Nordic Journal of Psychiatry最新文献

{"title":"Multicenter screening for ADHD among school-age pediatric patients with type 1 diabetes - study protocol.","authors":"Hanna Kuśmierczyk-Kozieł, Arkadiusz Michalak, Jędrzej Chrzanowski, Katarzyna Błaziak, Beata Mianowska, Agnieszka Szadkowska, Agata Chobot, Przemysława Jarosz-Chobot, Małgorzata Myśliwiec, Iwona Makowska, Anna Kalenik, Marcin Rzeszutek, Monika Zamarlik, Ewa Rusak, Anna Kaczmarek, Aleksandra Nowak, Magdalena Połaniecka, Malwina Musiał-Paździor, Klaudia Szmigiel, Anna Sobota-Krawczyk, Marta Rutkowska, Tomasz Wolańczyk, Wojciech Fendler, Agnieszka Butwicka","doi":"10.1080/08039488.2025.2455555","DOIUrl":"10.1080/08039488.2025.2455555","url":null,"abstract":"<p><strong>Purpose: </strong>Attention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental condition that affects approximately 5% of the pediatric population, with increased prevalence among those with type 1 diabetes (T1D). Reports suggest that unrecognized and untreated ADHD impairs T1D control and that ADHD may be underdiagnosed in the Polish population. The International Society for Pediatric and Adolescent Diabetes recommends neurodevelopmental assessments in children with T1D, but specific guidelines on procedures and implementation are lacking. Therefore, we designed a systemic screening protocol aimed at assessing the prevalence of ADHD among Polish children with T1D that could be utilized in clinical practice.</p><p><strong>Materials and methods: </strong>The protocol for the study was approved by the Bioethical Committee at the Medical University of Lodz (RNN/280/21/KE). Participation is offered to all children aged 8-16 y.o. with T1D duration ≥1 year and without significant comorbidities (epilepsy, intellectual disability). The protocol includes a first-line procedure using the short version of the Conners 3 questionnaire and on-site structured consultation with a psychologist for those with increased risk of ADHD (utilizing detailed Conners 3 and MINI-Kid questionnaires), followed by a video consultation with a psychiatrist.</p><p><strong>Results: </strong>The screening was initiated between January and May 2023 and is ongoing in four Polish reference pediatric centers. These centers provide diabetes care to approximately 2,500 youth with T1D. Over 36 months, our goal is to assist in diagnosing ADHD in approximately 190 children.</p><p><strong>Conclusions: </strong>Comorbidity of ADHD and T1D remains an unrecognized challenge for pediatric psychiatric and diabetes care, and there is a need for effective diagnostic protocols.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"136-145"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143040611","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":"Effectiveness of a multidisciplinary outreach intervention for individuals with severe mental illness in supported accommodation.","authors":"Camilla Munch Nielsen, Carsten Hjorthøj, Anders Helbo, Bjørn Peter Madsen, Merete Nordentoft, Lone Baandrup","doi":"10.1080/08039488.2025.2451371","DOIUrl":"10.1080/08039488.2025.2451371","url":null,"abstract":"<p><strong>Purpose: </strong>People living in supported accommodation often have complex care needs, including longer-term mental health illness and physical health comorbidities. Effective coordination between health and supported accommodation services is crucial to address these needs. However, evidence on the effectiveness of healthcare interventions in this setting remains limited. This study assesses the effectiveness of a multidisciplinary outreach intervention providing on-site healthcare for people living in supported accommodation on outcomes related to antipsychotic prescribing and physical co-morbidity.</p><p><strong>Methods: </strong>A mirror-image study was conducted to assess changes between pre- and post-service periods. Pre-index outcomes were collected as a cross-sectional measure in September 2020, and post-index outcomes were collected every six months until October 2022. People living at two supported accommodation services in the Capital Region of Denmark were included.</p><p><strong>Results: </strong>The study included 74 people living in supported accommodation with contact to a multidisciplinary outreach team. The introduction of a multidisciplinary outreach team had no significant effect on antipsychotic prescription patterns, including antipsychotic polypharmacy, high-dose regimens, and combinations with benzodiazepines. The physical health evaluations identified a notable number of participants with untreated or dysregulated physical illness.