Nordic Journal of Psychiatry最新文献

{"title":"An evaluation of parents' perceptions of the quality of care of an intervention provided for children with mild to moderate health problems.","authors":"Ingegerd Hildingsson, Malin Holmström Rising","doi":"10.1080/08039488.2025.2556923","DOIUrl":"10.1080/08039488.2025.2556923","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems are increasing among children and adolescents. Parents play a pivotal role in care, and intervention programmes have been introduced directed towards children with mild to moderate mental health problems. Due to long waiting times for specialised psychiatric care, such programmes could serve as means to ease the burden on mental health clinics for children 6-14 years. The aim of this study was to evaluate parents' assessments of the quality of care of an intervention programme and associations with the children's physical and mental health after treatment.</p><p><strong>Methods: </strong>Parents' assessment of the quality of care was investigated through a questionnaire. Outcome variables were parents' perceptions of the children's physical and mental health after treatment. Explanatory variables were background factors, care organisation and the content of care.</p><p><strong>Findings: </strong>31% of the parents assessed their child's physical health as less than good, and 46% their child's mental health as less than good, after treatment. Long waiting times (OR 2.50; 1.17-5.30), parents' ability to have private conversations with the therapist (OR 0.45; 0.22-0.94), and deficiencies in the content of care were associated with less good physical health after treatment. Less good mental health after treatment was associated with older age of children (OR 2.01; 1.01-3.99) and deficiencies in care content.</p><p><strong>Conclusion: </strong>Age of the child, long waiting time, and perceived deficiencies in the content of care were associated with less physical and mental well-being of the child after the intervention. These findings call for improvement of care.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"573-579"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040902","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":"Gender dysphoria and personality disorders: associations with proceeding to and discontinuing medical gender reassignment.","authors":"Marja Kaila-Vanhatalo, Tommi Tolmunen, Aino Mattila, Riittakerttu Kaltiala","doi":"10.1080/08039488.2025.2558931","DOIUrl":"10.1080/08039488.2025.2558931","url":null,"abstract":"<p><strong>Introduction: </strong>Personality disorder (PD) diagnoses, especially borderline PD, are overrepresented among individuals seeking medical gender reassignment (GR), but their impact on progression to or discontinuation of GR is unclear. This may differ between adults and adolescents due to ongoing personality development in youth.</p><p><strong>Materials and methods: </strong>This register-based follow-up study examined 3665 individuals referred to Finnish gender identity services between 1996 and 2019. Data on specialist-level psychiatric treatments from 1994 to 2022 were obtained from the National Care Register for Health Care. The study assessed associations between PD diagnoses (any, and specifically borderline PD) and outcomes related to medical GR, including treatment initiation and discontinuation. Analyses accounted for age group (adolescents vs. adults), transition direction, and non-PD psychiatric comorbidities.</p><p><strong>Results: </strong>Subjects with a PD diagnosis were significantly less likely to initiate GR than were those without a PD (33% vs. 46.1%, <i>p</i> < .001). However, among those who began GR, presence of PD did not appear to increase the likelihood of discontinuation. These findings held equally for across both adolescents and adults. Similar results were found for borderline PD specifically.</p><p><strong>Conclusions: </strong>Personality disorders may be linked to challenges in forming a stable gender identity, potentially reducing the likelihood of initiating medical GR. However, once treatment begins, PD does not appear to increase the risk of discontinuation.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"597-605"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081203","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 transdiagnostic sleep intervention for outpatients with sleep problems and comorbid mental health disorders, data from a Danish quality assurance project.","authors":"Henny Dyrberg, Sanne Toft Kristiansen, Maria Speed, Dorthe Møller, Mette Kragh","doi":"10.1080/08039488.2025.2571217","DOIUrl":"10.1080/08039488.2025.2571217","url":null,"abstract":"<p><strong>Background: </strong>Insomnia is common in psychiatric populations. Cognitive behavioral therapy for insomnia (CBT-I) is the first-line treatment for chronic insomnia. However, patients with mental disorders often experience a variety of sleep problems, including delayed sleep phase beyond insomnia. To address this, a Danish sleep and circadian intervention with six individual sessions combining CBT-I with chronotherapeutic methods was initiated in 2019.</p><p><strong>Aim: </strong>To evaluate the effect of the transdiagnostic sleep and circadian intervention on sleep quality and insomnia severity and to identify diagnostic characteristics of patients who responded well compared to those with less favorable outcomes.</p><p><strong>Method: </strong>Data on patients' subjective sleep quality and perceived insomnia severity, assessed before and after the intervention, were extracted from clinical notes. Additionally, demographic data and diagnostic information were collected.