Nordic Journal of Psychiatry最新文献_第6页

A comparison of characteristics of individuals with psychosis and substance use disorders seeking vocational rehabilitation. 寻求职业康复的精神病和物质使用障碍个体特征的比较。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-02-16 DOI: 10.1080/08039488.2026.2625696

Oda Skancke Gjerdalen, Erlend Marius Aas, June Ullevoldsæter Lystad, Torill Ueland, Espen Ajo Arnevik, Erik Falkum, Stig Evensen, Helen Christine Bull, Silje Endresen Reme, Petter Andreas Ringen, Olivia Schjøtt-Pedersen, Eline Borger Rognli

{"title":"A comparison of characteristics of individuals with psychosis and substance use disorders seeking vocational rehabilitation.","authors":"Oda Skancke Gjerdalen, Erlend Marius Aas, June Ullevoldsæter Lystad, Torill Ueland, Espen Ajo Arnevik, Erik Falkum, Stig Evensen, Helen Christine Bull, Silje Endresen Reme, Petter Andreas Ringen, Olivia Schjøtt-Pedersen, Eline Borger Rognli","doi":"10.1080/08039488.2026.2625696","DOIUrl":"10.1080/08039488.2026.2625696","url":null,"abstract":"Introduction: Unemployment is high among individuals with schizophrenia spectrum disorders (SSDs) and substance use disorders (SUDs). Vocational rehabilitation (VR) programs have demonstrated effectiveness on occupational outcomes for both groups. The aim of this study is to compare characteristics of individuals with SSD and SUD seeking VR.Methods: This study draws on data from two independent projects: the Job Management Program (JUMP) for individuals with SSD and the IPS in SUD (IPS-SUD) study, comprising a total of 341 participants. Baseline demographic, occupational, and diagnostic characteristics are described, with group comparisons.Results: The groups differed significantly in age, employment history, and benefit status. Restricting the sample to participants aged 18-49, differences in prior employment remained but were attenuated. Overall, SUD participants were older and more frequently received full disability benefits, whereas JUMP participants were younger and more often received partial disability benefits.Conclusions: These findings highlight the heterogeneity of populations targeted by VR interventions and underscore the need for tailored program adaptations. Demographic and clinical differences should guide the design, implementation, and evaluation of VR services to enhance their relevance and effectiveness.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"177-181"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207401","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

Don't predict if you cannot interpret: investigating the clinical viability of facial movements for machine-learning assisted diagnostics of bipolar disorder. 如果你不能解释，不要预测：研究面部运动的临床可行性，用于机器学习辅助诊断双相情感障碍。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-04-01 Epub Date: 2026-03-30 DOI: 10.1080/08039488.2026.2644576

Martin Lund Trinhammer, Stella Graßhof, Lars Vedel Kessing, Hanne Lie Kjærstad, Kamilla Woznica Miskowiak, Sami S Brandt

{"title":"Don't predict if you cannot interpret: investigating the clinical viability of facial movements for machine-learning assisted diagnostics of bipolar disorder.","authors":"Martin Lund Trinhammer, Stella Graßhof, Lars Vedel Kessing, Hanne Lie Kjærstad, Kamilla Woznica Miskowiak, Sami S Brandt","doi":"10.1080/08039488.2026.2644576","DOIUrl":"10.1080/08039488.2026.2644576","url":null,"abstract":"Background: Numerous studies have explored the possibility of developing automatic detection pipelines that can seamlessly diagnose patients with bipolar disorder (BD) and other mental illnesses. Such novel diagnostic tools increasingly rely on data sources, such as facial movements, whose relationships to BD have yet to be fully elucidated. As such, these detection pipelines offer limited clinical value, despite promising performance estimates. A vital next step toward achieving clinically reliable models is to conduct granular interpretability analyses to determine which subsets of facial movements are responsible for determining patient or control class membership.Materials and methods: In this work, we rely on facial movements encoded as Action Units (AUs) of 32 participants recorded while watching emotional film clips. Our objective is to delineate the specific facial micro-movements responsible for the differences between patients with BD and controls by applying the interpretable Fisher's Linear Discriminant Analysis (LDA) in a binary, supervised classification design.Results: We report how the movement of brow lowering (AU4) differentiates patients from controls with AUROC scores up to 69%.Conclusions: Our exploratory study argues for the necessity of devising inherently interpretable machine learning models for the clinical domain. Furthermore, we critically discuss the implications of identifying AU4 as a key discriminative feature and assess the clinical value of specific facial movements for the diagnostic process.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"198-207"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574884","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

