International Journal of Social Psychiatry最新文献

{"title":"Examining cultural background and the protective effect of marriage on alcohol use disorder in Sweden.","authors":"Jessica E Salvatore, Sara Larsson Lönn, Karen G Chartier, Jan Sundquist, Kenneth S Kendler, Kristina Sundquist","doi":"10.1177/00207640241288211","DOIUrl":"10.1177/00207640241288211","url":null,"abstract":"<p><strong>Background: </strong>Little is known about whether the protective effect of marriage on alcohol use disorder (AUD) varies by cultural background.</p><p><strong>Aims: </strong>Using Swedish national data, we examined whether marriage is associated with a stronger reduction in AUD risk among Swedes of a Swedish background (i.e. those with two Swedish-born parents) compared to Swedes with a foreign background (i.e. one or two foreign-born parents) and whether the protective effect of marriage depends on whether the spouse has a Swedish or foreign background.</p><p><strong>Method: </strong>Among those born in Sweden 1960 to 1990 (3,093,439; 49% female), associations between cultural background and AUD registration during marriage were estimated with Cox models. Analyses of intra- and intermarriage on AUD registration were examined with Cox models and limited to groups of focal individuals for which there was sufficient statistical power, which included Swedes with two Swedish-born parents, two Finnish-born parents, or bicultural background (one Swedish and one foreign-born parent). Models were sex stratified.</p><p><strong>Results: </strong>Marriage was associated with reductions in AUD risk among those with Swedish and with foreign backgrounds, though less protective for males of Finnish versus Swedish background as indicated by a significant interaction between marital status and parental region of birth, HR = 0.80, 95% CI [0.71, 0.90]. Marriage was also less protective for those with a bicultural versus Swedish background, HR_males = 0.87, 95% CI [0.81, 0.92] and HR_females = 0.88, 95% CI [0.81, 0.97]. Among those of Swedish background, marriage to a spouse with a foreign versus Swedish background was associated with increased risk of AUD, HR_males = 1.26, 95% CI [1.19, 1.34] and HR_females = 1.20, 95% CI [1.10, 1.31]. This risk was diminished when family-level confounders (genes, rearing environment) were controlled for.</p><p><strong>Conclusions: </strong>The protective effect of marriage depends on cultural background, with some evidence that increased risks associated with a spouse's foreign background are confounded by family-level factors.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"168-178"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465428","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":"Complexity and responsibility in social psychiatry research: Editor's message to the readers.","authors":"Antonio Ventriglio","doi":"10.1177/00207640241311981","DOIUrl":"10.1177/00207640241311981","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"3-4"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921759","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":"Discontinuity of psychiatric care among patients with bipolar disorder in the Netherlands.","authors":"Arnold Pm van der Lee, Adriaan Hoogendoorn, Ralp Kupka, Lieuwe de Haan, Aartjan Tf Beekman","doi":"10.1177/00207640241278291","DOIUrl":"10.1177/00207640241278291","url":null,"abstract":"<p><strong>Background: </strong>Patients with bipolar disorder benefit from guidelines recommended continuous community-oriented psychiatric and somatic healthcare, but often discontinue psychiatric care.</p><p><strong>Aims: </strong>The first objective was to identify predictive factors of discontinuity of psychiatric care among patients who had received psychiatric care. The second objective was to examine if practice variation in discontinuity of psychiatric care existed between providers of psychiatric care.</p><p><strong>Method: </strong>Registry healthcare data were used in a retrospective cohort study design using logistic regression models to examine potential predictive factors of discontinuity of care. Patient-related predictive factors were: age, sex, urbanization, and previous treatment (type and amount of psychiatric care, alcohol, and opioid treatment). Patients already diagnosed with bipolar disorder were selected if they received psychiatric care in December 2014 to January 2015. Discontinuity of psychiatric care was measured over 2016.