Nordic Journal of Psychiatry最新文献

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Effects of peritraumatic reactions on post-traumatic stress among Kahramanmaras earthquake survivors 创伤周边反应对 Kahramanmaras 地震幸存者创伤后应激反应的影响
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-02 DOI: 10.1080/08039488.2023.2291548
Emre H. Alpay, Arzu Aydın
{"title":"Effects of peritraumatic reactions on post-traumatic stress among Kahramanmaras earthquake survivors","authors":"Emre H. Alpay, Arzu Aydın","doi":"10.1080/08039488.2023.2291548","DOIUrl":"https://doi.org/10.1080/08039488.2023.2291548","url":null,"abstract":"Peritraumatic reactions play a crucial role in the development of mental health problems, including depression and post-traumatic stress disorder. Therefore, this study sought to examine the influe...","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"171 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139078860","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}
引用次数: 0
Health-related quality of life in patients discharged from hospital after suicide attempt with violent methods compared to self-poisonings. 与自毒相比,暴力自杀未遂出院患者的健康相关生活质量。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2023-09-15 DOI: 10.1080/08039488.2023.2257686
Per Sverre Persett, Mari Asphjell Bjornaas, Dag Jacobsen, Øivind Ekeberg, Hilde Myhren
{"title":"Health-related quality of life in patients discharged from hospital after suicide attempt with violent methods compared to self-poisonings.","authors":"Per Sverre Persett, Mari Asphjell Bjornaas, Dag Jacobsen, Øivind Ekeberg, Hilde Myhren","doi":"10.1080/08039488.2023.2257686","DOIUrl":"10.1080/08039488.2023.2257686","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide attempts by violent methods (VM) can leave the patient with physical and mental trauma affecting health-related quality of life (HRQOL). There is limited knowledge about the impact and HRQOL after a suicide attempt by VM.</p><p><strong>Aims: </strong>To compare HRQOL in patients after a suicide attempt by VM, both to self-poisonings (SP) and the general population, and the association of hospital anxiety and depression to the HRQOL in the two groups.</p><p><strong>Methods: </strong>Patients admitted to hospital after a suicide attempt were included in this prospective cohort-study from 2010 to 2015. For HRQOL, Short Form Health Survey (SF-36), and Hospital anxiety and depression scale scores (HADS-A and HADS-D) were assessed during study follow-up.</p><p><strong>Results: </strong>The VM-group scored lower HRQOL for the physical dimensions at 3 months (<i>p</i><.05), compared to the SP group, and only role limitation physical at 12 months (<i>p</i><.05). Both groups scored lower HRQOL than the general population (<i>p</i> < .05).At baseline, the VM group scored lower for HADS-A than the SP group (<i>p</i> < .05). Both groups had lower HADS scores one year after (<i>p</i> < .05). In multiple regression analyses, the HADS scores were associated with HRQOL in the VM-group (<i>p</i> < .05). SP group HADS scores were negatively associated with general health, vitality, social functioning, and mental health (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Both groups scored lower for HRQOL than the general population, and the VM group had worse score than the SP group in physical dimensions. Both groups had less symptoms of anxiety and depression over time, but it`s association to HRQOL was strong.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"37-45"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235411","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}
引用次数: 0
Temperament, but not childhood trauma, distinguishes borderline personality disorder from bipolar disorder and ADHD. 气质,但不是童年创伤,将边缘型人格障碍与双相情感障碍和多动症区分开来。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/08039488.2023.2267041
Ioannis Kouros, Håkan Holmberg, Lisa Ekselius, Mia Ramklint
{"title":"Temperament, but not childhood trauma, distinguishes borderline personality disorder from bipolar disorder and ADHD.","authors":"Ioannis Kouros, Håkan Holmberg, Lisa Ekselius, Mia Ramklint","doi":"10.1080/08039488.2023.2267041","DOIUrl":"10.1080/08039488.2023.2267041","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate if temperament and experience of childhood trauma differed between young psychiatric patients with borderline personality disorder (BPD), bipolar disorder (BD) and attention-deficit/hyperactivity disorder (ADHD).