</p><p><strong>Results: </strong>A total of 248 patients completed the transdiagnostic sleep and circadian intervention. We found a statistically significant reduction in insomnia severity, particularly in those diagnosed with bipolar affective disorder and unipolar depression. We also saw a statistically significant improvement in sleep quality and the largest change over time was found in patients with attention-deficit hyperactivity disorder.</p><p><strong>Conclusion: </strong>This quality assurance study showed that a transdiagnostic sleep and circadian intervention - comprising six individual sessions delivered by an interdisciplinary team following a short sleep course and peer-to-peer training - can effectively improve sleep in patients with long-lasting sleep problems.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"623-631"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275371","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":"When the caregiver is affected: eating disorder symptoms among mental health professionals.","authors":"Karin Strand, Harald Aiff","doi":"10.1080/08039488.2025.2555885","DOIUrl":"10.1080/08039488.2025.2555885","url":null,"abstract":"<p><strong>Objective: </strong>To study the lifetime and point prevalence of eating disorders (ED) among mental health care providers and compare those working with patients with ED to those who work in other fields of psychiatry to examine whether the overrepresentation of ED among professionals seen in ED clinics are also true for professionals in other psychiatric outpatient clinics.</p><p><strong>Methods: </strong>Digital questionnaires were sent out to professionals working with patients in psychiatric outpatient clinics in Sweden. The questionnaire included questions from the Mini International Neuropsychiatric Interview 7.0.1 and the Eating Disorder Examination Questionnaire 6.0. 173 respondents completed the questionnaire.</p><p><strong>Results: </strong>The lifetime prevalence of ED among professionals in ED-clinics was 35.2% (women 41.9%, men 10.0%) and in non-ED clinics 24.4% (women 27.7%, men 16.1%). The point prevalence was 11.1 and 10.9% respectively.</p><p><strong>Conclusions: </strong>The lifetime prevalence of any ED in the Swedish general population is 2-3.5%. Our results suggest a 10-fold higher prevalence among mental health care providers, regardless of if working with patients with ED or not. This result could have multiple explanations; such as an increased willingness to help others based on personal experience of ED or increased risk of developing ED when working with patients with ED. There is always a risk of reporting bias when conducting studies using digital questionnaires. The findings can have implications for the psychosocial work environment and health of employees as well as for the assessment and treatment of patients.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"651-658"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058547","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 family model in child and adult mental health services.","authors":"Camilla Linderborg, Bente Weimand, Adrian Falkov, Margareta Östman","doi":"10.1080/08039488.2025.2570252","DOIUrl":"10.1080/08039488.2025.2570252","url":null,"abstract":"<p><strong>Introduction: </strong>This study is based on a development project among selected child and adult mental health services in Sweden. Its goal was quality enhancement by using a family approach. The Family Model (TFM) is a family-focused practice developed in Australia and implemented for several years. In accordance with trust-based research, experiences voiced by the family are investigated.</p><p><strong>Aim: </strong>The aim of the study was to gain knowledge regarding the experiences of both youth and adult family members when using TFM under the supervision of child and adult mental health services.</p><p><strong>Method: </strong>Eleven families were recruited and interviewed in focus groups or individually in a qualitative study based on principles of naturalistic inquiry.</p><p><strong>Results: </strong>Family members found that the model provided them with the opportunity to deal preemptively with their issues. It worked well in conjunction with the mental health services they were being provided by giving them clear objectives. The presence of competent clinicians was considered essential for success.</p><p><strong>Conclusion: </strong>The Family Model proved useful in mental health clinical practice in families with concurrent mental illness in youth and adults. Our findings may assist providers in developing a parallel family-focused practice that offers child and adult clinical services.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"615-622"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275451","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":"Criminal behavior prior and subsequent to involuntary commitment and detainment in adolescent psychiatric care.","authors":"Ville Marin, Timo Holttinen, Riittakerttu Kaltiala","doi":"10.1080/08039488.2025.2557631","DOIUrl":"10.1080/08039488.2025.2557631","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the connections between young people's criminal behavior and involuntary psychiatric treatment.