</p><p><strong>Conclusions: </strong>This multidisciplinary outreach intervention for people living in supported accommodation had limited effect on antipsychotic prescribing patterns within the observation period. However, the outreach team identified and managed physical illness for a substantial portion of the study population, highlighting the importance of integrating physical health care into mental health interventions.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"120-127"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143040609","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":"Structural validity of the Anxiety Symptom Scale - a Danish validation study.","authors":"Henrik Schou Pedersen, Karl Bang Christensen, Anders Prior, Kaj Sparle Christensen","doi":"10.1080/08039488.2025.2466642","DOIUrl":"10.1080/08039488.2025.2466642","url":null,"abstract":"<p><strong>Introduction: </strong>The Anxiety Symptom Scale (ASS) is a ten-item psychometric test, which is frequently used for screening purposes in Danish general practice. The ASS includes nine items on symptoms of anxiety disorders and one item on functional impairment caused by these symptoms. Previous research indicates that reducing the number of response categories may benefit the test and that it may provide a unidimensional measure of global anxiety.</p><p><strong>Methods: </strong>We made a modified version of the ASS with fewer response categories per item. We compared the structure of the two versions in a cohort of respondents recruited from three different settings: general practitioner during a consultation (setting 1), mental health associations (setting 2), and waiting room in a single general practice (setting 3).</p><p><strong>Results: </strong>Both versions were fitted to a bifactor model; the nine anxiety items loaded on a general factor, and the individual items addressing specific anxiety disorders loaded on their specific factor. The original version provided a better fit than the modified version. The model suggests that the ASS measures primarily a single underlying trait. Functional impairment was well predicted by the general factor.</p><p><strong>Conclusion: </strong>The first nine items of the ASS can be considered a unidimensional measure of global anxiety, showing a substantial correlation with functional impairment. This makes the instrument useful for general practitioners in making initial treatment decisions. The performance of the instrument did not improve by reducing the number of response categories or removing one of the panic anxiety attack items.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"166-174"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458745","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 experience of individuals filmed for pornography production: a history of continuous polyvictimization and ongoing mental health challenges.","authors":"Meghan Donevan, Linda S Jonsson, Carl Göran Svedin","doi":"10.1080/08039488.2025.2464634","DOIUrl":"10.1080/08039488.2025.2464634","url":null,"abstract":"<p><strong>Purpose: </strong>While research and public debate have increasingly focused on the effects of pornography consumption, the experiences of those documented in pornography have been largely overlooked. This study aims to address this gap by examining the vulnerabilities and health risks faced by this population.</p><p><strong>Materials and methods: </strong>Individuals aged 18 and older documented in pornography in Sweden were recruited to participate in face-to-face interviews. A total of 120 participants completed study-specific questions and standardized questionnaires on their background, experiences in pornography, and health status. Descriptive statistics were reported, and regression analyses were performed to assess factors impacting PTSD symptom severity and dissociative symptoms.</p><p><strong>Results: </strong>Participants reported high levels of abuse both in childhood and during pornography production. Nearly all participants had experienced sexual abuse (88%), psychological abuse (90%), and physical abuse (79%) as children. In the context of pornography production, they were subjected to further abuse and exploitation, including verbal abuse (87%), rape (65%), physical assault (56%), third-party control (56%), and online harassment (57%). The consequences of this continuous polyvictimization were significant: 84% exhibited clinically significant PTSD symptoms, 60% clinically significant dissociative symptoms, 69% had attempted suicide, and 80% had been diagnosed with at least one mental health problem. Regression analyses revealed that childhood and online polyvictimization significantly predicted PTSD symptom severity, while polyvictimization within pornography production predicted dissociative symptoms.