Journal of psychiatric research最新文献

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The association between systemic lupus erythematosus (SLE) and early psychiatric background 系统性红斑狼疮(SLE)与早期精神病背景之间的关联。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-30 DOI: 10.1016/j.jpsychires.2024.10.029
Uri Blasbalg , Paz Toren
{"title":"The association between systemic lupus erythematosus (SLE) and early psychiatric background","authors":"Uri Blasbalg ,&nbsp;Paz Toren","doi":"10.1016/j.jpsychires.2024.10.029","DOIUrl":"10.1016/j.jpsychires.2024.10.029","url":null,"abstract":"<div><h3>Background</h3><div>The etiology of Systemic Lupus Erythematosus (SLE) remains elusive.</div><div>Research has established links between SLE and various mental health issues, including associations with psychiatric illness, unique symptomatology in SLE, a relationship between stress and disease exacerbation, and improvement in SLE patients after psychiatric and psychological treatment. However, the hypothesis that psychiatric conditions might precede SLE onset by long periods has not been empirically established. This study aims to address this gap.</div></div><div><h3>Methods</h3><div>This matched cohort study conducted a retrospective analysis using the electronic database of Clalit Health Services (CHS), Israel's largest HMO, comparing 2786 individuals diagnosed with SLE with 8358 non-SLE matched controls.</div></div><div><h3>Results</h3><div>Two logistic regression analysis tests revealed significant associations between SLE diagnosis and prior psychiatric conditions.</div><div>the first (p &lt; 0.001) showed a 120% higher likelihood of psychiatric history among those diagnosed at least 10 years later with SLE compared to controls, and the second (p = 0.008) showed a 61% greater likelihood of a psychiatric history among those diagnosed at least 15 years with SLE. Investigation into the association between specific psychiatric indices and the later development of SLE found significant correlations between an SLE diagnosis and four psychiatric indices 10 years prior: dispensing of antipsychotics, anxiolytics, hypnotics, and sedatives; dispensing of antidepressants, psychostimulants, ADHD agents, and nootropics; diagnosis of mood disorders; and phobic and anxiety disorders.</div></div><div><h3>Conclusions</h3><div>The increased probability of pre-existing mental health issues preceding SLE onset by extended durations suggests a potential etiological role in SLE development.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 349-354"},"PeriodicalIF":3.7,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “The identification and measurement of postpartum anxiety in England: A Delphi survey” [J. Psychiatr. Res. 168 (2023) 381–391] 英格兰产后焦虑的识别与测量:德尔菲调查"[J. Psychiatr. Res. 168 (2023) 381-391] 更正
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-28 DOI: 10.1016/j.jpsychires.2024.10.027
Semra Worrall , Elizabeth J. Harris , Sergio A. Silverio , Victoria Fallon
{"title":"Corrigendum to “The identification and measurement of postpartum anxiety in England: A Delphi survey” [J. Psychiatr. Res. 168 (2023) 381–391]","authors":"Semra Worrall ,&nbsp;Elizabeth J. Harris ,&nbsp;Sergio A. Silverio ,&nbsp;Victoria Fallon","doi":"10.1016/j.jpsychires.2024.10.027","DOIUrl":"10.1016/j.jpsychires.2024.10.027","url":null,"abstract":"","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Page 265"},"PeriodicalIF":3.7,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of combined Tai Chi and repetitive transcranial magnetic stimulation for sleep disturbance in older adults: A randomized controlled trial 太极拳与重复经颅磁刺激相结合对老年人睡眠障碍的影响:随机对照试验
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-26 DOI: 10.1016/j.jpsychires.2024.10.025
Jiali He , Sunny H.W. Chan , Raymond C.K. Chung , Hector W.H. Tsang
