Journal of psychiatric research最新文献

{"title":"Adults on probation and parole who receive substance use treatment: An analysis of correlates in a national sample, 2015–2021","authors":"Audrey Hang Hai ,&nbsp;Maria Morrison ,&nbsp;Anna Beadleston ,&nbsp;Christopher P. Salas-Wright ,&nbsp;Noelle Fearn ,&nbsp;Michael G. Vaughn","doi":"10.1016/j.jpsychires.2025.03.035","DOIUrl":"10.1016/j.jpsychires.2025.03.035","url":null,"abstract":"<div><h3>Background</h3><div>As states work to develop better drug policy that promotes public health and safety while reducing incarceration, there is a need for behavioral health research on community-based sanctions like probation and parole. This paper uses a national U.S. health data set to contribute to the knowledge base on substance use and criminal justice supervision.</div></div><div><h3>Methods</h3><div>Using the National Survey on Drug Use and Health (NSDUH) from 2015 to 2021, we examine sociodemographic, behavioral, and mental health correlates of alcohol and drug treatment for those on probation and parole.</div></div><div><h3>Results</h3><div>Among those on probation and parole, 15 % received past-year alcohol treatment and 16 % received drug treatment while only 8–11 % met criteria for a past-year substance use disorder. Being African American was associated with half the likelihood of receiving drug treatment compared to being White for those on probation and parole as well as for those not. Otherwise, all correlates had either weaker relationships or no relationship at all to treatment receipt for those on probation and parole.</div></div><div><h3>Conclusions</h3><div>This population tends to be male, low-income, disproportionately people of color, and have complex service needs with poor health outcomes. Further research and theory development are needed to understand the mismatch between substance use disorder and treatment receipt for this population and to address racial disparities in treatment.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"185 ","pages":"Pages 154-160"},"PeriodicalIF":3.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760008","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}

{"title":"Evaluation of the measurement properties of premonitory urge patient-reported outcome measure: A systematic literature review","authors":"Zehui Zhao,&nbsp;Qiuhan Cai ,&nbsp;Ping Liu,&nbsp;Xuan Li,&nbsp;Yi Zhang,&nbsp;Yueyue Chen,&nbsp;Siyuan Hu","doi":"10.1016/j.jpsychires.2025.03.027","DOIUrl":"10.1016/j.jpsychires.2025.03.027","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to systematically evaluate the measurement properties of premonitory urge patient-reported outcome measures (PROMs) in patients with tic disorder using Consensus-based standards for the selection of health measurement instruments (COSMIN) methodology and provide recommendations for clinical assessment.</div></div><div><h3>Method</h3><div>A systematic search was conducted in PubMed, EMBASE, Web of Science, and PsycINFO, from database inception to October 9, 2022, with an additional supplementary search conducted from October 9, 2022, to January 4, 2025. After literature screening and data extraction, two independent reviewers objectively assessed the measurement properties according to COSMIN.</div></div><div><h3>Results</h3><div>A total of 18 studies were included, involving four PROMs: Premonitory Urge for Tics Scale (PUTS), University of São Paulo's Sensory Phenomena Scale (USP-SPS), Individualized Premonitory Urge for Tics Scale (I-PUTS), and the Rumination and Awareness Scale for tic-associated sensations (RASTS). Methodological quality and criteria were conducted for content validity, internal structure (structural validity, internal consistency), and remaining measurement properties (reliability, hypothesis testing for construct validity).</div></div><div><h3>Conclusion</h3><div>PUTS is recommended for assessing premonitory urge in tic disorder, which aligns with the “European Clinical Guidelines for Tourette Syndrome and other Tic disorder—version 2.0. Part I: assessment”. To assess premonitory urge and sensory modulation disorder, the USP-SPS is deemed appropriate, while the RASTS is suitable for evaluating premonitory urge and tic-related cognitions. However, USP-SPS and RASTS need further validation due to limited evidence, and their use should be considered based on specific clinical or research objectives.