</p><p><strong>Methods: </strong>Diagnoses were based on the Structured Clinical Interview for DSM Axis I and Axis II. Temperament was assessed by the Temperament and Character Inventory (TCI) and childhood trauma by the Early Trauma Inventory-Self Report-Short Form (ETI-SR-SF). Temperament and childhood trauma were compared between the BPD group (<i>n</i> = 19) and the non-BPD group (BD/ADHD) (<i>n</i> = 95). Interactions between trauma and temperament were evaluated using a logistic regression model with a BPD diagnosis as outcome variable.</p><p><strong>Results: </strong>Participants in the BPD group showed higher novelty seeking (NS) and harm avoidance (HA). Traumatic experiences in childhood were common but the BPD group differed very little from the others in this regard. The interaction between temperament and trauma had low explanatory power for a BPD diagnosis in this sample.</p><p><strong>Conclusion: </strong>Temperament might be useful to distinguish BPD when symptoms of impulsivity and affective instability are evaluated in psychiatric patients. The results from the interaction analysis support the multifactorial background to BPD.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"79-86"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49691667","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}
引用次数: 0
Exploring expectations of neurofeedback treatment among trauma-affected refugees. 探讨受创伤难民对神经反馈治疗的期望。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/08039488.2023.2261905
Sigrid Zeuthen Hannemose, Henriette Laugesen Attardo, Erik Vindbjerg, Jessica Carlsson
{"title":"Exploring expectations of neurofeedback treatment among trauma-affected refugees.","authors":"Sigrid Zeuthen Hannemose, Henriette Laugesen Attardo, Erik Vindbjerg, Jessica Carlsson","doi":"10.1080/08039488.2023.2261905","DOIUrl":"10.1080/08039488.2023.2261905","url":null,"abstract":"<p><strong>Background: </strong>The use of Neurofeedback (NF) to assist individuals in learning to regulate their brain wave activity has shown promising results in reducing symptoms of posttraumatic stress disorder (PSTD). However, few studies have focused on the patients' understandings of NF and even fewer explore the perspective of refugees.</p><p><strong>Purpose: </strong>To evaluate NF treatment for trauma-affected refugees by focusing on their expectations and understanding of NF.</p><p><strong>Methods: </strong>This qualitative study was a part of a mixed method study carried out at an outpatient mental health centre in Denmark, offering 34 trauma-affected refugees 12 sessions of NF. In this qualitative study, a subsample of seven participants was interviewed. Using in-depth semi-structured interviews, the participants' thoughts and expectations prior to participating in NF treatment were examined. The analysis was carried out in four steps, using a hermeneutic and phenomenological approach.</p><p><strong>Results: </strong>The analysis resulted in two themes: (1) Rationale and working mechanisms of NF and (2) Motivators for participating in the study.</p><p><strong>Conclusion: </strong>The findings show that NF treatment for trauma affected refugees was challenged by difficulties in communicating the message about the NF equipment capabilities as well as the expected treatment outcome. These challenges included e.g. health professionals' ability to explain and the participants' cultural frame of reference. This is consistent with previous research, showing that compared to the native population, the dissemination of health information to refugees is more difficult and comprehensive. Further studies on how to ensure mutual understanding of the content of NF and expected treatment outcome are needed.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov ID: NCT05055037. Retrospectively registered on the 06/07-2021.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"46-53"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147686","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}
引用次数: 0
Dimensional profiling of psychopathology in children and adolescents based on the K-SADS-PL and an analysis of the construct validity of two ADHD symptom dimensions. 基于K-SADS-PL的儿童和青少年精神病理学维度分析以及两个ADHD症状维度的结构有效性分析。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/08039488.2023.2262997
Julie Hagstrøm, Tine Nielsen, Mikkel E Sørensen, Kristina Aagaard, Morten Arendt Rasmussen, Julie B Rosenberg, Parisa Mohammadzadeh, Astrid Sevelsted, María Hernández-Lorca, Birgitte Fagerlund, Jacob Rydkjær, Anne Katrine Pagsberg, Joan Kaufman, Bjørn H Ebdrup, Niels Bilenberg, Jens Richardt Møllegaard Jepsen
