Psychiatric Quarterly最新文献

{"title":"Barriers to Treatment of Mental Disorders in Saudi Arabia.","authors":"Sumayah Aljhani, Sultan Aldughayim, Ziyad Alsweed, Sulaiman Alherbish, Faris Alhumaid, Rayan Alismail, Saleh Alkhalaf, Ibrahim AlBahouth","doi":"10.1007/s11126-024-10104-8","DOIUrl":"10.1007/s11126-024-10104-8","url":null,"abstract":"<p><p>Mental disorders are a global health issue affecting millions of individuals. People with mental disorders often face barriers to treatment, including stigma and discrimination, social, religious, and familial barriers, and a lack of knowledge about available treatment options. These barriers can lead to delayed or untreated mental illnesses, with serious consequences for the individuals, their families, and communities. This cross-sectional study explores the treatment barriers for different mental disorders as they significantly impact people's lives. It includes patients diagnosed with mental disorders. The data were collected from the patients or their companions attending Qassim Mental Health Hospital's outpatient clinic. We used a self-administered online questionnaire, sociodemographic variables, and the barrier to access to care evaluation (BACE) scale. Our sample included 332 adult patients with mental disorders (men, 63.9%; women, 36.1%). The mean percentage scores for stigma-, attitude-, and instrument-related barriers were 26.7%, 33.0%, and 18.7%, respectively. Younger age was associated with higher scores in all three BACE domains. Patients with psychotic disorders faced stigma- and attitude-related barriers, but not instrument-related barriers. Patients with multiple mental conditions faced increased stigma- and instrument-related barriers but not attitude-related barriers. Further longitudinal studies are required to better understand these barriers to help patients with mental conditions.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"75-89"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755110","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 and Changes in Usage of Mental Health Services for Rhode Island Children and Youth Before, During, and After Onset of the COVID-19 Pandemic.","authors":"Sharon Zanti, Chenyi Ma","doi":"10.1007/s11126-024-10103-9","DOIUrl":"10.1007/s11126-024-10103-9","url":null,"abstract":"<p><p>This study reports the prevalence of inpatient, emergency department (ED), and outpatient mental health service usage of children/youth before, during, and after onset of the COVID-19 pandemic in Rhode Island. Additionally, we identify significant changes in usage across these time periods and the prevalence of each service type contingent upon various demographic profiles. This retrospective observational analysis used Rhode Island Medicaid claims to identify the unique children and youth who used inpatient, ED, and outpatient mental health services across three key time periods: pre-onset (March 2019-February 2020); onset (March 2020-February 2021); and post-onset (March 2021-February 2022). We used z-tests to analyze changes in the proportion of children/youth who accessed these services in each period. We examined relationships between demographic characteristics and time period with chi-square tests. Significant decreases in inpatient and ED usage were identified from pre-onset to onset (p < .05). While inpatient nearly returned to pre-pandemic usage in post-onset, ED usage remained lower. Outpatient usage increased significantly leading up to the pandemic but remained at similar levels between pre-onset and post-onset. From pre-onset to post-onset, females grew as a percentage of all inpatient, ED, and outpatient users. Over this same period, the proportion of inpatient users aged 12-18 increased and the proportion of ED and outpatient users aged 19-24 increased. Female usage of mental health services increased significantly, and older children/youth seemed to drive any significant increases. Future public health and disaster preparedness policies should focus on the unique mental health needs of these socially vulnerable groups.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"91-116"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771729","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":"Psychometric Properties and Network Analysis of the Arabic Version of Reinforcement Sensitivity Theory of Personality Scale-Short Version in Patients with Anxiety Disorders.","authors":"Rasha Mohamed Abdelrahman, Abdulnaser Fakhrou, Mahmoud Ali Moussa, Mohaddeseh Roshan","doi":"10.1007/s11126-024-10109-3","DOIUrl":"10.1007/s11126-024-10109-3","url":null,"abstract":"<p><p>This study aimed to examine the psychometric properties of the Arabic version of a short version of the Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ-S) among a sample of 700 patients with anxiety disorders (53.1% were female). Participants completed the RST-PQ-S, NEO-FFI, Positive Mental Health (PMH), and Kessler Psychological Distress scale. Both Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were employed to test the construct validity of the scale. This study also utilized a network perspective, incorporating Exploratory Graph Analysis (EGA) and centrality measures. As a result of the EFA and CFA, it was determined that the scale consists of 22 items and six subdimensions. These subdimensions were named as follows: \"Flight Fight-Freeze System\", \"Behavioral Inhibition System\", \"Reward Interest\", \"Reward Reactivity\", \"Goal-Drive Persistence\", and \"Impulsivity\". Additionally, the network analysis's findings confirmed the six-factor structure derived from the construct validity assessment. The results of this study demonstrated that the Arabic version of the personality scale is a valid and reliable tool for assessing personality in Arabic-speaking individuals with anxiety disorders. It has the potential to serve as an important diagnostic instrument in clinical and research settings. These findings may assist psychologists and clinicians in Arabic-speaking countries to better understand how the personality traits and anxiety disorders are related.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"145-167"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network Analysis of Internalizing and Externalizing Symptoms in Arab Gifted Children: A Cross-Sectional Study.","authors":"Ayoub Hamdan Al-Rousan, Mohammad Nayef Ayasrah, Mohamad Ahmad Saleem Khasawneh","doi":"10.1007/s11126-025-10112-2","DOIUrl":"10.1007/s11126-025-10112-2","url":null,"abstract":"<p><p>The current paper aimed to estimate the network structure of general psychopathology (internalizing and externalizing symptoms/disorders) among 239 gifted children in Jordan. This cross-sectional study with a convenience sampling method was conducted between September 2023 and October 2024 among gifted children aged 7-12. The Child Behavior Checklist (CBCL) was employed to assess six symptom clusters: conduct problems, attention-deficit/hyperactivity disorder (ADHD), and oppositional defiant problems as externalizing symptoms, and affective problems, anxiety issues, and somatic complaints as internalizing symptoms. We used the network analysis perspective by graphical least absolute shrinkage and selection operator (gLASSO) and the Extended Bayesian Information Criterion (EBIC). These methods were used to determine network structure and important nodes in the estimated network. \"Sleeps less\" (centrality strength = 2.04, edge weight = 0.33) was the central symptom in the affective cluster. In contrast, \"worries\" (centrality strength = 1.89, edge weight = 0.28) and \"headaches\" (centrality strength = 2.35, edge weight = 0.41) were pivotal in the anxiety and somatic clusters, respectively. The findings suggested that these symptoms had critical roles in the context of the general psychopathology among gifted children. Accordingly, the mentioned symptoms should be assessed and targeted among gifted children. Future studies could evaluate the results of targeting these symptoms on gifted children's well-being and daily functions.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"117-132"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979768","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":"An Exploratory Study about Factors and Outcomes Associated with the Experience of Coercive Measures in Mental Health Settings.","authors":"Jesús Herrera-Imbroda, Vera Carbonel-Aranda, Yaiza García-Illanes, Carlos Aguilera-Serrano, Antonio Bordallo-Aragón, Edgar García-Spínola, Daniel Torres-Campos, José María Villagrán, Juan Antonio García-Sanchez, Fermín Mayoral-Cleries, José Guzmán-Parra","doi":"10.1007/s11126-024-10110-w","DOIUrl":"10.1007/s11126-024-10110-w","url":null,"abstract":"<p><p>Coercive measures are commonly used in mental health settings despite their negative effects. The subjective experience of coercion varies widely, and its short- and long-term health impacts are not well understood. This study aimed to analyze the association between different types of coercive measures experienced during psychiatric hospitalization, the subjective experience of coercion, and both short- and long-term health outcomes. The study included 111 patients from two mental health units who experienced coercive measures (mechanical restraint, involuntary medication, or both). Perceived coercion was assessed during hospitalization. Short-term outcomes (post-traumatic stress and treatment satisfaction) were evaluated before discharge, while long-term outcomes (functionality improvement, risk of readmission, and suicidal behavior) were assessed at five-year follow-up. Perceived coercion was associated with higher post-traumatic stress (p < 0.001) and lower satisfaction with treatment (p < 0.001) in the short term. In the long term, perceived coercion showed no association with functionality, readmission risk, or suicidal behavior. However, combined coercive measures were linked to lower functionality improvement (p = 0.028) and higher readmission risk (p = 0.028) compared to involuntary medication alone. The findings suggest that efforts to reduce negative subjective experiences associated with coercive measures may improve patient satisfaction and reduce trauma risk during hospitalization. Combined coercive measures may be a risk factor for poorer long-term outcomes and should be carefully considered.