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"184 ","pages":"Pages 488-499"},"PeriodicalIF":3.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Awareness and use of support services following mass violence incidents” [J. Psychiat. Res. 180 (2024) 79–85]","authors":"Caitlin Rancher ,&nbsp;Angela D. Moreland ,&nbsp;Sandro Galea ,&nbsp;Faraday Davies ,&nbsp;Jamison Bottomley ,&nbsp;Mohammed Abba-Aji ,&nbsp;Salma M. Abdalla ,&nbsp;Dean G. Kilpatrick","doi":"10.1016/j.jpsychires.2025.03.018","DOIUrl":"10.1016/j.jpsychires.2025.03.018","url":null,"abstract":"","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"184 ","pages":"Page 446"},"PeriodicalIF":3.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurobehavioral characteristics and symptomatic correlations of audiovisual multisensory integration in schizophrenia: A systematic review and meta-analysis","authors":"Enze Tang ,&nbsp;Nuo Chen ,&nbsp;Jian Li ,&nbsp;Yueyao Liu ,&nbsp;Hongwei Ding ,&nbsp;Hui Chen","doi":"10.1016/j.jpsychires.2025.03.030","DOIUrl":"10.1016/j.jpsychires.2025.03.030","url":null,"abstract":"<div><h3>Background</h3><div>Multisensory integration (MSI) avoids cognitive overload, and the traditional all-or-nothing perspective for dysfunctional MSI in schizophrenia has been increasingly challenged. This study aimed to systematically review and meta-analyze extant evidence on audiovisual MSI in schizophrenia.</div></div><div><h3>Methods</h3><div>We searched Web of Science, PubMed, PsycINFO and PsycARTICLES databases from inception until April 16th, 2024. Studies using appropriate audiovisual integration tasks to compare either behavioral or neural responses between schizophrenia individuals and healthy controls were included. Primary outcome measures included between-group differences (Hedge's <em>g</em>) and symptomatic correlations (Fisher's <em>z</em>) in three components of audiovisual integration tasks, including audiovisual processing, adaptation and integration. The multilevel random-effects models were used to address statistical dependency.</div></div><div><h3>Results</h3><div>In total, 209 between-group and 116 correlational effect sizes were synthesized from 46 studies, representing 1108 non-overlapped schizophrenia participants and 1084 healthy controls. The overall dysfunctional audiovisual MSI in schizophrenia (<em>g</em> = −0.50, [95 % CI, −0.64 to −0.37]) was primarily ascribed to the impaired audiovisual processing (<em>g</em> = −0.53, [95 % CI, −0.71 to −0.35]) and adaptation (<em>g</em> = −0.71, [95 % CI, −0.99 to −0.42]), rather than integration itself (<em>g</em> = −0.23, [95 % CI, −0.56 to 0.11]). Pooled correlational effect size was extremely small (<em>z</em> = 0.16, [95 % CI, 0.03 to 0.30]).</div></div><div><h3>Conclusions</h3><div>Individuals with schizophrenia show dysfunctional multisensory processing and adaptation, but preserve a less impaired multisensory integration ability. Our findings provide implications for clinical interventions, as the relatively preserved audiovisual integration ability may serve as a possible avenue for cognitive training programs.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"185 ","pages":"Pages 11-25"},"PeriodicalIF":3.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697736","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}

{"title":"Prediction of postoperative delirium by blood metabolome analysis","authors":"Naohiro Arai ,&nbsp;Yuki Sugiura ,&nbsp;Shinichiro Nakajima ,&nbsp;Masataka Wada ,&nbsp;Sotaro Moriyama ,&nbsp;Yu Mimura ,&nbsp;Kanta Niinomi ,&nbsp;Kousuke Takayama ,&nbsp;Rae Maeda ,&nbsp;Seri Kitada ,&nbsp;Sidonia Fagarasan ,&nbsp;Masaki Tajima ,&nbsp;Shuken Boku ,&nbsp;Minoru Takebayashi ,&nbsp;Jungo Kato ,&nbsp;Minoru Kitago ,&nbsp;Yuko Kitagawa ,&nbsp;Tatsuo Takahashi ,&nbsp;Hideyuki Shimizu ,&nbsp;Hiroyuki Uchida ,&nbsp;Yoshihiro Noda","doi":"10.1016/j.jpsychires.2025.03.028","DOIUrl":"10.1016/j.jpsychires.2025.03.028","url":null,"abstract":"<div><div>No established blood markers can preoperatively predict