Nordic Journal of Psychiatry最新文献

{"title":"Correction.","authors":"","doi":"10.1080/08039488.2026.2642454","DOIUrl":"10.1080/08039488.2026.2642454","url":null,"abstract":"","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"352"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147390657","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":"Comorbid mental disorders in extensively hospitalized patients due to severe self-harm: the association with intellectual developmental disorders.","authors":"Oddbjørn Hove, Tuva Langjord, Geir Pedersen, Arvid Nikolai Kildahl, Terje Torgersen, Øyvind Urnes, Elfrida Hartveit Kvarstein","doi":"10.1080/08039488.2026.2683511","DOIUrl":"10.1080/08039488.2026.2683511","url":null,"abstract":"<p><strong>Purpose: </strong>Self-harm is a frequent feature of borderline personality disorder. In severe conditions comorbidity across mental disorders is common. Intellectual developmental disorder (IDD) may be an underlying condition with high frequent self-harming behavior. Based on extensively hospitalized severe self-harm patients, we aimed to 1) explore associations between possible IDD (identified by Hayes Ability Screening Index, HASI), and mental health disorders, and 2) investigate the ability to identify possible IDD with a low-effort HASI subscale. We hypothesized that possible IDD was significantly associated with greater mental health comorbidity.</p><p><strong>Method: </strong>The study included 42 adults admitted to psychiatric hospitals for severe self-harm. Assessments included diagnostic interviews and IDD screening (HASI) by clinicians, and childhood trauma (patient self-report). Data were analyzed using Poisson regression. Validation of the HASI subscale background information was conducted using ROC analysis and exploratory data analysis.</p><p><strong>Results: </strong>Possible IDD was significantly associated with higher incidence of mental disorders, even after adjusting for BPD, SUD, autism, and childhood trauma. Possible IDD and childhood trauma were independently associated with the number of mental disorders. The HASI background subscale demonstrated good predictive properties for identifying possible IDD.</p><p><strong>Conclusions: </strong>Results highlight the importance of assessing IDD among severe self-harm inpatients. A diagnosis of IDD may open the door to a broader range of treatment adaptations specifically addressing the needs of individuals with complex developmental and psychological challenges. Given the small sample size, these findings should be viewed as preliminary and hypothesis-generating. Replication in larger samples is required for further confirmation.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"308-317"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148194901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The need for support among mothers with suicidal children-a qualitative interview study.","authors":"Anna Kristensson Ekwall, Anna Fredholm Nylander","doi":"10.1080/08039488.2026.2686826","DOIUrl":"10.1080/08039488.2026.2686826","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health problems and suicidal ideation in children and adolescents are increasing and with this comes an increase in the suffering of families and parents, as well. Having a supportive family and being able to speak openly about dark thoughts is preventive, but this requires parents who are both supported and psychologically well themselves throughout the child's suicidal period.</p><p><strong>The purpose of the article: </strong>To explore the need for support among parents of suicidal children.</p><p><strong>Materials and methods: </strong>A qualitative interview study guided by inductive content analysis to capture both descriptive and interpretative aspects of mothers' experiences was conducted.Seven mothers were recruited through social media. Semi-structured interviews with open questions were used. Data collection continued until no new categories or relevant information emerged, indicating data saturation.</p><p><strong>Results: </strong>One overarching theme was identified; <i>Support to be able to continue being a confident parent</i>. This theme was underpinned by two interrelated subthemes: <i>Relational isolation</i>, describing feelings of loneliness, stigma, and lack of understanding from others; and <i>Unsafe to step away</i>, reflecting constant vigilance and fear of leaving the child unattended. Together, these experiences contributed to persistent guilt, sorrow, and emotional strain that affected the mothers' everyday lives.</p><p><strong>Conclusions: </strong>Mothers of suicidal children need help overcoming feelings of guilt and stigma. These mothers may require early, accessible, and validating support to sustain their parental role, particularly in connection with initial healthcare contact.