{"title":"Effect of combined Tai Chi and repetitive transcranial magnetic stimulation for sleep disturbance in older adults: A randomized controlled trial","authors":"Jiali He ,&nbsp;Sunny H.W. Chan ,&nbsp;Raymond C.K. Chung ,&nbsp;Hector W.H. Tsang","doi":"10.1016/j.jpsychires.2024.10.025","DOIUrl":"10.1016/j.jpsychires.2024.10.025","url":null,"abstract":"<div><h3>Background and aims</h3><div>Novel approaches to improve sleep disturbance in older adults are needed. Our study comprises a pioneering attempt to test the efficacy of Tai Chi (TC) combined with repetitive transcranial magnetic stimulation (rTMS) in improving sleep disturbance in older adults. The influence of baseline depressive symptoms was tested in a subset of the sample.</div></div><div><h3>Method</h3><div>In the randomized controlled trial, 152 participants were each allocated to one of the following groups: (1) TC plus active rTMS (n = 38), (2) TC plus sham rTMS (n = 38), (3) TC alone (n = 38), and (4) low-intensity physical exercise (PE) control group (n = 38). Four-week interventions were conducted for each group. The outcomes included insomnia severity, actigraphy-assessed and self-reported sleep parameters, mood states, and quality of life. Assessments were carried out at baseline (T0), post-intervention (T1), and 3-month follow-up (T2).</div></div><div><h3>Results</h3><div>Of the 152 randomized participants, the mean (SD) age was 67.68 (4.98) years, with 112 female (73.68%). The findings revealed that TC plus active rTMS induced a significant reduction in actigraphy-assessed sleep onset latency compared to TC plus sham rTMS at T1 and T2. In the subsample without depressive symptoms, the combination treatment exhibited a greater benefit in actigraphy-assessed sleep efficiency and wake time after sleep onset compared to both variables in the PE group and in the sham comparator group at T1, respectively. The other subsample with depressive symptoms showed the improvements with TC plus active rTMS, TC plus sham rTMS, and TC alone differed significantly from PE at T1 and T2.</div></div><div><h3>Conclusions</h3><div>This study has demonstrated the positive effect of TC combined with rTMS on sleep disturbance in older adults. Specific sample characteristics should be considered when applying TC, either alone or combined with rTMS.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 281-290"},"PeriodicalIF":3.7,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal gut-microbiota impacts the influence of intrauterine environmental stressors on the modulation of human cognitive development and behavior 母体肠道微生物群影响宫内环境压力因素对人类认知发展和行为的调节。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-24 DOI: 10.1016/j.jpsychires.2024.10.028
Oluwatayo Israel Olasunkanmi , John Aremu , Ma-Li Wong , Julio Licinio , Peng Zheng
{"title":"Maternal gut-microbiota impacts the influence of intrauterine environmental stressors on the modulation of human cognitive development and behavior","authors":"Oluwatayo Israel Olasunkanmi ,&nbsp;John Aremu ,&nbsp;Ma-Li Wong ,&nbsp;Julio Licinio ,&nbsp;Peng Zheng","doi":"10.1016/j.jpsychires.2024.10.028","DOIUrl":"10.1016/j.jpsychires.2024.10.028","url":null,"abstract":"<div><div>This review examines the longstanding debate of nature and intrauterine environmental challenges that shapes human development and behavior, with a special focus on the influence of maternal prenatal gut microbes. Recent research has revealed the critical role of the gut microbiome in human neurodevelopment, and evidence suggest that maternal microbiota can impact fetal gene and microenvironment composition, as well as immunophysiology and neurochemical responses. Furthermore, intrauterine neuroepigenetic regulation may be influenced by maternal microbiota, capable of having long-lasting effects on offspring behavior and cognition. By examining the complex relationship between maternal prenatal gut microbes and human development, this review highlights the importance of early-life environmental factors in shaping neurodevelopment and cognition.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 307-326"},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring accelerated aging as a target of bipolar disorder treatment: A systematic review 将加速衰老作为躁郁症治疗目标的探索:系统综述。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-23 DOI: 10.1016/j.jpsychires.2024.10.026
Alan C. Courtes , Rohit Jha , Natasha Topolski , Jair C. Soares , Tatiana Barichello , Gabriel R. Fries