</p><p><strong>Results: </strong>A total of 2,355 patients with bipolar disorder were included. In 12.1% discontinuity of care occurred in 2016. Discontinuity was associated with younger age and less outpatient care over 2013 to 2014. Discontinuity of patients who received all eight quarters outpatient care including BD medication was very low at 4%. The final model contained: age, type of psychiatric care, and amount of outpatient care in 2013 to 2014. Practice variation among providers appeared negligible.</p><p><strong>Conclusions: </strong>The (mental) health service in the Netherlands has few financial or other barriers toward continuity of care for patients with severe mental disorders, such as bipolar disorder. An active network of providers, aim to standardize care. This seems successful. However, 12% discontinuity per year remains problematic and more detailed data on those most at risk to drop out of treatment are necessary.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"55-64"},"PeriodicalIF":2.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125593","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":"Victimisation in other- and self-directed violence as a function of ethnicity and primary diagnosis among inpatients with serious mental illness.","authors":"Matt Bruce, Erica Bennett, Zara Bernard","doi":"10.1177/00207640241310187","DOIUrl":"https://doi.org/10.1177/00207640241310187","url":null,"abstract":"<p><strong>Background: </strong>Among individuals with serious mental illness (SMI), victimisation has been found to increase the risk of engaging in other- and self-directed violence. However, rates of victimisation within this population have been found to vary by ethnic group and primary diagnosis.</p><p><strong>Aims: </strong>This study primarily aimed to examine the relationship between victimisation and other- and self-directed violence among a sample of inpatients with SMI during the first 3 months of admission. The role of ethnicity and primary diagnosis were also explored.</p><p><strong>Methods: </strong>This cross-sectional study utilised data from South London and Maudsley's (SLaM) anonymised database. Participants (<i>n</i> = 7,265) were aged over 18 upon admission, of White British, Black African, Black Caribbean or Asian ethnicity and had a primary diagnosis of major mood disorder, mania or psychosis.</p><p><strong>Results: </strong>Among a sample of inpatients with SMI, victimisation increased the risk of other-directed violence but not self-directed violence. While Black African ethnicity was associated with an increased risk of other-directed violence, all minority ethnic groups had a decreased risk of self-directed violence compared to White British ethnicity. Those with a primary diagnosis of mania or psychosis were observed to be at increased risk of other-directed violence and decreased risk of self-directed violence compared to those with a major mood disorder.</p><p><strong>Conclusions: </strong>Inpatients with SMI who have experienced victimisation are at an increased risk of engaging in other-directed violence during the first 3 months of admission.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241310187"},"PeriodicalIF":2.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023262","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 cross-sectional survey of psychiatrists' experiences of using telepsychiatry during the COVID-19 pandemic and the relationship with burnout in selected high, middle, and low-income countries.","authors":"Fairouz Tawfik, Howard Ryland, Mostafa Yosef, Mahmoud Morsy, Fransiska Kaligis, Camille Noël, Mohamed Abdulhakim, Victor Mazereel, Irena Rojnić Palavra, Andrej Prošev, Andrea Fiorillo, Gaia Sampogna, Xenia Margarita Durán, Jesús David Martínez Jurado, Islam Ibrahim","doi":"10.1177/00207640241308197","DOIUrl":"https://doi.org/10.1177/00207640241308197","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic necessitated substantial modifications in the delivery of patient care on a global scale. Telemedicine-based care services were implemented worldwide to maximize access to healthcare systems.</p><p><strong>Aims: </strong>This study aimed to investigate the use of and satisfaction with telepsychiatry services implemented during the COVID-19 pandemic by psychiatrists across low, middle, and high income countries, and to assess levels of burnout among psychiatrists providing telepsychiatry services in different settings and countries. We hypothesized that use of telepsychiatry will have increased during the pandemic and is associated with increased risk of burnout.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from October 2020 to June 2021 on psychiatrists practicing in Egypt, United Kingdom, Croatia, Belgium, Indonesia, Italy, and El Salvador. Participants were asked to provide sociodemographic data and to complete a questionnaire developed ad-hoc by the authors on telepsychiatry use, the Modified Arizona Telemedicine Program Satisfaction (MATPS) survey and the Oldenburg Burnout Inventory questionnaire.