</p><p><strong>Materials and methods: </strong>A registry-based follow-up study, using data of all Finnish individuals with first ever psychiatric inpatient treatment at ages 13-17 between 1996 and 2010 (<i>n</i> = 12,725). Information on inpatient treatment periods was extracted from the National Care Register for Health Care (HILMO) and data on criminality from the Register of Prosecutions, Sentences and Punishments maintained by Statistics Finland. The subjects were followed for 10 years after the end of the index hospital stay.</p><p><strong>Results: </strong>A criminal background before the first hospital stay was about twice as common among those committed to hospital involuntarily and those detained in involuntary treatment. Both commitment and detainment were across diagnostic groups associated with later criminal behavior in general and violent criminality in particular. In analyses stratified by sex, involuntary treatment was associated with later criminality only among females.</p><p><strong>Conclusions: </strong>Criminal behavior before admission to psychiatric treatment is a risk factor for the initiation and implementation of involuntary treatment, but the initiation and implementation of treatment through involuntary procedures are also independent predictors of later criminal behavior. In hospital care and subsequent interventions, supporting prosocial development should be a focus in addition to treating psychiatric symptoms.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"580-587"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033712","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":"Identifying forensic psychiatric populations in national health registers: a Danish validation study.","authors":"Christian Jentz, Harry G Kennedy, Annelli Sandbæk, Anette Andersen, Morten Deleuran Terkildsen, Louise Karstoft, Lisbeth Uhrskov Sørensen","doi":"10.1080/08039488.2025.2565825","DOIUrl":"10.1080/08039488.2025.2565825","url":null,"abstract":"<p><strong>Background: </strong>The identification of patients in forensic psychiatric care within national health registries has historically posed significant challenges, limiting research to small-scale studies and restricting its scope. This study aims to evaluate the utility of the Danish National Patient Register (DNPR) for research purposes by assessing the criterion concurrent validity of administrative trajectory markers for identifying incident patients receiving forensic psychiatric care.</p><p><strong>Methods: </strong>We employed a population-wide design, analyzing data from the entire Danish population aged 15 years and older (almost 5 million individuals). Incident forensic psychiatric patients between January and December, 2022, were identified through a trajectory start marker in the DNPR. Validity was assessed by comparing these cases to confirmed cases from the Central Criminal Register (CCR). Test statistics, including sensitivity, specificity, positive predictive value (PPV), and negative predictive value, were calculated.</p><p><strong>Results: </strong>A total of 323 forensic psychiatric patients were identified in the DNPR, of whom 289 (89.5%) were confirmed as incident cases in the CCR. The sensitivity of any trajectory start marker was .755 (.708-.797), and the PPV was .895 (.856, .926). PPV varied across the five Danish regions and between individual trajectory markers, with the highest PPV (.950) observed among patients sentenced to outpatient psychiatric treatment with the option of hospitalization.</p><p><strong>Conclusions: </strong>The findings suggest that trajectory markers are a promising approach for reliably identifying incident forensic psychiatric cases within Danish national health registers. Further studies are needed to confirm their validity across different contexts, informing clinical practice and policy decisions in forensic psychiatry.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"606-614"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192269","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":"Investigation of the feasibility and efficacy of a fully immersive virtual reality-based memory training paradigm on memory performance in healthy controls and patients with mood or schizophrenia spectrum disorders.","authors":"Andreas Jespersen, Rebecca Lachmann, Bjørn Nordseth, Johannes Sivesgaard, Lars Christiansen, Kamilla Woznica Miskowiak","doi":"10.1080/08039488.2025.2565824","DOIUrl":"10.1080/08039488.2025.2565824","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive impairments, including difficulties with learning and memory, are common in mood disorders (MD) and schizophrenia spectrum disorders (SSD), yet cognitive remediation interventions often show limited transfer of improvements to functioning. Fully immersive virtual reality (VR) offers an engaging and ecologically valid cognitive training platform. This study explored the efficacy and feasibility of a one-hour VR-based memory training session utilising the Method of Loci (MoL) for improving memory and self-efficacy in patients with MD or SSD and healthy controls (HC).</p><p><strong>Methods: </strong>Patients with MD or SSD (<i>n</i> = 20) and HC (HCVR, <i>n</i> = 20) trained MoL memory encoding using a novel VR paradigm, while another HC group (<i>n</i> = 20) used a traditional flashcard-based encoding method. All participants encoded the 50 U.S. states. Memory recall was assessed pre-training, post-training, and one week later. Patients completed self-efficacy questionnaires pre- and post-training and evaluated training engagement and usefulness.