{"title":"Exploring accelerated aging as a target of bipolar disorder treatment: A systematic review","authors":"Alan C. Courtes ,&nbsp;Rohit Jha ,&nbsp;Natasha Topolski ,&nbsp;Jair C. Soares ,&nbsp;Tatiana Barichello ,&nbsp;Gabriel R. Fries","doi":"10.1016/j.jpsychires.2024.10.026","DOIUrl":"10.1016/j.jpsychires.2024.10.026","url":null,"abstract":"<div><div>Bipolar disorder (BD) has been linked to accelerated aging processes, with many studies suggesting that drugs used to treat BD may modulate pathways related to aging. This systematic review aimed to determine whether FDA-approved pharmacotherapies for BD have reported effects on aging biomarkers across clinical and preclinical studies. We conducted searches in PubMed and PsychINFO and followed PRISMA guidelines. Out of 6400 records identified, 19 studies met the inclusion criteria. Most preclinical studies tested the effects of BD drugs, especially lithium, on lifespan and telomere biology in cell and animal models. Clinical studies predominantly focused on lithium, evaluating aging markers like telomere length, telomerase, mitochondrial DNA copy number, and epigenetic age acceleration in individuals with BD. Findings indicate that chronic lithium treatment is associated with modulatory effects on aging biomarkers, particularly increased telomere length and telomerase activity. Conversely, some negative results were also reported. Limited evidence suggests potential aging-modulating properties of other mood stabilizers like valproic acid and lamotrigine, evidencing that further investigation is required. Despite variability across studies, the overall findings support the notion that pharmacotherapies used in BD present many effects of aging biomarkers. However, the field is still developing, with a clear emphasis on lithium and a lack of standardized methods to evaluate aging biomarkers in clinical samples. Further research exploring the anti-accelerated aging effects of BD drugs beyond lithium, their mechanisms of action, and potential synergistic effects is warranted.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 291-300"},"PeriodicalIF":3.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Influence of race, social justice, and health equity in physically impaired child and adolescent psychiatry 社论:种族、社会正义和健康公平对身体受损的儿童和青少年精神病学的影响。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-22 DOI: 10.1016/j.jpsychires.2024.10.023
Carlos Enrique Montenegro-Marin, J. Alfred Daniel, Guangjie Han
{"title":"Editorial: Influence of race, social justice, and health equity in physically impaired child and adolescent psychiatry","authors":"Carlos Enrique Montenegro-Marin,&nbsp;J. Alfred Daniel,&nbsp;Guangjie Han","doi":"10.1016/j.jpsychires.2024.10.023","DOIUrl":"10.1016/j.jpsychires.2024.10.023","url":null,"abstract":"","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Page 273"},"PeriodicalIF":3.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between frailty and suicidal ideation in older adults: A cross-sectional study 老年人体弱与自杀倾向之间的关系:一项横断面研究。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-22 DOI: 10.1016/j.jpsychires.2024.10.024
Yi-Jie Jia , Hai-Yan Shi , Fei-Hong Hu , Meng-Wei Ge , Lu-Ting Shen , Wei Du , Peng Liu , Hong-Lin Chen
{"title":"Association between frailty and suicidal ideation in older adults: A cross-sectional study","authors":"Yi-Jie Jia ,&nbsp;Hai-Yan Shi ,&nbsp;Fei-Hong Hu ,&nbsp;Meng-Wei Ge ,&nbsp;Lu-Ting Shen ,&nbsp;Wei Du ,&nbsp;Peng Liu ,&nbsp;Hong-Lin Chen","doi":"10.1016/j.jpsychires.2024.10.024","DOIUrl":"10.1016/j.jpsychires.2024.10.024","url":null,"abstract":"<div><h3>Objectives</h3><div>This study seeks to investigate the potential correlation between various levels of frailty and suicidal ideation (SI) in older adults from the USA.</div></div><div><h3>Methods</h3><div>Our cross-sectional study extracted data on adults ≥60 years from the NHANES in 2005–2018. Frailty levels were assessed by computing the Frailty Index, classifying individuals into robust, prefrail, and frail categories. SI was evaluated utilizing Item #9 of PHQ-9. Logistic regression and restricted cubic splines were employed for analysis.</div></div><div><h3>Results</h3><div>The analysis comprised 8564 participants, revealing that 3.3% reported experiencing SI. The association between frailty and SI in older adults was statistically significant in crude model (OR: 5.94, 95% CI: 3.46–11.27, P &lt; 0.001). Upon adjusting for baseline characteristics, the association remained robust (AOR: 5.35, 95% CI: 3.09–10.19, P &lt; 0.001). Model II did not substantially alter the association between frailty and SI after further adjustment for lifestyle factors (AOR: 5.23, 95% CI: 3.02–9.98, P &lt; 0.001). In a sensitivity analysis controlling for depression, the association remained statistically significant (AOR:3.62, 95%CI: 1.76–8.75, P = 0.001). Furthermore, the associations between the Frailty Index and SI were pronounced in the restricted cubic spline (RCS) models (P <sub>overall</sub> &lt; 0.001, P <sub>nonlinearity</sub> = 0.771).