</p><p><strong>Results: </strong>A total of 347 participants completed the survey. Sixty three percent indicated that they had not utilized teleservices for clinical consultation or academic purposes prior to the COVID-19 pandemic. A substantial shift was observed during the pandemic, with this percentage increasing to 98%. Over two-thirds of psychiatrists expressed satisfaction with the visual (76%) and audio (77%) aspects of teleconsultation. No significant correlation was found between burnout and satisfaction. While older age was negatively correlated with burnout levels, years of experience showed a positive correlation with levels of burnout.</p><p><strong>Conclusion: </strong>While there was an increased acceptance and satisfaction with teleconsultation, a persistent preference for in-person consultations remained. The study did not find a correlation between satisfaction in telepsychiatry and levels of burnout. Moreover, increasing age was correlated with lower burn out rate, whereas a correlation between years of experience and heightened levels of burnout was evident.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241308197"},"PeriodicalIF":2.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023261","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":"Functioning, disability, and health of individuals with Hikikomori (prolonged social withdrawal) and their families: A systematic review and meta-analysis of case-control studies.","authors":"Shunsuke Nonaka, Hiroaki Kubo, Tomoya Takeda, Motohiro Sakai","doi":"10.1177/00207640241310189","DOIUrl":"10.1177/00207640241310189","url":null,"abstract":"<p><strong>Background: </strong>Currently, paradoxical findings exist regarding the level of functioning in individuals with Hikikomori (prolonged social withdrawal).</p><p><strong>Aims: </strong>This systematic review aimed to clarify the functioning, disability, and health of individuals with Hikikomori and their families in comparison to those without Hikikomori.</p><p><strong>Method: </strong>Relevant studies were searched from April 22 to 25, 2022, using MEDLINE, PsycINFO, Scopus, and two Japanese databases. Functions were categorized into 'body functions\"; \"structure\"; and \"activity and participation', which were further classified into subcategories.</p><p><strong>Results: </strong>Of the 8,181 studies screened, 24 studies with 1,769 individuals with Hikikomori were included. Twelve, three, and four indicators from six studies on depression and anxiety, three on addiction, and two on thought problem symptoms, respectively, were higher in the Hikikomori group than in the comparison group, with at least moderate effect sizes. Three indicators from three studies on interpersonal relationships were worse in the Hikikomori group, with at least moderate effect sizes. The meta-analyses showed that internalizing symptoms, externalizing symptoms, and thought disorders were significantly higher in the Hikikomori group than those in the comparison group with moderate-to-high effect sizes. Contrastingly, communication/interpersonal interactions were significantly lower in the Hikikomori group than those in the comparison group. No significant differences were observed in daily life/social life and the families' communication/interpersonal interactions and relationship.</p><p><strong>Conclusions: </strong>The study limitations include a high risk of bias and heterogeneity. Overall, individuals with Hikikomori often have impaired mental and interpersonal interaction functions; thus, comorbidities of this condition should be carefully assessed.PROSPERO: CRD42022320592.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241310189"},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005025","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":"An observational study of socioeconomic disparities in psychiatry consultation uptake in Australia, using routinely collected national data from 2015 to 2022.","authors":"Edward Meehan, Thomas Yeatman, Frances Shawyer, Darren Rajit, Vinay Lakra, Graham Meadows, Joanne Enticott","doi":"10.1177/00207640241311846","DOIUrl":"https://doi.org/10.1177/00207640241311846","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic was associated with increased psychological distress and psychiatric service usage in Australia. Previous research into the first few months of the pandemic found severe inequality in telehealth psychiatry but no change in inequality for psychiatry service usage overall. However, it is unknown how inequality evolved over the remainder of the pandemic, as extended lockdowns continued in major Australian cities.