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"133-144"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are S100B and VILIP-1 Involved in a Common Mechanism of Neuroinflammation in Major Depressive Disorder?","authors":"Nagihan Ayaz Naycı, Aybeniz Civan Kahve, Hasan Kaya, Andaç Uzdoğan, Yağmur Darben Azarsız, Süreyya Barun, Erol Göka","doi":"10.1007/s11126-024-10102-w","DOIUrl":"10.1007/s11126-024-10102-w","url":null,"abstract":"<p><p>This study aimed to evaluate the role of neuroinflammation in neuronal and glial cells in the pathophysiology of Major Depressive Disorder (MDD) through different biomarkers.S100-B and VILIP-1 levels of patients diagnosed with MDD were evaluated before and after antidepressant treatment. A total of 65 patients diagnosed with MDD and 69 healthy controls were included. Serum levels of S100B and VILIP-1 were measured at the time of diagnosis and after eight weeks antidepressant treatment and compared with healthy controls. Hamilton Depression Rating Scale (HDRS) and the Clinical Global Impression Scale (CGI) were applied to assess the severity of depression. In our study, although serum S100B levels were higher in patients before treatment compared to healthy controls, this difference was not statistically significant. Regarding VILIP-1 levels, there was no statistically significant difference between patients and healthy controls. A positive and statistically significant correlation was found between S100B and VILIP-1 levels in MDD group before the treatment. At the eighth week of treatment, a statistically significant positive correlation was also found between S100B and VILIP-1 levels. Our research is the first study to evaluate MDD through two separate biomarkers specific to glial and neuronal cells.The fact that S100B and VILIP-1 levels showed significant correlations in patients diagnosed with MDD both before and after treatment suggests that they may play a shared role in the pathophysiology of the disorder. The correlation between S100B and VILIP-1 may serve as a guide in understanding the pathophysiology of the disorder and in identifying new drug development targets.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"19-37"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606008","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 Network Analysis of Depression and Cognitive Impairments in Fibromyalgia: A Secondary Analysis Study.","authors":"Dariush Tahmasebi Aghbelaghi, Mahbobeh Jalali, Natalie Tayim, Roghayeh Kiyani","doi":"10.1007/s11126-024-10106-6","DOIUrl":"10.1007/s11126-024-10106-6","url":null,"abstract":"<p><strong>Introduction: </strong>Fibromyalgia is a chronic condition often accompanied by cognitive impairments, such as difficulties with sustained attention, and emotional disturbances, particularly depression and anxiety. Understanding how these emotional and cognitive factors interact is crucial to improving treatment for fibromyalgia patients. This study aimed to investigate the network structure of these interactions, focusing on the relationship between depression, anxiety, and cognitive performance.</p><p><strong>Method: </strong>A total of one hundred ten participants diagnosed with fibromyalgia completed self-reported assessments of depression and anxiety, alongside cognitive performance tests. Key measures included Continuous Performance Tasks (CPT) for impulsivity and sustained attention, the Stroop Interference Index (StI), Stroop Color Naming (StC), and Stroop Word Reading (StW). Network analysis was conducted to estimate the relationships between emotional and cognitive variables and assess their centrality within the network.</p><p><strong>Results: </strong>Errors in CPT emerged as the most significant indicators of the relationship between depression and cognitive performance, with high centrality values observed for the Stroop tasks (StI, StC, and StW). Additionally, Trait Anxiety (A_T) and Beck Depression Inventory (BDI) measures showed high centrality, underscoring the critical role of emotional states in the network of cognitive and emotional variables. The centrality values for cognitive flexibility, processing speed, and inhibitory control were found to be 0.85, 0.78, and 0.72, respectively.</p><p><strong>Conclusion: </strong>This study highlights the strong association between depression symptoms and deficits in cognitive domains, emphasizing the need for integrated care approaches that address both cognitive and emotional health. Multidisciplinary treatment programs, including cognitive rehabilitation and psychological support, could improve patient outcomes by targeting the most influential variables in the cognitive-emotional network.