</div></div><div><h3>Conclusion</h3><div>Frailty appears to heighten vulnerability to suicidal ideation in older adults. Training healthcare professionals to identify and address mental health issues related to frailty is crucial. Through comprehensive intervention measures, we can better safeguard the mental well-being of older adults and reduce the risk of suicide.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 251-257"},"PeriodicalIF":3.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emotion dysregulation in misophonia: Findings from a nationally representative sample 失声症患者的情绪失调:来自全国代表性样本的研究结果。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-22 DOI: 10.1016/j.jpsychires.2024.10.022
Laura J. Dixon, Carey J. Sevier, Alexandra M. Freshley
{"title":"Emotion dysregulation in misophonia: Findings from a nationally representative sample","authors":"Laura J. Dixon,&nbsp;Carey J. Sevier,&nbsp;Alexandra M. Freshley","doi":"10.1016/j.jpsychires.2024.10.022","DOIUrl":"10.1016/j.jpsychires.2024.10.022","url":null,"abstract":"<div><div>A core feature of misophonia is the emotional distress that occurs in response to specific sounds (e.g., slurping, pen clicking). Despite the theorized connection between emotion dysregulation and misophonia, there is very little research on this topic. Examining emotion dysregulation and identifying the specific emotion regulation deficits that are associated with worse misophonia symptoms would advance our understanding of potential transdiagnostic factors central to misophonia symptoms; thereby informing the development of more targeted interventions. The current study sought to: 1) characterize emotion dysregulation among individuals with misophonia, 2) compare emotion dysregulation between individuals with clinical and subclinical misophonia, and 3) examine the unique role of emotion dysregulation across three domains of misophonia symptoms. This study included a large, nationally representative sample of U.S. adults (<em>N</em> = 4005; 51.5% female; 62.5% White, non-Hispanic). Participants completed self-report questionnaires to assess misophonia symptoms (i.e., misophonia sounds, emotional and behavioral reactions to misophonia sounds, and misophonia-related impairment), stress, and emotion dysregulation. The results revealed participants with misophonia reported significantly worse emotion regulation abilities compared to individuals with subclinical levels of misophonia. In addition, emotion dysregulation was significantly associated with sensitivity to misophonia sounds, reactions to misophonia sounds, and misophonia-related impairment, even after accounting for covariates. Results support emotion dysregulation as an important element in misophonia and suggest certain dimensions of emotion dysregulation should be considered in future research and in the evaluation of treatment strategies used to reduce misophonia symptoms.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 266-272"},"PeriodicalIF":3.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microstructural abnormalities of the right hemisphere in preschool autism spectrum disorders 学龄前自闭症谱系障碍右半球微结构异常。
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-22 DOI: 10.1016/j.jpsychires.2024.10.020
Ting Yi, Yuqing Liu, Weian Wei, Siping He, Ke Jin