postoperative delirium. Blood concentrations of amino acid catabolites and dipeptides, including those secreted extracellularly during T-lymphocyte activation, were investigated as predictors of postoperative delirium using metabolomic analyses to ascertain whether preoperative blood metabolites could predict postoperative delirium. Eighteen and 24 participants were included in the delirium and non-delirium groups, respectively. Higher preoperative levels of amino acid (tryptophan) catabolites, via the indoleamine 2,3-dioxygenase pathway, were observed in the delirium group and identified as potential predictors of postoperative delirium in this study. The delirium group had preoperatively elevated levels of tryptophan catabolites and only a limited increase postoperatively, suggesting that the tryptophan catabolic pathway may be activated preoperatively in patients at high risk of delirium. Non-targeted metabolomic analysis found a set of preoperatively elevated γ-glutamyl dipeptides as potential predictors of postoperative delirium. In vitro experiments showed that T-cell-receptor stimulation increases tryptophan metabolism and specific γ-glutamyl dipeptide secretion, offering a possible explanation for the increased levels of metabolites in postoperative delirium. This study showed that levels of amino acid metabolites associated with blood immune activity may have the potential to predict postoperative delirium.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"184 ","pages":"Pages 500-514"},"PeriodicalIF":3.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706098","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}

{"title":"Abnormal brain activation in autism spectrum disorder during negative emotion processing: A meta-analysis of functional neuroimaging studies","authors":"Long Wei ,&nbsp;Meihao Zhou ,&nbsp;Pinyuan Hu ,&nbsp;Shouqiang Jia ,&nbsp;Suyu Zhong","doi":"10.1016/j.jpsychires.2025.03.032","DOIUrl":"10.1016/j.jpsychires.2025.03.032","url":null,"abstract":"<div><div>Autism Spectrum Disorder (ASD) has deficits in emotional processing, which is one of the most common abnormalities in ASD social skills. Studies have shown that negative emotions seem to stimulate brain activity more effectively. Therefore, it is necessary to explore the neural mechanisms underlying the abnormal performance of ASD in processing negative emotions. Considering the various results on negative emotions due to factors such as experimental paradigms and sample sizes, meta-analysis can consolidate multiple studies to obtain more reliable conclusions and explore potential factors. Therefore, this study conducted meta-analysis on negative emotions to explore the abnormal brain activation patterns of negative emotion processing in ASD. Our results revealed abnormal brain activation patterns in ASD at the systemic level when processing negative emotions, such as –abnormal hypoactivation in the bilateral inferior frontal gyrus, right cerebellum, left fusiform gyrus, and left amygdala, and abnormally complementary hyperactivation in the bilateral temporal gyrus. The negative emotion processing deficits in ASD seem to stem from the aforementioned comprehensive damage to brain regions from the mirror neuron system and the limbic system. Further, there were differences in abnormal brain activation patterns in explicit and implicit processing of negative emotions. These abnormal activation regions were significantly positively correlated with the severity of communication and social deficits in ASD, indicating impaired social skills in negative emotion processing. These findings contribute to further understanding of the pathophysiology of ASD and provide new perspectives for the treatment, rehabilitation, and diagnosis of ASD related impairments.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"185 ","pages":"Pages 1-10"},"PeriodicalIF":3.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697571","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}