Frequent psychiatric admissions and the risk of suicide: a prospective total cohort study 2005-2023. 频繁精神科入院与自杀风险：2005-2023年前瞻性全队列研究

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-25 DOI: 10.1080/08039488.2025.2604656

Ane Askeland Buer, Maria Fagerbakke Strømme, Marit Schmid, Anne-Siri Fismen, Rolf Gjestad, Mette Senneseth

{"title":"Frequent psychiatric admissions and the risk of suicide: a prospective total cohort study 2005-2023.","authors":"Ane Askeland Buer, Maria Fagerbakke Strømme, Marit Schmid, Anne-Siri Fismen, Rolf Gjestad, Mette Senneseth","doi":"10.1080/08039488.2025.2604656","DOIUrl":"10.1080/08039488.2025.2604656","url":null,"abstract":"Purpose: Discharge from a psychiatric hospital is associated with an elevated risk of suicide. Previous studies have linked a higher number of psychiatric admissions to suicide risk. However, findings are mixed, and the association between admission frequency and suicide risk remains unclear. This study aimed to investigate whether frequent psychiatric admissions and the persistence of readmission patterns serve as risk factors for suicide.Methods: This prospective total cohort study included all patients consecutively admitted to the psychiatric acute ward at Haukeland University Hospital in Bergen, Norway, between 2005 and 2014 (N = 7000). The cohort was divided into independent groups according to the number of admissions per year and the persistence of this pattern. Demographic and clinical data were collected at each admission. Patients were followed for up to 19 years by linking the cohort to the Norwegian Cause of Death Registry. Cox and competing risk regression analyses were applied to investigate the association between the frequency of admissions and the risk of suicide.Results: There was an approximately threefold (AHR = 2.91) increase in the risk of suicide in patients with five or more admissions on average per utilisation year, when adjusted for gender, suicidal ideation, self-harm and diagnosis. The risk was particularly high (AHR = 5.93) immediately after the last discharge.Conclusions: These findings might assist the identification of a subgroup of individuals at particular risk of suicide within a population of hospitalised psychiatric patients.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"118-126"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827594","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

A review on somatic symptoms and emotion regulation from a cultural perspective. 文化视角下躯体症状与情绪调节的研究进展。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1080/08039488.2025.2604652

Gülşen Kaynar-Yaman

{"title":"A review on somatic symptoms and emotion regulation from a cultural perspective.","authors":"Gülşen Kaynar-Yaman","doi":"10.1080/08039488.2025.2604652","DOIUrl":"10.1080/08039488.2025.2604652","url":null,"abstract":"Purpose: The purpose of this review is to review the current literature on the relationship between somatization and emotional processes in different cultures.Materials and methods: This study used a narrative approach by reviewing the existing theoretical and empirical literature on the subject. No specific inclusion or exclusion criteria were used; relevant publications were identified by searching academic databases and bibliographies.Results: The findings generally indicate that somatization is a multidimensional phenomenon influenced by culturally differing emotion regulation styles. Differences in the recognition and expression of emotions across cultures may shape how individuals perceive and report somatic symptoms. In collectivist societies, the tendency to avoid direct expression of emotions may lead to more frequent expressions of emotional distress through physical symptoms. Furthermore, the existing literature's focus on East-West comparisons results in an underrepresentation of cultures located between these two extremes, such as Turkey.Conclusion: Understanding somatization requires a joint consideration of both cultures and individual emotion regulation capacity.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"75-81"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145781583","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 care personnel under the pressure of COVID-19 - a prospective 2-year cohort study. COVID-19压力下的医护人员——一项为期2年的前瞻性队列研究

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1080/08039488.2025.2599805

Tanja Laukkala, Tom Rosenström, Kristiina Junttila, Henna Haravuori, Jaana Suvisaari, Eero Pukkala, Katinka Tuisku, Toni Haapa, Marko Elovainio, Anu Pellikka, Onni Laukkala, Pekka Jylhä