{"title":"Microstructural abnormalities of the right hemisphere in preschool autism spectrum disorders","authors":"Ting Yi,&nbsp;Yuqing Liu,&nbsp;Weian Wei,&nbsp;Siping He,&nbsp;Ke Jin","doi":"10.1016/j.jpsychires.2024.10.020","DOIUrl":"10.1016/j.jpsychires.2024.10.020","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to investigate microstructural abnormalities within and between hemispheres in preschool children with autism spectrum disorders (ASD) using diffusion basis spectrum imaging (DBSI).</div></div><div><h3>Methods</h3><div>A total of 35 ASD patients and 32 healthy controls (HC), matched for sex and age, underwent DBSI at 3T. We analyzed DBSI-derived indices of brain white matter using tract-based spatial statistics (TBSS) to compare ASD and HC groups. Support vector machine (SVM) classification was employed to evaluate the potential of positive DBSI parameters in distinguishing ASD patients. Additionally, correlation analyses were conducted to explore relationships between positive DBSI parameters and clinical scales.</div></div><div><h3>Results</h3><div>Patients in the ASD group exhibited significantly higher fiber ratios in the right brainstem tracts, increased radial diffusivity in the left superior longitudinal fasciculus, and reduced fractional anisotropy (FA) in various fiber tracts, including projection, commissural, and association fibers, compared to HC. Notably, the FA of the right cingulum correlated positively with the Gesell scale (r = 0.439, p = 0.008) and achieved a specificity of 90% in identifying ASD.</div></div><div><h3>Conclusion</h3><div>The DBSI findings suggest asynchronous myelination in the right hemisphere and cerebellum in preschool ASD, with the FA value of the right cingulate gyrus appearing to be a reliable marker for ASD and may serve as a potential diagnostic parameter for preschool ASD.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 258-264"},"PeriodicalIF":3.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of comorbid sleep-disordered breathing on escitalopram treatment in patients newly diagnosed with generalized anxiety disorder: A 12-week prospective observational study 合并睡眠呼吸障碍对新诊断为广泛性焦虑症患者的艾司西酞普兰治疗的影响:为期 12 周的前瞻性观察研究
IF 3.7 2区 医学
Journal of psychiatric research Pub Date : 2024-10-21 DOI: 10.1016/j.jpsychires.2024.10.021
Tien-Yu Chen , Hsiao-Ching Lai , Yu-Ting Ho , Chieh-Wen Chen , Hsin-An Chang , Li-Ang Li , Terry B.J. Kuo , Cheryl C.H. Yang
{"title":"Impact of comorbid sleep-disordered breathing on escitalopram treatment in patients newly diagnosed with generalized anxiety disorder: A 12-week prospective observational study","authors":"Tien-Yu Chen ,&nbsp;Hsiao-Ching Lai ,&nbsp;Yu-Ting Ho ,&nbsp;Chieh-Wen Chen ,&nbsp;Hsin-An Chang ,&nbsp;Li-Ang Li ,&nbsp;Terry B.J. Kuo ,&nbsp;Cheryl C.H. Yang","doi":"10.1016/j.jpsychires.2024.10.021","DOIUrl":"10.1016/j.jpsychires.2024.10.021","url":null,"abstract":"<div><div>We aimed to evaluate the presence of sleep-disordered breathing (SDB) in generalized anxiety disorder (GAD) patients and its impacts after 12-week of escitalopram treatment. In this prospective observational study, GAD patients were followed up to determine whether comorbid SDB affects their treatment response. They underwent a home sleep apnea test (HSAT), and oxygen desaturation index ≥5 was considered indicative of SDB. All participants were treated with escitalopram 5 mg in the first 2 weeks and 10 mg in the remaining 10 weeks. They underwent assessments of heart rate variability and completed questionnaires for sleep, mood, attention, and daytime sleepiness on the day of enrollment, and 2 weeks, 4 weeks, and 12 weeks later. A total of 45 GAD participants (mean age, 56.2 years) were included in the study. Of these, 53.3% had comorbid SDB. Participants with GAD and SDB had higher baseline Beck Anxiety Inventory (BAI) and STOP-BANG scores. Both groups of participants with GAD showed overall improvement in anxiety, depression, and insomnia symptoms after 12 weeks of escitalopram treatment. Additionally, there were no statistically significant differences in the changes in BAI, Beck Depression Inventory, and Epworth Sleepiness Scale scores between the two groups at the Week 2, Week 4, and Week 12 assessments compared to baseline. However, the GAD group with comorbid SDB seemed to have a lower tendency for improvement in depressive symptoms than the group with non-comorbid SDB. Compared with the GAD group without comorbid SDB, the GAD group with comorbid SDB exhibited more severe anxiety symptoms at baseline and tended to show less improvement in depressive symptoms after 12 weeks of escitalopram treatment.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"180 ","pages":"Pages 274-280"},"PeriodicalIF":3.7,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142540164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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