{"title":"Dimensional profiling of psychopathology in children and adolescents based on the K-SADS-PL and an analysis of the construct validity of two ADHD symptom dimensions.","authors":"Julie Hagstrøm, Tine Nielsen, Mikkel E Sørensen, Kristina Aagaard, Morten Arendt Rasmussen, Julie B Rosenberg, Parisa Mohammadzadeh, Astrid Sevelsted, María Hernández-Lorca, Birgitte Fagerlund, Jacob Rydkjær, Anne Katrine Pagsberg, Joan Kaufman, Bjørn H Ebdrup, Niels Bilenberg, Jens Richardt Møllegaard Jepsen","doi":"10.1080/08039488.2023.2262997","DOIUrl":"10.1080/08039488.2023.2262997","url":null,"abstract":"<p><strong>Objectives: </strong>The traditional view on psychiatric disorders as categorical and distinct is being challenged by perspectives emphasizing the relevance of dimensional and transdiagnostic assessment. However, most diagnostic instruments are based on a categorical view with a threshold-approach to disease classification.</p><p><strong>Methods: </strong>We here describe algorithms for dimensionalizing the psychopathological ratings of the widely used diagnostic interview for children and adolescents, the Kiddie-Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL). We further evaluate the criterion-related construct validity of the dimensionalized attention-deficit/hyperactivity disorder (ADHD) scales using Rasch models in a sample of 590 children (mean age 10.29 (.36), 49% girls).</p><p><strong>Results: </strong>The algorithms generate scores of current symptom load, i.e., the sum of clinician-rated symptoms within each disorder assessed with the interview. We found support for counting symptoms of inattention and hyperactivity/impulsivity, respectively, but not for a single combined ADHD scale.</p><p><strong>Conclusions: </strong>The algorithms constitute an initial step in creating a framework for clinician-rated dimensional analyses of symptoms derived from the K-SADS-PL, but future studies are needed to further evaluate the construct validity of the remaining scales and the reliability and clinical utility of the method. We believe that our proposed algorithms offer a novel method of dimensional psychopathological assessment, which can be applied in multiple branches of child and adolescent psychiatry.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"71-78"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142848","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}
引用次数: 0
Parents' experience and views on the assessment and treatment of children with OCD within the public mental health system in Iceland: a qualitative study. 冰岛公共精神卫生系统中家长对强迫症儿童的评估和治疗的经验和看法:一项定性研究。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2023-09-11 DOI: 10.1080/08039488.2023.2254758
Gudmundur Skarphedinsson, Sylvía Ósk Speight Kristínardóttir, Sævar Már Gústavsson, Jón Friðrik Sigurðsson
{"title":"Parents' experience and views on the assessment and treatment of children with OCD within the public mental health system in Iceland: a qualitative study.","authors":"Gudmundur Skarphedinsson, Sylvía Ósk Speight Kristínardóttir, Sævar Már Gústavsson, Jón Friðrik Sigurðsson","doi":"10.1080/08039488.2023.2254758","DOIUrl":"10.1080/08039488.2023.2254758","url":null,"abstract":"<p><strong>Purpose: </strong>Obsessive-compulsive disorder (OCD) in children can lead to long-lasting symptoms and access to evidence-based evaluation and treatment is crucial for its prevention. In Iceland, the law guarantees public access to the highest quality healthcare services. To date, no study has evaluated the services available for children with OCD within the national healthcare system (NMHS). This qualitative study explored the experiences of parents navigating the Icelandic NMHS for their children with OCD.</p><p><strong>Method and materials: </strong>Seven parents who had sought services within the NMHS for their children diagnosed with OCD at private clinics were interviewed using a semi-structured interview. The responses were analyzed using thematic framework analysis.</p><p><strong>Results: </strong>Nineteen themes were identified, including three overarching themes and eight overarching sub-themes, and eight sub-themes within them. A prevalent theme was the <i>giving up on the national mental healthcare system</i> due to parents' experiences of accessing mental healthcare for their children being challenging. Other issues faced by parents included a lack of knowledge on where to seek help, inadequate evaluation of the issue, and the lack of access to psychotherapy for their children. The healthcare workers' responses and recommendations also resulted in parents seeking treatment at private clinics.</p><p><strong>Conclusions: </strong>These findings underscore the need for clearer pathways for seeking help, improved access to trained healthcare workers, and a more centralized evaluation process. These insights can potentially guide future research and policy decisions to better support families dealing with childhood OCD in Iceland.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"22-29"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10200780","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}
