical Hikikomori and depression were assessed with the 1-month 25-item Hikikomori Questionnaire (HQ-25M) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Gender differences in prevalence were tested with univariate analyses, while network analyses assessed symptom structures within each gender. Expected Influence (EI) identified the most central symptoms, with higher EI indicating greater impact. Bridge EI identified specific symptoms that linked Hikikomori and depression symptom communities.</p><p><strong>Results: </strong>Among 6,222 college students, no significant gender differences were found in the prevalence of subclinical Hikikomori (males: 11.4% and females: 13.3%) or depression (males: 19.1% and females: 18.3%). Network analysis revealed 'I avoid talking with other people' (HQ18) as the most central symptom for both males (EI = 1.60) and females (EI = 1.73), followed by 'It is hard for me to join in groups' (HQ13, EI = 1.442) and 'I have little contact with other people' (HQ19, EI = 1.437) in males, and followed by 'Loss of energy' (PHQ4, EI = 1.17) and 'I have little contact with other people' (HQ19, EI = 1.09) in females. The key bridge symptoms were identified as 'Guilt feelings' (PHQ6) for males (Bridge EI = 0.14) and 'Suicidal ideation' (PHQ9) for females (Bridge EI = 0.13). Significant overall gender differences in networks were observed (<i>M</i> = 0.12, <i>p</i> = .01).</p><p><strong>Conclusion: </strong>Depression and subclinical Hikikomori are common among Chinese college students although we observed no significant gender differences in its prevalence. The most influential central and bridge symptoms from network models are viable targets for intervention for both genders.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1114-1126"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676895","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":"Learning to live with the unresolved grief of migration: The ambiguity of leaving behind after the earthquake and adaptation.","authors":"Eda Albayrak Günday, Kübra Gülırmak Güler","doi":"10.1177/00207640251323342","DOIUrl":"10.1177/00207640251323342","url":null,"abstract":"<p><strong>Aim: </strong>This research examines the ambiguity of the migration process experienced by earthquake victims who had to migrate following the Kahramanmaraş-centered earthquake disaster in 2023 and their adaptation to their new lives.</p><p><strong>Background: </strong>The post-earthquake migration process can leave people with uncertainty and the problems that come with it. The uncertainty experienced by these individuals has not been addressed in the literature, and these experiences are important.</p><p><strong>Methods: </strong>In this study, which was conducted using the phenomenological research design, the snowball sampling method, one of the purposeful sampling methods, was used. The data was collected face-to-face with 19 earthquake victims through 30 to 40-min in-depth interviews. Colaizzi's phenomenological analysis method was used to analyze the data obtained.</p><p><strong>Results: </strong>According to the analysis results, there are three main categories (From the Earthquake Shock to a New Life: The Journey of Migration and Adaptation, Identity Transformation Caused by Migration: The Adventure of Adapting to a New Life, Dreams and Goals for the Future: A New Beginning in the Pursuit of Hope) and five themes (Getting Lost in the Dark Labyrinths of Migration, The Difficult Journey of Adaptation After Migration, Loss of Identity and Cultural Storms, Broken Ropes and Longing Times, Future Plans and Optimism) that have emerged.</p><p><strong>Discussion: </strong>The research shows that migrating earthquake victims are in an environment of uncertainty where they do not know what to do, experience identity crises and cultural conflict after migration, long for the past, and have difficulty adapting. It is also noteworthy that immigrants remain generally optimistic and maintain their hopes for their future despite their problems. Practitioners serving immigrant populations are recommended to integrate grief and loss support into the spiritual care process through psychoeducation, assessments, and therapy.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"1040-1053"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491877","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}