</p><p><strong>Conclusions: </strong>Our findings highlight the urgent need for comprehensive mental health interventions and legal reform to protect this vulnerable population and address the unique harms stemming from documentation in pornography.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"156-165"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Norwegian adaptation of the quality in psychiatric care - inpatient staff (QPC-IPS): psychometric evaluation and staff assessment of quality of care.","authors":"Lars-Olov Lundqvist, Marianne Thorsen Gonzalez, Øyfrid Larsen Moen, Hege Skundberg-Kletthagen, Agneta Schröder","doi":"10.1080/08039488.2025.2461453","DOIUrl":"10.1080/08039488.2025.2461453","url":null,"abstract":"<p><strong>Background: </strong>The restructuring and decentralization of psychiatric services in Norway, aligning with global trends, has sparked debate on quality assurance. This study aimed to evaluate the psychometric properties of the Norwegian version of the Quality in Psychiatric Care - Inpatient Staff (QPC-IPS). Additionally, it sought to investigate the sociodemographic and work-related factors associated with staff perceptions of the quality of inpatient psychiatric care that they provide.</p><p><strong>Material and methods: </strong>The Swedish QPC-IPS, a 30-item, 6-dimension tool, was thoroughly translated for the Norwegian psychiatric care setting. A web survey, including the QPC-IPS and sociodemographic and work-related items, was distributed to the mental health staff of two Norwegian health trusts, yielding 117 responses.</p><p><strong>Results: </strong>The adapted version underwent confirmatory factor analysis, revealing a factor structure consistent with the original QPC-IPS and its versions in other languages. Staff generally reported high-quality care, with the highest for the secluded environment and the lowest for the secure environment. Positive associations were found between quality perceptions and factors, such as professional development, openness to quality assurance, and participation in quality work. Psychosocial environments and staff mental health were positively linked to quality-of-care dimensions and the staff recommendations correlated with their perception of patients' experiences of quality of care.</p><p><strong>Conclusions: </strong>The Norwegian QPC-IPS demonstrated adequate psychometric properties, facilitating its use in assessing psychiatric care staff's perception of patients' experiences of quality of care. Insights from staff perspectives contribute to identifying areas for improvement in inpatient psychiatric care, thereby enhancing cross-cultural comparisons and theory development in this domain.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"146-155"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256357","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":"Prevalence of depression and association to socioeconomic position. Results from the Lolland-Falster Health Study.","authors":"Aake Packness, Andreas Heltberg, Anne Møller, Erik Simonsen","doi":"10.1080/08039488.2024.2448816","DOIUrl":"10.1080/08039488.2024.2448816","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the prevalence of self-reported depression in a socioeconomically deprived area in Denmark and the association to socioeconomic position (SEP) defined by education, occupation, and being in financial strain.</p><p><strong>Method: </strong>13,955 adults completing the Major Depression Inventory (MDI) in the Lolland-Falster Health Study questionnaire were included.Multivariate logistic regression on symptoms of depression based on MDI sum score and ICD-10 scores, associated to education, occupation, and financial strain - unadjusted and adjusted for sex and age group.</p><p><strong>Results: </strong>We found a prevalence of depression at 2.7% using the ICD-10 category, at 7.6% using the MDI sum score, and a very strong association between symptoms of depression and SEP.The adjusted odd ratios (aORs) for depression for each socioeconomic group compared to the opposite showed that having no postsecondary education was associated with an aOR of 2.9; being temporarily out of job with an aOR of 7, and being in financial strain with an aOR of 8. Using more strict criteria for depression (ICD-10), showed an aOR of 4 when having no education, an aOR of 8 when temporarily out of job, and an aOR of 10 for positive depression when in financial strain.</p><p><strong>Conclusion: </strong>Symptoms of depression are strongly associated to SEP. Estimations of the prevalence of depressive disorders in population studies should take this into account. We estimate a more accurate prevalence of depressive disorders to be at 7.6% in this socioeconomically deprived area of Denmark.