引用次数: 0
Association of temperament and character traits with ADHD and its comorbidities. 气质和性格特征与多动症及其合并症的关系。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/08039488.2023.2262994
Jandeh Jallow, Anu-Helmi Halt, Martta Kerkelä, Tuula Hurtig, Jouko Miettunen
{"title":"Association of temperament and character traits with ADHD and its comorbidities.","authors":"Jandeh Jallow, Anu-Helmi Halt, Martta Kerkelä, Tuula Hurtig, Jouko Miettunen","doi":"10.1080/08039488.2023.2262994","DOIUrl":"10.1080/08039488.2023.2262994","url":null,"abstract":"<p><strong>Background: </strong>Increasing evidence suggests that personality traits may be associated with ADHD and comorbid concerns. We investigated temperament and character traits associated with internalizing and externalizing comorbidities in adolescents with or without ADHD.</p><p><strong>Methods: </strong>The population consisted of a subsample (<i>n</i> = 457) of the Northern Finland Birth Cohort 1986 (NFBC1986) that comprised 16-year-old adolescents with and without symptoms of ADHD. ADHD and psychiatric comorbidities were assessed using the Kiddie-SADS-PL and temperament and character profiles were determined with TCI-125. Outcomes were examined using Pearson's chi-square test, Analyses of Covariance and Cohen's d.</p><p><strong>Results: </strong>The adolescents with ADHD endorsed more novelty seeking and less persistence, self-directedness, and cooperativeness than those without. Comparison of the personality traits and psychiatric comorbidities with the ADHD cases showed that comorbidities did not particularly affect the temperament and character profiles, but rather ADHD accounted for the differences between the personality traits. However, the temperament and character traits predicted externalizing and internalizing psychiatric disorders in the control group.</p><p><strong>Conclusions: </strong>Our findings reveal unique comorbidity-related temperament factors, which may have implications for adaptive and personalizing intervention efforts.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"64-70"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160536","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}
引用次数: 0
Cognitive training for children with ADHD: composite cognitive score outcome in a randomized controlled trial. ADHD儿童的认知训练:一项随机对照试验的复合认知评分结果。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/08039488.2023.2270954
Aida Bikic, Søren Dalsgaard, Brian Pittman, James Frederick Leckman, Bruce Wexler
{"title":"Cognitive training for children with ADHD: composite cognitive score outcome in a randomized controlled trial.","authors":"Aida Bikic, Søren Dalsgaard, Brian Pittman, James Frederick Leckman, Bruce Wexler","doi":"10.1080/08039488.2023.2270954","DOIUrl":"10.1080/08039488.2023.2270954","url":null,"abstract":"<p><strong>Purpose of the article: </strong>Cognitive training for Attention Deficit/Hyperactivity Disorder (ADHD) has shown promising, although mixed results. In post-hoc analyses, we evaluate effects of cognitive training using a novel composite cognition score as the outcome for children attending at least 16 sessions of training, dose-response of training and associations between symptoms and cognitive functioning.</p><p><strong>Materials and methods: </strong>Children (age 6-13) with ADHD were randomized to intervention (<i>n</i> = 26) or control (<i>n</i> = 34). For the current analysis, we restricted the intervention group to children, who completed at least 16 sessions of cognitive training (<i>n</i> = 26) and examined a dose response within that group.</p><p><strong>Results: </strong>Cognition improved significantly in the intervention, but not control group. Amount of the completed training sessions correlated significantly with the amount of cognitive improvement.</p><p><strong>Conclusion: </strong>Variations in dose and frequency of training may be an important source of the variance in previous studies.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"87-91"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71413305","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}
引用次数: 0
Utility of the Work and Social Adjustment Scale (WSAS) in predicting long-term sick-leave in Danish patients with emotional disorders. 工作与社会适应量表(WSAS)在预测丹麦情绪障碍患者长期病假中的效用。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/08039488.2023.2226123
Oliver Rumle Hovmand, Nina Reinholt, Anne Bryde Christensen, Bo Bach, Anita Eskildsen, Mikkel Arendt, Morten Hvenegaard, Stig Poulsen, Sidse M Arnfred