{"title":"Multiple emergency department visits and suicidal behavior in children and adolescents","authors":"Jimena María Merayo-Cano ,&nbsp;Alejandro Porras-Segovia ,&nbsp;Maria Taracena-Cuerda ,&nbsp;Sofía Mesa García ,&nbsp;Ines Marti-Estevez ,&nbsp;Lidia Carrillo-Notario ,&nbsp;Nuria Martinez-Martín ,&nbsp;Raquel Álvarez-García ,&nbsp;Enrique Baca-García ,&nbsp;Inmaculada Peñuelas-Calvo","doi":"10.1016/j.jpsychires.2025.03.029","DOIUrl":"10.1016/j.jpsychires.2025.03.029","url":null,"abstract":"<div><h3>Background</h3><div>Suicidal behaviour is a growing problem in child and adolescents, and the Emergency Department (ED) is often where the first contact with Mental Health occurs. Here we factors associated with suicidal behaviour in this children and adolescents attended at the ED.</div></div><div><h3>Methods</h3><div>Our sample consisted of children and adolescents who attended the ED of Hospital 12 de Octubre for psychiatric reasons between January 1st and December 31st, 2022. Inclusion criteria were age under 18 years. No restrictions by diagnosis, ethnicity, nationality, gender or any other variables. We conducted an initial interview with patients in the ED and reviewed patients' digital patient records for the six months following their first visit during 2022.</div></div><div><h3>Results</h3><div>We found that the variables that were independently associated with a repeated visits for suicidal behaviour were eating problems, transgender identity, emotional dysregulation and previous mental health follow-up.</div></div><div><h3>Conclusion</h3><div>In our study, we found that ED revisits were concentrated in the first month after the first visit. Just as associated factors and approaches have historically been studied in the adult population, the child and adolescent population needs an even more in-depth study of this alarming situation.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"185 ","pages":"Pages 84-92"},"PeriodicalIF":3.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143740120","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}

{"title":"Blast injury and chronic psychiatric disability in military personnel: Exploring the association beyond posttraumatic stress disorder","authors":"Elad Epshtein ,&nbsp;Shay Shraga ,&nbsp;Irina Radomislensky ,&nbsp;Sarah L. Martindale ,&nbsp;Shir Bushinsky ,&nbsp;Avi Benov ,&nbsp;Ofer Almog ,&nbsp;Avishai M. Tsur ,&nbsp;Tomer Talmy","doi":"10.1016/j.jpsychires.2025.03.026","DOIUrl":"10.1016/j.jpsychires.2025.03.026","url":null,"abstract":"<div><h3>Introduction</h3><div>Blast injuries are common among military personnel, yet their long-term psychiatric consequences, beyond posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI), remain underexplored. This study investigates the association between blast injuries and non-PTSD psychiatric conditions, including psychotic, neurocognitive, mood, anxiety, adjustment and personality disorders resulting in functional impairment.</div></div><div><h3>Methods</h3><div>Data were collected from three cross-referenced registries that span the continuum of trauma care from 2006 to 2021. Demographics, injury mechanisms, and injury settings were sourced from the Israel Defense Forces Trauma Registry; hospitalization data from the Israeli National Trauma Registry and psychiatric-related disability was assessed utilizing long-term disability claims documented by the Israel Ministry of Health Rehabilitation Department. Logistic regression was employed to evaluate the association between blast injuries and psychiatric morbidity, with results presented as adjusted odds ratios (OR) and 95 % confidence intervals (CI).</div></div><div><h3>Results</h3><div>Among 7646 military personnel (91.3 % male, median age: 20 years), 1503 (19.7 %) sustained blast injuries. Overall, 44 (0.6 %) were diagnosed with non-PTSD psychiatric-related disability. Prevalence was higher among those with blast injuries (1.0 % vs. 0.5 %; p = 0.016). Blast injuries were associated with a more than two-fold increase in odds for psychiatric morbidity (Adjusted OR 2.44, 95 % CI: 1.07–5.59) after adjusting for blast injury severity and presence of head injury.</div></div><div><h3>Conclusions</h3><div>Blast injury was significantly associated with long-term psychiatric morbidity, independent of head injury and additional confounders. These findings suggest that proactive mental health screening and interventions should be considered for individuals experiencing blast injuries. Future research should explore the mechanisms underlying this association.