{"title":"Health care personnel under the pressure of COVID-19 - a prospective 2-year cohort study.","authors":"Tanja Laukkala, Tom Rosenström, Kristiina Junttila, Henna Haravuori, Jaana Suvisaari, Eero Pukkala, Katinka Tuisku, Toni Haapa, Marko Elovainio, Anu Pellikka, Onni Laukkala, Pekka Jylhä","doi":"10.1080/08039488.2025.2599805","DOIUrl":"10.1080/08039488.2025.2599805","url":null,"abstract":"Purpose: COVID-19 challenged health care personnel from spring 2020 to the introduction of vaccines. This prospective cohort study evaluated the psychological impact of cumulated exposure to COVID-19 frontline work and COVID-19-related potentially traumatic events (PTEs) on all hospital personnel.Materials and methods: PTEs, posttraumatic stress disorder (PTSD) symptoms, psychological distress, insomnia, anxiety and depression symptoms were assessed with screening tools monthly during the first year and later bimonthly in this study among HUS Helsinki University Hospital personnel who participated in this study. The initial number of participants was N = 4910 (19% of the hospital personnel), 85% of whom reparticipated in some of the 16 follow ups and N = 1128 at 24 months (last follow up).Results: The most important PTE before PTSD symptoms was strong anxiety due to fear of one's own or a close one's infection (odds ratio, OR 2.39, 95% confidence interval, CI 1.92-2.98), followed by exceptionally disturbing or distressing pandemic work assignments (OR 1.69, 95% CI 1.41-2.02). Frontline work and direct exposure to pandemic patients alone did not statistically significantly increase PTSD risk (OR 1.05, 95% CI 0.89-1.23). Accumulation of PTEs (OR 1.07 per PTE, 95% CI 1.03-1.12) and prolonged frontline work (OR 1.05, 95% CI 1.01-1.10) over time were risk factors for psychological distress.Conclusions: Accumulated exposures to PTEs and frontline work constitute an additional risk of distress and stress-related disorders. The subjective nature of the most prominent risk, PTE (fear of infections), suggests that workplace interventions and emotional support might prevent distress during a pandemic.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"102-110"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775178","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

Workplace violence towards healthcare workers in Norwegian psychiatric inpatient units: a cross-sectional study. 挪威精神科住院单位对医护人员的工作场所暴力：一项横断面研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-31 DOI: 10.1080/08039488.2025.2599798

Anders Askeli, Nina Østerås

{"title":"Workplace violence towards healthcare workers in Norwegian psychiatric inpatient units: a cross-sectional study.","authors":"Anders Askeli, Nina Østerås","doi":"10.1080/08039488.2025.2599798","DOIUrl":"10.1080/08039488.2025.2599798","url":null,"abstract":"Background: Workplace violence towards healthcare workers is increasing worldwide, with significant consequences for the healthcare worker, healthcare organization, and the quality of care. Healthcare workers in psychiatric inpatient units are particularly exposed, as the frequency and severity of violence is high. This study aimed to examine the prevalence of workplace violence towards healthcare workers in psychiatric inpatient units in Norway and the rate of formal reporting of such incidents.Materials and methods: A cross-sectional, questionnaire-based survey was conducted among healthcare workers across ten psychiatric inpatient units in Norway. The survey investigated the 12-month prevalence of workplace violence towards healthcare workers and the extent of formal reporting by type and severity.Results: A total of 237 (36%) healthcare workers completed the questionnaire. The overall 12-month prevalence of workplace violence from patients was 93%, with 91% of respondents reported being exposed to threats and 80% to violence. The median formal reporting rate was 7% (IQR 0-50) for threats, 40% (IQR 1-69) for violence without injury, and 70% (IQR 20-100) for violence resulting in injury. Formal reporting was generally regarded as important and not perceived as a professional defeat, but it was not seen as leading to change.Conclusions: This study confirmed a high prevalence of workplace violence in Norwegian psychiatric inpatient units, with the majority of incidents not formally reported.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"93-101"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145864277","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

Substance use disorders and use of somatic health services among forensic psychiatric patients: a nationwide register-based cohort study. 法医精神病患者的物质使用障碍和躯体健康服务的使用：一项全国性的基于登记的队列研究。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2026-01-01 DOI: 10.1080/08039488.2025.2610199

Christian Haurdahl Jentz, Harry Kennedy, Morten Deleuran Terkildsen, Annelli Sandbæk, Anette Andersen, Lisbeth Uhrskov Sørensen