{"title":"Utility of the Work and Social Adjustment Scale (WSAS) in predicting long-term sick-leave in Danish patients with emotional disorders.","authors":"Oliver Rumle Hovmand, Nina Reinholt, Anne Bryde Christensen, Bo Bach, Anita Eskildsen, Mikkel Arendt, Morten Hvenegaard, Stig Poulsen, Sidse M Arnfred","doi":"10.1080/08039488.2023.2226123","DOIUrl":"10.1080/08039488.2023.2226123","url":null,"abstract":"<p><strong>Background: </strong>The Work and Social Adjustment Scale (WSAS) is a self-administered measure designed to assess the level of inability to function socially as a consequence of a defined problem or disorder.</p><p><strong>Methods: </strong>A total of 230 patients with emotional disorders completed the Danish translation of the WSAS, measures of anxiety and depression, the Level of Personality Functioning Brief Form, the Personality Inventory for DSM-5 Short Form, and the World Health Organization Five-Item Well-Being Index (WHO-5). We conducted a confirmatory factor analysis of the previously suggested factor structure of the instrument. We furthermore evaluated the construct validity of the WSAS by means of its relationship with depression, anxiety, personality functioning, and overall well-being. Finally, we evaluated the utility of the WSAS to identify those on long-term sick-leave by conducting receiver operating characteristic (ROC) curves.</p><p><strong>Results: </strong>The instrument had a poor to average fit with the previously reported single-factor structure, but a better fit to a modified single-factor structure. Cronbach's alpha and McDonald's omega showed good internal scale reliability (α = .79, ωtotal = .85). WSAS was positively correlated with measures of anxiety (<i>r =</i> .33), depression (<i>r =</i> .44), and personality functioning (<i>r =</i> .23 and <i>r =</i> .20), and negatively correlated with WHO-5 wellbeing (<i>r =</i> -.57). The optimal cut-off point in the ROC-analyses was 23, which yielded a sensitivity of 74% and a specificity of 55% in the prediction of sick-leave status.</p><p><strong>Discussion: </strong>The Danish WSAS shows promising psychometric properties, but has limited external validity insofar as predicting long-term sick leave in psychiatric patients with emotional disorders.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"14-21"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138176907","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}
引用次数: 0
Co-occurrence of borderline and schizotypal personality disorders: a scoping review. 边缘型人格障碍和分裂型人格障碍的共存:范围界定综述。
IF 1.8 4区 医学
Nordic Journal of Psychiatry Pub Date : 2024-01-01 Epub Date: 2023-09-08 DOI: 10.1080/08039488.2023.2254299
Maria W Meisner, Mark F Lenzenweger, Ole J Storebø, Lea S Petersen, Bo Bach, Erik Simonsen
{"title":"Co-occurrence of borderline and schizotypal personality disorders: a scoping review.","authors":"Maria W Meisner, Mark F Lenzenweger, Ole J Storebø, Lea S Petersen, Bo Bach, Erik Simonsen","doi":"10.1080/08039488.2023.2254299","DOIUrl":"10.1080/08039488.2023.2254299","url":null,"abstract":"<p><strong>Background: </strong>The historical concept of borderline conditions refers to the pathology on the border between neurosis and psychosis. In <i>DSM-III</i> the conditions were divided into specific but also somewhat overlapping diagnostic criteria for Borderline Personality Disorder (BPD) and Schizotypal Personality Disorder (SPD). This phenomenological overlap, which results in co-occurrence of the two diagnoses, remains a clinical challenge to this day.</p><p><strong>Methods: </strong>To address this issue we examined the co-occurrence of SPD and BPD according to the established <i>DSM-IV/-5</i> diagnostic criteria. A literature search was conducted including studies that employed a structured interview with defined BPD and SPD criteria.</p><p><strong>Results: </strong>Studies from 20 samples were included (i.e. 15 patients, 3 community and 2 forensic samples). For patients diagnosed primarily with BPD, 1-27% also met the criteria for SPD and for patients diagnosed primarily with SPD, 5 - 33% showed co-occurrence with BPD. In the forensic samples, co-occurrence for primary BPD was 10% and 67 - 82% for primary SPD. In the community samples, co-occurrence for primary BPD was 29% and 50% for primary SPD. The pattern of co-occurrence across community samples was particularly heterogeneous.</p><p><strong>Conclusion: </strong>The identified co-occurrences for BPD and SPD were considerably sample-dependent, and samples and measurements were generally too heterogeneous for a precise meta-analysis. Forensic and community samples generally showed higher co-occurrences, but these findings were characterized by potential methodological limitations.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177733","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}
引用次数: 0
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