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"103-109"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009021","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":"Exploring temperament and sleep patterns in disruptive mood dysregulation disorder among children and adolescents: implications for clinical practice.","authors":"Helin Abursu, Mehmet Fatih Ceylan, Selma Tural Hesapcıoglu","doi":"10.1080/08039488.2025.2455079","DOIUrl":"10.1080/08039488.2025.2455079","url":null,"abstract":"<p><strong>Background: </strong>Disruptive Mood Dysregulation Disorder (DMDD), characterized by severe irritability and temper outbursts, is a relatively new diagnosis included in the DSM-5. The study aimed to investigate the clinical characteristics, temperament, comorbidities, medication use, and sleep quality of children and adolescents diagnosed with DMDD and compare them with Major Depressive Disorder (MDD).</p><p><strong>Methods: </strong>A total of 233 participants (DMDD: <i>n</i> = 106; MDD: <i>n</i> = 127) were assessed using the K-SADS-PL. Evaluation tools included the Children's Temperament and Character Inventory, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Strengths and Difficulties Child and Parent Form, Children's Depression Inventory for children, and sociodemographic form.</p><p><strong>Results: </strong>The DMDD group scored significantly lower in harm avoidance, reward dependence, and cooperation than the MDD group (<i>p</i> ≤ 0.001, <i>p</i> ≤ 0.02, <i>p</i> ≤ 0.002, respectively). DMDD exhibits significantly lower levels of social skill-related temperament traits, such as empathy, compassion, and helpfulness. Furthermore, a higher proportion of patients in the DMDD group received antipsychotic, mood stabilizer, and stimulant medications during treatment.</p><p><strong>Conclusion: </strong>Children and adolescents diagnosed with DMDD demonstrated significantly lower scores in anticipatory worry, fear of uncertainty, shyness, fatigability, sentimentality, dependence, empathy, and helpfulness compared to those with MDD. Conversely, they exhibited higher levels of impulsiveness, disorderliness, and self-acceptance. These findings underscore the necessity of evaluating and enhancing social skills and reward sensitivity in the clinical management of DMDD, as these distinct psychological and behavioral profiles suggest the need for more tailored therapeutic approaches.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"128-135"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143008997","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":"Nature of stressors, clinical manifestations and diagnostic concurrence with the new ICD-11 criteria in adjustment disorder: a retrospective data review.","authors":"Christopher Peter, Ajit Bhalchandra Dahale, Krishna Prasad Muliyala, Geetha Desai","doi":"10.1080/08039488.2025.2468732","DOIUrl":"10.1080/08039488.2025.2468732","url":null,"abstract":"<p><strong>Purpose: </strong>Adjustment disorder (AD) is a maladaptive reaction to psychosocial stressors, with prevalence reaching up to 50% in certain consultation settings. Research on stressors, clinical profiles, and concurrence with ICD-11 criteria in AD is limited. We aim to assess stressor profiles, clinical manifestations, course, and diagnostic concurrence between ICD-10 and ICD-11 criteria in AD.</p><p><strong>Materials and methods: </strong>Retrospective review of medical records of adults diagnosed with AD between 2016 and 2020. Stressors were categorized using the Adjustment Disorder New Module 8 (ADNM-8), a validated scale assessing AD symptom severity as per ICD-11 criteria. Data were analysed using PSPP.</p><p><strong>Results: </strong>Women comprised 57.8% of 445 patients, with a mean age of 32.24 (±9.97) years. The most common stressor was interpersonal relationship (IPR) issues or familial stressors (50.1%). The illness or death of loved ones was a more common stressor among women, while men noted work-related stress more often (<i>p</i> = 0.001). Those under 40 years predominantly faced interpersonal/familial stress (55%), while those over 40 years more frequently experienced illness or death of loved ones (32%; <i>p</i> = 0.001). Depressive symptoms were the most common presentation. Among ICD-11 criteria, preoccupation with and failure to adapt to the stressor were noted in 97.1% and 93.9% patients, respectively. Amongst patients who followed up, 77% showed significant improvement with 36.5% of them having follow up of 2-6 months.</p><p><strong>Conclusion: </strong>IPR issues were the most common stressors, with gender and age influencing stressor types. AD commonly presented with depressive symptoms, showing high concurrence with ICD-11 criteria and favourable outcomes.