</p><p><strong>Results: </strong>VR-based MoL training significantly improved recall of the 50 U.S. states in patients (pre: 11.65 ± 7.81; post: 33.80 ± 9.35, <i>t</i> = -10.06, <i>p</i> < .001) and HCVR (pre: 20.35 ± 9.41; post: 40.40 ± 5.80, <i>t</i> = -11.78, <i>p</i> < .001), with effects maintained at one-week follow-up. VR-based training outperformed traditional encoding in HC (<i>F</i>(2,76) = 4.17, <i>p</i> = .02, <i>ηp²</i> = .09). Patients reported higher post-training memory self-efficacy and rated the training as highly engaging and useful.</p><p><strong>Conclusion: </strong>A single VR-based MoL session led to improved memory and self-efficacy in patients with MD or SSD, providing a stepping stone to show patients they can enhance memory using simple mnemonic techniques. This approach may encourage sustained memory training in daily life.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"642-650"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329670","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":"It takes one to know one: prevalence and self-disclosure of mental illness among physicians and psychologists working in psychiatric services in Denmark.","authors":"Ea Hvid Kragelund, Maria Speed, Simon Hjerrild","doi":"10.1080/08039488.2025.2553575","DOIUrl":"10.1080/08039488.2025.2553575","url":null,"abstract":"<p><strong>Objective: </strong>Limited knowledge exists regarding the prevalence of mental illnesses in physicians and psychologists working in mental health services. In addition, knowledge of the positive or negative impact of lived experience in mental health care professionals is scarce. The study aimed to describe the self-reported prevalence of mental illness amongst psychologists and physicians working in mental health services in Denmark, their perception of impact on their work within mental health services, and their extent of disclosure and treatment-seeking.</p><p><strong>Methods: </strong>Invitations to an online survey were distributed <i>via</i> e-mail to head consultants of all mental health services in Denmark (<i>n</i> = 29). The association between respondent characteristics and the lifetime mental illness group was assessed in a multivariate logistic regression analysis, with the lifetime mental illness group as outcome.</p><p><strong>Results: </strong>In total, 393 physicians and psychologists responded to the survey (response rate 67%). The combined lifetime prevalence of mental illness was 32% (<i>n</i> = 124). The respondents generally believed that lived experience with mental illness enhanced insight into mental illness and increased understanding and empathy towards patients. Auto-stigmatization and fear of disclosure were highly prevalent amongst respondents.</p><p><strong>Conclusion: </strong>The results suggest lived experience with mental illness can be seen as a strength with increased patient understanding and empathy emphasizing that lived experience should not be perceived as a professional barrier. However, lived experience can cause negative impacts which highlights that physicians' health programs should address mental health stigma, and professional associations facilitate more openness and support for members with lived experience.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"565-572"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030108","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":"Mental disorder diagnoses as predictors of behavioural risk factors: the moderating role of socioeconomic status.","authors":"Galina Opikova, Rainer Reile, Kenn Konstabel, Kristjan Kask","doi":"10.1080/08039488.2025.2557632","DOIUrl":"10.1080/08039488.2025.2557632","url":null,"abstract":"<p><strong>Background: </strong>Health inequities have drawn increasing attention, yet evidence on the moderating role of socioeconomic status (SES) in the relationship between mental disorders and multiple behavioural risks is inconsistent. This study examines the role of SES in the relationship between prior mental disorder diagnoses and later multiple behavioural risks.</p><p><strong>Methods: </strong>The study was based on registry-linked survey data from 2021-2022 among the Estonian adult population. The analytic sample included 1,561 individuals aged >25. Poisson regression was used to examine associations between mental disorders and behavioural risks. Latent class analysis was used to identify behavioural risk classes, and multinomial logistic regression to assess their relationship with prior diagnoses.</p><p><strong>Results: </strong>Depression was associated with a higher number of behavioural risks and higher odds of belonging to multiple risk classes, while anxiety was linked to the overweight/obesity class. Lower SES index, secondary education, and medium income were associated with increased behavioural risks compared to higher SES index, education, and income. While the SES index showed no interactions, education and income demonstrated moderating effects. Respondents with medium income and depression had lower risk of behavioural risks and lower odds of belonging to multiple risk classes, compared to the higher-income group. Individuals with anxiety and secondary education had a lower risk of behavioural risks and lower odds of the overweight/obesity category, compared to those with higher education.</p><p><strong>Conclusion: </strong>These results highlight the relevance of socioeconomic context and the need for further longitudinal research. Findings point to the importance of addressing behavioural risks within psychiatric care.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"588-596"},"PeriodicalIF":1.5,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081183","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}