{"title":"Substance use disorders and use of somatic health services among forensic psychiatric patients: a nationwide register-based cohort study.","authors":"Christian Haurdahl Jentz, Harry Kennedy, Morten Deleuran Terkildsen, Annelli Sandbæk, Anette Andersen, Lisbeth Uhrskov Sørensen","doi":"10.1080/08039488.2025.2610199","DOIUrl":"10.1080/08039488.2025.2610199","url":null,"abstract":"Background: Substance use disorders (SUD) are prevalent among forensic psychiatric patients and contribute to a complex mental and somatic health burden. While barriers to healthcare access are well documented, little is known about how individuals with comorbid SUD use general practitioner (GP) and acute somatic hospital services before entering forensic psychiatric treatment.Aims: To examine the association between SUD and use of GP and acute outpatient hospital services.Methods: We identified all individuals with a forensic psychiatric measure initiated in 2021-2022 from the Danish National Patient Register. SUD was defined as any ICD-10 F1 diagnosis, excluding acute intoxication, recorded during 2013-2017. Outcomes were GP consultations and acute outpatient hospital contacts during 2018. Associations were examined using negative binomial regression adjusted for age, sex, region, and prior-year service use.Results: The cohort included 829 patients (39% with SUD). Almost all had ≥1 GP contact in 2018 (90% vs 89%). SUD was not associated with GP utilization (adjusted IRR = 0.99, 95% CI: 0.88-1.12). Acute outpatient contacts were more frequent among patients with SUD (45% vs 32%), with higher rates (IRR = 1.43, 95% CI: 1.04-1.97), attenuating after adjustment for prior-year use (aIRR = 1.28, 95% CI: 0.97-1.68).Conclusions: Forensic psychiatric patients with SUD had greater use of acute outpatient hospital services, but similar GP utilization, compared with those without SUD, suggesting reliance on crisis-driven rather than preventive care.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"134-140"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145878663","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

Dietary inflammatory index and depression: their independent association and combined effect on mortality risk in U.S. adults - an NHANES analysis (2013-2018). 饮食炎症指数和抑郁症：它们对美国成年人死亡风险的独立关联和综合影响——一项NHANES分析（2013-2018）。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1080/08039488.2025.2595053

Zhijun Weng, Jia Huang, Fuzhi Lian, Jun Yang, Chaojie Gong, Xianrong Xu

{"title":"Dietary inflammatory index and depression: their independent association and combined effect on mortality risk in U.S. adults - an NHANES analysis (2013-2018).","authors":"Zhijun Weng, Jia Huang, Fuzhi Lian, Jun Yang, Chaojie Gong, Xianrong Xu","doi":"10.1080/08039488.2025.2595053","DOIUrl":"10.1080/08039488.2025.2595053","url":null,"abstract":"‌methods: ‌ NHANES 2013-2018 cohort data were analyzed. DII scores were calculated from 24-hour dietary recalls; depression was assessed via Patient Health Questionnaire-9 (PHQ-9). Logistic regression and restricted cubic spline (RCS) analyses examined DII-depression associations. Cox regression and Kaplan-Meier curves evaluated mortality risks.‌results: ‌ A total of 12,521 participants were finally included in the final analysis. Logistic regression and RCS analyses revealed a dose-response relationship between higher DII and depression risk (p < 0.001). Over 6.82-year median follow-up, depression was independently associated with increased all-cause mortality (HR:1.42, 95% CI:1.11-1.82), particularly in adults age <60 (HR:3.01, 95% CI: 1.94-4.65), BMI < 25 kg/m2 (HR:2.40, 95% CI: 1.58-3.65), and nonsmokers (HR:2.61, 95% CI: 1.77-3.85). Each unit DII increase raised all-cause mortality by 7% (HR:1.07, 95% CI:1.02-1.12) and cardiovascular diseases (CVD) mortality by 12% (HR:1.12, 95% CI:1.02-1.22), with stronger effects in those with BMI ≥ 25 (HR:1.11,95% CI:1.05-1.18) and smokers (HR:1.14,95% CI:1.05-1.23). No significant DII-depression interaction on mortality was found.‌conclusion: ‌ A higher DII score was associated with increased depression risk in U.S. adults. Depression and high DII scores elevated all-cause mortality, but these impacts varied with age, BMI, or smoking status. These findings highlight nutrition-mental health links for targeted prevention.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"82-92"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775228","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

Metabolic syndrome in refugees with PTSD: prevalence and associations with age, sex, and psychotropic medication use. 创伤后应激障碍难民的代谢综合征：患病率及其与年龄、性别和精神药物使用的关系