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"184 ","pages":"Pages 515-521"},"PeriodicalIF":3.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between psychedelic-related and meditation-related variables: A longitudinal study","authors":"Otto Simonsson ,&nbsp;Sankalp Chaturvedi ,&nbsp;Peter S. Hendricks ,&nbsp;Cecilia U.D. Stenfors ,&nbsp;Walter Osika ,&nbsp;Jayanth Narayanan ,&nbsp;Roman Palitsky ,&nbsp;Simon B. Goldberg","doi":"10.1016/j.jpsychires.2025.03.025","DOIUrl":"10.1016/j.jpsychires.2025.03.025","url":null,"abstract":"<div><div>Previous research has investigated associations between psychedelic experiences and meditation practice, but knowledge gaps remain. Using a longitudinal research design with a sample of US residents between 18 and 50 years old (N = 13,012), we investigated associations between psychedelic-related and meditation-related variables. The follow-up survey was completed by 7484 respondents, of whom 336 reported psychedelic use during the two-month study. In covariate-adjusted regression models, psychedelic use was associated with greater increases in the number of days of mindfulness and loving-kindness or compassion meditation practice in the past week, especially among those with no prior experience of psychedelics or meditation. Among those who reported psychedelic use, trait mindfulness and trait self-compassion at baseline were associated with less severe challenging psychedelic experiences, as well as lower odds of psychedelic-occasioned thoughts or attempts of self- or other-harm. However, among those who practiced meditation at baseline, psychedelic use was associated with greater increases in past-week frequency of loving-kindness or compassion meditation-related difficulties and impairments. Future research is warranted.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"184 ","pages":"Pages 457-463"},"PeriodicalIF":3.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of autistic traits on non-suicidal self-injury behavior among vocational high school students: A moderated mediation model","authors":"Peng Gao ,&nbsp;Jingwei Wu ,&nbsp;Liang Chang ,&nbsp;Zhiqing Jiang ,&nbsp;Yang Cui ,&nbsp;Anqi Fan ,&nbsp;Shaoguang Ren ,&nbsp;Weiwen Fu ,&nbsp;Siqin Xia ,&nbsp;Sitong Wei ,&nbsp;Dongqing Ye ,&nbsp;Xinyu Fang","doi":"10.1016/j.jpsychires.2025.03.017","DOIUrl":"10.1016/j.jpsychires.2025.03.017","url":null,"abstract":"<div><h3>Background</h3><div>Non-suicidal self-injury (NSSI) is a growing public health concern, yet its prevalence among vocational high school students is underexplored. The relationships between autistic traits, sleep patterns, and life satisfaction in relation to NSSI remain poorly understood.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted on 10,252 vocational high school students with an average age of 20.1 from June 2022 to June 2023. Utilizing the PROCESS 3.4.1 macro in SPSS, analyses were performed to investigate the potential mediation of sleep disturbances in the relationship between autistic traits and non-suicidal self-injury behavior. Furthermore, we investigated the moderating effect of life satisfaction on this relationship.</div></div><div><h3>Results</h3><div>8.2 % of vocational high school students in this study showed signs of NSSI issues. We found that sleep problems partially mediated the relationship between autistic traits and NSSI, accounting for 36.37 % of the mediation effect. Lastly, life satisfaction played a regulatory role in both direct and indirect paths of the aforementioned mediating model, with the mediation model remaining valid.</div></div><div><h3>Conclusion</h3><div>Among vocational high school students, the prevalence of NSSI is notable, with high autistic traits influencing the development of NSSI by impacting sleep. Furthermore, life satisfaction plays a modifying role in this pathway.</div></div>","PeriodicalId":16868,"journal":{"name":"Journal of psychiatric research","volume":"184 ","pages":"Pages 447-456"},"PeriodicalIF":3.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684284","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}