</p><p><strong>Aims: </strong>To understand how socioeconomic inequality in psychiatric consultations changed during the COVID-19 pandemic, using new data from 2020 to 2022.</p><p><strong>Methods: </strong>We analysed routinely collected national Medicare data, provided to us as service counts per Statistical Area 3 (SA3) region by financial year from 2015 to 2016 to 2021 to 2022. We calculated daily rates of psychiatry attendances per 100,000 working age adults within each SA3 region, and we evaluated inequality in the distribution of consults using concentration indices and curves based on the Index of Relative Socio-economic Disadvantage (IRSD).</p><p><strong>Results: </strong>We analysed 7 years of Medicare data from 321 SA3 regions. The national consultation rate increased in 2020 to 2021 from 45.16 to 50.17, and then decreased slightly in 2021 to 22 to 48.65. Inequality as measured by concentration indices rose from 0.169 in 2020 to 2021 to 0.177 in 2021 to 2022. Consultation rates in the most disadvantaged IRSD quintile decreased by 15.9% in 2021 to 2022 compared to smaller decreases of between 1% and 4% in the top 4 quintiles.</p><p><strong>Conclusion: </strong>Our study shows that inequality in mental health service provision increased in the second year of the COVID-19 pandemic to the highest level seen in the 7 years of data we analysed. Individuals within the most disadvantaged IRSD quintile experienced a significant and disproportionate decline in service rates. Close monitoring and more granular data are needed to understand the drivers behind this inequity and its current status, and to inform interventions to improve it.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241311846"},"PeriodicalIF":2.5,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004887","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 professionals' perspectives and suggestions on religious and superstitious activities engagement of patients with serious mental illness: A national survey in Thailand.","authors":"Sorawit Wainipitapong, Somboon Hataiyusuk, Chonmanan Khanthavudh, Vitchayut Phetsayanavin, Teeravut Wiwattarangkul, Daruj Aniwattanapong","doi":"10.1177/00207640241311841","DOIUrl":"https://doi.org/10.1177/00207640241311841","url":null,"abstract":"<p><strong>Background: </strong>Patients with serious mental illness (SMI) often engage in religious and superstitious activities. The implications of such engagements remain unclear, with no established guidelines for mental health professionals.</p><p><strong>Aims: </strong>This study aimed to survey perspectives and gather suggestions from various disciplines within mental healthcare regarding the engagement in religious/superstitious activities of SMI patients: schizophrenia spectrum disorders, bipolar disorder, major depressive disorder.</p><p><strong>Method: </strong>This cross-sectional study was conducted between November and December 2023 among Thai mental health professionals. Participants used 10-point Likert scales to rate their agreement levels for engaging each activity. Additional suggestions were obtained through textual responses, which were subsequently summarised and synthesised.</p><p><strong>Results: </strong>Of the 403 professionals participated, the majority were female (73.2%), Buddhist (87.6%) and psychiatrists (42.2%), with a median age of 34.0 years. Among patients with active symptoms, patients with major depressive disorder tended to receive the highest mean agreement scores for engagement, while patients with schizophrenia consistently scored the lowest across most activities. Similar trends were observed among patients in remission. From textual responses, two key themes were synthesised: (1) environmental factors and (2) impacts on natural courses.</p><p><strong>Conclusions: </strong>Patients with active schizophrenia received the lowest levels of agreement while patients with major depressive disorder tended to receive the highest mean agreement scores on engaging religious/superstitious activities.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241311841"},"PeriodicalIF":2.