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"340-346"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148218646","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":"Correction.","authors":"","doi":"10.1080/08039488.2026.2642455","DOIUrl":"10.1080/08039488.2026.2642455","url":null,"abstract":"","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"350-351"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147458867","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":"Patient perspectives on general practitioners in forensic psychiatric wards.","authors":"Morten Deleuran Terkildsen, Christian Jentz, Harry Kennedy, Annelli Sandbæk, Anette Andersen, Lisbeth Uhrskov Sørensen","doi":"10.1080/08039488.2026.2686195","DOIUrl":"10.1080/08039488.2026.2686195","url":null,"abstract":"<p><strong>Background: </strong>Forensic psychiatric patients experience high rates of preventable physical illness. Integrating primary care within forensic settings may help address this gap, yet little is known about how patients experience such services.</p><p><strong>Aim: </strong>To explore how forensic psychiatric patients experienced an on-ward general practitioner (GP) service and how these experiences shaped engagement with integrated care.</p><p><strong>Methods: </strong>We conducted a qualitative interview study with 14 patients from two Danish medium-secure forensic psychiatric wards. Semi-structured interviews were analyzed using reflexive thematic analysis to identify key patterns of meaning.</p><p><strong>Results: </strong>Patients generally perceived the GP service as relevant and valued its distinct somatic focus, which countered perceptions that physical symptoms were overlooked by psychiatric staff. The GP's proximity and accessibility encouraged consultations, and the outsider role provided a less custodial relationship. However, engagement was conditional and barriers were experienced, such as limited continuity, perceptions of redundancy due to existing services, and discomfort during intimate examinations, especially when staff were present or of the opposite sex.</p><p><strong>Conclusions: </strong>While broadly welcomed, GP engagement remained reactive and dependent on trust and privacy. These findings suggest that future integrated care models may benefit from considering relational continuity, sensitive examination practices, and structures supporting preventive somatic care.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"318-326"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239862","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":"Perceived intrusiveness of coercive measures: a Danish survey of mental health service users.","authors":"Camilla Lindekilde, Lonny Stokholm, Jacob Hvidhjelm, John Baker, Frederik Gildberg, Søren Birkeland","doi":"10.1080/08039488.2026.2670367","DOIUrl":"10.1080/08039488.2026.2670367","url":null,"abstract":"<p><strong>Introduction: </strong>Coercive measures (CM) are commonly used in mental health care. From a mental health service user perspective, CM are often associated with physical and psychological harm and a serious infringement on personal autonomy. Danish health legislation, therefore, adheres to principles requiring the use of the least intrusive CM. However, limited knowledge exists about service users' perceptions of what constitutes the least intrusive CM.</p><p><strong>Purpose: </strong>To survey mental health service users' perceptions of intrusiveness related to various CM and to identify which interventions they consider the least intrusive.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted, which was developed in consultation with mental health service users, inspired by previous international research. Perceived intrusiveness was rated on a 0-10 visual analogue scale (VAS). Data were analysed descriptively and statistically using non-parametric tests.</p><p><strong>Results: </strong>Of 8,250 eligible participants, 1,367 (16.6%) completed the survey. Ratings revealed two clusters: constant observation, time-out, and chemical restraint were perceived as less intrusive, while seclusion and mechanical restraint (belt alone or with straps) were rated as more intrusive. Female participants, younger participants, and those who have prior CM experience consistently rated all interventions as more intrusive.</p><p><strong>Conclusion: </strong>Rather than identifying a single most or least intrusive measure, the findings suggest a broader distinction between types of CM. Two clusters emerged-those generally perceived as more intrusive and those perceived as less so. This pattern may inform future clinical decision-making and policy development, highlighting the need for further research into subjective, modifiable factors that shape service users lived experiences.