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1080/08039488.2025.2604655

Jesper Smidl-Jørgensen, Jessica Carlsson, Hinuga Sandahl, Maria Lurenda Westergaard

{"title":"Metabolic syndrome in refugees with PTSD: prevalence and associations with age, sex, and psychotropic medication use.","authors":"Jesper Smidl-Jørgensen, Jessica Carlsson, Hinuga Sandahl, Maria Lurenda Westergaard","doi":"10.1080/08039488.2025.2604655","DOIUrl":"10.1080/08039488.2025.2604655","url":null,"abstract":"Purpose: This study is the first to examine the prevalence of metabolic syndrome (MetS) and its four components (hypertension, dyslipidaemia, dysglycaemia and obesity) in a population of trauma-affected refugees. We also examined whether MetS was associated with age, sex and medication use.Materials and methods: Data were collected from a cohort of refugees with PTSD who participated in a randomised controlled trial (RCT) at the Competence Centre for Transcultural Psychiatry (CTP), Denmark. The cohort comprised 110 men and 109 women (mean age = 44 years, SD = 10.4) predominantly from the Middle East, with additional representation from Asia, Africa, and Eastern Europe. MetS was defined according to the Danish medical handbook (fasting glucose was substituted with HbA1c) and Chi-square tests were utilised to examine associations between MetS and age, sex and use of antidepressants and antipsychotics.Results: Among the 219 participants, the prevalence of MetS was 34.7% with additional 16.0% potentially having MetS. MetS was significantly associated with antidepressant use (p < 0.001), antipsychotic use (p = 0.003), and older age (p < 0.001), but not with sex (p = 0.10). Dyslipidaemia was the most prevalent MetS component (57.5%) and was significantly overrepresented in males (73.8%) compared to females (41.1%) (p < 0.001).Conclusions: In a cohort of refugees with PTSD, the prevalence of MetS was elevated and associated with older age, and the use of antidepressants and antipsychotics. Among the four MetS components, dyslipidaemia was particularly prevalent in men, highlighting the need for targeted interventions.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"111-117"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844060","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

No differences in treatment response between atypical depression and major depressive disorder after repetitive transcranial magnetic stimulation in a clinical sample. 非典型抑郁症和重性抑郁症在反复经颅磁刺激后的治疗反应无差异。

IF 1.5 4区医学

Nordic Journal of Psychiatry Pub Date : 2026-02-01 Epub Date: 2025-12-19 DOI: 10.1080/08039488.2025.2604657

Johan Bengtsson, Hannes Svensson, Ida Blomqvist

{"title":"No differences in treatment response between atypical depression and major depressive disorder after repetitive transcranial magnetic stimulation in a clinical sample.","authors":"Johan Bengtsson, Hannes Svensson, Ida Blomqvist","doi":"10.1080/08039488.2025.2604657","DOIUrl":"10.1080/08039488.2025.2604657","url":null,"abstract":"Purpose: Repetitive transcranial magnetic stimulation (rTMS) is a treatment option for major depressive disorder (MDD). MDD is a heterogeneous condition with subtypes, including atypical depression (AD). The effectiveness of rTMS for AD remains unknown. In this study, we investigated the effects of rTMS in patients with AD compared to those with MDD in a clinical setting.Materials and methods: A total of 103 patients with uni- or bipolar depressive episodes, treated with rTMS at the Uppsala Brain Stimulation Unit between April 2017 and October 2023, were included. Participants were categorized as AD (Quick Inventory of Depressive Symptomatology Self Report items 4, 7, and 9 ≥ 3) or MDD. The primary outcomes were response and remission rates based on the total score of Montgomery and Åsberg Depression Rating Scale self-report (MADRS-S). Response was defined as a 50% reduction of the total MADRS-S score and remission as MADRS-S < 10.Results: Depressive symptoms significantly decreased after rTMS in the whole sample, with the mean MADRS-S score reduced from 34 to 25. The AD group had consistently lower scores on MADRS-S. No significant differences were observed in symptom reduction, response, or remission rates between AD and MDD groups. Response and remission rates were 12.6% and 2.9% for the whole sample, although reasons for treatment termination could not be assessed.Conclusions: rTMS does not appear to yield specific benefits for AD. Observed response and remission rates were lower than previously reported, highlighting the need for more reports of the actual effectiveness of rTMS.","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"127-133"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794329","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