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142965099","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":"First episode of psychosis in rural Greece: A multi-center study of the Mobile Mental Health Units.","authors":"Vaios Peritogiannis, Ioanna-Athina Botsari, Athina Fragouli-Sakellaropoulou, Iliana Filla, Aikaterini Garmpi, Maria Dimopoulou, Stavros Gavriilidis, Alexandros Vgontzas, Maria Samakouri","doi":"10.1177/00207640241310185","DOIUrl":"10.1177/00207640241310185","url":null,"abstract":"<p><strong>Background: </strong>Over the last decades the study of schizophrenia-spectrum disorders has been focused on early and comprehensive intervention during the first episode of psychosis (FEP), but studies in rural settings are only rare. In Greece mental healthcare in rural areas is mostly delivered by the locally-based Mobile Mental Health Units (MMHUs).</p><p><strong>Aims: </strong>The aim of the present study was to address treatment of FEP patients by the MMHUs in rural areas in Greece, focusing on patients with a first episode of schizophrenia.</p><p><strong>Method: </strong>This is a multicenter, retrospective observational study with the participation of nine MMHUs across several areas in rural mainland and some islands of Greece. Patients of the age range of 15 to 55 years with a diagnosis of non-affective psychosis were included in the study.</p><p><strong>Results: </strong>The study sample consisted of 216 patients, while analysis was performed for patients with a diagnosis of schizophrenia (<i>n</i> = 153, 70.8% of the sample). Most patients were males (<i>n</i> = 93, 60.8%), with a mean age at first presentation 34.9 years (<i>Md</i> = 34.5, <i>SD</i> = 11.94). The mean duration of untreated psychosis (DUP) was 7.85 months (<i>Md</i> = 3, IQR = 10.00) and was shorter in younger (15-25 years) patients. More than 60% of patients had been successfully engaged to treatment with the MMHUs, with a mean follow-up duration of 5.17 years (<i>Md</i> = 5.00, IQR = 5.00). Younger patients (26-35 years) tend to disengage from treatment, while those aged 36 to 45 years were more likely to continue follow-up. A reduction of 47.22% in hospital admissions among patients with schizophrenia was observed over follow-up of patients by the MMHUS.</p><p><strong>Conclusion: </strong>The most noteworthy findings of the study are the low percentage of patients seeking help from the MMHUs, compared to the expected cases and the high attendance rate of those that are examined in this context. Further research on psychosis/schizophrenia in the rural context is warranted.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241310185"},"PeriodicalIF":2.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142965095","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 of smartphone and internet addiction with mental health during the COVID-19 pandemic: A systematic review and meta-analysis.","authors":"Phuong Thu Thi Pham, Truc Thanh Thai, Ha Khanh Mai Huynh, Linh Thuy Ngoc Nguyen, An Thu Thi Nguyen, Mai Huynh Thi Duong, Han Hy Thi Bui","doi":"10.1177/00207640241311856","DOIUrl":"https://doi.org/10.1177/00207640241311856","url":null,"abstract":"<p><strong>Background: </strong>Excessive use of smartphones and the Internet can lead to addiction and may increase the risk of developing mental disorders, particularly in the context of the COVID-19 outbreak.</p><p><strong>Objective: </strong>This systematic review and meta-analysis synthesized the existing literature reporting the impact of smartphone and Internet addiction on mental health during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A systematic search was performed on two databases, PubMed and EMBASE, following the PRISMA guidelines to identify articles conducted from December 2019 when the COVID-19 pandemic began to emerge. Studies were selected based on pre-defined criteria and assessed for quality before inclusion in the meta-analysis. The main effect estimate gathered from eligible studies was the odds ratio, which was computed using the random-effects model.</p><p><strong>Results: </strong>Our findings demonstrated significant associations between Internet addiction and depression (OR = 4.09, 95% CI [3.28, 5.09]), Internet addiction and anxiety (OR = 3.08, 95% CI [2.08, 4.57]), smartphone addiction and depression (OR = 3.82, 95% CI [3.31, 4.40]), and smartphone addiction and anxiety (OR = 4.81, 95% CI [3.81, 6.07]) during the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>This meta-analysis underscores that Internet and smartphone addiction increases the likelihood of developing mental disorders in the context of the COVID-19 pandemic. During the outbreak of infectious diseases, it is imperative for nations to not only address economic and educational challenges but also prioritize the mental well-being of their citizens.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640241311856"},"PeriodicalIF":2.5,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142965091","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}