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"289-298"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148033436","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":"Caregiver burden among relatives of individuals with severe mental illness: a qualitative systematic review.","authors":"Nanna Bøgh Jacobsen, Birgitte Nørgaard, Michael Marcussen","doi":"10.1080/08039488.2026.2687768","DOIUrl":"10.1080/08039488.2026.2687768","url":null,"abstract":"<p><strong>Background: </strong>Severe mental illness affects not only individuals with the illness but also their families. Informal caregivers frequently experience substantial emotional distress, as well as social and relational challenges, compromising their well-being and potentially the continuity and quality of care. This review synthesized qualitative evidence on caregivers' experiences of burden in the context of severe mental illness - focusing on emotional distress, role disruption, and social isolation.</p><p><strong>Methods: </strong>For this systematic review, a systematic search of PubMed, CINAHL, and PsycInfo was conducted between February and March 2024 and updated in June 2025. The studies included relatives of individuals with schizophrenia, bipolar disorder, major depressive disorder, or severe personality disorders. Data extraction and thematic synthesis were conducted independently by two authors, and study credibility was evaluated using CASP and GRADE-CERQual.</p><p><strong>Results: </strong>14 qualitative studies involving 363 adult informal caregivers were included. Four themes emerged: (1) adaptation to a changing everyday life, (2) uncertainty and conflicting emotions, (3) inadequate support from family and healthcare systems, and (4) neglect of personal needs. Caregivers reported unpredictability, emotional strain, social isolation, and financial hardship, consistently experiencing stress, grief, and reduced quality of life across contexts.</p><p><strong>Conclusion: </strong>This review highlights the significant burden faced by caregivers and emphasizes the need for their systematic inclusion and targeted psychosocial support in treatment (to reduce emotional distress and social challenges). Future research should focus on interventions that reduce burden and enhance resilience.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"277-288"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272343","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":"Mind the heart - emotional and behavioural difficulties in Danish children and adolescents with ventricular septal defects.","authors":"Julie L Hejl, Sara H Lau-Jensen, Tamsin Ford, Marlene B Lauritsen, Vibeke E Hjortdal, Charlotte U Rask","doi":"10.1080/08039488.2026.2648317","DOIUrl":"10.1080/08039488.2026.2648317","url":null,"abstract":"<p><strong>Background: </strong>While much is known about the risks associated with complex congenital heart defects (CHDs), research on the emotional and behavioural outcomes in children with ventricular septal defects (VSDs), the most common form of CHDs, remains limited. Evidence of increased psychiatric morbidity and social challenges in adults with VSDs underscores the importance of addressing emotional and behavioural difficulties earlier in life.</p><p><strong>Methods: </strong>We conducted a cross-sectional national survey of Danish children aged 5-17 years (born between 2007 and 2019) with VSDs (<i>n</i> = 704, 248 surgically treated), using the Strengths and Difficulties Questionnaire (SDQ) to compare parent-reported emotional and behavioural difficulties with normative data stratified by age and sex. We examined whether children with probable psychiatric disorders (per SDQ algorithms) had received mental health support and whether parents reported unmet support needs.</p><p><strong>Results: </strong>Parent-reported difficulties were higher across all SDQ scales compared to normative data. When stratified by sex, girls especially exhibited more hyperactivity/inattention, conduct, peer, and prosocial difficulties, while boys showed more emotional challenges. Only approximately half of children with a probable psychiatric disorder had received mental health support, and 65.3% of their parents reported unmet needs.</p><p><strong>Conclusion: </strong>Children with VSDs exhibited significantly more emotional and behavioural difficulties compared to the general population, highlighting critical gaps in mental health support and the need for greater awareness and targeted interventions.