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"175-183"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516324","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":"Interconnectedness of borderline personality pathology and affective temperaments in patients with mood disorders: a network analysis.","authors":"Hyukjun Lee, Yewon Eom, Jakyung Lee, Daseul Lee, Hyeona Yu, Hyo Shin Kang, Jungkyu Park, Woojae Myung","doi":"10.1080/08039488.2025.2451370","DOIUrl":"10.1080/08039488.2025.2451370","url":null,"abstract":"<p><strong>Purpose: </strong>Mood disorders frequently coexist with borderline personality pathology (BPP), presenting considerable clinical challenges. Affective temperaments (AT) play a role in modulating mood disorders and influence the manifestation of illness. BPP and AT share common characteristics, such as emotional instability, impulsivity, and difficulties in interpersonal relationships. However, research on the relationship between BPP and AT remains limited. This study employed network analysis to explore the network structure between BPP and AT in a cohort of patients with mood disorders.</p><p><strong>Materials and methods: </strong>A total of 720 patients with mood disorders (major depressive disorder, <i>n</i> = 267; bipolar affective disorder, <i>n</i> = 453) were included in the analysis. The Personality Assessment Inventory-Borderline Features Scale (PAI-BOR) and the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Auto questionnaire short version (TEMPS-A) were utilized. Network analysis was conducted to identify central symptoms and network structures across the five AT dimensions and 24 BPP items.</p><p><strong>Results: </strong>The BPP and TEMPS-A items were intricately interwoven, with no distinct groupings. The most significant symptoms identified were \"Mood shifts\" and \"Cyclothymic temperament.\" Additionally, irritable temperament was strongly linked to \"Little control over anger,\" while anxious temperament was closely associated with \"Worry about people leaving.\"</p><p><strong>Conclusion: </strong>The overlap of BPP and AT in the network, without a clear separation, suggests a significant interconnection between these clinical concepts. The centrality of \"Mood shifts\" and \"Cyclothymic temperament\" in this network underscores the importance of targeting these symptoms in the treatment of patients with prominent BPP and AT.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"110-119"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009016","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":"Time trends in mortality for people with severe mental illness in Denmark 2000-2018.","authors":"Christine Lindstrӧm, Volkert Siersma, Margit Kriegbaum, Tora Grauers Willadsen, Catrine Bakkedal, John Brandt Brodersen, Susanne Reventlow, Anne Møller, Maarten Pieter Rozing","doi":"10.1080/08039488.2024.2444262","DOIUrl":"10.1080/08039488.2024.2444262","url":null,"abstract":"<p><strong>Purpose: </strong>People with a severe mental illness (SMI) have a marked reduction in life expectancy which is largely attributable to somatic morbidity. Life expectancy has increased in Global North populations, yet it remains unclear whether people with SMI have benefitted equally from this increase. Our objective was to explore time trends of all-cause and selected cause-specific mortality among all people in Denmark with registered diagnosis codes of SMI: depression, bipolar disorder, or schizophrenia at psychiatric out- and in-patient settings.</p><p><strong>Materials and methods: </strong>In consecutive yearly cohorts from 2000 to 2018, we examined all-cause and cause-specific mortality in all adults (aged ≥18) with and without diagnosis codes of SMI.</p><p><strong>Results: </strong>We found that all-cause mortality, and mortality from cardiovascular, cancer, respiratory, infections, trauma, and suicide were consistently elevated in those registered with SMI. While the crude all-cause mortality decreased substantially for all, also in people registered with SMI, after adjustment for sex and age, the mortality relative to people without SMI, remained unchanged or slightly increased for people registered with SMI, particularly among people registered with schizophrenia.</p><p><strong>Conclusion: </strong>Despite a decrease in crude all-cause mortality, the consistently elevated mortality for people registered with SMI relative to the general population suggests that concerted efforts to reduce health inequity remain important.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"79-85"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142896475","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}