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"39-57"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716973","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":"Conscientiousness, Public Service Motivation, Resilience, and Work Engagement among Volunteers in Lebanon.","authors":"Hussein Mreydem, Issa Kamal Eddine, Moussa Hojeij, Han Sung Lee, Pascale Salameh, Seockhoon Chung","doi":"10.1007/s11126-025-10115-z","DOIUrl":"10.1007/s11126-025-10115-z","url":null,"abstract":"<p><p>We conducted a descriptive-analytical cross-sectional study using an online survey to explore the personality traits of volunteers in Lebanon and examine their relationship with work engagement, psychological status, resilience, and public service motivation. A total of 270 volunteers were recruited through social media platforms. The survey included general questions about volunteering, Utrecht Work Engagement Scale-9 items (UWES-9), the Big Five Personality Inventory-10 (BFPI-10), the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Public Service Motivation (PSM), and the Connor-Davidson Resilience Scale-2 (CD-RISC2). The results revealed that agreeableness and conscientiousness levels were significantly lower among volunteers with low work engagement compared to those with high work engagement. Work engagement was positively correlated with agreeableness and conscientiousness and negatively correlated with neuroticism. Logistic regression showed that being single with a low level of conscientiousness, public service motivation, and resilience predicted low work engagement. Mediation analysis showed that conscientiousness, public service motivation, and resilience directly influenced work engagement, and depression mediated the relationship of conscientiousness and resilience with work engagement. This study highlights the importance of personality traits, mental health, and motivation in understanding work engagement among volunteers, which can help in designing strategies to enhance volunteers' experiences, well-being, and productivity.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"227-240"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067406","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":"Pathway from Earthquake Fear to Post-Traumatic Growth: The Roles of Resilience, Self-Efficacy, and Positive Childhood Memories Among Survivors of the 2023 Türkiye Earthquakes.","authors":"Yakup İme, Rumeysa Hoşoğlu Kama, Nihan Çitemel Arslan","doi":"10.1007/s11126-025-10113-1","DOIUrl":"10.1007/s11126-025-10113-1","url":null,"abstract":"<p><p>Posttraumatic growth is essential for understanding how individuals process trauma and adapt psychologically in the aftermath of seismic events. This study aims to explore the mediating effects of resilience, self-efficacy, and positive childhood memories on the relationship between fear of earthquakes and post-traumatic growth among survivors of the 2023 Türkiye earthquake (N = 423). The results of a multi-mediation analysis indicated that earthquake fear indirectly influenced post-traumatic growth through resilience, self-efficacy, and positive childhood memories. Consequently, these factors may serve as protective mechanisms promoting post-traumatic growth in earthquake survivors. Implementing strategies to enhance resilience and self-efficacy, as well as fostering positive childhood memories, may be essential for mitigating the adverse effects associated with earthquakes.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"169-182"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Network Analysis of Core Symptoms of Internalizing and Externalizing Symptoms Among Children with Dyslexia in Saudi Arabia.","authors":"Norah Alkhateeb","doi":"10.1007/s11126-024-10105-7","DOIUrl":"10.1007/s11126-024-10105-7","url":null,"abstract":"<p><p>Researches indicate that children with dyslexia are more likely to experience psychiatric symptoms throughout life compared to peers in the general population. Improving the classification of psychiatric symptoms in this population can be a valuable goal for strengthing therapeutic models. The current study aimed to evaluate the dynamic associations between internalizing and externalizing symptoms in children with dyslexia using network analysis. This cross-sectional study was conducted in Saudi Arabia from April to July 2024, involving 183 children aged 8-11 diagnosed with dyslexia, recruited through convenience sampling from local schools and clinics. The Child Behavior Checklist (CBCL) was utilized to assess a range of psychopathological symptoms, focusing on six clusters: affective problems, anxiety problems, somatic symptoms, ADHD symptoms, oppositional defiant problems, and conduct problems. Notably, \"cries a lot\" emerged as a central symptom in the affective network, while \"dependent\" was identified as the most pivotal symptom in the anxiety network. Centrality measures-betweenness, closeness, and strength-were employed to quantify the significance of each symptom. The findings suggest that these central symptoms may contribute to the development and persistence of psychiatric comorbidities in children with dyslexia. Interventions targeting these core symptoms could enhance psychological outcomes for this population. Overall, this study lays the groundwork for future research into tailored intervention strategies to address unique psychiatric comorbidities associated with dyslexia.</p>","PeriodicalId":20658,"journal":{"name":"Psychiatric Quarterly","volume":" ","pages":"59-74"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732092","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}