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"235-247"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574901","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":"Improvement and deterioration trajectories in psychotherapy for depression: results from an RCT with cognitive behavioural and psychodynamic therapy.","authors":"Kristin Torgersen, Toril Dammen, Ole Klungsøyr, Theresa Wilberg, Christine Bull Bringager, Julie Horgen Evensen, André Løvgren, Anders Malkomsen, Kåre Osnes, Randi Ulberg, Jan Ivar Røssberg","doi":"10.1080/08039488.2026.2648291","DOIUrl":"10.1080/08039488.2026.2648291","url":null,"abstract":"<p><strong>Objective: </strong>Depression is a heterogeneous disorder with varying trajectories. The aim of this study was to characterize patterns of change in patients with major depressive disorder receiving cognitive behavioural therapy (CBT) or psychodynamic therapy (PDT) and examine baseline factors associated with each trajectory.</p><p><strong>Methods: </strong>Patients with major depressive disorder (<i>n</i> = 100) were randomized to one of two treatments over 28 weeks: CBT with weekly sessions for 16 weeks followed by three monthly booster sessions or PDT with weekly sessions. Patients were assessed for depressive symptoms with the Beck Depression Inventory II at baseline and at 8, 16, and 28 weeks. Latent class analysis was applied to identify trajectories of change in depression and goodness-of-fit indices to select the optimal model of trajectories. Multinomial logistic regression was used to explore associations between baseline patient characteristics as predictors for class membership.</p><p><strong>Results: </strong>We identified four distinct trajectories of depression: (1) Moderate Symptoms-Fast Improvement, (2) Moderate Symptoms-Improvement, (3) Moderate Symptoms-Deterioration, and (4) Severe Symptoms-Improvement. Lower degree of functional impairment and lower anxiety scores predicted membership in the Moderate Symptoms-Fast Improvement class compared with the Moderate Symptoms-Improvement class. In addition, a lower degree of functional impairment predicted membership in the Moderate Symptoms-Deterioration class relative to the Moderate Symptoms-Improvement class. Younger age, previous psychotherapy, and a higher degree of functional impairment were associated with membership in the Severe Symptoms-Improvement class.</p><p><strong>Conclusion: </strong>Baseline characteristics may help distinguish between patterns of symptom trajectories. Predicting these trajectories could enhance clinical decision-making and improve treatment outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov ID: NCT03022071. Date of registration: 16/01/2017.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"209-218"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574929","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":"Temporal patterns in compulsory psychiatric admissions: a four-year, nationwide registry study from Norwegian acute wards.","authors":"Marius Aleksander Lium, Jorun Rugkåsa, Tore Hofstad, Hilde Lurås, Olav Nyttingnes","doi":"10.1080/08039488.2026.2670376","DOIUrl":"10.1080/08039488.2026.2670376","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate temporal patterns (by hour of day and type of day) of compulsory psychiatric admissions to Norwegian acute wards. This study fills a gap in the limited literature by separating admissions for compulsory observation and compulsory care and by using absolute admission counts, rather than proportions of voluntary admissions, to provide a more nuanced picture of temporal patterns of compulsory care.</p><p><strong>Materials and methods: </strong>Data from the Norwegian Patient Registry from the period 2015-2018 were used to analyse 16,472 compulsory admissions. These were classified by type of admission (compulsory observation and compulsory care) and stratified by diagnosis and gender. Absolute counts of compulsory admissions were used as the outcome measure.</p><p><strong>Results: </strong>Admissions were largely concentrated around office hours, with a 1-2-hour lag. Public holidays resembled weekend patterns and exhibited less diurnal variation than weekdays. By admission type, compulsory care aligned more closely with office hours than compulsory observation. Among compulsory care admissions, schizophrenia, schizotypal and delusional disorders (F20-F29) predominated.</p><p><strong>Conclusions: </strong>Temporal patterns of compulsory admissions align closely with office‑hour workflows and service availability, suggesting organisational rather than incidence‑driven timing. Our results differ from previous studies, probably due to our focus on absolute numbers rather than viewing compulsory admissions proportional to voluntary admissions. Further studies are warranted to assess whether service provision aligns with need.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"257-264"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147988469","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}